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MIMIC-CXR-JPG/2.0.0/files/p11818101/s58950988/778d912b-2c847aa2-9b04f850-178d5a6c-be705cca.jpg | left-sided pacemaker device is noted with leads in unchanged positions, in the right atrium and right ventricle. heart size is mildly enlarged, unchanged. mediastinal and hilar contours are within normal limits, and the pulmonary vasculature is normal. lungs are clear without focal consolidation. slight elevation of the left hemidiaphragm is unchanged. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. | history: <unk>m with dyspnea and chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13854210/s52520102/b19fb49d-c2b1d256-5e522976-8f7d2657-ec6cf38b.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. hazy opacity is noted within the left lower lobe which is concerning for an area of infection. right lung is clear except for linear atelectasis or scarring in the right mid lung field. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. mild degenerative changes are noted in the thoracic spine. moderate degenerative changes of the left glenohumeral joint are also noted. | history: <unk>m with cough x <num> week and fever |
MIMIC-CXR-JPG/2.0.0/files/p17357689/s51193851/f04edd8d-2dbd115e-befc1007-03f342a7-e25247f9.jpg | there is a moderate left pleural effusion that is layering posteriorly that is increased compared to the study from the prior day. the right ij line is unchanged. there is volume loss at the right base. an early infiltrate in the right lower lobe cannot be totally excluded. | <unk> year old woman s/p cabg with acute hct drop // eval for henothorax |
MIMIC-CXR-JPG/2.0.0/files/p15582327/s51918830/1d244bf2-302e2251-6949a6da-41d8a62d-00136f32.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains top normal. mediastinal contours are stable. the hilar contours are stable. likely osteophytes are seen at various levels along the thoracic spine. | chest pain and palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p12146682/s54325841/a1f94685-73348966-b811c22c-60949003-40ac06ba.jpg | lungs are hyperinflated. there is unchanged opacity at the right upper lobe, unchanged since at least <unk>. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | <unk>f with feeling dizzy, weak, near syncope, evaluate for pulmonary edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18645179/s57858219/845ecd0d-7c996e5c-27776513-2294f56d-eedb25aa.jpg | frontal and lateral radiographs of the chest demonstrate mildly enlarged cardiac silhouette. the mediastinal silhouette and hilar contours are normal. moderate pulmonary edema is present. small bilateral pleural effusions. retrocardiac opacity could represent a combination of effusion and atelectasis; although, pneumonia is possible. no pneumothorax. no displaced rib fracture identified. | dyspnea. evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p15465911/s57670097/42ad09e1-68416113-81ec7d07-74244ad8-75461ac3.jpg | frontal and lateral chest radiographs again demonstrate a left chest port with the tip terminating in the low svc. the cardiomediastinal silhouette remains mildly enlarged. there is no focal consolidation or evidence of acute chest syndrome. mild peribronchial infiltration is similar to multiple prior exams, and likely residue of recent edema or early developing edema. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for acute chest syndrome or other intrapulmonary process in a patient with sickle cell and presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15935311/s50255503/ba99c47e-408cef66-053f455d-d97d9a83-5fb671a0.jpg | no focal consolidation is seen. previously noted pulmonary nodular opacities are no longer appreciated or significantly decreased in size. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with chest pain, fever // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17581149/s52309863/9a485653-4f5b1c64-fd8c70ae-6f13a5b1-367405cf.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected. | history: <unk>m with h/o scc with tracheostomy now with low grade fever // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13266427/s50401889/4943235e-000b16fb-8bee7761-81fa5e11-4a905d26.jpg | lower lung volumes seen on the current exam, accentuating degree of cardiomegaly which is not changed since prior. multiple abandoned epicardial leads and right-sided vascular stents are again noted. there is no definite focal consolidation. increased interstitial markings are likely accentuated by ap technique and lower lung volumes. no large effusion. radiopaque coil projects over the left axilla. no acute osseous abnormalities. | <unk>f with hypotension // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12449468/s54435944/5f3a7d3a-216a0968-8b6b8fd6-33071c5e-69cb8bf4.jpg | right-sided port-a-cath tip terminates in the upper svc. the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | abdominal aortic aneurysm, preoperative assessment. |
MIMIC-CXR-JPG/2.0.0/files/p16987914/s53323606/c78c9150-2184e056-d3f60349-96b42a9c-ae82e8ba.jpg | once again visualized is the patient's known right multi loculated hydropneumothorax as well as right upper lobe mass. overall, there appears to be an increasing amount of fluid within the loculus compared to the prior radiograph. aorta remains tortuous. the left lung remains relatively clear. | <unk>m w/ hx of recurrent spontaneous r ptx, recently admittedfor recurrence of large r hydropneumothorax s/p ct placement and removal on <unk>. // interval cxr, pneumothorax, pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p12481952/s59659967/e1f9379c-0e73168a-1627e77d-d858986c-cc06b512.jpg | again, nodular opacities are seen projecting over the right mid lung with some reticular component, again, query chronic infectious process. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. | history: <unk>m with ams // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p16052230/s52699910/51603f74-93756f2e-12bf4b56-3c500a9d-75d9acbd.jpg | an enteric to enters the duodenum, and likely terminates in the proximal small bowel, however its tip is not visualized. the large right layering pleural effusion is not appreciably changed. the left lung is clear. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed. | <unk> year old man with cirrhosis, ascites, recurrent pleural effusions with sob. |
MIMIC-CXR-JPG/2.0.0/files/p11977464/s56113589/f141f51c-6acf2ddb-5fe9fe8f-f1290371-bed11aa1.jpg | frontal lateral views of the chest were performed. there is apparent obscuration of the right heart border, however, without a consolidation seen on the lateral view, likely positional. there is no pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. the hilar structures are unremarkable. the imaged upper abdomen appears normal. | shortness of breath and cough, evaluate for pneumonia. the patient also has a history of asthma. |
MIMIC-CXR-JPG/2.0.0/files/p11382726/s57791356/c13b0ec0-24cdc47c-de954ad8-d68fe25a-f93f1a4b.jpg | portable frontal chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. the cardiac, hilar, and mediastinal contours are unremarkable. | history of increasing seizure activity. |
MIMIC-CXR-JPG/2.0.0/files/p12023933/s59040566/96acf2e0-63ac1768-4da4cfdd-c86ff04f-52d8c1f5.jpg | the lungs are hyperinflated but clear. moderate to severe cardiac enlargement is stable since <unk>. mild pulmonary edema is slightly worse since the <unk> chest radiograph. trace bilateral pleural effusions are again noted. no pneumothorax is identified. | <unk>-year-old woman with thrombocytopenia and dyspnea. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15827569/s57760489/7fa7c56d-37ef87ec-206fb23b-a916f20c-9743e51b.jpg | the heart size is top normal. the lungs are mildly hyperexpanded with flattened diaphragms and slightly increased ap diameter. there is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk> year old woman with persistent cough // lesions? lesions? |
MIMIC-CXR-JPG/2.0.0/files/p18921221/s56280236/d5ca93ac-c08b7bb5-e5efef4c-82070566-4b1ba7d0.jpg | the lungs are clear. cardiac silhouette is normal. hilar contours unremarkable. no pleural effusion, pneumothorax pneumonia, pulmonary edema. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17764173/s53841512/224239f1-6c8ed7cc-3173869e-4aaf8694-ab288b01.jpg | no focal consolidation is seen. there may be very subtle minimal interstitial edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no definite displaced fracture is identified. | history: <unk>f with chest pain after fall // acute rpcoess? |
MIMIC-CXR-JPG/2.0.0/files/p13686295/s55755367/7cd57980-eb8b09e8-4b48639b-17a7e7fa-5ac35090.jpg | ap upright and lateral views of the chest provided. pacer appears in unchanged position. lung volumes are low. surgical clips project over the right axilla and subclavian region. surgical anchors overlie the left humeral head. the heart appears mildly enlarged. no focal consolidation concerning for pneumonia. mild hilar congestion is noted with cephalization without frank pulmonary edema. no large effusion or pneumothorax. aortic calcification is seen. no acute osseous abnormality. pattern of degenerative changes at both shoulders suggests chronic rotator cuff disease. | <unk>f with ams, recent hospitalization for pulm edema/uti, complaint of chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16542986/s56909250/b99da54d-186078d4-558ff96c-2aa060f6-309231f8.jpg | there are bilateral pulmonary opacities and a right pleural effusion. the heart is enlarged, and an endotracheal tube and enteric tube are in appropriate position. | <unk>-year-old female with dyspnea and status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p11737033/s58201127/3674446c-ee1f95ee-b6742105-757cfa5d-1c46ae3f.jpg | the heart size is normal. the hilar mediastinal contours are normal. patchy opacities overlying the lower lung fields bilaterally are worse compared to the exam one hour prior, and is concerning for pneumonia. mild bibasilar atelectasis, left greater than right is persistent. there is mild diffuse bilateral emphysema. small left pleural effusion is unchanged. there is no pneumothorax. again seen are the rib fractures involving the left <unk> <unk> and <num>th ribs, of indeterminate chronicity. et tube terminates approximately <num> cm above the carina. there is a left-sided ij which appears to terminate in the mid svc. the enteric tube extends below the diaphragm with the tip by review of this film. | history of left ij placement. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p10286521/s54898759/39e946fa-79f8079c-01f82659-b841d742-741638c1.jpg | as compared the prior study, the appearance of the chest is stable. no pneumothorax is seen. no new focal consolidation is seen. no pleural effusion. | <unk> year old woman with severe copd, lul endobronchial valves, <unk> ptx with ongoing dyspnea and left chest pain. eval for ptx // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p14573148/s50323925/d55be45f-f1a93bad-463728cc-e6006443-15902afb.jpg | the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. the bony structures are unremarkable. | chest pain, leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p18650767/s54630742/807fa39a-86da60ea-ec2078cc-d1a5471e-d916771f.jpg | the heart is mild to moderately enlarged. there is again a perihilar opacification, and a mild interstitial abnormality is present, worse in the right lung than left, but diffuse. vascularity is also indistinct, suggestive of mild vascular congestion on this examination, similar to improved, but apparent differences may be largely due to technique. a focal right lower lung opacity, apparently in the right lower lobe, persists, worrisome for pneumonia without definite change. there is no pleural effusion or pneumothorax. mild degenerative changes are present along the lower thoracic spine. in addition, there is an irregular appearance along the course of the right anterolateral fifth and possibly sixth ribs, suggestive of possible remote prior rib fractures. | productive cough and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p11333117/s57331854/c49cac90-0647e270-0cc441d5-db103101-c07ffb33.jpg | even allowing for the projection, the heart is enlarged. previous median sternotomy noted. the bilateral hila are prominent as is the upper lobe pulmonary vasculature. there is hazy opacity in the right lung base, likely consistent with the patient's known right pleural effusion. no consolidation or pneumothorax seen. | <unk> year old man with history of cad, ischemic schf (ef <unk>%), ckd (baseline cr <num>-<num>), htn, atrial fibrillation on coumadin, and dm with recent admission <unk> for dry gangrene of the toe s/p below knee popliteal-pt bypass on <unk>. now with hypernatremia and want to replete free water, although concern for volume overload // evidence of pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p11732026/s54204605/16efe90e-b50bf935-3ca9d0aa-99128482-682d8a27.jpg | a portable view of the chest demonstrates transvenous pacer leads in the right atrium, anterior right ventricle, with a <unk> lead taking a course typical of the coronary sinus. there is no pneumothorax. lungs are clear. the cardiomediastinal silhouette is stable. there is no pleural effusion. | new right ventricular lead and generator change. |
MIMIC-CXR-JPG/2.0.0/files/p18620180/s51423066/032bbeed-5f1923e3-8fbb8adf-6d3cd73c-4a4236fc.jpg | the cardiomediastinal and hilar contours are within normal limits. the aorta is minimally tortuous. there is a retrocardiac opacity as well as mild opacity seen at the base of the right lung. there is no pleural effusion or pneumothorax. | <unk>m with ams // eval ? free air, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17402090/s50769822/c2335b0d-68ed4263-edb579a8-650f88f7-c57b9743.jpg | marked hyper inflation of the lungs a keeping with the patient's known copd nodular opacities in the right upper lobe have improved when compared to the prior examination. no acute focal consolidation. the cardiomediastinal contours are unchanged. | <unk> year old woman with copd // renew crossover screening**please <unk> to <unk> #<unk> |
MIMIC-CXR-JPG/2.0.0/files/p13890865/s50932489/bff397ba-f0e7b446-eb862649-47a42108-a21da4d5.jpg | in comparison with chest radiograph from an hour earlier, the left picc line now terminates approximately <num> cm from the cavoatrial junction. there is no pneumothorax. there is little overall change. | <unk> year old woman with cva s/p left picc placement // picc line pulled back. eval |
MIMIC-CXR-JPG/2.0.0/files/p15317862/s52511391/34b0918f-5af22a12-f6ad8a5b-e00b45d8-670ec863.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. the osseous structures are unremarkable. a stimulator device overlies the mid thoracic vertebral bodies posteriorly. | <unk>-year-old male with cough, fever, and hypoxia. evaluate for cardiopulmonary disease or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13439236/s53798360/11623f30-cfddb6b0-1a5dc109-88588673-dd77f0a4.jpg | slight increase in interstitial markings bilaterally, right greater than left, could be due to minimal interstitial edema versus chronic lung disease, less likely atypical pneumonia. no lobar consolidation seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. likely left hilar calcified nodes again noted. | history: <unk>m with cough, malaise // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p11587177/s53056881/2c690448-9d346f1c-82d89c85-91fb367c-284de8bb.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with chest pain // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15358025/s58425452/1b051232-72d5c213-156570f3-f647a0ed-4ff76080.jpg | the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with weakness // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p16005374/s56107219/23cc9eaa-e5e86f3f-ef97f99d-98281228-7d44a8b7.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, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p16293344/s55753948/292d33be-f5005769-96488dce-b3bd8942-ea007e72.jpg | patchy bibasilar opacities are again seen, right greater than left, most likely representing scarring in atelectasis; difficult to entirely exclude underlying pneumonia, particularly at the right lung base, however, this is felt less likely. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are grossly stable. the patient is status post median sternotomy. some compression deformities are again seen in the mid to lower thoracic spine. | history: <unk>f with chest pain // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18564791/s53017930/f62fd404-70d83aa8-1fee015b-8574be4b-051b906a.jpg | the lungs are relatively hyperinflated. there appears to be external artifact overlying the lateral left lower lung base. there is patchy right basilar opacity. slight blunting of the right costophrenic angle is seen which may be due to hyperinflated lung, however trace pleural effusion is not excluded. there is no overt pulmonary edema. the cardiac silhouette is mild to moderately enlarged. the aorta is calcified and tortuous. | hemoptysis versus hematemesis. |
MIMIC-CXR-JPG/2.0.0/files/p15134591/s59724053/897967ce-02ce503a-e4433a23-ac30f469-c6b51152.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14189782/s54430734/041d7e11-9e509dad-1f6f119b-19e3b826-f557cbb9.jpg | moderately well inflated lungs with mild prominence of lung vasculature without consolidation or frank pulmonary edema. mild cardiomegaly is unchanged. no pleural effusions or pneumothorax. there is a dual lead aicd in appropriate position. sternotomy sutures and surgical <unk> project over the mediastinum. there is diffuse demineralization. | <unk> year old man with new ppm via l cephalic // lead position |
MIMIC-CXR-JPG/2.0.0/files/p17322951/s56058485/c8fea647-c81ca7a5-c97b6bfa-186dda8d-c7f86757.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18288849/s55206288/e1ebd829-c635d298-7c61792c-54f93325-d05566f9.jpg | cardiac silhouette size is normal. the aorta is mildly tortuous. apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. minimal deformity of the left ninth and tenth posterolateral ribs may suggest acute or subacute rib fractures. | history: <unk>m with status epilepticus |
MIMIC-CXR-JPG/2.0.0/files/p17878731/s56147991/bb347590-9d200435-18f966aa-9f41aad0-5ab8fb2f.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p17072837/s57900214/9cb57fa6-f9632e88-de8fbc5f-2e083845-97f5c6bd.jpg | single frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. enteric tube terminates within the stomach. heart size is normal. consolidative opacity of the right lower lobe is consistent with pneumonia or aspiration. hilar pulmonary arteries are enlarged. no pneumothorax, substantial pleural effusion. gas collection in the right upper abdomen is most likely hepatic flexure, abscess should be considered from a clinical standpoint. | <unk>-year-old male intubated for septic shock and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p18885785/s54731804/ad7c946f-aaf57a79-23e077f3-3c8fe260-d13297e5.jpg | single portable semi-upright chest radiograph demonstrates rounded opacification projecting in right mid lung consistent with known mass. interval decrease in right lower lung opacification is likely due to decreased effusion with residula right lower lung opacification concerning for pneumonia. no pleural effusion or pneumothorax identified. stable mild enlargement of the cardiac silhouette corresponding with a moderate pleural effusion previously identified. | status post bronchoscopy and right upper lobe biopsy. please assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14032841/s53556313/e6656da3-e505e3fc-b6c69c72-c2735b88-79d091ba.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. | pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14527555/s59663351/bf93abef-976a0a89-0c2f728b-931d7d3a-7baa0573.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> y/o man with a history of sclc who presented with altered mental status and was found to be in hypoxemic respiratory failure in setting of pneumonia. // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p10677160/s56565201/11e6233c-e0ff0ead-dadf728b-f4b7e429-9de4d6ed.jpg | heart size is mildly enlarged. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. previously noted <num> mm left lower lobe nodule on ct is not well assessed on the current radiograph. right hemidiaphragm is slightly elevated, and likely due to the presence of a large hepatic mass as seen on recent ct. no acute osseous abnormalities detected. there mild degenerative changes noted in the thoracic spine. | history: <unk>f with liver cancer status post chemotherapy presenting with weakness // pneumonia or pulmonary congestion? |
MIMIC-CXR-JPG/2.0.0/files/p14993789/s52584222/c7b14fc7-e41ea05f-91188e6f-df5bca95-1ecfeb69.jpg | the endotracheal tube ends <num> cm above the carina. an enteric tube courses below the diaphragm with the tip in the left upper quadrant likely in the proximal stomach. evaluation of the chest is slightly limited due to patient rotation to the right. the lung volumes are low with resultant bronchovascular crowding and accentuation of cardiomediastinal silhouette. retrocardiac opacification most likely reflects atelectasis. there is no pulmonary edema, large pleural effusion or pneumothorax. the thoracic aorta is unfolded. | stroke, requiring intubation. |
MIMIC-CXR-JPG/2.0.0/files/p19713100/s59923936/f2e527ef-7944cda9-b852d3db-84bd858e-d58adfed.jpg | there is stable elevation of left hemidiaphragm with a corresponding left lower lobe atelectasis. there is mild right lower lobe atelectasis. there has been interval increase in left pleural effusion. cardiomediastinal silhouette is obscured by pleural effusion. moderate multilevel degenerative changes of the thoracic spine are noted. patient is status post sternotomy with sternotomy wires in unchanged vertical alignment with no obvious hardware complications. | <unk>-year-old male with increased o<num> requirement, admitted with urinary tract infection. study is to evaluate if there is an additional pulmonary component. |
MIMIC-CXR-JPG/2.0.0/files/p10427568/s53610905/846e09ae-f606d801-b1b5e52f-82a534bc-a18210ae.jpg | lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are normal. heart size is normal. | history: <unk>m with chest pain // ?cardiomegaly, pleural effusion, pna |
MIMIC-CXR-JPG/2.0.0/files/p19113609/s55664290/752fee31-f8aa4886-e95cbe51-0cc1766b-0a34d033.jpg | the patient has an unchanged tracheostomy. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there is similar mild to moderate rightward convex curvature centered along the mid thoracic spine. | status post fall with pain upon breathing, mostly on the right. |
MIMIC-CXR-JPG/2.0.0/files/p12111976/s52655280/50bec606-c0a479c2-97df0ac7-9f632153-4be5c252.jpg | endotracheal tube tip is approximately <num> cm from the carina. left chest wall pacemaker generator is partially imaged, as is the right ventricular lead. cardiomegaly is moderate but stable. compared to the prior study, patient has developed pulmonary edema, moderate to severe. no pneumothorax or large pleural effusions. | <unk> year old man post-op vtach ablation, had to be re-intubated at the end of procedure for hypercapnia. // etiology of hypercapnia |
MIMIC-CXR-JPG/2.0.0/files/p17458726/s51642684/990b85ba-ff10ecae-b70da50c-7ff4fc65-a92d8184.jpg | the lungs to not demonstrate focal opacity, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bony structures are grossly intact. | chest pain. question acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12338362/s52078678/0adf27f0-55800095-120aa130-6cdbe265-ad7113df.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. degree of cardiomegaly is grossly unchanged. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10692735/s50710216/f43d5aaa-c7089687-16487082-ba6b58a8-236cb37b.jpg | no significant interval change. other than minimal linear streak like opacities in the left lower lobe, which reflect atelectasis, the lungs are clear. mild elevation of the left hemidiaphragm is also unchanged. no pleural effusion, pneumothorax, edema, or focal consolidation. cardiac and mediastinal contours are overall unchanged. status-post avr. median sternotomy wires appear intact and unchanged in position. no evidence of acute osseous abnormality on this nondedicated exam. | <unk>-year-old woman presenting after fall. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p11851243/s51748539/b94ef3f8-26374e25-97a6df53-069afe71-4a539a27.jpg | compared with earlier the same day, the left apical pneumothorax is still small, but considerably larger. the pneumothorax component at the left base also appears slightly larger. minimal lucency adjacent to the lateral aspect of the aortic knob may also represent part of the left lung pneumothorax, though continued attention to this area to assess for any mediastinal air is requested. again seen is extensive subcutaneous emphysema along the left chest wall, left pectoralis, and left supraclavicular region. the left chest tube appears similar in appearance, though the sideport now overlies the cardiac silhouette (previously overlying the mid lung, just above the edge of the heart). the right-sided pneumothorax is also slightly larger, now seen tracking from the right apex along the right wall to the right costophrenic angle and adjoining right lung base. there is minimal atelectasis, but no significant collapse, on the right. the mediastinum remains grossly midline. the cardiomediastinal silhouette is similar to the prior study. retrocardiac opacity is similar to the prior film. doubt chf. | <unk> year old man with left chest tube clamped // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p14367765/s59552267/1be3b1ae-aca352fc-41f6493b-ccf99cb4-d9349c9d.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. multilevel degenerative changes are present within the right mid and lower thoracic spine. partially imaged is cervical spinal fusion hardware. | chest pain and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p14593900/s58370999/df8ccfaa-a7e82a3f-525ddc73-f0dfc5e2-125c589c.jpg | patient is status post median sternotomy and cabg. heart size is normal. the aorta is tortuous. pulmonary vasculature is normal. hilar contours are unremarkable. lungs appear clear without focal consolidation. minimal blunting of the right costophrenic angle suggests a trace pleural effusion. no pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>m with fever, tachycardia |
MIMIC-CXR-JPG/2.0.0/files/p18815551/s58595228/b5af412e-3e90dff4-a54fec6d-675f54a8-70aa7448.jpg | lung volumes are low. heart size is top normal. mediastinal and hilar contours are normal. lungs are grossly clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is visualized. | history: <unk>m with dyspnea on exertion// evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p10076958/s51809334/e958c61d-794ba713-f9505e46-2cbd18c1-233c218d.jpg | no significant interval change from <unk> radiograph. persistent large fluid-filled neoesophagus. likely small bilateral pleural effusions and left lower lobe atelectasis are unchanged. no new focal opacity or pulmonary edema. no pneumothorax. heart size, left mediastinal contour and left hilus are normal. no bony abnormality. | <unk>-year-old female with esophageal adenocarcinoma status post mie with acute onset of nonbilious vomiting and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p12858786/s57066993/77e00b23-eb96fa61-7c5b9c01-612e8e18-399bf867.jpg | pa and lateral views of the chest provided. the lungs are well-inflated and grossly clear. there is no pleural effusion, or pneumothorax. the hilar and cardiomediastinal contours are normal. | <unk> year old woman with cough x <num> weeks, chest tightness, <unk> year tobacco use history // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p12540517/s57762345/19d2f875-1b889974-cf8e3aee-4b3985ba-fe4b0e82.jpg | frontal and lateral radiographs of the chest demonstrate apical scarring in the left lung which may be from prior lobectomy. otherwise, the lungs are well inflated with no opacities. no pleural effusion or pneumothorax is seen. cardiomediastinal contour is normal. | prior left lobectomy for tb in <unk>. now with pressure in left chest. evaluate for pleural effusion or other abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p14325395/s56637203/919e5f4e-4bcb07ba-955bb8cd-276bb8bf-823b5959.jpg | heart size is normal. the mediastinal and hilar contours are normal. no definite pneumomediastinum is present. 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 food bolus for <num> hours |
MIMIC-CXR-JPG/2.0.0/files/p17826763/s55145483/738dcb38-0cb1afdd-628a1e33-98e5eacc-c3b4d724.jpg | the cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. osseous structures are grossly unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18896198/s56042012/0cc85123-856fe107-58ba5332-f1f123eb-06921b31.jpg | there is increased opacity in the left lower lobe which may represent infiltrate or atelectasis. no pneumothorax. an enteric tube is unchanged in position. the remainder the exam is stable. | <unk> year old man with fevers s/p craniotomy // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p13752677/s52175461/633d7ea0-b9b71da8-b9880e64-f99e437c-94df1ec2.jpg | nasogastric tube now extends below the diaphragm and terminates in the distal stomach. mediastinal and hilar contours are unchanged. there are stable, moderate, bilateral pleural effusions. there is stable, moderate cardiomegaly. unchanged, moderate pulmonary edema. bilateral, perihilar opacities, stable on the right and slightly decreased on the left. a left subclavian line terminates in the mid svc. median sternotomy wires are intact. there is no pneumothorax. | <unk>-year-old man status post readjustment of ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p14785210/s57550634/5c8064f6-84ac7233-08487935-b355e4d5-6ab34a4d.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 seizure // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p19642954/s58285985/cd0cd815-18330fd0-f39c0e44-21b97a64-0cda3e7b.jpg | right ij central venous catheter with the catheter tip at the superior cavoatrial junction. again noted are relatively stable bilateral opacities in the mid-to-lower lung fields which are suggestive of mild to moderate pulmonary edema. there are bilateral small pleural effusions with adjacent atelectasis. heart size remains normal and mediastinal veins continue to be dilated. there is no pneumothorax. | hypoxia and new pneumonia, evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13777829/s59521996/e0e45877-15dfdba7-a616eb73-948e2b56-a79abab8.jpg | there is worsening airspace opacity in the lingula and left lower lobe when compared to the prior examination, and left pleural effusion. right chest tube remains in place and there is no evidence of pneumothorax. the blunting of the right costophrenic angle is a small pleural effusion. the heart remains enlarged. interval marked decrease of the gastric bubble. | <unk> year old woman with r pleural effusion s/p chest tube and pleurex placement // please eval for change in pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p10841633/s57533785/0e6ee65c-2b73d874-0447434b-04c4ca9b-0a9f4bff.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with sob, new afib // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15946234/s56834674/016d3df1-b48207ed-417f33ad-7023d923-d0b4a7d8.jpg | interval insertion of <num> left-sided chest tubes. left pleural effusion has decreased slightly. slight increase in interstitial markings in the left is likely re-expansion pulmonary edema. the underlying consolidation are unchanged. multiple left lung masses are again only faintly visible, partially obscured by the pleural effusion. the hilar mass is unchanged. the right lung is otherwise clear. no pneumothorax. cardiomediastinal silhouette is unchanged. | <unk> year old man with left pleural effusion // ? pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17074638/s58818069/2dede52a-bcf6a855-e29bd14f-a52ebae3-2987e4b2.jpg | bibasilar consolidations continue to worsen, concerning for bibasilar pneumonia. prominent airspace opacity at the left hilum may represent an additional focus of infection. there is probably no pleural effusion. the endotracheal tube ends <num> cm from the carina with the chin down. the enteric tube passes into a decompressed stomach and outside of the field of view. low lung volumes cause bronchovascular crowding. there is no pneumothorax or pulmonary edema. the heart is stably moderately enlarged. | <unk> year old man with head injury and temp intubated // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15476298/s59594471/b3d795f4-157517ed-9b55f6a6-7bb6f007-2d3d1141.jpg | pa and lateral chest radiograph demonstrate no focal consolidation convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality. no air under the right hemidiaphragm is identified. | <unk>-year-old male with chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p13417577/s56079481/3a4ab766-f8d3de0f-18d2f8b4-f9891db5-95b7e0b8.jpg | pa and lateral views of the chest provided. previously noted picc line is been removed. patient is known to have a large hiatal hernia accounting for retrocardiac opacity partially obscuring the right medial lung base. right lower lobe consolidation is concerning for pneumonia/aspiration. there is persistent nodularity in the left mid lung peripherally with subtle spiculated margins. a prominent bleb is noted at the left lung apex. small bilateral pleural effusions are noted, right greater than left. no pneumothorax. overall cardiomediastinal silhouette appears similar to prior. imaged bony structures are intact. | <unk>f with fever, recurrent pna |
MIMIC-CXR-JPG/2.0.0/files/p11818502/s53892429/48b16f3d-bba5fe5d-450bff83-91b36104-a4739c91.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. no subdiaphragmatic free air is present. | history: <unk>m with left upper quadrant abdominal pain and left sided chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19612066/s55104772/2b3eece2-7a947db5-3332209e-ae9146bc-a5c1acd7.jpg | ap and lateral chest radiographs. right picc tip is in the lower svc. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | evaluation of picc line placement. |
MIMIC-CXR-JPG/2.0.0/files/p14131135/s56810214/45c1e6ad-072ad3f9-7a8a312f-5ed7f82d-0e99f23b.jpg | the cardiac silhouette size is normal. left hilar mass compatible with known lung cancer is relatively unchanged compared to the prior exams. emphysematous changes are re- demonstrated with hyperinflation of the lungs. previously seen peripheral left upper lobe nodular opacity on ct is not clearly identified on the current exam. minimal bibasilar atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is seen. there are cholecystectomy clips in the right upper quadrant of the abdomen. | dry cough, history of lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p13076278/s51768234/13ae6e1d-5db14e75-ee2eb2e8-b64e45a1-3d90493d.jpg | the cardiomediastinal and hilar contours are within normal limits. round <num> mm density in the left lower lobe corresponds to a known pulmonary nodule. there are smaller diffuse nodularities which likely reflect additional pulmonary nodules, better assessed on prior chest ct examination. there is no new focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with s/p fall/syncope with l forehead hematoma // r/o fx, ich, occult infection |
MIMIC-CXR-JPG/2.0.0/files/p11469079/s55471763/e765d9ed-98b6d643-7b924413-c57f3600-df828f08.jpg | pa and lateral views of the chest provided. there has been interval right thoracentesis. small right pleural effusion persists. there is a tiny right pneumothorax. small left pleural effusion is unchanged. | <unk> year old woman with recurrent right effusion s/p <unk> with <num>ml removed // ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p17313111/s58102243/49a48952-98d4c7e1-3b367a7f-bc6bb05b-8cb6d6c1.jpg | normal heart, lungs, pleura and mediastinal surfaces. | <unk>-year-old woman with fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15113309/s57486491/f1712320-641c7a7d-56051ed7-3cf57741-429bcfef.jpg | the cardiac silhouette is massively enlarged, substantially increased since the prior study concerning for a large pericardial effusion. there may be trace bilateral pleural effusions. left lower lobe consolidation is difficult to exclude. right-sided pacer device is again noted. | history: <unk>f with increased dyspnea on exertion with increased edema, known chf. // pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p10376494/s57823211/a17f6e30-58fa8fe8-6c2328c2-2aa7f0a4-b9d29703.jpg | the lungs are overinflated, as seen on the prior study from <unk>. there is minimal bilateral lower lung atelectasis/scarring. the lungs are otherwise clear. mild cardiomegaly is not significantly changed. the mediastinal contours are unchanged. blunting of the right costophrenic angle could represent a small pleural effusion, unchanged. there is no left pleural effusion. no pneumothorax is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14496767/s52533587/a7324ab0-955f6117-a2c4e719-8be2a253-c2f2462b.jpg | portable ap upright view the chest provided. left upper extremity access picc line is again seen with its tip in the region of the low svc. lungs are clear. no pneumothorax or effusion. cardiomediastinal silhouette is stable. healing left clavicular midshaft fracture again noted. | <unk>m with picc // confirm picc placement |
MIMIC-CXR-JPG/2.0.0/files/p12435714/s52306941/7b677f0e-817571aa-be139576-7bbcb153-688e4e71.jpg | the lungs are clear without infiltrate or effusion. the bony thorax is normal. the cardiac and mediastinal silhouettes are normal. | positive ppd. |
MIMIC-CXR-JPG/2.0.0/files/p19780933/s56849335/556def22-d7660b66-3cf81ff4-c83dafca-57386fae.jpg | compared to chest radiographs from <unk>, there is no significant change. patient is status post cabg with median sternotomy wires in place. there is no focal consolidation, pleural effusion or pneumothorax. no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are stable. moderate cardiomegaly is unchanged. | <unk> year old man, chf/cad, anticoagulated presenting w/ hemoptysis vs hematemesis, shortness of breath. // wedge defect to evaluate for pe, pneumonia, esophageal perforation/free |
MIMIC-CXR-JPG/2.0.0/files/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg | the lungs are well expanded and clear. area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. severe cardiomegaly is reidentified. the hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk> y/o male with cough. |
MIMIC-CXR-JPG/2.0.0/files/p13751863/s52739808/118864ff-8a15146d-db273a2e-52e8c3a3-e8195d25.jpg | frontal and lateral chest radiograph demonstrate normal cardiomediastinal and hilar contours. on a background of mild pulmonary edema, there are stable bibasilar opacifications including a domed posterior pleural based opacification likely reflecting rounded atelectasis. there is stable prominence of the right lateral pleura, likely combination of small loculated pleural fluid and pleural thickening. small amount of fluid tracks along the minor fissure. no pneumothorax evident. left-sided port-a-cath terminates at the cavoatrial junction. | hypoglycemia, neutropenia, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18191270/s58374447/2b240bab-412e1b8b-a8d8b843-56dce98a-fbae20b8.jpg | pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax. | cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p17224122/s52294160/13573f55-ef3df6d4-2b177f08-ec0df371-76a71d10.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unchanged, with small anterior osteophytes along the upper through mid thoracic spine. there has been no significant change. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18083893/s56959536/189a359c-ed0417b8-a9347694-fefc1197-00bd3c96.jpg | an endotracheal tube is noted terminating within the right mainstem bronchus approximately <num> cm beyond the level of the carina. a <unk> tube is seen extending into the stomach, and a right subclavian central venous line terminates near the cavoatrial junction. low lung volumes are noted, resulting in crowding of the bronchovascular structures. the left lung is diffusely opacified relative to the right, likely secondary to the selective right mainstem intubation. right infrahilar airspace opacities likely reflect atelectasis, although consolidation cannot be excluded. there is no pleural effusion or pneumothorax identified. the heart appears mildly enlarged, allowing for portable ap technique. surgical clips are noted within the right upper quadrant. | history: <unk>f intubated for gi bleed // confirm et tube placement, s/p intubation transfer |
MIMIC-CXR-JPG/2.0.0/files/p12036102/s59065174/8b17b4de-9d82cc75-e7321b20-11100f7e-5015b871.jpg | right picc tip is now located within the distal left brachiocephalic vein, a change in position compared to the prior study. previously noted enteric tube has been removed. lung volumes are low. this accentuates the size of the cardiac silhouette which is at least mildly enlarged. the mediastinal contour is also some similarly widened due to low lung volumes but otherwise unremarkable. there is crowding of bronchovascular structures but no pulmonary edema is demonstrated. linear and patchy opacities in the lung bases likely reflect atelectasis. elevation of the right hemidiaphragm is unchanged. no large pleural effusion or pneumothorax is seen. | shortness of breath for <num> days status post hemicolectomy |
MIMIC-CXR-JPG/2.0.0/files/p18686472/s54839264/582e1d82-9d99cad1-625710b3-16f22a95-f6b02dfe.jpg | the ett terminates approximately <num> cm above the carina. there has been interval placement of an ng tube, which courses below the diaphragm, however the tip is not visualized. there are persistent right middle lobe and retrocardiac opacities, unchanged from prior. persistent mild pulmonary edema. no pleural effusions. no pneumothorax. | <unk> year old man with hypoxic respiratory failure s/p intubation // <unk> placement |
MIMIC-CXR-JPG/2.0.0/files/p13894174/s50706563/e713a468-11c4ce4a-b69bf024-349b9917-71aea8b4.jpg | there has been interval resolution of the right middle lobe pneumonia. no new focal consolidations are identified. there is no pleural effusion or pneumothorax. the heart size is normal. the hilar and mediastinal contours are normal. the visualized osseous structures are unremarkable. | <unk>-year-old female with a history of right middle lobe pneumonia, presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17783442/s54137609/d032beb2-55a24e65-ead5ba5f-7da8dea7-711b2e47.jpg | there are diffuse hazy opacities in the right lung and focal opacities in the left lower lung. there are likely trace bilateral pleural effusions. no pneumothorax. the heart is mildly enlarged. | history: <unk>f with dyspnea // eval for ptx, pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p10188860/s51907996/8b19a964-01c96c94-2324376e-669f01ea-193c6f83.jpg | the lungs are well inflated. the right lung field is clear, while the left lung field demonstrates a linear peripheral opacity in the base that is unchanged compared with prior study, likely representing scarring. no other focal opacities are noted. there is mild cardiomegaly, unchanged compared with <unk>. otherwise, the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. sternotomy wires are intact. clips from prior cabg are noted. calcified pleural plaques are unchanged and compatible with prior asbestos exposure. old right sided rib fractures are redemonstrated. | <unk>-year-old male with one week of cough. evaluate for pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14451001/s57794928/dc05c22d-3d73a38b-26c24adb-c1870393-7340671c.jpg | portable semi-erect chest radiograph <unk> <time> is submitted | <unk> year old male with history of hcv and etoh cirrhosis, complicated by ascites (s/p tips, patent in <unk>), as well as hepatic encephalopathy, pvt, chronic malnutrition (on tpn) who presented to <unk> ed for confusion, with worsening mental status concerning for acute intracranial process, as well as upper gi bleeding; intubated on the floor for airway protection. // please eval interval change please eval interval change |
MIMIC-CXR-JPG/2.0.0/files/p15423912/s53096000/c42ecfae-b575eb6c-302d8055-61cd22e4-2bee59c6.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is moderately enlarged, new since <unk>. the thoracic aorta is slightly tortuous, unchanged and may in part be related to the curvature of the thoracic spine. | <unk>-year-old woman presenting with fever. rule out infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10949720/s52020508/00907bfd-e2a84721-ecb40129-adf241a0-728598c6.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. position of previously described left-sided permanent pacer connected to two intracavitary electrodes remains unchanged. heart size has increased mildly. the thoracic aorta is unchanged and shows rather extensive walled calcifications mostly at the level of the arch. it is also moderately elongated but the contours are grossly unchanged. the pulmonary vasculature is more prominent than on preceding examination with distended venous vasculature in the lungs with perivascular haze. similar as already seen on previous examination, there exist thin linear densities on the bases representing peripheral atelectasis or possibly scar formations. they are rather unchanged and there is no evidence of new discrete pneumonic infiltrates. also, the lateral and posterior pleural sinuses remain free from any major fluid accumulation. no pneumothorax is seen in the apical area. skeletal structures of the thorax are grossly unchanged and remain normal. | <unk>-year-old female patient with increasing shortness of breath, evaluate for chf. |
MIMIC-CXR-JPG/2.0.0/files/p15592123/s56934846/fe8d3f10-63cdd967-15037fb9-93677921-d849d265.jpg | the lungs are clear without focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits. there is a comminuted, displaced fracture of the middle third of the right clavicle, which is also evaluated on the shoulder x-ray from the same date. the distal fragment is displaced inferiorly <num> shaft width. no other fractures are seen. | <unk>m with trauma. evaluate for traumatic injuries. |
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