File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p16910090/s54903433/9f2031ed-9874e5ab-1298e347-615f4179-a5e9ff14.jpg
pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
cough
MIMIC-CXR-JPG/2.0.0/files/p16613702/s56445410/83b0b25b-eddfb762-592f3c6a-e3326206-aca3a2e9.jpg
the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with bibasilar crackles.
MIMIC-CXR-JPG/2.0.0/files/p15001501/s55616331/45265824-13e1dbef-eeb6d296-a9568545-911023b4.jpg
there is mild left apical pleural thickening. no focal consolidation is seen. there is no pleural effusion or pneumothorax. incidental note is made of nipple shadows. the cardiac silhouette is not enlarged. the mediastinal and hilar contours are unremarkable.
ms flare.
MIMIC-CXR-JPG/2.0.0/files/p18931691/s50374733/ced5608e-fe8b75ea-52e06c75-e3d3150e-f05b1a1f.jpg
pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old with palpitations and dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p11243340/s51132193/bc9bb28e-ffe6198f-d21ef996-a12e85e2-a9fb7fde.jpg
there relatively low lung volumes. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with elbow pain, knee pain, bruising to her forehead, s/p syncope with fall // eval for hemorrhage, intracranial process. s/p fall
MIMIC-CXR-JPG/2.0.0/files/p18936722/s57646849/89307ff5-2c216ce2-87bb5fd8-a154d2be-dfb4b810.jpg
the lungs remain hyperinflated, with flattening of the diaphragms and increased ap diameter. the cardiac silhouette is mildly enlarged. the aorta is calcified. mediastinal contours are unremarkable. no pleural effusion or pneumothorax is seen. projecting over the right upper lung, there is an ill-defined, possibly spic...
history: <unk>f with subjective fever, weakness, body aches // ?pna
MIMIC-CXR-JPG/2.0.0/files/p14651162/s56016699/303abe9c-a32cd345-3f0c06e2-87dafc71-050cfefe.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. mild degenerative changes are noted in the lower thoracic spine.
history: <unk>f with cough, low grade fever. history of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17081205/s54518208/c4d1dfc7-b98af940-e2a96706-2dfff20e-ba1a6796.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 upper gi bleeding
MIMIC-CXR-JPG/2.0.0/files/p11192953/s52307110/f2e4a4d3-d9300b2d-a5c9f061-47d57b87-3f932d27.jpg
ap view of the chest. there is a small to moderate left-sided pleural effusion. mildly increased right basilar opacity raise the possibility of a small right effusion as well. cardiac silhouette is enlarged but likely accentuated due to low lung volumes. the lungs are clear of consolidation. left chest wall single lead...
<unk>-year-old male with stroke and concern for recurrent pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13067703/s58819781/ee541657-53de178c-acd00b25-6ed17783-b7a8c3da.jpg
pa and lateral chest views were obtained with the patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. previously described heart size, mediastinal structures, and permanent pacer with dual electrode system remain unchanged. the same ...
a <unk>-year-old male patient with pleural effusion, evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19202617/s56069783/93411fcc-f0501072-f4bc95ef-e6b680dd-52f77228.jpg
pa and lateral views of the chest were reviewed and compared to the prior studies. normal lungs, heart, pleural and mediastinal surfaces.
cough for two weeks in a patient on bactrim prophylaxis and high-dose steroids for systemic lupus erythematous.
MIMIC-CXR-JPG/2.0.0/files/p16704688/s51617919/612d24a2-3fc197eb-72efb7a7-c8818937-b0855121.jpg
moderate cardiomegaly is redemonstrated, and unchanged. the patient is status post aortic and mitral valve replacement. the left atrium remains dilated. mediastinal and hilar contours are unchanged. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acu...
newly diagnosed c-anca positive scleritis with left gingival pain and nasal pain.
MIMIC-CXR-JPG/2.0.0/files/p14648269/s54553509/cd2a9638-f3d98d00-dfa46b67-45cc9b28-8502dbdd.jpg
on the lateral view only, there is a linear opacity projecting posteriorly at the base. this is new from the prior lateral radiograph. it does not have a definite correlate on the frontal radiograph, though may represent an early pneumonia. the rest of the lungs are clear. there is no pulmonary edema, pleural effusion,...
cough and shortness breath. evaluate pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18854934/s57378615/a56f3540-f35299b4-50f58dfd-be537c0f-1a31442c.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.
cough, nasal congestion and body aches.
MIMIC-CXR-JPG/2.0.0/files/p12654170/s58878379/9bb0115e-aa0cacd5-202709ea-47756178-0f1ddd5e.jpg
two views of the chest. right upper lobe nodule is unchanged. linear opacities in the right mid lung and bilateral bases are improved. there is no new opacity to suggest infection. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unremarkable.
cll with non-enlarging right upper lobe nodule, complaining of fever, shaking chills and night sweats for two weeks.
MIMIC-CXR-JPG/2.0.0/files/p14799868/s52656151/dbb22169-2193a8cc-dbf06453-c8c35892-643dc6d7.jpg
frontal and lateral chest radiographs again demonstrate severe cardiomegaly and a tortuous aorta. there is minimal vascular congestion, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for chf or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18232511/s51472148/24767641-3ecbdb6f-b05d824f-6a27b04f-d6bcbdda.jpg
a left internal jugular central venous catheter ends in the upper svc. the left chest tube is unchanged in appearance. spinal hardware is stable. since the prior radiograph, the previously seen mid right lung peripheral opacification has improved, suggesting that it was likely aspiration. a large right central mid and ...
possible right aspiration pneumonia. evaluate for change.
MIMIC-CXR-JPG/2.0.0/files/p10486632/s59513038/1f995b66-ffc7e433-96b17389-da55fdd0-c1b63f35.jpg
there has been interval replacement of a right thoracostomy tube, with marked improvement of a right pleural effusion. a right apical opacity remains. the heart size is top normal. the left lung remains clear. a left-sided picc terminates at the lower svc. there is no pneumothorax.
right pleural effusion post tube placement.
MIMIC-CXR-JPG/2.0.0/files/p18301027/s59542332/3a55b257-1c8dadbf-d1a24e45-4a5eb58a-ea72fbce.jpg
frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
cough. question pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12919021/s51447806/124eb1ed-7af2555b-996dbdec-7fa6b512-8aa369f9.jpg
an et tube is present. at the level of the mid clavicular heads, <num> cm above the carina. an ng tube is present, tip overlying the gastric fundus. the sideport lies in the region of the ge junction. inspiratory volumes are slightly low, with minimal bibasilar atelectasis. increased retrocardiac density is slightly gr...
<unk> year old man ett change in depth // acute process
MIMIC-CXR-JPG/2.0.0/files/p13716568/s53871381/2c1cd9f1-d327d316-d816bd46-3d626ece-472f1d84.jpg
ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with chest pain, shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p12425912/s51704483/22783c8b-e0987d41-7d4d3d6d-d981dfea-b642d44e.jpg
peribronchial thickening is detected throughout the bilateral lower lungs, which may be due to atypical--<unk>, mycoplasma, chlamydia--<unk>. no large focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
history: <unk>f with cough, fever. pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p13370026/s52451234/b0f39e0c-15176150-352a992a-0f90c345-936b9cdc.jpg
the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. cholecystectomy clips are noted within the upper abdomen.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15126858/s53074218/88f9b21a-54aaf566-2ce4a30a-85218359-fe7fdd79.jpg
the lungs are well expanded and clear. with the exception of mild cardiomegaly, cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk> m with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14051432/s54577788/69bc1afb-4dab49bb-22c858f9-310e6102-aa2a2258.jpg
a right-sided vp shunt is noted coursing over the right hemi thorax. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. .
history: <unk>f with cp, blood in vomit //
MIMIC-CXR-JPG/2.0.0/files/p14335819/s58606301/e622ef46-d56298ed-fac8ddb8-4badbb17-fc911bfa.jpg
there has been interval advancement of the dobbhoff tube with tip now in the stomach. the cardiac, mediastinal and hilar contours remain unchanged. minimal bibasilar atelectasis is noted in the lung bases. no pleural effusion or pneumothorax is present. remote right-sided rib fractures are visualized. surgical <unk> ar...
history: <unk>m with dobhoff displacement status post relocation tube
MIMIC-CXR-JPG/2.0.0/files/p19050758/s57775580/7ce273a4-6002a688-8477a3de-172d076d-249baa8b.jpg
pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17846027/s50820142/65502299-bfb5e126-c91c8bbb-c871baef-ad7e4978.jpg
heart size is borderline enlarged. the mediastinal and hilar contours are unchanged. lungs appear hyperinflated with flattening of the diaphragms. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. there are mild multilevel degenerative changes in the thoracic spine.
aspiration event yesterday with right chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10141364/s52627844/92ca4014-1d3ab59b-d5c14db9-4d9b89e9-88dccde4.jpg
there are diffuse, bilateral ground glass and reticular opacities, consistent with ards. compared to yesterday there is minimal improvement in aeration of both lungs. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation. the endotracheal tube terminates <num> cm above the carina. an en...
ards, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13560498/s50571001/b3b0374a-23afaa07-65d8228a-5311cfc5-f7201e2c.jpg
slightly increased lower lobe airspace opacification is compatible with evolving pneumonia. there are no new consolidations. diffuse parenchymal changes compatible with emphysema are unchanged. a small left pleural effusion is slightly increased. there is no pneumothorax. the heart and mediastinum cannot be accurately ...
<unk> year old woman with lll pneumonia and small pleural effusion // change in pleural effusion, pulonary edema, or any change in yesterdays opacity
MIMIC-CXR-JPG/2.0.0/files/p13372470/s52967863/6ed5e712-d7ea642d-3d6bbc62-ebbd8dd2-d6db6fa0.jpg
ap and lateral views of the chest. the lungs are clear without focal consolidation, effusion, pulmonary vascular congestion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures are identified.
<unk>-year-old female with syncope.
MIMIC-CXR-JPG/2.0.0/files/p11224076/s56439595/9503a762-40e34b90-d098eeed-535d5852-430c5e17.jpg
the heart size is within normal limits. the mediastinal contours again demonstrate a large hiatal hernia projecting to the left lower chest. the right hemidiaphragm is chronically elevated. between the right hemidiaphragmatic elevation and the left-sided hiatal hernia, the lungs demonstrate bibasilar atelectasis. there...
<unk>-year-old female with altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p10395166/s55554689/be21763e-e8853062-9b78f313-27f4ffc4-f515ad7b.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. elevation of the right hemidiaphragm is stable. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. multiple mediastinal clips and intact sternotomy wires are unchanged.
<unk> year old woman with dyspnea and cough, evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p16438060/s57654309/cd0abb51-ef453f00-f149d639-416e0cb6-e687f4f1.jpg
low bilateral lung volumes. no significant interval change in the appearance of the lung parenchyma. small left pleural effusion. the size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with increased wob s/p ivf // ?volume overload
MIMIC-CXR-JPG/2.0.0/files/p17026871/s50637491/523e1ef3-5013fd61-8f3af236-83555d73-c6ff634c.jpg
there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
<unk> year old woman with persistent fevers and sore throat, recent diagnosis of pneumonia. // progression of pulmonary infiltrate? recent ct chest at <unk> with possible left lower lobe pna
MIMIC-CXR-JPG/2.0.0/files/p19607507/s55034650/91487954-9b893363-f4b95ef3-0c709b2f-a7a45855.jpg
right-sided picc line tubing is in unchanged position. a new pigtail drain is projected over the lower border of the heart at the midline of the body. no pneumothorax is seen, however the left hemidiaphragm is now completely obscured and there is haziness in the costophrenic angle. the findings suggest some combination...
<unk> year old man with recurrent pericardial effusion who is s/p balloon pericardiotomy who had concerns for post-procedure pneumonthorax // r/u pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p17978664/s57581487/11a3de6d-5d3f831a-4b7e513e-7c89480e-b7853622.jpg
since the prior chest radiograph, right ij catheter has been removed. enteric tube courses into the body of the stomach. bronchovascular markings are exaggerated by low lung volumes. there is mild pulmonary vascular congestion, not significantly changed. left retrocardiac opacity may represent atelectasis, aspiration s...
<unk> year old man with hypoxemic respiratory failure and altered mental status
MIMIC-CXR-JPG/2.0.0/files/p17120832/s52374769/45f9fdff-b24d65e7-915595bb-72547462-9d952a53.jpg
there is stable mild to moderate cardiomegaly, with evidence of coronary calcifications. again seen is tortuosity of the aorta, with evidence of calcification of the descending aorta. there are streak retrocardiac opacities seen which likely represent atelectasis. no pleural effusions are identified. there is no pneumo...
history of fever to <num>, on vanc/cefepime/flagyl for left foot infection. right greater than left crackles on exam. please assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18074766/s59119057/3b498d3e-75884b0d-5939f98e-e13b0dec-104bc388.jpg
tortuous and diffusely dilated thoracic aorta is re- demonstrated, with marked enlargement of the aortic knob compatible with known aortic arch aneurysm, better depicted on the prior chest cta. heart size is top normal. the pulmonary vascularity is not engorged. the lungs are clear without focal consolidation. no pleur...
shortness of breath, productive cough.
MIMIC-CXR-JPG/2.0.0/files/p16316656/s52999158/cd30e545-9326a8f6-860f8a38-168803a2-cbc2c334.jpg
single frontal view of the chest. endotracheal tube terminates <num> cm above the carina. ng tube terminates below the diaphragm beyond the extent of the film. single wire of a left chest wall defibrillator terminates in the right ventricle. sternotomy cerclage wires and mediastinal clips are intact. heart size is top ...
shortness of breath with history of lung cancer.
MIMIC-CXR-JPG/2.0.0/files/p10506944/s50887181/2cbc2c64-fda5af99-a8430804-360d827a-270880fb.jpg
the lungs are normally expanded. opacity at the left costophrenic sulcus is unchanged since at least <unk>. there is no new focal airspace opacity to suggest pneumonia. there is no pulmonary edema. the heart is not enlarged. mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
chest pain and shortness of breath. evaluate for edema, effusion or cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14092831/s56461446/24464c79-eeb2b91f-a076ed94-0b82d354-3d178675.jpg
low lung volumes on the lateral view cause crowding of the pulmonary vasculature. the lungs are clear. aside from mild cardiomegaly, the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there are small bilateral pleural effusions. pulmonary vascularity is normal.
<unk>-year-old woman with mid upper abdominal pain. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19011320/s57390794/27e8bcce-cf2fba06-477f7b4f-9934a11f-a4d9f79c.jpg
frontal the and lateral views of the chest. the right chest wall port is again seen with catheter tip at the ra svc junction. interstitial opacities in the right upper lung are again seen, partially obscured due to the port and likely in part due to postradiation changes. elsewhere the lungs are grossly clear. the card...
<unk>-year-old female with metastatic lung cancer to the brain with recent placement of intrathecal access port now with worsening confusion.
MIMIC-CXR-JPG/2.0.0/files/p16254515/s51194381/d1793f16-da26c84c-4602b0ef-fdf09593-4c19a7de.jpg
although increased interstitial markings have been present on remote radiographs, they have also mildly increased since recent prior suggesting component of superimposed interstitial edema. bilateral parenchymal opacities are more conspicuous, especially in the right mid lung. there are bilateral pleural effusions, tra...
<unk>f with paroxysmal afib, recent pneumonia, recent cardioversion, now returns with afib // evaluate for interval change, pneumonia, chf.
MIMIC-CXR-JPG/2.0.0/files/p17967161/s55931008/d069e707-32c5b138-f16856da-15e6c502-6980cd77.jpg
the right-sided picc terminates in the mid svc. there is an enteric tube, which extends below the diaphragm; however, the tip is out of view of this film. the cardiomediastinal contours are stable with interval improvement of bibasilar atelectasis and bilateral pulmonary vascular congestion. lungs appear better aerated...
history of pic line, please evaluate placement.
MIMIC-CXR-JPG/2.0.0/files/p10207998/s53462506/ba2d482d-eabb367a-a96e34de-91e0e651-6952f7d5.jpg
the lungs are hyperexpanded with flattened diaphragms and are clear. hila and cardiomediastinal contours are normal. no pleural effusion.
<unk> year old smoker in need of pre-employment cxr to rule out tb // assess for any evidence of tb or malignancy
MIMIC-CXR-JPG/2.0.0/files/p11753181/s52798894/63ee646b-90cd747f-17f3b0cf-c8526cc8-31b48b08.jpg
the cardiomediastinal silhouette is normal. the pleura is unremarkable. the right lung is clear. there is a left perihilar opacification with associated left upper lobe linear atelectasis the could represent pneumonia but given lack of uri symptoms code represent a hilar mass causing obstruction. recommend chest ct for...
<unk> year old woman with good health // patient with rhonchi diffusely in left lung. right lung clear. no documented fevers. no uri s/s. ?infiltrate
MIMIC-CXR-JPG/2.0.0/files/p10278452/s54078876/372a710f-c59ad686-753b9d84-cd8b39cd-7570b9f0.jpg
there is a left lower lobe anterobasal patchy opacity concerning for infection. the right lung is clear. no pleural effusion or pneumothorax. cardiac silhouette is normal in size.
<unk>-year-old female with cough.
MIMIC-CXR-JPG/2.0.0/files/p13901367/s51451376/88a803ee-51131ab4-f7f532af-f141d448-153bfc0c.jpg
bibasilar atelectasis is noted.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with fever post-op // pna
MIMIC-CXR-JPG/2.0.0/files/p19687661/s56136069/9c75e618-0731a407-4920618c-d907257f-39d23e58.jpg
again seen is a severely enlarged heart. there are bilateral pleural effusions, which are moderate in size and on the left is larger than on the study from the prior day, on the right is of similar size. there is volume loss in both lower lungs. there is pulmonary vascular redistribution. the feeding tube tip is off th...
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11028216/s57384647/b2c13b70-c563c146-5e12f077-cf1cf88d-e1fed56d.jpg
left chest wall dual lead pacing device is again seen. on the current exam there is more dense consolidation at the left lung base now silhouetting the hemidiaphragm. there is a small right-sided pleural effusion as well. there is no pneumothorax. the cardiomediastinal silhouette is difficult to assess. no acute osseou...
<unk>m with pleural effusions, hypotension // eval for pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p13050109/s50636052/cc94f6c9-0ef0a659-454855cf-2730feec-009bf69d.jpg
dual lead pacemaker is again noted, with lead tips over the right atrium and right ventricle. there is hyperinflation, consistent with background copd. there is mild cardiomegaly, unchanged. there is upper zone redistribution, but no overt chf. minimal atelectasis at the left lung base. no frank consolidation. possibil...
<unk> year old woman with uti, cord compression, w/ new cough, ? pna // please eval ? pna
MIMIC-CXR-JPG/2.0.0/files/p19831143/s56772885/af7fc80c-7a87189e-a875757c-a6e703f9-9b66a607.jpg
the heart is normal in size. the mediastinal and hilar contours are within normal limits. there is marked hyperexpansion of the lungs, in keeping with a known history of asthma. there is however no consolidation or pleural effusion.
<unk>-year-old female with asthma exacerbation and crackles on exam. question infection.
MIMIC-CXR-JPG/2.0.0/files/p16121000/s56663128/e05dc445-ecee07a2-dda990aa-80bfbdbf-d3c12be8.jpg
patient is status post mvr/ avr repair. compared to chest radiograph performed earlier on the same day at <time>, the right ij swan <unk> catheter has been pulled back and tip is in the proximal right main pulmonary artery. other lines and tubes are in appropriate positions and are unchanged compared to previous. appar...
<unk> year old man with s/p avr and mvr // bleeding
MIMIC-CXR-JPG/2.0.0/files/p19454724/s58038557/e8ca93ce-0737c5c0-a5b1c6cf-2d11da80-a0d97899.jpg
a left subclavian catheter terminates in the mid svc. an endotracheal tube and enteric tube have been removed in the interim. a left pleural effusion has decreased in size from prior, now small, with improved aeration at the left lung base. there is worsened mild pulmonary edema. the lungs are clear. there is no pneumo...
tracheobronchitis and recent motor vehicle accident. evaluate for pneumothorax or infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p12459047/s51000629/5e80d1fe-6e577a1a-b74305f5-dd3eea32-2952e564.jpg
there is a right-sided pacemaker with leads overlying the expected locations of the right atrium and right ventricle. no pneumothorax is appreciated. the lungs are clear. the heart is enlarged.
status post pacemaker placement.
MIMIC-CXR-JPG/2.0.0/files/p11115356/s56057498/9df2a15f-912bd0bd-f236e784-8c95990f-ff435d8e.jpg
the cardiomediastinal contours are normal. the patient has been extubated, and there is resultant mild pulmonary edema. opacification of the right lower lobe with air bronchograms may be accounted for by pulmonary edema, but attention on followup after treatment is recommended. enteric tube is in standard position. the...
evaluate for interval change in a patient with right mca aneurysm status post treatment.
MIMIC-CXR-JPG/2.0.0/files/p12040402/s57965421/e0b7d0dc-7ef3aa96-7daa0dcf-d8e9203d-730ffeaa.jpg
frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. there is persistent elevation of the right hemidiaphragm. right hilar opacity and consistent with known lesion in the superior segment of the right lower lobe. radiation changes are present within the mediastinum. there is no pneumotho...
history: <unk>m with leg swelling // eval for pulm edema
MIMIC-CXR-JPG/2.0.0/files/p19832679/s54171484/2c1fb8b5-8f7faa1a-17d5bc5e-b0eec5d6-58d99275.jpg
there has been interval improved aeration at the left lung base. no focal consolidation, pneumothorax, or pulmonary edema is seen. mild blunting of the right costophrenic angle may be secondary to small effusion or scarring. lung volumes are slightly low, which may exaggerate heart size; heart and mediastinal contours ...
<unk>-year-old male status post recent aortic valve replacement, now with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13015612/s56141417/d59b02ad-0778798c-50f094fe-1122eed3-fa1b1cb4.jpg
the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal. no acute fractures are identified. there are mild degenerative changes in the thoracic spine.
cough, fever, and chills.
MIMIC-CXR-JPG/2.0.0/files/p14150037/s58150348/3bcd21eb-5cf2bdc1-a3d26fc2-b274459a-812bd2af.jpg
minimal interval changes. the lvad and transvenous pacer are in unchanged position. the lung parenchyma is unchanged. no obvious consolidation. however, with the presence of severe cardiomegaly, pneumonia cannot be ruled out is partially in the absence of the lateral view. worsening pain venous congestion. no pleural e...
<unk> yom lvad patient with acute hypoxemia now necessitating <num>l o<num> // <unk> yom lvad patient with acute hypoxemia now necessitating <num>l o<num>
MIMIC-CXR-JPG/2.0.0/files/p10224999/s51478554/a91247da-1e255be0-ab92eba4-b7c7d6d5-21689157.jpg
the mediastinal and hilar contours appear unchanged including a convexity reflecting a left-sided fat-containing bochdalek hernia. an eventration of the right hemidiaphragm is also unchanged. there is no pleural effusion or pneumothorax. a thoracolumbar compression deformity appears new since the prior radiographs and ...
left-sided abdominal pain and tenderness to palpation along the chest wall. question diverticulitis.
MIMIC-CXR-JPG/2.0.0/files/p18005750/s59965502/1463d108-1b28127e-eff9c240-86ee6e13-c3c7313d.jpg
the heart size is top-normal, with evidence of coronary calcifications. the aorta is tortuous, with a bulge in the right mediastinal contour, concerning for an ascending aortic aneurysm. pleural plaques are seen bilaterally. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion o...
history: <unk>m with history of fever, stroke. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19777911/s54278634/04156733-1ea9dd38-7b6dff39-62b3ae23-0e757a6a.jpg
pa and lateral views of the chest. right picc line ends in the low svc. the lungs are clear. no evidence of pneumonia. mild cardiomegaly is stable. mediastinal and hilar contours are normal. no pleural effusions or pneumothorax.
aml, rigors, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17460061/s56110097/cbab6446-e2bd9247-acd6c181-892c1f2d-73348229.jpg
compared to most recent prior exam, there has been no significant interval change. moderate bilateral pleural effusions and mild interstitial edema persist. bibasilar atelectasis persists. heart and mediastinal contours are similar. right internal jugular, left internal jugular, esophageal catheter, and endotracheal tu...
<unk>-year-old female in multisystem organ failure status post emergent cesarean section.
MIMIC-CXR-JPG/2.0.0/files/p12826531/s57612853/d7a2e4dd-2d643d3e-6053a999-6ef5e312-056bbf9b.jpg
single ap view of the chest demonstrates a left chest wall pacemaker generator with appropriately positioned right atrial and ventricular leads. lung volumes are decreased, accentuating the cardiac contours and bronchovascular structures. lungs appear clear. no pneumothorax or pleural effusion.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15038558/s55903893/fb2c436b-22039774-29847a48-ff7566aa-53a3fe1f.jpg
ap portable view of the chest. opacities are present in the bilateral lower lungs which could reflect pneumonia. there is trace fluid in the minor fissure. no significant pleural effusions or pneumothorax. the heart size is normal. the mediastinal and hilar contours are normal.
shortness of breath, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13058213/s58071338/158667ed-b0913cd7-3e7d421a-26cb696f-55758d2c.jpg
overall, there has been no significant interval change. again noted is thoracic scoliosis with relative asymmetry of the rib cage and pseudo hyperlucency of the left hand hemi thorax as compared to the right. right hilar and infrahilar regions appear stable. the cardiac and mediastinal silhouettes are stable. hilar con...
history: <unk>m with luq pain, worse with inspiration, pain on rib palpation // ? rib fx vs lung infiltrate
MIMIC-CXR-JPG/2.0.0/files/p17795479/s50786432/5d6ace67-4c420c21-c6354386-b4324515-5d7362c5.jpg
frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign b...
<unk>-year-old male with history of esophageal stricture presenting with nausea and vomiting for two days. rule out foreign body in esophagus.
MIMIC-CXR-JPG/2.0.0/files/p13031024/s56429157/cbcae2f7-856921dd-517f351c-bb00ec33-7f5e1fac.jpg
mild pulmonary vascular congestion there is no focal consolidation, pleural effusion or pneumothorax. mild cardiomegaly, otherwise the cardiomediastinal and hilar contours are normal.
history: <unk>f with cp, radiating down l arm, assoc with sob // eval for sob
MIMIC-CXR-JPG/2.0.0/files/p16252891/s50050175/fe62b47e-4923a4ac-9a730fff-61ec7573-33e839c8.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 chest pain // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p14602471/s52911061/9b63e273-033aa666-51c7db74-537db703-ff695dcf.jpg
interval insertion of right chest tube with tip directives towards the right apex. no pneumothorax seen. remaining structures unchanged.
<unk>m with right hemothorax // chest tube position
MIMIC-CXR-JPG/2.0.0/files/p17336284/s56369511/3c350506-63d0ff30-996f09ba-ab2516fc-e95a54cf.jpg
the lungs are hyperinflated. moderate to severe cardiomegaly is unchanged. prominence of the right lower lobe vasculature is grossly unchanged. a pacemaker device is identified, with leads projecting to the right atrium and right ventricle. no pneumothorax, new focal consolidation, or pleural effusion.
history: <unk>f with chf, asthma, presenting with <num> days of dyspnea on exertion. please evaluate for any acute cardiopulmonary processes.
MIMIC-CXR-JPG/2.0.0/files/p13752677/s55420659/65aa3fa1-54d6f718-ade5f4d6-2993f835-97c7c59b.jpg
a dobbhoff tube loops in the mid-to-distal esophagus. a right internal jugular catheter remains in low svc. mild cardiomegaly is unchanged. mild interstitial edema is similar.
<unk>-year-old man with newly placed feeding tube.
MIMIC-CXR-JPG/2.0.0/files/p11847300/s54239870/7bc1ea45-08f62c9b-3a0eac96-f3a409a8-cd1af641.jpg
an enteric feeding tube courses below the diaphragm out of field of view with the side port at the gastroesophageal junction. left-sided chest wall emphysema is improved since one day prior. there is increased bilateral infrahilar opacification likely atelectasis and/or a component of pleural effusion. lucencies projec...
<unk>-year-old female status post hiatal hernia repair, now presenting with chest pain. single frontal chest radiograph
MIMIC-CXR-JPG/2.0.0/files/p12636101/s58477710/3ff67873-d3e2d351-28ba28e1-e322585b-b7c0c3e0.jpg
relatively low lung volumes are noted with crowding of the bronchovascular markings. bibasilar opacities are identified. there is no effusion, pneumothorax, or overt pulmonary edema. cardiac silhouette is slightly enlarged but likely accentuated due to lower lung volumes. no acute osseous abnormalities identified.
<unk>m with fatigue, poor po intake // eval pna
MIMIC-CXR-JPG/2.0.0/files/p15910090/s56901577/162bb757-e03da4ef-3fb2f401-72403498-bb00e04f.jpg
pa and lateral views of the chest provided. left pleural catheter has been removed. there is persistently increased opacity in the left mid to low lung, with obscuration of the left hemidiaphragm and left heart border, likely reflecting a combination of pleural effusion and atelectasis related to the known spiculated m...
<unk> year old man with lung cancer, worsening cough and pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p13648633/s58677847/f2b7be06-5b7c64a4-603c843d-0e917537-b9c7cdfd.jpg
mild interval increase in vascular engorgement and bibasilar atelectasis. heart is top normal in size. hilar prominence with calcified lymph nodes are seen adjacent to left hilus. no pleural effusion, pneumothorax, or focal opacity. mediastinal contour is normal. no bony abnormality.
male with cirrhosis and non-specific malaise. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10240102/s58481093/b37fb679-0760a093-98cd2205-e133d76f-4488c7ef.jpg
ap portable supine view of the chest. interval placement of a left ij central venous catheter with its tip projecting over the expected location of the upper svc. patient remains intubated with et tube tip positioned approximately <num> cm above the carina. a new ng tube is in place extending into the left upper abdome...
<unk>m with new left ij placement
MIMIC-CXR-JPG/2.0.0/files/p10757917/s57557434/eaa30c63-64143278-c0ee3556-cb298628-bd24d3a7.jpg
the left-sided port-a-cath terminates within the right atrium, unchanged. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar contours are unchanged.
<unk> year old woman with af, sob. ?chf
MIMIC-CXR-JPG/2.0.0/files/p17763551/s56354149/2de867f5-4ea0d89d-ed87d266-a68e6ae8-e763ce04.jpg
lung volumes are low with bronchovascular crowding. no focal consolidation, edema, effusion, or pneumothorax. the heart remains severely enlarged.
<unk>-year-old woman with chest pain and shortness of breath. evaluate pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17655255/s52794726/817dc756-dd6ef617-ea89f250-66d9c64a-2935926f.jpg
the lungs are well expanded and clear. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and influenza-like illness. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18781624/s50066882/a155b158-badea6b6-fb2b0533-4d17df0a-2ebc3acc.jpg
frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation or pneumothorax. there trace bilateral pleural effusions. linear opacities in the right lower lobe are suggestive of scarring. the visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with rigors.
MIMIC-CXR-JPG/2.0.0/files/p13565877/s55639373/66cd9f76-7d0e7422-876c51b9-e8f215eb-96091f16.jpg
vague opacities projecting over the mid upper lungs laterally are compatible with calcified pleural plaques seen on prior ct. no obvious underlying consolidation. there is no effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with s/p fall // please eval for injuries
MIMIC-CXR-JPG/2.0.0/files/p17533683/s58965321/30a64424-ac94c0e0-b1f3f0ee-6666313b-6bf2fd47.jpg
frontal and lateral views of the chest. there are increased interstitial markings seen in the lungs bilaterally predominantly in a peripheral distribution. on the lateral view, is more dense opacity overlying the spine inferiorly. superiorly the lungs are clear of confluent consolidation. the cardiac silhouette is mild...
<unk>-year-old male with pneumonia versus chf. shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14471647/s57123950/a44b527a-ea09036e-6c210e9d-e5e53a74-401e56c0.jpg
there is no consolidation, large effusion or pneumothorax. there is pulmonary vascular congestion without overt edema. cardiomediastinal silhouette is within normal limits. left chest wall dual lead pacing device is again noted.
<unk>m with dyspnea, recent admission for chf exacerbation // eval for pulm edema
MIMIC-CXR-JPG/2.0.0/files/p18816466/s57038297/fded32df-6a1c1038-a1298ac8-7b9ae2f1-90b58ec9.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax. surgical clips projecting over the left upper quadrant are again seen.
<unk> year old woman with recently diagnosed and treated breast cancer, now with productive cough, low energy // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p17053966/s59901823/9191a412-c7f13d7b-e27cd2b3-824c6c02-cd8289a4.jpg
pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema or focal pneumonia. no pneumothorax is identified. there is no air under the diaphragm.
<unk>-year-old female with history of peptic ulcer disease with acute onset of chest pain and left upper quadrant pain. evaluation for dissection or air under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p19033748/s54990681/60211009-db5c32f2-e5523dec-f127c0ee-4b481022.jpg
the heart size is top normal. the aorta is tortuous and aortic knob calcifications are demonstrated. assessment of the mediastinal contour is somewhat limited due to the presence of bilateral <unk> rods extending from the cervical spine to the lumbar spine. there is no pulmonary vascular congestion. apart from minimal ...
confusion and fever.
MIMIC-CXR-JPG/2.0.0/files/p18906387/s54388166/41de2d1e-537658f4-04f7edac-03bc409e-4850ff5f.jpg
since <unk>, no significant changes are appreciated. dual chamber cardiac pacemaker leads are intact and unchanged in position, running their expected courses into the right atrium and right ventricle. heart size is normal. no pulmonary vascular congestion or pulmonary edema. lungs are fully expanded and clear. no pleu...
<unk> year old man with tectal glioma, cardiac pacer // check placement of pacer leads
MIMIC-CXR-JPG/2.0.0/files/p11464841/s50524649/95bc77bf-f4dc5003-24316bfe-903a525a-4bc14bc4.jpg
single frontal chest radiograph demonstrates a right-sided central venous catheter terminating in the mid svc. mediastinal and pleural drains are stable in position. there is persistent but improved bilateral patchy opacifications, which may represent resolving background pulmonary edema; however, there is a persistent...
status post cabg/maze/<unk> ligation. evaluate for pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p15532622/s59476487/95148b4e-7efe7add-5dfe554e-a7ba7903-75f3ace0.jpg
double ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p thoracentesis, developed hypotension and bradycardia // r ptx r ptx
MIMIC-CXR-JPG/2.0.0/files/p14320851/s51241811/8e5ec517-1c7f763c-c96b54d1-197d762c-2a91010d.jpg
the lungs are well expanded with linear opacities in the left lung base suggestive of atelectasis or scarring, also seen on previous chest cts. the lateral left lung and left costophrenic angle are not included on the frontal view. no consolidative opacity to suggest pneumonia. no pulmonary edema. mediastinal contours,...
<unk>m with dizziness, hx of intracranial // please evaluate for acute abnormality
MIMIC-CXR-JPG/2.0.0/files/p11813834/s52136356/77b635f9-8245e60f-47953ade-e3d73e4c-0e9507d9.jpg
the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes noted in the spine. metallic structures project over the abdomen which are potentially external in nature to be correlated clinically.
<unk>f h/o angina with productive cough, fevers // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11593310/s59835650/292968f2-7b67d368-f469c8ce-1328a8e8-7168d52f.jpg
in comparison with chest radiograph from <unk>, a small left apical pneumothorax is grossly unchanged. lungs are otherwise clear without focal consolidation or pleural effusion. cardiomediastinal silhouette is normal. pulmonary vasculature is normal. there are no acute osseous abnormalities.
history: <unk>f with small pneumothorax on chest radiograph yesterday // eval for progression of pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p13740752/s56104522/0c6b980f-23f8fd9a-a609ac3e-6467204e-4ee51e85.jpg
right upper to mid lung ill-defined hazy airspace opacity is consistent with pneumonia. the lungs are otherwise clear. the hila and pulmonary vasculature are normal. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old man with fever, chills, fatigue, ? infection // ?infiltrates, effusions
MIMIC-CXR-JPG/2.0.0/files/p15306507/s57565885/3d008183-05e99216-9fa4a239-c8729ca9-1ce7d268.jpg
single portable view of the chest. relatively lower lung volumes seen on the current exam. the lungs however are clear of consolidation, large effusion, or pulmonary vascular congestion. linear bibasilar opacities may be due to atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abno...
<unk>-year-old female with new onset of atrial fibrillation.
MIMIC-CXR-JPG/2.0.0/files/p10140467/s58680101/551e4d5c-639771ca-309dea0a-17e97660-8d881a89.jpg
the lungs are mildly hyperexpanded but clear. heart size is normal. the mediastinal and hilar contours are normal. minimal blunting of the posterior costophrenic sulci could reflect small pleural effusions similar to the prior study. there is no pneumothorax. bridging anterior osteophytes likely reflect dish. there are...
history: <unk>f with b/l leg swelling and pain. concern for chf. pitting edema, lungs fairly clear. // cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p13648633/s52357013/a776f94b-200d1069-d367df72-5c201d30-f25bba95.jpg
portable semi erect chest radiograph demonstrates low lung volumes with subsequent bronchovascular crowding and atelectasis. there is bibasilar atelectasis with no definite focal consolidation identified. enlargement of the central vessels with mild vascular congestion is identified. no overt pulmonary edema. heart siz...
<unk>-year-old male with cirrhosis now with fevers.
MIMIC-CXR-JPG/2.0.0/files/p12770117/s57882136/f55a5fe2-395fc452-4e6b63d9-3341534a-ebb882d5.jpg
the dobhoff tube is malpositioned in the upper esophagus. the bilateral airspace opacities appear unchanged. unchanged appearance of right apical pleural effusion. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m hx of right lung nodule, cll, paf, copd and etoh abuse s/p right upper lobectomy on <unk>, admitted to sicu for hypoxic respiratory distress on the floor requiring intubation. extubated <unk>. dobhoff placed now // dobhoff placement