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MIMIC-CXR-JPG/2.0.0/files/p19819468/s59256955/d5c6f2c7-231fabd2-15db98a2-512f10b4-3aab5720.jpg | there has been interval placement of a right basilar chest tube place decreased amount of right pleural fluid. a small central region of aerated right lung is now seen. loculated pleural fluid remains. there is subcutaneous emphysema on the right. there is no pneumothorax. at the left lung is clear. the right cardiomediastinal border is obscured by the loculated pleural process. | <unk> year old man with right sided pleural effusion with chest tube placed // eval for chest tube placement |
MIMIC-CXR-JPG/2.0.0/files/p19574873/s57509368/8f1d9787-e868d1dc-7dfb1084-8bb2f395-53f8cfcc.jpg | seen are pleural and parenchymal scars, notably at the right lung base and right lateral aspect of the lungs, overall unchanged compared to the prior exam. there is a small right pleural effusion, also overall unchanged compared to the prior exam. there is stable mild cardiomegaly compared to the prior exam. there is no pneumothorax. note is made of discontinuity of the left hemidiaphragm, with herniation of fat, better characterized on the prior ct. note is made of extensive aortic calcification on this study, however extensive coronary and aortic calcifications were also better characterized on the prior ct. deformities of the right <unk>th ribs are likely due to old, healed rib fractures, as seen on the prior ct. | history of copd/ild who presents for preoperative evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p11738518/s58013000/8c6935f3-263ee2eb-8628e31c-078dac00-1f0fa4a5.jpg | supine portable chest radiograph through the chest demonstrates interval repositioning of the endotracheal tube which now appears <num> cm above the level of the carina, in appropriate position in this patient whose chin appears down. an enteric tube descends the thorax along the expected course of the esophagus, termination in the stomach in unchanged position when compared to prior radiograph. there has been interval placement of a right sided central line whose tip appears to terminate at the level of the cavoatrial junction. there is no evidence of pneumothorax. the heart appears stably enlarged. the left hemithorax appears better aerated. there is no large pleural effusion. no focal opacity is identified concerning for pneumonia. persistent mild vascular congestion is present without overt edema. a partially visualized aortic graft is noted. | <unk>f with central line placed for hypotension |
MIMIC-CXR-JPG/2.0.0/files/p14513082/s51414887/608331d7-7f74591a-615a5587-2efe5720-c5c05e01.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are normal. | evaluation of patient with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p10635380/s54269695/de396d74-5a5803b7-dc8051d5-d914f619-28cba731.jpg | the lungs are stably hyperinflated. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examination. again noted is scarring in the right upper lobe, unchanged since the prior examination. there is no focal consolidation. no large pleural effusion or pneumothorax is present. | <unk>m with loc and lactate elevation. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p14821587/s53653207/a3dc1bd0-b28ee5eb-a5d190c3-be416faf-d043088d.jpg | pa and lateral views of the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. the imaged bony structures are intact. no free air below the right hemidiaphragm. | <unk>-year-old man with a history of gerd, now with chest pain. evaluate for evidence of an acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12139024/s58811779/ed197f90-6b2c1648-b575ac92-def16663-c637dee8.jpg | rotated positioning. an et tube is present, tip approximately <num> cm above the carina. compared with the prior film, the right pleural effusion may be slightly smaller. left pleural effusion is also likely smaller. otherwise, i doubt significant interval change. there is chf, with pulmonary edema. increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation is again seen. tubular structure in right upper quadrant likely represents a tips stent. additional clips or other radiopaque structures overlie the upper mid abdomen. at the edge of these films, an old right humeral surgical neck fracture is seen, probably only partially united. | <unk> year old woman with etoh cirrhosis p/w ugib s/p tips. pt remains intubated // evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p11658705/s53604006/ebcfa26a-61499856-8e5a39f1-9781eae2-3197ed88.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal contour is normal. | <unk>m with chest pain, evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p10150056/s57942538/215ee3c4-109da6ec-76c8517a-8bda34bc-dd9442c0.jpg | the heart size is large but improved compared to prior study. the mediastinal and hilar contours are unremarkable. there has been interval decrease of the right-sided pleural effusion with still a small amount of residual fluid remaining. right basal atelectasis is present. there is no pneumothorax. | <unk>-year-old female with chest pain and cough after right-sided thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p19619277/s50814855/16611a5b-eaeebaa2-36fb6178-ede1fbf5-5d7427b8.jpg | the cardiac, mediastinal and hilar contours are unremarkable. heart size is normal. diffuse atherosclerotic calcifications are noted throughout the aorta. lungs are hyperinflated with bullous changes again noted most pronounced in the upper lobes. patchy opacities are re- demonstrated most pronounced in the right lower lobe, but also involving the right upper and left upper lobes. chain sutures are noted in the right apex. no new focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine. | known bullous emphysema with mechanical fall. increasing confusion. |
MIMIC-CXR-JPG/2.0.0/files/p10518021/s52811456/598ad7c0-56cda969-8c69ec37-2e414b71-98114213.jpg | <num> cm left lower lobe pulmonary nodule is better evaluated by ct. there is mild increased pulmonary vascular engorgement with cephalization, increased heart size, and increased mediastinal venous engorgement, suggestive of congestive heart failure. asymmetric density of the right lower lobe compared to the left may represent asymmetric edema, less likely infection. no pleural effusion or pneumothorax is seen. aortic calcification is seen. an enteric catheter courses below the diaphragm with tip in the left upper quadrant. | <unk>-year-old female with gram-negative rod sepsis. |
MIMIC-CXR-JPG/2.0.0/files/p17174955/s52633140/d5649496-2c0910fb-2a7350b2-8758fd10-1dd836a5.jpg | frontal and lateral views of the chest demonstrate normal cardiac silhouette and minimal unfolding of the thoracic aorta. the mediastinal and hilar contours are within normal limits. the lungs are clear without pneumothorax, vascular congestion and pleural effusion. | <unk>-year-old male with chest pain. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16798024/s59576702/100a68ba-34c1bbfb-318d62f4-1525db6c-72438313.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. cardiomediastinal and hilar contours are unremarkable. there is no focal consolidation, pleural effusion or pneumothorax. | <unk>-year-old female with acute-on-chronic abdominal pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14045846/s56574805/593eb295-8bbd932f-5b3a7d5b-39bbd44c-3d6f160a.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. no pleural effusion, pneumothorax, or focal opacity is seen. left upper abdomen surgical clips are noted. | history of crohn's disease with an indeterminate quantiferon gold test. evaluate for signs of tuberculosis prior to starting anti-tnf agents. |
MIMIC-CXR-JPG/2.0.0/files/p12261049/s50416794/43ff4f43-ca34c3fc-3500e0b5-8a06813b-a043f25d.jpg | streaky left base retrocardiac opacity could be due to atelectasis or pneumonia. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms. | history: <unk>f with abd pain, n/v, hypotension likely <unk> dehydration, on protonix // eval ? infiltrate, intraabd free air |
MIMIC-CXR-JPG/2.0.0/files/p12472021/s55610067/be5f547c-a8c1ccd6-a4b3ed76-87dc3923-427becf3.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | <unk> year old woman with asthma, cough x <num> month // cough x <num> month eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p15952397/s59189540/e8dcc72d-be37bdac-369a4204-ac2a3f97-ebefec33.jpg | the lungs are clear without focal consolidation, large effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities. | <unk>m with acute respiratory distress // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15460742/s53662684/753cf051-6c755e2f-cb50c777-af76991d-537d0756.jpg | there is minimal decrease in the extent of the pulmonary edema. unchanged pleural effusions and bibasilar opacities, greater on the left. underlying pneumonia cannot be excluded in the proper clinical context. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. | <unk> year old woman with hx asthma, pericardial effusion with new chest pain and tachycardia, shortness of breath. // evidence of enlarged heart from prior? evidence of new pleural effusion? evidence of consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p11469079/s58950200/859cd185-f605216c-a98463ee-357b1df3-2d459640.jpg | the patient has had right thoracentesis with interval decrease in the known right pleural effusion, which is now trace in size. however, there is a new tiny right apical pneumothorax. the lungs remain hyperinflated but clear, which is most commonly due to emphysema. the heart and mediastinum are within normal limits. a mid thoracic vertebral body compression fracture is unchanged. there is a stable small left pleural effusion. mild dilatation of upper lobe vessels may be an early indication of impending heart failure. | <unk> year old woman with treated small cell lung cancer // post <unk> <num>l right |
MIMIC-CXR-JPG/2.0.0/files/p10183924/s52511149/ce925050-64acaf38-e2b9f02e-3f5411a1-5b7cfe30.jpg | ap portable upright view of the chest. overlying ekg leads are present. mild basal atelectasis. no convincing signs of pneumonia. no large effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette appears unremarkable. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with cough, sob, cp. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p14211073/s58927483/22cd85b5-0fca7828-751664bd-0fcb7053-18fdc8cb.jpg | the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. cholecystectomy clips are seen in the right upper quadrant of the abdomen. the metallic objects seen overlying the right scapula on the frontal view are external to the patient, on her back. | <unk>-year-old woman with chest pain. evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p18146985/s53191033/43d64cf7-73db61fd-6dd691b1-2d261bb5-159c2a73.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low, with resultant crowding of basilar bronchovascular structures. . no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with marked hyperglycemia // rule out lung infection |
MIMIC-CXR-JPG/2.0.0/files/p14935499/s56722156/860f0d50-3cbd7517-c47a940b-90c7ea0a-ddda3e7f.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16143265/s52661177/d12517de-ad73df65-93c814b5-113f31c3-6b5f950d.jpg | the heart size is slightly enlarged, possibly exaggerated by ap positioning. the mediastinal contours demonstrate calcified atherosclerotic disease of aortic knob and a mildly tortuous aorta. the lungs demonstrate mildly heterogeneous parenchyma with vascular congestion. prominence of the interstitial markings is more prevalent on the left with more subtle airspace consolidation at the right base. small bilateral pleural effusions are present. there is no pneumothorax. additionally, the left picc courses across midline into the right brachiocephalic vein. | <unk>-year-old male transferred from an outside hospital carrying a diagnosis of fungal pneumonia; while at rehab, had worsening dyspnea on exertion and palpitations while walking; also bilateral lower extremity swelling. |
MIMIC-CXR-JPG/2.0.0/files/p18023984/s55745506/e8761798-2adac436-1abbb895-636e2870-b837999c.jpg | the patient is status post median sternotomy and cabg. right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. dual lumen central venous catheter tip terminates in the proximal right atrium. heart size is moderately enlarged. lung volumes are low. the aorta is diffusely calcified. hilar contours are normal. there is no pulmonary vascular congestion. mild bibasilar atelectasis is present. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | hypotension, diffuse crackles. |
MIMIC-CXR-JPG/2.0.0/files/p13956943/s55513298/b70e78f1-ac244958-92023297-e998eed7-a79b8068.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. a right-sided pectoral pacemaker is present with the leads in unchanged position. | dizziness and chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11834165/s50845070/297fad4a-5213fba0-5418caac-d1855b56-45451e68.jpg | lung volumes are normal and lungs are clear. there is stable elevation of the left hemidiaphragm. no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable. sternotomy wires and mediastinal clips are constant. an electronic device projects over the left chest wall. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17156946/s57643394/ae2f41a2-6e89e214-5545430e-cc5efbf5-29b920c3.jpg | there has been interval removal of the right basilar chest tube. there is no pneumothorax. there is trace residual pneumoperitoneum. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is tortuous. note is made of an epidural catheter. | <unk>m pod<unk> s/p right adrenalectomy. chest tube removed. // r/o pneumothorax, asses interval change s/p removal of chest tube |
MIMIC-CXR-JPG/2.0.0/files/p11272182/s57498414/43740b10-3d4b14db-f51706a8-a7de122a-85a7886c.jpg | endotracheal tube is low lying, at the level of the carina and approaching the right mainstem bronchus. enteric tube tip is within the stomach. lung volumes are low. mild enlargement of cardiac silhouette is demonstrated. the aorta appears tortuous. pulmonary vasculature is not engorged. apparent widening of the superior mediastinum is likely due to supine positioning and low lung volumes. linear and streaky opacities in the lung bases most likely reflect areas of atelectasis. aspiration cannot be completely excluded. no large pleural effusion or pneumothorax is detected on this supine exam. the stomach demonstrates mild gaseous distention. | history: <unk>f with status epilepticus |
MIMIC-CXR-JPG/2.0.0/files/p12741969/s58012114/d3f777d7-5b5802b4-5007d971-3d0e7c30-8fd6ba45.jpg | the lungs are clear. the cardiac silhouette is mildly enlarged, similar to prior. no focal osseous abnormalities identified. | <unk>f with palpitations // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p15432513/s51419701/c5936921-adc1b98e-9694a059-79f18f14-06abc8fe.jpg | the cardiac silhouette is moderately enlarged, taking into account low lung volumes, which accentuates the heart size and pulmonary vasculature. the mediastinum is widened. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no fracture is identified. | high-speed motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p10705688/s54788452/a06c30bd-42bf1f95-dc989262-b86dbf4d-fa5442b7.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild biapical pleural parenchymal scarring is unchanged. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16811979/s53671860/79e3c855-076bdd90-ea6448fe-a49df7e6-819b0d9b.jpg | there are focal opacities obscuring the right heart border and posteriorly over the spine in the lateral view, concerning for multifocal pneumonia of the right middle lobe and right or left lower lobe. the cardiomediastinal and hilar contours are otherwise normal. no pneumothorax. | <unk> year old man with new onset dyspnea on exertion in setting of influenza. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16421457/s53666013/b9b08c3f-3165fc07-03229b3e-5859c094-ceb0efd5.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. a <num> mm right upper lobe calcified granuloma is again seen, unchanged from prior. | <unk>m with chest pain. evaluate for chf or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10495509/s50908760/97efe526-6b33bba0-24a21326-f8061e2c-2e705b0a.jpg | the cardiomediastinal and hilar contours are stable from <time>. there is persistent volume loss and collapse involving the right upper and right middle lobes, which is stable to minimally increased from the prior examination. the left lung appears clear. there is no large pleural effusion or pneumothorax identified. a nasogastric tube descends and terminates within the stomach, likely at the pylorus. | <unk> year old man with sob, desaturations, s/p bronchoscopy // sob, desaturations, s/p bronchoscopy |
MIMIC-CXR-JPG/2.0.0/files/p18016258/s54144245/a5070a6b-a6e29afc-6ddee5b8-78f5d2dc-1dd5f444.jpg | et tube terminates <num> cm above the carina. there is worsening of pulmonary edema compared to <num> hr prior. there is bibasilar opacity which is likely due to atelectasis and/ or pleural effusions. mildly enlarged cardiac silhouette is increased compared to <num> hr prior. widened mediastinum is reflective of enlarged vascular pedicle. transesophageal tube courses below the diaphragm and out of view. right picc terminates in low svc. | <unk> year old woman with stemi, cardiogenic shock, intubated, s/p et tube pulled back <num> cm // et tube in correct place? |
MIMIC-CXR-JPG/2.0.0/files/p18470053/s56375887/7dda260c-47003fc8-c196e070-09f4a38d-78daaabf.jpg | frontal view of the chest was obtained. tracheostomy tube and peg are in stable position. no new radiopaque foreign body. severe thoracolumbar scoliosis is similar to prior. mild cardiomegaly is stable. bilateral hazy opacities overlying the lungs are compatible with layering pleural effusions. retrocardiac opacity is compatible with compressive atelectasis. no pneumothorax. | <unk>-year-old female with poor mental status, status post trach and peg. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14873669/s56348006/d4fae57d-99688744-04a19936-fdc034b2-9739d482.jpg | the right subclavian central venous catheter tip terminates in the proximal right atrium. lung volumes are low. the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. there is persistent elevation of right hemidiaphragm with adjacent right basilar atelectasis. no new areas of focal consolidation, pleural effusion or pneumothorax is identified. there is no pulmonary vascular congestion. residual barium oral contrast material is noted in the left colon. | primary sclerosing cholangitis. |
MIMIC-CXR-JPG/2.0.0/files/p15986499/s54646843/417076c0-6e21b765-916d6d7b-448c2004-87e4bdf0.jpg | there are small bilateral pleural effusions. increased interstitial markings suggest pulmonary vascular congestion without overt edema. there is a streaky right basilar opacity. cardiac silhouette is moderately enlarged, similar to prior. atherosclerotic calcifications noted at the aortic arch. old healed left lateral rib fracture is noted. | <unk>f with shortness of breath // r/o chf/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16711221/s59394359/6d750f02-3412f10f-6069e56a-ad8bd0f9-1b0230bd.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with fevers, dyspnea // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13987926/s52281262/e396ef08-e580b5b3-e66c2504-279a9e2d-cc15b905.jpg | there is persistent asymmetric elevation of the left hemidiaphragm. the lungs are well inflated and grossly clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | dyspnea, evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p18302194/s54709910/df1b0c72-bfbd25ac-556f4427-b9120624-b44f216e.jpg | pa and lateral views the chest were reviewed. 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. | cough, fever. |
MIMIC-CXR-JPG/2.0.0/files/p19659236/s57462790/099cd060-0b8dc46a-4511d7f0-fee50398-b938086a.jpg | the patient is rotated towards the left. the lungs appear grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no evidence of free subdiaphragmatic air. | history: <unk>f with tachypnea, ams // infiltrate, concern for aspiration |
MIMIC-CXR-JPG/2.0.0/files/p10956814/s56415332/594022fb-d43c5428-ef4a1c5e-435baa99-6b728e57.jpg | the heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. the lungs are hyperinflated, unchanged. scarring within the lung apices is again noted. no focal consolidation, pleural effusion or pneumothorax is identified. the pulmonary vascularity is normal. severe wedge compression deformity of an upper thoracic vertebral body is new when compared to the prior exam from <unk>. mild loss of height of a mid thoracic vertebral body is unchanged. old right-sided rib fractures are again noted. | tenderness of the right scapula. |
MIMIC-CXR-JPG/2.0.0/files/p12546487/s58608640/dfde1f99-6281c9f9-da6362e5-fe04f8a0-45f74f56.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | near-syncope. |
MIMIC-CXR-JPG/2.0.0/files/p15291456/s52528995/c2bdd86b-27e756c8-2fa09d05-36998bfb-f811cf2a.jpg | pa and lateral views of the chest provided. the lungs are well-inflated. the lungs are clear. the patient's pneumonia is resolved. there is no pleural effusion, or pneumothorax. the hilar and cardiomediastinal contours are normal. chronic right rib fractures are unchanged. | <unk> year old man with multiple myeloma. recent hospitalization for lll pneumonia. // follow up for lll pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12043836/s54235269/b77d0bb3-ca3ecd28-a459e326-3e08b5e2-6852d29f.jpg | the sternotomy wires appear intact and in appropriate alignment. there is a right basilar chest tube, which appears unchanged in positioning. the patient is status post mitral valve replacement. there is a moderate right apical hydropneumothorax that is unchanged in size in comparison to the prior chest radiograph. there is a loculated moderate right pleural effusion with apical, fissural, and smaller basilar components, along with persistent small loculated hydropneumothoraces. small left pleural effusion. there are are patchy opacities at the right base, which are unchanged. mild pulmonary vascular congestion. stable enlargement of the cardiac silhouette. there are no acute osseous abnormalities. | <unk> year old man with esrd, mechanical heart valve and right sided pleural effusion // eval of chest tube |
MIMIC-CXR-JPG/2.0.0/files/p13047359/s56129310/8ce112b7-4e56a5b0-985790a7-eedf3426-4002ab59.jpg | there is persistent elevation of the left hemidiaphragm with associated basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is unchanged. there is no evidence of pulmonary vascular congestion. | chronic cough, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17361720/s56627460/fa8f8562-b371ee81-18551571-6a9d18a0-66c9f103.jpg | ap portable upright view of the chest. overlying ekg leads are present. cardiomegaly is mild. there is curvilinear dystrophic calcification projecting over the heart as on prior compatible with mitral annular calcification. there is hilar congestion with mild to moderate pulmonary edema. tiny pleural effusions are likely present. no pneumothorax. mediastinal contour appears stable. bony structures are intact. | <unk>f with hypotension, bradycardia, likely betablocker calcium channel blocker related cardiogenic shock |
MIMIC-CXR-JPG/2.0.0/files/p19279007/s52725829/77848930-1ca74c4c-a60e06e7-40998c0a-53780ee6.jpg | the left costophrenic angle is excluded from the field of view. where seen, lungs are grossly clear. the cardiac silhouette is enlarged but likely exaggerated by portable technique. no displaced fractures identified. | <unk>f with ams // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p19271750/s53921490/f9006644-f8e8e673-aeaea313-d39e0a6e-fb5de9f6.jpg | heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. patient has been extubated. no radiopaque foreign bodies are seen. there is mild pulmonary vascular congestion, slightly improved in the interval. streaky atelectasis is noted in the lung bases, improved, without evidence of pleural effusion or pneumothorax. there are no acute osseous abnormalities. | history: <unk>m with food bolus |
MIMIC-CXR-JPG/2.0.0/files/p10388400/s59433781/5be1bf7f-a69b6c59-6fe3a178-c3412a22-caec4f94.jpg | extreme lower right chest wall costophrenic angle excluded from the film. an et tube is present, the tip lies approximately <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm, off film. clips and other radiopacities are noted in the region of the ge junction. a left picc or other line overlies the svc/ upper right atrium. a new dual-lumen central line catheter overlies the distal svc and upper right atrium. the previously seen right pleurx catheter has been removed. no pneumothorax is detected. the cardiomediastinal silhouette is enlarged, but unchanged, accentuated by rotated positioning . again seen are small to moderate left and small right pleural effusions with underlying collapse and/or consolidation, also similar to the prior study. there is mild upper zone redistribution, without overt chf. | <unk> year old woman with respiratory failure and bilateral pleural effusions, r > l // please evaluate for interval changae |
MIMIC-CXR-JPG/2.0.0/files/p12338290/s56342250/7ccee234-5a1a5676-7d6a0aa9-f01c9f37-442e9e2a.jpg | ap portable semi upright view of the chest. patient is intubated with the tip of the endotracheal tube positioned <num> cm above the carinal. an ng tube courses into the left upper abdomen. overlying ekg leads are present. there are subtle lower lung opacities which likely represent a combination of atelectasis with possible superimposed aspiration. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. no acute osseous abnormality. | <unk>f with seizure, intubated // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11287462/s54833120/2725edb9-8633ca5f-cdab776a-300dbf57-b6b92cde.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the pulmonary vasculature is unremarkable. the lungs are clear without focal or diffuse abnormality. the osseous structures are unremarkable. a lap band is present. | <unk>-year-old female with shortness of breath in the setting of copd and coronary artery disease. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19740976/s59771797/7c2c3c0b-ed706117-5fc07750-401c4755-5eadc9b6.jpg | the cardiac and mediastinal silhouettes are stable and mildly enlarged. prominence of the interstitial markings and vascular markings bilaterally suggest component of pulmonary edema. right basilar opacity is seen which could be due to atelectasis, aspiration, infection not excluded. the left costophrenic angle not fully included on the image, thoracic spine ct earlier today, showed small left pleural effusion with overlying atelectasis. multiple chronic right-sided rib deformities are again seen. chronic deformity of the distal right clavicle again noted. | history: <unk>m with bibasilar crackles, increasing o<num> sat requirements // evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p16392279/s51770061/240a227f-ebac7eb5-457891d8-4602fc01-d664b2f6.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 two weeks of cough, chills, rule out pneumonia or other pathology. |
MIMIC-CXR-JPG/2.0.0/files/p15465927/s55613318/941fcbbd-8f037c3f-752b8f32-043ad42e-0e61a452.jpg | midline sternotomy wires are intact and unchanged in appearance. unchanged surgical clips in the left hilar region. mild interstitial prominance without focal opacity. mild increase in otherwise chronically enlarged heart with new small bilateral pleural effusions suggests mild pulmonary edema. small amount of fluid in the minor and major fissures is unchanged since <unk>. no mediastinal vein dilatation or cephalization. no pneumothorax seen. mediastinal contour and hila are normal. visualized osseous structures are unremarkable. | cough, shortness of breath. assess for pneumonia or acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13826354/s55896939/6dadeaae-a3c4e480-107bbfc5-4b039636-763b4ada.jpg | the heart is borderline in size. there is moderate unfolding and calcification along the thoracic aorta. streaky retrocardiac opacities, probably refering to the left lower lobe, obscure the contour of the left hemidiaphragm. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax. small anterior osteophytes are present throughout the thoracic spine. | atrial fibrillation. |
MIMIC-CXR-JPG/2.0.0/files/p18320795/s55945049/89ba0257-8372766f-e5f9bfc2-110979c7-1b9ede39.jpg | pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old female presenting after choking on piece of chicken status post relief with heimlich maneuver. persistent cough. |
MIMIC-CXR-JPG/2.0.0/files/p11076669/s51074324/626d8ebe-cfd84dc9-9724eea4-cec1a109-df8f9a69.jpg | the lungs are well-expanded. a rounded contour in the anterior cardiophrenic recess seen only on the lateral view is probably a mediastinal fat collection or small morgagni hernia. no additional focal opacity. no pleural effusion or pneumothorax. no pneumomediastinum. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | <unk>m with cp. assess for pneumothorax or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12266981/s56275225/d5d033c6-909a957f-9947eb64-133a80bb-41642177.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. pleural and hilar surfaces are normal. | <unk>f with cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17290113/s58789829/fee3416d-0789ac0f-49f573e1-d07355a9-f191b66f.jpg | a right port-a-cath is in place, with the tip terminating at the svc/right atrial junction. the lungs are hyperinflated and clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. | chills and cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12452974/s57344131/037eae16-6d868d04-6458324f-8cffd479-f84f84c9.jpg | pa and lateral views of the chest. there are small bilateral pleural effusions. low lung volumes. there is no consolidation or pneumothorax. the cardiac, mediastinal, and hilar contours are normal. there are dilated loops of small bowel in the upper abdomen. no free air. | fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19125782/s59827406/c923ef3f-6fe751d6-e2866f5e-4822d4aa-514af402.jpg | pa and lateral radiographs of the chest suggest a new right apical nodule partially obscured by chest cage. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. chronic elevation of the right hemidiaphragm is noted. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. a left chest-wall central venous port terminates in the mid-svc. | fever and cough in patient with neutropenia and lymphoma. |
MIMIC-CXR-JPG/2.0.0/files/p19655295/s53418262/56b216b0-e5a9ea0a-7ffd446e-095bd021-eb0d9d96.jpg | there are bibasilar opacities consistent with bilateral pleural effusions and associated atelectasis. there continues to be opacification in the left upper lobe, likely sequela of prior infection. the cardiac silhouette is mildly enlarged. there is no evidence of pulmonary edema or pneumothorax. | fall. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17598326/s55892193/66f77bc6-c4db34b6-8b172f48-b883bfda-d98f7189.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart appears top-normal in size. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with tibial plateau fracture // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p15116656/s54835952/3da2d04e-429659d4-05d2f8f6-3d7058cf-565951a6.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. gaseous distention of loops of large and small bowel is better evaluated on subsequent ct abdomen and pelvis artery performed at the time of this dictation. mild right acromioclavicular degenerative changes are partially assessed. | <unk>f with chest pain evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19085840/s55297807/b20998b0-0ad6ef90-5e5ae2b1-d763aec2-23407731.jpg | the lungs are hyperinflated but clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11945569/s53144834/9dbe8e29-37442987-f44a89d6-a0d9f141-2b6f4686.jpg | biventricular pacemaker in situ with the lead tip seen in the right atrium, right ventricle and coronary sinus. large left-sided effusion appears similar to slightly decreased in size compared to previous imaging. mild thoracic scoliosis. no new areas of airspace consolidation. no suspicious pulmonary nodules or masses. hyperinflation of the right lung. no right-sided effusion. spondylotic changes of the thoracic spine. | <unk> year old woman with pleural effusion s/p thoracentesis // residual pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14886080/s52774958/86edb3cf-4bc2fe40-3f2ac1d4-a5aa44f9-89f0f343.jpg | et tube tip is <num> cm above the carinal. swan-ganz catheter tip is in the right main pulmonary artery. heart size and mediastinum are unremarkable. no pneumothorax is seen. there has been interval increase in day hazy alveolar infiltrate in the right lung and patchy alveolar infiltrate in the left lung | <unk> year old man with stemi s/p iabp, now out, with swan and ett // eval for placement of ett, swan |
MIMIC-CXR-JPG/2.0.0/files/p12604082/s57549657/959f1b7c-c78c16c2-c7d21859-30fb328a-e5c6959c.jpg | pa and lateral views of the chest demonstrate stable mild cardiomegaly, with intact median sternotomy wires and a dual-lead pacemaker device in unchanged position compared to the prior study. the lungs are well expanded and grossly clear, with no evidence of pleural effusion, pneumothorax, or focal consolidation concerning for pneumonia. | <unk>-year-old male with confusion. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16917096/s50828672/d167c40e-b5fb7a2e-538b1a45-4b82e2b5-e5de30f3.jpg | the patient is status post median sternotomy and cabg. heart size is borderline enlarged. the mediastinal and hilar contours are unchanged. there is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. patchy bibasilar airspace opacities may reflect atelectasis though infection or aspiration cannot be excluded. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are again noted in the thoracic spine with anterior bridging osteophytes. | history: <unk>m with confusion, altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p14813496/s57288213/3b684237-e94b16ef-3010183a-7b829e05-cf9d796a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15603760/s58528561/799190e9-3cbc7e0e-2f933132-a0b854e5-0eb07860.jpg | an endotracheal tube terminates <num> cm above the carina. an ng tube courses into the stomach. left lower lobe atelectasis/ scarring is noted. there is also right basilar streaky atelectasis. no focal consolidations concerning for pneumonia. the heart size is within normal limits. no pleural effusion. no pneumothorax | <unk>m with myasthenia flare intubated // eval ett |
MIMIC-CXR-JPG/2.0.0/files/p14612247/s50394663/f3ad4c09-540f3ab9-06c016b3-19c127a7-d3a23218.jpg | there is no consolidation or evidence of chf. calcified lymph nodes at the right hilus and calcified parenchymal nodules are unchanged. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. | <unk> year old woman with htn, dm, cad w/o hx mi with <num> days of sob and wheezing. seen at osh where thought to have chf. formal read of cxr was wnl, but <unk> md thought there was vascular congestion // ? evidence of chf |
MIMIC-CXR-JPG/2.0.0/files/p11604900/s57088714/4326c58e-b8c0063a-da78c9fc-5837680a-4d90fcd4.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 altered mental status, myalgias, nausea and pain. |
MIMIC-CXR-JPG/2.0.0/files/p14981633/s52411379/0043a208-ce6db943-84319ec5-1de7f7c9-2acd03a1.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 male with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14368958/s53607322/3ff9410e-b22e725e-896fec5e-98d6c1d3-5e277f86.jpg | frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified. | cough, fever. |
MIMIC-CXR-JPG/2.0.0/files/p11355855/s54321978/c4b5342e-58126c28-979cae07-341b63c9-473828ef.jpg | the right picc again seen with tip in the upper svc. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. peg tube and surgical clips seen in the left upper quadrant | <unk>f with picc line // picc line? |
MIMIC-CXR-JPG/2.0.0/files/p13860898/s56434882/07e8d7db-324b2a72-5698850e-82d54712-ec3b14a6.jpg | evaluation is somewhat limited by underpenetration. lung volumes are slightly low. there is no focal airspace opacity to suggest pneumonia. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is detected. | alcohol abuse, presenting with chest pain and left upper quadrant abdominal pain. evaluate for pneumonia or free air under the diaphragm. |
MIMIC-CXR-JPG/2.0.0/files/p13683830/s50703266/d564fd1b-9e36c07e-1b577314-0e7776ca-db27866e.jpg | pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with productive cough for <num> weeks. |
MIMIC-CXR-JPG/2.0.0/files/p16131197/s51708805/cfb0a352-398db3ad-b3d59f6d-f826d527-9858f606.jpg | lung volumes are low causing accentuation of bronchovascular structures and cardiac silhouette. there is no focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. | <unk>-year-old female with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19584570/s52966178/e0761cbe-6a91cfdc-a9b249b8-bdf340e8-dc574950.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 numbness // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15488245/s54867807/834bd04c-d4113988-8dfbcabd-29324727-716f86f3.jpg | heart size and cardiomediastinal contours are stable. lung volumes are low and apparent interstitial opacities in the lung bases likely represents crowding of vascular structures. no focal consolidation, pleural effusion, or pneumothorax. | history: <unk>m with s/p fall r/o infection // eval ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10580148/s53671771/c2c1c431-8114d651-40a0f3a1-4000e24a-b196b811.jpg | stable support devices. no pneumothorax. no pleural effusion. shallow inspiration accentuates heart size, central pulmonary vascularity, stable. normal mediastinum. | <unk> year old man with sudden large hematocrit drop, recent r sc cvl placement while on heparin gtt // hematoma around subclavian line |
MIMIC-CXR-JPG/2.0.0/files/p10388400/s50847422/ed488a57-678c7b8a-328507fe-84065351-163863dc.jpg | the et tube terminates at the level of the clavicles. left ij central venous catheter terminates in the upper svc. a nasogastric tube enters the stomach, tip not visualized. bibasilar chest tubes are in place. a moderate right pleural effusion and right basilar subsegmental atelectasis are essentially unchanged. there is no pneumothorax. the left lung is clear. the heart and mediastinum are magnified by the projection. | <unk> year old woman with atrial fibrillation with rvr and hypotension // interval change |
MIMIC-CXR-JPG/2.0.0/files/p17329106/s55060801/812a3b9b-566228f8-1d401aa7-6bdd2632-8e9b9baa.jpg | there is no focal consolidation, pleural effusion or pneumothorax. bibasilar opacities likely represent atelectasis and are are slightly increased at the right base. the cardio mediastinal silhouette is unchanged. a left picc terminates in the mid svc. the imaged upper abdomen is unremarkable. the bones are intact. | history: <unk>f with cp // evidence of pneumothorax or pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14524620/s55541400/1eeb3349-8ff66562-91241f89-96139b7e-4b913198.jpg | cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. there is no pulmonary vascular congestion. there is similar blunting of the right costophrenic angle which again may reflect a small pleural effusion or pleural thickening. emphysematous changes are again seen within the lung apices. streaky opacities in the lung bases likely reflect areas of atelectasis. minimal patchy opacity is noted within the peripheral aspect of the right mid lung field which could reflect a developing area of infection. no pneumothorax is identified. no acute osseous abnormality is seen. | history: <unk>m with cough and vomiting // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p16862506/s52642563/1ce7342a-58a4083a-2aabd07e-9e6ead61-9400f327.jpg | patient is status post single chamber icd placement with the lead terminating in the floor of the right ventricle. no pneumothorax, mediastinal widening, or pleural effusions are seen. the heart size top normal. the hila and pleura. no focal consolidations or pleural effusions are seen. | <unk> year old man s/p single chamber icd implant // check for lead position and pnx |
MIMIC-CXR-JPG/2.0.0/files/p18388859/s52332460/a63bdc67-1e25fa18-6134a835-729de9f2-d56a7126.jpg | the patient remains intubated. endotracheal tube terminates fairly close to the carina, within about <num> cm and it may be appropriate to retract the tube by about <num> cm. right internal jugular and left subclavian venous catheters are present. bilateral abdominal drains are still present as well. the left lung base remains similarly opacified, with volume loass and including suggestion of a layering pleural effusion. the retrocardiac area is typical for atelectasis of the left lower lobe although pneumonia cannot be excluded at this site. there has been no definite change. | status post liver transplant. |
MIMIC-CXR-JPG/2.0.0/files/p10957591/s53723232/43b1adcf-c2e1c9b9-7841c154-1788426e-7c34c615.jpg | the lungs are hyperinflated, reflecting chronic pulmonary disease. chronic scarring is again noted at the bilateral lung bases. the heart is normal in size, and the mediastinal contours are normal. calcifications on the aortic arch are again seen. the patient is status post median sternotomy, and multiple mediastinal surgical clips reflect prior cabg. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. no pulmonary edema is seen. | <unk>-year-old male with chest pain. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18535992/s59685788/a2719d7a-ead73b2e-1b71ce5b-537eb4c7-410cf782.jpg | the lungs are mildly hyperexpanded on a background of probable copd. heart is top normal in size. bibasilar opacities and reticular interstitial pattern noted. small bilateral pleural effusions. | <unk> yo f sudden onset dyspnea // pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11869721/s55550597/b34b2e3d-01b3b41c-1b9f6d76-4a14fa27-2a30c4e3.jpg | distal tip of right central line is at lower svc. minimal left basilar pleural effusion. clear lungs bilaterally. costochondral calcifications along left heart apex should not be mistaken for pneumonia. no bony abnormality. | female with pleuritic chest pain. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14989554/s50109118/7a66c258-6e95905c-c2672032-da52fe49-0c87fcea.jpg | increased lung markings in the right lower lobe that may be due to a focal area of volume loss or early infiltrate. attention should be paid to this area on followup. | hiv, pleuritic chest pain, shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11386629/s53808699/bf318346-f9adbd65-54953f2d-1b6563c5-f43faeaf.jpg | eventration of the right hemidiaphragm is again seen. moderate cardiomegaly is stable with no other indications of cardiac decompensation. the lung fields are clear. there is no pneumothorax or pleural effusion. | history: <unk>m with cp // eval infiltrate, cardiomyopathy |
MIMIC-CXR-JPG/2.0.0/files/p11034390/s56405723/e334299c-48864752-4ca783fd-8a75720b-856eb733.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 cough with viscous phlegm |
MIMIC-CXR-JPG/2.0.0/files/p16326503/s50832817/5829a0f0-4ae90ba0-f266e486-90ef6396-f40b3dae.jpg | the right port-a-cath ends in the approximate region of the cavoatrial junction, unchanged. focal opacity in the right lateral lung base is slightly less conspicuous on today's exam compared to <unk>. a small right pleural effusion is persistent. ill-defined opacities in the periphery of the left lung suggests chronic multifocal aspiration, similar to the prior exam. no pneumothorax. the heart is normal in size. distended neoesophagus is overall unchanged. | <unk> year old man with fever. evaluate for pneumonia or aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p11206626/s54641290/d0e904ef-73df08ab-3f864ddd-f0c91278-93d41cf1.jpg | diffuse prominence of interstitial markings and vascular congestion noted. unchanged biapical pleural thickening. the right hilum is prominent. the heart is mildly enlarged. no focal consolidation is identified. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with fall and altered mental status, evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p13716770/s59182209/ea829690-372f4000-873a04a4-4b082dff-22fc6ad9.jpg | there is no change in the large right pneumothorax. no large mediastinal shift to suggest tension. pleural catheter is unchanged in location. heart size is normal in the left lung is clear. no pleural effusions. | <unk> year old man with cirrhosis, hydrothorax, s/p chest tube placement <unk>. // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p18663902/s57403287/47dd668b-02ca529f-fa6f875e-e3e90706-630218c8.jpg | the heart size is moderately enlarged. there is dense retrocardiac opacity compatible with volume loss/infiltrate/effusion. there is increased left effusion that is layering posteriorly. there is hazy bilateral vasculature compatible with fluid overload. there is a small right effusion. there is right lower lobe volume loss. patchy areas of alveolar infiltrate are also present bilaterally. the et tube, right-sided picc line, and ng tube are unchanged. | follow up left lower lobe collapse. |
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