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MIMIC-CXR-JPG/2.0.0/files/p12538508/s58740782/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.jpg | single portable ap radiograph was provided. there is increased opacity at the right base which may be due to infectious process or aspiration. rounded density projecting over the right ninth posterior rib is likely a nipple shadow and can be followed on subsequent radiographs. a chronic moderate-sized left pleural effusion is similar in appearance to the prior study. overlying opacities are likely atelectasis. cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. | <unk>-year-old man with cough, dyspnea, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11417994/s53834011/b40970a2-9853c8f4-e7b598ab-b4c4d897-4ff13dbf.jpg | et tube has been removed. there is mild bibasilar atelectasis. there is no pneumothorax or large pleural effusion. no pulmonary edema. cardiomediastinal silhouette is normal size. | <unk> year old man with cirrhosis s/p banding for non-bleeding varices <unk>, continued hypoxemia and hypotension // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p12956624/s56443139/2facfc4b-054b510f-999a4f20-19b7931e-c1e7fa04.jpg | endotracheal tube is in standard position with tip terminating approximately <num> cm from the carina. an enteric tube tip is within the stomach. right sided port-a-cath tip terminates at the junction of the svc and right atrium, unchanged. lung volumes are low. the heart size is mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. linear opacity within the right lung base is worse in the interval compatible with progressive atelectasis. minimal atelectasis is also noted in the left lung base. there may be a small right pleural effusion. no pneumothorax is identified. several clips are seen projecting over the right upper quadrant of the abdomen. | history: <unk>m with intubation. |
MIMIC-CXR-JPG/2.0.0/files/p17149393/s50655071/78de16ec-2f7bb738-178aa2e8-5965c712-7c50031e.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. | cough. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p15760813/s52636536/a557f9f1-bf62e3a8-3f2776da-9236df24-1c1480b2.jpg | cardiac silhouette size appears mild to moderately enlarged. the aorta is calcified. prominence of the left hilar region could suggest underlying lymphadenopathy. relatively symmetric diffuse hazy opacities are noted within both lungs, findings suggestive of mild pulmonary edema, though an atypical infection cannot be completely excluded. no pleural effusion or pneumothorax is present. surgical anchor projects over the right humeral head. mild dextroscoliosis of the thoracic spine is noted. | history: <unk>m with question of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15985103/s57449314/81dc32f3-c8a30b9d-d852d627-1ed3f7bd-d63bf5bb.jpg | there is a small-to-moderate right apical pneumothorax without evidence of tension. there is a dominant right perihilar mass and multiple scattered nodules throughout both lobes of the lungs. some of the nodules are cavitary. these are better characterized on the recent ct. there is no new opacity, left pneumothorax, or pleural effusion. the cardiomediastinal silhouette is normal. | status post right upper lobe biopsy. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15625104/s58797107/4b0326bc-c804cb86-ec0c84fc-74ab47db-3f8ca835.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with left lung white out // persistent white out? |
MIMIC-CXR-JPG/2.0.0/files/p16867767/s51249329/18a133e7-61057ddd-f387537e-beb0116c-0bc2375a.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with cough, congestion // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12580408/s51931609/0ca8e9d2-a3d11a5c-db89852c-bf3ce107-6ff522b8.jpg | the cardiomediastinal shadow is normal. no airspace consolidation. no suspicious pulmonary nodules or masses. no edema. no effusions. asymmetry of the breast shadows. no bony lesions. | <unk> year old woman with r arm numbness and fatigue, // r/o any abn in right side of chest causing symptoms |
MIMIC-CXR-JPG/2.0.0/files/p11611430/s52761028/e90a69ae-b708d8d5-07ea5c99-a491b82f-ccbe569c.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with palpitations |
MIMIC-CXR-JPG/2.0.0/files/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg | left picc tip is seen terminating in the region of the distal left brachiocephalic vein. tracheostomy tube is in unchanged standard position. the heart is moderately enlarged. marked calcification of the aortic knob is again present. mild pulmonary vascular congestion is similar. bibasilar streaky airspace opacities are minimally improved. previously noted left pleural effusion appears to have resolved. no pneumothorax is identified. percutaneous gastrostomy tube is seen in the left upper quadrant. | picc. |
MIMIC-CXR-JPG/2.0.0/files/p10699336/s59206518/0d21952b-62e3a06c-7fa98353-46abfc4a-cf0ed8b7.jpg | as compared to chest radiograph from earlier today, interval development of a moderate right-sided basal pneumothorax with some mediastinal shift suggestive of tension. left lower lobe collapse and small to moderate effusion have slightly worsened. mild cardiomegaly persists. tracheostomy and right picc in similar position. | <unk> year old man with prior ptx, desat, // eval for tension ptx |
MIMIC-CXR-JPG/2.0.0/files/p12556596/s50774581/33f329b1-e9c6b3a1-799008a3-fbb19847-c3f77a18.jpg | portable ap upright chest radiograph <unk> at <time> is submitted. | <unk> year old man s/p avr, cabg // eval for pneumothorax, worsened edema eval for pneumothorax, worsened edema |
MIMIC-CXR-JPG/2.0.0/files/p13496466/s57097014/5c41f70c-6fd98702-94908f43-4c231032-1298381a.jpg | supportive a monitoring equipment is unchanged in appearance compared to the prior study. there is persistent pulmonary edema with a large right-sided pleural effusion. lung volumes are unchanged compared to the prior study. no pneumothorax seen. | <unk> year old woman with recently diagnosed metastatic ovarian cancer s/p <num> cycle of carboplatin/paclitaxel <unk>, whose disease is complicated by ascites, sbo and terminal ileum perforation, and intraabdominal collections now being transferred to the icu for acute onset hypoxemic respiratory failure, now s/p prolong intubation // eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p17630664/s53469429/658633f7-ebb9708e-13ff5f68-2d207b4c-156b331e.jpg | frontal radiograph demonstrates interval placement of a right internal jugular catheter with tip terminating in the mid to low superior vena cava. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single view. heart and mediastinal contours are stable with aortic tortuosity. left humeral hardware is incompletely imaged. right humeral head osteotomy or osteolysis is imcompletely evaluated. sternal wires are noted. aortic valve hardware is noted. | <unk>-year-old female status post placement of right internal jugular catheter. |
MIMIC-CXR-JPG/2.0.0/files/p19330717/s52227123/d4dae084-f54f7367-765ba58d-74ef8500-b7ca843b.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>m with sob, cough. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18086903/s59788485/1f1e21c9-d6374ac7-2721795b-3db0f834-eba06936.jpg | the lungs are clear of focal consolidation. increased opacity in the right hilar region is likely due to projection and in part due to patient's spine projecting in this region from mid thoracic mild dextroscoliosis. there is no pulmonary vascular congestion. known pulmonary nodules are not clearly identified on this x-ray. cardiomediastinal silhouette is within normal limits, noting a tortuous thoracic aorta. surgical clips identified in the right upper quadrant. | <unk>-year-old male with question tia. |
MIMIC-CXR-JPG/2.0.0/files/p16895878/s57453970/b6fac7bb-e71b212a-f2fed447-2ff19292-b585d7ef.jpg | bilateral increased interstitial markings in the lower lungs are demonstrated but may reflect underlying emphysema. retrocardiac opacity with silhouetting of the left hemidiaphragm border could reflect edema, atelectasis or consolidation/ pneumonia. a nodular opacity projecting over the left lung apex likely represents a chronic rib deformity. no large pleural effusion. no pneumothorax. perihilar asymmetric opacities in the left lung could also represent foci of infection. | <unk>-year-old man with altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14045846/s58049090/87bb16c0-f043c87f-92379355-a366d146-0b8ba65c.jpg | compared to the prior study there is no significant interval change. lung volumes are slightly low. the picc line appearance is unchanged. the heart is upper limits normal in size | <unk> year old man s/p ileostomy reversal w/ fever, tachypnea, cough // eval for pneumonia / other pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p17940273/s50451012/8fae0926-292da0c9-8480c88f-844ef1b5-2705b918.jpg | lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. there is associated bibasilar atelectasis. there is prominence of indistinct pulmonary vasculature with increased reticular nodular opacities in the lung fields compatible with fluid overload with mild pulmonary edema. there is no focal consolidation worrisome for pneumonia. there is no pleural effusion or pneumothorax. | hepatitis c, alcoholic cirrhosis, end stage liver disease presenting with lethargy and headache. |
MIMIC-CXR-JPG/2.0.0/files/p17960078/s58983113/60924d6e-83a91a58-3855e073-9c0a69a8-5d983059.jpg | single supine portable view of the chest. low lung volumes are again noted. the lungs are grossly clear. cardiomediastinal silhouette is stable. densely calcified thoracic aorta is noted. left chest wall dual-lead pacing device is seen. no displaced fractures identified. | <unk>-year-old female status post fall. question infection. |
MIMIC-CXR-JPG/2.0.0/files/p14874258/s54111670/6bfd920d-94461cf9-fbe380bd-8e24681f-14f708f7.jpg | heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with chest pressure |
MIMIC-CXR-JPG/2.0.0/files/p11356031/s57279935/a47037d0-5770b930-66feffc3-cea52fca-f5cca2c5.jpg | ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study obtained seven hours earlier during the same day. during the interval, one of the left-sided basal chest tubes has been removed. the second lower position tube remains. there is no evidence of pneumothorax in the left hemithorax after tube removal and no new pulmonary abnormalities are seen. no mediastinal shift can be identified. | <unk>-year-old female patient status post chest tube removal, evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p12360014/s57407339/393cc608-1ddbd8d3-616ac02b-e5d49da6-945352cb.jpg | portable semi-upright radiograph of the chest demonstrates the very low lung volumes, which results in bronchovascular crowding. there is increased density at the right lung base, which is consistent with lobar collapse and probable small pleural effusion. assessment of the cardiac silhouette is difficult given the low lung volumes. no pneumothorax. a right-sided port-a-cath ends in the upper right atrium. | <unk> year old woman s/p ileostomy takedown with new shortness of breath // please evalute for respiratory process |
MIMIC-CXR-JPG/2.0.0/files/p16956951/s50583934/0a4856ad-eb062891-3ea75d27-b71b0a75-c794341e.jpg | compared to prior, there has been no significant interval change. there is no focal consolidation or effusion. pleural thickening again seen on the left. bilateral breast implants are noted. the cardiomediastinal silhouette is stable. there is a mid thoracic dextroscoliosis. | <unk>f with sob // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16086306/s59611630/e7be328d-3e527dfd-1e3c1180-a8f58b22-a4fe7e3b.jpg | sternotomy wires are unchanged. there has been interval removal of right-sided chest tube with minimal residual pneumothorax, improved in appearance from prior exam. consolidation of the right lower lung persists. heart size is still at the upper limits of normal. the left hemidiaphragm is elevated. the aorta continues to take a tortuous course. | <unk>-year-old male status post pleurodesis and pleurx catheter placement as well as recent removal of right-sided chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p19623993/s52893597/2b4cfcc5-c44c4f2a-8e59b25e-b354f0ac-459b3e05.jpg | pa and lateral views of the chest provided. lung volumes are somewhat low. allowing for this, 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 cough // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10849254/s56460193/a5d2683d-0a820d87-c9c57ab1-258b4203-c1fad848.jpg | frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart is mildly enlarged. pacemaker or aicd device leads terminate in right atrium and right ventricle. compression deformity of the mid thoracic vertebral body is new since <unk> exam. | patient status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p11717909/s59507971/86cbbd27-298942a6-03e4baae-97bf2fa6-7959f957.jpg | these are two views during dobhoff placement. on the second film the feeding tube tip is in the stomach. ng tube is been removed. the right ij line is unchanged. the appearance the lungs are unchanged. | <unk> year old man with new dobhoff tube. // this is a <num>-step dobhoff placement, evaluate dobhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16749901/s52793496/4b33ab48-2b69ba68-197f3273-e81f0231-f3027b21.jpg | lungs are hyperinflated suggesting chronic obstructive pulmonary disease. there is no pleural effusion, focal consolidation or pneumothorax. the heart is normal in size. normal cardiomediastinal silhouette. | cough and congestion with hiv assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17409226/s52017748/98c43e54-166da60c-5b01aee9-3a026a59-dd91db73.jpg | compared with <unk> allowing for differences in technique, no definite change detected. slight blurring may relate to motion. the cardiomediastinal silhouette is similar, allowing for slight patient rotation. the transcatheter aortic valve replacement is again noted, similar in configuration. there is mild upper zone redistribution. previously seen mild diffuse increased interstitial markings less apparent, likely due to motion-related blurring. no frank consolidation or gross effusion is identified. no pneumothorax detected. previous studies have demonstrated a hiatal hernia. this likely accounts for the rounded area of lucency and density superimposed over the left cardiac silhouette on this study. | <unk> year old woman with hx of stroke episodes concerning for seizures coughing with crackles on exam // pneumonia? pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p17630668/s59333187/742d0ced-52f02b95-6a6f2f33-98d5d19b-a0835ecd.jpg | frontal radiograph of the chest demonstrates clear lungs with no increased interstitial markings concerning for pulmonary edema. the cardiac contour is top normal. the mediastinum is normal. no pleural effusion or pneumothorax is seen. aortic calcifications are noted. | evaluate for flash pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p11417888/s56186718/f8912a3e-40a3db3c-4ffd3250-ddb11cb5-05a4963f.jpg | no displaced rib fractures are identified. the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. | status post fall on left elbow and abdomen, concerning for rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p11995284/s52725902/c344aef7-852f1bc1-cf67e055-5305d50d-12622a2e.jpg | pa and lateral views of the chest. there is elevation of the right hemidiaphragm. there is a small right pleural effusion. there is mild pulmonary edema. no pneumothorax. sternotomy wires and mediastinal clips are stable. there is at least mild cardiomegaly. there is an unchanged right glenoid spur. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p10435691/s55006072/849d71b8-14c37ba2-82d8ca3c-1bf84195-8bff3039.jpg | there is no focal consolidation or pneumothorax. postsurgical changes are noted in the right lower lobe. there is a small pleural effusion on the left. no pleural effusion on the right. cardiomediastinal silhouette is unremarkable. no acute osseous abnormalities detected. | history: <unk>m with altered mental status and febrile. on chemo // ? process |
MIMIC-CXR-JPG/2.0.0/files/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg | in the left perihilar region, there is a hazy opacification consistent with pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is elevation of the left hemidiaphragm, which is stable from the prior exam. | altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15308316/s56790344/4050378f-d0bcd159-683986a4-6ab827f0-572a2c8e.jpg | heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. the lungs are clear. left lateral pleural lipoma accounts for the opacity in the periphery of the left lung base and is unchanged. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities seen. | history: <unk>f with copd, shortness of breath, chest tightness earlier today |
MIMIC-CXR-JPG/2.0.0/files/p17574863/s56832944/a430c381-0ddee972-26d62f6c-a1dc0a2e-c0b6f3f0.jpg | no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion. | for liver transplant workup. |
MIMIC-CXR-JPG/2.0.0/files/p18417736/s52926899/b2c551a0-8e310915-368b5673-3a6c0e25-16934311.jpg | dual lead left pectoral pacemaker device is unchanged in position. replaced aortic valve is unchanged in position. median sternotomy wires are unchanged. bilateral interstitial opacities are new from <unk>, favored to be edema and given the short interval time course of development. however concurrent pneumonia cannot be excluded in the appropriate clinical situation. the heart remains enlarged. the mediastinum is not widened. aortic knob calcifications are mild. slight blunting of right costophrenic angle could be a trace pleural effusion. no pneumothorax. degenerative changes in the bilateral ac joints are moderate. | <unk>-year-old man with hypertension, intermittent chest pain and sob. evaluate for edema. |
MIMIC-CXR-JPG/2.0.0/files/p12961200/s57245516/f0a0dfae-3d1ccd0a-9b992e68-415fbe63-3cb822be.jpg | the cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lungs are well expanded and clear without focal consolidation, effusion, or pneumothorax. | <unk> year old woman with asthma, worsening dyspnea, cough. evaluate for consolidation and hyperinflation. |
MIMIC-CXR-JPG/2.0.0/files/p17562503/s52885050/409e5a18-601eb207-025e97f2-855b3f85-2bd579f7.jpg | left-sided pacemaker is in place, with lead tips over the right atrium and right ventricle. there are low inspiratory volumes. the cardiomediastinal silhouette is prominent, partially obscured by effusions. the hila are prominent bilaterally . there is upper zone redistribution, diffuse vascular blurring, interstitial edema, and areas of alveolar edema. there are small to moderate bilateral effusions with underlying collapse and/or consolidation. clips noted in the right axilla. | <unk> year old woman with dyspnea // pl effusion |
MIMIC-CXR-JPG/2.0.0/files/p19437158/s52124585/7848c192-010c9868-4db128af-7ab47b8f-28410a77.jpg | the lungs are well inflated and clear. no focal consolidations. no pulmonary edema. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax. | history: <unk>m with chest pain // assess heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p16139394/s54215495/4dd888d7-5b44d24e-8c4900e9-9cdfc9ca-955574e9.jpg | pa and & lateral views of the chest were provided. the lung volumes are low limiting assessment with bronchovascular crowding atelectasis in the lower lungs. no convincing evidence of pneumonia. no effusion or pneumothorax is seen. the heart and mediastinal contours stable. bony structures are intact. | <unk>-year-old man with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12671705/s50348574/1a2be56d-ea8756a9-f6d98815-eefc569b-9e0db7de.jpg | there is an opacity located peripherally in the right upper lobe, which may reflect pneumonia, however given its peripheral location and somewhat wedge-shaped configuration, cannot completely exclude infarct in the appropriate clinical setting. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. | history: <unk>m with hypoxia // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11035109/s51968797/b68708f4-da8ad2da-54ed207a-1aa3dd24-a00cd768.jpg | pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with shortness of breath status post total knee. |
MIMIC-CXR-JPG/2.0.0/files/p11730127/s59818971/f6345085-f3a113e5-5e418ff6-d8870bd6-b960b58a.jpg | apices not included on this study. heart size is enlarged, which may be due to patient positioning. mild bibasilar opacities, possibly representing aspiration. there is no pneumothorax or large pleural effusion. there is no acute osseous abnormality. | <unk>f with found down, evaluate for pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p13856909/s52546770/9c9f91c1-d47e741c-f759ba91-4115ec07-17fc12b3.jpg | lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. interval removal of the right picc. | history: <unk>m with fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11097813/s57116280/ef0f770a-d1eb7a97-ab83e66f-672479c4-70d6b8e8.jpg | single portable view of the chest. no prior. linear opacities at the lung bases suggestive of atelectasis. probable left lateral prior rib fractures are identified inferiorly. there is also evidence of biapical scarring. there is no large effusion. cardiomediastinal silhouette is within normal limits. several densities seen in the left suprahilar region and projecting over the anterior first left rib. these could be costochondral calcifications; however, two-view chest x-ray is suggested to further characterize when patient is amenable. | <unk>-year-old female with chest pain with new oxygen requirement. |
MIMIC-CXR-JPG/2.0.0/files/p18344776/s53845185/7eebe8b1-7314dcc5-7f9d5c76-fbad0d4c-2545e637.jpg | the heart size remains borderline enlarged. mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p13039809/s59530925/6105cfa5-81dbb137-10d6cc5e-630d8a6d-021aada6.jpg | the left lung is clear. subtle right base opacity is most likely atelectasis/scarring and in part relate to overlying soft tissue. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | shortness of breath, history of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12770117/s53830059/cf456673-81a8340a-f6646100-57504e35-d0852881.jpg | status post right upper lobectomy. widespread airspace opacities have improved since the prior examination. new bilateral small pleural effusions persist. the heart remains enlarged. no pneumothorax. | <unk> year old man s/p rul lobectomy w/ resp failure on cpap // interval change |
MIMIC-CXR-JPG/2.0.0/files/p13975355/s58842395/88dc93a7-4139a6b1-4e659b70-bba3fa71-45b79373.jpg | right picc tip projects over the mid superior vena cava. no pneumothorax is detected. lung volumes are low with mild pulmonary edema. cardiomegaly persists. no pleural effusion or focal consolidation is seen. pacing hardware, surgical clips, and sternal wires are again seen. | <unk>-year-old male with picc. |
MIMIC-CXR-JPG/2.0.0/files/p13925546/s54455629/0a4ab1e4-f528666e-6a04db8f-05630a2c-d841c32c.jpg | et tube is in stable position approximately <num> cm from the carina. median sternotomy wires are grossly intact. enteric tube is in the stomach. there is a moderate persistent interstitial abnormality in the lower lungs, left greater than right. there is no new airspace opacity. the aortic arch is calcified. mediastinal and hilar contours are normal. heart size is normal. there is no pneumothorax. | <unk> year old man with ams s/p intubation with bibasilar opacities ?atelectasis eval for interval change // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p16308645/s51842871/f94aa3d9-79419fcd-cf6b7d91-09131bf6-22d541a4.jpg | frontal and lateral views of the chest. when compared to prior, there has been resolution of previously seen right middle lobe atelectasis. the lungs are now clear. moderate hiatal hernia is again noted. cardiac silhouette is mildly enlarged but unchanged. multiple old healed upper right rib fractures are again noted. no acute osseous abnormality detected. upper lumbar dextroscoliosis is partially visualized. surgical clips are also seen in the upper abdomen. | <unk>-year-old female with weakness and not feeling well. |
MIMIC-CXR-JPG/2.0.0/files/p18485294/s50199761/95d76d9a-eb8c369a-484ab6b0-d7fa616d-38b4d2af.jpg | lung volumes are slightly low with bronchovascular crowding. no pleural effusion or pneumothorax. the heart is normal in size. the mediastinum appears slightly widened on this portable radiograph, which may be related to technique or mediastinal pathology. the hilar contours are unremarkable. no acute osseous abnormality. | <unk>-year-old man with intoxication, tachycardia ; evaluate for acute process, attn to aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p13819183/s50475151/5c0b64ef-e03d923d-5a030651-51cf8c90-3d9066aa.jpg | mildly decreased lung volumes. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiac silhouette is top-normal in size. mediastinal contours are within normal limits. no evidence for free subdiaphragmatic air. | <unk>m with chest pain // <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16635089/s59351973/72d3bad5-d066146f-709a9cf6-67b7f5ce-c2c2b7a3.jpg | there is a right central venous catheter which terminates in the right atrium. there has been interval removal of the left internal jugular central venous catheter. there continues to be mild pulmonary edema, and there are small bilateral pleural effusions. no focal consolidation or pneumothorax is seen. the cardiac silhouette is stable in size and mildly enlarged. | <unk>-year-old female with unresponsive episode. please assess for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19580975/s59524517/07786e6f-abda2cfa-781ddc1f-be6023ab-5122a692.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19262586/s53536651/abff05b8-de1428eb-fbea0822-e7d02567-a2d2f1e2.jpg | pa and lateral radiographs of the chest demonstrate interval improvement in right apical opacity previous seen in <unk>. residual opacity at the right apex likely represents scarring. there is no opacity concerning for airspace consolidation. no pleural effusion or pneumothorax is seen. the cardiac, mediastinal, and hilar contours are normal. left pleural lipoma is noted. | cough and fatigue. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10901995/s50769560/6462ba2a-e3146614-22c421e9-b13f1ba8-056a12dc.jpg | there are low lung volumes and bibasilar atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the right picc ends at the superior cavoatrial junction. the cardiomediastinal and hilar contours are normal. | <unk>f with "heart fluttering". assess right picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p17847754/s51105876/da69422d-60cd35bf-a41d82d8-dfa922e0-be834e73.jpg | the lungs are clear. mild cardiomegaly is not significantly changed. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p18867536/s52682055/efa860b8-ca0d2ded-57a58d3b-242b6e42-c4cd96bd.jpg | exam is limited secondary to portable technique, relatively low lung volumes and patient body habitus. that said, there increased interstitial markings throughout the lungs bilaterally, similar compared to prior. this could be due to pulmonary edema or chronic interstitial process and is not significantly changed from prior. blunting of the costophrenic angles bilaterally may be due to atelectasis or effusions. cardiomediastinal silhouette is not significantly changed especially in light of rotation to the right. | <unk>m with tia/stroke symptoms // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p13213952/s53269490/a96684aa-52fe5693-108fd695-1bd5dd6a-772b1555.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chest pain. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19415089/s52052446/df26912c-4e88ad49-d7725ca2-94d834c3-812aa136.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>-year-old male with history of recurrent pneumonia, cough. rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10065990/s50522386/d0bb7659-7df107ca-6b38b1cf-b36bd18d-fb0f5f7c.jpg | the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17095651/s57782347/4c88c5ce-c2a76467-3b14c9b2-76f7af1a-73ff4ceb.jpg | compared to the prior study there is no significant interval change. there continues to be a large amount of subcutaneous emphysema, mediastinal air, free air under the hemidiaphragm, | <unk>m who had retained food bolus at home with retching. went to osh and found to have retain bolus with esophageal mucosal tear. // eval for mediastinal air/indications of esophageal perf. |
MIMIC-CXR-JPG/2.0.0/files/p13885966/s52756319/8f84110a-0ebb3397-7b5b2d3b-f528bd1e-2f4474e4.jpg | there is streaky bibasilar opacity, similar to prior. lung volumes are relatively low but they are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with hypoxia and nonproductive cough // ?copd exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p14685168/s57098038/b45a4e24-d01354d0-0be45a3c-8665e01b-5fc8cf1b.jpg | low lung volumes and ap technique accentuate the cardiac silhouette and pulmonary vasculature. heart size is moderately enlarged with prominent unfolding of the thoracic aorta. several calcified mediastinal and hilar lymph nodes suggestive of prior granulomatous disease. moderate atherosclerotic calcification of the aortic knob. pleural surfaces are clear without effusion or pneumothorax. no pulmonary edema or focal airspace consolidation. no obvious traumatic findings. | patient found down. |
MIMIC-CXR-JPG/2.0.0/files/p18730944/s53049673/66734963-aa3e3611-8c24e836-d2fbd9d4-b716299f.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with diffuse wheezing and sob // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13023973/s58485382/efcae0db-76e3dc3f-1a98c32a-4ff02ea9-d2af054e.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | drug overdose. |
MIMIC-CXR-JPG/2.0.0/files/p11388306/s54233213/0815f60b-c5846e49-e2577097-7711108e-fda4398b.jpg | the lungs are well expanded and clear. cardiac size is top-normal. cardiomediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with shortness of breath and wheezing. evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15319407/s53121946/b49c12f8-ac5dcd2a-0ad36da5-403d0df4-782b521c.jpg | pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the bones are intact. there is no pneumomediastinum. a lap band is present in the left upper quadrant. | <unk>-year-old with chest pain and vomiting. question acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19563570/s52181618/74da5194-142b6d21-0e85e7e3-11b07f02-0b6d4092.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded. bibasilar linear opacities are attributable to vascular markings. there is no definite consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. on the lateral view, a relatively dense well circumscribed <num> cm nodule is again seen, unchanged from <unk>. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14453342/s55539212/6524e825-4ab61b69-4e818563-b82c35df-e41b87fc.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the thoracic spine. there has been no definite change. | status post fall with ecchymosis. |
MIMIC-CXR-JPG/2.0.0/files/p16285590/s50166441/678ead73-ff2a1ea9-5d1e7a4f-0ea4b3ae-8d529736.jpg | there has been interval placement of a left-sided pleural pigtail catheter. a portion of it just upstream from the pigtail appears to be kinked on this frontal view, although a lateral view may be helpful in determining the validity of that. there has been improvement of the left-sided pleural effusion with only a minimal amount of residual pleural fluid left. there is no pneumothorax. there has been improvement of the left basal atelectasis. mild consolidation at the right costophrenic angle is also present. otherwise, the mediastinal contours are unchanged. | <unk>-year-old female with a history of recurrent chylothorax, now with chest drain placed. |
MIMIC-CXR-JPG/2.0.0/files/p12060087/s59936132/79ba4249-9506dcc3-2f2e8410-323b5af9-630d8f4d.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | <unk> year old woman with chest tightness, sob // r/o lung lesion |
MIMIC-CXR-JPG/2.0.0/files/p18940040/s53646215/44979f20-8c1c7f27-5b5b2624-c3784b83-0bd3313a.jpg | no pulmonary edema, pleural effusions or consolidations are seen. the aorta is calcified and tortuous. median sternotomy clips are seen. no focal pulmonary consolidation is seen. | <unk> year old woman with persistent cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10673881/s55295124/c3210318-bd447e89-23db2f30-a48f4cb1-d587d739.jpg | the heart is at the upper limits of normal 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. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12579086/s56299567/2e46338f-04433ec9-dd2b73e2-cdfdb2f2-de67e862.jpg | there is moderate pulmonary edema, slightly improved from <unk>. moderate to large, bilateral pleural effusions are unchanged. overlying opacities are likely a result of atelectasis, however, infection would be difficult to exclude. there is no pneumothorax. heart is mildly enlarged but unchanged. the aorta is diffusely calcified. a midline catheter is seen terminating in the right axilla. a tracheostomy is present. | cardiac arrest. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p14916430/s53580594/0bb522a4-d8334fad-0aff415d-7d24d446-2ee6c2c4.jpg | portable ap chest radiograph. nasoenteric feeding tube remains post-pyloric. right ij catheter tip terminates in the right atrium. moderate layering right pleural effusion is stable. the lungs are otherwise clear. moderate cardiomegaly has not changed. | cirrhosis and ischemic colitis. evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11431563/s57408933/d5754930-9330ab00-6de4d953-cfe77e97-ee1bc2bb.jpg | cardiomediastinal silhouette and hilar contours are stable. suture material is again visualized in the right upper lung, compatible with history of partial right upper lobectomy. lungs are otherwise clear. there is no pleural effusion or pneumothorax. stable calcified lymph nodes are visualized in the anterior mediastinum on lateral projection; however, there are some new, more central nodular opacities which were not present on prior exam. | history of bronchioalveolar carcinoma, hodgkin's lymphoma status post splenectomy, presenting with fever and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15574516/s56924185/6f33c43c-2348784f-ab55705d-36db7cb6-61c9ef1e.jpg | there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no evidence of free air below the right hemidiaphragm. nipple piercings noted bilaterally. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15943041/s54482262/3944e1db-5a15dc41-d2d9a6c5-febd580c-48d21e51.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, evidence of pulmonary edema, or pleural effusion. no displaced rib fracture is identified. | <unk>f with chest pain s/p trauma // eval for rib fx |
MIMIC-CXR-JPG/2.0.0/files/p14773318/s57432791/e75c5590-84c5d431-0645d84c-0fe052c8-c8cbd0b0.jpg | rotated positioning. again seen are sternotomy wires. the cardiomediastinal silhouette appears grossly unchanged. the aorta is calcified and the aortic arch is slightly dilated measuring approximately <num> cm. the rounded contour overlying the right heart border, with thin curvilinear calcifications apparently represents the known dilated lower thoracic aorta. calcification and suspected dilatation of the abdominal aorta is also noted. there is hazy density overlying the lower left chest. though much of this may relate to the overlying breast implants, the possibility of retrocardiac density with underlying collapse and/or consolidation and a small left effusion is suspected. there is upper zone redistribution, without overt chf. the right lung is grossly clear, without focal infiltrate or gross effusion. no pneumothorax detected. an ng type tube is present, tip extending beneath diaphragm, off film. a single surgical clip is seen at the right upper lung laterally. note is made of fusion hardware in the lumbar spine. | <unk> year old woman with <unk>f s/p bentall for type a aortic dissection, on coumadinwho present as a transfer after sustaining unwitnessed fall atrehab with subdural hematoma and midline shift. // prior to am rounds- interval change |
MIMIC-CXR-JPG/2.0.0/files/p12432052/s55873734/34d17762-968237bf-0f4fcb8f-d78fbca2-ab258b7c.jpg | ap and lateral views of the chest. compared to prior study, there is increased right lower lobe opacity. the small right pleural effusion is unchanged. there is mild increase in left lower lobe atelectasis. the heart size is normal. there is no pleural effusion on the left. | continued fever and cough, evaluate for progression of right lower lobe infiltrate and effusion. |
MIMIC-CXR-JPG/2.0.0/files/p10598816/s55005719/061000ac-fb405ccf-4b2b90c3-c22ae9ad-63f1d9e2.jpg | a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear stable. there is a patchy opacity in the lateral right lower lung; atelectasis could be considered although contusion, pneumonia, or even aspiration in the appropriate setting. there is no pleural effusion or pneumothorax. no definite fracture is identified. the bones appear demineralized. | status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p15477562/s55871859/a2a97c23-86560a2c-df4bec7d-362cdb9f-bc48688d.jpg | frontal and lateral views of the chest. left chest wall dual lead pacing device is again seen. <unk> lead of the presumed prior right chest wall device is also noted. dual-lumen central venous catheter tip is in the right atrium. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is enlarged but unchanged in configuration. no acute osseous abnormality is detected. | <unk>-year-old male with fall and confusion. |
MIMIC-CXR-JPG/2.0.0/files/p16762436/s50642851/69e44184-0e4b97b3-5c4b1bdc-79e74d1a-f6182fc8.jpg | lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. lateral view is limited by motion and patient's arms. there is no confluent consolidation or effusion. there is no pneumothorax. cardiac silhouette has enlarged but this is likely accentuated by low lung volumes. no acute osseous abnormalities identified. | <unk>f with dizziness, chest pain // eval for chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12629841/s53092465/0f356013-dc65442b-3dccce56-c97c041f-3a8faeab.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. multiple radiopaque densities in an oval configuration compatible with the head of the tooth brush projected over the stomach. there is no evidence of intraperitoneal free air or pneumomediastinum. | evaluate for foreign body in a patient who recently swallowed a toothbrush. |
MIMIC-CXR-JPG/2.0.0/files/p14493990/s50269991/3802a4fa-49fe3f7c-c147d7ef-c33ad19a-ecc6591c.jpg | the ett has been removed. low lung volumes. normal tracheal shift to the right. difficult to comment on the cardiomediastinal shadow due to technical factors, but similar compared to prior imaging. pulmonary edema unchanged. no new areas of airspace consolidation. surgical clips in relation to the lower cervical area. no large effusions. nasogastric tube in situ with the tip in the proximal to mid stomach. advancement by <num> cm advised. | <unk> year old woman s/p ngt placement // assess ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p18153015/s54650241/5847f4f4-cc6b20ca-a6b871cb-d594af4f-8646f1bc.jpg | left-sided port-a-cath tip terminates within the proximal right atrium, unchanged. lung volumes are low. mild enlargement of cardiac silhouette is unchanged. the aorta remains mildly tortuous. there is crowding of the bronchovascular structures, but no overt pulmonary edema is visualized. known nodules within both lower lobes are better depicted on the prior ct. there is minimal streaky atelectasis in both lung bases. no focal consolidation, pleural effusion or pneumothorax is present. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen. there are no acute osseous abnormalities. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p17603475/s57954410/abd30a40-1a8d4054-7eeb9c07-35986c49-e81ee335.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 right shoulder/rib pain status post trauma |
MIMIC-CXR-JPG/2.0.0/files/p10843678/s57563830/7f17be0d-0f4f10f2-5d817606-f3e1657b-81c82b16.jpg | the lungs are well expanded and clear. blunting of the posterior costophrenic sulcus could reflect a small effusion. the heart is normal in size with normal cardiomediastinal contours. free air seen under the right hemidiaphragm but is compatible with the patient's cholecystectomy from one day prior. | <unk>-year-old female postop day #<num> status post lap chole with shortness of breath, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16833001/s51430879/b11738da-615bee27-b84dea4c-3ad79432-812033d8.jpg | heart size is normal. multiple clips are demonstrated within the right superior mediastinal region compatible with prior esophagectomy with gastric pull-through. the hilar contours are normal. moderate left and small right pleural effusions appear relatively unchanged compared to the prior ct from <unk>. there is adjacent atelectasis in the left lung base. no other areas of focal consolidation are seen. there is no pneumothorax. old right-sided rib fracture is again noted. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13197784/s59082480/8e017574-514d9543-64c98762-c385f495-ce81544f.jpg | there is an ng tube with the tip and side hole below the diaphragm. there is a moderate size right pleural effusion, which persists since <unk>, and now appears partially loculated. there is a small left pleural effusion. there is confluent opacification in the right midlung. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with s/p ng // eval for ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18038090/s52311706/4fb08833-bc97c558-e7ae75ba-505f6c8b-ecc71b90.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk> year old man with cough // / reason for cough |
MIMIC-CXR-JPG/2.0.0/files/p18816157/s50699829/4ca8a0be-d639dd25-64a62033-7c20bef4-ee278731.jpg | a left pectoral pacer has leads ending in the right atrium and right ventricle. minimal left lower lobe opacities most likely represent atelectasis; otherwise, the lungs are clear without pulmonary edema, pleural effusions or pneumothorax. aortic knob is calcified. the heart size is normal. there is no free air beneath the right hemidiaphragm. | <unk> year old woman with s/p ppm // r/o ptx, lead position |
MIMIC-CXR-JPG/2.0.0/files/p19812418/s53691318/395bf784-ded5ffed-e54843a7-30ae2d44-47121799.jpg | post cabg changes are stable. swan-ganz catheter is stable in position. central and chest drains in situ. the ett has been removed. mild subglottic edema. lung volumes remains stable. bibasal atelectasis unchanged. no pneumothorax. the cardiomediastinal shadow is enlarged, but unchanged. no pulmonary edema. no new areas of airspace consolidation | <unk> year old woman with as above // s/p avr/mvr/tv repair w/increased secretions r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12038385/s52215439/299a704b-d8cf5a1d-ac88160d-389388af-b5288a87.jpg | pulmonary edema is resolved. right lower lobe opacity is significantly improved. there is mild bibasilar atelectasis. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | <unk> year old man with rll pneumonia // f/u pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15453408/s53024550/9e474da6-34651101-2b8e09b2-f7968512-22d192ca.jpg | small left pleural effusion appears to have increased compared to <num> day prior. left lung base atelectasis is also increased. cardiac silhouette is within normal size. aortic contour is tortuous. large hiatal hernia is noted. no rib fracture is appreciated on this radiograph. no pneumothorax. | history: <unk>f with polytrauma, rib fractures on l // ? worsening appearance of lungs from prior |
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