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MIMIC-CXR-JPG/2.0.0/files/p15100271/s54686759/58957da7-3153539e-f117a294-632db3b9-f12b3e02.jpg | pa and lateral views of the chest provided. there has been no significant change from prior exam allowing for slight differences in technique. slightly lower lung volumes with minimally increased left basal atelectasis is noted. stable hazy opacity at the right lateral lung base likely reflect prior surgery. no large effusion or pneumothorax is seen. no signs of edema. the cardiomediastinal silhouette is stable. chronic right rib resections noted. | <unk>m with copd, hypoxia now with <num> days of dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p16834984/s58460191/c458582d-b3f58b4a-6b3ff6db-7adf71cc-1becf606.jpg | the lungs are well expanded and clear. linear left basilar opacities are likely atelectasis or scarring. old right-sided rib fractures are noted. there is no pleural effusion or pneumothorax. the heart is normal in size with normal aortic contour. | altered mental status. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10679138/s55685479/d9405f19-0ddbf80b-8b176248-cd250529-90f1ff70.jpg | first heart size remains moderately enlarged. the aorta is unfolded and demonstrates diffuse atherosclerotic calcifications. hilar contours are relatively unchanged. there is mild interstitial pulmonary edema. no pleural effusion or pneumothorax is identified. there are multilevel mild degenerative changes throughout the thoracic spine. | history: <unk>f with shortness of breath and wheezing |
MIMIC-CXR-JPG/2.0.0/files/p14283371/s55537063/07ee187a-94bef17d-a6a50b4f-62c2daee-e75d7d39.jpg | the patient is status post a right upper lobectomy, with interval removal of a right apical chest tube. a small right apical pneumothorax is unchanged. a widened right paratracheal stripe is noted, decreased in size since <unk>, and likely represents a postoperative collection or hematoma. there has been minimal improvement in the patient's mild right pulmonary edema, and a small right pleural effusion is unchanged. redemonstrated is a band of atelectasis in the mid left lobe. the remainder of the left lung is essentially clear without evidence of pneumothorax or pleural effusion. | status post right upper lobectomy for nsclc. |
MIMIC-CXR-JPG/2.0.0/files/p11582732/s56998096/01f07b5a-117f6400-89b2b11b-80c4713b-e9d118ce.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate to severe degenerative changes in the thoracic spine | <unk> year old man with cough x <num> weeks // eval abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p15202542/s55807108/7c2d2339-1decbc12-325c8ede-fcabfd8c-febd39e7.jpg | portable ap upright chest film <unk> at <num> is submitted. | <unk> year old woman with pna, meningitis // interval changes interval changes |
MIMIC-CXR-JPG/2.0.0/files/p15354339/s57129267/ec4a7797-28a771d5-208912f6-d07e233c-3605cd4c.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. a slightly irregular contour of the left heart border is due to a the known adjacent fat pad. the cardiomediastinal silhouette is otherwise normal. | palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p19575525/s55287633/49d2e444-fced0b68-ba948faf-45310a64-5d308b02.jpg | cardiomediastinal silhouette and hilar contours are normal. previously noted right lower lobe consolidation completely resolved. however, there is a new vague opacity in the left lower lung at the left heart border. there is no pleural effusion or pneumothorax. | recent pneumonia, evaluate for clearing. |
MIMIC-CXR-JPG/2.0.0/files/p11831122/s52100987/75577adc-c8eae6f0-142bd10c-34d5ffe2-7a58fa46.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. no displaced rib fracture. | <unk> year old man with chest pain, pleurisy // r/o fx, pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p15703717/s53356908/2e0721a1-d472da4f-df3b2da4-45546a8a-b8b97363.jpg | endotracheal tube tip is a <num> cm from the carina, above the clavicular heads. relatively low lung volumes are seen. the lungs are clear. the cardiomediastinal silhouette is within normal limits. enteric tube seen with tip in the gastric body. no acute osseous abnormalities. | <unk>m with ams s/p intubation // eval tube position |
MIMIC-CXR-JPG/2.0.0/files/p13171880/s55407982/3c83a038-37cc7ac4-05b04c6d-04bb628a-72f832b2.jpg | pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of focal pneumonia, pulmonary edema, pleural effusion, or pneumothorax. | <unk>-year-old smoker with chest heaviness and brief episode of left chest pain for two days. |
MIMIC-CXR-JPG/2.0.0/files/p13247581/s52300742/9298eb0a-43d56459-43a9217e-5dae273a-4c11fb44.jpg | there is stable cardiomegaly with no evidence of failure. lung volumes are stable with slightly increased amount of bilateral pleural effusion and bibasilar atelectasis. metallic component of aortic graft is seen unchanged in position with no obvious signs of complication. sternal wires are unchanged and aligned along the midline with no evidence of fracture or sternal dehiscence. there are stable small bilateral apical pneumothoraces. | <unk>-year-old male with status post aortic arch repair. |
MIMIC-CXR-JPG/2.0.0/files/p14852625/s51205241/c492625a-f1002626-9e5ccc23-84442296-bd4499d7.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. peripheral opacities seen predominately at the base of the right lung as well as at the base of the left lung (more subtly) are consistent with pulmonary contusions as better seen on recent chest ct. no pleural effusion or pneumothorax is seen. | pulmonary contusions. |
MIMIC-CXR-JPG/2.0.0/files/p15814586/s54964346/8728fea1-3d9d5cad-5449cc5a-c003804a-b12a1bd9.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. vertebroplasty again noted in the thoracic spine. | <unk>m with chest pain // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16251011/s55286676/22f58513-9199b1ff-6837034d-1716d0cd-57fb29a5.jpg | frontal and lateral chest radiographs demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax. no displaced rib fractures identified. | neck pain and chest pain status post motor vehicle collision. please evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p15587131/s50521524/5371585f-d8d96df5-f0375884-bfc46e0c-6e246c21.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. bilateral nipple shadows are identified. deformities of the right lateral ribs suggestive healed fractures are also noted. the cardiomediastinal silhouette is within normal limits. | <unk>f with subjective dyspnea, failure to thrive // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18963843/s56865520/e0293e4e-70103a38-788b39e1-9d1bb968-76d448be.jpg | heart size is normal. there is leftward deviation of the trachea at the thoracic inlet. the mediastinal and hilar contours are otherwise normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with fever/chills, tachycardia, uc on remicade // eval for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p14415891/s58612124/2ff73e08-240fb146-de9b6248-00c1a15c-58931230.jpg | the lungs are clear without consolidation or edema. there is little change in the blunting of the left costophrenic angle likely due to a small pleural effusion, pleural scarring, or a combination of the two. there is no right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal. | history of recurrent left effusion. reevaluate. |
MIMIC-CXR-JPG/2.0.0/files/p17921262/s58284263/ef91d6d5-8eccf889-ebf5f4a6-ddc701c9-9ba86bb5.jpg | frontal and two lateral chest radiographs were obtained. lung volumes are low. the lungs are clear without nodule, consolidation, effusion, or pneumothorax. mild cardiomegaly is unchanged. no displaced rib fracture is identified. | <unk>-year-old man with substance abuse, back, chest, and head pain status post assault. |
MIMIC-CXR-JPG/2.0.0/files/p12450293/s53998319/c4c731f0-41ce3186-4a612256-6b9d345d-473b0ab4.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. mild degenerative changes are seen throughout the thoracic spine. | <unk>m with lymphoma on chemotherapy with fever, rule out occult pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13758211/s59458488/29562769-db1ff1c5-21fd0b90-099250ce-4c327868.jpg | lung volumes remain low. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal bibasilar atelectasis is demonstrated without focal consolidation. no pleural effusion or pneumothorax is present. spinal fixation hardware is again noted along with evidence of prior spinal artery embolization. degenerative changes are seen involving the acromioclavicular and glenohumeral joints bilaterally. known left-sided chest wall mass with destruction of the left sixth anterior rib is better assessed on the recent ct. | history: <unk>m with myalgias, rigor after flu shot, on chemo |
MIMIC-CXR-JPG/2.0.0/files/p11656152/s58349420/a9cbbfbe-5bb69339-7ea5a892-7d38c47f-df631809.jpg | the heart is at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. surgical clip projecting over the right upper quadrant of the abdomen suggest prior cholecystectomy. | right-sided chest pain, status post fall, worse at the inferior costal margin immediately lateral to the xiphoid. |
MIMIC-CXR-JPG/2.0.0/files/p19231238/s51207441/633f2962-9e032c9c-240fc66b-c69deddc-280c0bea.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion or edema. previously seen multifocal regions of consolidation are no longer visualized. the cardiac silhouette is moderately enlarged but stable compared to prior. no acute osseous abnormalities detected. degenerative changes seen in the spine. surgical clips project over the upper abdomen. | <unk>-year-old female with productive cough and sore throat. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15029285/s58736759/4ed2e62c-f806ef83-05dda924-ec5e4ca8-93a02317.jpg | a nasogastric tube courses into the stomach, with tip off the inferior border of the film. lung volumes are low. cardiac silhouette size is normal. diffuse atherosclerotic calcifications of the aorta are noted. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. small bilateral pleural effusions are present along with patchy opacities in the lung bases, potentially atelectasis though infection or aspiration cannot be excluded. there are no acute osseous abnormalities. | history: <unk>m with upper gastrointestinal bleed status post ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p10940270/s51036206/7570eb3e-35b1341e-543f511e-8125e6e5-2fff9960.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15024955/s55985529/6a6a980d-f0ce12c2-6514e818-69bc1e78-a7e53cf3.jpg | there are no significant changes since the prior cxr performed <unk>. unchanged appearance of neoesophagus. linear atelectasis is noted at the right lung base. stable appearance of small right pleural effusion. tiny left pleural effusion has largely resolved. the lungs are otherwise free of focal consolidations or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is within normal limits. surgical clips are noted in the left upper quadrant. | <unk> year old man s/p esophagectomy // abdominal drain removal- evaluation surg: <unk> (mie esophagectomy ) |
MIMIC-CXR-JPG/2.0.0/files/p11722906/s51887907/6032d493-64ae8417-66e931a7-b770f296-b98cba32.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with ulcerative colitis with arthropathy on chronic prednisone with low grade fever, chills // evidence of pulmonary infection |
MIMIC-CXR-JPG/2.0.0/files/p10175711/s58594275/2140c6bf-91e0254a-280ea10f-0586ccbe-dc259661.jpg | there is interval increase in the left lower lobe infiltrate, which given history is worrisome for pneumonia. . there is a tiny left pleural effusion. heart size is upper limits of normal. | <unk> year old woman w/ rising leukocytosis // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10270127/s52596398/97075552-9dd66a5e-5d203341-9e9e7ba5-10d75678.jpg | there is no focal consolidation, effusion, or pneumothorax. heart size is top normal. the mediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>m with chest pain // eval for rib fx, ptx |
MIMIC-CXR-JPG/2.0.0/files/p16861844/s51992129/37911c0c-1c8daa7f-8ffbdc84-cb9169f8-d09a1c22.jpg | when compared to previous chest radiograph, the right lower lobe opacity has diminished but is still present. no new consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. | <unk>-year-old man with recurrent right lower lobe pneumonia. follow up recent pneumonia, for proof of cure. |
MIMIC-CXR-JPG/2.0.0/files/p10289851/s57044260/f7bc3098-8aca4973-2b1bbdbe-e3f31e2c-b83e8b76.jpg | frontal and lateral chest radiograph demonstrates well expanded lungs with mild left lower lobe atelectasis. new ill-defined opacity is seen within the left lower lobe on frontal projection. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are unremarkable and visualized upper abdomen is within normal limits. | <unk>m with increased confusion. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15377350/s50740794/db21b0fe-adbb8a91-86e76ed5-d1b578e4-e77c0506.jpg | the heart is normal in size, and there is a dual lead pacemaker with leads in appropriate position. suture material is noted along the right mid lung. lungs are clear of focal consolidation or overt pulmonary edema. there is likely a small left pleural effusion, and bibasilar atelectasis is noted. | <unk>-year-old female with weakness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18106079/s53851406/037963c9-25141a88-1797e151-f4a7dd55-1ae1df5b.jpg | the cardiac silhouette is within normal limits. mediastinal contours are normal. prominent perihilar markings with increased interstitial markings is consistent with mild to moderate pulmonary edema. there is no pneumothorax or large pleural effusion. the lungs are well-expanded without focal consolidation concerning for pneumonia. | <unk>m with hypoxia, s/p ablation pls eval pna or edema |
MIMIC-CXR-JPG/2.0.0/files/p10534245/s50227053/b4dfb023-15562f8f-eb55dc6e-07be54b9-5f703632.jpg | as compared to <unk>, swan-ganz catheter appears unchanged and likely terminates in the main pulmonary artery. the intra-aortic balloon pump terminates approximately <num> cm below the superior aspect of the aortic knob. right picc terminates in upper svc. previously described rounded opacity in the right base is unchanged. left retrocardiac atelectasis is minimal. cardiomegaly is unchanged. there is no evidence for pulmonary edema. pleural effusion is unlikely. | <unk> year old man with iabp placement with low uop. evaluate for iabp placement. |
MIMIC-CXR-JPG/2.0.0/files/p17006872/s59309716/fe76dbf7-bf6e5742-9823080e-313730e6-3465eb2e.jpg | there is still a small right apical pneumothorax, unchanged from <time> a.m. there is no shift of the mediastinum. the lungs are clear. the cardiomediastinal silhouette is within normal limits. | chest tube removal with interval pneumothorax diagnosed at <time> a.m. additional four-hour followup examination. |
MIMIC-CXR-JPG/2.0.0/files/p13120691/s59695137/91ebcb35-32c485b3-04540909-18e761f3-64ed5b43.jpg | there is a prominent left cardiac fat pad as before. a round lingular nodule is again suspicious for malignancy. there is no definite pleural effusion or pneumothorax, although a slight new blunting of posterior costophrenic sulci is noted, possibly due to minor atelectasis or trace pleural effusion on the left side. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p12372796/s57167929/e9ff81b8-852f2b59-2dd72517-9982c126-1a523240.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and aortic valve replacement are noted. no acute osseous abnormalities. | <unk>m with cp // eval aortic caliber |
MIMIC-CXR-JPG/2.0.0/files/p13331403/s58611765/76edbecc-f7e709cd-7c86ac51-6a9f8b3a-9c9e23c8.jpg | compared to the prior study, there has been increase in a moderate-to-large right pleural effusion. linear opacities in the left lower lung are consistent with atelectasis. the lung apices are clear. the visualized portion of the heart is unremarkable. the imaged upper abdomen is unremarkable. a biliary catheter projects over the upper abdomen. | right pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11599852/s51145217/8f84e003-dea6783d-da2a79f0-d1b3546b-65475a2f.jpg | heart size is mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. severe upper lobe predominant emphysema is again noted along with lung hyperinflation. no focal consolidation, pleural effusion or pneumothorax is present. remote right-sided rib fractures are again seen along with a chronic fracture of the right proximal humerus. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p19045562/s54336442/53b128ae-da104d42-b6f1b9fe-586fa872-ae3bddab.jpg | there is interval placement of a right sided hemodialysis catheter with its tip at the caval atrial junction. the lungs are clear. remainder of the exam is not significantly changed compared to <unk>. | <unk> year old woman with acute renal failure and nephropathy now on hemodialysis // tb screen for dialysis placement |
MIMIC-CXR-JPG/2.0.0/files/p19155768/s54364892/f8dc3bc6-e92aa9ee-c67b41b5-ca21a2aa-e20bb9c1.jpg | heart is moderately enlarged as on prior. median sternotomy wires and prosthetic cardiac valves are noted. low lung volumes are noted, particularly on the lateral view accentuating the bronchovascular markings. there is however superimposed pulmonary edema, progressed since prior. there is no large effusion. no acute osseous abnormalities. | <unk>m with pleuritic l chest pain // pulm edema? pna |
MIMIC-CXR-JPG/2.0.0/files/p19251329/s53653114/39015d27-33904a0e-12fa2719-56cd8b43-7f14561d.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is similar mild relative elevation of the right hemidiaphragm. streaky right mid and lateral left lower lung opacities appear unchanged and suggest background scarring. the lateral view also depicts similar retrocardiac opacity probably in the left lower lobe, which is also streaky in configuration and more suggestive of atelectasis than pneumonia. these findings are similar to the prior study. there is no pleural effusion or pneumothorax. | syncope and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16484471/s57323636/25776705-ca50ec2a-df7ce2be-c51918ec-ca416966.jpg | lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old woman with hx of anorexia admitted for poor po intake and malnutrition // eating disorder protocol, eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p15187743/s51282309/dce90a4c-8c90a7f6-e182382f-9384658b-82650045.jpg | supine portable view of the chest demonstrates pacemaker device leads terminating in the right atrium and right ventricle, unchanged. lung volumes are normal. there is no pleural effusion or pneumothorax. biapical scarring is present. the heart is moderately enlarged. retrocardiac opacities likely represent atelectasis. hilar and mediastinal silhouettes are unchanged. mediastinal contour remains enlarged, which likely relates to tortuous aorta. the aortic arch calcifications are present. | patient with reported pacemaker. assess for pacemaker lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p14628473/s54280688/2c034d03-9b66feb5-36c271f4-0ac67b11-21a18290.jpg | patient is status post median sternotomy. the left hemidiaphragm is elevated seen in there is overlying atelectasis. a hiatal hernia may be present. there is also likely at least a small left pleural effusion. the right lung is clear. previously seen left pneumothorax is not appreciated on the current study. cardiac silhouette remains mildly enlarged. mediastinal contours are unremarkable. | history: <unk>f with shortness of breath after recent cabg // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15623806/s56922956/be2e8488-5893a810-ada5cdec-b2495ac4-a2fd2bc7.jpg | a single portable semi-erect chest radiograph was obtained. there is progressively increased aeration to the right base. a nasoenteric tube extends inferiorly off the film. no new consolidation, effusion or pneumothorax. is present. cardiac and mediastinal contours are normal. | <unk>-year-old male with altered mental status, status post extubation and aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12468016/s52898336/9edf5550-8482e1f5-5aeb398d-97b14285-9a4fbf6a.jpg | pa and lateral radiographs of the chest were acquired. ill-defined opacities at the medial right lung base are not significantly changed compared to radiographs from <unk>, most likely atelectasis and/or scarring. there are no focal consolidations concerning for pneumonia. the cardiac and mediastinal contours are stable with left ventricular configuration. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracic spine are noted. | history of crohn's disease. |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s55621875/3be03e74-06c2a6e6-8218898c-3aa5e711-35016593.jpg | since the prior radiograph, there has been interval increase in heart size and mediastinal venous congestion. pulmonary veins the interstitium are also congested. no pleural effusion or pneumothorax. | history: <unk>m with dyspnea // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p15795647/s54907396/ff3034c4-5c67ea0e-fb34a6e2-baf116c4-f65ce962.jpg | right picc tip terminates in the proximal right atrium. there are low lung volumes. mild cardiomegaly is unchanged. the aorta is tortuous and calcified, unchanged. the hilar contours are stable, and no pulmonary vascular congestion is noted. patchy opacities within the lung bases have improved compared to the prior study, with residual interstitial opacity is in the left lung base likely reflective of atelectasis but infection is not excluded. no pneumothorax or pleural effusion is identified. there are multiple surgical <unk> projecting over the left axilla. | likely sepsis. |
MIMIC-CXR-JPG/2.0.0/files/p17659582/s58980282/24b3a861-4d02916b-c708a484-58bef97a-bd300328.jpg | there has been interval placement of a right internal jugular central venous catheter with tip terminating in the lower svc. no pneumothorax is seen. minimal kinking of the central line is noted within the neck. again re- demonstrated are multifocal airspace consolidative opacities within the right lung compatible with multifocal pneumonia. cardiac and mediastinal contours are unchanged. no pneumothorax is detected. | history: <unk>f with pneumonia, status post right internal jugular central line placement |
MIMIC-CXR-JPG/2.0.0/files/p10912127/s56078994/c7998896-c42f7c18-c1906a70-dbd0117c-eee851d3.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is normal. the osseous and soft tissue structures are unremarkable. | <unk>-year-old male with aids, presents with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12987308/s56311164/921926f8-16e70c30-f61f3340-6e822ef2-fe4ed677.jpg | et tube tip approximately <num> cm above the carina. ng tube tip extending beneath diaphragm, off film. compared to the prior film, i doubt significant interval change. again seen is bibasilar atelectasis in the setting of low inspiratory volumes, with more patchy opacity in the right cardiophrenic region, unchanged. minimal , if any, vascular plethora, allowing for low inspiratory volumes. no gross effusions. | <unk> year old woman with pulmonary edema // evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17838140/s51572549/95f561b9-cd3b1816-1c914a0d-9d0300bb-240c45c7.jpg | the patient is status post median sternotomy and cabg. mild to moderate enlargement of the heart is unchanged. the mediastinal and hilar contours are stable. there is mild pulmonary vascular engorgement, similar in degree compared to the prior study. re- demonstrated are areas of linear atelectasis within both perihilar regions and lung bases. small bilateral pleural effusions persist, relatively unchanged compared to the prior exam. no pneumothorax is identified. cervical spinal fusion hardware is incompletely assessed. | altered mental status. weakness. |
MIMIC-CXR-JPG/2.0.0/files/p13316281/s58377219/24c26f13-3c49c0d8-d8ddce51-48352be1-f886619c.jpg | right-sided pleurx catheter with a medial course. small bilateral pleural effusions, left has minimally increased. right apical pneumothorax has resolved. left upper lobe mass and lesion radiating from the left hilum have not substantially changed. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p19582238/s53230413/e4f255a1-4a1c4cfd-5050e727-f1222d94-d50ed9a6.jpg | there is mild unfolding of the thoracic aorta. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear. | dyspnea and fever. |
MIMIC-CXR-JPG/2.0.0/files/p19556353/s59452322/b3b4de84-df59077e-159ef768-a62fd81a-7f38b554.jpg | the heart is of normal size with normal cardiomediastinal contours. small bilateral pleural effusions are new. nodular opacity in the right upper lobe is likely a vessel on end. no focal consolidation or pneumothorax. no radiopaque foreign body. | chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13699008/s56711392/32c0ba74-bfc74b97-ec6311f3-ead3ac7e-4d5c02e2.jpg | moderate to severe enlargement of the cardiac silhouette is present. the aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is normal and the hilar contours are unremarkable. minimal atelectasis in the lung bases is demonstrated with longitudinally oriented linear opacity in the right lung base, likely an area of scarring. remainder of the lungs are clear without focal consolidation. no pneumothorax or pleural effusion is evident. there mild degenerative changes seen in the thoracic spine. | history: <unk>f with fall with headstrike, left periorbital ecchymosis |
MIMIC-CXR-JPG/2.0.0/files/p15084163/s54848030/d501bab2-6c97ffd1-4a30b58b-2300fa40-765d63eb.jpg | chest, portable. limited examination due to underpenetration. cardiomegaly and diffuse pulmonary edema is consistent with decompensated congestive heart failure. there is, however, a new more dense opacity in the left upper lobe as well as a probable new retrocardiac opacity which obscures the left hemidiaphragmatic contour. there is no pneumothorax. there is likely a left pleural effusion, although assessment is limited. | new dyspnea and chest pain in a patient with decompensated congestive heart failure, recent treatment for copd and pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13498038/s55930031/10a60170-389f9e55-aafff97e-de6d6dd1-b91060d5.jpg | subtle focal opacity in the right lower lobe consistent with right lower lobe pneumonia given clinical history. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with <unk> wk h/o cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13179346/s51182673/21ce5095-4185db2a-be6ff9b6-e80c2bb1-7448b4e5.jpg | volume loss and opacification of the left lung base appears compatible with round atelectasis, scarring, and pleural plaque formation, not significantly changed. calcified pleural plaques are present more broadly along the left hemithorax. the right lung remains clear. there is no pneumothorax. the cardiac, mediastinal, and hilar contours also appear unchanged. mild degenerative changes are similar along the thoracic spine. | cough, wheezing, and diffuse mild expiratory wheezes. |
MIMIC-CXR-JPG/2.0.0/files/p11493909/s57652930/b2137184-62266529-edd9eb47-c01bbb97-0c931b36.jpg | frontal view of the chest was obtained. the heart is of normal size with stable cardiomediastinal contours. linear opacity at the right base is compatible with atelectasis. no pneumothorax or substantial pleural effusion. no radiopaque foreign body. | <unk>-year-old female with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p15670611/s51449464/1dd7f9d9-72685239-8af55665-154fc3bb-fe22bf54.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are grossly unchanged, allowing for differences in technique and inspiratory effort. there is no pneumothorax, pleural effusion, or consolidation. left-sided pectoral power port projects over the mid svc. note is made of <num> old healed left rib fractures. | <unk> year old man with rectal cancer on chemotherapy with relative leukocytosis and bandemia // ?infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18804278/s54927412/c4477d84-3eef5943-df2da127-b9e5e7f0-bebec41b.jpg | there has been interval removal of a swan-ganz catheter, and a left internal jugular central venous sheath is in stable position. multiple mediastinal drains are unchanged. there has been interval placement of a right internal jugular catheter. there continues to be extensive bilateral pulmonary opacities and consolidation, left greater than right. widening of the mediastinum is compatible with recent ascending aorta repair. a transesophageal device is noted. | <unk> year old man with status post ascending aorta repair . evaluate ecmo placement. |
MIMIC-CXR-JPG/2.0.0/files/p18970536/s58286326/6295f67c-a461cd97-eb09c067-abf7c75d-1c88adc5.jpg | frontal and lateral chest radiographs demonstrate sternotomy wires and a mitral valve annuloplasty ring. there has been interval removal of a right internal jugular central catheter. the cardiomediastinal silhouette appears unchanged. again seen are bilateral pleural effusions with associated bibasilar atelectasis, the left effusion slightly increased versus redistributed due to differences in patient position. no focal opacity concerning for infectious is seen. there is no pneumothorax. | status post mitral valve repair and aortic arch replacement. |
MIMIC-CXR-JPG/2.0.0/files/p19508874/s50898830/7521ddce-14ad3b21-f19b6c55-7ed0ba95-9825daa1.jpg | the right lateral costophrenic angle is now clear. there is a small left subpulmonic pleural effusion. bilateral interstitial edema appears more prominent from the prior exam. moderate cardiomegaly is stable. no pneumothorax or definite focal consolidation. there is diffuse osteopenia and multilevel degenerative changes with anterior osteophytes in loss of intervertebral disc height in the visualized thoracic spine, overall similar to the prior exam. | <unk>-year-old woman with bilateral facial and left arm spasms; evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p18969003/s50785347/c078d7be-e6f8ddae-914aaa6f-49e11432-9bdf7944.jpg | if the right-sided catheter is a picc line, it is high in position, terminating in the region of the distal right subclavian vein. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. surgical clips are partially imaged overlying the right upper quadrant . | history: <unk>f with l hemiplegia, p/w seizures, hx picc // eval ? infiltrate, picc placement |
MIMIC-CXR-JPG/2.0.0/files/p15173301/s53383335/a4d55e5a-f3808c3c-5c9f1449-e59fec72-df652c23.jpg | pa and lateral views of the chest. on the current exam, the lungs appear clear. areas of ground-glass identified on chest ct are not clearly identified. there is no effusion or new consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with recent pneumonia presenting with tachycardia and seizure. |
MIMIC-CXR-JPG/2.0.0/files/p16846649/s54432305/5df800e5-57d85d73-2296bece-114d4a1d-f99b8b4e.jpg | there patchy opacities in the left mid lung and inferior aspect of the left upper lung. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. | history: <unk>f with cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17468080/s58408902/87a09c2f-35b34bca-41beb213-2367f726-c65de3cc.jpg | frontal and lateral views of the chest. no prior. the lungs are clear noting relatively low lung volumes. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p15859508/s57657317/655a5760-a7f0f0e5-f9135010-081c1272-a13878e0.jpg | increased indistinct opacities at the bilateral lung bases. elevation of the left hilum is likely related to radiation changes. adjacent fiducial seeds are unchanged in position. a small, dependent left pleural effusion is essentially unchanged. pleural fluid tracking into the left major fissure and above the left apex is new. a small right pleural effusion is likely. heart size is likely top-normal. cardiomediastinal hilar silhouettes are unchanged. | <unk>f with dyspnea and stage iii cancer. |
MIMIC-CXR-JPG/2.0.0/files/p11572520/s53223897/3368b893-df7cc737-0c60d92a-276fee97-7791d325.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized. there is a mild compression deformity of a low thoracic vertebral body. deformities of the left seventh, eighth, and ninth lateral ribs indicate prior fractures. | history: <unk>f with multiple syncopal episodes, cough |
MIMIC-CXR-JPG/2.0.0/files/p12704932/s57897582/932cc7d6-007d4f6f-7b67eb74-8a1a82e1-0c82af98.jpg | asymmetry in soft tissues is less pronounced.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with acute mono, pharyngitis, lad, cxr yesterday with possible pna vs breast tissue // eval for interval change and true presence of pna taking into account breast tissue and previous cxr |
MIMIC-CXR-JPG/2.0.0/files/p19093092/s54518416/234881b7-03a6c572-410921e3-4ea00ce0-98367d21.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity within the right lung is a more pronounced compared to the left, findings which could suggest mild asymmetric pulmonary edema. patchy opacity in the right lung base may reflect atelectasis. minimal blunting of the right costophrenic angle suggests a trace pleural effusion, and there is minimal fluid seen in the right minor fissure. no large left pleural effusion is seen, but the left costophrenic angle is excluded from the field of view. there is no pneumothorax. vascular stent is noted in the right the brachial/axillary region. | history: <unk>m with esrd missed hd yesterday now has facial edema |
MIMIC-CXR-JPG/2.0.0/files/p18926021/s58785541/2b9c9d61-0381da59-e30d5b9a-71b6e6db-313d4461.jpg | a frontal and lateral view of the chest demonstrates fully expanded and clear lungs. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. pleural surfaces are normal. | <num> pack per day smoker with chronic cough, assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13504185/s55284864/7adc9dbb-0ba56a09-76a5fa85-79082fe7-25565a31.jpg | when compared to prior, there has been near complete resolution of the bibasilar opacities with some persistent irregular interstitial markings, particularly in the retrocardiac region. superiorly, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough, hemoptysis, recurrent pna s/p l sided vats <unk> abscess, recent d/c // eval ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17023312/s55976256/83e579d2-1d1da899-41240a1c-3d0e3d67-9834bee1.jpg | ap portable upright view of the chest. lung volumes are low limiting assessment. overlying ekg leads are present. previously noted picc line has been removed. there has been a prior left rib resection unchanged. the heart remains mildly enlarged. there is no definite evidence for pneumonia or overt chf. mild congestion is likely present. no large effusion or pneumothorax. bony structures appear intact. | <unk>f with ams, hypoxia // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p14701402/s55348388/b041baff-e7e37b5f-3e74ed3c-f32426aa-04e07197.jpg | the lungs are well inflated and clear. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. | history: <unk>m with coughx<num>d, productive of phlegm in recent days, please evaluate for pna // pt w cough, productive phlegm |
MIMIC-CXR-JPG/2.0.0/files/p16097925/s50732960/236a1eab-e9ed9249-b177694c-3cfb8d3f-26125880.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. diffuse bilateral airspace opacities are consistent with aspiration of blood in the setting of massive upper gi bleed. moderate size right pleural effusion with bibasilar atelectasis is grossly unchanged. the cardiomediastinal hilar contours are unchanged. monitoring and support devices are in the appropriate positions. | <unk> year old woman with gastric bleed s/p masive resuscitation and intubated // eval interval change in pulmonary edema and confirm tube and line placement |
MIMIC-CXR-JPG/2.0.0/files/p11087410/s56774036/54faa2aa-9c51ba73-a591d4a8-789762a3-6b314095.jpg | compared to the prior study the left effusion is slightly decreased in size, otherwise there is no significant interval change. | <unk> year old woman with history of cecal perforation s/p colectomy // evaluate pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13005213/s55892324/6387a3a0-317efd61-16bc1e06-efbe911c-455cde70.jpg | low bilateral lung volumes. there are small to moderate bilateral layering pleural effusions with subjacent atelectasis. the size of the cardiomediastinal silhouette is enlarged but unchanged. the trachea is deviated to the right at the level of the aortic arch, unchanged, but correlation with any prior cross-sectional imaging of the chest is recommended to assess for any underlying adenopathy or vascular abnormalities. | <unk> year old man with stroke and chf, increasing o<num> demand // please assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p12504496/s58620629/d3593060-8221e7e9-cd7f12bf-57d3b2a4-84eb9d85.jpg | comparison is made to chest radiograph dated <unk>. ap upright and lateral chest radiograph demonstrates increased opacity at the right upper lobe and right lung base. more linear opacity along the left lung base is additionally noted. though the latter finding may reflect atelectasis, the right lung base opacity may reflect an early infectious process. cardiomediastinal and hilar contours are stable in appearance. there is no pleural effusion or pulmonary edema. | <unk>-year-old male with cough |
MIMIC-CXR-JPG/2.0.0/files/p17739994/s59766235/b76210e6-8a64c310-27b84a00-8fa5d432-ee196b62.jpg | there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. bilateral nipple jewelry is seen. | history: <unk>f with chest pain // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16398746/s55193490/9f740e0b-c1136fa5-e1aa4dc4-4ddccdfd-c0eada07.jpg | pa and lateral views of the chest provided. midline sternotomy wires are noted. there is a right upper extremity access picc line again seen with its tip in the mid svc region. the heart remains moderately enlarged. no signs of edema or congestion. no large effusion or pneumothorax. no consolidation concerning for pneumonia. mediastinal contour is normal. bony structures are intact. | <unk>m with fevers // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18497427/s50376862/75d7c5b1-985f53f9-7e8792a2-fd53af55-5b9ec148.jpg | lung volumes are low which leads to bronchovascular crowding. there is atelectasis at the left lung base. scattered opacities are seen in the right upper lung zone compatible with metastatic disease, which are better assessed on prior ct from <unk>. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. a left upper extremity picc terminates at the cavoatrial junction, as before. | altered mental status, evaluate for picc position as well as pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15561083/s50605682/216aa43a-dffe3194-c7c00b29-1d66e17f-df3fc0c3.jpg | the lungs are fully expanded and clear. the cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pneumothorax or pleural effusion. | <unk>f with prior myocarditis, gastroparesis of unknown etiology now with chest, abdominal pain and diarrhea |
MIMIC-CXR-JPG/2.0.0/files/p19245983/s56562756/98c8ef8a-af44f96c-04eb8005-a3977408-9c9fd5f2.jpg | the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with dyspnea // acute process |
MIMIC-CXR-JPG/2.0.0/files/p19181791/s55588985/05503ab3-c27a665c-782b701f-949a90e0-f2fe690c.jpg | heart size is at the upper limits of normal. calcific atherosclerotic changes of the aortic arch. mild cephalization of pulmonary blood vessels. mild coarsening of the bronchovascular markings. kerley b lines noted in the lower lung zones. suspected small bilateral pleural effusions. apical scarring is unchanged. no pneumonia. spondylotic changes of the thoracic spine. | <unk> year old woman with h/o chf, dx pna at<unk> in <unk> while inpatient wk of <unk>. // pls eval pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p10449660/s53537870/3ee8ff7b-cbd68ba8-b296039a-29a7ac14-b82b0a4c.jpg | the lungs are clear and well expanded. no pleural abnormality is seen. the hilar and mediastinal silhouettes are unremarkable. increased density along the right heart border corresponds with patulous esophagus better seen on same-day ct abdomen pelvis. no free air under the right hemidiaphragm is seen. | <unk>f with down syndrome, hypothyroidism, dmi presents with vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p18858092/s54069331/5fb89dda-9a305ed3-2aeb20ab-6487d263-e8936500.jpg | pa and lateral views of the chest: the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. the mediastinal contours and heart size are normal. | double vision, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14821385/s55696190/0b6b68f3-712c1918-bfbe27f0-2b8c6a0a-0d2a583c.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18083932/s50040808/7d9a6fb8-40a3f363-05d54d33-6af2a7bf-155bf5db.jpg | chest pa and lateral radiographs demonstrate normal cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax is evident. no osseous abnormalities are identified. | ulcerative colitis on remicade is likely uc flare and chest congestion and productive cough. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14428548/s54011428/558d76af-a24d11b5-d1a3b858-6957e77a-855314b0.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of chest pain, shortness of breath while hyperventilating at the gym. please evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12521904/s50609841/f6ddf652-5bee40a7-7f17339f-f1cc760a-d94edd24.jpg | the heart size is top normal with mildly tortuous aorta. the mediastinal silhouette and hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable. | chest pain radiating to the back. |
MIMIC-CXR-JPG/2.0.0/files/p18879982/s50790966/b768aa9e-45a1a43c-f6346e22-bb4e6927-91dadfae.jpg | single frontal chest radiograph demonstrates stable moderate loculated left pleural effusion. no pneumothorax identified. pleurex catheter not identified.mediastinal and hilar contours are unremarkable. unable to assess heart size given adjacent effusion. lungs are clear. no right-sided pleural effusion. | pleural effusion, now status post pleurx catheter. assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15677375/s54186442/d3453bf1-d2aad9d5-ce82e117-34e14d67-1607166c.jpg | there is no evidence of free air beneath the diaphragms. cardiomediastinal silhouette is stable and unremarkable. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with abdominal pain, prior pneumoperitoneum, evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p17125760/s57167721/f2497f5b-062f47ed-a02f26f7-f7178f64-7239afd8.jpg | cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14050349/s51040182/4bfd5931-6f749e2f-8df8f068-169cf599-2b3018ab.jpg | no evidence of median sternotomy wire fracture. multiple mediastinal clips as well as vascular stents are re- demonstrated. mild to moderate cardiomegaly is unchanged dating back to <unk>. there is no pneumothorax or pleural effusion. lung volumes are low without focal consolidation. thoracic spine degenerative changes are present with anterior bridging osteophytes. | <unk>m with cp and weakness, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19723160/s53853098/854b6ecd-f1e71f4e-63f35dba-ac751408-e2dc0666.jpg | compared to the next most recent radiograph of the chest the lungs are similarly expanded. the bandlike opacity in the right upper lobe is not appreciably changed. the cardiomediastinal silhouette is unremarkable without cardiomegaly. the hila are mildly prominent but stable. there is no pleural effusion or pneumothorax. flowing ossification along the anterior and lateral vertebral bodies is re- demonstrated. | asthma presenting with cough, shortness of breath, wheezing. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15245125/s55720661/cb343ad1-6966340e-428c763a-110c2086-2d1997f0.jpg | lungs are clear. nipple shadows project over the lower lungs. there is no effusion or consolidation. cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain // eval for pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p10061731/s57693716/816faa02-70bd4962-5dc77980-1ce60fe0-a00ea734.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. | history: <unk>m with fever // eval for pneumonia |
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