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/p19193156/s52068950/0932949f-3e9586e1-72e8ed41-9183f315-56308cb3.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with new-onset chf and likely multifocal pna // interval change?pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p16574411/s54319050/53db5a43-6a2ca4d3-38a2e1f5-052f4363-01561a8b.jpg | a central venous catheter terminates in the right atrium. the cardiac, mediastinal and hilar contours appear stable, including tortuosity of the thoracic aorta. the posterior costophrenic sulcus on the left is obscured, which suggests a small pleural effusion and patchy associated opacity in the adjacent parenchyma, wh... | fever and lethargy. |
MIMIC-CXR-JPG/2.0.0/files/p15382919/s53215921/fc966bcd-da7988cf-7980e0c0-4b8cd40e-3e69b9c2.jpg | left-sided pacemaker with leads terminating in the atrium and left ventricle is in unchanged position. cardiac size remains enlarged. previous right-sided pleural effusion has mostly resolved. left sided pleural thickening/fat again seen, stable. probable pulmonary edema accounts for some of the increased interstitial ... | fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16536220/s57111672/3b1c76e6-f33ddbc9-eb03e2d2-ac03f59a-32ffd20c.jpg | pa and lateral chest radiographs demonstrate overall improvement of parenchymal opacities with the exception of the left apex which appears slightly more opacified. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. | history of pulmonary alveolar proteinosis. assessment for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14065960/s53441385/4d053e43-db4f7fd1-d6722bd4-a28acb25-cab305e9.jpg | the lungs are well expanded and clear. the diaphragms remain flattened. a right hilar opacity has increased since <unk>. cardiac contours are unchanged. tortuosity of the thoracic aorta is unchanged. | <unk>-year-old woman with cough, fatigue for five days, right lower lobe bronchi and egophony. |
MIMIC-CXR-JPG/2.0.0/files/p17978570/s50714070/a4143590-6289e3f3-a0961aa0-3cc7ae28-555e36b1.jpg | the endotracheal tube terminates approximately <num> cm above the carina. enteric tube is unchanged in position. bronchovascular markings are accentuated by very low lung volumes. there is decreased opacification of the left hemithorax, which may reflect improving pleural effusion or semi-erect positioning. there is al... | <unk> year old woman with multidrug ingestion, intubated // ? pulm edema, pna |
MIMIC-CXR-JPG/2.0.0/files/p13831349/s53819615/26f1f1e3-7d1f4ad5-e18b2bae-8c65ba84-70dee11b.jpg | compared to the prior study, i doubt significant interval change. again seen are left-sided pacemaker, with lead tips over the right atrium right ventricle. there are low inspiratory volumes. the enlarged cardiomediastinal silhouette is grossly unchanged. opacification at both lung bases with obscuration of both hemidi... | <unk> year old woman with hypercarbic and hypoxic respiratory failure // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p19166723/s50328644/dd19003c-88e674f3-02f63aaa-4ed0432b-c256e1ce.jpg | the cardiomediastinal and hilar contours are normal. the lungs demonstrate subtle bibasilar opacities. there is no pleural effusion or pneumothorax. | <unk>-year-old female with fever and cough for two days. |
MIMIC-CXR-JPG/2.0.0/files/p10528056/s54380951/e4847524-ed5cba26-846caba1-de17b447-84ff3c28.jpg | an et tube ends at the level of the clavicles. a right ij central venous catheter ends in the mid svc. a nasogastric tube terminates in the stomach. there is no pneumothorax. there is left basilar plate-like atelectasis. the lungs are otherwise clear. | <unk> year old woman with mssa bacteremia and various septic emboli, waking up, ogt swapped for ngt. // please evaluate for ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p10396109/s58909796/e29a44f0-8bc88cb2-3ba737d6-4afe3cb0-fc7f9246.jpg | frontal and lateral views of the chest demonstrate severe right convex lower 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. a slightly more discrete focal density projecting over th... | <unk>-year-old female with chest pressure. question etiology. |
MIMIC-CXR-JPG/2.0.0/files/p12354194/s55199227/40ea89e6-7a8e0436-f42ccff7-8fd412a1-09bf96b4.jpg | pa and lateral views of the chest provided. lung volumes are low. cardiomediastinal silhouette is unchanged and there is persistent pulmonary vascular congestion. mild interstitial pulmonary edema difficult to exclude. no large effusions or pneumothorax. no focal consolidation concerning for pneumonia. the imaged osseo... | <unk>f with sob, nausea, general weakness |
MIMIC-CXR-JPG/2.0.0/files/p13484313/s54191024/505bdf7e-fe9a6a5c-a34c9257-6719073f-516bbc35.jpg | there is chronic mild cardiomegaly and mild interstitial pulmonary edema, without focal airspace consolidation, pneumothorax, or pleural effusion. | <unk>-year-old man with focal segmental glomerulosclerosis, with end-stage renal disease on hemodialysis, presenting with post dialysis palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p11765816/s56453582/07dd5d1a-0b074aac-8c264095-3d6bbed2-4c43e16e.jpg | a portable supine radiograph of the chest demonstrates an endotracheal tube which terminates approximately <num> cm above the carina. this could be advanced <num>-<num> cm for more optimal positioning in the mid trachea. the orogastric tube is appropriately positioned within the stomach. the lungs are clear. the hilar ... | evaluate position of endotracheal tube in a newly intubated patient. |
MIMIC-CXR-JPG/2.0.0/files/p10207354/s55659181/5a9d16e7-05e5a546-d7a153e9-f677b1f4-0c1b1e01.jpg | compared to exam from one hour earlier, there is no significant change with redemonstration of mild cardiomegaly without edema. lungs are clear. diffuse bony sclerosis is compatible with metastases. | breast cancer and atrial fibrillation with mitral and aortic regurgitation, presenting with syncopal episode and loss of consciousness. |
MIMIC-CXR-JPG/2.0.0/files/p14247006/s53654313/7e8b6434-24f01f1d-ed4a7885-c833c699-c43a3f53.jpg | no pleural effusion or pneumothorax. the icd leads follow their expected course. the heart is normal. | <unk> year old man with biv icd and new noise seen on rv lead // evaluation of rv lead evaluation of rv lead |
MIMIC-CXR-JPG/2.0.0/files/p13510413/s58126166/7d12286b-6fca9251-18d46d96-1e833cac-88710afe.jpg | moderate cardiomegaly and widening of the thoracic aorta is unchanged compared to prior examination. correlation to prior ct chest shows normal-caliber thoracic aorta and this widened appearance is likely due to overlap of the ascending and descending portions. hilar contours are unremarkable. there is plate-like atele... | nausea, vomiting, leukocytosis and chills at home. |
MIMIC-CXR-JPG/2.0.0/files/p10110724/s57443261/0e699fa3-c9c86835-692419a4-33d3f69f-1b714733.jpg | pa and lateral views of the chest provided. the heart is mildly enlarged. the hila appear slightly engorged. there is no convincing evidence for edema or pneumonia. no large effusion or pneumothorax. the mediastinal contour is unchanged. bony structures appear intact. | <unk>m with syncopal episode and head strike with new a fib |
MIMIC-CXR-JPG/2.0.0/files/p13063188/s54265425/c38e823f-23930712-ca582efd-6b4bdab3-08fb8ee1.jpg | there is persistent moderate enlargement of the cardiac silhouette with mild to moderate pulmonary edema, perhaps slightly worsened than the prior radiograph. band like opacity in the left lower lobe may reflect developing infection. aortic knob is calcified, unchanged. bibasilar atelectasis is unchanged. | <unk>m with mild volume overload on cxr yesterday, feeling worse with increasing dyspnea, productive cough x <num> days. evaluate volume status, reassess for interval development of infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12682844/s59262391/b577904c-dc962a3f-7be414e5-f1055df1-9998a4b3.jpg | there has been interval removal of bilateral chest tubes with residual stable small bilateral effusions and associated bibasilar atelectasis without evidence of pneumothorax. bilateral lung apices are clear. moderate cardiomegaly is unchanged. | pleural effusion status post removal of bilateral chest tubes. |
MIMIC-CXR-JPG/2.0.0/files/p14346384/s57188596/20d52254-93510eaa-f95a7ecf-0b988152-363c2a6e.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the chest is hyperinflated. the pulmonary interstitium is mildly prominent, including peribronchial cuffing. this finding is non-specific but could be seen with mild forms of atypical infection or pulmonary conge... | hypoxia. copd and asthma. |
MIMIC-CXR-JPG/2.0.0/files/p15583003/s58288998/220b3f1f-70ddaba4-fa97820c-fb694ca4-e087610e.jpg | there is persistent elevation of the right hemidiaphragm. no focal consolidations. no pulmonary edema. heart size is normal. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. cervical fixation hardware is visualized. | history: <unk>f with fall, weakness, mild headache // ? traumatic injury or other acute process |
MIMIC-CXR-JPG/2.0.0/files/p19409565/s53849675/c1bb9a22-570eb5a2-808d9f40-cd6661b7-3f272851.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 seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13790147/s52683136/39020f79-12c51970-16b8a4e4-2634c9fb-3b7def0a.jpg | a right chest wall port-a-cath ends in the proximal right atrium. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old man with fever, right lower chest discomfort, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14728956/s56871339/a0c89539-973ee71b-f1fbfaa0-860b883d-5b540995.jpg | single frontal view of the chest again demonstrates multifocal pneumonia which has worsened from prior. the bilateral consolidations are denser and have resulted in obscuration of the left hemidiaphragm and left heart border. probable worsening of pulmonary edema is seen as well. the small left pleural effusion is unch... | history of diastolic heart failure admitted with pneumonia, now with acute desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p15057835/s58603618/ae9c18ac-468fb62f-40aeca88-808ea20e-eb44d9e2.jpg | there is mild bibasilar atelectasis, slightly worse on the left than the right. the lungs are otherwise clear without a consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. sternal wires are intact. | chest pain. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13272023/s50448325/090037e9-bad21564-a6b4d6ba-3f450f7a-13cda44a.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> year-old man with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p15180409/s51876733/c6eaf78e-74f8b8bc-0f5d0085-88f80a92-c328483c.jpg | frontal and lateral radiographs the chest demonstrate low lung volumes with resulting bronchovascular crowding. there is an area of increased retrocardiac opacity, concerning for left lower lobe pneumonia. there is mild vascular congestion. the cardiomediastinal and hilar contours are unchanged. there is no pneumothora... | cough, shortness-of-breath, crackles on the left. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14029588/s51308181/486dc03c-f0c9bf66-e513c291-a8808df1-50c2069d.jpg | this evaluation is not tailored for the assessment of rib fractures. however, no large, displaced rib fracture is seen. lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. incidental note is made of probable cholecystectomy clips projec... | <unk>f with back pain after fall // please eval fracture |
MIMIC-CXR-JPG/2.0.0/files/p11198385/s59273118/3e92d03b-a203a231-c2e1cb03-e026049a-ecd7ffea.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. the heart appears enlarged, which may represent cardiomegaly or pericardial effusion. there is no pneumothorax, pleural effusion, or focal consolidation. patchy opacity at the medial right base likely r... | history: <unk>m with cp // cardiomegaly? effusion? |
MIMIC-CXR-JPG/2.0.0/files/p16582727/s54049010/5812648f-1d356da8-34bb7f0b-beac2a79-166838b8.jpg | a left-sided chest tube is noted with tip terminating near the lateral left apex. the left lung has been re-expanded and no residual pneumothorax is clearly evident. the previously noted rightward mediastinal shift has resolved. remainder of the chest is unchanged. | left pneumothorax status post pigtail placement. |
MIMIC-CXR-JPG/2.0.0/files/p13277660/s55299415/7ba4d3eb-e16f9245-befa46b0-601bd0fd-49b7db78.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. linear opacities in lung bases, left greater than right, are compatible with bronchiectasis with likely atelectasis, though pneumonia is not excluded. no evidence of pleural effusion or pneumothorax... | two weeks of productive cough and possible fever. |
MIMIC-CXR-JPG/2.0.0/files/p19371747/s52731742/bcd53205-7dfc5df0-2a146136-ae6ac1b5-012de6cf.jpg | no evidence of free air is seen beneath the diaphragms. mild basilar atelectasis is seen. no large pleural effusion is seen, although a trace right pleural effusion be difficult to exclude. cardiac silhouette is top-normal to mildly enlarged. aortic knob is calcified. no focal consolidation is seen. | history: <unk>f with abd pain s/p colonoscopy. // eval for free air |
MIMIC-CXR-JPG/2.0.0/files/p19664084/s50313569/70c622bb-114ac9c1-1a0f6f61-5bd31ae9-919a34d2.jpg | the lungs are hyperinflated. the cardiac, mediastinal and hilar contours are normal. no focal consolidation, left-sided pleural effusion, or pneumothorax is noted. there is mild blunting of the right costophrenic angle which could suggest a trace pleural effusion or chronic pleural thickening. there are no acute osseou... | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17401392/s50309296/c4f2900b-9dbd76c1-7870f47f-60c0263a-7db9d7f0.jpg | frontal and lateral chest radiographs demonstrate a persistent right pneumothorax, which is slightly decreased in size compared to the most recent radiograph. the remainder of the exam is unchanged. | pneumothorax. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19182863/s57446197/549b6e36-b45d0172-445902b7-286d449b-bb7734f6.jpg | the left pic line is unchanged in position compared to the prior radiograph. it enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. there is stable mild cardiomegaly. the hilar and mediastinal contours are unremarkable. there has been sli... | history of renal transplant with afib and increased shortness of breath. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12051602/s54992706/9cea1ad9-96b64b7a-a02c4d75-68f08d24-2776553f.jpg | heart size is normal with tortuosity of the thoracic aorta. hilar contours are mildly prominent. a left-sided port-a-cath terminates in the cavoatrial junction. there are diffuse reticular pulmonary opacities which correspond to findings on prior chest ct. there is a spiculated mass in the right lung field measuring ap... | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p12142682/s53038825/4bedaa1f-ee28a81c-9fdc3fe8-55cfcd38-97692990.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified. | shortness of breath, chest pressure for <num> week. |
MIMIC-CXR-JPG/2.0.0/files/p12753643/s50517612/12066953-3210c662-4493f008-02c7f181-e5cdd25e.jpg | the lungs are well expanded and clear. mild cardiomegaly is not significantly changed compared with prior exam. there is no pleural effusion or pneumothorax. | <unk>-year-old female with chest pain and shortness of breath. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10791554/s51668025/7afaa176-03a9b24b-d126b214-cede7256-1c14de0a.jpg | known mediastinal and hilar lymphadenopathy is not clearly appreciated on chest radiograph. there is mild bibasilar atelectasis; otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. atherosclerotic calcifications are again noted at the aortic arch. no acute fractures are identifi... | evaluation of patient with metastatic lung cancer status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p18761820/s59679680/288c5a8b-eacf9727-10afbcea-e8723667-7f00f76d.jpg | the endotracheal tube ends <num> cm above the carina. the orogastric tube ends off of the radiographs. there are bibasilar linear opacities. there is no pleural effusion or pneumothorax. the aorta is calcified. the heart size is normal. | <unk>f with intubated transfer. evaluate endotracheal and orogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p15123915/s55227642/767e53a6-4169af89-77f2d4a0-bd00ac33-c31ba2c3.jpg | median sternotomy changes and mediastinal vascular clips are new since the prior study from <unk>, with fracture of the superior and inferior-most closure wires. lungs are well-expanded and clear. the heart size is normal. no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation is identified. | history: <unk>m s/p cabg <unk> with left sided chest pain // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10564151/s55427930/6aeb6966-dcd9b3d0-d93df74c-b9224c46-13a31f76.jpg | there is a small left apical pneumothorax. bilateral pleural effusions are nearly resolved. pulmonary edema has improved. no focal consolidation. heart size is top-normal. the aortic arch is heavily calcified. a left-sided port/central venous catheter terminates in the right atrium. a surgical clip projects over the le... | <unk> year old man with h/o aortic stenosis s/p tavr with bilateral pleural effusions s/p thoracentesis // eval for interval change s/p <unk>, r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p17132450/s57110607/364031a4-57682be2-b42f4926-180a342d-9fa0267f.jpg | compared with the prior film, the left chest tube is been removed. doubt but cannot entirely exclude a tiny residual left pneumothorax. no right-sided pneumothorax is identified. multiple additional lies and tubes been removed. the right ij line remains present, tip again seen overlying the mid right atrium. again seen... | <unk> year old man s/p ct pull // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p15195362/s59561237/2da039d9-a191047f-bda8c3a6-f103c351-491c48aa.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 dated <unk>. the long semi-metallic wide- caliber tracheostomy cannula is again identified. apparently its external portion has now been flipped over to t... | <unk>-year-old female patient with thyroid cancer, confirm tracheostomy position. |
MIMIC-CXR-JPG/2.0.0/files/p10930322/s55581275/6078304b-1e513934-782eaff3-4c911650-65fbbf52.jpg | there are small to moderate bilateral pleural effusions with overlying atelectasis. underlying consolidation is difficult to exclude. there is mild central pulmonary vascular engorgement without overt pulmonary edema. the cardiac silhouette is mildly enlarged. the aorta is tortuous and calcified. there is mild biapical... | <unk>-year-old male with fever and some altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p18904344/s53262284/cfece081-61a14734-329424a3-22657af6-e2fb0b2b.jpg | low lung volumes are present. heart size is moderately enlarged, as seen previously. the aorta remains tortuous. the mediastinal and hilar contours are otherwise similar. crowding of bronchovascular structures is present with probable mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneum... | history: <unk>f with dyspnea, fevers, chills, new o<num> requirement // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p11542442/s53823482/b4907727-1b7aa49f-9c7f1b6c-bc214c71-8353528b.jpg | lung volumes are very low, with bibasilar atelectasis. no focal consolidation. small right pleural effusion. no pleural effusion on the left. no pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities. | history: <unk>f with fatigue, crackles on lung exam. // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19809456/s59948593/4e0b14d0-64c4c306-f65e4ba9-ede864b2-f19126e6.jpg | ap portable upright view of the chest. midline sternotomy wires again noted as well as metallic stent within the descending thoracic aorta. there is subtle opacity at the left lung base likely representing atelectasis with adjacent effusion though cannot exclude pneumonia. the lungs are otherwise clear. the cardiomedia... | <unk>f with altered mental status // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19557524/s58284362/d9f28a32-c96fab57-f0191197-c57f1ea3-b3fc0c5c.jpg | unchanged bilateral lower lobe atelectasis. no pleural effusion or pneumothorax identified. no focal consolidation. the size of the cardiomediastinal silhouette is within normal limits. | <unk> year old woman with s/p renal transplant spiking fevers // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11982561/s50421165/001daf9e-1d51a63a-2f00f2e2-314ae977-3109a456.jpg | there is no focal consolidation, pleural effusion or pneumothorax. there is mild cardiomegaly. the bones are intact. | dry cough, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11486456/s53530211/2fde0732-8ee38d86-589f6ec0-313440f6-2700f101.jpg | left lower lobe opacity is improving peripherally, but appears more confluent in the central left retrocardiac region. lungs are otherwise clear, and there are no definite pleural effusion. cardiomediastinal contours are normal. | <unk> year old man with delirium, cxr c/f pulm infiltrate // interval imaging |
MIMIC-CXR-JPG/2.0.0/files/p18444359/s52886244/a7f9738a-7d1504d1-701e02d2-face5e78-9e1cc0d8.jpg | bilateral bands of plate-like atelectasis or scarring. configuration of left upper mediastinum suggests persistence of left-sided svc which is generally not clinically significant. no pleural effusion, pneumothorax or pulmonary edema. the heart size and hila are normal. no bony abnormality. | male with past medical history of hyperlipidemia, admitted with stemi status post drug-eluting stent and thrombectomy of the lad. assess for consolidation or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11334520/s53604443/5bdd5f07-dd441e76-7301a691-5ad77625-37ad31e4.jpg | in the region of the left breast surgical bed, there is a large fluid collection, with air-fluid level likely measuring greater than <num> cm in diameter. an overlying iatrogenic disc and drain are present. a small amount of subcutaneous emphysema is seen in the overlying superficial soft tissues this obscures portions... | history: <unk>f with fever after mastectomy // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19899874/s50522863/bd675aa3-e2981389-ca4af64c-def2c64e-74759cc3.jpg | heart size is top normal with a mildly tortuous aorta that is large but not focally aneurysmal. hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. | history of copd, productive cough for six weeks and scattered wheeze on exam. |
MIMIC-CXR-JPG/2.0.0/files/p19344311/s59346155/7af59681-b99247f5-e4b78805-6b3c4c29-9d2b18a0.jpg | et tube ends at <num> cm from carina. it can be withdrawn at least <num> cm. right ij catheter ends in lower svc. left lung base pigtail is unchanged since prior chest x-ray. as compared to yesterday, the bilateral pulmonary edema is unchanged in the right lung, but minimally improved in the left lung. there is no pleu... | assessment for worsening of pulmonary effusion versus edema. |
MIMIC-CXR-JPG/2.0.0/files/p16276791/s56888717/b44c0c02-44761ca1-70a2fcde-a4fd3abc-c7ca56fa.jpg | cardiomediastinal and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | worsening cough and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17674185/s52129947/48ad2eae-4bcdbf7a-780bd38a-b582e3c1-4f1b2b10.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk>m with <num> weeks of malaise // ? infiltrates / masses |
MIMIC-CXR-JPG/2.0.0/files/p15862697/s52168546/5390bf7a-cc982808-316bbf10-e81099e5-151bf4c1.jpg | portable radiograph of the chest demonstrates low lung volumes with persistent nodular consolidation seen in the bilateral lungs, concerning for worsening pneumonia versus pulmonary edema superimposed on pneumonia versus pulmonary hemorrhage. the heart is normal in size. there has been interval removal of the nasogastr... | <unk>-year-old man with alcoholic hepatitis and acute liver failure. evaluate for pneumonia or pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p13407304/s50344000/d84f2d92-96cd7447-efc81564-2ece97f2-635bd5d5.jpg | the heart is normal in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. no fracture is identified. | injury with fall on the medicine ball. question fracture. |
MIMIC-CXR-JPG/2.0.0/files/p18663874/s53529463/27ab5657-89acbf0e-c97d683c-8925bae0-cd6bcdcf.jpg | the heart size is top normal, stable. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well-expanded clear without focal consolidation concerning for pneumonia. | <unk>f with chest pain // any pneumonia/cardiomegaly? |
MIMIC-CXR-JPG/2.0.0/files/p13499781/s53871127/5680cea3-7dce808d-5cf1a08c-1c0064c4-4cc5d40a.jpg | right port-a-cath tip terminates in the proximal right atrium. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old man with multiple myeloma. poc in place trouble with blood return. please evaluate poc placement. // <unk> year old man with multiple myeloma. poc in place trouble with blood return. please evaluate poc placement. |
MIMIC-CXR-JPG/2.0.0/files/p10040602/s54336605/b1962daf-c90f75a2-7dd03a98-f2eab196-37585af9.jpg | the lungs are hyperinflated, though the diaphragms are not flattened. the heart is not enlarged. blunting of the right heart border seen only on frontal radiograph likely reflects a mediastinal fat pad. the patient's known mediastinal mass, seen on multiple prior ct scans, is not well delineated radiographically. the a... | chest pain and shortness of breath. assess for pneumonia or cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p15640714/s52721748/238277b5-72110074-a7981ddc-0696a209-8c87d29c.jpg | heart size is mildly enlarged. the aorta remains tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. apart from mild bibasilar atelectasis, lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. diffuse demineralization of the o... | hypertension, possible gi bleed. |
MIMIC-CXR-JPG/2.0.0/files/p12632853/s54066996/96f557ee-6cc41a32-9090aa05-6a4af433-165262db.jpg | increased bilateral pleural effusions and pulmonary vascular congestion is noted compared to the previous study. also the heart appears larger. the aorta is prominent and deviating the trachea to the right. | <unk> year old woman with coughing and concern for aspiration // r/o pneumonia/acute aspiration event |
MIMIC-CXR-JPG/2.0.0/files/p10291687/s56604929/e8279d2b-076a9a85-019793a2-671acca5-6ae0fd5b.jpg | the lungs are mildly hypoinflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>f with cough, fever. assess for infection |
MIMIC-CXR-JPG/2.0.0/files/p14130048/s54483982/97ffa7a5-4e79a2c9-84e5de5d-31aff639-7503fbb1.jpg | the ng tube ends above the diaphragm overlying the retrocardiac opacity which is presumed to be the known hiatal hernia. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. mild enlargement of the cardiomediastinal silhouette is stable. | evaluate ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19664531/s54975400/b3cef797-fdff4d6e-6b330be0-ac4bf090-3fc546e9.jpg | there is increased opacity at the bilateral lung bases which could reflect aspiration or infection. stable heart size and thoracic aortic tortuosity. right paratracheal soft tissues likely represent vascular structures in someone of this age. no large pleural effusion or pneumothorax. background hyperinflation is compa... | history: <unk>m with fever // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p16609574/s53180920/407cc3da-dfc76a6a-3c579b31-e9ef2b53-4293ee52.jpg | frontal and lateral views of the chest. there are streaky bibasilar opacities. blunting of the left lateral costophrenic angle is seen, potentially atelectasis. posterior costophrenic angles are sharp without definite evidence of effusion. superiorly, the lungs are clear. the cardiomediastinal silhouette is within norm... | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15447983/s52789481/99bc9bc8-cebfc1ca-b20814e9-1ed8f186-cc294432.jpg | a right pleural effusion is present and unchanged since <unk>, with a likely subpulmonic component, with associated right basilar atelectasis. mild left basilar opacity may represent atelectasis. a left lung nodule is better identified on ct chest. no definite focal consolidation is identified. there is no pneumothorax... | history: <unk>f with abd pain, nausea/vomiting, gi bleed // sbo? free fluid? |
MIMIC-CXR-JPG/2.0.0/files/p16092597/s51899164/e651d8e9-b8e90af1-0a63cd43-36f3013c-68600e87.jpg | left chest tube has been removed. small biapical pneumothoraces are stable compared to most recent prior film. the opacities in bilateral mid lung zone are similar, allowing for technical differences. tracheostomy tube and right picc line with tip over distal svc again noted. no gross effusion. right convex curvature i... | <unk>m mvc unrestrained driver +loc w/ivf, l frontal contusion, r inf orb fx, b/l ptx, l lung lac, lul collapse, small liver lac, l humerus fx, lip lac, l clav fx s/p trach/peg // left chest tube d/c'd - eval interval change. please do at <num>pm |
MIMIC-CXR-JPG/2.0.0/files/p14290075/s50090310/527c530b-36f5fe30-208cee0d-c0b7b812-96b77620.jpg | midline sternotomy wires and mediastinal clips as well as a prosthetic cardiac valve again seen. the heart remains mildly enlarged. no focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. subtle asymmetric opacity abutting the right diaphragm has been stable compared to multiple prior e... | <unk>m with weakness, hyperglycemia |
MIMIC-CXR-JPG/2.0.0/files/p19451054/s52059330/07eca5f7-642c77c3-f22901db-970c93d7-6e290711.jpg | heart size is top normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. pleural surfaces are clear without effusion or pneumothorax. opacities in the posterior left lower lobe are suggestive of atelectasis. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10045929/s59881596/f6637810-3a013afb-e52a1820-9f460841-c1e1b265.jpg | since <unk>, small bilateral pneumothoraces are minimally changed. a right chest tube is noted. diffuse opacification in the right middle and lower lobes likely represents atelectasis. small bilateral pleural effusions are presumed. multiple rib fractures are again seen. previously noted subcutaneous emphysema is large... | <unk> year old man with bilateral ptx and right chest tube // ptx, effusion, |
MIMIC-CXR-JPG/2.0.0/files/p12988198/s58547115/e0561c78-e27454f1-5a4e319c-79bef605-77a471e4.jpg | pa and lateral views of the chest provided. a small retrocardiac opacity is stable likely a small hiatal hernia. 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 see... | <unk>f with cough // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16110697/s55849938/4a0e55b6-9bd5b01c-4a3ee37d-7f411a7c-f238f373.jpg | there is a background of severe emphysema. there is atelectasis at the lung bases and right middle lobe better seen on recent ct of the chest. there may be an evolving opacity in the right mid lung not definitely seen on recent ct. there is new mild pulmonary edema and small bilateral pleural effusions. a stent is visu... | <unk>f w hx r-l carotid-carotid bypass/l carotid-subclavian transposition and thoracic aortic stent graft <unk> now p/w subacute lle ischemia <unk> extensive ilio/femoral/popliteal disease // dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p19789010/s52055288/844cc546-48d2e18f-07a03ada-79cd3b4a-725cf446.jpg | mild to moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are within normal limits lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>f with shortness of breath and chest pain. history of hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p17255772/s52388291/9784121f-733a3f42-f42c9191-2ae553ad-c944626b.jpg | cardiac, mediastinal and hilar contours are unchanged. heart size is within normal limits. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen. there are no acute osseo... | history: <unk>f with dysphagia |
MIMIC-CXR-JPG/2.0.0/files/p15632801/s53608587/4d321c17-36a518c6-b592cf68-6a15abd7-d4ab50a7.jpg | the lungs are well expanded except on lateral view were images obtained during expiration. bilateral lower lobe increased opacities likely due to overlying soft tissue. increased opacity overlying the lower spine is noted. mediastinal contours, hila, and cardiac silhouette are normal. no pneumothorax or pleural effusio... | <unk>f with chest pain/pressure with inspiration // ? acute cardipulm process |
MIMIC-CXR-JPG/2.0.0/files/p17322687/s51455918/e3acfda0-1de0b9ce-da97e2d4-9b850956-558db1a5.jpg | frontal and lateral views of the chest. the lungs are clear without consolidation, effusion or vascular congestion. the cardiomediastinal silhouette is normal. atherosclerotic calcifications noted at the aortic arch. surgical clips seen in the right upper quadrant suggesting prior cholecystectomy. no acute osseous abno... | <unk>-year-old female with left lower extremity weakness. |
MIMIC-CXR-JPG/2.0.0/files/p17074638/s52104878/59150b7d-f042abb4-313cf1b0-acbe4a48-225afad1.jpg | single portable ap chest radiograph demonstrates interval placement of a right internal jugular central line its tip which appears to terminate in the within the right atrium. for definite placement within the superior vena cava, recommend withdrawal of <num> cm. an endotracheal tube ends <num> cm from the level of the... | <unk>-year-old male with new right internal jugular central line. |
MIMIC-CXR-JPG/2.0.0/files/p17001135/s50466893/8dc08730-b5d3792e-6599eb9a-74d248f0-f0dac3a3.jpg | s-shaped thoracolumbar scoliosis is again demonstrated. heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is identified. pulmonary vascularity is normal. no acute osseous abnormality is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12577923/s58086212/fc30ca93-0d15fdce-03e0da12-e1b14362-75b2db8e.jpg | lung volumes are low. there is mild atelectasis at the bilateral lung bases. no focal consolidation, edema, effusion, or pneumothorax. prominence of the mediastinum is overall unchanged, consistent with ectatic aorta. the heart is normal in size. no acute osseous abnormality. degenerative changes at the ac joints bilat... | <unk>-year-old man presenting with productive cough and fever, new onset afib. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15138116/s54926858/f1236c62-1a839d3d-f5495dd0-4d6128d0-d4360ef4.jpg | a right-sided chest drain is in-situ. no pneumothorax seen. there is mild bilateral apical pleural scarring. a relatively well-defined opacity at the right upper lung contains a fiducial consistent with the patient's known mass. a second opacity in the right mid lung is partially obscured by in ecg lead. bilateral calc... | <unk> year old woman with copd/emphysema and recent neuroendocrine tumor p/w ptx now s/p chest tube clamped this am. // please evaluate for ptx s/p chest tube clamping |
MIMIC-CXR-JPG/2.0.0/files/p19837674/s50229191/f71e99ed-76896e5e-9af341eb-e9969b91-7ce610e0.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> year old woman with myeloma // fever; assess for abnormality |
MIMIC-CXR-JPG/2.0.0/files/p11374532/s56291274/a12625d4-9aaf0906-fd28d095-1155c4c8-e12d6533.jpg | frontal and lateral radiographs of the chest demonstrate appropriate positioning of left chest wall pacemaker and leads. compared to the prior radiograph, there has been interval removal of the right pleural catheter with redevelopment of loculated right and left pleural effusions. a small amount of residual air is pre... | recurrent effusions. interval assessment. |
MIMIC-CXR-JPG/2.0.0/files/p16944548/s59525704/e249664d-de70096d-759099f2-7b30e281-30baebb7.jpg | the heart size is normal. the hilar mediastinal contours are normal. a consolidation is seen at the left lung base, with a moderate left pleural effusion. adjacent streaky atelectasis is identified. there is no pneumothorax. the visualized osseous structures are unremarkable. | <unk>f being treated for pna, please evaluate for pna // <unk>f being treated for pna, please evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p15123572/s59547047/2847aa35-2f4c3564-be8b78f7-074c6fb9-6d3ccea7.jpg | lungs are fully expanded. opacity adjacent to the lower right heart border is not localized on the lateral projection and is unchanged compared to prior examinations, likely mediastinal fat. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old woman with cough and ruq pain // eval for cause of cough |
MIMIC-CXR-JPG/2.0.0/files/p10538657/s51815127/e458e7bd-a46ba53d-7fc27c02-bc864343-8d942394.jpg | pa and lateral views of the chest demonstrate aicd device leads terminating in the left ventricle and right ventricle. low lung volumes without pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. no pneumothor... | patient with new pacemaker lead placement, assess for position. |
MIMIC-CXR-JPG/2.0.0/files/p19550773/s58971456/b81b3a88-5b3c4812-1cbabad0-88fc4fc5-fb00f97b.jpg | compared with the most recent prior film, the overall appearance is probably similar. the right-sided pigtail is again seen. there is prominence the right hilum, which is likely related to the patient's known hilar mass. question minimal increased patchy opacity in the right mid zone laterally, immediately above the sl... | <unk> year old man with pleural effusion, ptx with chest tube in place. // interval change in pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11424223/s56509745/826b171d-342f6468-aea46015-770f0752-8f597516.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with vomiting // ptx |
MIMIC-CXR-JPG/2.0.0/files/p10856915/s52276423/e5b945e8-b54a9f8a-0e2560b9-5150fc66-c49cf7a7.jpg | the lungs are hyperexpanded but clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with left hip fracture. pre-op. |
MIMIC-CXR-JPG/2.0.0/files/p14593165/s54092651/4267f783-8caf4668-81a5414c-eb61bbd3-02fa9a2d.jpg | in comparison to the recent radiograph of <unk> redemonstrated is moderate cardiomegaly. mild to moderate pulmonary interstitial edema is unchanged. there is no large pleural effusion or pneumothorax. mild thickening of the minor fissure likely representing small amount of fluid was not evident previously. the sternoto... | history: <unk>f with sob, cp // chf? |
MIMIC-CXR-JPG/2.0.0/files/p11799380/s52986678/b9764190-90b9c32d-f58ad46d-8dc6b641-8bc3b963.jpg | the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. no pulmonary nodules are identified. minimal biapical pleural thickening is seen. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acu... | recent weight loss with past history of positive ppd and inh therapy, here to evaluate for evidence of tuberculosis. |
MIMIC-CXR-JPG/2.0.0/files/p18248250/s56330461/6aa46de3-b8837959-2c5f8a49-b951d3cf-61a62c38.jpg | lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. heart is mildly enlarged but unchanged. there is no pulmonary edema. the mediastinal and hilar contours are unremarkable. | cough and shortness of breath. rule out pneumonia or heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16392858/s53983822/f9a6db0b-10b7a084-daa8edf1-24ea89e8-ecfc0570.jpg | left-sided pacemaker device is noted with single lead terminating in the right ventricle. there is mild to moderate cardiomegaly, unchanged. the aorta is mildly tortuous. mediastinal contour is otherwise stable. there is mild pulmonary vascular congestion. no focal consolidation or pneumothorax is seen. patchy opacity ... | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16406038/s57352932/f9954aea-4d39bb64-28e598ce-2df695f6-1c6be615.jpg | the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are clear of any focal consolidations concerning for infection, pneumothoraces or pleural effusions. clips are noted in the right upper quadrant. the visualized osseous structures are unremarkable. | history of upper left-sided back pain, sudden onset. rule out pneumonia, rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p18715578/s54694920/af9705d6-f54954f9-41180231-c05fd4b2-fc39b624.jpg | improved bilateral lung volumes. linear opacities in bilateral lung bases likely scarring rather than atelectasis and unchanged since <unk>.no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with metastatic hcc, fever of unknown origin with ?infiltrate on cxr but without symptoms of pna. // ?infiltrate in right lung base |
MIMIC-CXR-JPG/2.0.0/files/p13328114/s51614578/b1ed71c5-aadd70b3-325f8183-879d9410-fdf3313d.jpg | <num> vertical e oriented catheters are identified near the posterior spinal canal. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with lle pain // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11966397/s52018784/60c066ac-ea52897d-6184f12d-62ff816c-a25a27dc.jpg | cardiomediastinal silhouette is stable. right lower lung consolidation is unchanged. no large pleural effusions. no pneumothorax. dense calcifications of the aortic arch and surgical clips projecting over the heart are again noted. | <unk> year old man w/ lung ca s/p right upper lobectomy, and left lower lobectomy with pna // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p18658996/s58122124/f92d4993-25413e13-b20752dd-d5a9a0a6-0929fe75.jpg | the moderate right pleural effusion is not appreciably changed since <unk> and obscures the right hemidiaphragm and right heart border. there is adjacent chronic consolidation of the right lung base, likely atelectasis. there is no definite sign of superimposed pneumonia. the right apical pleural density is unchanged. ... | shortness of breath. evaluate for acute process. |
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