File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p11893689/s59894830/80f04432-238cb09e-afc5b358-68560042-c16f33f8.jpg
again demonstrated are multiple bilateral metastatic nodules, the largest in the left upper lung field measuring <num> mm, previously <num> mm. there is no consolidation concerning for pneumonia. the heart size, hilar, and mediastinal contours are normal. the left chest wall port is unchanged in the catheter terminates...
altered mental status and hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p14711758/s56716780/66668dd4-98468941-b5a703d6-4ce3cdce-5fb0bda8.jpg
frontal and lateral radiographs of the chest demonstrate hyperinflated clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, consolidation, or opacity.
<unk>-year-old female with possible nodule seen on recent radiographs.
MIMIC-CXR-JPG/2.0.0/files/p18323186/s55500770/425b9211-aa3885dd-d2549048-123e334e-60640770.jpg
the right hickman catheter terminates in cavoatrial junction. no consolidation. the hila and pulmonary vasculature are normal. no pleural effusions or pneumothorax. mild cardiomegaly and mediastinal contour are unchanged.
<unk> year old man with hx of aml, neutropenia, tachypnea, febrile, r/o pna. // <unk> year old man with hx of aml, neutropenia, tachypnea, febrile. r/o pna. patient is on <unk> <num> outpatient<unk> clinic.
MIMIC-CXR-JPG/2.0.0/files/p13017503/s56243799/1603ef7d-506e0f0c-753b85ab-1616d20c-5818334b.jpg
the film was quite rotated, due to patient's non-cooperation. a dobbhoff tube has been placed in the interim, the weighted tip appears to pass below the level of the diaphragm, into the proximal stomach. advancement is recommended for more secure seating. grossly, there is no change in low lung volumes and cardiomegaly...
<unk>-year-old female with dementia and ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17078350/s54672774/5524bbb1-74284d2f-7d144a0d-8527ecbf-39726e93.jpg
pa and lateral views of the chest provided. there is partial collapse of the right lower and right middle lobe with a moderate hydrothorax on the right. hilar contours are normal. mild, rightward shift of mediastinal structures.
<unk> year old man with recurrent hydrothorax, with decresaed breath sounds // size of effusion
MIMIC-CXR-JPG/2.0.0/files/p13115452/s53180065/48c86374-5675be00-6a5949c6-55a42aed-267a74b5.jpg
pa and lateral views of the chest provided. there is a small left apical pneumothorax with mild atelectasis in the left lower lobe. there is a rounded density projecting over the left mid lung which is indeterminate and will require ct to further assess. this rounded mass measures approximately <num> x <num> cm. right ...
<unk>m with ?pneumo
MIMIC-CXR-JPG/2.0.0/files/p12844527/s59942837/58b5d94f-1fd52369-8067f453-70fb7420-d3d439a8.jpg
pa and lateral views of the chest provided. extensive spinal fixation hardware is noted spanning the mid upper thoracic spine. a sclerotic nodular focus projecting over the right sixth posterior rib corresponds with a bone island seen on prior t-spine ct from <unk>. the lungs are clear without focal consolidation, larg...
<unk>m with cough
MIMIC-CXR-JPG/2.0.0/files/p17483332/s55289338/dd706072-44cfd45c-7b53f9fe-96009e58-161c6aa8.jpg
pa and lateral views of the chest provided. the lungs are hyperinflated and lucent which is suggestive of underlying emphysema/copd. 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 ...
<unk>f with cp // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19549821/s56024784/3db433a8-9379d041-b4e9d173-f253fe8b-8ad21d0a.jpg
the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. the lungs are well expanded and well aerated without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. mild biapical pleural thic...
resolved dka, now with persistent nausea and outside chest radiograph reportedly showing right lung opacity, here to evaluate for pulmonary consolidation or lesion.
MIMIC-CXR-JPG/2.0.0/files/p16180157/s50546023/d870280d-b19fb880-daa53003-0fb24b6d-2ddd0632.jpg
frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or consolidation. the right atrial lead has a different orientation on both the pa and lateral views as compared to the most recent prior radiogr...
<unk>-year-old man with abnormal icd interrogation today. evaluate for location of icd leads.
MIMIC-CXR-JPG/2.0.0/files/p18430568/s59496683/52539393-cb6de385-ac4cebc0-5282f41d-1e752cd9.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 right sided chest pain
MIMIC-CXR-JPG/2.0.0/files/p16230666/s58720856/ffe4d7a5-2779dc9a-cb5d0f38-49e4f9df-1fe6404a.jpg
lung volumes are low and the lungs are clear. mediastinal contour, hila, and cardiac silhouette are stable from <unk>. there is no pneumothorax or pleural effusion.
<unk>m with acute confusion s/p <num> cvas (<unk> and <unk>) with acute confusion // pna? acute process?
MIMIC-CXR-JPG/2.0.0/files/p11658675/s57123854/22bf0b41-d76186ab-f9cd6d3e-fc619a23-76775d9c.jpg
bibasal consolidations appear worse compared with prior exam. there is also a new focus of a band-like consolidation extending from the left heart margin superiorly into the left mid lung. there is obscuration of the bilateral cardiac margins as well as the left hemidiaphragms. there might be a small left-sided pleural...
<unk>-year-old male with hypoxia. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14527555/s58199858/e38101c7-e19e6d48-b90969fb-69c43fb3-d708a110.jpg
increased consolidation in the right lower lobe with inferior displacement of the hilum likely reflects atelectasis and pneumonia. new, small right pleural effusion. normal cardiomediastinal and hilar contours. stable, mild blunting of the left costophrenic angle likely reflects pleural scarring.
<unk>-year-old man with altered mental status and hypoxemic, acute respiratory failure, now with leukocytosis. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12655910/s54820939/f4ee0446-7d45c0a6-411d6af6-fd3e4ac8-70de8da8.jpg
there is a small right and a large left pleural effusion as well as partial left lower lobe atelectasis. no pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>f with chest pain, shortness of breath // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11762722/s59035236/f0ba72d3-35256b94-49f0674b-22c4dbfe-30debca4.jpg
there is mild rightward rotation of the patient on the current radiograph. allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. there is no pulmonary vascular congestion. lungs are hyperinflated. there is no focal lung consolidatio...
history: <unk>m with asthma exacerbation, <unk> symptoms, cough // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19730096/s55412311/8bb58d1f-6d3acccc-cfc20127-f3344ff4-a349a467.jpg
the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f withleft sided weakness // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p16734341/s54884125/ac6fa9b8-a1a1328e-c396342d-b61ea8c9-64d44d86.jpg
ap portable upright view of the chest. mild basal atelectasis. otherwise lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with mvc // r/o trauma
MIMIC-CXR-JPG/2.0.0/files/p10527186/s52248666/0171bd40-96d78e1a-cf987a4f-36784e08-52170a07.jpg
since the prior radiograph, there has been progression of bilateral diffuse patchy opacities, most marked in the left peripheral mid and lower lung zones. given the rapid progression, this is most consistent with new edema. alternatively, could be due to infection, a toxic or allergic drug reaction or hemorrhage. there...
metastatic renal cell carcinoma with known metastases to the lungs. new shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17444901/s57369773/b5fe0e85-10bdc499-752a9645-ec36e19e-15effd1e.jpg
the lung volumes are low. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>m with cough, fever // pna?
MIMIC-CXR-JPG/2.0.0/files/p10514375/s54173461/dd05cd78-aeefe58f-67e03c3e-4d3184fd-40d9c522.jpg
the right lung is clear. the left lung again demonstrates a rounded left apical opacity, which is not significantly changed compared with prior ct and represents a loculated pleural effusion. small amount of left pleural fluid is also noted at the base in this patient who is status post pleurodesis. left hilar opacity ...
<unk>-year-old female with history of metastatic lung cancer, now with shortness of breath. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18902344/s57444915/89ab5cbb-54dc7072-1eed169c-a68e5def-a058c7ee.jpg
the exam was somewhat limited by the patient's body habitus. within the limitations, the lungs are clear. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. again noted is a prominent pericardial fat pad.
cough and subjective fevers. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13864100/s50065974/f72ba5db-25ace111-d67d2fa3-c6983679-c2abc46d.jpg
right internal jugular venous line terminates at mid svc. transesophageal tube courses below the diaphragm and out of view. tracheostomy tube position is not well visualized, but appears tilted. moderate pulmonary edema is similar to <unk>. severe bibasilar opacities, left greater than right, likely reflect atelectasis...
<unk> year old man with pulmonary edema // change in pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p13150735/s53489310/74cccfca-44bfdd31-7187a17c-0305df71-925bd3d9.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky left basilar opacity likely reflects atelectasis. right lung is clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with history of myocardial infarction presenting with epigastric pain
MIMIC-CXR-JPG/2.0.0/files/p14090080/s53124195/8fc60969-ea72a8f8-d5e178de-046f6b80-331b9552.jpg
the lungs are moderately well inflated with bilateral lower lobe patchy opacities that may represent atelectasis versus consolidation. aspiration pneumonitis is a consideration in the right clinical setting. mild cardiomegaly and aortic knuckle calcification. no pleural effusions. ekg leads overlie the chest wall. visu...
<unk> year old woman with acute onset of afib with rvr. // please evaluate for worsening pna or new aspiration
MIMIC-CXR-JPG/2.0.0/files/p11578849/s59020650/0b12e743-8419cd4d-1f07f811-ab3fbaa2-c897e35b.jpg
there is bibasilar atelectasis. no focal consolidation is seen. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.
<unk>-year-old man with asthma exacerbation, rule infectious process.
MIMIC-CXR-JPG/2.0.0/files/p17799996/s57561715/8456bdc2-219ee3bc-16e6e0a2-58a97f8f-66848636.jpg
pa and lateral views of the chest were reviewed and compared to the prior studies. a left subclavian line ends in the low superior vena cava. small right and moderate left pleural effusions have minimally increased since <unk>. otherwise, the lungs are clear without focal consolidation, pulmonary edema or vascular cong...
assessment for congestive heart failure and reassessment of pleural effusions in a patient with shortness of breath and a history of refractory cll.
MIMIC-CXR-JPG/2.0.0/files/p13216932/s51349632/5351c1b1-334afc66-d3fd07cd-7bd180e9-da2bbbdd.jpg
there is atelectasis at the left lung base, with tenting of the left hemidiaphragm, likely a result of subsegmental volume loss in the left lower lobe. this is new compared with one <unk> no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion o...
history: <unk>f with dyspnea, productive cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12366547/s53845147/e1dcb0be-0e4d6c41-4b739976-be90ab33-5e2a4893.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. patient is status post median sternotomy.
history: <unk>f with left arm weakness // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14528653/s51791478/285d35e6-31b29fe3-8862e24b-1a57c0f9-0d7979ea.jpg
the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal. hardware in the right shoulder from a prior total shoulder arthroplasty is partially imaged.
chest pain. evaluate for an acute process.
MIMIC-CXR-JPG/2.0.0/files/p11950244/s53509607/22d8e6cb-815553ec-dfd58ae0-3fc65b02-ad5af599.jpg
ap portable supine view of the chest. patient is intubated and the tip of the endotracheal tube resides <num> cm above the carina. an ng tube courses into the left upper abdomen though the tip is excluded from view. pulmonary opacities most compatible with edema noted without large effusion or pneumothorax on this supi...
<unk>f with cardiac arrest // eval for tube position, process
MIMIC-CXR-JPG/2.0.0/files/p11116316/s57916742/f94658b0-560de05d-e7d34f5f-2fa36d9b-da2a63db.jpg
an endotracheal tube tip lies <num> cm above the carina. an enteric feeding tube courses below the diaphragm, out of field of view. a right internal jugular approach central venous catheter tip projects within the right atrium. there are persistent low lung volumes with worsening bibasilar atelectasis/partial collapse....
<unk>-year-old female status post endovascular aortic repair. evaluate endotracheal tube position.
MIMIC-CXR-JPG/2.0.0/files/p17867860/s57547864/d61b4f32-0e9ae4e4-539d7394-eec1aa07-30e8b6dd.jpg
the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
<unk>m with h/o <num> week non-prod cough with lt chest pain worse with deep inspiration and cough. // pna? pnemothorax? rib fracture?
MIMIC-CXR-JPG/2.0.0/files/p11953959/s56321827/c3f162fb-5f40ab2b-b918b35d-2e5839a8-4bb15a67.jpg
single portable view of the chest is compared to ct of the chest from <unk>. linear opacities in the left mid lung are suggestive of scarring. surgical chain sutures also seen suggesting prior resection. there is obscuration of the left lateral costophrenic angle compatible with prominent fat identified on ct. elsewher...
<unk>-year-old woman with tracheomalacia and copd. shortness of breath and wheezing. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18399764/s51589758/9606baf3-7ff071a8-4ca1268e-36eac6c9-076a3788.jpg
an endotracheal tube ends approximately <num> cm from the carina. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal and unchanged. no rib fractures are visualized.
status post respiratory pea arrest.
MIMIC-CXR-JPG/2.0.0/files/p13498220/s58625023/ab35114b-efb95b24-327b6d43-024201be-fd867850.jpg
lung volumes are low. heart size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is within normal limits. minimal atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. no acute os...
history: <unk>m with confusion, on warfarin
MIMIC-CXR-JPG/2.0.0/files/p13417577/s51833106/d0dfb618-d2bc4861-ea2d6c34-84ad0bb5-bdf85842.jpg
support devices: none. there has been reaccumulation of a right pleural effusion last seen on <unk>. there is also evidence of right lower lobe volume loss. there is new heterogeneous opacity in the low left lower lobe. left apical consolidation and hydro pneumothorax is unchanged. chronic hyperinflation reflect the hi...
acute hypoxia in a patient with lung cancer, copd, pneumonia, now extubated.
MIMIC-CXR-JPG/2.0.0/files/p19242386/s54729074/12be4108-d192c5a3-5aa6728a-d6c82865-57998fcc.jpg
the lungs are well-expanded and clear. no focal consolidations. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax. no acute osseous abnormalities detected.
history: <unk>m with chest pain s/p mvc. // rib fx, pneumo?
MIMIC-CXR-JPG/2.0.0/files/p16383099/s56498644/8a6eea1d-6eea43ac-6f48d793-fb3ae32a-adc8312e.jpg
pa and lateral views of the chest provided. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman with asthma // patient with productive cough and shortness of breath after influenza. ?infiltrate
MIMIC-CXR-JPG/2.0.0/files/p14090080/s53449690/06cc54cf-f3eb9822-d2d41473-2185233d-c3d8bd0b.jpg
there is persistent elevation of the right hemidiaphragm. there is subtle opacification of the lateral right middle lobe, which may represent early developing pneumonia. linear retrocardiac opacification likely represents atelectasis. no pulmonary edema. the heart size is normal. there is enlargement of the pulmonary a...
history: <unk>f with h/o myotonic dystrophy presenting with weakness***
MIMIC-CXR-JPG/2.0.0/files/p11531320/s59634525/9f0a7273-4862e9ad-44b44907-cccfd2e5-b9d4e7bf.jpg
as compared to <unk>, cardiomegaly is accompanied by worsening pulmonary vascular congestion without frank pulmonary edema. confluent right basilar opacity is similar to prior radiograph and earlier chest x-ray of <unk>, but appears larger compared to <unk>. lungs are otherwise remarkable for bibasilar linear scarring....
<unk> year old man with persistent sob, wheezing, hypoxemia. no fever or cough // ?rad, ?chf
MIMIC-CXR-JPG/2.0.0/files/p11891099/s50017993/db5dbcc3-7890942b-540a6946-ae7e4470-6aa8fdba.jpg
the lungs are mildly hypoinflated with crowding of vasculature and mild vascular congestion. left lower lobe atelectasis is present with elevation of left hemidiaphragm. chronic blunting of the right costophrenic angle is noted. no left pleural effusion. no pneumothorax. heart size, mediastinal contour, and hila are un...
<unk>m with chest pain. assess for acute process.
MIMIC-CXR-JPG/2.0.0/files/p17362440/s56371636/b8340572-ee0f4c8e-62eebbc9-214cdc0e-3129027a.jpg
the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiac silhouette is unremarkable. the mediastinum is slightly widened above the aortic knob, with an equal right and left distribution and no displacement of the trachea, most consistent with fat deposition.
history: <unk>m with hepatitis // r/o infitrate
MIMIC-CXR-JPG/2.0.0/files/p14048242/s54320072/3115384d-a59ba893-52e3e327-5d1b9f8e-28adc62d.jpg
the tip of the left internal jugular catheter projects over the distal svc. the tip of right picc line extends into the proximal right atrium. the tip of the endotracheal tube projects over the mid thoracic trachea. a gastric tube extends beyond the field of view of this radiograph. please note that the left lung base ...
<unk> year old man with e. coli bacteremia, sepsis, persistent pressor requirement, new temperature // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18841365/s59870251/cff9214b-d431d3bb-1519dd08-215240a3-73336a15.jpg
<num> views were obtained of the chest. the lungs are low in volume but clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
nausea and tingling with st depression. assess for acute process.
MIMIC-CXR-JPG/2.0.0/files/p15465926/s59026299/03a0db5e-7bdae77d-6f64f1d8-6e15259a-c5c308eb.jpg
normal heart, mediastinum, hila, and pleural surfaces. the lungs are clear without focal consolidation, pneumothorax, or effusion.
<unk> year old woman with recurrent cough on immunosupresants. evaluate for consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16612444/s52964198/6d0ca591-e8e8ab3f-517d3f8e-47aec07c-df884ef2.jpg
given low lung volumes, the lungs are clear of focal opacities concerning for pneumonia. there is no evidence of pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>f with sudden onset left chest pain
MIMIC-CXR-JPG/2.0.0/files/p19509298/s56314953/c03bb467-e8cbfd8a-6050d3aa-18e1b04e-9701e2d8.jpg
portable ap semi-upright views of the chest were obtained. cardiomediastinal silhouette is unchanged. chronic bibasilar opacities more severe on the right have slightly increased, likely representing worsening atelectasis; however, underlying consolidation is not excluded. lungs are otherwise clear. small bilateral ple...
<unk>-year-old man with post-surgical wound infection and chills, evaluate for a pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11367967/s55666166/c63cd3a9-8cac4e4d-db7e56a2-cb8e70ad-72f796b7.jpg
cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. there is no evidence of free air on upright view.
<unk>f with abdominal pain s/p colonoscopy yesterday, evaluate for free air
MIMIC-CXR-JPG/2.0.0/files/p14638149/s50682287/dde9543e-f0740f1d-f1249f14-8b62669f-01d4d40c.jpg
heart size is normal and cardiomediastinal contours are stable with mild tortuosity of the descending aorta. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with roux en y gastir c bypass with vomiting // ? sbo, partial obstruction
MIMIC-CXR-JPG/2.0.0/files/p18957058/s57557323/e9628a7e-cbe9cad7-2775b50e-116b4b58-b13253d9.jpg
frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
multiple sclerosis, cough x <num> weeks. evaluate for consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15399372/s59403951/78cee494-8d97874d-807eec7d-4a55f482-4aa42e25.jpg
ap and lateral views of the chest are compared to previous exam from earlier the same day at <unk>. the lungs remain clear. there is no effusion, pneumothorax. cardiac silhouette is slightly enlarged. severe degenerative changes noted at the glenohumeral joints bilaterally. anterior wedging of the lower thoracic verteb...
<unk>-year-old female with increased respiratory rate, fall earlier today. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13637699/s55840866/72841edc-25781439-288de1e1-a22858d1-c9bf01c3.jpg
since the last radiograph performed earlier today, there has been interval placement of a tracheostomy tube which terminates approximately <num> cm above carina. the enteric tube and endotracheal tube have been removed. the left sided picc line is unchanged in position terminating in the distal svc. bilateral pleural e...
<unk> year old man with s/p trach placement // s/p trach
MIMIC-CXR-JPG/2.0.0/files/p14047315/s55059744/ec7a6ef8-e977d8b5-227a0e2c-30e69a36-e35acade.jpg
in comparison to the chest radiograph obtained <num> day prior, there is improved aeration at the right and left lung bases, persistent, mild pulmonary edema indicative of volume overload. mid right lung opacities appear unchanged and may reflect pneumonia or hemorrhage as a complication of prior pigtail catheter place...
<unk> year old woman sah with ventricular extension, e/o l aca and acomm aneurysms on cta, s/p intubation and evd placement // please evaluate for interval change
MIMIC-CXR-JPG/2.0.0/files/p16329447/s59346785/b861b6ee-d2c28f60-56ade2d8-1e35317b-79ee3c3c.jpg
severe cardiomegaly with mediastinal vascular pedicle engorgement and mild pulmonary edema. no large pleural effusion. right lower lobe opacity.
<unk>-year-old female pmhx poorly-controlled t<num>dm, diastolic heart failure (ef <unk>% <unk>), gastroparesis, and nephrotic syndrome who presents with volume overload concerning for decompensation of heart failure. // eval for cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p12606543/s57521150/ab18ef8e-3fb33a61-13e649ff-1e48f5eb-76ee9fb8.jpg
chronic moderate cardiomegaly, severe enlargment of the pulmonary arteries and pulmonary venous engorgement have increased since <unk>. right infrahilar consolidation has improved a little since <unk>. there is no pleural effusion or pneumothorax.
<unk> year old woman with recent pneumonia; assess for resolution; ?chf
MIMIC-CXR-JPG/2.0.0/files/p11853440/s56033165/fd616629-0b8c4ead-4b690c50-fdb49914-42d6da81.jpg
a right internal jugular vascular sheath remains, but the pulmonary arterial catheter has been removed. chest tubes have also been removed bilaterally. there is no pneumothorax or pleural effusion. patchy retrocardiac opacity has improved. streaky right basilar opacity is similar and suggests minor atelectasis. the pat...
recent cabg with removal of chest tubes.
MIMIC-CXR-JPG/2.0.0/files/p10827966/s51871392/d6942d7a-07f97080-57a04a6c-354e7b42-9935ff80.jpg
frontal and lateral radiographs of the chest were acquired. streaky left retrocardiac opacities are not significantly changed compared to the prior study from <unk>, likely atelectasis, although infection cannot be excluded. the lungs are otherwise clear. there is minimal fluid or thickening within the minor fissure. t...
chills and cough.
MIMIC-CXR-JPG/2.0.0/files/p16603183/s58562666/02d68251-fe1fa206-db4726c6-9a500abd-651aa4a4.jpg
the lungs are clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality.
<unk>f with asthma presents with shortness of breath and chest pain without clear trigger evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12103993/s53397671/50f39255-ce065f5b-ee172a91-68600af5-83462eed.jpg
heart size is borderline enlarged. mediastinal. the skull is engorged. lung volumes are slightly low with patchy atelectasis noted in bases. focal consolidation pleural effusion or pneumothorax is present. to moderate degenerative changes are noted in the imaged thoracic spine with anterior bridging osteophytes and deg...
history: <unk>m with increasing abdominal girth and jaundice. evaluate for pleural effusion, pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18618203/s53735101/7f76bbdd-0a727fbd-2c901a74-4234680d-969029c6.jpg
lung volumes are low. midline sternotomy wires are well aligned. right sided picc now terminates in right axilla. the cardiac silhouette and pulmonary vasculature unremarkable. again noted is right paratracheal soft tissue, consistent with known lymphadenopathy. diffuse, patchy, right-sided opacity is progressed since ...
<unk> year old man with copd not on home o<num>, cad s/p cabg, htn, hl, paf, h/o cva, alcohol abuse, here for cap. s/p full course treatment for cap, off abx, with new fever. working up new or progressive infection. // evidence of worsening infiltrate
MIMIC-CXR-JPG/2.0.0/files/p16997660/s52763032/8fd18b1f-906cba5d-f690ae9d-b3c6ef4d-7f8c0e6f.jpg
ap upright and lateral views of the chest provided. lungs appear hyperinflated. 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 weakness // pna?
MIMIC-CXR-JPG/2.0.0/files/p10165494/s54383189/7432969d-8ffb5287-a418dcca-c80b7d78-38d24b82.jpg
pa and lateral views of the chest provided. lung volumes are low. mild elevation of left hemidiaphragm is unchanged. 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 a fib, increased dyspnea on exertion, leukocytosis
MIMIC-CXR-JPG/2.0.0/files/p16528226/s53775306/296dbf82-b5ec7ecd-ec0a9314-186c875a-a57baebc.jpg
frontal and lateral radiographs of the chest demonstrate a large right pleural effusion which appears stable from prior. unchanged opacification of the right upper lobe related to prior radiation. new mild vascular congestion on the left. no focal consolidation of left lung or pleural effusion. no pneumothorax. stable ...
dyspnea and lung cancer. evaluate for pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15252551/s56302223/2d654597-27ea4f6e-5a255966-3098610b-958e57e0.jpg
heart size is normal. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are hyperexpanded and there is flattening of the diaphragms, best seen on the lateral radiograph. increased opacity projecting over the posterior lung b...
<unk>m with fever, eval for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12345756/s54033102/15991e18-bd21ce30-cdef7826-299e8d4a-119d43e9.jpg
right-sided port-a-cath terminates in the upper svc. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with history of gastric cancer // assessment of port-site
MIMIC-CXR-JPG/2.0.0/files/p10224171/s59724435/b7e92452-e461a986-ffe8e52c-2b7a628b-a1c07c09.jpg
cardiomediastinal silhouette is stable. right chest tube is no longer seen. previously seen moderate right pleural effusion has substantially decreased in size, a loculated component persists. there is increased airspace opacification in the mid to lower right lung as compared to prior examination. the left lung remain...
<unk> year old man with rll squamous cell lung ca s/p robotic converted to open right lower lobectomy //? ptx, ct placement
MIMIC-CXR-JPG/2.0.0/files/p11439927/s53747282/27fd4478-89d40d09-cd1a1d14-1c635619-f2a325d9.jpg
the swan-ganz catheter is been removed. the right ij cordis is in place. the heart size is mildly enlarged. there is retrocardiac opacity and right lower lobe alveolar infiltrate. is unclear if these are due to fluid overload versus infectious infiltrates. there small bilateral effusions. overall the appearance of the ...
<unk> year old woman with chf exacerbation // volume overload?
MIMIC-CXR-JPG/2.0.0/files/p10723086/s53905329/236cbd52-59a14a4e-8693d2d3-fb8c3156-de1bbf96.jpg
a tracheostomy tube sits at the level of the clavicles. a right ij central line terminates in the svc. evaluation of the lungs is somewhat limited by low lung volumes and motion artifact. however, bilateral airspace opacities have decreased since the study of <num> days ago. left lung nodules are again noted. persisten...
<unk>-year-old female with choriocarcinoma receiving tube feedings. evaluate for evidence of aspiration.
MIMIC-CXR-JPG/2.0.0/files/p11083023/s58222142/f3f13ef5-9804754d-3bfda33f-c9aa23e7-4bfe3ea5.jpg
the heart appears mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a calcified granuloma again projects over the superior right lower lobe. otherwise, the lungs remain clear.
depression and urinary tract infection, presenting for psychiatric evaluation.
MIMIC-CXR-JPG/2.0.0/files/p15642529/s57290168/98a109d6-75bdaa6c-358bada9-290d8497-8f58e9cb.jpg
the examination is actually a series of <num> examinations. the the first examination demonstrates the dobbhoff tube in the distal esophagus. a second examination demonstrates to be in the cardia of the stomach. a right-sided picc line remains in the azygos region. bilateral parenchymal infiltrates are seen in the righ...
<unk> year old man with new dobhoff placement. // this is for a <num>-stage procedure to assess dophoff placement.
MIMIC-CXR-JPG/2.0.0/files/p14290495/s51847988/3284aca3-43e6ab11-5a93e707-84244d35-b8a22c88.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with hiv, persistent fever and chills in the setting of influenza.
MIMIC-CXR-JPG/2.0.0/files/p19133405/s54562127/de523f2d-0e045ea4-dccc8d37-6531ea97-8550e8c4.jpg
tracheostomy tube and left-sided port-a-cath all remain in unchanged positions. cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion, pulmonary edema, or pneumothorax is present.
cough and sputum production.
MIMIC-CXR-JPG/2.0.0/files/p11601206/s59417246/f1680b29-4cb3b16f-418365e5-3df39873-e6da751d.jpg
since the prior exam, the lung volumes are lower. opacities at the bilateral bases are most compatible with atelectasis. there is no pulmonary edema, pleural effusion, or pneumothorax. the aorta is tortuous with calcifications along the aortic arch. it is unchanged in appearance since the prior exam. the heart is mildl...
chest pain. evaluate for widened mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p19115917/s59399828/37f33629-9561f91f-73f1e47b-0051da16-843dbe38.jpg
the lungs are well expanded and clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size and stable. no effusion or pneumothorax is noted. the osseous structures are unremarkable.
palpitations.
MIMIC-CXR-JPG/2.0.0/files/p17355488/s54599109/09c1006a-2d72ee16-8b1b0ffb-e59cbf51-6e326633.jpg
left internal jugular central venous catheter tip terminates in the upper svc. no definite pneumothorax is seen on this supine exam. remainder of the exam is unchanged.
history: <unk>m with line placement
MIMIC-CXR-JPG/2.0.0/files/p18169660/s55119754/6c2fccd0-98272060-5739fea3-405c6a1a-62ffa0ef.jpg
patient's condition required examination in sitting position using ap frontal and left lateral views. comparison is made with the next preceding chest examination of <unk>. presence of a right-sided picc line is noted, seen to terminate overlying the svc structures at the level of the carina. no pneumothorax is present...
<unk>-year-old male patient with septic hip and productive cough, now spiking fever despite antibiotic treatment. evaluate for pneumonia or infectious process.
MIMIC-CXR-JPG/2.0.0/files/p12307405/s54271004/526ae427-276724eb-1c5f85b3-ff3635b5-35193c97.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
cough for <num> months.
MIMIC-CXR-JPG/2.0.0/files/p19916882/s53510742/c00847fc-ddd040a1-c5805bb1-44156a7a-cf336c3b.jpg
ap portable upright view of the chest. there has been placement of an ng tube with its tip in the mid gastric body. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with sbo // post ng tube placement
MIMIC-CXR-JPG/2.0.0/files/p17710225/s53828290/5ee33c46-1b5cf0c2-16dc5507-5197676a-dff54dc0.jpg
the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. mediastinal and hilar contours are unchanged. postoperative changes in the right upper chest are unchanged.
<unk> year old woman with h/o recurrent pneumonias with productive cough with grey-brown sputum. // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12299124/s58535120/13c8fd5c-87cf607f-fe9f06d8-4eb85744-39c29eba.jpg
normal highest size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. calcified structures in the left upper quadrant are unchanged consistent with prior calcified splenic hematoma. additional calcifications are seen in the mid abdomen and right upper quadrant compatible with ch...
<unk> year old man with preop angio // preop surg: <unk> (angio)
MIMIC-CXR-JPG/2.0.0/files/p19257983/s55536640/4d4454a5-f30f529e-87e55f4d-594c1e1d-857382a7.jpg
there is no pleural effusion, pneumothorax or focal airspace consolidation. prominence of the pulmonary arteries is consistent with pulmonary arterial hypertension and is unchanged. there is evidence of emphysema within the upper lobes. heart size is unchanged and top normal in size. there is an exaggerated senile kyph...
cough for <num> weeks. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14650010/s56869173/57dd3f25-1f0ed84b-f5f9a53b-edc4c251-dfbefc46.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 cough after inhaling bleach // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17509096/s53123226/4fdc7763-f9d48f5b-9e40e0fb-c0e244b4-9e18e63c.jpg
ap view of the chest. a left-sided dialysis catheter ends in the right atrium. cervical hardware is seen. diffuse patchy opacities, most consistent with moderate pulmonary edema, are slightly different in distribution but not significantly changed overall. likely trace pleural effusions. cardiomediastinal and hilar con...
increasing o<num> requirement and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p17436646/s53804476/ee3c411c-cf4ff238-4557f677-f2c2c51c-ce8f76da.jpg
as compared to prior chest radiograph, there has been interval removal of right pleural drain. pneumothorax is minuscule, if any on the right. the extent of ground glass opacity representing hemorrhage in the right lower lung is unchanged. left lung is clear. cardiomediastinal silhouette is within normal limits. a fidu...
<unk> year old female patient with right pneumothorax, post rfa. study requested for evaluation of pneumothorax status post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p12462698/s55004781/0698c397-eaa61c9b-109be9c5-12d67682-a96d290a.jpg
frontal lateral chest radiographs demonstrate low lung volumes with bronchovascular crowding and increased prominence of the cardiac silhouette. even allowing for this, there is moderate cardiomegaly, unchanged. there is mild pulmonary edema, without definite focal consolidation or pneumothorax. there is bibasilar atel...
altered mental status and left-sided crackles. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13462065/s56063566/1dbdb051-99733226-45ba3c35-55979ef3-90a3bc46.jpg
a portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. increasing opacity of the left lower lung is likely a combination of increased pleural effusion and atelectasis, but superimposed pneumonia cannot be excluded. a right pleural effusion is better seen on ct from <unk>. the remainder ...
evaluate for resolution of recent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18887566/s52928389/ce0b98dc-d2f698cd-a154a746-78e03996-52412723.jpg
the patient's arm overlies the chest on the lateral view, partially obscuring the view. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen although please note that the distal aspects of the c...
left clavicle pain status post fall.
MIMIC-CXR-JPG/2.0.0/files/p13388959/s52534458/b7cc0fee-8a405791-8daf2b2f-ca7ca828-de670484.jpg
pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation. biapical, right greater than left, pleural-based scarring is noted. cardiomediastinal silhouette is within normal limits, noting some atherosclerotic calcifications at the aortic arch. osseous and soft tissue structures are unremar...
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13792998/s54942033/7e8a07c1-1d82155a-671fd1e5-447643d5-31ad3c5c.jpg
cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. patchy opacity in the left lower lobe is concerning for pneumonia. the right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>f with cough
MIMIC-CXR-JPG/2.0.0/files/p13229207/s52959623/100d4f29-3da90b78-49976282-1a7b81bd-dd95e62e.jpg
in comparison with study from <unk>, the ng-tube extends into the stomach. side port is not well-visualized. the tracheostomy remains in place. cardiomediastinal silhouette is stable. previously seen retrocardiac opacity and interval development of a left lower lung opacity could represent pneumonia versus worsening at...
<unk> year old man with pneumoperitoneum s/p ex lap // assess placement of ngt
MIMIC-CXR-JPG/2.0.0/files/p19793246/s56060513/a195e8dd-68f285f5-590a289b-a79ecfc8-9ffaaf77.jpg
lungs are clear. there is no focal consolidation, effusion, or pneumothorax. there is bronchial wall thickening in the left lower lobe, suggestive of bronchitis. old bilateral rib fractures with associated scarring in the left and right mid-zones are again seen. mediastinal and hilar contours are normal. heart size is ...
<unk> year old woman with cough x <num> days, wheezing, ? decreased breath sounds lll // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18566937/s58970584/d8d17e82-01d3bc82-7f835e7a-25738e98-51ad0345.jpg
pa and lateral views of the chest were reviewed and compared to the prior study. a large right pleural effusion is presumably maglignant. atelectasis of the right middle and lower lobe is suspected. the left lung is clear. cardiac and mediastinal contours are stable. there is no pneumothorax.
worsening dyspnea in a patient with renal cell carcinoma and presumed metastasis to the right lower lung.
MIMIC-CXR-JPG/2.0.0/files/p15123397/s56710513/5b784d47-fe81de7f-f2314156-9a671784-842b8e0d.jpg
the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. surgical anchors are seen projecting over the right glenohumeral joint.
status post kidney transplant on immunosuppression with fever. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10441044/s59408145/edb77864-d107cf54-c37590a2-36b12c78-f2e2b52b.jpg
right picc line is visualized with the tip terminating in the right atrium. there is worsened pulmonary edema diffusely with worsened right basilar consolidation. the mediastinum is widened compared to yesterday reflecting increased central venous pressure. left rib fractures are again visualized.
<unk>-year-old male with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p12398235/s54684344/babaf940-60705ef3-265e5139-6c87620a-aa368f26.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. bibasilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. mild degenerative changes of the visualized spine.
history: <unk>f with vertigo. evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p12632853/s50918738/29c485f7-1c8a7d53-36330d4b-073a8a30-dd85e248.jpg
lungs are low in volume. the patient is status post thoracentesis with near complete drainage of right-sided pleural effusion with small effusions seen bilaterally. no focal consolidations or pneumothorax is seen. the heart is top normal in size with calcified aortic knob and otherwise normal mediastinal and hilar cont...
right effusion, status post thoracentesis with <num> cc withdrawn, assess for residual effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14849280/s51373629/e1acb0ed-7cf6f322-03742912-32ee35e0-2d7be61c.jpg
ap and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been interval development of a left basilar opacity compatible with pneumonia in the proper clinical setting. the lungs are otherwise clear. cardiomediastinal silhouette is unchanged. bones are diffusely osteop...
<unk>-year-old female with confusion.
MIMIC-CXR-JPG/2.0.0/files/p14307653/s59872286/409bdfbd-b372d904-0ed45b53-25556620-b6717a4d.jpg
the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
productive cough for comparison.
MIMIC-CXR-JPG/2.0.0/files/p12872646/s50413242/b6e6b0fc-8c37fb7c-64e5da11-626376c3-5af897ee.jpg
interstitial opacities with basilar distribution are most compatible with mild pulmonary edema. there are likely trace, bilateral pleural effusions. no pneumothorax or focal airspace consolidation. nonspecific biapical scarring is unchanged the heart is mildly enlarged, increased from <unk>. mediastinal and hilar conto...
nontraumatic subarachnoid hemorrhage now hypertensive. evaluate for pulmonary edema.