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MIMIC-CXR-JPG/2.0.0/files/p14368841/s56005253/1ea93f0b-d3bd4675-6347526e-7fe79c36-fd967bbd.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cp // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18340667/s53837464/f7cca5a1-79262c68-2cceafa9-f3357e28-8d45688a.jpg | cardiomegaly is a stable. mild pulmonary edema is stable. bilateral effusions are small left greater than right associated with adjacent atelectasis. there is no pneumothorax. sternal wires are intact. there are mild degenerative changes in the thoracic spine | <unk> year old woman with cabg, tv repair // predischarge eval |
MIMIC-CXR-JPG/2.0.0/files/p11965752/s53293984/cf20e0e3-14008b4c-aeeb7b0a-030258ff-e07b87df.jpg | the inspiratory lung volumes remain low. the bilateral costophrenic angles are visualized and no significant pleural effusion is noted on the lateral view. there is increased opacification of the left lung base, which is new from prior studies of <unk>. this opacification is seen in the setting of background reticular pattern with predominance in the lung bases, although the upper lungs are also affected. the cardiomediastinal silhouette is accentuated by the low lung volumes but appears within normal limits and unchanged. | cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18982586/s52715871/404d87e7-3272b56c-00686044-693a03c3-1e92a13d.jpg | cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are within normal limits. low lung volumes result in crowding of bronchovascular structures with no overt pulmonary edema present. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. | history: <unk>m with altered mental status. unresponsive |
MIMIC-CXR-JPG/2.0.0/files/p14594934/s58122622/9e18417c-676eab63-1514f407-814d6206-39687495.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. right subclavian vascular stent is identified. no acute osseous abnormalities. | <unk>m with slow running picc, eval for placement // only pa needed, eval picc placement |
MIMIC-CXR-JPG/2.0.0/files/p12593920/s54144221/15bb80ee-bac33ae3-dba18d59-9c65e568-957272dc.jpg | a portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, which terminates in the mid thoracic trachea, and an enteric tube which terminates below the diaphragm, within the stomach. remainder the exam is grossly unchanged, with reticular opacities bilaterally, right greater than left and mild cardiomegaly. | status post endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16815700/s56264049/eb366e5c-a104218a-1e543c67-31fd31c1-93993261.jpg | mild interstitial edema and tiny bilateral pleural effusions have not changed. the heart, mediastinal and hilar contours are normal. opacity of the right hemidiaphragm and lung base is concerning for possible pneumonia. deep brain stimulator battery packs are unchanged bilaterally. | <unk>-year-old man admitted for fevers, previous chest x-ray showed mild pulmonary edema and bilateral pleural effusions. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11192626/s57310307/9d82fe5e-435aef7a-9ac7652a-87e53000-4299a300.jpg | the lungs are well inflated and clear. nipple shadow should not be mistaken for lung nodules. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>f with recent immunosuppression, low grade fever. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14537726/s51882902/ec07c591-a503623b-2e07096d-768d6278-c9e0c56f.jpg | compared to the prior study, there has been interval worsening of pulmonary edema, predominantly in the left lung. no significant pleural effusion or pneumothorax. heart size and mediastinal contours are normal. rounded opacities in the right mid lung may be related to prior rib fractures. | <unk> year old man with rapid afib, o<num> @ <unk>% max on nonrebreather. trigged <unk> min ago // chf |
MIMIC-CXR-JPG/2.0.0/files/p15214825/s55627310/039d84e6-af35b5f6-75199b32-8fd9f53b-e7c16388.jpg | the tip of the right internal jugular central venous catheter extends the cavoatrial junction. the endotracheal tube and gastric tubes are unchanged. low bilateral lung volumes. unchanged right hilar prominence. increasing left lower lung zone opacities possibly reflective of atelectasis and/or consolidation. no pleural effusion or pneumothorax identified. | <unk> year old man with acute hypoxic respiratory failure // please evaluate for ett position |
MIMIC-CXR-JPG/2.0.0/files/p18596752/s54988354/1f2db614-abee6933-819594c4-0307a29c-051a7ca4.jpg | cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. there are calcifications of the thoracic aorta. | <unk> year old man with stroke going to cea // pre op surg: <unk> (cea) |
MIMIC-CXR-JPG/2.0.0/files/p11437634/s57119017/4531a401-95dc7dc1-cbd20ad4-7a1bd5ca-d5c2acf8.jpg | right picc terminates in mid svc. fiducial marker at the right upper lung is again noted adjacent to a cavitary right upper lobe lesion. lungs are hyper inflated. there is no pneumothorax or large pleural effusion. heterogeneous left retrocardiac opacification is new compared to <unk>. nodular opacity in superior segment of left lower lobe has been more fully characterized on prior cta chest from <unk>. emphysema and scarring are again demonstrated cardiomediastinal silhouette is normal size. old healed fractures are noted in the left ribs. | <unk> year old man with severe copd, pna, resp distress // evaluate for acute interval change |
MIMIC-CXR-JPG/2.0.0/files/p16809525/s55336669/3b3d4ee7-ae7ae661-58ff2c8a-7ff256cc-3375b643.jpg | study is limited due to patient body habitus. no focal consolidation, pleural effusion, or pneumothorax is detected. pleural thickening is again noted. heart size is mildly enlarged and pulmonary vasculature is prominent. aortic calcification is again noted. | <unk>-year-old female with total body pain including chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13263843/s59488278/2490c254-7417637a-6aa79f1e-ce072f64-173c1e05.jpg | cardiomediastinal contours appear unchanged from <unk>. patient is status post right upper thoracoplasty with rib resections. left lung shows no focal consolidation. pulmonary edema is improved since the prior exam. | left pleural effusion evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15517908/s55420367/0f6f159a-a59e36ac-68c18379-26867b4e-3e838268.jpg | the cardiac, mediastinal and hilar contours appear stable. there is hazy opacity at the left lung base suggesting small pleural effusion probably with slight atelectasis. on the right there is a small to moderate pleural effusion with overall increased opacification at the base of the right hemithorax suggesting either an increase in effusion, increase in associated atelectasis, or perhaps both. however, lung fields remain otherwise generally clear. patient is status post open reduction and internal fixation of the proximal right humerus. exaggerated thoracic kyphosis with mid thoracic compression fractures appear unchanged. the bones appear demineralized. left-sided rib fracture sites appear unchanged. | dyspnea on exertion and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18367039/s50238293/c97680bf-a2533c24-867366aa-e2f4fb6c-401d368e.jpg | frontal and lateral chest radiographdemonstrates well expanded lungs. no chf or focal infiltrate detected..no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are within normal limits. | concern for tia. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17914938/s53126412/d1de18b9-efc05ba0-b0f94f5c-0313e983-3a14b5eb.jpg | ap upright portable chest radiograph provided. excluded right cp angle limits evaluation. there is mild left basilar atelectasis. lungs are otherwise clear. cardiomediastinal silhouette appears normal. the imaged osseous structures appear intact. | <unk>-year-old male with generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16840700/s59563389/6ec6fdbb-d4104b8f-c494d38b-e98becf2-8b8bf742.jpg | endotracheal tube tip is slightly low lying and terminates approximately <num> cm from the carina. there is no pneumothorax. the remainder of the exam is unchanged with a consolidative opacity again seen within the right mid lung field and diffuse hazy opacification noted in the left lung. cardiac and mediastinal contours are unchanged. | history: <unk>m with new et tube // ?et tube placement |
MIMIC-CXR-JPG/2.0.0/files/p14203508/s56888044/d12d5c9e-bf8024a7-ef579c9b-85e72f8d-a21f0598.jpg | portable ap supine chest film <unk> at <time> is submitted. | <unk> year old woman with airway swelling post op, intubated, concern for pneumonia // assess for pna, interval change, ett assess for pna, interval change, ett |
MIMIC-CXR-JPG/2.0.0/files/p17263469/s54840603/cc58184e-95205653-b3196938-0d3baf3f-a4a29d19.jpg | the cardiac and mediastinal silhouettes are grossly stable as compared to scout image from ct torso <unk>. there is persistent mild elevation of the left hemidiaphragm and postsurgical changes seen. blunting of the left costophrenic angle is chronic and may be due to trace chronic pleural effusion or pleural thickening. no definite acute focal consolidation is seen. there is no pneumothorax. | history: <unk>f with afib with rvr // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p18283050/s53404930/201e468c-07389520-853eac49-77e051d4-b9fb77ec.jpg | the inspiratory lung volumes are appropriate. there is decreased size of a small right pleural effusion from the prior study. right basilar opacity is improved with residual airspace opacity projecting over the lateral aspect of the lingula. there is no pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged but decreased from <unk>. the mediastinal and hilar contours are stable. no acute osseous abnormality is detected. | history: <unk>f with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11411992/s53406770/cc4c7cbe-4b4807ec-4c34430b-3dbfc342-ec7e3c1e.jpg | the lungs are clear. mild flattening of the diaphragms may suggest hyperinflation. there is no pleural abnormality. the mediastinal and hilar contours are normal. | history: <unk>m with cough, fever // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p12411692/s51107999/d932bc70-246e16a0-110376f2-6f83b848-16108a31.jpg | a single supine ap radiograph of the chest was acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. right apical pleural thickening likely relates to known rib trauma. there is no definite pneumothorax seen on this single supine radiograph, although a small pneumothorax was seen on the accompanying ct cervical spine from <unk>. there is a displaced fracture through the distal aspect of the right clavicle. a known fracture through the posterior aspect of the right first rib was better seen on the accompanying ct cervical spine from <unk>. no definite additional rib fractures are identified. | status post fall. assess for evidence of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10240923/s58099459/3c01892e-630c5d7f-a5d4b61d-43de8e2a-2156a326.jpg | standard placement of the ett tube with the tip approximately <num> cm from the carina. the ng tube on readjustment traverses the diaphragm with its tip in the expected region of the stomach. stable bilateral low lung volumes with bibasilar atelectasis. bilateral small pleural effusions are unchanged. stable pulmonary vascular congestion with mild pulmonary edema and moderate cardiomegaly. stable appearance of the mediastinal contours and hila. no pneumothorax. no subdiaphragmatic intraabdominal free air. | <unk>-year-old gentleman with renal cell carcinoma and respiratory failure, who is now intubated. evaluate et tube placement and for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17707269/s56872475/e34a6218-7148c780-ea458f94-40c2c3a7-367adce1.jpg | a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. there is persistent opacity of reticular character with prior bronchial cuffing and probably mild volume loss within the right lower lobe, but this was the case before and appears less severe. an area of right mid lung scarring and nodular appears unchanged. there is no pleural effusion or pneumothorax. | shortness of breath and fever. |
MIMIC-CXR-JPG/2.0.0/files/p18754359/s55479580/fcc92b91-32c148e8-96a8a980-0028ef7d-de4658e2.jpg | ap view of the chest is compared to previous exam from <unk>. the lungs remain grossly clear where not obscured by overlying cardiac leads. costophrenic angles are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are grossly unremarkable. | <unk>-year-old female with dizziness. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16525573/s50601955/f4bea155-9d475ba5-ce11a3dc-aca97769-c9a11f06.jpg | as compared to the prior exam, lung volumes are lower. there are increased interstitial markings which could indicate a degree of superimposed edema over known pulmonary fibrosis but the appearance is not specific. more patchy opacification at the left base could represent developing infection. known right upper lobe pulmonary nodules are better seen by ct. no significant pleural effusion is seen. no pneumothorax is present. the heart size is within normal limits. there is tortuosity of the aorta. the patient is status post median sternotomy and cabg. a ventriculoperitoneal shunt is partially imaged with the shunt coursing along the right neck and coursing to the right and appears to terminate in the upper chest. this is similar to the immediate prior examination; however, on the examination of <unk>, the shunt continued along the midline anterior to chest and entered the abdomen. degenerative changes with apparent resorption of the left distal clavicle and widening of the acromioclavicular interval appear similar. | known pulmonary fibrosis, presenting for coarse breath sounds and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p17168033/s59375890/15082b15-be90449f-4e0b1b63-a29c5d3d-3641f3af.jpg | single portable supine chest radiograph demonstrates interval improvement in aeration. bilateral pleural effusions have decreased in the interim. there is scattered subsegmental atelectasis. a rounded opacity in the right mid lung is likely loculated pleural fluid. the cardiac silhouette remains enlarged, the mediastinal contours are unchanged. mild pulmonary edema is unchanged. the patient is intubated, the tip of the endotracheal tube lies <num> cm from the level of the carina. an ng tube is in place, the tip is not seen. a right chest port is unchanged in position, the tip is at the cavoatrial junction. | <unk>-year-old male with poems syndrome and acute respiratory failure. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11291823/s58407594/ac953f94-532a825f-f91efc6b-0f98def9-01f732b4.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with respiratory failure, ? aspiration, afib with rvr, intubated // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17370807/s56714804/2d1fe006-641d8a37-c7dacfeb-ce28af35-a33158d8.jpg | status post right pneumonectomy. right chest tube in medial location. obligate pneumothorax with mediastinal shift to the right. widespread ground-glass and nodular opacities throughout the left lung have improved since the prior examination. linear opacity just lateral to the right chest tube may reflect super imposition of tissues or postoperative change. no mediastinal widening. heart size is normal. minimal subcutaneous gas in the right chest wall. | <unk> year old man with lung cancer // sp pneumonectomy |
MIMIC-CXR-JPG/2.0.0/files/p18052931/s50862177/755fd1e3-d4abe50c-dd4430bb-bc63483e-abc1e283.jpg | heart is upper limits of normal in size. widening of right paratracheal striate an asymmetrical enlargement of right hilum are concerning for lymphadenopathy. multifocal bilateral pulmonary opacities are present, with dominant rounded lesions in the juxtahilar regions bilaterally (left greater than right), as well as within the lingula. additional scattered reticular opacities are present as well as an apparent cluster of poorly defined nodules in the right apex. | <unk> year old woman with neutropenic fevers // eval for pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p19921864/s53238813/8ce4b493-9f1d92ae-fd4cbec7-53059ecd-12bb1f62.jpg | lung volumes are low, exaggerating the cardiomediastinal contours, however note is made of mild pulmonary vascular congestion. there has been an interval development of mild pulmonary edema. the heart size is normal. interval improvement in the consolidation at the left lung base, compared to the exam performed <num> hr prior, is suggestive of atelectasis, however an infectious component may be persistent. there is no pleural effusion. there is no evidence of pneumothorax. | history: <unk>m with stroke. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19774387/s52872117/71794299-a068db27-a3468931-67e73cc9-c3010419.jpg | median sternotomy wires and vascular clips are again demonstrated. a small calcified granuloma projects over the right lung apex, stable in size and appearance. lung volumes are somewhat low and there are bibasilar opacities, which may represents atelectasis however infection should be considered in the appropriate clinical setting. there is no large effusion or pneumothorax. | <unk>m with sudden onset of sob // eval for chf |
MIMIC-CXR-JPG/2.0.0/files/p17843033/s57267315/9b7c0ae1-88055925-95c46785-e7eef858-979086e7.jpg | the picc line tip is in similar location versus slightly higher than on the prior study. the tip is in the distal svc. again seen is right basilar volume loss and slightly low lung volumes and moderate cardiomegaly. | new picc line. |
MIMIC-CXR-JPG/2.0.0/files/p10350392/s53710178/823080ed-d9931138-e78d819a-8d387087-6671d9d7.jpg | two frontal and two lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. | <unk>-year-old male with cough. |
MIMIC-CXR-JPG/2.0.0/files/p19872881/s59073230/6ddec3e4-5630c62e-d3633078-1f9d7105-f51aedab.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p16515452/s51298971/84390e02-ef92168e-284a37b9-cbeaefa4-68bcf5b1.jpg | frontal radiograph of the chest shows an unchanged right subclavian central venous line with the tip in the mid svc. there are no areas of increased air space opacity. the chronic right upper lobe opacity is slightly improved since the prior radiograph. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. | febrile episode. evaluate for signs of infection. |
MIMIC-CXR-JPG/2.0.0/files/p16207434/s58131291/241fb881-f61cd220-fc41d8f2-4f3cae47-5e0c6717.jpg | elevation of the right hemidiaphragm is chronic. the cardiac, mediastinal and hilar contours are unchanged with similar postradiation paramediastinal changes. mild atelectasis is noted within the right lung base. the left lung is clear. blunting of the left costophrenic angle posteriorly is unchanged, and likely reflects chronic pleural thickening. no pulmonary edema or pneumothorax is seen. there are mild degenerative changes in the thoracic spine. | right-sided weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16344412/s52033317/2a72b638-70b88534-1fd5eafe-76847bc9-cbd33612.jpg | small bilateral pleural effusions are seen, and no focal consolidation or pneumothorax is visualized. reticular nodular pattern persists, and has been better characterized on the previous ct scan. the tracheostomy tube is midline. the cardiac and mediastinal contours are normal, and diffuse subcutaneous air is improving. | <unk>-year-old woman traumatic intubation. re-evaluate possible pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11616506/s59740269/cc9c8d8d-a30d83c6-10a60127-4b48f36b-8bbeaf9e.jpg | the lungs are clear. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. no displaced rib fracture is seen. if there is further concern for rib injury, recommend repeat dedicated views with bb marker marks the site of pain. | <unk>-year-old female with left flank pain and swelling, question rib fracture, pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13362897/s51079110/b2b5cf46-13002f39-c98a3f0f-444b85d3-66785e50.jpg | single portable view of the chest was compared to previous exam from <unk>. tracheostomy tube is again noted. diffuse changes in the lungs bilaterally consistent with know fibrosis are again noted. the lung bases appear more dense which is likely due to superimposed soft tissues without definite acute consolidation. cardiac silhouette is enlarged but stable in configuration. | <unk>-year-old man with tracheostomy and history of multiple pneumonias, now with abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p15672432/s50496862/27526e2b-d4544c9b-8d73f25e-758f3413-c70ffebe.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>m with l sided chest pain // eval pneumonia, other acute process |
MIMIC-CXR-JPG/2.0.0/files/p12651069/s57886212/d6cab4b3-4c38d500-ce48ecb1-c8285b96-f1b511e5.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax. | <unk>-year-old with kidney transplant. |
MIMIC-CXR-JPG/2.0.0/files/p14572532/s57270160/35d204d7-99d1a250-7a5a2be0-7d4cfa6f-c6cb777d.jpg | ap and lateral chest radiographs were obtained. comparison is made to prior radiograph dated <unk>. mildly prominent central vessels are noted as well as peripheral interstitial markings compatible with mild interstitial edema. heart size is within upper limits of normal though ap is a sub optimal technique. blunting of bilateral costophrenic angles is most consistent with small pleural effusions. multilevel degenerative changes are noted throughout the thoracolumbar spine. osseous structures are otherwise unremarkable. | <unk> year old woman with dizziness, pain r ribs after fall two weeks ago |
MIMIC-CXR-JPG/2.0.0/files/p17374166/s58981348/5e2025ae-dd66f3aa-209658b2-816f2aeb-916683ef.jpg | cardiomediastinal contours are unchanged with mild cardiomegaly and tortuous aorta. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine sternal wires are aligned. | <unk> year old man with h/o bladder cancer // evaluate for mets or other abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p18001762/s59940275/5936f73f-779ecbe0-eb9643ce-03967181-4b17c57c.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | wheezing and cough. |
MIMIC-CXR-JPG/2.0.0/files/p15070972/s53069522/f1943119-3e6c9406-8ca2a0af-fc64f747-12150767.jpg | semi-erect portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. costophrenic angles are blunted, suggestive of possible small pleural effusions. . hilar and mediastinal silhouettes are enlarged by dilated vessels.ill-defined right lung base opacity could be mild asymmetric edema. heart size is top normal. no pneumothorax. visualized osseous structure are intact. | patient with hypotension and acute chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12689960/s56618432/43f653aa-94ab7f5b-54c90cd5-613e118f-c2e7bdca.jpg | the patient is status post midline sternotomy and mitral valve replacement. the lungs again appear hyperexpanded, but remain clear. mild enlargement of the cardiac silhouette is not significantly changed. the mediastinal contours are unchanged, including tortuosity of the descending thoracic aorta. there are no pleural effusions. no pneumothorax is seen. | weakness. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18566319/s59921704/c8394a27-1f136910-c21cffce-354dfd64-7e12fbf0.jpg | frontal and lateral views of the chest. the lungs are clear focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old female with cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16476559/s56001799/5fdc5781-e088791a-7c71a99d-6556e726-bc6d332f.jpg | patient status post sternotomy. there is right-sided ij line is in good position. patchy parenchymal opacification is most pronounced in the right lower lobe and concern for evolving infection here is made. elsewhere, there is mild pulmonary edema. | <unk> year old man with chf // eval for change in pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p10175944/s50814649/f4183b94-e26d3951-a0adbf86-6fe4ed71-bca24a03.jpg | compared with prior radiographs of <unk>, there has been interval placement of an et tube which is located at the origin of the right mainstem bronchus and should be pulled back <num> cm for more standard positioning. a left perihilar consolidation is increased from prior. there is no pneumothorax. there is no large pleural effusion. overall lung volumes are low, with atelectasis at the left lung base. heart size is normal. | <unk> year old woman with intubation. // pls eval et tube placement |
MIMIC-CXR-JPG/2.0.0/files/p19022436/s57106801/8b6ef998-d8c98031-08308972-3413ded7-ad8b2d1c.jpg | they et tube, ng tube, and left subclavian line are unchanged. over the course of the past few days there has been interval increase in the amount of volume loss in both lower lobes such that there is now complete opacification of the hemidiaphragm bilaterally. there is pulmonary vascular redistribution and left greater than right effusion | <unk> year old man with ams s/p drowning // ? interval change |
MIMIC-CXR-JPG/2.0.0/files/p14717582/s59548465/997b82fa-b6f7b96e-04487472-3ecec699-93ee3a3e.jpg | tiny right apical pneumothorax is small since <unk>. there is no evidence of pneumothorax now. small right pleural effusion is unchanged. right chest drain tube positioned in the lower chest is similar in position. there is no pneumothorax or pleural effusion on the left side. no lung opacities of concern. heart size, mediastinal and hilar contours are normal. | <unk>-year-old woman with pleural effusion, for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18620666/s51498380/fee29806-6564fb38-911216cf-4939502b-ca5a54f0.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. degenerative changes are notable at the shoulders. no free air below the right hemidiaphragm is seen. | <unk>f with diastolic chf, here w/ sob overnight |
MIMIC-CXR-JPG/2.0.0/files/p17807140/s51501572/157c2d11-cc34fcda-9b121dd2-3ffc08f0-8a136a37.jpg | the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are unremarkable. | <unk>f with orthostatic hypotension. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s57721534/e6ee6ab3-eb2fd1d5-baba3732-95cd9c3a-cca41942.jpg | single frontal view of the chest demonstrates interval placement of et tube with tip terminating <num> cm above the carina. compared to <num> day prior, there is massive progressive worsening of widespread pulmonary opacities and near complete white-out of bilateral lungs with relative sparing of the right upper lobe. there is new obscuration of the cardiac silhouette as well as a bilateral diaphragmatic contours allowing for which, cardiomegaly is likely unchanged. bilateral effusions may be present. there is no pneumothorax. the airway remains midline. note is made of an airdistended stomach. | <unk>-year-old male with respiratory failure. gastric tube placement evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17086623/s58609149/4803da62-ea2a2681-861a8e72-c6b6d065-18ddca97.jpg | the heart is normal in size. the lung volumes are low. allowing for low lung volumes, the mediastinal and hilar contours appear within normal limits. there are patchy bibasilar opacities, which suggest crowding of vascular markings associated with low lung volumes without definite focal opacity suggestive of pneumonia. mild pleural thickening is present at each lung apex. the bony structures are unremarkable. | left shoulder pain. question pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11083509/s51068810/712b73e2-421fab76-28b6c5e6-847fb1eb-a0d3225f.jpg | moderate cardiomegaly and tortuous aorta are stable. . the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with above // c/o sweats |
MIMIC-CXR-JPG/2.0.0/files/p16088589/s59255884/b6ca63fd-c7034c5d-f78294e5-47da6095-87d13dae.jpg | in comparison to the chest radiograph obtained <num> day prior, no significant changes are appreciated. a right-sided chest tube is essentially unchanged in position. there is a small, right pleural effusion. lungs are otherwise fully expanded and clear without focal consolidation. heart size is normal and there is no pulmonary vascular congestion or pulmonary edema. inferior median sternotomy wire fracture is unchanged since <unk>, but new since <unk>. alignment of the inferior to median sternotomy wires is also changed since <unk>. | <unk> yo m w/ mechanical fall at rehab, <unk>, and <num>l pleural effusion drained with ct in the ed // interval assesment |
MIMIC-CXR-JPG/2.0.0/files/p19395052/s59643259/0e806640-fea6e00b-24d83c2f-7942045d-e059cabc.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. a <num> cm radiopaque lesion is again seen in the left back. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17178574/s57857804/6bcb6cfa-040c7284-4d25a3b7-6a1ac6c0-2dda0b13.jpg | a nipple ring projects over the left lower hemithorax. the heart is at the upper limits of normal size. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p10900906/s57362144/c72e1e5b-24419b47-611b8be9-7b9e98b2-197ef37d.jpg | the cardiac contour is enlarged, likely at least partly exaggerated by positioning. the mediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. there are slightly low lung volumes with mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. spinal stimulator devices are again seen. | new fever postop. |
MIMIC-CXR-JPG/2.0.0/files/p14415460/s50081355/d998ca8c-b2aea407-f3d55b25-719017cc-c87ab225.jpg | portable frontal chest radiograph shows a left pneumonectomy with postsurgical changes along the left chest wall. there is associated significant volume loss. there is mild pulmonary edema and within the right lung with emphysema. there is no pleural effusion or pneumothorax. there is no focal consolidation to suggest pneumonia. | copd with a history of non-small cell lung cancer status post a pneumonectomy presenting with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg | there is a diffuse mild interstitial abnormality, unchanged from prior chest radiographs, and likely chronic. there is no evidence of consolidation or edema. there is no pleural effusion or pneumothorax. there is evidence of stable pulmonary hypertension and vascular engorgement. the aorta is calcified and tortuous. the mediastinal contours are otherwise normal. the heart is moderately enlarged. a left port-a-cath is present with the tip in the right atrium. | acute chest tightness. |
MIMIC-CXR-JPG/2.0.0/files/p12953157/s57009305/a37ba4c1-cc674c48-cbe10f75-527b69e6-401429b3.jpg | the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities. | appendectomy <num> hours previously with fever and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p16024669/s51550798/7a50b63d-547a8516-ab1b5150-132b7770-00a56a2c.jpg | ap and lateral chest radiographs were provided. lungs are well expanded. on the lateral view, there are opacities projecting posteriorly over the spine which are concerning for lower lobe pneumonia. it is not clear which side is involved on the ap view. there is no pleural effusion, or pneumothorax. the cardiomediastinal silhouette is mildly prominent. the bones are intact. | <unk>-year-old female with chills, cough. question acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p19324253/s51933341/c67b149d-81063204-3434b5b6-a61f4cb3-01fda9e5.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. | hyperglycemia and vision changes. |
MIMIC-CXR-JPG/2.0.0/files/p14546527/s54268653/2d535a9f-6104ae0d-2f934344-70773e2e-8be98afa.jpg | a portable view of the chest demonstrates some accumulation of a left pleural effusion compared to yesterday's chest radiograph. there are low lung volumes, but the right lung is grossly clear. there is no pneumothorax. the cardiomediastinal contour is unchanged. a left chest tube remains in the left lower lateral hemithorax. a left ij projects over the origin of the svc. | followup left pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p12568708/s54882047/bef2b552-bd64538e-deea3d63-f00edf67-f9f1b9f7.jpg | there is mild pulmonary vascular congestion. no focal consolidation is identified. the cardiac silhouette is within normal limits. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with altered mental status, evaluate heart and lungs. |
MIMIC-CXR-JPG/2.0.0/files/p13743639/s57863354/1afdd5db-b6009a54-a2c10c74-b572eea2-fce6ea7e.jpg | the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities. | <unk>f with one day of chest palpitations. // cardaic changes causing chest palpitations |
MIMIC-CXR-JPG/2.0.0/files/p16926271/s59351474/7911cca8-3e66cd79-e93989d0-0a6cc607-6d1ebe52.jpg | single portable semi-erect frontal chest radiograph demonstrates enteric feeding tube coursing midline with tip out of field of view and side port not fully evaluated. endotracheal tube is in appropriate position <num> cm above the level of the carina. a break is again seen within the second sternotomy wire with additional sternotomy wires intact. a left ij cvl tip terminates in the left brachiocephalic vein/svc junction. persistent small bilateral, right greater than left, pleural effusions with moderate asymmetric pulmonary edema is unchanged in appearance. no pneumothorax. persistent mild cardiomegaly. mediastinal contour and hila are otherwise unremarkable. | <unk>-year-old male with left ij. assess new cvl tip. |
MIMIC-CXR-JPG/2.0.0/files/p18342701/s58815506/0dce4309-13b807f3-f2896d57-cd055585-f937240c.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there is pulmonary vascular cephalization without evidence for pulmonary edema. the lungs are hyperinflated. hemodialysis catheter appears to be in similar position. surgical clips project over the right paraspinal region. | <unk>-year-old male with shortness of breath and recent admission for flash pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p19929625/s59076917/91ccbb6b-967703fd-b2fe40b1-69f730b4-fd8b8380.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with sepsis, acute pancreatitis // interval change |
MIMIC-CXR-JPG/2.0.0/files/p16721536/s59617311/85e760af-882fa8bd-96910c7c-c9cbaeab-edaa4aa5.jpg | single lead defibrillator with the lead terminating in the right ventricle. there is no pneumothorax. moderate cardiomegaly and small left pleural effusion is unchanged since <unk>. no consolidation. cardiomediastinal borders and hilar structures are normal. | <unk> year old woman with cardiomyopathy s/p icd // r/o pnuemo and lead placement |
MIMIC-CXR-JPG/2.0.0/files/p19609079/s59781434/ea3d73de-82041dcf-326f799a-9ee1d671-d85e5afb.jpg | the endotracheal tube terminates in position <num> cm above the level of the carina. an enteric tube courses below the level of the diaphragm. lung volumes are low causing crowding of the central bronchovascular structures, and elevation of the right hemidiaphragm is noted. the cardiac silhouette is top-normal in size, and no definite pleural effusion, focal consolidation or overt pulmonary edema is seen. | <unk>-year-old male status post intubation. evaluate endotracheal tube position. |
MIMIC-CXR-JPG/2.0.0/files/p10172206/s59190571/06653466-75640065-becc68bc-902573d2-a83c32a4.jpg | ap view of the chest. sternotomy wires and mediastinal clips are seen. endotracheal tube ends at the thoracic inlet. left-sided pacemaker with wires is seen. ng tube ends in the stomach. enteric tube ends in the stomach. there is at least moderate cardiomegaly. no pleural effusions or pneumothorax is identified. no focal consolidation. | status post arrest, question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10078008/s50676846/05edf87e-6e3f85b3-f90276bb-a38f6982-91f8d2cf.jpg | single ap view of the chest demonstrates mild-to-moderate cardiomegaly, accentuated by ap projection. the lungs are relatively well expanded. there is pulmonary vascular congestion and mild interstitial edema. no pneumothorax. small effusions cannot be excluded. moderate right greater than left glenohumeral osteoarthritis is present. | <unk>-year-old male with atrial fibrillation. question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p16502195/s57600844/fe3c67d5-f55c754d-ce0845c4-8771fe0f-5b59f37c.jpg | compared with prior radiograph, the right effusions have increased. the left effusion is somewhat smaller with better aeration of the left lower lobe. there is increased opacity in the right upper lobe likely related to asymmetric pulmonary edema. no pneumothorax is present. there is residual opacification at the left lower lung. | diastolic congestive heart failure and severe copd, now with new hypoxia. evaluate for pulmonary edema versus pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19305095/s56738151/1da39b86-3dbda8cf-68801057-c0b8ca96-0051acdf.jpg | the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. anterior cervical fixation hardware is visualized. there is a chronic left posterior ninth rib fracture. chronic posttraumatic changes also seen at the right shoulder. | <unk>m with syncope // pna |
MIMIC-CXR-JPG/2.0.0/files/p18340232/s56572238/276970fb-b6df8533-57e6a70c-af1bf9a4-629fb9dc.jpg | frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are hyperinflated but clear of focal consolidation. cardiomediastinal silhouette is stable. there is a severe compression deformity of the mid thoracic vertebral body which was not present on ct torso from <unk>. osseous and soft tissue structures are otherwise grossly unremarkable. | <unk>-year-old female with altered mental status and urinary incontinence. |
MIMIC-CXR-JPG/2.0.0/files/p11958032/s58383726/f0766a75-923dcac0-83fece03-fe33311d-734e3f4d.jpg | again seen are multiple median sternotomy wires and mediastinal surgical clips. the cardiomediastinal silhouettes are stable. the bilateral hila are unremarkable. a right cardiophrenic angle triangular opacity and volume loss involving the right lower lung is likely due to a combination of a prominent epicardial fat pad and prior lung resection. there is no focal lung consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | a <unk>-year-old man with cough and fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10269246/s53591114/8335ed48-5a6ae5d9-b5ea3264-f2888889-09c6f84f.jpg | the left-sided picc has been removed. the perihilar opacities have slightly increased. the right lower lobe peribronchial opacity have also slightly progressed. a new small right-sided effusion is seen. no pneumothorax. the cardiopericardial silhouette is unchanged. | <unk> year old man with hiv, on treatment, ks, here with fever, sob // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16822956/s56787020/d6d41364-b80d1638-9d3c8eee-a72baf05-f9106c69.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is mild perihilar bronchial wall thickening. no focal consolidation. no pleural effusion or pneumothorax is seen. | <unk>f with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p19465726/s59806259/9a3c656f-1d2bd45d-ff583384-f095fec8-4fcaf5b3.jpg | a left axillary pacemaker generator and two intact pacing leads are in standard position. again seen are small punctate calcifications in the mid left lung that are unchanged since <unk>. the lungs are otherwise clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. | evaluation for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11034702/s55319537/a2b01002-b37e10ea-05fe6f08-dd8452a9-5fddadee.jpg | the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. | <unk>m with fatigue // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17052480/s56520294/5d876d4e-ce2a2878-6fda6caa-ea495e83-2576f6fe.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. no focal consolidation, pleural effusion, or pulmonary edema is present. there is no pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18278187/s52901318/5134aa03-f7bd1de6-2b631cdf-b9f9d233-fa4bdf40.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate loss in height of a mid thoracic vertebral body as well as milder losses in height among several lower thoracic vertebral bodies appear unchanged. | chills. |
MIMIC-CXR-JPG/2.0.0/files/p16474990/s57607935/dabbe2f3-8eeec079-7ef66c90-1d711fb5-30adce79.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subsegmental atelectasis is noted in the lingula. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p13436096/s54992733/d96a735a-00d6c006-eef2ab67-a3426486-6ba30329.jpg | left port-a-cath in place with tip in the mid svc, similar. there is mild left pleural effusion, probably similar compared with chest ct <unk>, more prominent compared with <unk>. there is tiny right pleural effusion, significantly decreased since <unk>, new since <unk>. there is no pneumothorax. surgical clips bilateral breast. left basilar opacity, likely atelectasis. right perihilar infiltrates, similar compared with ct exam. | <unk> year old woman s/p <unk> // ptx |
MIMIC-CXR-JPG/2.0.0/files/p16924121/s55380184/097ea7a4-a183e428-17a78990-dfed2634-ed56dfcd.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p12219977/s51404938/5e4a5c35-f3053bc9-0a5ce65a-c8d45749-474cb15d.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged surgical hardware in the lumbar spine. | history: <unk>f with hx asthma, here w cough and wheeze // ?pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p14253818/s58059115/8c073122-f3f9b2b8-cbd61d45-6ff051b5-bbb9609d.jpg | the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is no definite pleural effusion or pneumothorax. the chest appears mildly hyperinflated. there are areas of mild peribronchial cuffing in the mid-to-lower lungs which may be associated with airway inflammation, but there is no focal consolidation. bony structures are unremarkable. | persistent cough; question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12408912/s52194677/e9a41858-ca5bff0e-32bd5901-8a01fd71-0f309a7f.jpg | ap portable upright view of the chest. evaluation is limited due to motion artifact. vein ground-glass opacities are noted in the mid to lower lungs which are incompletely characterized or assessed due to motion artifact. no large effusion is seen. mild left basal atelectasis is noted. prominence of the pulmonary hila appears new. no pneumothorax. heart size cannot be assessed. mediastinal contour is normal. bony structures are intact. | <unk>-year-old man with fever, dyspnea, cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14036256/s52887155/f3b2b408-3035b743-37d85775-4f3e8e8e-a96e4f2f.jpg | ap portable upright view of the chest. a transesophageal catheter, right ij central venous catheter, and multiple intact sternal wires are unchanged in position. there has been interval extubation. the patient is post aortic valve replacement. a moderate right pleural effusion, accompanied by adjacent compressive atelectasis, appears slightly improved since <unk>. the left lung remains clear. there is no pneumothorax. | <unk> year old man s/p avr // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15750321/s59538863/6faf2b0b-4cf0859d-6c4f715f-d5f0030a-fad40fa0.jpg | there is stable mild cardiomegaly. the hilar and mediastinal contours are mildly enlarged with engorgement of the pulmonary vasculature and increased reticular opacities, right worse than left. there are likely small bilateral pleural effusions. | <unk>m with chf. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12703255/s54280072/b184f935-dff15364-26285e9d-029c9bc8-67318c0d.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of chest pain. please evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18119812/s55811120/b31fdb7f-761ffb18-a25e5b69-3b183f90-38e889ac.jpg | a right-sided port-a-cath terminates within the proximal right atrium. the heart is normal in size. the lungs are clear. there is no pneumothorax or effusion. | <unk> year old woman with lymphoma, on chemotherapy with cough // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16919585/s53463211/b645539d-26872b08-9a120016-31af6f56-34f05c68.jpg | previously noted right-sided central venous catheter is no longer visualized. there are moderate bilateral pleural effusions. prior bilateral apical pneumothoraces are not identified. superiorly the lungs are clear. the cardiac silhouette is enlarged but stable. median sternotomy wires and mediastinal clips are noted. | <unk>m with tachycardia, new onset afib // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12506591/s57707020/ab0e300b-1e59fb65-e0ac695c-9a467535-130e46b8.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. compared to prior, there has been no significant interval change. again seen are predominantly apical and pleural-based parenchymal opacities. there is superior retraction of the hila. there is no evidence of new consolidation or pulmonary vascular congestion. there is no effusion. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. | <unk>-year-old female with generalized weakness and new afib/aflutter. |
MIMIC-CXR-JPG/2.0.0/files/p10055361/s50608704/a3879ffa-bb42939d-7b44815b-ec476527-5a1c9597.jpg | a single portable ap semi-upright view of the chest was obtained. cardiomediastinal silhouette including moderate cardiomegaly is stable. an icd device is also unchanged in position. interval development of increased opacification in the right lower lung probably reflects asymmetric edema and a layering effusion. the left lung is clear. there is no pneumothorax. previously noted pulmonary artery catheter has been removed. there is interval placement of a right-sided picc with tip terminating in the mid svc. | <unk>-year-old man with picc, evaluate for placement. |
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