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/p19797687/s56097966/ff4662b5-0054ecdc-9e614ed5-42f5d70f-4598dbcc.jpg | there is persistent right basilar opacity which is somewhat improved when compared to the most recent x-ray. linear bibasilar opacities may be due to a combination of atelectasis or scarring. there is no large pleural effusion although blunting of the right lateral and posterior costophrenic angles could represent smal... | <unk>f with picc dysfunction, known empyema // eval pleural effusion/empyema, eval picc |
MIMIC-CXR-JPG/2.0.0/files/p18784631/s58183049/7ce4c4a7-d78fb616-53f9c10f-7317681c-e9881f61.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13416773/s50450991/f3d166a9-b409a29c-ff8c2d08-0a267771-a3d50172.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk> year old woman with cough, doe and sob. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11484655/s59748043/4da10b32-32c51e81-233d5e3e-5edd6bb7-04a5c00b.jpg | lung volumes are low,. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with gerd, constipation, here with <num> days chest pain and point tenderness over right lower ribcage // cause of chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16819220/s56050406/8bba1d04-5ec8548e-5525c2c3-f32ed43a-5fedf749.jpg | inspiratory volumes are slightly low. allowing for this, there may be mild cardiomegaly. no chf, focal infiltrate, or effusion is detected. within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy or obvious pulmonary nodule is detected. incidental note is made of eventration of the right he... | hepatic granuloma, rule out pneumonia, sarcoidosis. chest, two views. no previous chest x-rays on pacs record for comparison. |
MIMIC-CXR-JPG/2.0.0/files/p16846450/s56732153/4d2b3650-38504111-a2241fd6-a5b9e6b6-acdb44d0.jpg | frontal and lateral chest right radiographs demonstrate a normal cardiomediastinal silhouette. the lungs are well aerated and clear, with no focal consolidation or pulmonary edema. there is a small right pleural effusion. there is no pleural effusion on the left, and no pneumothorax. | status post tracheobronchoplasty. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15097677/s55805114/1e5f6ac6-f336180b-3e17b1de-9ed493d7-301bd34a.jpg | the head of the left humerus is anteriorly dislocated from the glenoid fossa. limited images of the elbow are unremarkable. the ac joint is unremarkable. no acute fracture or other dislocation is seen. the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleur... | pedestrian struck, left shoulder pain, concerning for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p18635022/s50618369/78806a57-5e040031-4a488f74-7d3eff11-7967eee4.jpg | ap single chest view was obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. moderate cardiac enlargement as identified on this single portable chest view persists. widened thoracic aorta with deviation of tracheal contours to the right in superior mediasti... | <unk>-year-old male patient with end-stage renal disease, just started on hemodialysis, increasing crackles on examination and oxygen requirement. evaluate for interval change in pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18945455/s55805105/e27a1abf-b13ad630-1a48f656-516869b5-0957e2e9.jpg | the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. again demonstrated is widening of the superior mediastinum compatible with an enlarged thyroid goiter, which was previously assessed on a thyroid ultrasound from <unk>. the pulmonary vascularity is normal. the lungs are... | leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p16254515/s57622488/412f61fa-31041a86-4b9ff81e-d90bd706-6d5016f4.jpg | the heart is mildly enlarged. no typical configurational abnormality is identified. thoracic aorta is moderately widened and shows calcium deposits in the wall, mostly at the level of the arch. no local contour abnormalities are identified. the pulmonary vasculature is not congested. the diaphragms are relatively low p... | <unk>-year-old female patient with <unk>'s and dyspnea, recent nasal congestion, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13810570/s58372660/73de9cf4-172077e3-9856315e-5efbbb46-c2f1c2b8.jpg | lungs are well expanded. subtle nodular opacities in the right mid and lower lung zone are concerning for pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. median sternotomy wires are noted. a lap band is visualized. | <unk>-year-old female with chest pain, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11446337/s59706589/a4354be6-48a86dc2-13374a54-eb80ea6f-73a496de.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. | hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p13921670/s53887644/71fb0e13-6eb770d0-a634f99f-d3114212-9a34a910.jpg | bilateral pleural effusions are again seen, slightly improved on the left with stable appearance on the right. there is also atelectasis within the right mid lung, likely due to atelctasis, however an underlying infection is also possible. there is no pneumothorax. the heart size is stable, allowing for relatively low ... | crackles on physical exam. evaluation for pleural effusion or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p14092420/s54231991/7d555bae-5bf61d45-59e660d0-8bdbd25a-423a7a03.jpg | since the most recent prior radiograph, there has been interval removal of bilateral chest tubes. there is no pneumothorax. there has otherwise been no significant interval change. a swan-ganz catheter is seen within the main pulmonary artery. left chest wall pacemaker leads are unchanged in position. ng tube courses b... | <unk>-year-old woman status post mvr, tvr, chest tubes discontinued; evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14300755/s55129598/dbdd935e-fabe319e-5e0fc0d5-30e2edf5-00977875.jpg | right-sided picc line is seen ending at the mid svc. low lung volumes are seen but no focal consolidation, pleural effusion or pulmonary edema is seen. the cardiac and mediastinal contours are unchanged. | <unk>-year-old male with sacral decubitus ulcer, osteomyelitis. cough and fever, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17130568/s50694684/b34faf70-c16e3c57-29f8ee5d-9c35cd7a-67f6c233.jpg | single portable ap radiograph was provided. there is an aortic endograft in the thoracic aorta. there is moderate emphysema with increased reticulation in the lower lung zones which may be a combination of bronchiectasis, pulmonary fibrosis or other interstitial abnormality. there is no focal consolidation or pleural e... | trauma, rule out effusion or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18148920/s59862679/66d807f2-cf5ac5d8-de98fdb5-d3b71774-3e7f7ca9.jpg | the large right pleural effusion is larger. right lower lobe consolidation, likely compression atelectasis or collapse, is similar. moderate to severe cardiomegaly is unchanged. the mediastinal contour is normal. the left lung is clear. there is no apical pneumothorax. | recent thoracentesis, status post removal of pigtail, now has shortness of breath and new o<num> requirement. please evaluate for effusion. |
MIMIC-CXR-JPG/2.0.0/files/p19963038/s55670208/773cddf4-41c0171a-004f6878-ae5726e9-74a3d77b.jpg | enlarged lymph nodes in the aorticopulmonary window and left hilum appear less prominent than on the prior radiograph. cardiomediastinal contours are otherwise stable. within the lungs, persistent reticular opacities are demonstrated bases. there are no new areas of consolidation and there is no pleural effusion or pne... | <unk> year old woman with hodgkins disease s/p abvd with sob // lung scan r/o pe |
MIMIC-CXR-JPG/2.0.0/files/p10337260/s58067276/cff78879-9792e4e1-d46e75df-8e23036a-e42e01ba.jpg | right internal jugular central venous catheter tip terminates in the upper svc. no pneumothorax is visualized. the cardiac, mediastinal and hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion is demonstrated. oral contrast material is seen within bowel loops within the left upper... | new right internal jugular central venous catheter placement. |
MIMIC-CXR-JPG/2.0.0/files/p17279403/s51656317/4dfe7241-25d7bfcf-6a5037f9-9ed72ad8-20b7c6fe.jpg | cardiomediastinal contours are normal. there increased lung markings at the right base compatible with an early infiltrate. the left lung is clear the osseous structures are unremarkable | <unk> year old man with cough chf fever // r/o consolidation |
MIMIC-CXR-JPG/2.0.0/files/p10061358/s59946627/890fd4f8-cbe655ae-5fb7e3a8-3b6399cd-d13bb624.jpg | pa and lateral views of the chest. no prior. lungs are clear of focal consolidation, effusion, or pneumothorax. patient is status post median sternotomy, compatible with history of vsd repair. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13713802/s55023519/d7e403ef-c7c1cafe-d17810ba-b1f084f8-cb18b42b.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man with aml, s/p <num> cycles of decitabine. also with history of asthma. now flu positive and with increased oxygen requirement // please eval for consolidation or other abnormality please eval for consolidation or other abnormality |
MIMIC-CXR-JPG/2.0.0/files/p17405329/s57750874/050373f3-a96dbf53-87f458fb-c8e26f5c-1dafc167.jpg | the patient is status post sternotomy. the cardiac, mediastinal, and hilar contours appear unchanged, including marked enlargement of the main pulmonary artery. interstitial opacification suggests mild pulmonary edema, but not nearly as severe as on the prior examination. there is, however, a focal right basilar opacit... | fever and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18145476/s59679912/51934572-bde0a33d-c184871e-fb4a344a-f9d648a2.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 sob psl eval for pna or edema |
MIMIC-CXR-JPG/2.0.0/files/p13209752/s50387513/5faa2e92-223fdea9-55c6c665-97d7d4ea-28be8547.jpg | lung volumes are low. pulmonary vascular congestion is moderate. retrocardiac opacity is unchanged. endotracheal tube, mediastinal clips, sternal wires and orogastric tube are in unchanged position. a right internal jugular line is kinked in the subcutaneous tissues. the tip remains in the low svc. | <unk>-year-old woman status post cabg. |
MIMIC-CXR-JPG/2.0.0/files/p19610730/s54024122/a68139c8-643eb5f8-5020f2ef-83567552-da01c817.jpg | pa and lateral views of the chest provided. mild subsegmental left basal atelectasis noted. otherwise lungs appear clear. there is no convincing sign of pneumonia or edema. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the ... | <unk>m with chest discomfort // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p18935074/s54847831/4cbb1ec7-d4d9b220-6cf398a0-7f0133a8-8beb8573.jpg | pa and lateral images of the chest. a right-sided port-a-cath and a left-sided dialysis catheter are noted to be in adequate positions. there are slightly decreased lung volumes with mild associated vascular crowding. atelectasis is seen in the lung bases, unchanged from prior exam. the lungs are otherwise clear. there... | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10867088/s56708215/ebb08ac5-97257e1d-ad088fe6-8b2042eb-d7b6fbd4.jpg | ap view of the chest. low lung volumes crowd the bronchovascular markings. no focal consolidation, pleural effusion, or pneumothorax is seen. the cardiomediastinal and hilar contours are normal. | small right apical pneumothorax status post orif left elbow, evaluate after mechanical ventilation. |
MIMIC-CXR-JPG/2.0.0/files/p15391366/s59598655/9a8464bb-108402ee-cd03061d-a8335773-a13be18a.jpg | the lungs are hyperinflated with consistent with emphysema. biapical pleural thickening and biapical scarring larger in the right apex is unchanged. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. there is mild right scoliosis. the left hilum of appears enlarge g... | <unk> year old man with long smoking history and copd with <num> lb weight loss in last <num> months // please evaluate for malignancy |
MIMIC-CXR-JPG/2.0.0/files/p15861513/s52523884/ab4742dd-ef84f356-45f0400d-6c7fe438-f931176c.jpg | lung volumes are slightly low with crowding of the pulmonary vasculature. however, the vasculature is somewhat indistinct suggesting a component of mild interstitial edema. patchy opacities at both bases may reflect atelectasis, although aspiration or pneumonia should also be considered. no pleural effusion or pneumoth... | history: <unk>m with hypoglycemia // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15242729/s56313146/128169a6-1dfcc5ea-f3f8dadb-02eb048b-a4c4be38.jpg | shallow inspiration accentuates heart size, pulmonary vascularity. retrocardiac opacity is new, atelectasis versus pneumonitis. small left pleural effusion. no pneumothorax. | <unk> year old woman with increased respiratory rate of <num> and lethargy. // possible aspiration in setting of lethargy, possible fluid overload give <num>l fluid given today. |
MIMIC-CXR-JPG/2.0.0/files/p18904293/s51943081/26a61897-1f88db38-54fbdb9d-fbcf2c46-6d721224.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with mm and hypoxia // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19616306/s57740540/184e5017-634c261f-eaee6058-2b373f27-ad6de81c.jpg | lung volumes are unchanged compared to the prior study. the trachea is central. the cardiomediastinal contour is unchanged. the patient is intubated, an endotracheal tube terminates <num> cm above the level of the carina. there appear to be <num> nasoenteric tubes in-situ, the tips not visualized but lie below the left... | <unk> year old man with et tube and dobhoff // tubes/lines placement |
MIMIC-CXR-JPG/2.0.0/files/p17195386/s55037461/8ee3cdd0-3fe449d0-a3921cfe-8cb0ddb0-b3018df5.jpg | right pectoral pacemaker with leads terminating in the right atrium and right ventricle. minimal blunting of the right costophrenic angle suggests pleural adhesion. normal cardiomediastinal and hilar contours. fully expanded, clear lungs. no pneumothorax or pleural effusion. small hiatal hernia. | <unk>-year-old man with a history of syncope, now status post pacemaker placement. evaluate lead placement and for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19538920/s54564053/4c3ed474-cf316d8b-bc6be7b0-5ac67dee-4fea47a0.jpg | the lungs are well expanded. compared with <unk>, there is increased conspicuity of interstitial markings, more pronounced in the left lung. there is also mild vascular congestion with upper redistribution. a small right-sided pleural effusion is present. cardiomediastinal and hilar contours are otherwise unremarkable.... | <unk>-year-old female with congestive heart failure and shortness of breath. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p15057394/s51924531/73172270-90199083-7ff0a6eb-cd65d65b-ae381486.jpg | pa and lateral views of the chest were provided. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. tiny clips project over the left upper lung. the bony structures are intact. no free air below the right hemidiaphragm. | <unk>-year-old man with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19916931/s59063243/722f73d3-5257bacc-97c7cbbf-31076cb2-5a64065a.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax. | a <unk>-year-old man with history of smoking and delayed gastric emptying. please assess for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p18258847/s52609482/7988fc4d-60a1d80e-219f9bb9-b10c863c-b4d82f08.jpg | since the chest radiographs obtained approximately <num> weeks ago, the moderate left and small right pleural effusions have increased in size. there is associated compressive atelectasis bilaterally. cannot definitively assess heart size, but at least mild cardiomegaly is probable without pulmonary edema. pacemaker le... | <unk> year old woman with rhd with ms/mr and ai/as, ckd, hypothyroidism, sss s/p pm placement, and a fib transferred here after a fall with recurrent a fib and chf exacerbation. fall with tenderness of left posterior hemithorax. // r/o worsening left pleural effusion concerning for hemothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15146454/s51604322/31bc9512-6095e6d5-a4b4e721-110bb992-59af201d.jpg | the cardiomediastinal shadow is normal. no pleuropulmonary disease. no sinister bony lesions. | <unk> year old woman with hx of pos. ppd reading. // eval for active tb disease |
MIMIC-CXR-JPG/2.0.0/files/p12596706/s59729567/1ebd52db-174c24b7-2f39fc57-e7a85f9a-c2c49cca.jpg | no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. | <unk> year old woman with hx afib, here w/ ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18712598/s54667295/32e089bf-0832b6bb-abe04f67-67c8616c-360c5fb5.jpg | single portable view of the chest is compared to previous exam from one day prior. nasogastric tube passes off the inferior field of view. left chest tube remains in place. there is no visualized pneumothorax. persistent left basilar opacity is seen, potentially due to a combination of effusion or atelectasis. the righ... | <unk>-year-old female with left chest tube status post partial nephrectomy. |
MIMIC-CXR-JPG/2.0.0/files/p13608861/s57742647/ff5363af-add9d7d2-09e80caf-0499def4-e2c2357a.jpg | the lungs are clear without infiltrate or effusion. the bony thorax is normal. the cardiac and mediastinal silhouettes are unchanged | <unk> year old woman with hx of cp, neurogenic bladder, and recurrent utis w/ esbl organisms here w/ uti on cefepime and new cough and sob. // pna in the setting of newly onset cough and sob? |
MIMIC-CXR-JPG/2.0.0/files/p19011964/s51655267/d660ac62-004e0d56-173fa524-d34bbb0c-963ec3fa.jpg | the lungs are clear of focal consolidation, effusion, or congestion. there is mild to moderate cardiomegaly, new since prior exam. no acute osseous abnormalities identified. | <unk>m with fatigue // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p19333013/s51463143/9dd67212-14d20307-96e5f9bf-a291a68d-02162efa.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips are again seen in the right upper quadrant. | history: <unk>f with weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15287289/s53571375/1b75165f-6a71ab09-81d0e86f-09036f0c-cbdcdc08.jpg | lung volumes are lower compared to the previous exam. this accentuates the size of the cardiac silhouette which is top normal. mediastinal and hilar contours are otherwise unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. patchy opacities in the lung bases likely reflect are... | history: <unk>f with transient hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p17696853/s51762342/013e4245-01b59b54-a900870c-006f50bd-13a2f648.jpg | endotracheal tube is seen with tip in the right mainstem bronchus by at least <num> cm. enteric tube passes below the inferior field of view. there is retrocardiac opacity, likely atelectasis given relatively low lung volumes. minimal right basilar atelectasis is also noted. lungs are otherwise clear given low lung vol... | <unk>f with intubation eval tube placement |
MIMIC-CXR-JPG/2.0.0/files/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg | right ij swan-ganz catheter has been removed and no pneumothorax seen. left-sided picc line and left ventricular assist device appear unchanged radiographically. cardiac silhouette is large with unchanged splayed carina. obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar con... | <unk> year old man with increase in tachycardia and history of lvad placement c/b pericardial effusion w/ tamponade requiring trip back to the or for drainage and pericardial window placement. // ? hemothorax |
MIMIC-CXR-JPG/2.0.0/files/p10752102/s52835949/6b6e3060-e191953e-65e87daa-d9f38d27-ef5947d8.jpg | frontal and lateral views of the chest demonstrate increased lung volumes. right pic catheter and port-a-cath tips project over mid svc. no pneumothorax. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged. descending aorta is tortuous. right lower lobe opacity persists, which is also apprecited o... | worsening cough and difficulty breathing. |
MIMIC-CXR-JPG/2.0.0/files/p11967683/s51787633/0889f261-5e7ed31a-4f12265b-9599f526-3bc87150.jpg | the heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is not engorged. patchy bibasilar airspace opacities posteriorly are similar when compared to the previous exam, and could reflect areas of atelectasis or aspiration. small bilateral pleural effusions appear similar. no a... | fever, chills, emesis, weakness. history of liver cancer with biliary stent placement. |
MIMIC-CXR-JPG/2.0.0/files/p12644358/s54450260/149d8cdd-53de4e34-3fcc5fc8-45df29be-eca31d7b.jpg | <num> views of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen. | chest pain, shortness of breath, and dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p14485086/s58737728/3fddbf60-23de2521-4844ccb9-c8e07dfa-ff755a64.jpg | heterogeneous opacification of the lungs is increased compared to recent prior exam. there are small bilateral pleural effusions. no pneumothorax is detected on this single view. heart size is normal. aortic and carotid calcifications are noted. endotracheal tube tip is <num> cm above the carina. a right internal jugul... | <unk>-year-old female with sepsis and possible cholangitis, status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p14312580/s56106980/7c8b2c63-a55a639b-a0044488-133097bc-35369a66.jpg | cardiac silhouette size appears borderline enlarged, unchanged. mediastinal and hilar contours are stable. lungs are clear without focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is normal. no acute osseous abnormality is detected. | history: <unk>f with crescendo left chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16442524/s58328855/aba6f0a6-15e37bd1-00624fe0-4b17134d-519631d9.jpg | since the most recent examination, there has been interval placement of an endotracheal tube and a transesophageal tube. the endotracheal tube terminates approximately <num> cm above the carina. the transesophageal tube terminates in the region of the stomach. again seen are extensive bilateral multifocal opacities, un... | <unk> year old woman with hypoxic respiratory failure, recently intubated to perform diagnostic bronchoscopy // confirm et and og tube positioning |
MIMIC-CXR-JPG/2.0.0/files/p19072457/s52026230/da23227b-f6bc406d-959d9c57-60d0cd8c-1342ab2c.jpg | there are low lung volumes. there is a hazy opacity at the right lung base which may represent atelectasis but an infectious process cannot be excluded. cardiomediastinal silhouette is slightly enlarged, similar to prior exam. there is no pneumothorax or pleural effusion. | tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p11710089/s54014976/e58f1895-cc61f256-581a61b7-cb2e5bcd-b79109ff.jpg | cardiomediastinal contours are stable with moderate to severe cardiomegaly and ectatic aorta. . the lungs are clear. there is no pneumothorax or pleural effusion. wedge shaped deformity in mid thoracic vertebral body is unchanged. | <unk> year old woman with long standing tobacco history now with two days of hemoptysis, also with uri. on exam lungs cta. // r/o pna, mass |
MIMIC-CXR-JPG/2.0.0/files/p11581156/s51351158/8250ea9c-cf56f041-772a3dae-79adacd1-7a201760.jpg | the right port-a-cath appears intact and ends at the cavoatrial junction. the patient has a neoesophagus. the tip of the right chest tube is in the right hemithorax. bilateral moderate-to-large pleural effusions, with apparent interval re-accumulation of pleural fluid on the right and interval improvement on the left. ... | <unk> year old man with esophageal cancer, s/p r pleurodesis <unk>; evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16741986/s56541794/fdba0667-faa73efd-da3746a5-2a72a1fa-f5b292b7.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is identified. no subdiaphragmatic free air is seen. cholecystectomy clips are noted in the right upper quadrant of the abdomen. | history: <unk>f with painegdatus post egd // evaluate for free air |
MIMIC-CXR-JPG/2.0.0/files/p19821558/s50341383/ac512ff0-554a813d-a9414a3d-b315e494-43b078b8.jpg | the lungs are well inflated and clear. no lobar consolidation present. mild prominence of hilar vasculature as before. cardiomediastinal silhouette is unremarkable. no pleural effusion or pneumothorax noted. bony thorax is unremarkable. | <unk> year old man with presenting with dka and cough // evalute for pneumonia/cough |
MIMIC-CXR-JPG/2.0.0/files/p16962402/s50034023/a8d0bb68-02405d86-26d13f64-388a37ee-9db78f16.jpg | frontal and lateral views of the chest demonstrate stable cardiomegaly with ventricular prominence. the thoracic aorta is tortuous with arch calcifications. mild distention of azygos vein and kerley b lines in bilateral bases are unchanged. perihilar congestion is similar to slightly increased. there is, however, no fl... | <unk>-year-old female with shortness of breath and hypertrophic cardiomyopathy. |
MIMIC-CXR-JPG/2.0.0/files/p16231448/s59576913/31b1a7e3-017c0506-4f2673f7-3351036e-c635ec44.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with ett // please eval ett |
MIMIC-CXR-JPG/2.0.0/files/p18557437/s51458908/44b6c709-a624b31c-5e9a809e-1bdb815c-dfc4c4e6.jpg | right lower lobe atelectasis is unchanged. left lower lobe is airless and more likely collapsed than pneumonia. severe cardiomegaly has not changed. left subclavian line is new and terminates at the cavoatrial junction. no pneumothorax, pleural effusion is seen. mediastinal widening is likely due to supine positioning ... | <unk>m w/ severe htn, unclear etiology, p/w iph, left basal ganglia. check ng position. thanks |
MIMIC-CXR-JPG/2.0.0/files/p17245999/s55379727/426ef000-1a29c243-74cfbf05-294a7adb-b7c87bd0.jpg | transvenous pacemaker leads are in appropriate position in the right atrium and right ventricle. mild cardiomegaly is stable. mild blunting of the right costophrenic angle may represent effusion or scarring. the lungs are clear. mediastinal and hilar contours are normal. pleural surfaces are normal. no pneumothorax, me... | new pacemaker placement. |
MIMIC-CXR-JPG/2.0.0/files/p15196351/s50221497/c934b330-47e70d0d-94d16102-cd8ea5d9-e9287ff4.jpg | relatively low lung volumes are noted. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with removal of dialysis catheter // assess for hemothorax |
MIMIC-CXR-JPG/2.0.0/files/p15118488/s51746570/e85d8947-71e0bea9-675896a1-4be03d96-04b72ce6.jpg | mild cardiomegaly is new since the prior radiograph, however there is no pleural effusion or pulmonary edema. lungs are clear without focal consolidation concerning for pneumonia. mediastinal and hilar contours are normal. | <unk> year old woman with hx renal transplant. cough x <num> month, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13570759/s55676728/0388593b-138f33cc-4b170bdc-873ea5cb-e0a17392.jpg | hyperinflated lungs with flattened diaphragms and widened ap diameter are consistent with known copd. lungs clear bilaterally, without pleural effusion or pneumothorax. heart size is mildly enlarged with mild left ventricular and right ventricular enlargement with prominent hila. two anterior compression fractures with... | female with copd. |
MIMIC-CXR-JPG/2.0.0/files/p18523642/s57971702/5c7ff8be-c8eb6fcf-6f7fc98e-e600a35e-1f80b3e7.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | confusion, altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19997367/s52970039/c1ccde76-401595e8-84913703-06ff59e7-547780fb.jpg | ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. status post sternotomy, <unk> mitral valve prosthesis in place, permanent left-sided pacer with dual intracavitary electrode system, all unchang... | <unk>-year-old female patient status post mitral valve replacement, assess effusion. |
MIMIC-CXR-JPG/2.0.0/files/p13820366/s57766924/2764f7e1-01ee7a12-f69f0a72-5c018096-3f32af8b.jpg | moderate to severe enlargement of cardiac silhouette with a globular configuration is similar compared to the prior exam and likely reflective of a moderate sized pericardial effusion. mediastinal and hilar contours are unchanged. there is pulmonary vascular congestion with blunting of the left costophrenic angle on th... | history: <unk>f with esrd on dialysis with shortness of breath and nausea |
MIMIC-CXR-JPG/2.0.0/files/p10772636/s54691031/8854177e-4fa95427-3e80a2ed-096c7c10-023e7556.jpg | there has been interval placement of a nasogastric tube which terminates at the level of the ge junction on the initial radiograph. on the followup radiograph, the tube was advanced to at least the level of the duodenal bulb. a right picc line is unchanged in position, terminating in the low svc. there is no pneumothor... | <unk> year old man with new ngt. evaluate placement of ngt? |
MIMIC-CXR-JPG/2.0.0/files/p15904912/s58589841/bddc7fbd-53f36336-2407a5af-79380be0-1794b531.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>f with sore throat, ciough, fever |
MIMIC-CXR-JPG/2.0.0/files/p19575833/s54909865/95efe4b1-778960dd-e2984229-8a8f0a86-c1957068.jpg | pa and lateral views of the chest demonstrate no areas of focal consolidation. no pneumothorax or pleural effusion. cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14981068/s52492061/def0bc7c-e974d4db-4a74211c-019f07df-a521ffed.jpg | ap portable upright view of the chest. a pigtail right chest tube is seen along the lateral aspect of the right mid lung. no significant right pneumothorax is seen. there is subcutaneous emphysema along the right chest wall at the chest tube insertion site. there is mild atelectasis in the right lower lung. left lung i... | <unk>f with r sided pneumothorax // interval change in pneumothorax? |
MIMIC-CXR-JPG/2.0.0/files/p19659165/s53246264/97aeb679-0c6bb663-3346025c-f1adce51-d5f8d36b.jpg | the heart is normal in size. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. the lungs are clear. there are no pleural effusions. | <unk> year old man with cough // cough/wheeze |
MIMIC-CXR-JPG/2.0.0/files/p11868667/s53702204/569c3d3a-cb6c9772-29815b2a-3220c33b-e678b7a2.jpg | no focal pneumonia. no overt pulmonary edema. minimal pulmonary vascular congestion. mild to moderate cardiomegaly. no pleural effusion or pneumothorax. dual lead pacer with the tips in the right atrium and right ventricle. | <unk> year old woman with heart failure, asthma fever with new shortness of breath and destruction // plum edema vs pna |
MIMIC-CXR-JPG/2.0.0/files/p11214354/s54739259/6222bd3f-4b721ceb-a78062b1-3811e245-1278bab0.jpg | lungs are well-expanded. there is a <num> x <num> cm a mass in the right mid lung, which has increased over the interval. the heart appears enlarged, stable. no pneumothorax or pleural effusion. | history: <unk>f with sepsis, ams // |
MIMIC-CXR-JPG/2.0.0/files/p14941305/s54014606/131cbff8-999cb2c4-9aa6ba2b-9d3ce985-f27ad158.jpg | portable upright frontal view of the chest. increased interstitial marking are suggestive of vascular congestion and mild interstitial pulmonary edema. a focal opacity in the left mid lung could be edema or superimposed infection. mild to moderate cardiomegaly and calcification of the aortic knob is relatively unchange... | shortness of breath and history of copd. |
MIMIC-CXR-JPG/2.0.0/files/p19802210/s58084381/8619de73-52e66798-137dbfd8-04d5c73f-33187bfa.jpg | frontal and lateral radiographs of the chest show stable air space consolidation the right mid lung field, consistent with pneumonia. the cardiac silhouette appears slightly smaller on this exam, likely secondary to technique. small right sided pleural effusions is superimposed on known pleural thickening, and has incr... | <unk> year old man with fever, leukocytosis, pcxr with right sided opacity // better characterize right sided opacity |
MIMIC-CXR-JPG/2.0.0/files/p17520015/s57254470/f637ffbb-a9209edf-747cea3f-fc07e142-0ff548d6.jpg | since <unk>, no significant changes are appreciated. severe cardiomegaly is unchanged. no pulmonary vascular congestion or pulmonary edema. dual chamber cardiac pacemaker leads terminate in the right atrium and right ventricle. lungs are fully expanded and clear. no pleural effusions or pneumothorax. there is an unchan... | <unk> f on coumadin for afib with likely syncopal fall, small posterior falcine sdh, non-focal neurologic exam // evaluation of possible fluid overload in setting of chf |
MIMIC-CXR-JPG/2.0.0/files/p18454110/s54815703/9af21098-48471a65-8fb300fe-96177bd2-aaed292b.jpg | prior seen nasogastric tube has been advanced further into the stomach with its tip outside the field of view. the side port is no longer adjacent to the gastroesophageal junction. no evidence of pneumothorax. persistent bilateral pleural effusions and otherwise no significant change. | <unk>-year-old female with nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18062541/s52978247/bb74f7b0-a6ae328b-638e3f68-ea75e752-ac249d75.jpg | <num> lead left-sided pacer device is seen with leads in expected positions of the right atrium and right ventricle. the cardiac silhouette is mild to moderately enlarged. the aorta remains calcified. there may be minimal vascular congestion without overt pulmonary edema. small left-sided bochdalek hernia may be presen... | history: <unk>f with shortness of breath // pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15066203/s59818064/5db677ac-da007637-b4054ad6-4a5ce979-dff84556.jpg | left pectoral pacemaker defibrillator device intact and unchanged. bilateral lower lobe predominant opacities with air bronchograms are slightly worse even when accounting for interval decrease in lung volumes, likely reflecting development of moderate to severe edema in the setting of cardiomegaly and central pulmonar... | <unk>m w/cp and sob // <unk>m w/cp and sob |
MIMIC-CXR-JPG/2.0.0/files/p16348266/s58346371/53aac22e-859bc0f1-fbce6e17-41256829-80783dbc.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized. | history: <unk>m with fall from <unk> feet |
MIMIC-CXR-JPG/2.0.0/files/p15689523/s52029319/c0b1f941-ed2ba85e-b17d6a97-e226fb7c-846729c3.jpg | compared to <unk> at <time> and allowing for technical differences, there is increased opacity at the left lung base, with new obscuration of left hemidiaphragm, which could reflect a small effusion and/or increased left lower lobe collapse and/or consolidation. otherwise, i doubt significant interval change. again see... | <unk> year old man with worsening respiratory status // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p16676994/s50189604/e11bcdb3-ebc87071-64308aec-d36df0f1-0f237fab.jpg | there is again seen mild-to-moderate cardiomegaly. there has been interval removal of an et tube. right internal jugular vein terminates in the mid-to-low svc. note is made of mild bibasilar atelectasis as well as mild pulmonary vascular engorgement. the lung volumes are low which explains the crowded appearance of the... | history of cabg, status post chest tube removal. please evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17895440/s58528357/ff6b53c3-7f71911d-b940989d-38af0e42-7d31d8a8.jpg | pa and lateral views of the chest provided. mild basilar atelectasis noted. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. metallic coil projects over the upper abdomen as on prior. | <unk>m with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg | interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. unchanged left apical pleural thickening and scarring. no interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a bochdalek hernia. no p... | <unk>-year-old female with new-onset chf. tachypneic and desatting to <unk>%. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg | one portable ap semi-erect view of the chest. severe pulmonary edema is unchanged. bilateral pleural effusions are unchanged. moderate cardiomegaly is stable. there is no evidence of pneumothorax. sternotomy wires and mitral valve hardware are in appropriate position. right atrial transvenous pacer lead still passes po... | intubated for hypoxic respiratory failure, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18863639/s58148281/e8c95994-1c08d4db-795d50ca-9623ab15-ed191b7f.jpg | there has been no significant interval change from radiograph <unk> hr prior. | <unk> year old man with spontaneous ptx, s/p chest tube removal, please time study at <time> or <time> // pneumothorax? please assess at <time> or <time> |
MIMIC-CXR-JPG/2.0.0/files/p11459120/s51130348/99143d25-e6779ea7-858e6d39-5c02b231-298edb09.jpg | there is a dual-lead pacemaker/icd device terminating in the right atrium and ventricle. the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged. there is a mild-to-moderate coarse interstitial abnormality which is very similar and suggests a baseline finding, perhaps due to chroni... | weakness. question infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p17762094/s58272516/ead5a2a5-847c49c9-2db124f7-a7b951a6-5cac609b.jpg | the endotracheal tube ends <num> cm the carina. the right ij cvc ends at the mid to low svc. the enteric tube extends outside of the field of view within a nondistended stomach. postsurgical changes are noted at the left upper lobe. the retrocardiac airspace opacity has increased compared with the prior study of <unk>,... | <unk> year old woman with resp failure // eval ett, ogt, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11292711/s52068348/2e3b74f9-a49d923b-5fce3e3f-9469a51c-dc655c35.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | <unk>-year-old man with shortness of breath and pleuritic chest pain, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13297390/s54083100/1cf837fb-7922dcbe-11d5bb80-9d3d4643-a9ff8963.jpg | the lungs are relatively well expanded. there is no focal airspace opacity to suggest pneumonia. the heart is not enlarged. mediastinal hilar contours are normal. surgical clips project over the right lower hemithorax. subdiaphragmatic free air is not unexpected following abdominal surgery. | <unk> year old woman s/p lap chole with sudden abdominal pain. // r/o bleeding from surgical site |
MIMIC-CXR-JPG/2.0.0/files/p14716081/s52410954/affc60a6-2257b27d-efc99fbe-2427942c-9576adfa.jpg | there is no consolidation, pleural effusion, pneumothorax, or pulmonary edema. a left-sided picc is seen although the tip is not clearly delineated, it is seen to at least the level of the low svc. | <unk>m with fevers, tachycardia, evaluate for acute cardiopulm process. |
MIMIC-CXR-JPG/2.0.0/files/p17672254/s55099297/78c8777f-9e8aac05-a14e2146-bbb0c64d-5322a48f.jpg | in comparison with <unk>, the monitoring and support devices are unchanged in standard position. continued mild enlargement of the cardiac silhouette with mild increase in pulmonary vascular congestion, right greater than left. there is also new opacification in the right middle lobe, could represent edema or consolida... | <unk> year old man with prolonged intubation and persistant fevers // cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p14921607/s56642550/a0f3b677-c1d23239-db6a1050-c73e643a-c0cd7a84.jpg | frontal and lateral views of the chest are provided. there is blunting of bilateral costophrenic angles, suggestive of small-to-moderate pleural effusion, increased since <unk> exam. retrocardiac consolidation is noted. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. there is mild-to-moder... | patient with cll, who now presents with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16043637/s57880955/5e06f576-00f63575-732b3eac-a525f7d2-9355ee5f.jpg | pa and lateral views of the chest. left pectoral pacemaker with dual leads seen extending into in the region of the right atrium and right ventricle. a right-sided picc line is noted to terminate in the right subclavian vein. median sternotomy wires and prosthetic cardiac valve are noted. there is no focal consolidatio... | <unk>f with c/o sob. |
MIMIC-CXR-JPG/2.0.0/files/p17046035/s54230881/ef39a83b-d0d75fde-8f52f622-26652a86-b8ac1f3f.jpg | single portable frontal chest radiograph demonstrates hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. no new focal opacity. large hiatal hernia with adjacent compressive atelectasis is again seen. no pleural effusion or pneumothorax. heart size is top-normal. mediastinal contour and hila are ... | <unk> year old woman with right sided rib frx. interval assessment. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16747881/s57230350/961c9c03-08d8b666-66ed3c1d-e6b81d58-9758e6e3.jpg | as compared to prior chest radiograph from <unk>, there has been no significant change. the extent and severity of pre-existing bilateral right basal and left perihilar parenchymal opacities remain unchanged. the morphology and location of these opacities suggest a combination of pulmonary edema and/or pneumonia. cardi... | <unk>-year-old male patient status post vt/vf arrest. study requested for evaluation of line placement and pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16973078/s51849698/8e99b336-2de5c74c-dab9074d-d2031e90-e7e9a3ae.jpg | lordotic positioning. inspiratory volumes are slightly low. the heart is not enlarged. there is minimal upper zone redistribution, without other evidence of chf. no focal infiltrate or effusion is identified. minimal atelectasis both lung bases is noted. no pneumothorax is detected. no free air seen beneath the diaphra... | <unk> year old man with s/p ir drainage of complicated appendicitis. now tachycardic, mild tachypnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15049054/s52219064/85601086-c291471b-f2c3c280-3551e114-51bbc769.jpg | endotracheal tube tip is <num> cm from the carina. enteric tube seen with tip at the gastric fundus, side-port likely just past the ge junction. linear opacities at the lung bases are most likely atelectasis. given low lung volumes, lungs are otherwise grossly clear where not obscured by overlying lines. cardiac silhou... | with ett transfer palcement |
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