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MIMIC-CXR-JPG/2.0.0/files/p10103318/s58470002/4b55dc6f-a8f1b418-464a67bb-61e5dcbe-61f64393.jpg | the heart size is within normal limits. the mediastinal contours may be slightly shifted to the left rather than exaggeration by patient rotation. again is noted a small right apical pneumothorax with gas also tracking along the lateral and inferior portions of the pleural space. there does not appear to be right hemidiaphragmatic flattening. the lungs are clear with a suture chain in the right apex. there is no pleural effusion. | <unk>-year-old male with right-sided pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18914238/s53035383/6e6a4271-9930f6ae-d03dd0c7-3df14601-21d1c997.jpg | since the prior exam performed approximately six hours earlier, there has been an increase in the prominence of the pulmonary vasculature and interval development of bilateral hazy ground-glass opacities consistent with new mild interstitial edema. a small left pleural effusion is unchanged in appearance. there is no definite right pleural effusion. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is unchanged in appearance. the heart size is at the upper limits of normal. sternal wires are intact. the patient is status post cabg. | low oxygen saturations after receiving iv fluids. |
MIMIC-CXR-JPG/2.0.0/files/p10684279/s52973000/9b74e02e-6548f3b6-f3c24a35-fa130d43-d31b055d.jpg | frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal aside from minimal aortic tortuosity. | cough and fever for six days. |
MIMIC-CXR-JPG/2.0.0/files/p16013292/s56772750/1eb64188-91a8891d-9abee782-9fa65477-5fe42818.jpg | the patient is status post median sternotomy and cabg. the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is visualized. there are mild degenerative changes in the thoracic spine. | substernal and epigastric discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p18489691/s57486053/7f53ca40-b665cc07-b90a8477-57a63946-0667ef73.jpg | cardiac silhouette size is normal. mediastinal contour is unchanged, with widening of the right paratracheal stripe compatible with underlying lymphadenopathy, not substantially changed in the interval. hilar contours are obscured though likely enlarged due to lymphadenopathy. there is near-total opacification of the right lung, perhaps minimally increased compared to the previous radiograph, reflecting a combination of pulmonary metastases, right middle lobe collapse, and lymphangitic spread of tumor. similar findings are also noted in the left lung, but are less pronounced, and this asymmetry again may be due to the presence of superimposed infection. no large pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. | history: <unk>m with seizure, tachycardia, altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p19083272/s59313992/72319917-b1058b6b-283760fb-7ee4b4bf-7fa50d4f.jpg | upright portable chest radiograph demonstrates increasing bibasilar opacities, with likely small bilateral pleural effusions, and an interval increase in pulmonary edema, now moderate in degree. airspace opacity in the right upper lobe may reflect asymmetric edema or developing infection. the cardiac silhouette remains enlarged, and is slightly increased in size compared with prior. the mediastinal contours are unchanged. | <unk>-year-old male status post abdominal surgery with critical as. |
MIMIC-CXR-JPG/2.0.0/files/p18454624/s51537970/450dc9fa-03cdcd49-9fb68fc6-68003aa6-a3529cf8.jpg | frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. peripherally calcified left breast implant is identified. no acute osseous abnormalities. | <unk>-year-old female with dyspnea and back pain. |
MIMIC-CXR-JPG/2.0.0/files/p17419409/s52932567/42fb63d2-12a8bf18-de47a1f5-e2b4acca-ff8cab7d.jpg | the patient is status post median sternotomy and coronary bypass surgery. stable postoperative appearance of cardiomediastinal contours. interval worsening of bibasilar atelectasis. persistent small pleural effusions with no visible pneumothorax. | <unk> year old man with s/p cardiac surgery // f/u effusions, atx |
MIMIC-CXR-JPG/2.0.0/files/p15712858/s53234235/89c2c695-eb6bf037-ce161c4f-0a288d50-6f27cbdb.jpg | there is marked increase in opacification of the right lower lobe with a component of volume loss. a less extensive opacity is also developing in the left retrocardiac area compared to the prior radiographs, although not necessarily changed from the more recent ct, to which it is difficult to compare precisely due to differences in technique. l<num> and l<num> compression deformities appear unchanged, although not well visualized. the bones appear demineralized. | metastatic prostate cancer. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11219086/s59372025/df835dbe-451d98ee-a3a101fb-081c0161-ededea73.jpg | there is no focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. heart size is normal. no acute osseous abnormalities identified. no subdiaphragmatic free air. cholecystectomy clips are noted in the right upper quadrant. | <unk>-year-old male with right arm pain |
MIMIC-CXR-JPG/2.0.0/files/p18567898/s53677026/24860545-99770c35-adf4cb5e-919026de-46502d62.jpg | ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. levoscoliosis of the thoracolumbar spine is noted, apex at t<num>/<unk>. sclerosis and mild spur formation is noted at the glenohumeral joints bilaterally. no definite fracture. hardware partially visualized in the lumbar spine. | <unk>f with found down // rule out acute process? |
MIMIC-CXR-JPG/2.0.0/files/p11391144/s53271321/81c77f20-a549706b-e3c1fa26-41ec9102-014e1c34.jpg | frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture is appreciated. | fall and rib pain. |
MIMIC-CXR-JPG/2.0.0/files/p15378921/s55989897/c4842475-8ad1dbb9-7d8c1e76-013b6642-ea178065.jpg | portable radiograph of the chest demonstrates low lung volumes with bibasilar atelectasis. there is no pleural effusion, overt pulmonary edema or pneumothorax. no focal consolidation is seen. the cardiomediastinal silhouette is normal. no displaced fracture is identified. | <unk>-year-old female, restrained passenger in motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p17241854/s55233777/27cf648d-d4930438-4673e24c-3dc25705-ae9381f2.jpg | pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size and cardiomediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old man with cough, left-sided crackles and fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15622655/s54143936/dcda4cea-95333c20-b002b305-47e7e8f6-2db0d64a.jpg | dual lead left-sided pacemaker is stable in position. there is mild bibasilar atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16243656/s54818507/1fa8d3fe-e56fa94d-35f94ea5-2c9c81cd-68aa1ba2.jpg | new right pleural drain has been placed, with interval decrease of right pleural effusion, now small and with minimal residual intrafissural component. increased opacification of the right base might be related to lung parenchyma reexpansion edema and atelectasis. left lung is clear. cardiomediastinal silhouette is top normal. there is no pneumothorax. | <unk> years old man with new chest tube placement. please evaluate chest tube position. |
MIMIC-CXR-JPG/2.0.0/files/p11258504/s50372816/e7bb60da-699a6e38-adca3414-08df8240-5a7d3914.jpg | new ng tube with the tip in the stomach. the endotracheal tube has been removed. stable position of right ij catheter. otherwise no significant change from the prior radiograph | new ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p14919586/s54075437/b7c7ba34-77baa1ed-e13930d3-e2665a2f-eb2ae47d.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | <unk> year old woman with hx of pe, present w/ pleuritic cp, sob // eval for lung infarction |
MIMIC-CXR-JPG/2.0.0/files/p11530425/s54894817/bb8a17fe-9136a1cf-36fba70f-132f30c5-fa879106.jpg | the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. right upper quadrant surgical clips are intact. | <unk> year old woman with cough for a week, fever during the first few days, pansinusitis. lung exam shows wheezing bilataerally. non-smoker. // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10508385/s59044734/b8cde3c6-d818ec0b-56ae00e9-c9a9e93f-9babae4d.jpg | low lung volumes accentuate mild vascular plethora and borderline cardiomegaly. there is no pulmonary edema, pleural effusion or focal consolidation. hilar and mediastinal silhouettes are unremarkable. partially imaged upper abdomen is unremarkable. | hypertension, chest pressure, and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15630567/s50742023/d7d96bdc-cf52f283-9b7e54af-9879fa6c-925f552f.jpg | pa and lateral chest radiographs. left basilar atelectasis persists. however, there is no visible pneumothorax. the cardiomediastinal silhouette is stable. | fall from tree with small pneumothorax on ct. chest tubes removed this morning. |
MIMIC-CXR-JPG/2.0.0/files/p19173664/s58856963/6a07fcda-c2562272-9bb5d548-facbc3a5-a41562f7.jpg | pa and lateral chest radiographs were obtained. lung volumes are low, but the lungs are clear. no effusion or pneumothorax is present. the heart and mediastinal contour are normal. | <unk>-year-old woman with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12599826/s55920256/7eefd0dc-6aee6f60-12e12e7c-1c1fb2ea-a9ed37f6.jpg | interval removal of ng tube. right picc ends in the right atrium and could be withdrawn <num> cm in order for tip to end in the lower svc. persistent consolidation at the left base reflects moderate left pleural effusion. rounded left retrocardiac opacity may reflect loculated pleural fluid or a rapidly developing lung abscess. stable, mild cardiomegaly. | <unk> year old man s/p gastric perforation // pleural effusion pleural effusion <unk>-year-old man with a gastric sleeve leak and pleural effusion. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16403314/s51812155/23fd47e1-564fba34-38691af8-7a2d4a77-2be4c6c5.jpg | endotracheal and enteric tubes are unchanged. right-sided picc line terminates in the mid axillary line, as before. heart size is normal and the ascending aorta is slightly tortuous. lung volumes are similar with no new consolidation. right infrahilar atelectasis is slightly increased. no pneumothorax. | <unk> year old man with ams and intubated. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14643398/s59607021/3bff91db-67ee2601-d421eea8-975419fd-d42e0204.jpg | frontal and lateral chest radiographs demonstrate fairly well aerated lungs and a mildly enlarged cardiac silhouette. no focal consolidation is identified, but there is increased perihilar opacity, which could represent a viral or small airways process, or mild vascular congestion. no pleural effusion or pneumothorax is present. the visualized upper abdomen is unremarkable. | productive cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14267046/s53475380/738ea998-b8c1f4f8-4dee42fc-08010f12-e37afa2c.jpg | there is an apically oriented chest tube on the left. there is no consolidation to suggest pneumonia. right lung is essentially clear. tiny left apical pneumothorax measuring <num> mm. there may also be a small left pleural effusion. cardiomediastinal silhouette is normal. there is subcutaneous emphysema along the left lateral chest wall at the entry site of the left chest tube. | <unk> year old woman s/p left vats resection of posterior mediastinal cyst // eval for ptx, effusion |
MIMIC-CXR-JPG/2.0.0/files/p16223492/s59499956/4c840e9d-9268e391-2aa5291a-1e0d606c-48b23aff.jpg | endotracheal tube terminates approximately <num> cm above level the carina. enteric tube courses below level the diaphragm, terminating in the expected location of the stomach. interval increase in prominence of the bilateral hila suggests central pulmonary edema, vascular engorgement, underlying aspiration not excluded. . enlargement of the cardiomediastinal silhouette is stable. linear left mid lung opacity most likely represents atelectasis/ scarring. no large pleural effusion is seen. there is no pneumothorax. | history: <unk>f with tube tx*** warning *** multiple patients with same last name! // eval ett |
MIMIC-CXR-JPG/2.0.0/files/p18784957/s54726484/427a0618-c837de4c-9b7db9f3-28bc978c-85e91adb.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p15713023/s55066713/3ee5b6bd-2dc1737f-48d0bbcf-02e15a0d-151c897e.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. multiple clips are noted within the anterior chest wall. no acute osseous abnormality is demonstrated. | history: <unk>f with pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16458801/s52870754/51bce3a5-81589f80-ba83650d-95431522-6ff3d78f.jpg | the lungs are mildly hypoinflated with crowding of vasculature. in comparison to prior examinations there is apparent widening of the mediastinum which may be positional in nature. the contour of the descending aorta is smooth and unchanged since prior examination. again seen is moderate cardiomegaly, stable since prior examination. a stable left basilar opacity likely represents a combination of small pleural effusion and atelectasis. right lung is clear. median sternotomy wires are intact. mediastinal clips and right chest wall clips are again noted. | <unk>f with chest pain after aortic surgery. assess for congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16172396/s50937713/95cfd9d1-1dc7b97a-63def69d-8bf200f9-46598573.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14945369/s52569199/49ba20c3-35c60bfc-5af9de64-3607b683-0e38f9b5.jpg | single portable view of the chest. comparison is made to previous exam from <unk>. there is small region of left basilar opacity, slightly more conspicuous on the current exam. the lungs are otherwise clear of consolidation. scattered calcifications are seen in the right lung base and in the hilar regions, suggestive of calcified granulomas. mitral annular calcifications are noted. cardiomediastinal silhouette is otherwise unremarkable. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with low white blood cell count, question underlying infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p12251429/s58828724/68f655da-69c9d0a2-17a9c455-a4bc2b8e-3461a5a3.jpg | ap portable view of the chest shows a dobbhoff tube ending in the stomach. lung volumes are slightly lower. there has been interval increase of vascular congestion and mild to moderate pulmonary edema. there are no large pleural effusions. there is no pneumothorax. cardiomediastinal silhouette is unchanged. | <unk> year old woman with end stage liver disease requiring tube feeds, new dobbhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19621207/s50583758/c3ff2dd4-428cab2b-856952b5-3e868ad6-59b649c8.jpg | heart size is normal. the aorta demonstrates diffuse atherosclerotic calcifications and unchanged mild tortuosity. mediastinal and hilar contours are otherwise within normal limits. lungs remain hyperinflated with mild emphysematous changes again demonstrated. small left pleural effusion appears not substantially changed in the interval with left basilar opacity likely reflective of compressive atelectasis. no large right pleural effusion is demonstrated, and no pneumothorax is detected. dextroscoliosis of the thoracolumbar spine is again noted. marked degenerative changes of both glenohumeral joints as well as a narrowed right acromiohumeral interval is suggestive of rotator cuff disease. remote right-sided tenth rib fracture is again noted. | history: <unk>f with leukocytosis concerning for occult infection |
MIMIC-CXR-JPG/2.0.0/files/p19666743/s50321474/e7ade701-12286d32-f8f9c788-600cd675-f6206f33.jpg | a left-sided picc line has been retracted somewhat and terminates in the mid portion of the superior vena cava. the heart is moderately enlarged, as before. there is a suggestion of upper zone re-distribution of pulmonary vascularity, which suggests pulmonary venous hypertension, but congestive heart failure has largely resolved. a developing opacity is suspected in the right lower lung, however, but not optimally evaluated with portable technique. streaky left basilar opacity probably is probably compatible with minor atelectasis. there is no definite pleural effusion or pneumothorax. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p15279861/s57720467/c26c5262-b4a962e4-c927805b-0132073c-6136903a.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk> m with syncope. evaluate for widened mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p18477942/s55491829/be11f3ff-1704f184-a0f46e04-81ea79f8-e083d03a.jpg | compared to multiple prior studies, the appearance of the chest is relatively stable. diffuse bronchiectasis as well as a hyperlucent right lower lobe with hyperinflation is similar. nodular streaky opacities particularly in the right mid lung are compatible with the patient's history <unk> <unk> infection. cardiac size is stable. there is persistent blunting of the left costophrenic angle, without a new pleural effusion. no pulmonary edema or pneumothorax. | history: <unk>f with pmh bronchiectasis with worsening cough and feelings of malaise // acute intrapulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p16596764/s51766019/50cad956-03f00825-b89d4378-df0b9c4f-9c71453d.jpg | cardiomediastinal and hilar contours are normal. no pleural effusion or pneumothorax. the lungs are clear. ng tube is present coiled within the mid esophagus with distal end likely in the oropharynx but not captured on the current study. surgical <unk> overlying the abdomen are present as well as an abdominal drain. | ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg | pa and lateral views of the chest: interstitial opacities within the right upper lobe are thought to represent recurrent pneumonia. pneumonia was noted in this area on <unk> but had essentially cleared on <unk>. the right lower lobe nodule is unchanged in size through <unk>. there is no pneumothorax. a small right pleural effusion and right apical scarring persists. the neo esophagus is not distended. the mediastinal silhouette is normal in contour. | esophageal cancer status post esophagectomy, presenting with cough and pleuritic chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13323126/s53564159/edb9a2c5-0d3b6f47-61ff895d-a43f6102-c812a3f2.jpg | compared to the study from the prior evening, there continues to be a large right effusion; however, the aeration in the right lung is slightly improved. there continues to be a moderate left effusion with pulmonary vascular redistribution and some patchy areas of alveolar infiltrate but this is also slightly improved. there continues to be marked cardiomegaly. the position of the lines and tubes are unchanged. | followup pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17096173/s54133706/c11c0756-489b914b-d05a3315-e5f24d97-599489b2.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is enlarged but stable in configuration. ascending thoracic aorta is tortuous. no acute osseous abnormality is detected. | <unk>-year-old female with history of atrial fibrillation with weakness for <unk> days. |
MIMIC-CXR-JPG/2.0.0/files/p18396253/s58174055/91e0533f-b48cbd5c-de1dd32b-ee4870bb-38d7da8b.jpg | when compared to prior, there has been no significant interval change. large hiatal hernia is again noted. volume loss in the right hemithorax with rightward deviation of the upper thoracic trachea and elevation of the right hemidiaphragm. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. surgical clips project over the right lateral chest wall. | <unk>f with ams // pna? stroke? |
MIMIC-CXR-JPG/2.0.0/files/p19820806/s59845183/26ea1baa-5bd7deb5-a99a1512-f0579f3d-a320fbf2.jpg | left internal jugular central catheter has been removed since <unk>. interval improvement in diffuse pulmonary opacification is consistent with improved pulmonary edema. small left pleural effusion with associated bibasilar atelectasis is unchanged from <unk>. heart size slightly smaller since <unk> with moderate chronic cardiomegaly. no pneumothorax. | shortness of breath, tachypnea. assess volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p11489099/s59629972/6732c543-2c083833-5e9a339f-2eff7176-a99c53b4.jpg | there are small bilateral pleural effusions, which appear increased since the prior, possibly new on the right. no definite focal consolidation is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. mild prominence of the hila is also stable. | dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p11733600/s55426722/07c3f674-92df9635-c843c3fa-312ac027-9993c039.jpg | the aeration in the right lung is slightly improved however there continues to be a moderate right effusion and central opacification of the right lung. there is mild pulmonary vascular redistribution on the left, similar to prior. | <unk> year old woman with <unk>'s disease presenting with loculated pleural effusion s/p chest tube // please eval fluid collection change, chest tube placement |
MIMIC-CXR-JPG/2.0.0/files/p12112476/s51582680/b96a50f3-97dd8365-9c40f8c7-d5dfcd5f-22af9b96.jpg | single portable view of the chest. volume loss in the right hemithorax is seen with streaky right midlung and perihilar opacity with rightward shift of the mediastinum. these findings are presumably in part due to treatment for patient's known cancer however underlying mass is also possible. there is no prior to evaluate for interval change. the left lung is clear. there is no pneumothorax on either side. no acute osseous abnormality detected. | <unk>-year-old male with stage iii non-small cell lung cancer on chemotherapy with lethargy and vomiting. low blood pressure. |
MIMIC-CXR-JPG/2.0.0/files/p16925602/s58926503/0b0a4652-f25df06d-25e28fa9-7ebe811a-299b613e.jpg | there has been interval placement of a right internal jugular central venous catheter, terminating in the low svc/ cavoatrial junction. endotracheal tube is seen terminating approximately <num> cm above level the carina. lung volumes remain low and there is minimal left basilar atelectasis. no evidence of pneumothorax is seen. no large pleural effusion is seen. again, large lucency beneath the right hemidiaphragm is highly worrisome for pneumoperitoneum. | history: <unk>f with pneumoperitoneum, s/p rij line placement // eval rij cvl position |
MIMIC-CXR-JPG/2.0.0/files/p14985054/s50435507/147c4f6f-c586d9ef-e25d151b-464a7d0d-1ca9296c.jpg | frontal and lateral radiographs of the chest demonstrate interval resolution of left apical pneumothorax with mild left apical pleural scarring. otherwise, the lungs are clear. the mediastinal and hilar contours are normal. no pleural effusion is detected. | recent left pneumothorax after a motor vehicle accident two weeks ago. follow up on pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18734137/s51510551/8e7d8f18-22fb880d-331dedd6-4490f99e-e18c2129.jpg | opacification in the left lung base is new since the prior exam from <unk>, compatible with pneumonia. bibasilar atelectasis and small bilateral pleural effusions are also noted. the heart size is mildly enlarged, stable since the prior exam. there is no overt pulmonary edema or pneumothorax. there is biapical pleural scarring worse in the left side. | history: <unk>f with fever // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19151884/s50339652/2d46bddf-8e8b260f-077ff867-b843dd4d-04d08a86.jpg | frontal and lateral chest radiograph demonstrates unchanged multiloculated right pleural effusion with adjacent atelectasis. the left lung is grossly clear without pleural effusion. there is no pneumothorax. cardiomediastinal and hilar contours are stable. a right picc is seen terminating within the mid svc. | <unk>-year-old with bilateral pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16613838/s54463996/b0b8b034-ec2c12e4-ca69d7dc-321531e1-4f05c760.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with leukocytosis // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p18298366/s59344529/f86e6b26-24daa0ad-72f3279d-c424c317-53ab9f2f.jpg | frontal and lateral chest radiographs again demonstrate a right pleural drain in place and the expected postoperative appearance of the mediastinum. moderate cardiomegaly is unchanged. a small right lower lung opacity likely represents atelectasis, but should continue to be monitored. there are small bilateral pleural effusions. no pneumothorax is seen. | status post minimally invasive esophagectomy. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16581134/s54392722/7bdadf6d-9831ea2c-67642148-5ca4fc37-cee7151c.jpg | as compared to chest radiograph from <num> day prior, improved aeration of the lungs. previously seen pulmonary vascular congestion has improved. minimal linear atelectasis in the lung bases. mild cardiomegaly. no pneumothorax. small effusions unchanged. right-sided ij catheter in the mid svc. | <unk> year old female with a history of niddm, htn, breast cancer s/p mastectomy, ckd (baseline cr <num>) who presented to pcp today with abdominal pain. // eval lung parenchyma, congestion? |
MIMIC-CXR-JPG/2.0.0/files/p19047244/s52465623/5c24e472-97a2ed09-08ac349e-1edafb59-8c9d6644.jpg | frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with mm, s/p cytotan, new fever // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19014149/s56614138/ce42b1c0-bd5e74f5-85b3319a-59884280-b1341a46.jpg | there is mild to moderate pulmonary edema. no focal consolidation is identified. the cardiac silhouette is unchanged. there is no pleural effusion or pneumothorax. a right chest port-a-cath terminates at the cavoatrial junction. | <unk>-year-old male with shortness of breath. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10771396/s51838303/90acad5e-343a1c17-99e0c9fa-eaf2d845-962a377a.jpg | lung volumes are better from the prior exam. no focal consolidation, effusion, edema, or pneumothorax. median sternotomy wires and mediastinal clips are unchanged and appear intact. there is eventration of the right hemidiaphragm. no evidence of fracture on this nondedicated exam. moderate cardiomegaly. | history: <unk>f with history of cabg presenting after unwitnessed fall with anterior chest pain // rule out fracture |
MIMIC-CXR-JPG/2.0.0/files/p19317770/s56202894/a95406e2-742b0513-74ad701c-3bf324ff-a30f47c9.jpg | endotracheal tube terminates <num> cm above the carina, with the head up. left subclavian line is in the lower svc. enteric tube is below the diaphragm. moderate to severe pulmonary edema persists. moderate to large bilateral pleural effusions have increased. no no pneumothorax. | <unk>f w lg mca stroke, intubated, hypotensive on pressors, leukocytosis, known pe // eval interval change, ?pulm edema vs multifocal pna |
MIMIC-CXR-JPG/2.0.0/files/p14275120/s53204470/79229bba-a514cb94-c5d0b2a7-0ac80991-7af7bc69.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough > <num> weeks // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17810291/s50320710/230bd6d6-77f944fa-652f9e22-711af2ff-6f1be7e8.jpg | heart size is normal. the mediastinal and hilar contours unchanged. bilateral hilar and prevascular mediastinal lymphadenopathy are better assessed on the previous pet-ct. pulmonary vasculature is not engorged. a fiducial marker is noted within a spiculated lesion in the right medial apex of the lung compatible with known malignancy. no new focal consolidation, pleural effusion or pneumothorax is present. lungs are hyperinflated with emphysematous changes again noted. no acute osseous abnormalities detected. | history: <unk>m with lung cancer and cough // ? infectious process |
MIMIC-CXR-JPG/2.0.0/files/p11535323/s57270715/aa4acda4-8277ebac-857d440f-a6edba60-a1060fa0.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with cough // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p15764294/s52801366/845d2b18-810d1055-24687e7c-44a34c7b-a5914925.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. | <unk> year old man with c/p pmh pneumothorax // c/p pmh pneumo |
MIMIC-CXR-JPG/2.0.0/files/p16320616/s55898180/55a47809-c59c1adb-cb1e8d91-8ea8dca5-4e2b0a67.jpg | <num> portable semi-erect views of the chest demonstrate new small right pleural effusion. no new focal opacity within limitation of these rotated films. persistent moderate cardiomegaly, tortuous aorta with the descending thoracic aneurysm and prominence of the left main pulmonary artery is similar to <unk>. limited examination the upper abdomen is unremarkable. | fever, tachycardia. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18888994/s59648566/eb7678b2-9d733f63-efc79bee-98024b62-5e3b20a3.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified. | history: <unk>m s/p bike vs. bus collision, with l pleuritic chest pain and ttp in l lower costal margin. // please eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15216748/s58157027/e84b1fe5-7f779203-42b46c53-66df490b-abcf130e.jpg | swan-ganz catheter is in appropriate position, and <num> left chest tube have been removed. median sternotomy wires are intact. lung volumes continue to be low with moderate bilateral pleural effusions and associated atelectasis. no pneumothorax following chest tube removal. | <unk>-year-old man status post cabg and aortic valve replacement. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13053009/s59466311/e5a941b7-bc91635b-9126e77e-69e655da-5a34baf2.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine | <unk> year old man with > <unk> years of chronic cough, former smoker // eval for infiltrates, parenchymal disease |
MIMIC-CXR-JPG/2.0.0/files/p10245082/s57918142/b7b950fc-a3d69dd2-8e40ae8f-b629e37e-1f75a000.jpg | air-fluid levels are visualized in the right hilar region. there is a persistent moderate right-sided pleural effusion with patchy opacification again seen throughout the right lung, but slightly decreased. patchy left basilar opacity is similar. there is probably a small effusion on the left side. degenerative changes are similar along the thoracic spine. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p10233088/s59131510/2a6ada64-ea28522d-475c450d-fd4d8193-b0c37808.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk> year old woman with rcc metastatic to lung, now re-intubated // eval int change eval int change |
MIMIC-CXR-JPG/2.0.0/files/p10388348/s50135106/09a3852d-9c10faf6-bd67d2b8-cfda9dd8-62c26e7f.jpg | two portable views of the chest. the lungs are grossly clear within limitation of patient's positioning and the lung apices are obscured by the patient's chin. there is rotation to the left. the cardiomediastinal silhouette is grossly unremarkable, although atherosclerotic calcifications are noted at the aortic arch. left-sided picc is identified, although the tip is difficult to assess in positioning given patient's positioning. tubes also project over the abdomen bilaterally. | <unk>-year-old female with fatigue and lethargy. |
MIMIC-CXR-JPG/2.0.0/files/p18179783/s53895384/be308f4c-93963591-3965a9f2-e235d4e4-3f554ba4.jpg | the lungs are hyperinflated but clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with weakness evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13031383/s56365078/8465870c-3ed9153d-236d146e-1d88ed96-619f2eba.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. | history of chf here with weight gain, edema, dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16051354/s50198577/30aa2496-f22cd4e4-b41209ef-861153aa-008bb85f.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation orsignificant effusion. the cardiomediastinal silhouette is within normal limits. changes seen in the spine without acute osseous abnormality. | <unk>-year-old male with left facial droop. question stroke. |
MIMIC-CXR-JPG/2.0.0/files/p18611625/s55836532/33db174c-236c2fd2-41ef7e3f-f5ec9f93-67e0d747.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 dizziness, not feeling well // please eval for any infectious process |
MIMIC-CXR-JPG/2.0.0/files/p10005866/s55665483/4341f985-0ec85dbe-4c0b9e32-94316c48-e8675ead.jpg | compared with the prior study, a right-sided pleural effusion, with right basilar atelectasis is new. however, pulmonary edema has improved. the prior retrocardiac consolidation has also resolved, suggesting clearing of a mucous plug. mild cardiomegaly is unchanged. no pneumothorax. interval removal of the ng tube. | <unk> year old man pod <num> from ex lap and loa for sbo now with increased breath sounds not yet back on diuretics. assess for effusion, exudate, pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18094547/s51753178/663fef7d-5a34d871-797541f9-a1cf25fa-29c2192c.jpg | there is a focal opacity at the right lung base obscuring the right heart border. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable. osseous structures are grossly intact. | <unk> year old woman with persistent cough, hypoxia, s/p splenectomy evaluate for pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11431563/s51536900/fdea4c58-6c7a5723-e9bd27b7-4cac3e41-2367aa55.jpg | heart size is normal. mediastinal and hilar contours are unchanged. multiple nodules are again seen within the anterior and middle mediastinum, not significantly changed from the prior exam, and some of which reflect calcified lymph nodes. several chain sutures are noted projecting within the right upper lung field. there is associated volume loss in the right lung with elevation of the right hemidiaphragm. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. | chest pain, shortness of breath and fevers. |
MIMIC-CXR-JPG/2.0.0/files/p15199384/s57145498/99056c62-3a6ce1e2-db07234e-625db32a-523c3007.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are normal. | evaluation of patient with right lower lobe crackles. |
MIMIC-CXR-JPG/2.0.0/files/p13802517/s51625277/12627c90-49347b77-5ee4f8d3-ef8424cd-ae8f0d2d.jpg | pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified. no air under the right hemidiaphragm. | <unk>m w/syncope and falls, right rib pain, please eval for rib fxs, occult pna |
MIMIC-CXR-JPG/2.0.0/files/p12125665/s55944292/029cf5a3-c525be46-b8b1e98a-a211580c-00cd4bec.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable. vascular calcifications are again noted. sternal wires are in similar positions. radiopaque gallstones project over the right upper quadrant. | <unk>-year-old male with productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p17182700/s56783911/e6abe323-621f0744-cc277acd-791b2737-72e12654.jpg | pa and lateral radiograph of the chest demonstrates marked reduction in size in the layering, large left pleural effusion, with stability in the mid lung field loculated portion. overall, the appearance is similar to the radiograph from <unk> prior to exacerbation of this effusion. the opacity overlying the right lower lobe, representing a chest wall mass seen on the <unk> ct, is unchanged. the hilar and cardiomediastinal contours are unchanged. there is no pneumothorax or pulmonary edema. multiple surgical clips are seen once again in the thorax. the right port-a-cath is appropriately positioned. | worsening shortness of breath and cough in a patient with metastatic ovarian carcinoma and e. coli bacteremia. |
MIMIC-CXR-JPG/2.0.0/files/p12612379/s57359041/091762d0-4ea3cf58-a1b246f2-4024e9dc-5585a6da.jpg | there is no new focal consolidation or pneumothorax. there has been improved aeration of the left lung base since <unk>. slight blunting of the right costophrenic angle is likely due to a small pleural effusion. bibasilar atelectasis with scarring in the right middle lobe is unchanged since <unk>. coarse right breast calcifications are redemonstrated. cardiomediastinal silhouette is unchanged. lungs remain hyperinflated. osseous structures are unremarkable except for degenerative changes in the thoracic spine. | <unk>-year-old female with shortness breath and fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12351481/s58471903/e9cbc85f-1b44e1b6-f36ca477-a75b541f-56fe12f5.jpg | overall, there is a similar appearance of the chest compared to the prior study. large left pleural effusion, with overlying atelectasis and findings compatible with known chronic aspiration are again seen. smaller right pleural effusion and basilar consolidation are similar. superimposed mild vascular congestion is also noted. | <unk>m with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10388318/s55983953/02e6371f-19360874-63df6e9a-cc84f1e3-996951f0.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. mild degenerative changes in the spine. there are chronic appearing rib fractures on the right. | <unk> year old woman with cough,h/o tobacco use // cough for <num> weeks |
MIMIC-CXR-JPG/2.0.0/files/p18926295/s50913634/c2d5146e-68f2ff4c-57d7cc96-f3db69ef-e91bb2b4.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with esrd on kidney waiting list // lung status |
MIMIC-CXR-JPG/2.0.0/files/p14977442/s54163296/703f5b6c-49867ef5-d03a045e-427e7aab-d80995b4.jpg | the lungs are well-expanded and clear. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, hila, pleura, and pulmonary vasculature are normal. slight callus formation of the known right lateral seventh rib fracture. interval development of a left lateral seventh rib fracture with callus formation. no acute osseous abnormality. | <unk>-year-old woman presenting with a productive cough, wheezing, and shortness of breath; evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18397370/s54565959/54a2648f-69b62f57-ffda26b4-445137c0-c14c0688.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. | history: <unk>m with cough // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18059388/s58658536/1511800d-adc241fe-f4e11345-5f7599c6-14bf966c.jpg | multiple displaced rib fractures on the right related to recent trauma. no visible pneumothorax. no localized consolidation to suggest pneumonia. minimal atelectasis at the lung bases. retrocardiac opacities slightly asymmetric on the left may likely represent atelectasis, however underlying pneumonia cannot be excluded. heart size is normal. | <unk> year old woman with r sided <unk>th rib fractures, <unk> with <num> point fractures c/w flail chest, rising wbc // eval for trauma sequelae |
MIMIC-CXR-JPG/2.0.0/files/p12452180/s59980826/a632e983-0272a062-74f06eae-19ad5ed0-a55f2a95.jpg | the lungs are clear without consolidation, nodules, or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of hilar lymphadenopathy. | history of cml with a persistent cough. |
MIMIC-CXR-JPG/2.0.0/files/p13906770/s50157475/cfbdfcd0-804ea95d-3c8a40ba-0007b2ff-7548afa6.jpg | lung volumes are slightly low. retrocardiac opacity is most likely atelectasis. no focal consolidation, edema, effusion, or pneumothorax. the heart is mildly enlarged. the thoracic aorta is slightly tortuous. aortic knob calcifications are moderate. no mediastinal widening. degenerative changes in both ac joints are mild. moderate degenerative changes are seen in the right glenohumeral joint. multilevel degenerative changes in the thoracic spine are mild. | <unk>-year-old man with right sided weakness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15375637/s57155888/d5f974e0-f58d2011-3b51c049-978b491d-bfff7c7b.jpg | pa and lateral views of the chest. lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. surgical clips project over the right axilla. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19638077/s56740478/80c42a61-ac24d8e7-ce558366-584b62f0-3887c125.jpg | pa and lateral views of the chest demonstrate diffuse granular/reticular opacities in the bilateral lungs, with relative sparing of the right lower lobe, likely due to underlying chronic fibrotic disease. there is no evidence of pneumothorax, pleural effusion, or focal consolidation. the cardiomediastinal silhouette is unremarkable. | <unk>-year-old female with lethargy and confusion. evaluation for cause of prominent left-sided crackles. |
MIMIC-CXR-JPG/2.0.0/files/p12378259/s52039598/6a5f0969-f65d610c-b77c52dd-3f152678-f2eecc6a.jpg | the endotracheal tube ends at the carina. the orogastric tube is in appropriate position. the cardiac pacer and right ij line are in change. extensive bilateral parenchymal opacities are similar. no pleural effusion or pneumothorax identified. cardiac and mediastinal contours are stable. | <unk> year old man with chf, possible pneumonia, concern for ards now intubated for hypoxemic respiratory failure. evaluate endotracheal and oral gastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19839681/s53859965/2730f861-2186f1d5-d4c3d58b-110f2c40-ca91aa36.jpg | on the initial image, the et tube is high, at the thoracic inlet, <num> cm above the carina. by the <unk> image this was lower, <num> cm above the carina. the ng tube tip is in the stomach | <unk> year old man with stroke no s/p intubation // tube placement |
MIMIC-CXR-JPG/2.0.0/files/p10866343/s57735861/5bb660ef-118ae2b4-0b53ac86-db25a747-45a30c93.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. old healed left-sided rib fracture is again seen. | history: <unk>m with hypoxia // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p12502386/s59542150/1319f6a5-eb4f5cf7-f6caab50-99422f0c-69082073.jpg | again seen is mild cardiomegaly within otherwise normal appearing chest. the stomach is distended | <unk> year old woman with fevers, leukocytosis, and positive pjp on sputum culture. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p16757352/s53214403/2c791204-88f2e55a-90b160d6-63762688-0f3f666d.jpg | the patient is status post median sternotomy with cabg. sternotomy wires are intact and aligned. left basilar subsegmental atelectasis is unchanged. there is no new consolidation, pleural effusion or pneumothorax. the right lung remains clear. mild cardiomegaly despite the projection is stable. | <unk> year old man with increasing wbc count. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16163332/s51834038/d9c2236f-488fd751-6f6bfeaa-7d436e79-75248e47.jpg | pa and lateral views of the chest. no prior. there are bibasilar parenchymal opacities identified. given low lung volumes, however, these could be due to atelectasis. there is no pleural effusion. cardiomediastinal silhouette is within normal limits, as are the osseous and soft tissue structures. | <unk>-year-old male with cough and fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15731226/s52271886/7f0f121d-dfff7f5e-bde1e4a7-0e2bfa17-2b4b7396.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chronic pancreatitis with hypoxia overnight. evaluate for flu. |
MIMIC-CXR-JPG/2.0.0/files/p10315300/s52865157/200af47d-4bb8748a-e0ac5dae-e9a9b517-b731380e.jpg | pa and lateral views of the chest were obtained. lungs are symmetrically expanded and clear. there is no focal consolidation, pleural effusion, or pneumothorax. heart is normal in size and cardiomediastinal contour is within normal limits. | <unk>-year-old man with dka, vomiting, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15324459/s54692584/fc935df5-a12ea234-b635a188-3b6f35d6-1e4d07c3.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chronic cough. no fever shortness breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15475850/s57758462/113ac683-b2a64762-0d0da08e-1ca1621a-87695b1e.jpg | an endotracheal tube terminates appropriately above the carina. an enteric tube courses into the stomach. the lungs are clear, aside from scarring of the left lung base. the cardiomediastinal and hilar contours are within normal limits, noting atherosclerotic calcification of the aortic arch. there is no pleural effusion or pneumothorax. | <unk> year old man with mds and sdh w/ resp failure // ?ett and og tube placement. |
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