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MIMIC-CXR-JPG/2.0.0/files/p19640899/s56076038/3f85c7c9-b1ada225-6ad36d63-8cbf36f8-31f9db8e.jpg | pa and lateral radiographs of the chest. normal heart size and mediastinal contours. there is a <num> mm nodular opacity in the peripheral right midlung which was present on the prior radiograph; however, no prior ct is available to evaluate. on the lateral view there an interphase corresponding to overlying arm. no focal consolidation or pleural effusion. no pneumothorax. | left arm pain. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17863325/s50169981/adf1955c-18e32573-fa6fee95-e8e1ebbf-e498d1f0.jpg | frontal and lateral views of the chest demonstrate a linear area of opacification in the right upper lung zone. the left lung is clear. the heart is mildly enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable. | pleuropericarditis for <num> week, assess for pneumonia or pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18083755/s54612329/f083d558-6a9429d3-e0191718-66b5df6e-0e3f574d.jpg | again seen is a band-like opacity in the right middle lobe with chain sutures likely from the patient's prior vats resection. the heart size is normal. note is made of slight prominence of the hila, which could be secondary to vascular engorgement, otherwise, the hilar and mediastinal contours are unremarkable. no focal consolidations concerning for infection are identified. there is no pleural effusion or pneumothorax. mild bibasilar atelectasis is stable. | history of afib with rvr, please evaluate for pneumonia or widened mediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p18201582/s53803850/7a07bb29-1f01f74a-ea4893d8-9743a355-b977ab1d.jpg | status post midline sternotomy. the lungs are hyperinflated but clear. there is no pneumothorax or pleural effusion. there has been no change compared to the <unk> chest radiograph. the cardiac and mediastinal contours are stable. | history: <unk>m with cp // ? ptx |
MIMIC-CXR-JPG/2.0.0/files/p11951640/s51163578/df5eb843-c4264685-4d2b24fd-c9aeed26-0348c822.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected. | right upper quadrant pleuritic pain, assess for right lower lobe infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13937874/s58856780/8ba1d5af-59372b10-ebff63e6-872a8510-566d3273.jpg | heart size is normal. mediastinal and hilar contours are unremarkable with mild calcification of the aortic arch. pulmonary vasculature is normal. minimal patchy left basilar opacity likely reflects atelectasis. no pleural effusion or pneumothorax is present. there are multilevel degenerative changes in the thoracic spine. | abdominal pain, hcc with cirrhosis. |
MIMIC-CXR-JPG/2.0.0/files/p17583585/s57129202/9748b439-8787ba44-65bb9b94-85ed5b71-900bc21d.jpg | complete opacification of the right hemithorax with leftward shift of the mediastinal structures likely indicates a large pleural effusion, likely hepatic hydrothorax, given the clinical history. patchy opacities in the left lung, particularly in the left upper <unk>, <unk> represent infection, the correct clinical setting. no left-sided pleural effusion or pneumothorax is identified. | <unk>f with resp distress. history of end-stage liver disease. eval for pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18133509/s58467649/6b6b093f-d049ca74-36f195d2-1cfbf7a0-d9889694.jpg | there has been interval removal of the right chest tube. all other lines and tubes are unchanged in positioning. there is no evidence of pneumothorax on this radiograph. unchanged bibasilar atelectasis. otherwise, the lungs are clear. stable postoperative appearance of the cardiomediastinal silhouette. | <unk> year old man with cabg // s/p ct d/c, r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p19678570/s58779382/c1fa8d47-814fb378-c21640dc-f5de3687-a738bf9e.jpg | the cardiac and hilar contours are normal. right paratracheal mediastinal bulge compatible with known mediastinal cyst is unchanged. the pulmonary vasculature is normal and the lungs are clear. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are detected. mild degenerative changes are noted within the thoracic spine. partially imaged is hardware within the left humerus. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13435701/s55538206/275c5218-31c71618-a294082e-0f613f4e-973b4017.jpg | pa and lateral views of the chest demonstrate stable right pleural effusion and consolidation at the right lung base, likely atelectasis, although underlying infection cannot be excluded. the heart size is enlarged and is unchanged. the right diaphragmatic surface is not well seen, secondary to the pleural effusion on the right. there is no pneumothorax. no overt pulmonary edema is present. | increased lower extremity edema history chf. evaluation for pneumonia and pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p13171295/s51829109/32896d9e-adc798dc-fc33db72-7f381304-c05fe819.jpg | the cardiomediastinal silhouette and hila are normal. the lungs are clear. there is no pleural effusion and no pneumothorax. | <unk>-year-old with lightheadedness. |
MIMIC-CXR-JPG/2.0.0/files/p15831207/s55280805/dbd4b2bd-7be1198e-93dae8a0-94d4e69a-b2743c2b.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there has been interval improvement in the diffuse bilateral heterogeneous airspace opacities. bilateral pleural effusions have decreased in size. the cardiomediastinal and hilar contours are unchanged. nasogastric tube ends in the neo-esophagus. the endotracheal tube ends <num> cm from the carina. right-sided picc line is looped and coiled, and ends in the axilla. right-sided port-a-cath ends at the distal svc. no pneumothorax. | <unk> year old man s/p esophagogastrectomy, post-op course c/b ards, afib w/rvr // interval changes |
MIMIC-CXR-JPG/2.0.0/files/p10180823/s57889799/459339be-6af11838-c96d0f55-2acf5d28-2f226f13.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19988669/s50444035/0098c823-856e096b-c5e1b7e9-3e01a249-228a6c73.jpg | pa and lateral views of the chest. the small right apical pneumothorax is unchanged. there is a possible small left apical pneumothorax, difficult to appreciate on prior studies. lungs are otherwise clear. no pleural effusion. the cardiomediastinal and hilar contours are normal. | right pneumothorax, status post chest tube, evaluate if stable. |
MIMIC-CXR-JPG/2.0.0/files/p14306557/s55952419/69a8e5b4-a12a0632-fb861677-60a31414-735ee62e.jpg | in comparison to the most recent prior study, the patient has been intubated with the tip of the endotracheal tube terminating at the level of the thoracic inlet, approximately <num> mm above the carina. an abandoned left subclavian catheter fragment is unchanged over multiple prior studies. a left supraclavicular central venous catheter is unchanged in position with the tip terminating at the confluence of the left brachiocephalic vein and the svc. suture chain material is again noted in the right lung base. the inspiratory lung volumes remain low with associated mild bibasilar atelectasis. no large pleural effusion, focal consolidation or pneumothorax is present. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal silhouette is top normal in size but stable with minimal calcification at the aortic knob. | history of aml, acute on chronic multifactorial respiratory dysfunction and aspiration pneumonia with recent reintubation, here to evaluate et tube position. |
MIMIC-CXR-JPG/2.0.0/files/p14185672/s53303259/581e0497-904ffa3c-9164e372-ecd88769-93eeb91f.jpg | frontal and lateral views of the chest demonstrate no focal consolidations to suggest pneumonia. there is stable left lateral subpleural scar and rounded opacity likely relating to old rib fracture in the right midlung. there is a nodule projecting over the seventh right rib anteriorly, that may represent nipple shadow. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | <unk> year old man with aml, and increasing cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13616674/s52453961/f86cd420-ef0ba77b-ac52b384-97f04ede-6a0edbe4.jpg | no focal consolidation or pleural effusion is detected. no pneumothorax is seen. heart size is top normal. mediastinal contours are within normal limits with mild aortic tortuosity. thyroidectomy clips are again noted. | <unk>-year-old female with altered mental status and right-sided rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p15528228/s57285784/8889435c-9d6e6008-e9d2bf7e-42d9734b-57a45cc4.jpg | heart size is normal. the aorta is mildly unfolded. lungs are clear and pulmonary vasculature is normal. hilar contours are normal. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities detected. clips are seen projecting over the gastroesophageal junction. | history: <unk>m with brown sputum and dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p14252529/s59553668/587f3317-99bef11a-127138b0-9ff18cae-4968900d.jpg | lungs are clear despite low lung volumes. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips noted in the upper abdomen. | <unk>f w/ fever eval for cardiopulm change |
MIMIC-CXR-JPG/2.0.0/files/p13620661/s58578489/47470202-4befeb7f-a396af53-8d67e3a7-b3824eab.jpg | there is no pleural effusion or pneumothorax. lung parenchyma is without consolidation. the cardiomediastinal silhouette is unremarkable given the patient's mild right convex scoliosis. | <unk> year old woman with smoking history, productive cough, and sweats // pneumonia, mass pneumonia, mass |
MIMIC-CXR-JPG/2.0.0/files/p18696483/s50814929/455c714b-bbe8f86f-d3415a44-4848cdb0-9a90676d.jpg | a left pigtail catheter is present. there is no definitive pneumothorax identified on the current study however a left basilar pneumothorax is suspected. there are retrocardiac and left basilar opacities present as well as a probable left pleural effusion. there is new pulmonary edema. the appearance of the right lung is otherwise unchanged including a large right pleural effusion. left chest wall dual lead aicd is unchanged as is a right chest wall port-a-cath. | <unk> year old woman with lt ptx // change to ptx? |
MIMIC-CXR-JPG/2.0.0/files/p15810543/s51752321/f4f6f402-003ba5b1-e7600129-88bd9c52-02a09392.jpg | frontal and lateral views of the chest. again, low lung volumes are seen with secondary crowding of the bronchovascular markings. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. mild s-shaped thoracolumbar scoliosis is seen. no acute osseous abnormalities detected. | <unk>-year-old female with chest tightness. |
MIMIC-CXR-JPG/2.0.0/files/p12532910/s56051407/2425587d-0a5f09b4-d4ffa480-8de4993b-b8ebeb85.jpg | frontal and the lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there are prominent interstitial markings. partially imaged upper abdomen is unremarkable. | patient with right-sided weakness and intracranial hemorrhage. |
MIMIC-CXR-JPG/2.0.0/files/p16140962/s51089089/8cc45a9b-a832db4d-8ff8cd6f-eb53c619-7f351286.jpg | the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. thoracic dextroscoliosis is similar compared to prior. | <unk>f with chest pain // etiology of chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16508811/s56381590/b4f28648-ad5e7b85-c9c36b5c-975bd159-3da2a25f.jpg | right-sided double lumen central venous catheter tip terminates in the proximal right atrium. heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. aeration of the lungs has markedly improved compared to the previous radiograph, with patchy opacities demonstrated in the lung bases, potentially infectious or atelectasis. no pleural effusion or focal consolidation is present. no acute osseous abnormalities detected. | history: <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p12905506/s51598499/d2cb7bea-a82994dd-99c30f07-51474b69-2ed8360a.jpg | pa and lateral views of the chest were reviewed. compared to the most recent chest radiograph of <unk>, interstitial abnormality has increased especially in the left lung which could be due to increased pulmonary fibrosis; however, interval increase in severe cardiomegaly may indicate a component of pulmonary edema due to heart failure. there is no pleural effusion or pneumothorax. mediastinal contours are unchanged. absence of the right fifth posterior rib is noted. | evaluation for increased fibrosis in a patient with shortness of breath and a history of sarcoidosis. |
MIMIC-CXR-JPG/2.0.0/files/p11999659/s54242464/3156fdd2-7e106246-ca7905f4-24e58bd7-a797b0b8.jpg | left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. the patient is status post median sternotomy, aortic valve replacement, and cabg. cardiac silhouette size is normal. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are unchanged with fullness of the right superior mediastinal contour compatible with a thyroid goiter. there is no pulmonary edema. linear opacity within the left lung base likely reflects scarring, and appears unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. mild loss of height of a mid thoracic vertebral body is unchanged. | history: <unk>f with fall, right hip forshortened internally rotated |
MIMIC-CXR-JPG/2.0.0/files/p12692148/s58108133/01b2ac73-8a01bebb-324c65cf-66cfa806-4305a80e.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. tip of the nasogastric tube projects below the diaphragm, likely within the stomach. | history: <unk>f with ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg | left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. mild to moderate cardiomegaly is similar. the aorta remains tortuous and diffusely calcified. mild pulmonary edema is unchanged compared to the prior study. there is likely a small right pleural effusion, without evidence for pneumothorax. no acute osseous abnormalities detected. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p16531888/s58404772/e912a275-ed065489-65360efa-59898333-58e2d5df.jpg | pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected. | <unk>-year-old male with right-sided shoulder and scapular pain. |
MIMIC-CXR-JPG/2.0.0/files/p12620320/s50862189/e6d7e7d3-26308de7-83e9f807-d92d0397-89ec8734.jpg | moderate to severe pulmonary edema with bilateral small pleural effusions. no pneumothorax. tracheostomy in place, unchanged. mask overlies the left apex. heart size difficult to assess. | <unk>m with shortness of breath and increased trach secretion, elev bnp |
MIMIC-CXR-JPG/2.0.0/files/p18303502/s54830999/b8d59b2a-be55b95c-770d7295-b8f3b006-af21dee7.jpg | portable ap semi-upright view of the chest was reviewed and compared to the prior study. the lungs are clear. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are normal and there is no pneumomediastinum. a left-sided line ends in the superior vena cava. | retroternal chest pain in patient status post egd performed today. |
MIMIC-CXR-JPG/2.0.0/files/p14837792/s58567237/2d8abfe6-9679791c-064cd2ba-d6c7de2d-8c339ec5.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. no rib fractures identified. surgical anchors noted overlying the right shoulder. | <unk>f with chest wall tendernress // ?rib fx |
MIMIC-CXR-JPG/2.0.0/files/p17272283/s54495771/c82e30f1-db4914a8-331bb469-13ab27ac-c979b239.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiac size is top normal. right breast clips project over the right hemithorax. | hypoxemia. |
MIMIC-CXR-JPG/2.0.0/files/p16751898/s54391654/0079c1c0-4c5362a6-8b8219a0-25c8a515-72230216.jpg | the lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is top normal in size. the mediastinal and hilar structures are unremarkable. | fevers, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16931484/s58409019/bec30347-127583e7-3ee63630-5b0e85dc-8ee09970.jpg | patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable.no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen. | history: <unk>m with cp, hx of heart ds // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12677246/s53846975/5d4b6bdc-3a27efc0-37fba4a7-5d730a8d-3f91ab6b.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old woman s/p cervical tracheal reconstruction // please evaluate for interval change please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p14674146/s59136823/53910ab7-976411ae-a771ba99-de75a028-4f763afd.jpg | lungs are hyperexpanded with mild flattening of the bilateral hemidiaphragms. there is no focal consolidation, effusion, or pneumothorax. area of heterogeneous opacification at the medial right lung base is most consistent with a fat pad. mediastinal and hilar contours are normal. heart size is normal. old right posterior rib fractures are seen. | history: <unk>f with cough, chills // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p15889814/s59255589/9b100ea8-dd5a045e-9b85c7a7-0963c2b7-197a9e11.jpg | there is mild enlargement of the cardiac silhouette. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p17563926/s57796312/414fd620-72f56b18-cc621816-793ee47c-6f280b38.jpg | portable frontal view of the chest. the lungs are hyperexpanded, consistent with known copd. there may be trace bilateral pleural effusions. a subtle parenchymal opacity is seen at the right lung base. the size of the cardiac silhouette is unchanged. a right internal jugular catheter has been removed in the interim. | shortness of breath with a history of copd. |
MIMIC-CXR-JPG/2.0.0/files/p15508006/s56802578/97f9e659-1f8fce68-1c9768e8-9c00fd26-b1cf97bf.jpg | there are small bilateral pleural effusions, similar to prior. streaky left basilar opacity is most suggestive of atelectasis. the lungs are otherwise clear without consolidation worrisome for pneumonia. there is mild pulmonary vascular congestion without overt edema. cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are noted. | <unk>m with <num>vcabg, weight gain, chest pressure // r/o chf, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14939898/s58625661/d4f0d97c-72567146-ee0487ff-a3d1cc6f-78099694.jpg | cardiac silhouette remains mildly enlarged. mediastinal contours are unremarkable. there is left basilar atelectasis. slight blunting of the left costophrenic angle on the frontal view is not substantiated on the lateral view and may be due to atelectasis. no large pleural effusion is seen. there is no pneumothorax. no focal consolidation is seen. degenerative changes are seen along the spine. | history: <unk>f with sob, sputum production // eval for structural process, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18715578/s54577465/ed852b4d-6055d6cb-77632101-8741f6f5-b1587141.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. linear opacities in the lung bases are compatible with areas of subsegmental atelectasis, slightly progressed in the interval. no focal consolidation, pleural effusion or pneumothorax is detected. no subdiaphragmatic free air is present. | history: <unk>f with fever, severe abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p15256204/s50399572/1b27bc3c-5a6bd186-de0fcfe9-21dede0c-9f879be0.jpg | compared to the prior study, i doubt significant interval change. possible atelectasis in the right cardiophrenic region/ right middle lobe is unchanged. the cardiomediastinal silhouette is within normal limits. no chf, focal infiltrate or effusion is detected. minimal biapical pleural scarring is again noted. | history: <unk>m with arm pain, similar to anginal pain // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p15398539/s53615156/3ca97543-9ebcb067-ef8473a1-d51c1ad0-86965b63.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal. | history: <unk>f with shortness of breath // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14717765/s53689230/37e8db75-95eb29fd-4392a8b8-745ccda4-6bec660a.jpg | the heart is enlarged. the great vessels are unremarkable. the lungs are clear. there is no pleural effusion | <unk> year old man with chf now with increased sob // please assess for pulmonary edema, pna |
MIMIC-CXR-JPG/2.0.0/files/p15440544/s57683836/e28e45b2-2a0ea8f6-673c1a17-dfa215eb-5a6ebbc4.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. <num> endobronchial valves are re- demonstrated in unchanged position. marked upper lobe predominant centrilobular emphysema is re- demonstrated. linear opacities in lung bases likely reflect a combination of scarring and atelectasis. no pleural effusion, focal consolidation or pneumothorax is detected. there is no pulmonary edema. multiple clips project over the left upper quadrant of the abdomen. there are no acute osseous abnormalities. | history: <unk>f with copd status post endobronchial valves placement |
MIMIC-CXR-JPG/2.0.0/files/p11539566/s58464221/97c2d3b4-478d4257-faff99ef-effab961-39b76c39.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. evidence of dish is seen along the spine. no pulmonary edema is seen. | history: <unk>m with doe x <num> days with new afib // eval pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p10661934/s56684491/315863c7-e98370c5-49b36576-f55c5059-485cc6f7.jpg | a right picc terminates in lower svc. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. | fever while on chemotherapy. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18591383/s55248051/961b45a8-60358c91-924bc045-0c6ba755-9bf880f9.jpg | heart size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion without focal consolidation, large pleural effusion or pneumothorax, but the right costophrenic angle is excluded from the field of view. percutaneous gastrostomy catheter is seen in the upper abdomen. | history: <unk>m with altered mental status, last seen normal unknown. drooling and right arm weakness |
MIMIC-CXR-JPG/2.0.0/files/p19640557/s50958652/b5eb15cc-fad46bc4-e9883e85-3b6b1f3b-09b189b8.jpg | the lungs are clear aside from linear bibasilar atelectasis. there is no pleural effusion or pneumothorax. the heart is normal in size with tortuous thoracic aorta. | intermittent cough and chest pain, assess for infiltrate or edema. |
MIMIC-CXR-JPG/2.0.0/files/p13949924/s59523873/e78d037b-ed5fd8fb-f594e0cc-8b0c1975-adf8f37f.jpg | compared with prior radiographs on <unk>, there has been interval complete resolution of a right middle lobe opacity.there is no new focal consolidation. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette is unchanged. the aorta is tortuous. | <unk> year old woman with history of right middle lobe pneumonia // resolution of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15014371/s59075700/127f00d9-9343e292-0576a9c9-7b6d2f58-ada3b50a.jpg | there is better aeration of the right upper lobe. left lower lobe atelectasis noted. et tube is above the carina. left ij line in distal svc. | <unk> year old man with bradycardia. ?pneumonia // evaluate for consolidation, opacity. |
MIMIC-CXR-JPG/2.0.0/files/p19405153/s57037677/1c145bc8-b23e1825-985edd22-93fa1690-b6355d3a.jpg | the patient is status post median sternotomy and multiple midline skin <unk> are noted within the anterior chest. the heart size is normal. the aorta is mildly tortuous but unchanged. there is no pulmonary vascular congestion. streaky opacities in the left lung base likely reflect atelectasis with a trivial left pleural effusion. there has been interval improvement in the aeration of the right lung base with minimal residual atelectasis noted. no new areas of focal consolidation are seen. no pneumothorax is identified. old bilateral rib fractures are noted. mild loss of height of a low thoracic vertebral body is unchanged. | hematocrit drop, history of chest surgery. |
MIMIC-CXR-JPG/2.0.0/files/p19618591/s53598135/5dde05ba-f4539d5f-d71c3cb7-34a7f876-852d242c.jpg | lung volumes are low and there is crowding at both bases. on the lateral view, there is increased opacity projecting over the lower lobes posteriorly. it is unclear if this is all due to volume loss or if an infectious infiltrate is present. the heart size continues to be mildly enlarged. the mediastinal silhouette is unchanged compared to prior. | cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11665864/s53292762/9f909715-43dc45d8-391b36a0-7137973f-389a30a0.jpg | the lungs are grossly clear without focal consolidation, effusion, or pneumothorax. lateral view demonstrates low lung volumes with basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with dizziness // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18948084/s59890544/19047f72-355c5c89-58b84452-2ea37784-4efb2206.jpg | portable upright chest radiograph demonstrates unchanged position of a right chest tube with its tip directed at the right lung hilus. a moderate loculated right pleural effusion has increased from <unk>, though remains smaller than seen on <unk>. subsegmental bibasilar atelectasis is not significantly changed. a small component of hydropneumothorax persists apicolaterally. the cardiac silhouette remains markedly enlarged, a combination of cardiomegaly and pericardial effusion. the mediastinal contours are unchanged. | <unk>-year-old male status post chest tube, evaluate for progression of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12759187/s59887924/67a4caf5-7870506a-1855665d-f597a104-70bf48e9.jpg | a left internal jugular dialysis catheter terminates in the distal svc. a right internal jugular temporary pacing wire is in appropriate position, the tip appears to be in the right ventricle. there is a persistent right pleural effusion. hazy opacity throughout the right lung is likely due to layering of the pleural effusion, difficult to exclude underlying consolidation. there is moderate pulmonary vascular congestion, similar in appearance when compared to the prior study. | <unk> year old woman s/p temp hd line and temp wire from bilateral ijs // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p14047315/s57780455/5fd18707-736ee844-1a2ae766-d58161c7-3b4d173a.jpg | in comparison to the radiograph obtained <num> day prior, no significant changes are appreciated. a small amount of medial left lower lobe atelectasis is unchanged. pleural effusions are small, if any. lungs are otherwise fully expanded and clear. heart size and cardiomediastinal silhouettes are unchanged. no pulmonary vascular congestion or pulmonary edema. a right-sided picc terminates the lower svc. a vp shunt descends and terminates in the right upper quadrant. | <unk> year old woman with acomm aneurysm s/p trach on vent support // interval change |
MIMIC-CXR-JPG/2.0.0/files/p17676327/s59884455/8fe57333-1f96fff6-b40e7e91-d0fa5895-86351689.jpg | the nasogastric tube has been placed into the trachea and right bronchus. there is unchanged severe widening of the mediastinum. there is unchanged atherosclerotic calcification of the aortic arch. there are low inspiratory volumes. bibasilar opacities are unchanged. there is no pneumothorax. | <unk> year old man with ngt // ngt placement ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p15906963/s54089740/7c6e17c1-7ec7bd58-3da820e9-7343bf68-c468aa59.jpg | the right internal jugular and inferior approach transvenous pacing wires and swan-ganz catheter are unchanged in position. the endotracheal tube and enteric tubes are stable. there has been interval removal of the intra-aortic balloon pump. heart size and mediastinal contours are stable, as are bilateral parenchymal opacities with apical sparing. increasing opacity at and above the minor fissure represents atelectasis in the right upper lobe. small right lateral pleural effusion has essentially resolved. no pneumothorax. | <unk> year old man with ards after cardiac arrest. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18068147/s57823308/49e69f0f-23473671-8af46616-07641271-191967dd.jpg | heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are unremarkable. the lungs are hyperinflated. pulmonary vasculature is not engorged. streaky and linear bibasilar opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p16132012/s53068018/590dd63e-8a937c46-b6924ffa-d58e0535-36389a7b.jpg | compared with the prior film, the patchy opacity previously seen left mid zone is slightly improved. retrocardiac opacity, obscuration of the left hemidiaphragm consistent with left lower lobe collapse and/or consolidation, and small left effusion are similar. the left pleural effusion could be slightly decreased in the interval. there is prominent vascular plethora presumably reflecting chf, though the appearance raises the possibility of some background parenchymal scarring. small focal, peripheral, patchy opacities at the right base laterally are noted, similar prior. minimal blunting of the right costophrenic angle is consistent with a small right effusion. cardiomediastinal silhouette is unchanged. again seen is a left picc line, with tip overlying the mid svc. no pneumothorax is identified. | <unk> m complicated medical history (h/o dvt/pe, cmml/myelodysplastic syndrome, s/p tac/ileostomy s/p reversal in setting of ulcerative colitis vs c diff, nephrolithiasis s/p stenting, pad s/p r bka due to chronic ulcer, and multiple recent prolonged hospitalizations at <unk> <unk> sepsis who presented as transfer from <unk> to <unk> micu on <unk> for septic shock, sbo, and multifocal pneumonia requiring intubation s/p pressor therapy, iv antibiotics with hospital course complicated by thrombocytopenia, ongoing leukocytosis <unk> mpn, sacral decubitus ulcer s/p debridement, persistent fevers, adrenal |
MIMIC-CXR-JPG/2.0.0/files/p12273883/s51337781/a07cee97-c744e578-dad89348-abe3886b-efe599ee.jpg | subtle opacity is seen projecting over the lateral right mid lung which may be due to overlap of structures, but underlying pulmonary opacity is not excluded. the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. minimal left base atelectasis is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fracture is definitively identified. however, if clinical concern persists, dedicated rib series or chest ct is more sensitive. | history: <unk>f s/p mvc with r <num>th rib tenderness, mid axillary line *** warning *** multiple patients with same last name! // eval for rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p11281568/s59546220/a206e01c-9f5d313f-426f9c12-134e052e-733b3f0a.jpg | a tracheostomy tube is in unchanged position. the lungs are unchanged in appearance with low lung volumes and widespread bilateral hazy opacities which likely represents a mild degree of pulmonary edema superimposed on background chronic interstitial lung disease. the cardiac silhouette is unchanged. there is no pleural effusion or pneumothorax. | <unk>m with chronic trach, p/w leukocytosis, increased sputum production, evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p15213120/s52843806/6f3484c4-0482c789-93adb526-c28e30c2-9b7c4875.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. | <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16091026/s57254213/93131155-e1dcd296-afaada1c-4558ddf5-911b9797.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. | <unk>f with rue weakness. |
MIMIC-CXR-JPG/2.0.0/files/p12604366/s54005523/021aa688-8283b1d9-52474ab0-0abee35b-e7968d77.jpg | the cardiomediastinal silhouette is normal. the lungs are hyperinflated. there is no focal consolidation. there is no pleural effusion or pneumothorax. there is no evidence of pulmonary edema. a mildly tortuous aorta is again noted with some peripheral calcification. views of the upper abdomen are unremarkable. | <unk>f with generalized exertional weakness. history of dilated ascending and descending aorta, evaluate for chf, pneumonia . |
MIMIC-CXR-JPG/2.0.0/files/p10387770/s56470952/fa38d225-7d85467a-d340b828-76725166-79f08d9f.jpg | a single portable chest radiograph demonstrates hyperinflation of the lungs with slight flattening of the diaphragm. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from the preceding study. multilevel degenerative changes are noted in the thoracic spine with bridging marginal osteophyte formation and loss of intervertebral disc height. | <unk>-year-old male with hypotension and weakness, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15560995/s53359344/d38aaf64-7c1eff5d-ab703211-ee94b4eb-828e090e.jpg | low lung volumes cause bronchovascular crowding. allowing for this, there is focal increased opacity along the right base with newly indistinct margins of the right hemidiaphragm, which may represent atelectasis or pneumonia, depending upon the clinical setting. there is no pulmonary edema or pneumothorax. the cardiomediastinal silhouette is stable. | <unk>f with infectious work-up, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12269173/s59166645/5acb6b1a-d0fac7f5-e214c110-9207d193-99420fa3.jpg | frontal and lateral views of the chest. airspace opacities in the right lower lobe and left lower lobe are new since <unk>. the cardiac and mediastinal contours are normal. the pleural effusions are small, if any. there is no pneumothorax. | <unk>f with flu like symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p16429696/s54573592/b830c80a-2e3fcd50-0801e6bd-e07ea793-d89cc47a.jpg | low inspiratory volumes. tracheostomy tube is in appropriate position. cardiomegaly. small bilateral pleural effusions. little atelectasis. patchy opacities at the left base appear mildly improved. no pneumothorax is seen. | <unk>m restrained driver vs guardrail, +loc, intubated @ osh for ams, l hemiparesis, r ica occlusion, r aca mca cva, s/p ex lap, g-tube, j-tube, pancreatic drainage // increase opacity on r lung base. please follow findings |
MIMIC-CXR-JPG/2.0.0/files/p19890966/s52385709/28711812-b5fa575d-30520ea7-5add8dca-a49239fe.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p15870097/s57026717/81e6ddec-5b7bced9-2c764df1-c4d5b55b-78fb16fb.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. pulmonary vasculature appears normal. costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. osseous structures are again notable for lower cervical laminectomies with posterior spinal fixation hardware in place. | <unk>-year-old female with chest pain. question chf. |
MIMIC-CXR-JPG/2.0.0/files/p10959007/s59227947/ac069357-9fc9ad3a-3b1a428a-b58c5698-f71eb8d8.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. | <unk> year old woman with lupus p/w fever, joint pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p10781468/s52185495/5a77ea85-9541c134-b188ca49-9505de96-5a1db4d6.jpg | the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. | chest tightness. |
MIMIC-CXR-JPG/2.0.0/files/p16676205/s59425356/078f77dc-e8aed4cf-3d985581-27c4df1c-4c6684f8.jpg | the heart size is normal. the hilar and mediastinal contours are normal. atherosclerotic calcification of the aorta is noted. linear opacity in the left mid lung field likely reflects an area of scarring or subsegmental atelectasis. remainder of the lungs are clear without evidence of focal consolidations concerning for pneumonia. lungs are hyperinflated. there is no pleural effusion or pneumothorax. there is a old healed rib fracture involving the left posterior <num>th rib. | history of upper abdominal pain. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p16428261/s57330465/24e845c5-8f7847d5-6121307d-c391fe37-6ca8bf40.jpg | interval placement of an endotracheal tube terminating <num> cm above the level of carina. a nasogastric tube terminates within the stomach. the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. | history: <unk>f with intubation tube placement // confirmation of intubation tube |
MIMIC-CXR-JPG/2.0.0/files/p18994071/s56128123/5f43b894-ddaa72df-b837bbb7-354f6298-d2124b00.jpg | frontal and lateral views of the chest. the lungs remain clear, without focal consolidation or effusion. the cardiac silhouette is enlarged but stable compared to prior. tricuspid valve replacement is again seen. degenerative changes are seen at the right shoulder. median sternotomy wires again noted. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15276693/s59418962/498bc15b-265d620a-598bc340-674a1f9a-bb22c7bf.jpg | frontal and lateral views of the chest demonstrate low lung volumes. left lung base opacity, best seen on the lateral view, is noted. hilar and mediastinal silhouettes are unchanged. multiple surgical clips project over cardiac silhouette. sternotomy wires are in place. partially imaged upper abdomen is unremarkable. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p17166002/s55208590/89bf3624-a1794b66-9bb2c57a-00f8c0ac-9ae8e0b1.jpg | the lungs are well inflated. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no blunting of the costophrenic angles to suggest a pleural effusion. no areas concerning for consolidation seen. no destructive bony lesions seen. | <unk> year old man with acute mi // pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p18870126/s54999339/9abb5ab3-2a27d78c-fbaa8231-4fcbf8ae-da2be7f3.jpg | the heart is mildly enlarged. mild atelectasis at the left base. otherwise, the lungs are clear and there is no evidence of pulmonary edema. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk>m on dialysis missed today <unk> scrotal pain // ?cpd |
MIMIC-CXR-JPG/2.0.0/files/p15574754/s52847779/7b117e29-68a9e249-a2054497-e317ba31-38c240f3.jpg | portable semi erect frontal chest radiograph demonstrates interval removal of swan-ganz catheter with persistent right internal jugular sheath in place. stable moderate cardiomegaly and unchanged mediastinal and hilar contours. improved aeration of the right lower lobe. no new focal consolidation identified. no pneumothorax. | <unk>-year-old male with congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16592013/s56302713/e319d852-b1bee8e7-8ab2c6ed-bd661868-65e2d2e7.jpg | pa and lateral views of the chest were obtained. there has been interval removal of the central catheter. there is a small right-sided pleural effusion and mild interstitial edema. there are <num> nodules within the left upper lung, present in <unk>, but new since <unk>. there is no focal consolidation. the heart size is top-normal and unchanged from prior radiograph. no pneumothorax or intra-abdominal free air is identified. the bony structures are unremarkable. | right pulmonary crackles, evaluate for pneumonia/pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p14599202/s58726635/cc106f8d-067a71e6-83379e13-9db9d896-c2eaf55a.jpg | the cardiac, mediastinal and hilar contours appear stable. there is considerably increased opacification in the posterior right lower hemithorax which is at least in part likely to reflect a pleural effusion but probably also substantial atelectasis or consolidation involving basilar parts of the right lower lobe. the right hemidiaphragm is modeately elevated. patchy left basilar opacity is probably due minor atelectasis. | abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p19963862/s52809931/83ef0c56-f36409c3-2bf77f19-5e529967-b6875c1e.jpg | there is a consolidation in the right lower lobe, consistent with pneumonia. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the left hilus is unremarkable. there is an abnormal contour to the right hilus, indicating some degree of lymphadenopathy. | pneumonia for <num> days, evaluate progression. |
MIMIC-CXR-JPG/2.0.0/files/p16458160/s56843258/86001495-07be6142-7922beb4-1bca53db-0f5bb1fb.jpg | right-sided chest tube is been removed. the appearance of the lungs is unchanged compared to prior again seen is a hiatal hernia smaller right than left chest cavity with pleural thickening/effusion right-sided subcutaneous emphysema right-sided skin <unk> and a pacemaker | <unk> year old man pod <num> sp r thoracotomy and decortication, ct removed today. please perform at approx <unk> // interval change? increase ptx? |
MIMIC-CXR-JPG/2.0.0/files/p16583629/s56023185/1d3e18e2-973a70ba-9e6971f8-3c33d83e-bef6ea2c.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. mild calcification of the aortic knob is re- demonstrated. a mid thoracic vertebral compression fracture deformity is unchanged from <unk>. | chest pain and cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15055651/s51579228/71308627-69740d61-69cbf933-77978601-032b487f.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected. no rib fracture or deformity is seen. | persistent right anterior rib pain. evaluate for a rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p11119003/s55221014/ea3e0e2e-7614f13c-5ff1ce3e-764de143-5088624b.jpg | there is interval placement of a right apical chest tube. suture lines are seen projecting over the right upper chest. there is a small area of infiltrate around the suture line likely reflecting postsurgical changes. heart is top normal in size and cardiomediastinal contours appear unremarkable. lungs are otherwise clear. no pleural effusions and no pneumothorax. | <unk>-year-old lady status post right vats, lung biopsy, postop chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p19240260/s53264149/b7b481d6-cc5d6995-a7814a1e-2ff56b87-061ee48c.jpg | there low lung volumes with bronchovascular crowding. bibasilar opacities are seen which likely reflect atelectasis, but cannot exclude aspiration or pneumonia in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | history: <unk>m with hyperglycemia, sob // eval for infx |
MIMIC-CXR-JPG/2.0.0/files/p17739770/s52809092/7b3a40cf-a269baa7-71c53369-525fa7eb-ba705ecd.jpg | endotracheal tube tip is <num> cm above the carina, orogastric tube ends into the stomach and the right subclavian line tip is at lower svc, and all are appropriately positioned. both lungs are well expanded without any opacities concerning for pneumonia or aspiration or atelectasis. there is no pleural abnormality. heart size is normal. mediastinal and hilar contours are unremarkable. | polytrauma, query pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12465457/s52532129/7cefcfff-25352490-2d455580-d7d620fc-ec16848b.jpg | portable upright chest radiograph <unk> at <time> is submitted. | <unk> year old woman with transformed marginal zone // increase wob, wheezing. r/o pna, increase wob, wheezing. r/o pna, |
MIMIC-CXR-JPG/2.0.0/files/p17798319/s54336712/240c3548-f6debba9-2c00002d-acd1133d-6ad6a876.jpg | mild cardiomegaly is similar compared to the previous examination. there has been interval resolution of the previously noted mild pulmonary edema. the mediastinal and hilar contours are unremarkable. minimal atelectasis is seen in the retrocardiac region without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is present. | history: <unk>m with dementia, with worsening delirium undergoing infectious workup |
MIMIC-CXR-JPG/2.0.0/files/p19654137/s57906118/1cde057a-a261d7da-018a4fed-037d1d57-ecbc4747.jpg | single portable view of the chest. increased interstitial markings are seen throughout the lungs. there is also focal increased opacity at the right lung base overlying the hemidiaphragm and region of atelectasis seen on previous exam. no other focal consolidation identified. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>-year-old male with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16920541/s54911730/7388703f-b59dc723-8cfdf1e9-14139936-c4a0baf2.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits for technique. old healed right posterior rib fractures are seen at multiple levels. | <unk>f with sob // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p14961558/s55760644/f6c73a6b-46bdccc0-e557fcd9-088fa522-fb19449a.jpg | 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 aml s/p allo transplant. now with fevers, cough. // cgvhd s/p allo transplant. now with fevers and cough. ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12724735/s56052563/9d35bc0d-8b296027-a53b9d47-3c0f04a4-0c38161f.jpg | since the prior study the has been insertion of pigtail catheter in the left pleural space at the mid aspect. as a consequence there has been interval substantial decrease in the amount of pleural effusion in particular at the basal aspect of the pleura. currently the effusion continues to be loculated containing multiple foci of air, most likely trapped within the effusion. the prior study there has been interval elevation of the hemidiaphragm, slight potentially due to decrease in the amount of pleural fluid with subsequent slight right mediastinal shift. left chest wall air is demonstrated along the tract of the catheter. no pneumothorax seen outside of the fluid collection. no appreciable pericardial effusion is seen. minimal amount of right pleural fluid is demonstrated, increased since the prior study. imaged portion of the upper abdomen demonstrate large cortical cyst in the left kidney as well as gallbladder sludge and foci of calcification in the right kidney. airways are patent to the subsegmental level bilaterally except fall left lower lobe and lingula where atelectasis is noted most likely due to combination of effusion and elevated left hemidiaphragm. except for minimal a right lower lung atelectasis right lung is clear. off note is soft tissue lesion, <num> x <num> cm, pleural or extrapleural based, series <num>, image <num>, unchanged in appearance since previous ct obtained <num> days ago. no lytic or sclerotic lesions worrisome for infection or neoplasm demonstrated. erosive changes at the manubrial sternal joint suggesting prior inflammation as previously. septal thickening in the left upper lobe is minimal. besides left lower lobe atelectasis no new findings demonstrated. | <unk>f with h/o htn, alport's syndrome s/p <num> renal transplants with chronic graft failure, presenting in hypertensive urgency with respiratory distress. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11434180/s58707256/f3819420-c03ff63a-edaf3a59-51bf9113-2d8014dc.jpg | single frontal portable view of the chest was obtained. the heart is of normal size. bilateral patchy pulmonary opacities are new since the prior radiograph, exaggerated by low lung volumes, and may represent multifocal pneumonia or aspiration. there is slight blunting of the right costophrenic angle, compatible with small pleural effusion. no pneumothorax is seen. osseous structures are unremarkable and known osseous metastases are not appreciated on this exam. a metallic biliary stent is seen in the right upper quadrant. | <unk>-year-old male with metastatic rectal small cell cancer on chemotherapy, presenting with altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11963124/s52331528/f81851be-56a6cdbf-051d37c6-2c1aeb14-3fe3cd17.jpg | frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no pleural effusion or pneumothorax. there is no consolidation to suggest pneumonia. although no localizing history was provided, no rib fracture is identified. | fall yesterday, now with slurred speech. rule out rib fracture. |
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