File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p11953959/s51301571/e3906e07-cbb23069-4771c4aa-61560260-4b5946cc.jpg
a right pigtail catheter again projects over the right hemithorax. extensive subcutaneous emphysema projects over the right chest. nonetheless there is a moderate to large right pneumothorax. there are grossly unchanged bilateral pleural effusions with adjacent atelectasis given differences in technique. the size of th...
<unk> year old woman with r pigtail catheter in place // this is exam is urgent due to its need for specific timingplease perform exam at <num>:<unk>pm please eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p19931382/s55260200/6e83bf12-5c6be0a4-8b05ed26-b47e339e-c808e917.jpg
lungs are borderline hyperinflated but clear bilaterally. the heart, mediastinum and hilar silhouettes are within normal limits and stable. calcification of the aorta is again noted. pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no displaced rib fracture; radiographic evaluation of...
<unk>-year-old male with a history of alcohol abuse, hypertension, atrial fibrillation, presents with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15442918/s59090694/8c797ae4-e9b4002c-7979f729-cc083e87-b4ca83e1.jpg
newly placed left pectoral mediport terminates in the upper right atrium. there is no pneumothorax. evolving right lung postoperative changes are present. the left lung is clear. mild cardiomegaly despite the projection is unchanged. a right apical chest tube has been placed. small right chest wall subcutaneous emphyse...
<unk> year old woman with lung cancer s/p right middle lobectomy // eval post op change
MIMIC-CXR-JPG/2.0.0/files/p13602608/s53437994/821d4273-7ddb0fcf-63bd7254-6a624b5f-dc9eeddc.jpg
a left internal jugular approach central venous catheter terminates in the right subclavian vein and must be repositioned before use. lung volumes are low which accentuates bronchovascular markings. there is mild bibasilar atelectasis. no significant change from <time> on <unk>. no pneumothorax.
history: <unk>f with left ij cvl // assess for line placement
MIMIC-CXR-JPG/2.0.0/files/p14772776/s58838607/067ab8e0-8894f93a-26ffe95a-6bdeefb9-16422291.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with doe
MIMIC-CXR-JPG/2.0.0/files/p18229427/s50140758/c5ad5d4c-11dc848c-ffa708ec-d669bad5-ce5b5fef.jpg
the lungs are hyperinflated likely reflecting chronic pulmonary disease. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old female with cough.
MIMIC-CXR-JPG/2.0.0/files/p15727523/s55881037/b6b21942-5872f54c-ff65be4f-ea9f1f68-b3085c1e.jpg
as compared to the most recent examination, there has been no significant interval change. the lung volumes are again noted to be low, resulting in crowding of the bronchovascular structures. no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema is seen. moderate cardiomegaly is unchanged. me...
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p18656167/s53270903/cb9debf9-b3ec2bf4-1a09f762-1ba33d2e-51f6cb61.jpg
streaky bibasilar opacities are noted related to atelectasis. there is no evidence of pneumonia. there is no pneumothorax. there is no pleural effusion. cardiac silhouette is normal in size.
history: <unk>m with copd with sob and wheezing with fever
MIMIC-CXR-JPG/2.0.0/files/p13279093/s50291159/5d3d3f27-c56114a4-d7b8f1a5-0f144e87-30626c24.jpg
the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.
history of diabetes with dka. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13190842/s57299285/d0772520-a6d680dd-d1824b72-5697c72e-1ed18306.jpg
when compared to prior, there is new silhouetting of the right cardiac border with only vague opacity projecting over the cardiac silhouette on the lateral view. elsewhere, the lungs are clear. cardiac silhouette is top-normal. no acute osseous abnormalities.
<unk>f with cough and rib pain // cough and rib pain
MIMIC-CXR-JPG/2.0.0/files/p14730849/s50780477/ad0a9e1d-c74b393c-21443b6e-5188239e-36bc2c7b.jpg
pa and lateral views of the chest. the lungs are clear. there is no pleural effusion. no pneumothorax or focal consolidation. there are aortic knob calcifications. there are low lung volumes. the cardiomediastinal and hilar contours are normal.
mechanical fall.
MIMIC-CXR-JPG/2.0.0/files/p12754668/s53077563/311652ee-52b2b92f-24a64432-59e50b55-06f623c7.jpg
the lungs are not completely clear, however may be secondary to poor inspiratory effort. no focal consolidation is seen. there is no gross perihilar abnormality, however evaluation is limited due to poor inspiratory effort. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremar...
<unk> year old man with dyspnea, orthopnea // pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p17445867/s57408154/149f8d5d-6a4a55ec-eea21ddd-fa57760d-921c0591.jpg
there is minimal right lower lung atelectasis. the lungs are otherwise clear. the heart size is normal. the ascending thoracic aorta is slightly tortuous. the mediastinal contours are otherwise normal. note is made of a saber-sheath configuration of the trachea. there are no pleural effusions. no pneumothorax is seen.
confusion.
MIMIC-CXR-JPG/2.0.0/files/p10968253/s59734827/9d13b927-f9243c82-f48a6725-56772d3f-13c40385.jpg
single portable view of the chest. bilateral perihilar and lower lung regions of consolidation are seen. blunting of the costophrenic angles particularly on the right suggests superimposed effusions. the cardiac silhouette is enlarged and despite differences in technique and low inspiratory effort, has increased in siz...
<unk>-year-old male with fluid overload and tachypnea.
MIMIC-CXR-JPG/2.0.0/files/p10454455/s51699396/17d6e8dc-f876709e-938d45d6-9d3041bf-e57e2b4a.jpg
pa and lateral views of the chest provided. lungs are severely hyperinflated but clear. small right apical pneumothorax is new since prior study from <unk>. mediastinal and hilar contours are normal. right there is a tiny
<unk>-year-old female with acute lower respiratory infection, evaluate for pneumonia, pneumothorax or copd.
MIMIC-CXR-JPG/2.0.0/files/p14381700/s55720080/7d39269f-82c0fc13-a259368f-37b43011-2a1cbdd9.jpg
in comparison a prior study lung volumes are stable with chronic elevation left hemidiaphragm. again noted, are multiple pulmonary nodules which were better assessed on ct from <unk>. the cardiomediastinal and hilar contours are stable. pleural surfaces are normal. median sternotomy wires are intact. chronic calcificat...
<unk> year old woman with chills x <num> days and mild cough // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p16205152/s55093814/4dfa9db4-d9924f95-f6e59e2e-dd0bb77a-d695eb4c.jpg
left-sided pacer device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. the heart size remains mildly enlarged. the aorta is slightly tortuous with atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is normal. lungs are clear...
history: <unk>m with shortness of breath, fatigue
MIMIC-CXR-JPG/2.0.0/files/p18531774/s54448356/aae802c4-288dc78b-4cb8bb82-817cc194-dfa7fe81.jpg
pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding two chest examinations of <unk> and <unk>. the heart size remains within normal limits. no typical configurational abnormality is seen. similar as on previous examinations, there is a mild degree of s-s...
<unk>-year-old female patient with infiltrate, has lesion of <unk> resolved?
MIMIC-CXR-JPG/2.0.0/files/p19046390/s52077678/5c4480aa-d876fbdf-1c1501db-4ee53551-ca9a77bd.jpg
interval placement of a dobhoff tube, with weighted tip just straddling the gastroesophageal junction. lung volumes remain low, with bibasilar opacifications, likely a combination of atelectasis and pleural fluid, right greater than left. several old right rib fractures are again seen. partially visualized cervical spi...
<unk> year old man with s/p dobhoff. evaluate dobhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p11582732/s53482679/f50d89b6-643da36c-110b8daa-f1e3dc74-f671f07c.jpg
lung volumes are low. this accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. the aorta appears mildly tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. patchy opacities in the lung bases may ref...
history: <unk>m with cough, right lower quadrant crackles
MIMIC-CXR-JPG/2.0.0/files/p19723160/s59239641/fa98e303-133c4fbb-eb340339-ba3b9169-85eb0376.jpg
since prior, there is no relevant interval change. allowing for image under penetration the lungs appear clear. lung volumes are low. cardiomegaly is unchanged. mediastinal contour is stable. there is no large pleural effusion or pneumothorax.
<unk>-year-old with worsening shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p18602941/s58534012/b8a69ff1-3924e030-03660184-439d6bfd-aa4aded9.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with anterior right shoulder pain, left posterior chest wall pain // evaluate for fracture, other injury
MIMIC-CXR-JPG/2.0.0/files/p15151778/s55473386/daab4d2c-0a80cc7a-e3ec0982-48c40255-2ba280c2.jpg
frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. a <unk>-mm opacity projecting over the right lower lung is unchanged f...
fever.
MIMIC-CXR-JPG/2.0.0/files/p12343101/s56661387/19be6cdb-46fdc010-0cbc35cd-b5a7ab28-1b3aa3cd.jpg
the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation.
<unk> year old man with tia // rule out infection
MIMIC-CXR-JPG/2.0.0/files/p10245890/s54971648/67d58a4e-ff354df7-66a36436-f302d6a9-e060d96d.jpg
upright ap radiograph demonstrates severe cardiomegaly, worsened from <unk>. there is redistribution of pulmonary vascularity to the upper zones but no evidence of overt pulmonary edema. there is no pneumothorax. atherosclerotic calcifications are noted in the aortic arch. splaying of the mainstem bronchi likely repres...
tachybrady syndrome, evaluation for chf.
MIMIC-CXR-JPG/2.0.0/files/p13243522/s55363761/e398e9c2-02808442-2b1dc957-407a2906-fbb1a70e.jpg
portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. chronic collapse of the right upper lobe and severe multi focal bronchiectasis and scarring is stable. opacity in the left upper lobe represents engorged vessels and worsening of bronchial impaction. m...
<unk> year old man s/p icd implant vis subclavian // r/o ptx
MIMIC-CXR-JPG/2.0.0/files/p19362001/s56439360/18adb2b4-e521704d-26c15d88-aa217bbe-6eb5ad30.jpg
single frontal view of the chest. ng tube terminates in the lower esophagus. endotracheal tube terminates <num> cm above the carina. catheter of a left chest wall port, which has been accessed, terminates in the lower svc. patient rotation limits evaluation of the cardiomediastinal silhouette. there is asymmetric eleva...
<unk>-year-old female status post intubation with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p17187763/s52912863/a0e162f1-8ebf5293-d01111a2-1eaa20fa-57ad3935.jpg
the cardiac silhouette is normal. the aorta is slightly elongated and tortuous without evidence of calcification. there is no focal consolidation, pleural effusion, or pneumothorax. there is a stable linear density in the left costophrenic angle which may represent pleural thickening or scarring from prior pneumonia. o...
<unk>-year-old man with productive cough, diffuse wheezing and rhonchi. rule out infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p15158950/s55860940/7a7d7c8b-32215d85-5d720092-c6eeb882-381f714c.jpg
new right internal jugular central venous catheter terminates in the low svc. heart, lungs, mediastinum unchanged since <num>am there is no large pleural effusion and no evidence of pneumothorax.
new central line. evaluate central line placement.
MIMIC-CXR-JPG/2.0.0/files/p15715874/s57279803/aaba720f-9e641f92-56160c83-0ddc0f16-6d2d15c2.jpg
ap portable upright view of the chest. as seen on the prior exam from earlier today, there is subtle opacity in the left upper lobe which is concerning for pneumonia. in addition, there is subtle increased opacity in the right upper lobe which could represent a second focus of pneumonia. coarsened reticular markings ar...
<unk>f with inc'd sob and resp distress
MIMIC-CXR-JPG/2.0.0/files/p12165404/s52220042/36e18f1c-fc9fc372-ba0e3c66-dafae23c-228e10b3.jpg
the lungs are normally expanded. mild cardiomegaly is not significantly changed. the mediastinal and hilar contours are normal. apparent opacity at the left base on the frontal projection has no correlate on the lateral view; this is similar to the next most recent study. there is no convincing evidence of pneumonia.
chest pain. evaluate for cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13870626/s59715271/e8e816f3-0414a76d-758adb8d-395959ae-2c15826e.jpg
pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, pleural effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal. a bullet projects over the right upper quadrant on the frontal projection but the anterior chest and abdominal wal...
hemoptysis, bullet near ribs
MIMIC-CXR-JPG/2.0.0/files/p15565910/s57801147/740d9487-8330691c-d44cc2ca-338e9f30-991a436e.jpg
the patient is status post median sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. there is asymmetrically increased density at the right lung base, which is not visualized on the lateral view. heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary...
<unk> year old man with hacking cough productive of sputum inpatient <num> days s/p <unk> toe amputation // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11320106/s51564844/5742500a-feaa5655-d35388fe-fbc5256f-877e0e85.jpg
an et tube is present. the carina is poorly delineated, but the tip probably lies approximately <num> cm above the carina. the et tube tip points toward the right tracheal wall. an ng tube is present and appears to extend beneath the diaphragm and curve, with the tip overlying the gastric fundus. heart size is borderli...
<unk> year old man s/p arrest. intubated // eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p16950272/s59090747/ef381a9d-fba1bc3b-5c548a80-3a53a256-bf2698fc.jpg
frontal and lateral views of the chest demonstrate interval resolution of a left midlung opacity. there are no new areas of consolidation to suggest pneumonia. heart size is normal. cardiomediastinal and hilar contours are unchanged. there is no pleural effusion or pneumothorax.
<unk> year old woman with wheezing, couging up clear sputum, evaluate for resolution of left lung opacity.
MIMIC-CXR-JPG/2.0.0/files/p11688781/s59209134/c46e3b1d-b519a580-b3cc50dc-a10ccc09-16f307bf.jpg
as compared to prior chest radiograph from <unk>, right port-a-cath tip remains in unchanged position at mid svc. the heart is top normal in size. mediastinal and hilar contours are within normal limits. lungs are clear with no focal consolidation, pleural effusion or pneumothorax. surgical clips are noted over the rig...
<unk>-year-old female patient with port for remicade infusions. study requested for assessment of position.
MIMIC-CXR-JPG/2.0.0/files/p18955018/s54854998/4fc31d68-b7bc0982-cc23d523-80ea7b57-eefc6d32.jpg
there is right basilar opacity compatible with at least a component of pleural effusion with possible associated consolidation. the left lung is clear. the cardiomediastinal silhouette is difficult to assess given silhouetting on the right. left-sided picc is seen with tip in the mid to lower svc.
<unk>f with altered mental status, reporting sob // please eval for pna,infectious process
MIMIC-CXR-JPG/2.0.0/files/p17503612/s50072405/c2b49307-919fa8a3-05689e1f-a8b542b7-06c74b6d.jpg
a left lower lobe retrocardiac consolidation has progressed since <time> a.m., and now silhouettes the left hemidiaphragm. right basilar consolidation has also progressed. no effusion or pneumothorax is present. the cardiac and mediastinal contours are normal.
<unk>-year-old woman with infection, presumed pyelonephritis, presenting with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p12246674/s52560167/edccfb20-84bcb37a-5b87dffd-d8bb77ad-fbee4874.jpg
portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with chf, htn, chronic osteomyelitis with tachypnea and sob // eval for infiltrate, edema, effusions, acute process eval for infiltrate, edema, effusions, acute process
MIMIC-CXR-JPG/2.0.0/files/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg
increased opacity at the left upper and lower lung concerning for multi focal pneumonia. left basilar atelectasis and pleural effusion is present. small right pleural effusion is also noted. right apical scarring is unchanged. there is no pneumothorax. the cardiac and mediastinal silhouettes are unchanged. an endotrach...
<unk> year old man s/p lul lobectomy, p/w multifocal pna, has ett // ett position
MIMIC-CXR-JPG/2.0.0/files/p13115959/s50351544/673dfbd8-aec44e1e-3cfea0ba-38a5838f-097270a9.jpg
an enteric tube is noted with tip in the distal esophagus, and should be advanced by approximately <num> cm for appropriate positioning within the stomach. heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are within normal limits. lungs are hyperinflated with ...
history: <unk>f with gt placed, now out at <num> // ?gt location
MIMIC-CXR-JPG/2.0.0/files/p17274895/s50729320/58d4f98d-f8ea5191-125d7ce2-f5c20f51-d7495732.jpg
two pa and one lateral chest radiograph were obtained. the lungs are well expanded and clear. no focal consolidation, effusion, or pneumothorax is present. the cardiac and mediastinal contours are normal.
<unk>-year-old woman with multiple sclerosis and headache, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14513082/s53295402/964c4511-0bbb3dfc-b2c98590-bb6f28f8-3b1280de.jpg
as compared to prior chest radiograph from <unk>, the left subclavian infusion port is in unchanged position with the tip in the variant left-sided svc. there has been interval improvement of a density in the right lower lung, although not completely eliminated. there are no new focal consolidations. there are no pleur...
<unk>-year-old male patient with all, implanted port-a-cath with sluggish blood return. study requested for assessment of port position.
MIMIC-CXR-JPG/2.0.0/files/p18656782/s55411526/97adf8cf-eb98f215-1c60c13f-c31a043b-40e98aac.jpg
there is persistent left basal atelectasis and small left-sided effusion. the right lung is clear. mild cardiomegaly. numerous healing fractures on the left. no pneumothorax.
<unk> year old woman with schf, nstemi, now s/p des x<num> to lad and x<num> to d<num> // interval change
MIMIC-CXR-JPG/2.0.0/files/p13605998/s57503900/b49481f7-00c556cc-87ee3875-834bb9dc-f6a1eef4.jpg
increased interstitial markings are noted without confluent consolidation. there trace bilateral pleural effusions. moderate to severe cardiomegaly is similar compared to prior. no acute osseous abnormality.
<unk>f with hx of chf p/w dyspnea // eval for edema, infiltrate
MIMIC-CXR-JPG/2.0.0/files/p16830759/s58728955/66bfe023-225570b2-ebf6a6a3-3f53fb0c-d870b081.jpg
frontal and lateral chest radiographs were obtained. a dobbhoff tube courses beyond the antrum of the stomach with the tip out of the view of this exam. the right ij line has been removed. a left infrahilar opacity is associated with ipsilateral hilar depression, likely secondary to atelectasis in the left lower lobe. ...
patient with fever status post liver and kidney transplant, assess for pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14510246/s56442459/474ad84d-6cea4a4f-094e29c2-2b204be1-522a66b9.jpg
pa and lateral views of the chest demonstrate unchanged left basilar opacity, likely atelectasis, with left pleural effusion and stable cardiac size. the mediastinum again appears wide, as before, and the left mediastinal fullness may indicate fluid accumulation. no new focal opacities identified. there is no pneumotho...
<unk>-year-old male with self-inflicted stab wound to chest with pneumothorax. now chest tube removed. evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p12074256/s54838323/75e57e27-44830975-7fd1deff-25619463-8d3c6d37.jpg
right-sided port-a-cath is grossly stable in position likely terminating at the proximal right atrium.cardiac and mediastinal silhouettes are similar. there is persistent elevation of the left hemidiaphragm with possible overlying increase in left base atelectasis. increased right base opacity is also seen, possibly du...
history: <unk>f with breast ca p/w dyspnea and hypoxia // eval for pneumonia, chf
MIMIC-CXR-JPG/2.0.0/files/p11877323/s55070746/82cef8af-701b6fd0-6ac71757-259abdad-9fc199e2.jpg
lungs are well-expanded and clear. there is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with sob // r/o pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p10434107/s57134834/8dcc81a8-32281ad4-3bc81599-3702359a-684884a6.jpg
lung volumes are somewhat low exaggerating the cardiac size, but it is still moderately enlarged. the low lung volumes also contribute to the bibasilar atelectasis. no focal consolidations concerning for pneumonia. no pleural effusion or pneumothorax. tortuosity of the aorta along with calcification of the aortic knob ...
altered mental status, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19210871/s50280186/03475943-6d4b6b85-7d0869c5-de8cef43-4eb96aef.jpg
the inspiratory lung volumes are appropriate. the lungs demonstrate diffuse innumerable rounded lesions many of which are calcified in a perihilar distribution greater on the left than the right consistent with patient's history of cowden disease with numerous pulmonary hamartomas. there is no pleural effusion or pneum...
<unk> year old man with new dypsnea // ?infiltrate, edema
MIMIC-CXR-JPG/2.0.0/files/p18740944/s55104893/eb61da5c-d43cf9f6-ac9bdd13-50d58f16-7587a15e.jpg
pa and lateral chest radiographs are provided. the lungs are well expanded. there are no focal consolidations, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. there are no displaced fractures.
history of tooth avulsion after fight, evaluate for foreign body.
MIMIC-CXR-JPG/2.0.0/files/p19599798/s53282659/211f2eab-bbd0dde7-6a96ebc5-eff9b746-7e6ae819.jpg
the inspiratory lung volumes are slightly decreased. mild opacification at the left costophrenic angle may represent atelectasis or underpenetration. no definite consolidation concerning for pneumonia is seen. no significant pleural effusion or pneumothorax is present. the cardiac silhouette is top normal in size. the ...
status post fall, here to evaluate for fracture.
MIMIC-CXR-JPG/2.0.0/files/p13643860/s57588623/f3caf7b5-5ffc6954-4fc7f750-a29f2613-4f47080d.jpg
since the prior exam, there is a new left lower lobe opacity, most consistent with pneumonia. there is likely a small associated pleural effusion. in the right mid lung zone, there is scarring, which is stable from the prior exam. additionally, there is a faint opacity, which is also unchanged. this was better characte...
chronic cough with fever and chills. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11958093/s58390474/c2cda9e0-be2a222d-27aabdce-125b1098-7c68c20a.jpg
no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with weakness // weakness
MIMIC-CXR-JPG/2.0.0/files/p19940147/s57121819/f39fbe43-9c84bab0-8f270c67-1c990672-db9d55d3.jpg
single portable chest radiograph was provided. a right subclavian central line terminates at the cavoatrial junction. median sternotomy wires are intact. there is left basilar atelectasis. the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is top normal a...
history of dvt and cough pre-vq scan.
MIMIC-CXR-JPG/2.0.0/files/p16841866/s57328115/e3398bfe-ad607d2b-5549766b-60a678a4-3ac7c62b.jpg
the cardiac, mediastinal and hilar contours appear stable. streaky opacities in the left lower lobe appear probably unchanged and suggest minor atelectasis although a small component of suspected lingular atelectasis appears new. however, there is no evidence for congestive heart failure convincing evidence for pneumon...
low-grade fever and productive cough.
MIMIC-CXR-JPG/2.0.0/files/p17971371/s53806013/7e9748ca-5df8256f-db06b736-8b4faa5d-c78ea62d.jpg
pa and lateral radiographs were acquired. the lungs are clear. heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax.
chest pain. evaluate for cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19103590/s58649849/0bbaad25-be6d145b-9821a1aa-805b60cd-d6e70665.jpg
the cardiomediastinal silhouette is top normal in size. there pulmonary vasculature are stable and shows no significant abnormalities. calcifications along the aortic arch are unchanged. the lungs are clear aside from bibasilar atelectasis. there is no pleural effusion or pneumothorax. there may be left thyroid lobe en...
history: <unk>m with suddeon onset chest pain. bibasilar crackles on exam // evaluate for infiltrate or effusion
MIMIC-CXR-JPG/2.0.0/files/p11649378/s50227392/b204305a-c93ae6a4-aaf91794-9e8ea084-363b35e5.jpg
the patient is status post prior median sternotomy. interval decrease in the extent of the bilateral predominantly central confluent airspace opacities as well as the interstitial thickening. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is mildly enlarged but unchanged. calcificati...
<unk> year old man with pneumonia. // evaluate for shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19166723/s52353797/0a3894d4-7cb190e9-20814715-7294a83f-f1b5b7a8.jpg
the lungs are well expanded. bibasilar ill-defined opacities are reidentified not significantly changed from prior examon <unk>. of note, new rounded opacities are noted in the left perihilar location measuring approximately <num> and <num> cm respectively. there may also be another rounded opacity measuring <num> cm i...
history of hiv positive and substance abuse, now with chest pain and fever. evaluate for new pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18700508/s58368201/e89d0a65-b2fbf072-0cb28d90-aa4f8ea7-3cd972ad.jpg
pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending to the low svc. mild cardiomegaly is again noted with mild interstitial pulmonary edema. no effusions or pneumothorax. no convincing signs of pneumonia. the mediastinal contour is stable. bony structure...
<unk>f with unresponsive episode // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p11756467/s57620929/b6bacf73-4b6dba42-ee0dfbde-9653dddd-5fbdc5da.jpg
ap upright and lateral views of the chest provided. lung volumes are low though lungs appear clear. the heart is top-normal in size though stable. mediastinal contour is unchanged. there may be mild hilar congestion without frank edema. no effusion or pneumothorax. bony structures appear intact. no free air below the r...
<unk>f with hx cad with ble edema and sob.
MIMIC-CXR-JPG/2.0.0/files/p14000746/s51750028/97c55590-5dfd53bb-77ba51c4-c07b2042-41d92b52.jpg
mild cardiomegaly is unchanged. mediastinal silhouette and hilar contours are stable. multiple scattered bilateral lung nodules are better evaluated on recent ct. mildly increased opacity in the right lower lung surrounding the nodule is compatible with postprocedural change from transbronchial biopsy. there is no pneu...
multiple lung nodules, status post transbronchial biopsy of the right middle lobe nodule.
MIMIC-CXR-JPG/2.0.0/files/p15147932/s53953459/17a646b2-75039bde-ace8c860-24bbc90b-eb7eb1e9.jpg
continued mild pulmonary edema is seen, and opacification at bilateral bases is seen, consistent with pleural effusions and associated compressive atelectasis. the heart size is normal. the right central venous line ends at the mid-lower svc, and the gastric tube curls in the stomach. et tube is positioned high in the ...
<unk>-year-old man status post ex-lap and washout, ileostomy, mucus fistula, with ? ards. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p16521161/s59991974/6b288b28-fc402238-930e9a7e-d9ce1532-183c2e8d.jpg
cardiac silhouette size is normal. aortic knob is calcified. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. somewhat triangular opacity measuring <num> mm projecting over the right upper lobe in the region of the fifth posterior rib could reflect a confluence of shadows. the l...
history: <unk>m with weakness // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p13178849/s58251034/916f0503-f70af863-6aca1509-3d3a0f97-15cf8ae4.jpg
the tip of the endotracheal tube appears approximately <num> cm from the carina. the monitoring and support devices are unchanged. no pneumothorax, or pleural effusions. the lung volume is low with subsegmental atelectasis.
<unk> year old woman with intubated // new pathology
MIMIC-CXR-JPG/2.0.0/files/p12810135/s59870920/9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86.jpg
there is moderate pulmonary edema, but no pleural effusion or pneumothorax. heart size is top-normal, stable. mediastinal contours are within normal limits. osseous structures are intact.
history: <unk>m with sob // eval for edema
MIMIC-CXR-JPG/2.0.0/files/p14075381/s59941226/098f29b0-1c66f6c6-ec1c0d6c-f60da345-1aa67f69.jpg
the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is identified. no displaced rib fractures or other acute osseous abnormality seen.
mechanical fall with left chest wall tenderness.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s57633706/d5929241-8d5249d3-a1ba180c-e2d72c2b-c667c99e.jpg
the lung volumes are hyperexpanded, compatible with copd and emphysema. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. the previously described right lung base opacity has resolved from <unk>. increased lucency of the right lower lung zone is unchanged. the heart is ...
chest pain and shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19904423/s58506305/7c837446-26b4afbb-bc62918b-458ac26e-b4554719.jpg
lung volumes are low, accentuating the cardiac silhouette as well as causing vascular crowding. the cardiac silhouette is moderately enlarged with tortuosity of the thoracic aorta. there is mild prominence of the central pulmonary vasculature without frank interstitial edema. there is a trace right-sided pleural effusi...
poor p.o. intake and lethargy.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s55182600/2966bb5c-984f864a-d4982ecf-cce81477-7dc0e981.jpg
again, there is elevation of the right hemidiaphragm, unchanged from prior exams. there is minimal right basilar atelectasis. the previously identified opacities have resolved. there is no pneumonia, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p18130295/s55190796/c6ee6796-a67bc5c9-9fa8be10-e992fa36-50cabf53.jpg
frontal and lateral chest radiographs again demonstrate multiple sternal wires, which remain intact. the exam is largely unchanged, with with similar appearance of a moderate left hydro pneumothorax. no new focal consolidation is identified.
evaluate left apical pneumothorax in a patient status post bentall.
MIMIC-CXR-JPG/2.0.0/files/p14241279/s54553998/33dcc822-df63ce91-dd9505fa-8db2aa3f-c6977fdd.jpg
et tube is present, with tip at the carina and an overinflated cuff. an enteric tube is present with tip and sideholes in the stomach. lung volumes are low with resultant bronchovascular crowding. the heart size is likely normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumotho...
<unk>f with intubation // ett
MIMIC-CXR-JPG/2.0.0/files/p11343910/s51055442/8861af98-8078f516-b34e43c4-71c12199-0c1a87ce.jpg
there is a moderate to severe cardiomegaly without vascular congestion. the lungs, pleura and mediastinal contours are unremarkable.
<unk> year old woman with sob - prior to v/q scan // prior to v/q scan prior to v/q scan
MIMIC-CXR-JPG/2.0.0/files/p19612206/s53117103/bf8ae216-57e98bfb-99791a8f-e2507cad-93217325.jpg
a previously seen right basilar opacity on the <unk> examination has decreased in density, reflecting interval improvement. no new consolidation, effusion, or pneumothorax is detected. the heart size is normal. the hilar and mediastinal contours remain within normal limits.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13703026/s53147707/51d61bd1-3b86fd63-836422d7-2651a154-4bd4dee3.jpg
cardiac, mediastinal, and hilar contours are unremarkable. no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. minimal dextroconvex curvature of the thoracic spine is again noted.
history: <unk>m with congested cough over a week with intermittent fevers.
MIMIC-CXR-JPG/2.0.0/files/p11917817/s54345293/ca725b4f-33ef804d-e8bf2598-b390a10d-e9245109.jpg
patient is status post median sternotomy cabg. cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen.
history: <unk>m with syncope, hx of cabg, now with hypoxia and hypotension // r/o chf, pna, pe
MIMIC-CXR-JPG/2.0.0/files/p19704450/s50799705/b4c3180c-ea0599bb-e67ee4c7-a082e83d-dccbf0aa.jpg
ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with seizure, tox / infectious w/u //
MIMIC-CXR-JPG/2.0.0/files/p16094225/s58984980/a2d68430-de0a9339-7ec118a0-88281d9b-f245f798.jpg
there is increased ap diameter of the chest with flattened diaphragms, suggesting small airway disease or emphysema. lungs are otherwise clear without pleural effusions or consolidations. heart size, mediastinum, and hilar contours are normal.
<unk> year old man with sob for a month. evaluate for lesions.
MIMIC-CXR-JPG/2.0.0/files/p11963545/s54777127/88ae0247-241ecf72-44cc2204-09882705-afaa892f.jpg
an endotracheal tube ends approximately at the carina. a nasoenteric tube is seen coiling within the stomach with the tip adjacent to the ge junction. cardiomediastinal silhouette is notable for calcifications of the aortic knob. the lungs are grossly clear. there is no pneumothorax or pleural effusion. there is an s-s...
<unk>-year-old woman, intubated, evaluate endotracheal tube position.
MIMIC-CXR-JPG/2.0.0/files/p18362372/s55244965/fb55c71a-d57e5826-92ef1af0-242683f4-96f1e5cc.jpg
heart size is normal. the aorta remains tortuous, and the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. symmetric biapical scarring is re- demonstrated. there are mild degenerative changes in the thora...
fever, cough.
MIMIC-CXR-JPG/2.0.0/files/p14886080/s58255875/a808584a-8ae33885-a3735f78-a1c2bffe-ed2b6806.jpg
there is a large left pleural effusion with consolidation in the left mid and lower lung which may represent lower lobe atelectasis, although a mass or infectious process cannot be excluded. the left upper lobe and right lung are grossly clear without lobar consolidation, pneumothorax, or pulmonary edema. the heart is ...
history: <unk>m with chest pressure // eval for volume status
MIMIC-CXR-JPG/2.0.0/files/p18624280/s56831510/301b717a-7c2e2c4d-6c698090-60335ad6-da014787.jpg
frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. lungs are slightly hyperinflated but clear. no focal consolidation, pleural effusion, or pneumothorax. thoracolumbar dextroscoliosis is similar to prior.
<unk>-year-old female with hypertension.
MIMIC-CXR-JPG/2.0.0/files/p13772456/s52705628/6f054d82-d1c9f9e1-6cf7b999-aa57e04a-02cabb8a.jpg
low lung volumes accentuate the bronchovascular markings, and there is no focal consolidation or pleural effusion. the heart size is normal.
<unk>-year-old male with dyspnea, fever, cough. evaluate for evidence of infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p17301684/s53299767/7101a0d3-0849c421-dd8bfad4-57c26ece-48bf7c26.jpg
port-a-cath tip is at the cavoatrial junction. lung volumes are very low. increased perihilar and bibasilar opacities likely relate to vascular crowding as a result of low volumes. there is no focal consolidation or pleural effusion. no pulmonary edema. no pneumothorax. an esophageal stent is noted.
<unk> year old man with esophageal cancer and new oxygen requirement. // evaluate for signs of aspiration or other cause of new oxygen requirement.
MIMIC-CXR-JPG/2.0.0/files/p11296190/s56135842/b94200c8-9a889f98-f137004b-a92eba2c-db75472f.jpg
pa and lateral chest radiographs were obtained with radiopaque markers placed at the site of patient's pain. healed fractures are seen in the nearby lateral ribs (as there are in posterior right middle ribs), and there is mild increase in thickening of the lateral costal pleurae just superiorly, but no acute fracture i...
left chest wall pain after fall.
MIMIC-CXR-JPG/2.0.0/files/p16862797/s50660102/c038082c-1eff5824-63af8568-47e89be9-0971125c.jpg
mild cardiomegaly again noted. compared to <unk>, there is a new small left pleural effusion, with underlying atelectasis. the previously seen small right effusion may be slightly larger. small lucent locule at the right cardiophrenic angle is of uncertain etiology, but is unlikely to represent a pneumothorax unless th...
<unk> year old woman with new stroke // shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p19215592/s58687132/fc474c69-fd480544-6faaa3b6-0e1b52ef-79f25697.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the right hemidiaphragm.
right upper quadrant pain.
MIMIC-CXR-JPG/2.0.0/files/p19707772/s58746998/993f19c1-f6f6aa7a-dbf7a007-c7e6e5e9-6d2aa161.jpg
lung volumes are low, with mild bibasilar atelectasis. no focal consolidation is present. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal. patient is status post left mastectomy.
<unk>-year-old woman with congestion for one week. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13342866/s59782098/f7bd56d4-803e9adb-994567b0-2cd00a05-f3c744ca.jpg
there is bibasilar atelectasis. otherwise, there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a linq cardiac monitoring device projects over the subcutaneous tissue of the left lower chest.
<unk>f with shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14169511/s52776922/34c9e02d-d5eb6799-490de08e-bfba3444-aaa12807.jpg
frontal and lateral chest radiographs demonstrate low lung volumes, with resultant prominence of the cardiac silhouette and bronchovascular crowding. there is chronic eventration of the right hemidiaphragm. the lungs are clear, without focal consolidation, pleural effusion, or pneumothorax. there is mild bibasilar atel...
cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17945025/s50927806/d07cae2c-ff345b85-99ec3fdf-9c90ec0a-1ec80f4c.jpg
the cardiac silhouette and pulmonary vasculature are unchanged since prior examination. again noted is a mass in the right lower lobe. in comparison to the prior examination, however, there is increased opacity in this region. there is no definite pleural effusion or pneumothorax.
<unk>m with hypoxia, cough // presence of acute process
MIMIC-CXR-JPG/2.0.0/files/p19597604/s54973754/25b886f5-ac9614f0-600867e1-e14815c5-b8fac817.jpg
in comparison to the most recent prior study of <unk>, there is increased opacity at the left lung base, which in the setting of a productive cough and fever raises concern for pneumonia. however, a remote prior chest ct from <unk> demonstrates bibasilar fibrotic changes and the increased markings in the left lung base...
productive cough with fever and chills for the past week, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14881043/s58001181/a5a28542-0d14208b-f3de6151-8d44f442-aeccf5d5.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with nstemi
MIMIC-CXR-JPG/2.0.0/files/p10137553/s58540899/2f90d862-146b3279-de0ee25b-530b9a71-3c8d81ad.jpg
frontal and lateral views of the chest. the lungs are hyperinflated. streaky bibasilar opacities are again seen. there is also somewhat nodular opacity projecting over the left lung base as seen on priors. superiorly, the lungs are clear and relatively hyperlucent particularly on the right. the cardiomediastinal silhou...
<unk>-year-old female with dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p19644375/s59616274/a0c468ef-51757c0d-1d3637fa-69881c40-938b5116.jpg
frontal and lateral chest radiographs demonstrate volume loss within the right hemithorax consistent with patient's history of prior right lower lobe lobectomy. no residual subcutaneous emphysema. when compared to prior radiograph dated <unk>, there is decreased but persistent moderate right pleural effusion with adjac...
<unk>-year-old male with right lower lobe lobectomy.
MIMIC-CXR-JPG/2.0.0/files/p11798843/s58669075/fd0b9955-c6e249c6-52b441a8-abef539a-1f2da1c0.jpg
the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal.
pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s51834762/315bf216-873aa821-2bfb88b5-ec312977-3f63a141.jpg
et tube ends <num> cm from the carina. enteric tube ends off the inferior portion of the image with the left side port in the stomach. the previously seen lower lobe opacities have significantly resolved, and likely represented edema.
history: <unk>m with et placed // eval for et placement. room <num>b
MIMIC-CXR-JPG/2.0.0/files/p14122003/s53865817/8859a07b-983b44c2-396c7bf5-5be18b5b-13f9f6bb.jpg
there is mild cardiomegaly. severe calcification of the aortic valve is better seen on prior ct. the lungs are hyperinflated. multiple lung nodules are better seen on prior ct. there is no evidence of pneumonia or pulmonary edema. there are minimal atelectasis in the left base. surgical chain projects in the right uppe...
<unk> year old woman with cabg, breast and lung cancers, who presents with leukocytosis, n/v // ?pneumonia