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MIMIC-CXR-JPG/2.0.0/files/p18634192/s58616178/bc933a93-42226e3b-8f88438a-4294306d-a88ff5a7.jpg | compared with earlier the same day, there is now a small to moderate-sized right upper lobe pneumothorax, new or significantly larger than on the prior film. the right pigtail catheter is again seen, similar in position, allowing for slight rotation. there is relatively minimal atelectasis at the right lung base. there is subcutaneous emphysema over the right chest, which appears more pronounced on the prior study. there is minimal blunting of the right costophrenic angle, which is elevated new or slightly more pronounced. cardiomediastinal silhouette is probably unchanged and remains midline. hazy opacity over the left mid and lower zones is seen, but may represent artifact due to overlying soft tissues. there is subsegmental atelectasis at the left lung base. allowing for this, no chf, focal consolidation or gross effusion is seen in the left lung. | <unk> year old man with right ptx s/p chest tube placement // f/u chest tube for ptx, clamped **please do <unk>** |
MIMIC-CXR-JPG/2.0.0/files/p16645602/s59777418/fea2dcbb-b592f76b-2f10204a-2d95e7c0-984059af.jpg | lung volumes continue to be low. there is a left chest wall device with its leads terminating along the left neck. no focal consolidation, pleural effusion or pneumothorax is seen. there is no overt pulmonary edema. the heart is stable in size. the femoral central line is not seen in the view of this radiograph. | <unk>-year-old female post femoral central venous line placement. evaluate line placement. |
MIMIC-CXR-JPG/2.0.0/files/p18616140/s51247707/347301e6-47b968e5-569dbaa8-bea560d8-367a3c7a.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. no acute osseous abnormalities identified. fusion hardware is noted in the cervical-thoracic spine. | <unk>f with chest pain // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11607177/s50151354/5a936fd1-2ec41efd-21e1aaaf-da33b25b-c3729c8b.jpg | moderate cardiomegaly is similar. the cardiac and mediastinal contours appear unchanged. there is again hazy upper zone re-distribution of pulmonary vascularity with a mild to moderate appearance of perihilar fullness and interstitial changes in the mid and lower lungs, most consistent with mild-to-moderate congestion. there is no pleural effusion or pneumothorax. bony structures are unremarkable. findings are fairly similar to the prior examination, however. | asthma and congestive heart failure, presenting with worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16987914/s53734200/71f63adc-cd15ab0f-d367fe15-c4389848-242c30eb.jpg | the previously seen right-sided chest pigtail catheter is no longer seen. small to moderate right pneumothorax persists, difficult to accurately assess change in size given lack of recent lateral view however, there is concern that it may be slightly increased in size. right basilar opacities again seen likely due to atelectasis. there is persistent blunting of the left costophrenic angle likely due to small left pleural effusion. bibasilar opacities are again seen suggestive of atelectasis. bilateral calcified pleural plaques for better assessed on the prior chest ct from <unk> cardiac and mediastinal silhouettes are stable. | dislodged pigtail catheter. |
MIMIC-CXR-JPG/2.0.0/files/p16316457/s51679915/91f570f8-9753cfe4-30d0af6c-09122321-c6ecf8c0.jpg | a right-sided picc line terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. a right lower lobe consolidation is not well seen but was depicted on the recent prior ct. in the left mid lung, there is vague increased opacity in the left lower lung. pulmonary vasculature appears minimally prominent. chronic-appearing left-sided rib deformities are unchanged. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13260613/s58576746/63081208-3586d32c-833e2c40-be755dcc-34eb018b.jpg | ap portable upright view of the chest. again noted is a left arm picc line with its tip residing in the svc. no orogastric tube is visualized. in the upper abdomen, an ivc filter is noted. in the lower lungs there is interval development of subtle hazy opacity which could represent atelectasis though the possibility of an early consolidation cannot be excluded. the upper lungs appear clear and well-aerated. no large effusion. no pneumothorax. cardiomediastinal silhouette is stable. no acute osseous abnormality is seen. | <unk> year old man with ng tube placement // placement of ng tube |
MIMIC-CXR-JPG/2.0.0/files/p10108156/s53735643/69d7a3a2-e36e744f-451671f2-4b41fe29-966e71fa.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are stable with lower thoracic compression deformities re- demonstrated. no free air below the right hemidiaphragm is seen. | <unk>m s/p seizure // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14521660/s54264265/8fc92275-28266c17-ce09d1c6-1444166b-323e249d.jpg | compared to chest radiographs from <unk>, bibasilar atelectasis has worsened. moderate left and small right pleural effusions are unchanged. vascular congestion on left has slightly increased, which may represent asymmetric pulmonary edema or layering effusion. no new focal consolidation. no pneumothorax. cardiac size, while difficult to assess the presence of effusion, is likely mildly enlarged, stable. port-a-cath tip remains in standard position. posterior spinal fusion hardware is noted. | <unk> year old woman with b/l pleural effusions becoming more tachypneic // assess for new causes of sob, interval change in pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p10024913/s51467077/ac9056c8-f0792631-45f0711d-7c4c297d-03a9023c.jpg | a single portable semi-erect chest radiograph was obtained the lungs are well expanded. blunting of the right costophrenic angle may be due to a small pleural effusion. a right lower lobe calcified pleural plaque is unchanged. there is no focal consolidation or pneumothorax. cardiac and mediastinal contours are normal. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p14206167/s51129306/8ea3ac0d-bed9dab3-1211fc98-6d7d0376-b73a0e53.jpg | frontal and lateral radiographs of the chest were acquired. scattered ill-defined opacities throughout both lungs are consistent with pleural plaques as seen on prior chest ct from <unk>, not significantly changed in overall appearance compared to the most recent radiograph from <unk>. there is no focal consolidation. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17382655/s56581233/deea7a4d-e27fe9a0-c000c18f-a5fadb0c-e76521e5.jpg | frontal and lateral views of the chest. comparison is made to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiac silhouette is at upper limits of normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with asymptomatic hypertension. question dissection. |
MIMIC-CXR-JPG/2.0.0/files/p15175193/s50813489/7b1eb4d6-c8854cec-f29d7ee8-1894fc24-7fc03912.jpg | there is ng tube which terminates in the antrum of the stomach. there is unchanged diffuse bilateral airspace consolidation in the lower lobes, left greater than right. there is a small left pleural effusion. heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with ms and hypoxia with pneumonia with new ngt placement // eval for ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p17682234/s59859485/9de94f5f-d208b65f-4e5ab159-33d79c45-30aaef1e.jpg | the cardiac silhouette size is mild to moderately enlarged. the aorta is tortuous and demonstrates atherosclerotic calcifications. moderate pulmonary edema is new in the interval with a small left pleural effusion noted. the right costophrenic angle is excluded from the field of view and therefore a small right pleural effusion cannot be excluded. no pneumothorax is identified. patchy bibasilar opacities likely reflect atelectasis. severe degenerative changes of the left glenohumeral joint are noted. | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p19942382/s55811644/3f4b8456-3d4c6dc6-59c22285-baec381c-6c28510d.jpg | the heart size is top normal. the cardiomediastinal silhouette and hilar contour is stable. the lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. no acute bony abnormality is identified. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p11021643/s58022881/58166d61-c819ec2d-c8021db4-72d2d889-488d5ef7.jpg | the patient is status post median sternotomy and cabg. the cardiomediastinal silhouette is stable. relatively linear left base retrocardiac opacity most likely represents atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. degenerative changes are seen at the left shoulder and left acromioclavicular joints. | coronary artery disease status post cabg presenting with hyperglycemia and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12144619/s50013902/a3630df5-0a61d174-dbbd551e-7c999e67-dfcd99e5.jpg | frontal and lateral chest radiographs demonstrate low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. elevation of the right hemidiaphragm is chronic. even allowing for this, there is at least moderate cardiomegaly, unchanged. a right upper central catheter again terminates at the cavoatrial junction. an elliptical opacity in the right mid lung is unchanged compared to the prior exam, and was shown to be loculated fluid on prior ct chest in <unk>. no new focal consolidation, pleural effusion, or pneumothorax is seen. bibasilar atelectasis is unchanged. | evaluate for pneumonia in a patient with cough and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p17760190/s50600956/6a25d139-f814baa2-0c9c34a4-fb5f7c31-d0e23699.jpg | new endotracheal tube tip is <num> cm above carina. right ij swan-ganz catheter is right lower lobe pulmonary artery, should be pulled back. increased heart size, pulmonary vascularity, similar. stable right pleural effusion. electronic device projected over left lung apex. | <unk> year old man with respiratory distress, intubated // new ett |
MIMIC-CXR-JPG/2.0.0/files/p15050125/s53800689/5696a18f-b8a3ce9d-003de641-1b118230-b6290173.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with altered mental status and possible seizure. evaluate for the evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19456470/s55863013/e5b64ecd-8b047aa4-b5426f7c-a81e50d6-4038e0be.jpg | chest, portable. there is subtle opacity in the left lower lung. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with hypotension. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12250544/s53836325/a6c0da07-c1ae2427-b75b1cde-374b8120-8f9375ac.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax with linear basilar atelectasis or scarring. the heart is normal in size with calcified aortic contour. the aortic contour at the level of the distal aortic arch/proximal descending aorta demonstrates a minimally increased bulge which could reflect an intervally increased aneurysm. postsurgical changes are noted in the left shoulder. | chest pain, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16936008/s58110271/72c0b74c-1b37c630-275c87c2-ad8babc7-72d94f7f.jpg | left chest wall pacemaker generator with dual chamber leads. the right atrial lead projects over the midline and the presumed ventricular lead terminates over the central mediastinum rather than near the cardiac apex as is usually seen. heart size is mildly enlarged. represent redistribution and central pulmonary vascular congestion is noted. mild interstitial edema is seen. no large pleural effusion. small right pleural effusion is likely. no pneumothorax. | history: <unk>f with tachycardia. evaluate pacemaker placement. |
MIMIC-CXR-JPG/2.0.0/files/p19396070/s57685976/9a9609dc-075e837f-c590e43d-75c5b611-579b369d.jpg | single portable view of the chest. the lungs are clear. the cardiac silhouette is enlarged but stable in configuration. osseous structure is again notable for fracture of the hardware involving the cervicothoracic posterior fixation. | <unk>-year-old male with new diagnosis of afib with bilateral pedal edema. |
MIMIC-CXR-JPG/2.0.0/files/p11527061/s59801080/ba801be5-fb78a97e-15238b8b-d80e2d6f-01dbadc3.jpg | the lungs are clear. there is no pleural effusion or pneumothorax. heart is normal in size. normal cardiomediastinal silhouette and slightly tortuous aorta. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16108772/s56979653/76ac1539-5626dfa7-25c91b55-4edc18c8-ba3e8991.jpg | hilar contours are stable and there may be mild central pulmonary vascular engorgement without overt pulmonary edema. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with l chest pain // eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p18335994/s53763438/a7f6ab49-46b758ab-42cdefc9-fdbcc70a-11a0ae0f.jpg | the patient is status post median sternotomy and cabg with several stents noted. cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal without evidence of edema. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | cough, fever, lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p14067967/s55802410/2de3010c-76a52e42-be4e56c4-44cd3d50-db7f11bc.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with history of vt storm, prolonged intubations, pulmonary edema and aspiration pna // interval change |
MIMIC-CXR-JPG/2.0.0/files/p19212070/s52312055/d8817d66-91ba98f7-640761a6-8a1b182a-256a65b5.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. | <unk>-year-old woman with fatigue. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11540283/s50535882/039986b2-a4be9c1e-48fe40eb-46b7fccd-c779bad9.jpg | moderate cardiomegaly is stable. cardiac conduction device is in unchanged position. the lung fields are clear. no pneumothorax. | <unk> year old man with chronic cough x <num> mo. no fever or sob // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15904420/s57063459/3d8078cc-3dad1c63-3423d800-8b4e2574-148b84eb.jpg | lungs are clear with no consolidation. bilateral hila are enlarged, likely secondary to vascular engorgement. there is no pulmonary edema. no pleural effusion or pneumothorax is seen. indistinct margin of the right hemidiaphragm may be secondary to overlapping densities from an adjacent loop of bowel. no definite evidence of subdiaphragmatic free air. correlation with abdominal radiographs are recommended. | history: <unk>m with sepsis. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p15058800/s55287700/069c7e15-038bd155-0994ff5e-4a18f7dc-dfe655fb.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are stable, with mild cardiomegaly as before.no pleural abnormality is seen. | history: <unk>f with headache, sore throat. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15985742/s53225153/c45a6581-eb41ea48-690342cd-6dc89bb5-ea1b92be.jpg | slightly decreased prominence of the interstitial markings throughout both lungs. a small right pleural effusion is present. no focal consolidation or pneumothorax identified. unchanged opacity in the right upper lobe the size the cardiomediastinal silhouette is within normal limits. tortuous calcified thoracic aorta. | <unk>-year-old woman w/pmh interstitial lung disease, afib on rivaroxaban, mr/tr, htn, and hypothyroidism presenting with cough, sob, and fatigue concerning for a viral uri, course c/b afib on <unk>, likely from dehydration vs. underlying infection. she got ivf and iv metop and converted back to sinus. // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15816613/s58281892/dcca82a4-6038fd11-5fda536a-141b21b1-0ec2d13b.jpg | a right-sided picc terminates in the mid svc, unchanged. left-sided, dual lead pacemaker is in appropriate position and unchanged. apical scarring on the left is re- demonstrated. a large, loculated pleural effusion adjacent to the left hilus is unchanged. there is mild interstitial edema. a right lower lobe consolidation is likely infection. a loculated small left pleural effusion is chronic. no evidence of pneumothorax. | <unk> year old man with recurrent pleural effusions now with tachypnea and hypoxia. // please evaluate for infection and pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18346531/s55593688/e34b6913-758259ec-243c0086-3008a716-d9cb39b9.jpg | two frontal portable chest radiograph were obtained. an endotracheal tube terminates <num> cm above the carina. the balloon expands the upper trachea. an enteric catheter extends inferiorly out of the field of view. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. dual-chamber cardiac pacing leads remain in expected positions. | hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p19255812/s58208072/0999df28-82eff1c3-8adb3a96-c6fa56f7-3eaaf0e8.jpg | the lungs are clear.moderate cardiomegaly is stable since <unk>. mediastinal and hilar contours are normal.no pleural abnormality is seen. | history: <unk>f with sickle cell, <num> days of cough and fever // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10986674/s59259025/60e2f7f6-58865322-48598861-59a1395b-33a50423.jpg | surgical clips the lower neck are again noted. heart size is within normal limits. coronary artery stents are noted. platelike atelectasis is noted the left midlung. lung fields are otherwise clear. no focal consolidation. | <unk>f with chest pain // eval for ptx, widened mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p17934369/s59370288/e1534cc3-e1ad2972-75e5dacf-bad31b59-14405e74.jpg | heart size is normal. mediastinal contours are unremarkable. hilar contours are stable, and there is no pulmonary vascular congestion. left lower lobe opacity is concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities seen. | hiv, cough, blood-tinged sputum. |
MIMIC-CXR-JPG/2.0.0/files/p16913127/s56328009/86cc1aff-b3407235-39c054a0-b9b74911-47a63bb1.jpg | the lungs are well-expanded and clear. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila and pleura unremarkable. | <unk> year old woman with cough, wheezing, low grade fever, eval for pna. |
MIMIC-CXR-JPG/2.0.0/files/p19456264/s56722117/9aa3984d-7211a063-6a83b11d-c7ca21db-23b91c77.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. bony structures are unremarkable. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p18205791/s51980176/82af18a8-5985a347-fc6f51ad-cae59003-d625b6cb.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with chest pain // r/o infiltrate, efusion |
MIMIC-CXR-JPG/2.0.0/files/p17380809/s59034057/efa0a831-b4910939-40f56aa0-03aad56d-125d6227.jpg | an et tube, enteric tube, right subclavian central venous catheter, and right pigtail pleural catheter are all stable and appropriate in location. the cardiomediastinal silhouette is within normal limits. a small right apical pneumothorax is present. remainder of the lungs are clear. there is minimal if any perihilar vascular congestion. | <unk>-year-old male status post trauma. |
MIMIC-CXR-JPG/2.0.0/files/p14834560/s54087919/b9524b92-525f2a4b-515c2440-9b472de6-dc51b48d.jpg | the left port-a-cath terminates in the mid svc. lateral view demonstrates an opacity projecting over the lower thoracic spine, which was seen as atelectatic changes on recent ct <unk>. the lungs are otherwise free of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> year old woman with pancreatic cancer // portacath placement |
MIMIC-CXR-JPG/2.0.0/files/p14023965/s57785552/e26cfd8d-f6f2ee3c-e804edaf-185414ab-768d231d.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. | <unk> year old woman with fevers // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10562309/s50175390/8c713a21-9d9a80ab-bbf0c203-a498f471-1beea7f0.jpg | lung volumes are diminished. no consolidation or edema is noted. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable. | hypertension and presyncope. |
MIMIC-CXR-JPG/2.0.0/files/p18567332/s51429889/ab672105-ac7fe61d-9552bb15-83b873e3-481c6520.jpg | lungs are clear. mild cardiomegaly is present. there is no pleural effusion or pneumothorax. degenerative changes at the right acromioclavicular joint and left humeral head prosthesis are unchanged. | altered mental status, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19051507/s56704120/8caac342-9fcb85fb-02cf7e7a-faac1003-a08fd245.jpg | pa and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with chest pain intermittently for two weeks. |
MIMIC-CXR-JPG/2.0.0/files/p12330686/s54798969/e108c37a-b68aa2a9-9166ba3a-72bc25a9-9861d27f.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18042666/s57153286/11790dcd-77de5e60-43d6012b-438f8a85-042a9818.jpg | a right-sided port-a-cath with the tip in the mid to lower svc. the nasogastric tube has been removed. no pneumothorax. the lungs are clear. the cardiomediastinal silhouette is unremarkable. no pleural effusions. | <unk> year old woman with port a cath without proper blood return // confirm port placement |
MIMIC-CXR-JPG/2.0.0/files/p14480293/s57557627/c40f81a7-26eeab0c-f7558442-8d8a82d0-d5af9a97.jpg | cardiac, mediastinal, and hilar contours are unremarkable. aortic calcifications are noted. there is a faint linear density at the lateral right base on the pa view, not well seen on the lateral view. there is no evidence for pulmonary edema or pleural effusion. there are degenerative changes and ossification of the anterior longitudinal ligament in the thoracic spine. | <unk>-year-old patient with cough and chills since <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p18256464/s59598166/2f5a97c8-62a3cea8-efce78ab-d8630a7c-7c4ceea2.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is no displaced fracture identified. there is slight angulation of right lateral tenth rib laterally, not definitive for fracture. | <unk>m with right ant cp after fall // r/o rib fx's |
MIMIC-CXR-JPG/2.0.0/files/p10807873/s58962814/fd370b91-7f9c18c4-578430a6-a4778cac-2f042503.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12109415/s51651849/3ba36b6e-5d130b74-b93e9a10-54e98d76-3884dbf3.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. a faint vertical line projecting over the left lateral chest simulates a pneumothorax but is likely external to the patient as lung markings can be seen crossing this line. | <unk>f with chest pain and shortness of breath, evaluate for abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p13101879/s56748054/931ac416-1950f66a-02f2ea29-a9ef7e96-7f64916e.jpg | tiny right apical pneumothorax. no pleural effusion for hemothorax. right middle lobe nodule better assessed on ct thorax is grossly unchanged. the lungs are otherwise clear. heart size is normal. mild scoliosis. | <unk> year old woman post biopsy rule out pneumothorax, patient in rcu. please do at <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p19821716/s59826284/c88c63a5-20ce3be6-782562e8-e8d8805a-f54bf3bc.jpg | frontal and lateral chest radiographs again demonstrate moderate cardiomegaly. the previously noted ill-defined opacity at the right lung base is no longer well appreciated. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | residual cough in a patient with a history of infiltrate. evaluate for resolution. |
MIMIC-CXR-JPG/2.0.0/files/p13576210/s53053636/c48496b3-6c4d1b71-8fc914a3-a35cc605-76d75c71.jpg | single frontal image of the chest demonstrates an increase in right perihilar vascular opacity, likely reflecting an increase in vascular congestion or possibly a perihilar consolidation. there is no pneumothorax or pleural effusion. there appears to be some interval obscuring of the left hemidiaphragm, which could be consistent with a retrocardiac atelectasis versus consolidation. this would be better visualized on a lateral image. the cardiomediastinal silhouette appears grossly unchanged, although portions of the heart border are less clearly visualized on this exam due to adjacent opacities. there has been interval placement of an ng tube, which is seen with the tip at least in the proximal stomach, though whether it continues to pass beyond this point is not clearly seen on this image. a followup abdominal x-ray to verify the location and the tip of the ng tube is recommended. | <unk>-year-old female with aml receiving induction chemotherapy, now with severe cough and question of volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p11494296/s54944489/1237ba80-6d59f2b3-658e2d49-71f2e04c-2bb28777.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. there is no pleural effusion or pneumothorax. in addition to subpleural scarring at the right lung apex, there is a vague nodular opacity which measures approximately <num> mm in diameter. an old fracture affects the right anterior lateral ninth rib. | preoperative for brain surgery. |
MIMIC-CXR-JPG/2.0.0/files/p17525095/s51462035/73b3e07e-713b8665-b71494fe-fba050d2-6a2fb6b1.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. median sternotomy wires are noted with fracture through several of <num> of the wires, new since <unk>. cervical fixation hardware is partially visualized. | <unk>m with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17397284/s57534176/57d9c0e8-d271cc5a-8042ef1e-b07dad0c-7ec7c97b.jpg | as seen on prior chest ct, there is increased density and opacification of the left hemidiaphragm consistent with loculated pleural effusion. increased densities at the right lower lung are also noted an correlate to findings in the chest ct, in the appropriate clinical setting, these findings were reflect an infectious process evaluation of the cardiac silhouette is somewhat limited. there is no pneumothorax pneumothorax. | copd presenting with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p14772479/s54093682/08c67c6e-2d9bef78-43c85752-0abd4fca-1b2b20be.jpg | a chest tube remains in the right hemithorax. this study shows reaccumulation of a pleural effusion on the right, probably small to moderate in size, with volume loss and opacity probably due to increasing atelectasis. left basilar opacification appears similar to minimally improved. perihilar congestion is new. nondisplaced right third through fifth, and potentially sixth rib fractures, appear unchanged although the fourth rib fracture is better visualized on this study. | pneumonia and right pleural effusion status post chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p10337260/s55898744/b4d71150-85a36a26-9ca18ca7-69201c07-605b0f04.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old female with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg | single frontal view of the chest demonstrates a right port-a-cath in unchanged position, terminating at the cavoatrial junction. median sternotomy wires are present, along with surgical clips in the left upper quadrant. the heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. a rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on ct of the chest from <unk>. there is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. the lung volumes are low, accentuating bibasilar atelectasis. no subdiaphragmatic free air is present. | <unk>-year-old female with recent abdominal surgery and worsening pain. evaluation for free air. |
MIMIC-CXR-JPG/2.0.0/files/p13126396/s51717793/55917a19-7e094cc5-59c442e7-8095ed29-64ff8c4a.jpg | a left-sided pacemaker/aicd with multiple leads is again seen. cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax. no acute bony abnormality is appreciated. there are incompletely visualized degenerative changes of the right glenohumeral joint. | history: <unk>f s/p pacer/icd s/p <num> falls this week. // eval for ich, cspine fracture, facial fracture, pacer posiition |
MIMIC-CXR-JPG/2.0.0/files/p11546900/s53368520/c9f4c1a0-c04b7601-3466f1e7-1df4a91a-0611f66b.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there is no free air under the diaphragms. no acute osseous abnormalities are seen. | status post cholecystectomy with hematocrit drop and severe abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p18824663/s58591776/8144a92e-87cd71dd-3f85df71-cc7d3742-9f291136.jpg | no focal consolidation is seen. there is minimal left base atelectasis. there is no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with ruq pain, hypoxic episode // ?cpd |
MIMIC-CXR-JPG/2.0.0/files/p19502744/s55131055/c7d40313-5256b028-559e7e8b-9e9b6069-82d54789.jpg | the lungs are clear without focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. | history: <unk>m with <num> day history of productive cough associated with fevers and crackles on right lung base |
MIMIC-CXR-JPG/2.0.0/files/p16701040/s55981674/fc222a10-0a08534a-7878f7c8-832577af-048df84d.jpg | no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. | history: <unk>f with sob, worsened with inpiration // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14428966/s50933885/45fc686b-f8551d85-5a7c05ec-a7316f71-f8b840f6.jpg | low lung volumes with bilateral diffuse lung opacities, overall improved compared to the prior radiograph. left-sided picc terminates in the svc. stable cardiomegaly. no pleural effusion or pneumothorax. unchanged bony thorax. | <unk> year old man with recent cholangitis and aspiration pneumonia, now with persistent hypoactive delerium; please eval for new infiltrate, pneumonia (pt intermittantly coughing, no fevers or hypoxemia however); as part of ? other reversible causes of ongoing delerium // <unk> year old man with recent cholangitis and aspiration pneumonia, now with persistent hypoactive delerium; please eval for new infiltrate, pneumonia (pt intermittantly coughing, no fevers or hypoxemia however); as part of ? other reversible causes of ongoing delerium |
MIMIC-CXR-JPG/2.0.0/files/p12572699/s55958610/617641ac-473e5a4e-580a1477-c5a4df39-357a1bf4.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. calcified left hilar lymph nodes are noted. the cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities. | <unk>m with near syncope // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p10698514/s55118316/23f6c343-a479a535-66bcf6bd-729ff2c9-1ad7528c.jpg | the lungs are clear. there is no focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. mid thoracic dextroscoliosis is noted. | <unk>f with hypotension and cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15754398/s58210659/54a0e380-53080f0b-f48fee21-e82fa8aa-db7354ac.jpg | single frontal semi-erect view of the chest was obtained. dobbhoff tube now terminates in post-pyloric position, with the tip coiled in the second part of the duodenum. otherwise, no relevant change since the study seven hours prior. cardiomediastinal silhouette is stable. lungs are clear without pleural effusion or focal consolidation. no pneumothorax. | <unk>-year-old male status post fall with head injury. assess dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p10297650/s56351016/914a9f9d-09209695-fb23789a-fd941178-383eee6f.jpg | frontal and lateral views of the chest. no prior. the lungs are clear. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. hypertrophic changes seen in the spine. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old male with chest pain on the left. |
MIMIC-CXR-JPG/2.0.0/files/p11778436/s58654613/ad7f65ec-a18110a5-da0def82-3fe1443c-18c4648e.jpg | right chest tube is in unchanged position. extensive subcutaneous emphysema is unchanged from <num> hr ago but improved compared to <unk>. emphysema is severe. lungs are hyperinflated. small anterior basilar right pneumothorax is slightly smaller compared to <num> hr ago. cardiomediastinal silhouette is normal size. pleural scarring is noted at the right lung base. | <unk> year old man with persistent ptx s/p r blebectomy and mechanical/chemical pleurodesis, now with ct to pnuemostat device // interval change, ?ptx, please do at <unk> |
MIMIC-CXR-JPG/2.0.0/files/p11425766/s58508828/bbefcd5a-d1a92a4e-02ae1ccb-ee65305e-34f24649.jpg | portable semi-erect chest film <unk> at <num> is submitted. | <unk> year old woman with cefepime toxicity, severe <unk> on hd - intubated // evaluate for pulmonary edema, other interval change evaluate for pulmonary edema, other interval change |
MIMIC-CXR-JPG/2.0.0/files/p12303667/s51202805/f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12.jpg | the heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. diffuse increased interstitial markings are similar when compared to the prior study and compatible with the patient's known history of lymphangiomyomatosis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. partially imaged is fusion hardware within the lumbar spine. widening of the right acromioclavicular interval likely reflects remote trauma. | coughing blood over the past several days with low back and abdominal pain. history of lymphangiomyomatosis. |
MIMIC-CXR-JPG/2.0.0/files/p12409853/s51421763/3677448d-e57dcb12-a1d84bf3-2e1a5bbe-61f78fdc.jpg | there are least four contiguous displaced right-sided rib fractures. there is no right pneumothorax or intrathoracic bleeding. a small left pleural effusion may be present. bibasilar atelectasis is mild, but the upper lungs are grossly clear. the aorta is heavily calcified. the cardiomediastinal silhouette is otherwise within normal limits. | history: <unk>m s/p mva with left chest wall pain // pls eval for fracture |
MIMIC-CXR-JPG/2.0.0/files/p11129702/s59035290/f9262356-b3d89872-8ab0f0c5-f68a5399-f85d1d84.jpg | minor left base atelectasis/scarring is seen. there is persistent blunting of the right costophrenic angle. there is no new focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with fever // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13080738/s59252783/8e01a752-55209d55-403da7f5-81c42ff9-dc014043.jpg | the cardiac silhouette is mildly enlarged. a prosthetic mitral valve is noted. midline sternal wires are well aligned and intact. surgical clips are seen in the lower neck. a right-sided catheter is again seen, with the tip terminating in the lower svc. the right middle lobe opacity which was seen on recent comparisons appears progressed and more confluent than on prior examinations. bibasilar opacities have remained stable. there is no pleural effusion or pneumothorax. | <unk> year old woman with h/o recurrent lymphoma, evolving pulmonary infiltrates and leukocytosis // ?interval change |
MIMIC-CXR-JPG/2.0.0/files/p13955824/s56355655/4f78beaf-9f2a8af8-ef4bbba3-0796c86f-c0a1dca3.jpg | re-demonstrated is a left perihilar opacity extending to the left retrocardiac region likely representing developing pneumonia, slightly progressed since yesterday. the cardiomediastinal silhouette is normal. there is no pleural effusion and no pneumothorax. | woman diagnosed with pneumonia yesterday, now worsening symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p14398071/s57063330/d11eb0a6-7bc7f237-715502e4-5f6d891f-72c4533e.jpg | the lungs are normally expanded and clear. there is mildly coarsened interstitial pattern bilaterally. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11538083/s58246153/303ea649-111bdc3a-dc8b548c-b47fe303-0a4d1250.jpg | mildly enlarged heart is unchanged from previous chest radiograph with no signs of pulmonary congestion or pleural effusion. no focal consolidation is seen. | <unk>-year-old woman with dyspnea, currently taking amiodarone. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p10955958/s55426198/eae57746-f93e6adb-cf0ae809-913cb6cb-3f1e1d73.jpg | as compared to prior chest radiograph from <unk>, there has been interval placement of an endotracheal tube, which terminates <num> cm above the carina. there is unchanged cardiomegaly. there is obscuration of the diaphragmatic contours, consistent with bilateral pleural effusions. there is no evidence of new pulmonary findings. there is no pneumothorax. | <unk>-year-old female patient with hypoxic respiratory distress, intubated. study requested for evaluation of et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p10119514/s58261220/cc7dc27f-4a1ee2b8-5a48c46f-7c37474e-c8e67eeb.jpg | pa and lateral views of the chest. the lateral view is limited by patient's arm being down. mediastinum is slightly widened; however, this is likely due to fat deposition as was seen on prior cta chest on <unk>. lungs are clear. there is no evidence of pneumonia. no pneumothorax. no pleural effusion. cardiac enlargement is stable. normal hilar contours. | headache, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18820039/s53976456/e69b57be-9e5eba3e-30726be9-ce9cacfa-658e20eb.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax. | seizure. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16926448/s58103134/b96b594c-0f6975f6-262eeca9-49d0aa69-384e0ae5.jpg | interval placement of an icd with the tip of the single lead seen in appropriate position over the right ventricle. the lungs are clear. no evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits. left shoulder arthroplasty. minimal subcutaneous emphysema along the left chest wall. | <unk> year old man with cad, chf // s/p icd today |
MIMIC-CXR-JPG/2.0.0/files/p19439902/s52852803/b66e9382-b192534b-083fa528-11b30bc8-b445ac76.jpg | the lungs are poorly inflated. retrocardiac patchy opacity seen on the lateral view, not substantiated on the frontal view is likely due to atelectasis, but developing consolidation is not entirely excluded in the appropriate clinical setting. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no displaced fracture is seen. | <unk>-year-old male with back pain and prior history of pneumonia. evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p19889178/s56531796/776a3b33-d51a8d80-a81b2982-0346447a-9555b361.jpg | worsening right lower lobe consolidation and small pleural effusion. probable small left pleural effusion. significant interval improvement in bilateral pulmonary edema. cardiac size is enlarged but unchanged. no pneumothorax. severe degenerative joint disease of the right shoulder noted. interval removal of et tube. valve prosthesis in place. | <unk> year old woman with recent tavr, chf exacerbation // progression of pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p11314316/s55836624/639d4f9c-65e92f25-80ef184e-b13cb7e3-bb390e6e.jpg | heart size is normal and cardiomediastinal silhouette is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. multiple surgical clips are noted. | history: <unk>f with dyspnea // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11576534/s57858466/af083079-5c6d796b-3101a546-2083bc20-ecc40d81.jpg | the heart size is mildly enlarged. the mediastinal contours are unremarkable. there is crowding of the bronchovascular structures, likely the result of low lung volumes. additionally, patchy bibasilar airspace opacities likely reflect atelectasis. elevation of the right hemidiaphragm is noted. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities identified. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p11418635/s53386707/f867dd6d-1af601e7-17c56233-ff17d7eb-72c5b45c.jpg | mild basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. | history: <unk>f with productive cough // evaluate for pneumonia/ acs |
MIMIC-CXR-JPG/2.0.0/files/p10229029/s55953120/99557415-e3de7018-b30edb1b-01256ce6-a3f3eece.jpg | the aorta is tortuous. there is no focal consolidation, pulmonary vascular congestion, pulmonary edema, pneumothorax, or pleural effusion. there is stable mild cardiomegaly. kyphosis and multilevel mild compression deformities are unchanged dating back to <unk>. | <unk> yo with asthma/copd with exacerbation- persistent rhonchi despite inhalers, antibx // please eval for infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p15674490/s54519508/c4f108d0-ede2ed0a-e9d562e6-4e49f636-2abcb135.jpg | the lungs are well expanded and clear. there is hyperinflation of the lungs and inversion of the right hemidiaphragm, suggestive of small airway obstructive disease. there is no pneumothorax or pleural effusion. cardiomediastinal silhouettes are unremarkable. visualized osseous structures are unremarkable. | <unk>-year-old female with malignancy of the liver, requiring assessment for pleural lesions. |
MIMIC-CXR-JPG/2.0.0/files/p11342802/s51092386/6a7a715a-68ecc6eb-f9644d97-152552b1-ffc9e479.jpg | the heart size is at the upper limits of normal. mediastinal and hilar contours are within normal limits. the lungs are clear of consolidation. the flattened hemidiaphragms and a large ap dimension of the thoracic cavity suggest emphysema. there is no pleural effusion or pneumothorax. an ill-defined lucency over a mid thoracic vertebral body was not present on prior exams. | <unk>-year-old female with fever, cough and wheezing as well as shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11585307/s51159627/004da349-5210113f-e7fd5a20-630e10d6-ecdd1e2f.jpg | there has been no significant change since prior study dated <unk>. again appreciated is expected right volume loss from prior bilobectomy with persistent right pleural effusion. lungs are otherwise clear. there is no pneumothorax. cardiomediastinal silhouette and hilar contours are stable. surgical clips project over the right hemithorax. | large cell neuroendocrine carcinoma status post right lower lobe and right middle lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p12726753/s51881513/06920cff-7f6bdb85-f5bb3127-b32adbce-b6b08731.jpg | there is stable cardiomegaly. prominence of the hilar structures is also unchanged, possibly lymphadenopathy given the patient's cirrhosis and hiv, conditions which predispose to lymphadenopathy.there is a new increase in opacity in the retrocardiac region, seen better on the lateral view, which could represent developing infection. no pleural effusion or pneumothorax. | history: <unk>m with hiv and cirrhosis presents with fever and cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12956594/s55554181/45520ad8-6d1cda07-82e90fb2-5349ec91-68d6f0c9.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size and mediastinal contours. no focal consolidation, pleural effusion or pneumothorax. no displaced rib fracture is identified. clips are again noted in the right upper quadrant. | fall and loss of consciousness, evaluate for pulmonary process or fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17715495/s50421840/56ce0430-0816ddbb-18090480-570aa596-8987f00b.jpg | there has been interval removal of a swan-ganz catheter, mediastinal drains, thoracostomy tube, endotracheal tube, and orogastric tube. there is no pneumothorax. mild bibasilar atelectasis is present. the heart size is unchanged. the hilar and mediastinal contours are stable. there are no effusions. | aortic valve replacement. |
MIMIC-CXR-JPG/2.0.0/files/p16116091/s56929901/41980e45-710a22d6-658706b2-0b211666-84f23f60.jpg | stable appearance of the cardiomediastinal silhouette. no pneumothorax. no pleural effusions. osseous structures are unremarkable. lung volumes are low. there is no focal consolidation. | history: <unk>f with fall and confusion*** warning *** multiple patients with same last name! // rib fx, pna ? |
MIMIC-CXR-JPG/2.0.0/files/p17288913/s52097682/1cb85bc0-710b030d-ae366507-34c23b5c-ac7e4c8f.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. there is suggestion of a possible hiatal hernia. | history: <unk>m with sob, <unk> swelling // ? pul edema |
MIMIC-CXR-JPG/2.0.0/files/p17624238/s59044812/6453a4b9-2727b519-d55782a2-a09a35ec-92a47442.jpg | the heart is top-normal in size. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. | <unk>-year-old male with tachycardia. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11436396/s55709849/3f888050-aa03c49f-ab67890b-ca315b7d-6133f72e.jpg | nasogastric tube tip is within the stomach. cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities detected. | nasogastric tube placement. |
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