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MIMIC-CXR-JPG/2.0.0/files/p16937963/s59366106/840c0217-2830e41b-929ceb56-4d5b6300-0fbb36dc.jpg | support and monitoring equipment is unchanged in appearance when compared to the prior study. lung volumes are unchanged with persistent left lower lobe atelectasis. there is moderate cardiomegaly with prominence of the bilateral hila but no overt pulmonary edema. probable small left pleural effusion. | <unk> year old man with cardiogenic shock, intubated, anuric // assess interval change |
MIMIC-CXR-JPG/2.0.0/files/p18273833/s53930957/a4613482-70b9354c-78485a63-4bacdbc5-9ec6e11c.jpg | the apparent circular mass overlying the trachea is a curve in the trachea seen end on. compared with <num> hr prior, there is increased bilateral parenchymal opacity consistent increasing pulmonary edema. opacification at the right base has increased likely a combination of pleural effusion and atelectasis; although, consolidation is possible. no pneumothorax. | severe acute respiratory distress. explain large circular mass overlying the trachea. |
MIMIC-CXR-JPG/2.0.0/files/p17979702/s58199171/653b288d-2d34757b-78f85f95-e9aafff1-086be49b.jpg | the lungs are clear of consolidation. calcification at the left lung apex is again noted. the cardiomediastinal silhouette is within normal limits. filter projects over the region of the ivc. old healed left rib fractures are identified. | <unk> year old woman with fevers, hypotension // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p10316671/s51124199/20db31eb-03597c5d-3db47940-c38ea572-cd7fa241.jpg | the heart is at the upper limits of normal size. mediastinal contours are unremarkable. a left suprahilar mass appears similar allowing for differences in technique. a large right upper lobe nodule also appears unchanged. band-like opacity in the right middle lobe is compatible with minor atelectasis or scarring. there is no pleural effusion or pneumothorax. | chest pain, shortness of breath and chills. history of metastatic renal cell carcinoma. |
MIMIC-CXR-JPG/2.0.0/files/p18336565/s52140578/1b005e10-8af6e86d-812d46a2-c4428987-09a18651.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung volumes are low. there are bibasilar opacities, left greater than right as well as a small left pleural effusion. there is no evidence of pneumothorax. | <unk>m with worsen sob, dynspea known llpna // evalulate for interval change know left lower pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10051825/s55657354/87c53d01-59f5a00c-7a486b81-1bc6e20d-b5eb8f4a.jpg | single upright view 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. | history: <unk>m with fall // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p12637692/s55734249/7a851f5f-0406703d-4d1cb283-143fd3fa-88a09f53.jpg | the lateral left base opacity at the costophrenic angle has been seen over multiple prior studies which may be due to underlying scarring the, however, the opacity appears slightly prominent for the prior study indicates the small focus of infection is not excluded. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. mitral anulus calcification is again seen. the known punctate left upper lobe calcified granulomas are again seen. compression deformities and kyphosis of the thoracic spine are again seen and stable. | shortness of breath and cough. |
MIMIC-CXR-JPG/2.0.0/files/p15973805/s50310032/605787f7-c2c3dbbb-aa1b2680-2aae0999-5f34bccc.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. left brachiocephalic stent remains in unchanged position. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present however the left costophrenic angle is excluded from the field of view. there is no subdiaphragmatic free air. cholecystectomy clips are seen in the right upper quadrant the abdomen. surgical anchor projects over the right humeral head. | history: <unk>f with chronic epigastric pain presenting with worse pain after enteroscopy // upright cxr to evaluate for free air under diaphragm? |
MIMIC-CXR-JPG/2.0.0/files/p10578633/s59549212/adc3380c-b61394c2-2116ef8d-a8663ae7-e6926165.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. gastric lap band is again demonstrated within the left upper quadrant of the abdomen. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12441371/s55136540/59729e82-81e2317d-90af945d-a00cd2a4-7eebd1db.jpg | cardiomegaly and tortuous aorta are stable. right lower lobe opacity has improved, moderate left effusion is minimally larger than before. right picc tip is in the lower svc. there is no pneumothorax. there is mild vascular congestion. right mid lung consolidation is stable. | <unk> year old man with metastatic rcc and multifocal pneumonia, now with hypertension and dyspnea // please evaluate for worsening opacities, effusion, edema |
MIMIC-CXR-JPG/2.0.0/files/p12298456/s57293922/30ec9ce5-02be519c-7a47bfe4-541216e9-b4ae74aa.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is streaky opacity at the left lung base suggesting atelectasis in the lingula, but elsewhere, the lungs remain clear. there is no pleural effusion or pneumothorax. | known coronary artery disease with acute chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12006413/s59439698/2605c5f7-64ab0293-a4d8875e-f5f066b4-890a501a.jpg | ap portable supine view of the chest. patient is intubated and the tip of the endotracheal tube is positioned <num> cm above the carina. an ng tube courses into the left upper quadrant with the tip positioned approximately <num> cm beyond the ge junction. midline sternotomy wires are noted. a pacemaker is implanted in the left chest wall and the leads extend over the heart. lungs are clear. cardiomediastinal silhouette is stable. no acute bony abnormalities. | <unk>m with unresponsiveness |
MIMIC-CXR-JPG/2.0.0/files/p13169901/s52219454/9068e8ae-6fe9c99c-74f05d7f-7160a134-c5572ffb.jpg | cardiac, mediastinal and hilar contours are normal. the lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17639480/s51862785/3ea409eb-52bd5dd6-67d91dcf-aa22338a-897f2222.jpg | ap upright and lateral chest radiographs were obtained. the lungs are low in volume with basal opacities which are likely atelectasis. mild vascular congestion is seen without overt edema. the heart is top normal in size with pleural fluid noted along the major fissure. there is no pneumothorax with small likely bilateral dependent pleural effusions. | generalized weakness. assess for infectious source. |
MIMIC-CXR-JPG/2.0.0/files/p17525907/s57131278/494ca1d3-7b42e927-0a47d243-d61ce2af-99c1f2d7.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>m with pmh htn, hld p/w chest pain and arm tingling // acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p11856988/s51787658/a0ee9d2c-9eac6609-b2f8aa1e-3e5b1a60-5b6b4407.jpg | the heart is mildly enlarged. the aortic arch is partly calcified. there is a suspected small left-sided pleural effusion with no definite pleural effusion on the right. there is no evidence for pneumothorax. the lungs appear clear aside from streaky left basilar opacity, probably due to minor atelectasis. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19680874/s57007394/dc232a2f-f3e99d0f-a4433b11-fcccd1c7-334c161d.jpg | there are relatively low lung volumes. mild pulmonary vascular congestion is seen. there is no focal consolidation. no large pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. | history: <unk>f with ams. aphasic. stroke eval. cr at osh <num>.<unk>*** warning *** multiple patients with same last name! // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17451560/s59646928/532a260e-7bd8c7a1-85ec4517-e5583ccb-66fb6083.jpg | as compared to chest radiograph from <num> day prior, mild pulmonary congestion and edema has improved. right lower lobe opacities also improved, was likely engorged vessels. no pleural effusions. moderate cardiomegaly improved. no pneumothorax. | <unk>f with chfpef, hypertension, paroxysmal atrial fibrillation on rate control and warfarin, s/p pacemaker placement for sss <unk>, who presents with dyspnea and chest pain // evolution from prior; ?pna versus chf exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p11207178/s58110574/f2e7595f-e37d10d1-5845652b-cef84d28-d9dbe53a.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. hazy appearance of the lower lung zones is due to soft tissue density. cardiomediastinal silhouette is unremarkable. osseous structures are intact. | altered mental status, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10600659/s59048105/71ea835d-334e527c-5e97e777-efbf7fda-03f1b732.jpg | the heart size, mediastinal, and hilar contours are normal. a <num>-<num> mm nodule in the right lower lung is unchanged since <unk>. there are no new effusions or focal opacifications concerning for pneumonia. bibasilar streaky opacities and thickened bronchial walls are unchanged since <unk>, and may reflect chronic bronchitis or bronchiectasis. | <unk> year old woman with prior ?pneumonia on <unk> films, eval for change/clearance. eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16824027/s55130224/5e2743e3-9f0eb1bd-2a313b3b-be3ab921-f65acb1a.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 shortness of breath, chest pain, smoker |
MIMIC-CXR-JPG/2.0.0/files/p14031538/s58151896/9da8c80b-adb94d70-e07b1298-58b94485-7c0b8876.jpg | frontal and lateral views of the chest were obtained. there is peribronchial cuffing, particularly in the suprahilar regions, right more than left. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette is normal. there is no free air under the diaphragm. no displaced rib fracture is seen. | <unk>-year-old man with left lower rib pain with coughing. |
MIMIC-CXR-JPG/2.0.0/files/p11867095/s59469031/d97e3b63-b3f19353-ba4a24ae-a2a92dff-277bf3b2.jpg | there is a new right chest tube in place. there is small right apical pneumothorax, which has increased. small area right apical opacity, likely postsurgical. left lung is clear. right pleural effusion has cleared. | <unk> year old man with spontaneous pneumothorax s/p rul wedge resection // check tube position |
MIMIC-CXR-JPG/2.0.0/files/p13895041/s57959546/00c62ce8-457a537b-6900c2e1-e6ede802-88be2b44.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no focal consolidation, pleural effusion, or pneumothorax. minimal scarring is seen at the right lung base. | history: <unk>f with fevers, cough // r/o infectious process |
MIMIC-CXR-JPG/2.0.0/files/p11466438/s54804122/7d955941-8495d723-d02c40f0-3f854eff-8a8553cc.jpg | the heart is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. | right-sided throat pain and hypertension. |
MIMIC-CXR-JPG/2.0.0/files/p12604499/s55384650/8b9a02a4-39a4d0da-407100ba-ee461117-f7eeeded.jpg | the enteric tube terminates in the stomach. the lung volume is small. pulmonary edema has improved. left lower lobe retrocardiac opacity is likely atelectasis. small left pleural effusion is slightly worsened. no pneumothorax. no mediastinal silhouette is unchanged. | <unk> year old woman with sbo s/p multiple abdominal surgeries, extubated <unk> am // interval change |
MIMIC-CXR-JPG/2.0.0/files/p15464784/s50861733/5590d720-272640df-7f613968-17db278e-7e0e9d76.jpg | cardiomediastinal contours are normal. new patchy and linear bibasilar opacities are present as well as small bilateral pleural effusions. right hemidiaphragm is mildly elevated. | <unk> year old woman with new o<num> requirement // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p14566045/s55552705/59dd062c-3495d0ac-5cb8cc9f-8db23b21-e2cc71c6.jpg | the right ij catheter is unchanged in position and terminates in the right atrium. median sternotomy wires are intact. the right upper quadrant pigtail catheter is re-demonstrated. there is mild left retrocardiac atelectasis. blunting of bilateral costophrenic angles suggests small pleural effusions. no pulmonary edema or pneumothorax. cardiomediastinal silhouette remains enlarged. | <unk> year old man s/p cabg // predischarge eval |
MIMIC-CXR-JPG/2.0.0/files/p11087917/s59439025/2bef0f7d-17ac502d-36cd5f4f-263a447e-e7d53de8.jpg | the opacity in the right mid lung and medial right upper lung has significantly improved with associated improved aeration of the right upper lung since <unk> after the placement of a chest tube. the chest tube tip remains in the right upper hemithorax, unchanged in position since <unk>. stable small right apical pneumothorax without evidence of tension. stable large right pleural effusion. the left lung is clear and unchanged from the prior exam. the heart size is normal. stable mild levoconvex scoliosis of the thoracic spine resulting in associated apparent mild tortuosity of the descending aorta. | <unk> year old woman with pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14766138/s56028134/bb95aa69-4cccb4ad-08a2c047-4e5c8c93-312c1b1f.jpg | compared to the prior study, the overall appearance is similar. again seen is a chest tube at the left lung base. also again seen is a small to moderate left effusion with underlying collapse and/or consolidation, similar to the prior study. no pneumothorax is detected. atelectasis at the right base and minimal blunting of the right costophrenic angle is essentially unchanged. doubt overt chf. | <unk> year old lady with hiv on haart, hcv, esrd on hd (<unk>), and multiple myeloma who presents with left-sided chest pain with chest tube placed on <unk> by ip and <num>cc of fluid drained. pain completely relieved. // please assess for chest tube positioning. |
MIMIC-CXR-JPG/2.0.0/files/p11714071/s55903879/af9a41fe-381c38b6-6b1e16aa-1e657ed7-542ad690.jpg | ap and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. there may be minimal interstitial edema. cardiomediastinal and hilar contours are normal. | diminished breath sounds in the left base, cough. |
MIMIC-CXR-JPG/2.0.0/files/p10850698/s51703127/17b59920-3e10c4c2-283c6c22-d77e2959-81dbfba1.jpg | a cardiac pacer has leads ending in the right atrium and right ventricle. the lungs are hyperinflated.the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm. | history: <unk>m with weakness and significant cardiac hx, concern for chf // pna or volume overload |
MIMIC-CXR-JPG/2.0.0/files/p18126476/s53017716/dd65a2a6-9300a873-14308641-1244daff-49989663.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>m with retrosternal chest pain // evaluate for acute proces |
MIMIC-CXR-JPG/2.0.0/files/p16853317/s58732660/8f03dc01-20e81971-ec5c9c33-4c51079a-6d30987b.jpg | multifocal opacities in the right upper and right middle lobes are consistent with a multi focal pneumonia. there is tenting of the diaphragm most prominent on the right hemidiaphragm consistent with a prior inflammatory process. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with sob, cough and right sided posterior rib pain // pneumonia, rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p10717732/s51379169/230523a5-da6cc3d3-c905304a-66c3430a-a7e9cbce.jpg | ap portable upright view of the chest. midline sternotomy wires again noted with a prosthetic cardiac valve and mediastinal clips. there is moderate pulmonary edema without large effusion. cardiomediastinal silhouette is stable. bony structures are intact. | <unk>f with vomiting/diarrhea, dehydration, esrd missed peritoneal dialysis x <num> days, bilateral rales |
MIMIC-CXR-JPG/2.0.0/files/p12609983/s59686317/d5ff034d-a958630a-33f3ceeb-a4d37849-c282abf7.jpg | exam is limited secondary to portable technique and patient body habitus. rretrocardiac opacity is likely at least in part technical due to poor penetration and is not well assessed. elsewhere the lungs are clear. cardiomegaly is again noted. | <unk>m with dyspnea // pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p14349467/s50061658/d6af4758-b563bff6-122d9762-54527611-eb04717b.jpg | cardiomegaly cannot be assessed. large bilateral effusions with adjacent atelectasis have minimally increased. there is mild pulmonary edema. there is no pneumothorax. | <unk> year old man with cholecystitis/ choledocholithiasis, with doe // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17171770/s58997953/56b30b0c-97c1415c-cbe8f0d7-b2e46dab-309cd35a.jpg | heart size is normal. there is mild unfolding of thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p12408912/s53734003/cead150c-f7f523ef-92e0d5ed-1963b270-772a4d72.jpg | bilateral parenchymal or opacities are noted. most dense consolidation is identified at the left lung base, which has progressed since prior with silhouetting of the hemidiaphragm. chronic distortion of the parenchyma markings seen at the right lung base. cardiac silhouette is grossly unchanged. no acute osseous abnormalities. | <unk>m with sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11459358/s51943908/dba556b6-add8a838-b01f4350-f6952bc4-5d657d73.jpg | lung volumes remain low but are slightly improved from the prior exam. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. hilar contours are unchanged. | <unk>-year-old man with hiv, smoldering dyspnea, productive cough, diffuse rhonchi. evaluate for pneumonia, attn to atypicals. |
MIMIC-CXR-JPG/2.0.0/files/p10767116/s53437808/8c5b8e59-afc4facb-0058cdf9-ded1f4b9-3cf78844.jpg | on view <num>., the radiopaque portion of the dobhoff tube overlies the upper mediastinum. on view <num>., the radiopaque portion of the dobhoff tube overlies the expected position of the gastric fundus. on view <num>., the radiopaque portion of the dobhoff tube overlies the mid stomach. findings in the chest are similar to those on the film obtained earlier the same day. | <unk> year old man with dobhoff to <num> cm // placement of dobhoff, stage one of protocol prior to further advancement |
MIMIC-CXR-JPG/2.0.0/files/p17735349/s54761207/565580a6-3201c304-aa3c834a-b39816ff-b278a077.jpg | the left hemidiaphragm is elevated and contains loops of bowel, likely reflecting a diaphragmatic hernia. there is adjacent compressive atelectasis of the left lung base. the heart size is normal. there are mild calcifications seen in the aortic arch. the patient is post cabg. bilateral pulmonary opacities with ill-defined bilateral pulmonary opacities are present, worst at the lung apices. there is no pneumothorax or large effusion. | hypoxia. altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p11867643/s51498901/0539be30-67effc80-cfd64347-f5c307b7-4f84dc3a.jpg | bilateral low lung volumes. new right base linear atelectasis seen. otherwise lungs are clear. cardio mediastinal silhouette is unchanged. there is no pneumothorax or pleural effusion. | <unk> year old woman with new o<num> requirement // any evidence of infection or atelectasis or fluid |
MIMIC-CXR-JPG/2.0.0/files/p11632236/s54908166/7c8ffbc2-24391f32-2beb14ba-409ab980-ee8b2b2b.jpg | the endotracheal tube has been advanced, the tip now terminating <num>-cm above the carina, which may be related to position of the head and neck. an enteric tube has been pulled back from <unk>, with the tip now terminating at the diaphragm in the left upper quadrant, likely in the proximal stomach. a left internal jugular central venous catheter and right supraclavicular approach dual-chamber dialysis catheter are unchanged in position. the appearance of the chest is otherwise similar to the prior exam with diffuse infiltrative parenchymal opacities throughout the left lung and consolidated right lower lung. small pleural effusions are likely present. no pneumothorax is seen. the cardiac silhouette is normal in size. the mediastinal contours are within normal limits. | respiratory failure, here to evaluate et tube position. |
MIMIC-CXR-JPG/2.0.0/files/p14908132/s56448918/0ce9277b-a1ec8ca7-47ce7532-1235f29b-c374b74b.jpg | as compared to the most recent prior study, the chronic pleural and parenchymal changes at the bilateral lower lung zones on the right greater than the left appear unchanged. there is increased opacification at the left lung base from <unk>. the cardiomediastinal contours are stable. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. small pleural effusions are likely present. | known lung cancer, now with cough, increased sputum and worsening dyspnea, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18398533/s53287928/28ca979f-2f2148f2-0e829f28-d17d852a-40bdf784.jpg | mild to moderate cardiomegaly appears unchanged. the mediastinal and hilar contours are unchanged. mild upper zone vascular redistribution suggests mild pulmonary vascular congestion. streaky bibasilar opacities likely reflect areas of atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is visualized. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19769430/s58783883/2a46f86f-aa12bf29-81681d7d-afb9c9d8-23629fe0.jpg | compared with prior radiographs on <unk>, the right hemidiaphragm is not sharply seen. there is a small right pleural effusion and atelectasis at the right lung base. there is no new focal consolidation to suggest pneumonia. there is no edema or pneumothorax. cardiomediastinal silhouette is unchanged. | <unk> year old woman with temp <unk>// evasl pna /atelec |
MIMIC-CXR-JPG/2.0.0/files/p11888614/s56780883/c1610076-7344ca52-76ac1da0-6b6e055a-0888a924.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. mild pulmonary vascular redistribution persists. interstitial prominence is likely chronic. heart and mediastinal contours are within normal limits. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15377618/s52257189/fb4fea64-fd6c9fb9-edd80d8a-7c037945-83574b8b.jpg | lung volumes are low. heart size is at least moderately enlarged. mediastinal contours are unchanged. mild pulmonary edema is noted, worse in the interval. small bilateral pleural effusions are likely present with bibasilar airspace opacities, most likely reflective of atelectasis. no pneumothorax is identified. percutaneous catheter is noted with pigtail in the right upper quadrant of the abdomen. left picc tip now appears to be flipped, likely within the azygos. | history: <unk>f with atrial fibrillation not on anticoagulation presents with rapid ventricular rate and chf exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p12172465/s50799213/f1e17288-4499c0a7-c01c8e54-8daa1cfd-556e49a4.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of left facial twitching. rule out chest pathology. |
MIMIC-CXR-JPG/2.0.0/files/p17781244/s51217040/8a799a5c-861009da-edeba890-44381875-44da8a1b.jpg | the cardiomediastinal silhouette is unremarkable. the lungs are mildly hyperinflated. lung fields are clear. there is no pneumothorax. | history: <unk>f with fever // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17898418/s53255731/c78ccc6d-6e09af22-4bec56f8-8b5b1d1a-1e375e76.jpg | a dual-lead pacemaker/icd device appears unchanged. the heart is normal in size. the mediastinal and hilar contours appear unchanged. there are patchy linear opacities projecting over the left lower lung within the lingula suggesting minor atelectasis. there is no evidence for pleural effusion or pneumothorax. mild hyperinflation is suspected. small anterior osteophytes throughout the thoracic spine appear similar. | fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15862493/s56759073/54bce3c0-df29c2a5-069c3f20-e064fbe7-7746f47c.jpg | no focal consolidation is seen. there is persistent subtle tenting of the left hemidiaphragm. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with left shoulder pain, some difficulty breathing. // please evaluate for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p16703028/s52394813/46e89d7d-f42207da-e94a767e-880f2cd9-e4a0f835.jpg | frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal aside from mild aortic tortuosity. pulmonary vasculature is normal. no acute osseous abnormality is identified. | new acute renal failure. evaluate for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p12380510/s59910040/39dafee9-b296bfb8-3f975032-9ffab020-0e0c1420.jpg | cardiomediastinal and hilar contours are normal. lungs are clear with low volumes bilaterally. pleural surfaces are normal. | <unk>-year-old woman with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15952632/s56841002/f48809ab-4bcf6d1e-b5a5dcab-a03f6510-3423da00.jpg | as compared to prior chest examination, lung volumes are slightly decreased accentuating the bronchovascular structures and right hilum. the cardiac silhouette is mildly enlarged and there is mild tortuosity of the descending aorta. there is no focal consolidation, pleural effusion or pneumothorax. surgical clips are seen overlying the expected location of the thyroid. | cough, neck pain. evaluate acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13180695/s51339045/2445955d-a358015a-10900b94-2e7756f7-323a0077.jpg | the heart is mildly enlarged and there are prominent mitral annular calcifications. prominent soft tissue density abuts the upper right mediastinum. small hazy opacity is present in the left lung base. coarse interstitial lung markings appear chronic. no pleural effusion or pneumothorax. distal right clavicle fracture appears chronic. | <unk>f with stemi, fever // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p16046549/s58524517/f2f9c330-f27f689f-a7209fea-c9cc97f6-2fa0b6e6.jpg | the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. calcifications are seen within the aortic arch. clips are seen within the right upper quadrant. | lethargy and left-sided weakness. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10040025/s57798724/9852fedc-a42de6c5-1d45c4cf-107e54f5-f97568c6.jpg | the heart appears mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | dyspnea and orthopnea. |
MIMIC-CXR-JPG/2.0.0/files/p10619883/s56444989/5ac54d65-386ac47b-8439469b-aaffa3ff-7d4db89a.jpg | the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. | chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17109563/s54949861/cc95ae33-102bdb04-afc13fcc-61b297d1-be105f93.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | pleuritic chest pain. evaluate for pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15620117/s57908326/3df0806a-a9f5c230-8c7a6327-074f8c1f-e54bd893.jpg | since earlier same day chest radiograph, near-complete opacification of the left lung is improved following bronchoscopy with partial reopening of the left upper lobe, unchanged appearance of multifocal opacities in the left lung from <unk>, possibly representing pneumonia, and moderate left pleural effusion. lung volumes are low. moderate to severe cardiomegaly is unchanged. the tip of the endotracheal tube terminates <num> cm above the carina. a feeding tube is seen in the stomach and continues out of view. | <unk> year old man with s/p bronch with secretion suctioning // <unk> year old man with s/p bronch with secretion suctioning |
MIMIC-CXR-JPG/2.0.0/files/p15887466/s52803075/64a2d867-2bb4ad3e-cecc014a-d7af9e56-e812aaf2.jpg | previously visualized spiculated right upper lobe opacity appears less conspicuous in comparison to the prior study suggesting a resolving infectious or inflammatory process. bibasilar opacities are noted likely representative of atelectasis. biapical bullous emphysematous changes are again noted. otherwise, the lungs are without any new focal consolidation. the cardiac and mediastinal contours appear stable. there is no pleural effusion or pneumothorax. no acute fractures are identified. | cough with history of copd. |
MIMIC-CXR-JPG/2.0.0/files/p13877262/s56362292/a8a6b2f9-918b3f1d-124bfcac-6f83177a-895cfb77.jpg | lines and tubes: no change in position of swan-ganz catheter, intra-aortic balloon pump and enteric tube. lungs: no interval change in the right lung haziness. left lung is clear. pleura: persistent right pleural effusion, unchanged. no pneumothorax. mediastinum: unchanged cardiomegaly. bony thorax: no interval change. | <unk> year old man with chf exacerbation, right sided pleural effusion and iabp // eval interval change |
MIMIC-CXR-JPG/2.0.0/files/p13188963/s54703600/379aa6aa-b4abd558-620f1d99-bc3ffc7b-d15a941d.jpg | single portable view of chest compared with exam from <unk>. low lung volumes seen on prior exam. bibasilar opacities most suggestive of atelectasis. there is no large effusion and the lungs remain clear. cardiomediastinal silhouette is stable and notable for mediastinal clips and median sternotomy wires. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with bradycardia. |
MIMIC-CXR-JPG/2.0.0/files/p10772636/s55099977/1176cf3e-d32ab678-06ff4f94-babe01fe-4d23090f.jpg | the left-sided picc line is been removed. there is volume loss most marked at the bases. there is vascular plethora but no florid pulmonary edema. no fractures identified. there is no pneumothorax. | <unk> year old man with vtach arrest, s/p cpr // acute fractures? other acute cardiac process? |
MIMIC-CXR-JPG/2.0.0/files/p11821055/s59634870/a36a56b8-2865bc4e-d8b1a70d-202cd923-2752fc25.jpg | an endotracheal tube ends approximately <num> cm above the carina. a nasoenteric tube ends in the stomach. lung volumes are low, with improvement of a left perihilar and infrahilar opacity. a left basilar opacity persists. cardiomegaly is increased likely secondary to low lung volumes. there is no pleural effusion or pneumothorax. | <unk> year old woman with intubation, interval change in ett position.. |
MIMIC-CXR-JPG/2.0.0/files/p13982748/s58495318/2d6e3999-7b8f4eab-044844fb-5b5a4c2d-0281aaf0.jpg | pa and lateral views of the chest (read in conjunction with ct chest from <unk>). pneumomediastinum is again demonstrated and appears to have slightly progressed. there is slightly more air within the upper mediastinum, subcutaneous soft tissues of the neck bilaterally and axilla. pneumomediastinum is also tracking into extrapleural space. tiny biapical pneumothoraces are not significantly changed. there is no focal consolidation or pleural effusion. heart size is normal. | chest pain, question mediastinal air versus pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12043836/s53245782/df3c2d8b-fdefc394-5cdf5cf8-ddcacec3-537901a4.jpg | left-sided picc now appears to be terminating in the left atrium, which may be due to patient position. tip cannot be definitely visualized due to overlying leads.there is a moderate left pneumothorax which is increased in size compared to the film from earlier the same morning. this is most evident superolaterally. there is a small left effusion. the heart remains moderately enlarged. | evaluate left pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17098181/s57314086/3f2790f5-e6579fda-1982b1ae-811ffb37-96204db3.jpg | the lungs are clear. cardiac silhouette is top-normal in size. no acute osseous abnormalities. no free intraperitoneal air. | <unk>f with ruq and epig pain, bloating w/ epigastric twisting sensation; ddx includes biliary colic, obstruction, gastric volvulus // eval ? free air, rll effusion / infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17006856/s53542986/72f4d10e-0aed9893-8190b7d4-5acd6bad-0c1e3e93.jpg | ap upright and lateral chest radiographs were obtained. the lungs are relatively well expanded with minimal increase in previous mild cardiomegaly likely related to ap technique. there is no pleural effusion or pneumothorax. | nonradiating substernal chest pain, assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10878728/s53682794/82c61ff8-cde2f5e9-382ca540-3e9e4ed1-4df3888c.jpg | a single portable supine chest radiograph is obtained. tip of an endotracheal tube terminates at the superior margin of the clavicle. an enteric catheter extends inferiorly out of the field of view. lung volumes are low. | <unk>-year-old woman with difficult intubation. |
MIMIC-CXR-JPG/2.0.0/files/p15169896/s50836135/b7afc5d8-ac019ab8-23c17fda-baf224fa-d24fc0ad.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. focal opacity projecting over the right lung apex is compatible with osseous bridge between the anterior right first and second rib. no acute osseous abnormalities. | <unk>f with fevers, headache, neck pain and cough*** // ?consolidation |
MIMIC-CXR-JPG/2.0.0/files/p18933552/s53696052/171ab6cd-bfa94520-63ba5203-156258b9-a904bdeb.jpg | the lungs are well expanded and clear. the left pleural effusion appears slightly increased from prior exam, consistent with recurrent pleural effusion. there is no right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. height loss is seen in a few vertebral bodies. | <unk> year old man with lung ca and new l pleural effusion s/p drainage <unk>. // recurrence of pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p15949588/s56038531/4741d308-09099ec2-659a4935-439ebd92-b128e9b0.jpg | pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits. | <unk> year old woman with poorly controlled diabetes, cad, systolic chf, presenting with chf exacerbation, now with dyspnea at rest // please evaluate for evidence of pulmonary edema or pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p18718681/s53859007/33b16731-4fb2ebd3-3c669475-f7978249-1f566cef.jpg | cardiac, mediastinal and hilar contours are within normal limits. the aorta is mildly unfolded. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted at the thoracolumbar junction. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14890255/s59301897/9c21d193-c6c59224-bd306465-9c643ab3-4bdb7675.jpg | ap portable upright view of the chest. there is apparent nodule projecting over the right mid lung which likely reflects a sclerotic bony mets in the overlying rib. there is mild elevation of the right hemidiaphragm. no definite signs of pneumonia or chf. no large effusion or pneumothorax. the heart is essentially stable from prior. mediastinal contour is normal. bony metastatic disease is better assessed on prior ct. | <unk>m with abd pain, nausea, vomiting, tachycardia, fevers intermittent x <num> wk // ? source of fever in gentleman with hcc, recent tace |
MIMIC-CXR-JPG/2.0.0/files/p13644363/s57991744/095ffde1-a6d29a18-cd7922bb-2f68c4c2-ccf50de6.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with chest pain, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12907189/s56111131/270ebe7c-8c05f947-5d060e16-64e67b24-75638792.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for infection. there is no large pleural effusion or pneumothorax. note is made of a tracheostomy tube which terminates in unchanged position. there is minimal bibasilar atelectasis. the visualized osseous structures are unremarkable. | history of chronic tracheostomy with increased secretions. please evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11746993/s54399254/d9f3ee6c-2417bdfb-f78821bd-d6b37c26-d7dc24fa.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. osseous structures are unremarkable. | <unk> year old man with cough |
MIMIC-CXR-JPG/2.0.0/files/p19758701/s55724966/b9a3bf84-f3f86f8f-93d73826-2caec5e6-606889c4.jpg | the dobbhoff tube has its tip approximately <num> cm beyond the ge junction. the lungs are normally expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette and hilar contours are normal. surgical drains project in the right upper quadrant. | <unk> year old man with suspected adenocarcinoma. feeding tube placement |
MIMIC-CXR-JPG/2.0.0/files/p15797442/s55725563/43c8d8be-0f75e94f-2e64498e-88dba967-d4101da8.jpg | the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | <unk>m with sudden onset palpitations this am, chest tightness. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15194375/s52463023/6253988b-5fc2772e-8ee18ea9-d5cb4a9b-4ce88c2b.jpg | the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19223236/s54530095/c979a21c-73173358-99996479-7210e005-83cf1180.jpg | minimal basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. it is difficult to evaluate the right glenohumeral joint ; correlate clinically for possible subluxation. | history: <unk>m with opioid use, evidence of chest/l clavicle abrasions, l ankle swelling // eval for trauma |
MIMIC-CXR-JPG/2.0.0/files/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg | cardiac silhouette remains moderately enlarged slightly increased from prior exam. there has been interval increase in central pulmonary vascular engorgement as well as interstitial edema. a focal right lower lung consolidation has increased in severity and is worrisome for pneumonia. there is no large pleural effusion or pneumothorax. a right internal jugular central venous catheter is unchanged in position. | end stage renal disease status post transplant with multiple medical problems, presenting with shortness of breath and decreased breath sounds on the right. |
MIMIC-CXR-JPG/2.0.0/files/p16973789/s53888390/f9e15c4b-75c00893-ad570e5f-4fb85311-c9ba6c2f.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are slightly low. lungs are clear except for a questionable <num> cm nodular opacity just below the level of the seventh posterior right rib. no pleural effusion or pneumothorax is seen. there are bilateral shoulder arthroplasties, which are incompletely imaged. | <unk> year old woman with <unk> edema, worsening dyspnea and orthopnea // assess for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15195362/s58408798/ade98c56-d0070555-899639d7-c47fa725-b3cdc076.jpg | compared to prior examination from <num> hours earlier there has been interval progression of left-sided edema now moderate to severe. there is re- demonstration of a massive right-sided pleural effusion opacifying almost entirely the right lung field with associated mild leftward mediastinal shift. there is also likely a small left-sided effusion. there is no pneumothorax. tracheostomy tube remains in standard position. upper enteric tube is in place with the tip outside the field of view. | tracheostomy and thyroid tumor now with acute respiratory distress and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13447941/s50679811/a2bcc207-eef61c13-72e88f97-bed29d2b-3705691a.jpg | mild bibasilar atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. degenerative changes are noted at the right acromioclavicular and glenohumeral joints. dish is seen along the thoracic spine. | history: <unk>m with xfer for gallstone pancreatitis // acute process, pre-op |
MIMIC-CXR-JPG/2.0.0/files/p15613450/s57334884/ff1b0cfa-9d10e4f5-6ccef0c1-d78b11f0-ff830bbf.jpg | cardiomediastinal contours are normal. ovoid opacity in the right mid lung associated with adjacent pleural abnormalities is stable, of unclear etiology, ct again is recommended for further evaluation. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine | <unk> year old man with tachyarrhythmia r/o for nstemi s/p cath <unk>. // per radiologist to better understand findings on v/q scan |
MIMIC-CXR-JPG/2.0.0/files/p15746048/s52974561/26c37dd7-df9925bb-5dcb732b-21b011d0-cebf108f.jpg | an et tube is present. the tip lies approximately re <num> cm above the carina. an ng tube is present. the tip and side-port extend beneath the diaphragm, overlying the upper stomach. right ij central line tip is again seen to overlie the upper right atrium. no pneumothorax is detected. inspiratory volumes are slightly low. there is probable mild cardiomegaly, accentuated by lordotic positioning. patchy retrocardiac opacity and blunting of the left costophrenic angle is again seen, overall similar to the prior study. equivocal minimal subsegmental atelectasis the right lung base. lungs are otherwise grossly clear. no right effusion.no chf. | <unk> year old woman with stroke, pleural effusions. // ?interval change |
MIMIC-CXR-JPG/2.0.0/files/p18622852/s51520762/84317dc9-98698780-f178c4ff-a5850590-2fc796c5.jpg | pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no focal opacity convincing for pneumonia. there is no pneumothorax, pleural effusion, or evidence of pulmonary edema. no air under the right hemidiaphragm is identified. | <unk> year old woman with hyperglycemia muscle aches // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15241042/s59871933/a9a255d4-3b6c54ee-a1674217-b9e07530-6d05dca0.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. small osteophytes are noted along the lower thoracic spine. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18250241/s50406864/8a6ea36d-e91da5ff-5c13fe28-8a0d4f72-cf6a8982.jpg | the lungs are well expanded and clear without pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | cough and uri symptoms x<num> weeks. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12089485/s56018636/2d9436d4-148bd4a7-4a1db3ff-f92033f1-ce4dbfa9.jpg | two ap and two lateral views of the chest were obtained. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. | <unk>-year-old man with cough, brown-yellow sputum, rule out infection. |
MIMIC-CXR-JPG/2.0.0/files/p14909552/s58641228/6359c613-c9928d1f-3208b954-7259e49b-511d9861.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>f with sudden onset dyspnea, presyncope, tachycardia this evening otherwise asymptomatic // eval ? effusion, infiltrate, ptx |
MIMIC-CXR-JPG/2.0.0/files/p12213684/s56524990/d7620dff-86d57a2d-6f395c19-36ad964f-abe96482.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. | history: <unk>f with seizure // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13040343/s54443877/9be7adf2-5d90546e-29f49c55-2113180f-59241de9.jpg | prior left picc is no longer visualized. there is volume loss in the right hemi thorax with right apical scarring and superior traction of the hilum. this is unchanged from prior. surgical chain sutures seen at the lingula. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with kidney injury // pneumonia? effusion? |
MIMIC-CXR-JPG/2.0.0/files/p13421525/s50991232/62f23039-1815dfe5-7fdca725-108d74ec-ad6fcd35.jpg | ap upright and lateral views of the chest provided. tracheostomy noted projecting over the superior mediastinum. the heart is mildly enlarged. prominence of the mediastinum may reflect vascular engorgement. no convincing evidence for pneumonia. no large effusion or pneumothorax. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with n/v, ekg changes |
MIMIC-CXR-JPG/2.0.0/files/p15121721/s50456223/21fdd5a3-858b207e-f9147d49-4f18c03d-9e627a12.jpg | lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. aortic arch calcifications are unchanged. | <unk>f with dyspnea/l arm pain |
MIMIC-CXR-JPG/2.0.0/files/p14018526/s50040352/236a55b5-71627b9b-fd2f6263-810fead1-b78bb789.jpg | the feeding tube tip is to the left of the spine never crossing midline and likely is still within the low position stomach. the heart continues to be severely enlarged. there has been interval decrease in the amount of alveolar infiltrate there continue to be bilateral pleural effusions and dense retrocardiac opacity. prosthetic valve is again visualized. there is no new infiltrate | <unk> year old man with resp failure, critical as s/p tavr, possible ngt tube dislodgement // ? ngt placement |
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