File_Path stringlengths 94 94 | Findings stringlengths 10 1.83k | Query stringlengths 4 830 |
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MIMIC-CXR-JPG/2.0.0/files/p15446860/s59670719/a9bc7a01-4118bf10-e6ab80fd-fea5a975-744ee227.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with dyspnea // r/o infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p11910036/s54701877/ea49d232-8d699e08-37b41871-4eb79789-bff724a3.jpg | the cardiac silhouette is moderate to severely enlarged. no overt pulmonary edema is seen. there is no pleural effusion or pneumothorax. no focal consolidation is seen. mediastinal contours unremarkable. degenerative changes are incidentally noted at bilateral acromioclavicular and glenohumeral joints. | history: <unk>m with s/p fall. possible new onset seizure. // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17519359/s55064715/f58768ea-a8382c73-77a4e0ec-6dba34c7-4fc4c515.jpg | apical consolidations are re- demonstrated without appreciable change. allowing for portable technique the cardiomediastinal silhouette and hilar contours are normal. there is no pneumothorax or pleural effusion. | bilateral upper lobe infiltrates. evaluate for pneumothorax. please shoot at <time>. |
MIMIC-CXR-JPG/2.0.0/files/p16624100/s53717545/17957379-c3f9986f-bbfbb3a2-15854ca5-6ef8ad1b.jpg | endotracheal and enteric tubes have been removed. lung volumes are slightly improved since the next most recent study. there is new fullness of the hila bilaterally without <unk> pulmonary edema. there are new bibasilar opacities in the left retrocardiac and right infrahilar regions. there is <unk> pleural effusion or pneumothorax. heart size is exaggerated by low lung volumes, likely top-normal. | <unk> year old man s/p extubation, originally intubated for anaphylaxis and question of bilateral infiltrates on cxr // evaluate for infectious process, edema |
MIMIC-CXR-JPG/2.0.0/files/p16514111/s55359858/fac1ca6c-af6d70b0-d018b65a-66b85496-2d942f36.jpg | pa and lateral radiographs of the chest are provided. the lungs are clear. the hilar and mediastinal contours normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. two surgical clips are noted in the right upper quadrant of the abdomen. | <unk>-year-old man with cirrhosis and confusion. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14285599/s56842475/99f50a30-7ea5851f-3e460ea2-763da0e1-8d406b2b.jpg | frontal and lateral chest radiographs were obtained. increased opacity in right middle lobe with obscuration of the right heart border. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | patient with fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15543836/s54063051/6c093962-b3bcbadb-c6dbcfdd-31b92a1b-a8b0d84f.jpg | endotracheal tube terminates <num> cm above the level of the carina. a nasogastric tube terminates within the stomach, as expected. mild bilateral hilar fullness likely represents mild central pulmonary vascular congestion. left retrocardiac airspace opacity likely reflects atelectasis. the lungs are otherwise clear without lobar consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with ett // placement |
MIMIC-CXR-JPG/2.0.0/files/p18182810/s50251715/f3d3227d-565d335a-a4095108-fe2c2bc1-9ae4a3ef.jpg | there are increased interstitial markings consistent with interstitial edema. mild bibasilar atelectasis is noted. the heart is mildly enlarged. there is no pneumothorax. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19133405/s54635476/ac1f642b-e92d55ea-0cd82b5c-070fbadd-c11b63da.jpg | tracheostomy tube is in unchanged position. left pectoral infusion port terminates at the cavoatrial junction. no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia. | history: <unk>f with fever, dyspnea, h/o tracheitis // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p11891842/s58268764/c4c3020d-0c6dc887-7821473e-49b14d97-b188e37c.jpg | frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. lung volumes are slightly decreased with bibasilar patchy opacities. no pleural effusion or pneumothorax. | <unk>-year-old female with shortness of breath and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p11851257/s54793959/a44b54a3-012840d2-23258565-56c4afff-7e5f1a44.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. slight rightward convex curvature centered along the mid thoracic spine. | pre-operative. |
MIMIC-CXR-JPG/2.0.0/files/p15289551/s50213085/66c9f137-85c27599-e177a463-ed222011-12d6ecb4.jpg | heart size is top normal. the cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. | history of atelectasis and pneumonia in the past with lingering productive cough with left basilar crackles. |
MIMIC-CXR-JPG/2.0.0/files/p13309463/s58524550/77807c9d-59cb23dc-60c0e851-8dcb498f-b09a28fd.jpg | lung volumes are low, resulting in crowding of bronchovascular structures. there is bibasilar atelectasis. there is no focal consolidation. heart is normal size. mediastinal and hilar contours are unremarkable. | right lower lobe crackles on exam. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13452052/s52011939/7de73785-2e2b5596-5dd503c3-7ad4f7ea-007502e1.jpg | the lung volumes are low. the mediastinal and hilar contours appear unchanged, allowing for differences in technique. there is no pleural effusion or pneumothorax. the lungs appear clear aside from streaky basilar atelectasis. on limited views, noting that this is not a complete rib series, and that lung volumes are low with soft tissue structures obscuring lower ribs, there is no definite evidence for rib fracture. | rib pain after fall; history of cirrhosis. |
MIMIC-CXR-JPG/2.0.0/files/p11407501/s52740763/3a09438e-7489b374-6c1d31a5-cb997636-e92df66a.jpg | lung volumes are low. there is faint opacity at the left base. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. | overdose, hypoxia. evaluate for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p15129243/s52000926/d065fa9f-e861b779-b15f7195-efda1e1e-4e332c7d.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with aspiration pna // post bronch |
MIMIC-CXR-JPG/2.0.0/files/p11225343/s54564829/acc5c220-3846ee87-60639747-f5b407c5-c6d59a82.jpg | compared to the prior study there is no significant interval change. | <unk>f s/p tavr, w hemoptosis. // ? ptx, fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p19255812/s59715024/d371e64e-2462fd38-161c8ece-0b33a956-e143e02d.jpg | the cardiac silhouette is enlarged. the mediastinal and hilar contours are normal. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | sickle cell disease, chest pain, viral uri. rule out consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14923593/s52577536/5a620d14-d4bdec0b-a2552703-d1875d30-f567b09d.jpg | the cardiomediastinal and hilar contours are normal. there is no large pleural effusion or pneumothorax. lung volumes are low. increased opacity in the left apex is noted, which may reflect interval development of atelectasis or aspiration. the pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. please note that the left costophrenic angle is not completely captured on the current exam. | <unk>m s/p fall from <unk> story while intoxicated // ?injury |
MIMIC-CXR-JPG/2.0.0/files/p12010947/s59934244/7107d171-af91feac-c08a62e2-869c3044-6b9379b2.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is normal in size. there is slight prominence of the ap window which could be due to underlying lymphadenopathy. hilar contours are unremarkable. | history: <unk>f with cough, fever // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11198819/s50634633/1683b3f5-ebfe4e63-887cf09a-37c20225-14819201.jpg | left chest wall pacemaker leads terminate in stable position. previously seen left pleural tube has been removed. heart size and cardiomediastinal contours are normal. there is minimal blunting of the costophrenic angles, which are consistent with small effusions. mild lower lung atelectasis. no focal consolidation or pneumothorax. posterior spinal fusion construct is similar to prior. | <unk> year old woman with chest pain of <num> hrs, worse with exertion, better with rest. // evaluate for intrathoracic process that may cause/contribute to chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15143186/s50900904/80ff2749-ef33c2f2-d427a6e0-fd7af72f-ab3908ab.jpg | the lungs are well expanded. there are diffuse bilateral interstitial opacities, more predominant in the lung bases, with <unk> b lines and associated small bilateral pleural effusions. cardiac size is slightly enlarged allowing for limitations of this ap view. significant atherosclerotic calcifications of the aortic arch are present. there is no pneumothorax. evidence of a large hiatal hernia is again seen. left axillary soft tissue calcifications are again seen. | dyspnea, evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p16953991/s59214436/c4a1f9c2-0928c56c-a98a6ea3-132bdd4a-4cbaae9c.jpg | pa and lateral views of the chest. the lungs are relatively hyperinflated. biapical scarring is noted. the lungs are clear of consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality detected. | <unk>-year-old female with history of aneurysm with hypotension and neck pain. |
MIMIC-CXR-JPG/2.0.0/files/p18251381/s50152046/962d0d39-61146be4-fca1a21e-92049351-4d89422b.jpg | frontal radiographs of the chest demonstrate normal heart size. there are low lung volumes. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | blurry vision, weakness evaluate for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19227226/s58864498/1ef3ab4c-dbe75de6-a952427f-63a4800b-d06d4f9f.jpg | an ap and lateral views of the chest were obtained. there is evidence of stable left basilar atelectasis. no consolidation is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the patient is status post a median sternotomy. the wires are intact. | confusion and hypoxia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15614211/s54687637/22eca83f-b184d2b5-59a2fa1c-e6f842bd-775e4a0f.jpg | portable semi-erect view of the chest demonstrates low lung volumes. moderately large bilateral pleural effusions have progressed since prior. diffuse airspace opacities have also progressed. hilar and mediastinal silhouettes are difficult to discern due to adjacent opacities. dobhoff tube is unchanged in position and is stationed at the level of the pylorus. tracheostomy tube is unchanged in position. | patient with recent neck surgery. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11276027/s56707846/678ed362-d4be198d-d72e272a-b4055b46-cb970ac4.jpg | frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old male with chest pain. question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p11327174/s57945309/2562e85d-53f5c550-fc0ef308-9a2762a8-26f9fdf5.jpg | exam is limited secondary to portable technique and patient body habitus. within this limitation, there is apparent increased degree of pulmonary vascular markings. there is no large confluent consolidation. blunting of the costophrenic angles could be due to overlying soft tissues although effusions cannot be excluded. cardiomediastinal silhouette is stable. bilateral shoulder arthroplasties are identified. | <unk>m with resp ditress pls eval for pna vs edema // history: <unk>m with resp ditress pls eval for pna vs edema |
MIMIC-CXR-JPG/2.0.0/files/p11770833/s54771777/ddfcdc74-edce714f-c1889486-b62d8cf1-6afb194d.jpg | interval improvement of the diffuse reticular opacities. no acute focal consolidation. the cardiomediastinal silhouette is not enlarged. no pleural effusions or pneumothorax. | <unk> year old man with hiv (cd<num> <num>), possible pcp pneumonia, <unk> chest pain // evaluate pleuritic chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16786923/s57542231/338a693d-6d3302ed-4f63d368-acf37aee-cea0b941.jpg | frontal and lateral views of the chest demonstrate low lung volumes. an opacity in the left lower lobe may represent atelectasis as a result of suboptimal inspiration or infection. the right lung is clear. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. pleural surfaces are normal. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p18743637/s51889085/9173eced-dcfa8a25-e0f2b684-33dd4354-483ba36f.jpg | ap upright 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 dyspnea, h/o copd |
MIMIC-CXR-JPG/2.0.0/files/p14280192/s58376731/ade15538-29b44dc3-ff758a17-f115f353-fe39e5c4.jpg | the lungs remain relatively hyperinflated. there is bilateral basilar linear atelectasis. no focal consolidation is seen. no large pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. no overt pulmonary edema is seen. | history: <unk>m with diaphoresis, hypotension // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19774163/s56601874/1a3859c4-6a622f71-6eb57ca8-7bf050c7-fc5cd842.jpg | heart size is top-normal. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion without frank pulmonary edema. a small right pleural effusion is decreased in size compared to the previous study. patchy opacity within the right lower lobe may reflect atelectasis, but infection is not excluded in the correct clinical setting. no additional focal consolidation, left-sided pleural effusion, or pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>m with altered mental status, concern for hepatic encephalitis // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11120815/s58597746/fe0469db-952de2d5-dec36e43-0e55eeb2-2888801e.jpg | small bilateral calcified granulomas are again seen. mild basilar atelectasis is seen without definite focal consolidation. chronic changes at the lung bases are again seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.. | history: <unk>m mds on <unk> with mechanical fall. trauma workup. // evaluate for fracture, acute process |
MIMIC-CXR-JPG/2.0.0/files/p11119056/s50577784/d56bfb2d-6ab81c9d-ae78bba3-2dc2baf0-33ea52a6.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with left flank pain, history of thrombocytopenia of pregnancy |
MIMIC-CXR-JPG/2.0.0/files/p15111504/s59298140/4340227d-382cde78-ad8dd539-3a287f84-a0731446.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. | right-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17121520/s52237381/01916854-d5382c28-a39f1621-1c3fa704-3f5d0a61.jpg | all the monitoring device are unchanged and in standard position. the lung ventilation is improved with reduction of the interstitial pulmonary edema. the right base atelectasis is reduced heart size is normal with artosclerosis. | <unk> year old man with paraflu pna . |
MIMIC-CXR-JPG/2.0.0/files/p19986107/s54236896/c1327073-49855d5f-e77135e1-b007c497-7269e3dc.jpg | there are curvilinear areas of parenchymal opacity in the right mid zone and an additional irregular opacity in the left base posteriorly. these are of indeterminate acuity. there are opacities that are somewhat similar in distribution seen on the <unk> chest x-ray, but the distribution is not identical hand both opacities are larger and more pronounced on today's examination. there is mild cardiomegaly and mild prominence of the cardiomediastinal silhouette. although cardiac silhouette itself is probably not significantly changed, the mediastinal prominence is new and not clearly fully accounted for by technique. within the limits of plain film radiography, no hilar adenopathy is detected. no chf, air bronchograms or effusions are identified. mild elevation of the right hemidiaphragm is more pronounced than in <unk>. mild left greater right apical pleural thickening is also more pronounced. probable embolization material seen projecting over the upper abdomen distal left of midline, similar to <unk>. | <unk> year old woman s/p l gastric artery gelfoam embolization // please assess for interval change . review of omr indicates the the patient has undergone assessment for new onset hemo peritoneum. |
MIMIC-CXR-JPG/2.0.0/files/p15649581/s58209313/625f47d8-7e14619a-699caa00-1d21f66f-0ffb5d24.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: <unk>f with hx myopericarditis p/w chest pain // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13297424/s54873776/35a472a7-927c48c7-ddcc8407-bdbb42b8-d0ba5cda.jpg | lung volumes are low, and 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 dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p14341634/s52576211/07ea4c5f-d1fc098e-ca2e7047-8c6afb6a-cb1f3ae6.jpg | pa and lateral views of the chest demonstrate well-expanded and clear lungs bilaterally. there is no pneumothorax, pleural effusion, or consolidation. cardiomediastinal and hilar contours are within normal limits. no acute osseous structure abnormality is identified. | <unk> year old with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11993325/s50255373/ec452a90-6fc81bd0-c69a4448-c92c5f4d-9681168e.jpg | cardiomediastinal and hilar contours are stable. the left costophrenic angle is not captured on this study, however, there does not appear to be a large pleural effusion. there is no pneumothorax. diffuse increased interstitial markings with paucity of vessels in some areas is consistent with interstitial and emphysematous disease. there is no focal consolidation concerning for pneumonia. surgical clips in the right axilla are indicative of prior axillary lymph node dissection. degenerative changes of the right glenohumeral joint are noted. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p13299285/s57640320/47395852-70aad9f9-6f09379d-af53b7ac-a06dfc21.jpg | the support devices are in standard position and unchanged. interval worsening of mild interstitial edema with increasing right lower lobe opacity. mild to moderate cardiomegaly. no pneumothorax. | <unk> year old man hodgkins, periampular pancreatic adenocarcinoma, known liver mets s/p hepatectomy with prior pleural effusions // assess for interval change; please prefrom <unk> at <unk> am radiology rounds |
MIMIC-CXR-JPG/2.0.0/files/p11639395/s51513693/dc0d7401-57e8f6bd-1565d86d-c8f4a72c-9d7caf95.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. right ac joint separation again noted. | <unk>-year-old female with chest pain. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p18270650/s53450336/871c0901-1db1fd7c-63d30f40-0c0f41c7-3afc52db.jpg | left-sided aicd device is noted with single lead terminating in the right ventricle. patient is status post median sternotomy and cabg. moderate to severe enlargement of the cardiac silhouette is re- demonstrated. the mediastinal contour is similar. there is mild pulmonary vascular congestion without frank pulmonary edema. increased fluid is loculated within the right minor and major fissures. small left pleural effusion is relatively unchanged. increased patchy opacities may reflect atelectasis. no pneumothorax is seen. bilateral pleural calcification is again noted at the bases. moderate multilevel degenerative changes are again noted in the thoracic spine. | history: <unk>m with fall off bed with neck pain and confusion |
MIMIC-CXR-JPG/2.0.0/files/p17442082/s52019268/9ecc8bcb-c2815346-c5cc2fcc-e0fc4c9f-68c42f29.jpg | pa and lateral views of the chest demonstrate well-expanded lungs. in comparison to the prior study, there is no focal consolidation. cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with fevers, cough, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18298366/s59029549/3cc62f66-cb1342a8-29356941-22cde0da-edb5e275.jpg | frontal and lateral chest radiographs again demonstrate a right pleural drain. the mediastinum appears normal and moderate cardiomegaly is unchanged. the lungs are clear without focal opacity or pulmonary edema. the right pleural effusion is unchanged and the left pleural effusion is slightly decreased. there is no pneumothorax. | status post esophagectomy. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16704490/s52229737/a67e0bf3-888fedc1-0f6e8a67-bd313740-8c925103.jpg | right internal jugular sheath has been removed. there is a left-sided pacemaker with lead ending in appropriate position. aortic stent is unchanged. sternotomy wires are again seen. moderate cardiomegaly is stable. the mediastinal and hilar contours are stable. there is slightly less pulmonary vascular congestion. there is mild left basilar atelectasis. no pleural effusion or pneumothorax. no new consolidation. | new fever and leukocytosis. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p12200502/s51572568/6a5fce38-b427b9f5-00ca191a-a7c20eac-3162761f.jpg | since chest radiographs obtained in <num> days prior, there has been interval placement of a dobhoff tube, which terminates at the ge junction. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. | <unk> year old woman with alcoholic hepatitis needing tube feeds // ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p15087486/s53723663/dc9e9de9-fe303ddf-a4e8041b-b9469d9c-d172c05e.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with sob // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12129052/s59098914/912c9f44-6bbc7884-da84c3dc-af08c506-65107df8.jpg | pa and lateral views the chest were reviewed. there is a moderate left pleural effusion with likely associated atelectasis. underlying consolidation cannot be excluded. small right effusion is noted on the lateral view. the right lung is clear. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. median sternotomy wires are again noted. previously fractured inferior most sternotomy wire is noted, now with a second fracture of the same wire. dextroscoliosis of the thoracic spine is again noted. | chest pain, dyspnea. history of aortitis. |
MIMIC-CXR-JPG/2.0.0/files/p19949926/s56182081/c8e99cf9-c1fdd872-0dc2811d-0d98f068-33466f41.jpg | right upper, middle and lower lobe peribronchial wall thickening suggests bronchocentric abnormality. the bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal. there is no pneumothorax or pleural effusion. | <unk> year old woman with mild persistent asthma, <num> day hx of uri with productive cough/fevers; px shows diminished breath sounds r posterior base // please assess for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15114531/s53975458/cfb89eed-31e856eb-8dd16dc1-b7337ecf-1bec8801.jpg | chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident. there has been interval placement of a bravo ph capsule projecting in the expected location of the distal esophagus. surgical clips are seen in the upper abdomen. | cough, status post stent placement, please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19487346/s51023458/dc1241d8-5e4b5533-4fbcbfcc-85dad750-690296d9.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted within the upper abdomen. no free air is seen under the diaphragms. | chronic pancreatitis, epigastric and left upper pain. |
MIMIC-CXR-JPG/2.0.0/files/p15318793/s54800193/a5ea1395-77bdd67a-68b1278d-ca601713-b3f01135.jpg | subtle streaky left basilar retrocardiac opacity most likely relates to atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, as are the hilar contours. the lungs remain hyperinflated. . | history: <unk>m with dyspnea, cough // eval infiltrate, effusion |
MIMIC-CXR-JPG/2.0.0/files/p16872031/s59929909/54612892-67e32a80-252c218e-c8a2bc5f-6991b6aa.jpg | slight decrease in size of left pleural effusion. slight increase in size of small right pleural effusion. no pneumothorax. improving atelectasis in the left lower lobe. multifocal healed skeletal fractures appear similar as well as a high-grade compression deformity in the upper lumbar spine. | <unk> year old woman with copd and pleural effusion from ovary cancer. // assess for possible pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10522036/s53173854/f1d3104a-5cc5b277-ea86e8c1-f442ab0c-45dd00bb.jpg | pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old man with left rib pain status post assault. |
MIMIC-CXR-JPG/2.0.0/files/p13577943/s55397006/8a2df610-b789ee10-e2e22f9c-7a292551-3be47298.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. cervical hardware in the lower spine appear unremarkable. | <unk> year old woman with cough and chest discomfort for a week. no fever // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11243291/s57519340/fab9c898-89ef59a2-0f2472bc-659734cd-1ab8a4aa.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of free intraperitoneal air. | substernal chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10063534/s54266862/66630da7-154c949e-888702d6-a79f3b1e-b6788117.jpg | severe cardiomegaly with slight increase in size compared to <unk>. hilar contours are unremarkable. a left anterior chest wall single-lead pacer is unchanged in position. no focal consolidation worrisome for pneumonia; however, left lung base is difficult to assess. there is no large pleural effusion or pneumothorax. | chf and hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p19800206/s58906314/160fc647-2273dfe7-75d57880-765e5c35-e1c733b4.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with muscle aches // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12429062/s53902522/7cbdf465-c2b3ab02-c950f552-9c27725e-68e580d7.jpg | basilar atelectasis has improved. there is mild interstitial prominence, more apparent, edema or inflammatory/infectious. no consolidations. stable pulmonary vascularity. heart size is normal. | <unk> year old woman now pod<num> from resection of gist tumor, recent vomiting and diffuse wheezes on lung exam. // please eval for interval change. ?aspiration |
MIMIC-CXR-JPG/2.0.0/files/p13455616/s59574645/3d09fca7-c97e56ae-6d311b45-720d0fb7-5ac2bd85.jpg | increased opacity in the right lower lobe compared to the left. no pleural effusion. no pulmonary edema. stable cardiomegaly. stable mediastinal contours. hila and pleura are unremarkable. sternotomy wires and cardiac valve devices are intact and unchanged. left picc line terminates in the right atrium, approximately <num> cm distal to the cavoatrial junction. no pneumothorax. | <unk> year old woman with s/p mech avr/mvr/tvr readmit for sob. |
MIMIC-CXR-JPG/2.0.0/files/p18330375/s54432476/9e1baf9d-46235494-cc0153fa-4bf00dbb-74b8574f.jpg | pa and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with history of seizures, status post seizure. |
MIMIC-CXR-JPG/2.0.0/files/p13694747/s59532772/b10c5f2c-967aa43e-762da063-d42270da-b451178e.jpg | cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. there are mild degenerative changes noted in the thoracic spine. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17577830/s53203865/07648ede-413e3065-ec629fc6-1e0dd962-5ae662a1.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 history of alcohol abuse presenting with urinary frequency, dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17784861/s57753583/eff94fde-3fd380dc-ff8539e0-7ebfbe67-c23d6e94.jpg | the cardiomediastinal and hilar contours are within normal limits. there is apical thickening, as seen before. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with ams // eval for pna eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12844705/s54448491/755ca339-8f8680fe-0a14982a-a1463628-332aa8a7.jpg | there is mild cardiomegaly. the aorta is tortuous. the lungs are grossly clear and hyper inflated. small nodules described in prior ct are below the resolution of these radiograph, followup with ct is recommended. in the left upper hemi thorax projecting over the anterior first rib, un increased density is likely the costochondral junction but could be a lung nodule. there is s-shaped scoliosis | <unk> year old woman with weight loss // ? abnormal lesions in lung |
MIMIC-CXR-JPG/2.0.0/files/p10956924/s57841080/0bc63b42-060e4528-a3a6db1e-b372f9b7-1e2ea427.jpg | the patient is status post median sternotomy, cabg, and aortic valve replacement. the lungs are hyperinflated with flattening of the diaphragms suggestive of copd. the heart remains mildly enlarged. aortic knob is calcified. the mediastinal and hilar contours are unchanged, with mild pulmonary vascular congestion again noted. small right pleural effusion is similar in size compared to the previous exam, with adjacent compressive atelectasis. no left-sided pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17715144/s50770130/b5505dab-9747a8e1-1a60e28e-1d9ebceb-4ff95ab5.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart appears mildly enlarged. there is no overt edema. imaged osseous structures are intact. degenerative spurring is seen in the thoracic spine anteriorly. no free air below the right hemidiaphragm is seen. | <unk>m with bradycardia. |
MIMIC-CXR-JPG/2.0.0/files/p15147306/s51355965/129bf44e-03605a6c-0bcc39e5-8b5d597c-5751d015.jpg | no significant change compared to the prior exam. stable bilateral low lung volumes. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. persistent prominent hila, consistent with known history of sarcoidosis. normal cardiomediastinal silhouette. stable mildly tortuous descending aorta. pleura are within normal limits. no radiographic evidence of interstitial fibrosis. | <unk> year old woman with hx of sarcoidosis; cough and worsening dyspnea // ?flare of sarcoid |
MIMIC-CXR-JPG/2.0.0/files/p13717854/s55584190/f49c797a-2972c10b-d92f3e39-43a8ecaa-9cff1c1c.jpg | pa and lateral views of the chest provided. compared to <unk>, there is marked resolution of bibasilar opacities, with persistent opacity in the lingula. no new focal consolidations are seen. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk> year old man with mds, productive cough, weakness, chills // r/o pneumonia/infectious process |
MIMIC-CXR-JPG/2.0.0/files/p18753333/s58062734/51481779-540ad083-00071e56-64cbc3b8-656361e5.jpg | there is no pneumothorax. right there is a possible tiny right pleural effusion. there is no focal infiltrate. | attempted right subclavian line now with dyspnea . |
MIMIC-CXR-JPG/2.0.0/files/p13135830/s51592556/a675c5e4-8586ef55-93b4157e-c432846d-03550fe4.jpg | left lower lobe opacity seen best on the frontal view is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. coronary artery stenting is noted. | history: <unk>f with cough, fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p18139850/s53525456/9708749d-bfd4c585-4fa36b04-c2d7cff3-dd48f08a.jpg | support devices: the aicd and its leads are unchanged. the lungs are clear. minimal cardiac enlargement is unchanged. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | history: <unk>f with chest pain, significant cardiac history. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p19240981/s57176148/5074eb51-1ac57e53-2a41e552-98e82dd4-84e59587.jpg | two views of the chest provided. lung volumes are low, however the lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal. | history: <unk>f with hypotension // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12249989/s53549404/d296a85a-d1923dce-df563d85-c8ddcbe1-c48de10a.jpg | there has been interval placement of a nasogastric tube, which enters the duodenum, distal tip not visualized. the right-sided picc line is unchanged in position. moderate layering bilateral pleural effusions have increased. the presence of pleural effusions makes it difficult to assess for underlying pneumonia or pulmonary edema. retrocardiac opacification, possibly due to atelectasis, is unchanged. the cardiomediastinal silhouette is stable. | <unk> year old man with diffuse large b cell lymphoma now with rigors and tachycardia // please eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15973204/s56218680/67ff1b6a-67ef425e-8925c736-64012331-d6b19752.jpg | there is a right-sided internal jugular line terminating in the upper svc. heart size is normal. lungs are clear. no pneumonia is identified. there is no pneumothorax, pulmonary effusion or pulmonary edema. | female with sepsis, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17123392/s55144687/6f4cde3e-fbb4fb42-d57b4fc8-c8061c76-49aab179.jpg | cardiac silhouette size remains mildly enlarged. the aortic knob is calcified. enlargement of the main pulmonary artery and both hila are compatible with the provided history of pulmonary arterial hypertension. no pulmonary edema is noted. patchy opacities are seen in the right lung base. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. | history: <unk>f with pulmonary arterial hypertension, restrictive lung disease with cough // edema vs. effusion vs. infectious process |
MIMIC-CXR-JPG/2.0.0/files/p19229575/s54145882/af15136e-be87f607-aa6e4b28-83936b4b-6a8b2ae6.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>m with left lower lateral rib pain // fracture? |
MIMIC-CXR-JPG/2.0.0/files/p14636783/s56737346/49c92edd-d2ac577b-ad69f411-627358a6-035f1385.jpg | cardiomediastinal contours are stable with mild cardiomegaly. port cath tip is in standard position. . the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine | <unk> year old woman with head/neck cancer and fever // eval etiology of fever |
MIMIC-CXR-JPG/2.0.0/files/p17723760/s50909903/e3cd2e16-1b7e1ada-0c02f599-8f5a3ff9-c76ea3aa.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 ams // pna? |
MIMIC-CXR-JPG/2.0.0/files/p15095131/s58194767/f6b3a87b-95bdac5e-c774df94-b45d572d-5c817a7d.jpg | the heart size is normal with prominent fat pads re- demonstrated. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. minimal degenerative changes are noted in the thoracic spine. deformity of the distal left clavicle indicates prior trauma. | cough, homeless. |
MIMIC-CXR-JPG/2.0.0/files/p16218486/s58523478/8f3fd7b5-8822aff7-caa4ed0b-541f6fcc-d192dbdd.jpg | ap portable upright view of the chest. lung volumes are low. elevated right hemidiaphragm is again noted. left lung base is poorly assessed. the mid upper lungs appear well aerated. no large effusion or pneumothorax. the heart size appears enlarged of the right heart border is obscured. mediastinal contour stable. bony structures are intact. | <unk>m with cough and hypotension // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15433043/s55820020/9ad0a76b-2183a58f-7861f1ae-d5b23e8b-db3023c9.jpg | there is a right-sided port-a-cath whose distal tip projects over the approximate location of the right atrium, though precise localization of tip is limited given poor inspiratory effort and low lung volumes. it is recommended to obtain repeat radiograph with improved inspiratory effort if possible. there is a slightly widened appearance of the cardio mediastinal silhouettes, likely secondary to lung volumes. there is diffuse bilateral opacification of both lungs secondary to mild pulmonary edema as well as vascular/interstitial crowding in the setting of low lung volumes. there is retrocardiac opacification and obscuring of the left heart border and left hemidiaphragm suggesting left lower lobe atelectasis. there is blunting of the left cp angle consistent with small left pleural effusion. the right cp angle is not well visualized. there is no pneumothorax. | <unk> year old man with abd pain concerning for appendicitis vs cholecystitis // preop cxr/ please confirm r port-a-cath surg: <unk> (possible appendectomy) |
MIMIC-CXR-JPG/2.0.0/files/p12724442/s53574027/4673c6a4-0c3c1125-23977c59-c05e113d-f6bbaac7.jpg | technically suboptimal form. right-sided picc line in situ with the tip at the cavoatrial junction. increased opacification of the right lung suggest a dependent effusion in a patient in a supine position. left-sided chest drain in situ with interval decrease in size of the left-sided effusion. atelectatic changes of the left lower lobe. no left-sided pneumothorax. | <unk> year old woman with left pleural effusion // evaluate for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p14485715/s54557085/a6d66283-c916a9d2-db5268ea-02d475de-77990698.jpg | no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with aspiration and syncope and n/v // early signs of aspiration, syncope w/u |
MIMIC-CXR-JPG/2.0.0/files/p18208545/s56701066/e96dfbe0-4ed75cc4-5d321d22-2c8d4aab-ab789311.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. patient status post median sternotomy and cardiac valve replacement. | history: <unk>m with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p18847764/s59133505/bdcd3059-616ada1b-9385cc80-074a29f2-1c93d850.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with chest pain // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17517983/s58647373/e651858d-1bb2122c-a3df9703-a020d54d-62f6e825.jpg | new pulmonary vascular congestion is mild without frank pulmonary edema. moderate cardiomegaly is unchanged. the left chest wall port catheter tip ends at the cavoatrial junction. there is no focal consolidation or pneumothorax. | <unk> year old woman with dmi and dka // ? infectious source |
MIMIC-CXR-JPG/2.0.0/files/p18230852/s50732350/6a0cc9e1-049b94db-9732e508-cf234092-1ae581e6.jpg | the lungs remain clear focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. old healed right lateral rib fracture is again noted. no acute osseous abnormalities. | <unk>m with sob // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13559417/s50291686/4947d1b1-d78f02ba-e56ba8da-393ee038-10d6a1ff.jpg | posterior right base opacity is seen, which may be due to atelectasis or pneumonia. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. | history: <unk>m with sickle cell anemia here in sickle cell crisis. |
MIMIC-CXR-JPG/2.0.0/files/p14361972/s55073359/04dd1ff0-e14426d7-816fcf38-bfa99167-5d2c1e59.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. the heart size remains within normal limits. no typical configurational abnormality is seen. the thoracic aorta is mildly widened and elongated but no local contour abnormalities are present. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. moderately accentuated kyphotic curvature in the thoracic spine coincides with mild degree of degenerative changes mostly in the form of osteophytic reactions at the anterior vertebral body edges. no vertebral body compression is seen. similar as on the preceding examination, a right-sided port-a-cath catheter with subclavian approach is identified, seen to terminate in the lower svc. mildly gas-distended large bowel loop under left-sided hemidiaphragm but no significant elevation of the left-sided hemidiaphragm. | <unk>-year-old female patient with coughing. evaluate for infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p17369342/s57285785/9ced379b-d3e18751-ff565f9b-9a7df790-e220f093.jpg | lung volumes are markedly low. this accentuates the cardiac and mediastinal contours, with the heart size appearing borderline enlarged. crowding of the bronchovascular structures is present without overt pulmonary edema. patchy opacities in the lung bases likely reflect areas of atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is clearly identified. loss of height of a low thoracic vertebral body is of indeterminate age. no displaced rib fractures are demonstrated, though the left lateral chest wall is not completely included in the field of view. | history: <unk>m status post fall complaining of pain when breathing |
MIMIC-CXR-JPG/2.0.0/files/p12489389/s53715327/10c90fee-573d2388-ff28a468-90ce3bfa-69fc2d31.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 status post motor vehicle collision with mediastinal blood noted on ct chest from last night // any evidence of widening mediastinum or other acute abnormality? |
MIMIC-CXR-JPG/2.0.0/files/p18090790/s51935699/62d16519-a2ef29a8-df8cae58-1c3a37c3-d95a8bbe.jpg | the heart is mildly enlarged. there is mild pulmonary vascular redistribution. there is a small left effusion. there is a questionable tiny right effusion. there is no focal infiltrate | <unk> year old woman with abd pain with n/v/diarrhea now with fever // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p13994704/s53602603/7e5023d7-639287fc-4b87d8ff-cd020e87-0d276901.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. again status post sternotomy and evidence of previous bypass surgery. the heart size is not enlarged and no configurational abnormality is identified. thoracic aorta unremarkable in appearance. the pulmonary vasculature is not congested. the existing pulmonary vascular pattern with rather irregular distribution in the periphery and relatively low positioned diaphragms suggestive of copd. in comparison with the previous study, there is now a parenchymal infiltrate on the right lung base occupying the lateral and posterior segment of the right lower lobe. this infiltrate has character of bronchopneumonia and was not present on the preceding examination of <unk>. | <unk>-year-old male patient with urinary frequency, now with nonspecific cough and fever to <num>. evaluate chest. |
MIMIC-CXR-JPG/2.0.0/files/p12532356/s55197335/33e42b3f-6134b1dc-6ee8cb04-cbabb036-2ccbebbf.jpg | the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a right internal jugular central venous catheter ends near the origin of the svc. an enteric catheter passes below the level of the diaphragm and likely ends in the gastric antrum or proximal duodenum. skin <unk> are noted along the right upper-to-mid abdomen. there are also right upper quadrant surgical clips, as before. mild interstitial pulmonary edema is not significantly changed. the is mild left basilar atelectasis. the cardiac and mediastinal contours are unchanged. there are no definite pleural effusions. no pneumothorax is seen. | upper gi bleed, intubated. undergoing large volume resuscitation. evaluate for pulmonary edema or effusions. |
MIMIC-CXR-JPG/2.0.0/files/p17976613/s54015041/8ffe11e7-c1288cbe-5efd4b17-72742db6-a8929dbd.jpg | dilated ascending aorta demonstrated on prior mra from <unk>. there is prominence of the ascending aorta on the current chest radiograph, difficult to accurately compare with prior mri due to differences in modality. these descending aorta is gross unremarkable. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. lingular atelectasis is noted. the cardiac silhouette is not enlarged. | history: <unk>f with tremors, lightheaded and foot pain // r/o acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p12021956/s54755086/87b0eb6e-582c41ff-65438155-007cf5e0-e04516ed.jpg | upright ap and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiac silhouette size is top normal. aorta is tortuous with atherosclerotic calcifications noted at the arch. there is mild s-shaped curvature to the thoracic spine with probable compression deformity at the thoracolumbar junction, of indeterminate age. there is no fracture. no free air below the right hemidiaphragm is seen. | history: <unk>f with new congestive heart failure, history of aortic stenosis// please evaluate for focal consolidation |
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