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MIMIC-CXR-JPG/2.0.0/files/p18356168/s54992526/6a5492ee-8249ee34-c1b7ca72-845ff603-41e7cfb2.jpg | sutures are present in the right mid lung zone and unchanged from prior exams, consistent with patient's prior history of surgery. there is stable elevation of the right hemidiaphragm, likely from volume loss. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. mild cardiomegaly is unchange. aortic calcifications are noted in the aortic arch. there is an unchanged compression deformity in t<num> with evidence of a prior vertebroplasty. no new compression fractures are visualized. | dyspnea and leg swelling. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15343196/s57488725/04a11158-1a46317f-46c2244e-4c3cc13c-a276573e.jpg | the nasogastric tube is unchanged in position compared to the prior study. lung volumes are also unchanged. the trachea is central. the cardiomediastinal contour is within normal limits. pulmonary vascular congestion has improved slightly compared to the earlier study. left basilar atelectasis. | <unk>m with left mca syndrome s/p tpa. continues to have residual right-sided weakness and aphasia but cta showed patent vasculature. // interval assesment |
MIMIC-CXR-JPG/2.0.0/files/p14092831/s54995395/1bf97ef8-88425565-e1cb67bc-fbf2fe89-fe74f188.jpg | endotracheal tube terminates <num> cm above the carina. an orogastric tube courses below diaphragm, the tip projects proximal to the pylorus. a right-sided ij central venous catheter terminates in the upper right atrium. a right sided picc line is in the mid to low svc. the heart is enlarged, increased since prior. retrocardiac opacity and blunting of the left costophrenic angle could relate to a combination of atelectasis and pleural fluid. no focal consolidation identified. | <unk> year old woman s/p reintubation // check ett placement check ett placement |
MIMIC-CXR-JPG/2.0.0/files/p14799855/s58700052/2352fd9f-a74d1038-9bab17bc-993cd872-f7895399.jpg | in comparison with chest radiograph from <unk>, there has been little appreciable change. left-sided icd with dual leads following their expected course to the right atrium and ventricle. small right pleural effusion with some pleural thickening. no focal consolidation or pneumothorax. severe cardiomegaly is unchanged. mediastinal and hilar contours are stable. there are healed fractures of the right fifth, sixth and seventh posterior ribs. | <unk> year old man s/p dual chamber icd // assess leads placement and r/o ptx. |
MIMIC-CXR-JPG/2.0.0/files/p10544221/s53796071/2bb1d337-03429c26-8a642754-6f0964d2-eb5665e3.jpg | there low lung volumes, which results in bronchovascular crowding. left basilar atelectasis is mild. the heart is top-normal in size. there is no pneumothorax, pleural effusion, or consolidation. there has been interval placement of a right internal jugular central venous line, which ends at the cavoatrial junction. | history: <unk>m with cvl // eval for cvl placement |
MIMIC-CXR-JPG/2.0.0/files/p14648269/s58571867/b5ac4446-bcd817ef-d8a4f181-295871f2-37e290ca.jpg | since the prior exam, there is little change. there is no airspace opacity to suggest pneumonia. no pulmonary edema, pleural effusion, or pneumothorax is identified. the cardiomediastinal silhouette is normal. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17967161/s55611350/a94104ec-b39b148e-8e4fa181-6f26181a-5aa8445b.jpg | the heart size is normal. there is increased fullness of the left hilum. there also appears to be a subtle increase in opacification overlying the right upper lung. there is no pneumothorax. there is mild bibasilar atelectasis. no large pleural effusion is identified. | history of poorly controlled diabetes, neuropathy. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p14394983/s59603606/c91091f2-5c569021-dd2b7eb8-d1a4a209-955a15b2.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. | chest pain and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11231984/s59567076/cfff1db2-b286ab37-c4d0e2b0-4b5c0f02-b202242e.jpg | cardiac silhouette size is mildly enlarged. the aorta is tortuous. hilar contours are normal. pulmonary vasculature is not engorged. linear opacities within the left lung base are compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized with h-type configuration of the vertebral bodies diffusely. | history: <unk>m status post altercation, dementia, paranoia |
MIMIC-CXR-JPG/2.0.0/files/p19083442/s50250125/7c75c51e-67dd5357-f9517777-7568bec5-345968df.jpg | the right ij central line is again seen terminating in the right atrium. the lungs are well expanded. vascular engorgement has resolved from the prior exam. the lungs are clear. there is no pleural effusion or pneumothorax. moderate cardiomegaly is again seen. | <unk> year old man with cml, massive splenomegaly, new sob // verify position of pheresis catheter, r/o ptx, r/o pna, r/o pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p13919529/s57607955/78e82102-2c769f4e-f3e55a61-ff67b2e9-97be5cfa.jpg | subtle right basilar opacity may be due to atelectasis although infectious process is not excluded in the appropriate clinical setting. the left lung is clear. no pleural effusion or pneumothorax is seen. subtle lucency along the mediastinum including along the upper left cardiac border and upper mediastinum is concerning for pneumomediastinum. mediastinal lucency also seen on the lateral view. the cardiac silhouette is not enlarged. | history: <unk>m with psychotic break // eval for pna or infection |
MIMIC-CXR-JPG/2.0.0/files/p10253747/s50566534/90a4c1e3-75af1fb6-d121d16e-0ff82d2e-f848ff5f.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are slightly hypoinflated but clear without focal consolidation concerning for pneumonia. a small nodule at the left lung base corresponds to a calcified granuloma. pulmonary vascularity is within normal limits. the upper abdomen is unremarkable. no acute osseous abnormality is detected. | <unk>m with headache, petecial rash // ? mass lesioncxr- ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17328610/s55524919/cb74f076-7109fa13-b91b677a-ba8e902f-0eca1741.jpg | the heart is mildly enlarged with a left ventricular configuration. there is no pleural effusion or pneumothorax. the lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18107378/s57706396/ef09fc66-be109885-f1e6b499-85a033b4-0841401b.jpg | frontal and lateral views of the chest. right chest wall dual lead lumen catheter seen with tip in the mid to lower svc. there multifocal nodular opacities in the lungs bilaterally most concerning for metastatic disease. there is a small to moderate left pleural effusion. underlying atelectasis suspected, possible infection cannot be excluded. the cardiac silhouette is enlarged. atherosclerotic calcifications noted at the arch. surgical clips project over the lower neck. there are focal areas of osteolysis best noted at the lateral aspect of the right <num>th rib. | <unk>-year-old female right-sided chest pain since this morning. |
MIMIC-CXR-JPG/2.0.0/files/p13050816/s50346575/b667341a-5afbf635-a38f2fa0-390e5068-032d5dd9.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the lungs remain relatively hyperinflated. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are stable. subacute to old right-sided rib deformities are again seen, stable in appearance. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p19605487/s52749566/32ac742c-0fc73d73-9cc294f9-6736ad12-b9908056.jpg | a dialysis catheter terminates in the upper right atrium. the cardiac, mediastinal and hilar contours appear unchanged. there is a small to moderate effusion on the left with volume loss including elevation of the left hemidiaphragm and opacity probably due to atelectasis. a diffuse mild interstitial abnormality suggests mild congestion that is new since the prior examination. there is no evidence for free air or pneumomediastinum. mild degenerative changes are similar along the mid thoracic spine. the lateral view depicts a tips shunt. | end-stage renal disease, on hemodialysis with alcoholic cirrhosis and ascites. patient presents with anemia and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15005240/s53219541/dc59f03e-2921fd99-58748222-de54f5be-87dfb9ac.jpg | the lungs are clear. cardiac silhouette is normal. mediastinal and hilar contours are normal. no pneumothorax or pleural effusion. | epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p17804493/s50580180/c0dc07fe-8ed1cc1c-18a70474-216d8dd8-7a71a9e0.jpg | small left and minimal right pleural effusions with interval resolution of the left basal consolidation. thickened right pleural margin with bulging into right middle lobe represents metastatic rib destruction as seen on ct on <unk>. low lung volumes bilaterally without pneumothorax or pulmonary edema. mediastinal contour and hilum are normal. | male with metastatic renal cell carcinoma, pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15480653/s53181179/807439fd-5c58cda1-01c1ef9d-c7324b97-c7783f9f.jpg | pa and lateral views of the chest. hyperinflated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. | post-breast radiation, history of cop, several flares, on steroids. |
MIMIC-CXR-JPG/2.0.0/files/p11426113/s50914263/5b42e3c0-6c8011e5-c0879f04-29c889f1-d2703da9.jpg | the lungs are hyperinflated with paucity of the pulmonary vasculature consistent with known emphysema seen better on prior ct. stable appearance of postradiation fibrosis in the right upper lobe. the left lung is clear. cardiomediastinal and hilar contours are stable. stable calcifications of the aortic arch. the right pleural effusion has worsened with compressive basilar atelectasis. stable degenerative changes of thoracic spine. . | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p10188935/s58377902/f124d099-405e7b67-527f49a4-6febcb4f-23d5b702.jpg | again seen is mild cardiomegaly, stable since the exam from <unk>. there has been an interval increase in bilateral pulmonary vascular engorgement and pulmonary edema. there has also been an increase in bibasilar opacities with silhouetting of the left hemidiaphragm, likely secondary to pulmonary edema; however, a superimposed aspiration or pneumonia is also likely in the acute clinical setting. there is no pneumothorax. | <unk>-year-old male with altered mental status who presents for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16090882/s53509282/bc06266a-aa56d209-ca383b0f-6d4669ca-b541bfd1.jpg | pa and lateral views of the chest provided. lungs remain hyperinflated. there is no focal consolidation, large effusion or pneumothorax. no signs of edema or congestion. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm. | history: <unk>f with cough x <num> days , right lower back pain x<unk> yesterday // non productive cough x <num> days, |
MIMIC-CXR-JPG/2.0.0/files/p11228186/s51042282/1d84851d-15a5b8a4-5df4651a-ab93c7a7-186a5267.jpg | ap portable supine view of the chest. the patient has been intubated with the endotracheal tube seen terminating <num> cm above the carina. the endogastric tube is seen extending into the left upper quadrant. lung volumes are low with scattered areas of opacity appearing increased from prior likely reflecting atelectasis though a component of aspiration cannot be excluded. no supine evidence for effusion or pneumothorax. the cardiomediastinal silhouette is stable. no acute bony injuries. | <unk>m with cva, spintubation // proper ett position |
MIMIC-CXR-JPG/2.0.0/files/p12379597/s50566772/5b133021-b8f5106d-ce976a92-3958fec4-5714bc93.jpg | single portable view of the chest compared to previous exam from <unk>. the lungs are clear. there is no visualized pneumothorax or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with stabbing chest pain radiating to the back and left arm. |
MIMIC-CXR-JPG/2.0.0/files/p13620449/s51096176/ed7f7730-8055103d-673729db-9bc319c2-9a2f1b98.jpg | a single-lead pacemaker terminates in the right ventricle, as before. the heart is moderately enlarged. the mediastinal and hilar contours appear stable. the lungs appear clear. there is no pleural effusion or pneumothorax. the right hemidiaphragm is mildly elevated compared to the left. the bones are probably demineralized. | weakness and dizziness and head strike. |
MIMIC-CXR-JPG/2.0.0/files/p16928252/s58053352/fbd51ec9-5e6517e4-ae052fa8-590b8170-a3125317.jpg | a single portable ap chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | bradycardia. |
MIMIC-CXR-JPG/2.0.0/files/p15545381/s52777358/220d09a6-9d6b8eae-389646c7-2a88541f-0e42a8f8.jpg | there has been interval removal of the left chest tube. interval increase in left mediastinal shift and decrease of left lung volume suggesting worsening atelectasis. the left pleural effusion correlating to a hemothorax on recent ct and largely unchanged. improved platelike atelectasis of the right lung base. no new pleural effusions or pneumothoraces. the cardiomediastinal and hilar contours are stable. | <unk> y/o pod<num>-vats s/p <unk> ct removal // post-pull fim to eval for new ptx. *pls obtain film at <num>pm |
MIMIC-CXR-JPG/2.0.0/files/p15611536/s58666588/605425a0-54a86b59-ce31f457-3e8ecdc3-450b4e15.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 palpitations // cardiopulmonary process? |
MIMIC-CXR-JPG/2.0.0/files/p15385040/s52981430/f63ba536-5799a5cc-4d36e42d-5a892bdf-4a82b928.jpg | a left basilar pigtail chest tube is in place. since prior, there has been worsening left basilar and retrocardiac opacification with decreased lung volumes. increased interstitial markings, likely represent mild interstitial edema. relative lucencies at the lung apices likely represent bulla. the mediastinal contour has not significantly changed. there is no pneumothorax. | <unk> year old man with pneumonia, likely parapneumonic effusion s/p chest tube placement, evaluate effusion and chest tube position.. |
MIMIC-CXR-JPG/2.0.0/files/p13211467/s55514159/c4a481c6-bd833ff6-61f169d7-e679d5a9-1c59dbfa.jpg | there are bilateral increased interstitial opacities with bibasilar atelectasis. minimally enlarged cardiomediastinal silhouette which appears stable in size in comparison to the prior study. otherwise, the lungs are without a focal consolidation. if any, there is a small left pleural effusion . | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11857265/s51268207/b7c516e4-2572e1f6-c3c17366-2a1e3fc5-2ac79701.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>f with weakness, tachycardia, fall // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19591080/s57202663/3705173a-8df507cf-b4124ead-6259582b-99f94ec6.jpg | frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | patient with sudden onset back pain and pleuritic right chest pain, rule out pulmonary lesion. |
MIMIC-CXR-JPG/2.0.0/files/p14828338/s57915624/11696a15-510c839e-7d48341c-fcaf8915-6df937c6.jpg | a right picc ends in the mid svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | hairy cell leukemia with picc placed at outside hospital. evaluate picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p19015204/s59143718/a974e51c-aa66a2c7-e37bcab2-0155972d-4eeac028.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>f with right side chest pain and current smoker |
MIMIC-CXR-JPG/2.0.0/files/p11659116/s51403158/4b781611-4d65a824-fad41bdf-493a9f42-1664c5ba.jpg | overall, there is little change in a loculated large left pleural effusion since <unk> with associated rightward mediastinal shift. a left basilar pigtail catheter has been placed projecting over the left base. there is no evidence of pneumothorax. there is no large right effusion or pneumothorax, with a trace effusion not excluded. there is mild vascular congestion. there is dense left basilar consolidation, likely atelectasis, and effusion. | <unk>-year-old male with left loculated effusion status post pigtail placement. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14076508/s53795966/a69cc802-e8951fc3-67597cb5-7254897f-9a9ba036.jpg | the cardiomediastinal and hilar contours are within normal limits. no chf, focal infiltrate, or effusion. no obvious pneumothorax. bony structures are within normal limits. no free air seen beneath the diaphragm. | history: <unk>f with ? preg, + headache, ? seizure activity; + r sided cp // ct head: eval for edema, |
MIMIC-CXR-JPG/2.0.0/files/p16750513/s51370892/57b23aca-129a41f9-2142df5e-384ce74c-5d2be31f.jpg | the lungs are well expanded. heart appears normal in size and configuration. cardiomediastinal contours are unremarkable. lungs appear to be clear with no focal infiltrates. no pleural effusions and no pneumothorax. bony structures are intact. | <unk>-year-old gentleman with cough, left lower lobe expiratory wheezes, smoker. ? pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18349557/s59736373/4caa5a4d-4487d27c-56f35884-25fd1e06-04fc2aab.jpg | there is a small right apical pneumothorax, slightly smaller than on the film from the prior day. there is also a right pleural effusion that is larger than on the study from the prior day but is still relatively small. the right ij line is unchanged. there is volume loss and subsegmental atelectasis in both lower lungs. | <unk> year old man with cabg r ptx // *please check at noon on <unk>*predischarge exam follow up on r pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12637733/s59758519/633bbc96-03d3bfcd-62290019-acac7c61-b899bd05.jpg | moderate cardiomegaly, mediastinal vascular engorgement, and mild pulmonary edema are increased from the <unk>. increased left lower lobe opacity projects over the spine concerning for pneumonia less likely combination of atelectasis and trace pleural effusion. | <unk>m h/o esrd <unk> diabetic nephropathy (t<num>dm) on hd s/p ddrt w/ delayed graft fxn now with hacking cough, short of breath with cough // r/o pneumonia, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p12532170/s52712649/7ed81584-8319cc4a-cacfb10d-b4493f75-65541dbf.jpg | the lungs are grossly clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with dyspnea // eval for ll collapse, pna |
MIMIC-CXR-JPG/2.0.0/files/p14169246/s56534636/e464e9e8-45793285-47dcdc59-d481f622-24f088c6.jpg | the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pleural effusion or pneumothorax is present. the elevation of the left hemidiaphragm due to mildly distended loops of bowel is not significantly changed. there are no focal opacities to suggest pneumonia. | fever, cough, decreased bowel sounds in the left lower lobe. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17935897/s57526652/007ea029-47485200-c8cd0f7e-76299176-31daf57d.jpg | sternotomy, valve prosthesis. right perihilar, basilar opacity has improved. stable left perihilar opacity, left basilar consolidation. mildly improved right pleural effusion. stable left pleural effusion. increased heart size, pulmonary vascularity, stable. | <unk> year old man with hypercarbic respiratory failure // any interval change? |
MIMIC-CXR-JPG/2.0.0/files/p12800386/s55226710/aab4770e-ddff52d7-ece53861-b4ea7d27-65ac92d3.jpg | large consolidation in the lateral aspect of the right middle lobe is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with <num> days of fever, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13364239/s56960541/edf145e5-e2a628e6-6ec8fd8e-c790ac71-f454643b.jpg | small bilateral pleural effusions, as well as persisting but slightly decreased extent of pulmonary edema. the cardiac silhouette is enlarged but unchanged. no pneumothorax identified. | <unk> year old man with hf, cad, ckd w/ worsening dyspnea // r/o any abnl |
MIMIC-CXR-JPG/2.0.0/files/p11124675/s54716148/bbbacc8f-781fcdfd-e9ac77db-01bd44cd-e4d583bb.jpg | low lung volumes are seen with secondary crowding of the bronchovascular markings and increased interstitial markings. overlying soft tissues also contribute to the appearance of increased interstitial markings. abnormal contour of the ap window is compatible with prominent fat and lymphadenopathy as seen on prior chest ct as well as enlarged pulmonary artery. there is no confluent consolidation or large effusion. cardiac silhouette is enlarged similar to prior. | <unk>f with ams // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11941410/s53711405/b8eea0c2-0b39e655-580ea670-afa39ae3-3cbfc225.jpg | right pleural catheter in similar positioning. minimal reaccumulation of trace right-sided pleural effusion and tiny left effusion. mild pulmonary vascular congestion has increased since the prior examination. mild cardiomegaly. no pneumothorax. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p16902906/s57611168/2ac3d57b-7dbf9799-c3600c26-e8862bc8-4869b6a4.jpg | ap upright and lateral views of the chest provided. the lungs appear clear. the heart size is normal. the aorta is unfolded. no large effusion or pneumothorax. mild hilar prominence likely reflects ectatic vasculature. bony structures appear intact without definite evidence for a displaced rib fracture. | <unk>m with confusion, s/p fall // cxr: eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p19616613/s58640219/376dd376-e95fa1c9-2309515d-bb954edd-721fe07b.jpg | there is bibasilar opacities, likely representing atelectasis on the right, however the opacities in the left lower lung are slightly more confluent and may represent atelectasis or pneumonia. no large pleural effusion or pneumothorax. mild to moderate cardiomegaly. the cardiomediastinal and hilar contours are stable. | history: <unk>m with dyspnea // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13031024/s57440674/56e13df0-9bfe1fb6-c5986acd-2eb345db-f8a79b22.jpg | mild cardiomegaly has been stable compared to exams dated back to at least <unk>. the hilar and mediastinal contours are normal. no focal consolidation turning for pneumonia are identified. diffuse bilateral interstitial abnormality has been stable compared to exams dating back to at least <unk>. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>f with dyspnea and chest pain // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p19195900/s51371009/5ac6787e-aed640d9-b47c7ace-8f39a2ae-6f8a1b00.jpg | ap portable view of the chest. enteric tube ends just distal to the gastroesophageal junction with side port in the distal esophagus. compared to prior study, there are new bilateral basilar opacities which may represent aspiration given the increase in opacities over the short interval time. small bilateral pleural effusions are new. no pneumothorax. heart size is normal. | hypoxia and hemetemesis, altered mental status, evaluate for pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18422749/s51964586/82ec21ef-932eb444-afd3ad8a-2dedc78e-fb102f7a.jpg | lung volumes are unchanged compared to the prior study. the trachea is central. the cardiomediastinal contour is normal. a right internal jugular catheter terminates in the distal svc. there is persistent visualization of a retrocardiac opacity which may reflect atelectasis, aspiration or pneumonia. this is similar in appearance when compared to the prior study. no pleural effusion seen. no pneumothorax seen. | <unk> year old woman with fever, ams // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12739742/s54526088/b7cc74be-93182687-4fb225b8-be8cd8bc-1bdce7c3.jpg | single supine view of the chest. endotracheal tube is now seen with tip approximately <num> cm from the carina. enteric tube is seen with tip in the distal esophagus and should be advanced for optimal positioning. right ij central venous catheter is seen with tip in the mid svc. there is no pneumothorax. lungs remain grossly clear. pneumoperitoneum is again noted. | <unk>-year-old female with new endotracheal tube. |
MIMIC-CXR-JPG/2.0.0/files/p15087570/s57348651/ed520dc2-3f460b57-af7eeb60-0a3dc1b6-69b39221.jpg | lung volumes are low and exaggerate heart size, which is likely mildly enlarged. there is no focal consolidation or pneumothorax. trace bilateral pleural effusions. there is mild central vascular congestion without overt pulmonary edema. mediastinal and hilar contours are stable. | history: <unk>m with cough, retching, rigors x <unk> weeks // ?pna, colitis, diverticulitis, intra-abdominal abscess |
MIMIC-CXR-JPG/2.0.0/files/p12186603/s54260087/b60f7b52-7c9856fa-65e8bf8a-92264fda-4be20437.jpg | ap and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with head injury and wrist injury status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p11786902/s57903631/c28562d9-bc174005-679065c2-91808949-c0b02f2f.jpg | calcifications are again noted along the posterior inferior right pleura. previously noted calcific nodule in the right upper lobe and soft tissue nodule in the left lower lobe are not clearly delineated on this study. otherwise, the lungs are without any new focal consolidation, effusion, or pneumothorax. atherosclerotic calcifications are noted in a tortuous aorta. the heart appears at the upper limits of normal. calcified mediastinal lymph nodes are again identified but better delineated on the dedicated chest ct. known minimally displaced fractures of the right anterolateral fourth through sixth rib are not clearly delineated on this study. subacute old fracture of the right posterior eleventh rib is also not clearly delineated on this study. known t<num> compression deformity is not definitely delineated on this study. | evaluation of patient with rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p13918658/s56440179/0f6a9208-5948e70e-f77f5384-69c15661-385bcc65.jpg | pa and lateral views of the chest. low lung volumes. cardiomediastinal and hilar contours are stable. low lung volumes accentuate the bronchovascular markings. no focal consolidation, pleural effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13130904/s52445373/9d129b5c-aacda7b6-60a74714-ae1b96b9-47d1dc12.jpg | the heart size and cardiomediastinal contours are normal. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax. | <unk>f with palpitations // please evaluate for any infectious process |
MIMIC-CXR-JPG/2.0.0/files/p12695379/s56372412/fe83b8c0-28ffebb8-7c9a08d1-45d5eea4-adf5322e.jpg | heart size is mildly enlarged. a small hiatal hernia is noted. the aorta is mildly tortuous. hilar contours are unremarkable. rounded opacity within the posterior right lower hemithorax may reflect a focal diaphragmatic hernia, and appears unchanged from the previous radiograph. remainder of the lungs are clear without focal consolidation. there is minimal subsegmental atelectasis in the left lung base. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified no acute osseous abnormalities demonstrated. dense material within the colon likely reflects oral contrast material. | history: <unk>f with cough, chills |
MIMIC-CXR-JPG/2.0.0/files/p19599769/s51381371/6d46ddc9-aa18bc39-41cb5c0a-a4fa3015-0be6124d.jpg | the lung volumes are low. there is mild enlargment of the cardiac silhouette. mild widening of the mediastinal contour is likely due to low lung volumes. mild patchy opacities likely represent atelectasis. there is no evidence of pneumothorax, large pleural effusions or pulmonary edema. | <unk>-year-old man with nstemi. please evaluate for pneumothorax or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17079966/s56880183/9723e228-fab9ceed-07770ac8-747b7c63-3c6b453c.jpg | cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. minimal atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13766608/s56774680/da79d15d-fcde3b5e-0ff60a15-0a811ff2-3db3a68b.jpg | there are relatively low lung volumes. medial right lobe base opacity may be due to overlap of vascular structures and low lung volumes it appears improved since the prior study. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. | <unk> year old woman with recent pna now c/o worsening cough and sob // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11131318/s55445182/5de2cc8a-f170c201-cdf673ee-d0da2c7f-dd5ccdf3.jpg | a small right pleural effusion has increased in size. severe cardiomegaly, unchanged. pulmonary vascular congestion with an enlarged main pulmonary artery, better seen on prior ct. no pneumothorax is identified. no other interval changes are present. | <unk> year old woman with decompensated heart failure // evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p18157608/s51427597/e3b010a8-9b9b7d2c-d9a33c79-b8c5e78e-cf438a3f.jpg | the lungs are relatively well inflated and clear. there is no focal consolidation, pleural effusion, or pneumothorax. heart size and mediastinal contours are normal. there is no osseous abnormality appreciated. | history: <unk>m with seizure // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13820366/s57445723/64573388-5c8dd8b8-e4350788-73fc6349-e21769b7.jpg | the heart is mild to moderately enlarged. the cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique, noting that this is a lordotic perspective. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures appear within normal limits. | chest pain, end-stage renal disease, pneumonia, history of cardiac hypertrophy. |
MIMIC-CXR-JPG/2.0.0/files/p15066236/s50881187/66d81f6c-eba02a7c-9d28e92b-c0cc9ceb-db9110ac.jpg | the lungs are again noted to be hyperinflated. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for moderate degenerative changes with large anterior osteophytes. | <unk>m with shortness of breath assess for infiltrate, effusion, acute processes |
MIMIC-CXR-JPG/2.0.0/files/p18718699/s50721368/87c2dd54-7d20b3a4-f49f61c1-bd12a5f1-1af9ea01.jpg | as compared to prior chest examinations, there has been interval placement of a chest tube which appears to project over the known moderate-sized left hemothorax. there is no pneumothorax. the cardiomediastinal and hilar contours remain stable. there is left upper lobe atelectasis. the right hemithorax remains clear. | history: <unk>m with newly placed left chest tube. // pneumothorax? |
MIMIC-CXR-JPG/2.0.0/files/p11443083/s58165529/4b13a83c-16ee862c-b2302676-db455999-9fce1450.jpg | et tube ends <num> cm above the carina. ng tube passes into the stomach and out of view. a new right lower lung opacity is concerning for aspiration or early pneumonia. normal cardiomediastinal silhouette. no pleural effusion or pneumothorax. | status post seizure with trauma, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14122424/s57875801/fa2ab2d4-8d0625d6-210dbaf1-2aece072-7f7f9f39.jpg | a pacemaker defibrillator is noted with right atrial and biventricular leads in expected positions. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lung volumes are slightly low with resultant bronchovascular crowding. there is no pulmonary edema or focal consolidation concerning for pneumonia. extensive dish changes are noted throughout the thoracic spine. | <unk>m with fatigue and acute chest pain // edema? |
MIMIC-CXR-JPG/2.0.0/files/p12722192/s52960404/5f0bb499-7f93bfdf-b38b8e05-45d729f5-7c03d7b6.jpg | lungs are mildly hyperexpanded and clear. mediastinal contours, hila, and cardiac borders are normal. no pleural effusion. re-demonstrated are expansile lesions of the right clavicle and left ribs consistent with known myeloma. compression fracture of a thoracic vertebrae is stable. | <unk> year old man with multiple myeloma, copd, recent exacerbation // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19795607/s52140037/ff8a2ac1-3b153075-fe5a70e1-1e78ca40-09b96c0d.jpg | there is increased streaky opacification at the right lung base greater than the left lung base most compatible with atelectasis. the lungs are otherwise clear without focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the cardiac silhouette is normal in size. the mediastinal contours are slightly prominent due to unfolding of the thoracic aorta but otherwise within normal limits. the hilar contours are unremarkable. the trachea is midline. there is no free air beneath the right hemidiaphragm. no displaced rib fractures are detected. | left rib pain status post mechanical fall, here to evaluate for rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p11970980/s52010571/4c9a38cd-fa37a40a-23eed7c4-65d124b1-a3f8723f.jpg | portable ap upright chest radiograph was obtained. the right internal jugular central venous catheter terminates in the right atrium as on the previous examination. the nasointestinal feeding tube courses into the proximal duodenum and out of view. the lung volumes are low with increased bilateral moderate-to-severe pulmonary edema and accompanying moderate pleural effusions. dense bibasilar atelectasis is also noted with unchanged large but obscured cardiac silhouette. sternotomy wires appear intact without pneumothorax. | <unk>-year-old man with vsd and mi with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14544923/s52733010/c8ee5c07-d3066415-3895288a-43ca599d-e1a293be.jpg | heart size and mediastinal contours are stable. median sternotomy wires are unchanged. the patient has known severe upper lobe predominant centrilobular emphysema better seen on prior ct. distortion of the architecture, bilateral pleural thickening with scarring, granuloma of the left apex and hyperinflated lungs are unchanged. no pleural effusion or pneumothorax. old healed right clavicular fracture is unchanged. | <unk> year old man with cough and fever, bibasilar crackles, concern for pna // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15769492/s58982560/0d7bffb4-e3a4f92e-94456af5-ffe129e1-7bb4d023.jpg | the lungs are well expanded and clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. there is unfolded appearance of the ascending thoracic aorta. | history: <unk>f with possible increased seizures, leukocytosis // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p16470044/s57133311/6f15751a-7cc29e15-549ceda9-ed11dc22-66b980b7.jpg | ap portable semi upright view of the chest. endotracheal tube and nasogastric tubes are in unchanged position. there are bilateral pulmonary consolidations which appear unchanged in overall distribution and extent. no large pneumothorax or effusion. imaged bony structures appear intact. | <unk>m with hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p19631540/s53609302/8a616ed3-adaaec8d-4c58cac4-3aa142ca-783f5aec.jpg | compared with <unk>, an intra-aortic balloon pump has been removed. heart size is normal. cardiomediastinal silhouette is stable. there is no focal consolidation. no pneumothorax or pleural effusion. | <unk> year old man with stemi, now w/ a iabp // iabp placement |
MIMIC-CXR-JPG/2.0.0/files/p13716312/s50943550/5e4bfc1f-9eea6c9e-ecf57383-a8dbe69f-0a4be641.jpg | lung volumes are low. vague supradiaphragmatic opacities in both lower lobes compatible with atelectasis. no focal opacity concerning for pneumonia. there is no pleural effusion or pneumothorax. multiple healed right posterior rib fractures are reidentified. | <unk>-year-old female with als and tachycardia. evaluate for evidence of aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p14594786/s57271079/7cf50764-27af8252-5b2be674-cd100270-c408aea6.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. suture anchors in the glenoid are unchanged. | <unk>m with dyspnea, evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15166884/s59247191/72d7936b-24bfa8d1-83376d7e-be7ab20b-7cf1268a.jpg | since the prior study, the heart size is significantly enlarged, and globular in shape. this could be secondary to global cardiomyopathy or a pericardial effusion. the lungs are clear with no pleural effusion or pneumothorax. no pulmonary vascular congestion or edema. | <unk> year old man with history of copd and reactive airway disease with increased congestion, shortness of breath and sputum production. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10853391/s59125149/9eb2295c-6befc177-eb166479-3bb1f464-aece5e46.jpg | there are slightly low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable and unremarkable. | history: <unk>m with painful cough and fever // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10145540/s55207194/9bdb5051-3c3b6741-4e47b456-7182f875-8b9d045d.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is stably enlarged with otherwise normal mediastinal and hilar contours. mild bilateral gynecomastia and splenomegaly are again suggested. no displaced rib fractures are identified. | assaulted. |
MIMIC-CXR-JPG/2.0.0/files/p13152015/s52230003/cf5aed58-ceeeea94-f871bb68-e5c0cabf-4cf01e1b.jpg | pa and lateral views of the chest provided. lungs are hyperinflated and lucent suggesting emphysema. the aorta is unfolded as on prior with knob calcifications. the heart is stable and normal in size. lungs are clear. no large effusion or pneumothorax. no signs of congestion or pneumonia. bony structures are intact. no free air below the right hemidiaphragm peer | <unk>f with atrial fibrillation, prior pulmonary embolism <unk> years ago, who presents with cough x<num> days and intermittent chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18144035/s51741421/ede8c19b-373e204f-98460d38-0c1705c6-972dc198.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. | chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p18410747/s58448197/50a539e2-be518859-5b475e5f-70df8547-286cdb9b.jpg | two ap and two lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old male with possible tia versus stroke. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14745006/s51931086/38e72103-89203f86-04709eb2-597f81ba-12c9d948.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unchanged. there is mild bibasilar atelectasis as well as linear atelectasis along the minor fissure. incidental note is made of an azygos fissure. lungs are otherwise clear. there is no pleural effusion or pneumothorax. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p19151884/s52111892/4e753acb-9d131b3f-90974e4e-a4b932d4-b6ce5914.jpg | portable chest radiograph demonstrates an endotracheal tube with its terminal and <num> cm above the level of the carina. two chest tubes are identified, one terminating in the right apex in the other in the right mid lung. patient is status post right vats and decortication with resultant expected pleural effusion. prior identified loculated pleural effusion much improved. lung volume remains largely stable when compared to pre-operative films. there is mild interstitial edema and vascular congestion. cardiomediastinal and hilar contours are unchanged in appearance. no clear pneumothorax is identified. | <unk>-year-old male status post vats and partial right decortication. |
MIMIC-CXR-JPG/2.0.0/files/p18573443/s50735703/775740e9-19e37e06-cf7f9e42-274160a9-cd118a05.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> year old man with fever // r/out pna |
MIMIC-CXR-JPG/2.0.0/files/p18984471/s56346736/27f09973-a0fc278e-f80b6f64-8be57c61-1e810069.jpg | peripheral opacity at the right mid lung laterally is identified. the margins of the adjacent right fourth rib laterally are not clearly delineated and could be focally eroded. there is eventration of the right hemidiaphragm. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta. | <unk>m with dizziness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12128253/s52175996/247e9c02-31e77d61-36d64dea-82c5415a-2958079d.jpg | portable supine chest film <unk> at <time> is submitted. | <unk> year old man with mssa bacteremia, intubated for poor airway protection, spiking fevers // pls eval. for new consolidation pls eval. for new consolidation |
MIMIC-CXR-JPG/2.0.0/files/p14865169/s52570515/8021dfba-f93592f6-d1fdeb3e-ddb09f9c-b51d08a6.jpg | multiple lines and tubes been removed. a right ij catheter overlies the proximal svc. possibility of a tiny left apical pneumothorax cannot be excluded. no other evidence a pneumothorax is detected. the cardiomediastinal silhouette is unchanged allowing for lower lung volumes. of note, there is hazy opacity at the right base which raises the possibility of some layering pleural fluid. there is bibasilar collapse and/or consolidation which has progressed compared with the earlier study. | <unk> year old man s/p avr/cabg // eval for pneumothorax s/p chest tube removal |
MIMIC-CXR-JPG/2.0.0/files/p10146311/s56184592/24fc9827-bdfdca43-7572e0f3-f3c618f7-043f857c.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. rounded calcified bodies projecting over the left shoulder joint again may reflect synovial osteochondromatosis. | history: <unk>m with seizure |
MIMIC-CXR-JPG/2.0.0/files/p18730259/s56292234/d3b43ac3-b1fc2cbb-54cf81a2-c7ff2102-7c3b2e86.jpg | perihilar opacities are concerning for underlying pulmonary edema although there are scattered patchy right lung opacities which could represent superimposed multifocal pneumonia versus asymmetric edema, underlying neoplasm not excluded previously seen right upper lobe mass and numerous solid ground-glass pulmonary nodules were better assessed on ct. no pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is stable. | history: <unk>m with sob and hypoxia // pna? |
MIMIC-CXR-JPG/2.0.0/files/p12476737/s50277387/f6b06345-1c7c70eb-ceb00535-abb2fed4-77affa0c.jpg | single frontal view of the chest was obtained. mild cardiomegaly is stable. eventration of the right hemidiaphragm is unchanged. bilateral lower lobe opacities are most consistent with atelectasis. pulmonary vascular markings are normal. no pneumothorax. severe bilateral glenohumeral and acromioclavicular degenerative changes are similar to prior. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13983282/s55776827/5a6cee2e-46270770-0f317bf9-3a85eccf-ccfbeb0d.jpg | compared to prior exam, there is increased pulmonary edema, which is now moderate-to-severe. subtle consolidation may be obscured by this edema. there is likely a left pleural effusion; retrocardiac opacity may be related to adjacent atelectasis but is incompletely evaluated on this single view. no pneumothorax is detected. cardiomegaly persists. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19004951/s57453951/f5c48c61-d59a1899-f625676c-6991e3de-3da67d46.jpg | the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is slight indentation of the left side of the trachea. | fever. evaluate for "cpd", infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p19857858/s58957621/d62688b5-d849b1a0-107cf867-f0906b02-231cf1b4.jpg | retrocardiac opacity and small-to-moderate bilateral pleural effusions are similar to the prior study three days ago. cardiomegaly is unchanged. two pacing leads from a left chest generator terminate in appropriate positions, overlying the right atrium and right ventricle. the generator of a stimulator device is seen in the left upper quadrant of the abdomen. | <unk>-year-old woman with altered mental status, fever, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16622129/s58878388/b6e0ad1d-4f6b00dd-9bc71d40-871f5f14-28c628ad.jpg | the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing within normal limits. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. multiple clips are demonstrated within the left axilla and clips are also seen projecting over the right lower hemithorax and left chest. | altered mental status and recent right-sided suboccipital craniotomy for microvascular decompression. |
MIMIC-CXR-JPG/2.0.0/files/p18471732/s52555247/8c7ccf1d-5886ca80-0611cece-e92f8aba-8e465497.jpg | a frontal upright view of the chest was obtained portably. there is no focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable. heart size is normal. there is no evidence of mediastinal widening. eventration of the right hemidiaphragm is similar to the prior studies. no acute osseous abnormality is identified. | <unk>-year-old man with chest pain. evaluate for pneumonia and aortic contour. |
MIMIC-CXR-JPG/2.0.0/files/p15912674/s59967124/09282ff5-f68c7239-67219dc4-15a5a195-cd21e277.jpg | single frontal view of the chest was obtained. heterogeneous opacification of the left lung is consistent with a combination of pleural fluid and consolidation/atelectasis, presumably related to multiple fractures left middle ribs laterally. the pulmonary vasculature is diffusely indistinct, consistent with mild pulmonary edema. no pneumothorax. the heart is moderately enlarged and the vascular pedicle is widened necessitating ct evaluation. a few left rib fractures are minimally displaced. sternotomy wires are intact. | <unk>-year-old male with with chest pain status post compressions. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p12546830/s59943337/cdd5d4f7-eba68e43-1bdce685-941a74bd-3fd8c0b5.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is a nondisplaced fracture involving the right posterolateral eighth rib, of indeterminate chronicity. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are noted along the thoracic spine. | exertional chest pain and anemia. |
MIMIC-CXR-JPG/2.0.0/files/p11236141/s58966781/8c28cff0-0b226b43-887dbc28-79df3847-47ddb7b7.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>-year-old female with chest pain. |
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