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MIMIC-CXR-JPG/2.0.0/files/p15403852/s55046010/d55eb35f-494306ec-fb16f083-3aac5825-a9d7a2a9.jpg | a portable frontal chest radiograph demonstrates intact sternal wires, a valvular prosthesis, tracheostomy tube terminating in the upper trachea, and right subclavian central catheter terminating in the right atrium, all unchanged. there are low lung volumes resulting in exaggeration of the cardiac silhouette and bronchovascular crowding. even allowing for this, there is at least mild to moderate cardiomegaly. mild pulmonary edema is improved compared to chest radiograph from the day prior. retrocardiac opacity may be due to left lower lobe volume loss, but superimposed infection cannot be excluded. this is similar in appearance. likely small left pleural effusion. no appreciable pneumothorax. | evaluate for pneumonia, edema, atelectasis, pulmonary embolism in a patient with fever, tachypnea, tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p12852471/s50371763/68f52d52-719b3892-fae5493e-b9769ca6-23dc782e.jpg | the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. spinal fusion hardware is present within the thoracolumbar spine. | history of trauma, question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16476559/s53230726/faf9c924-f7126ed5-7c10d018-fb0e47e4-9186a2a4.jpg | moderate-to-severe cardiomegaly is again noted. the lungs however are clear on the current exam. there is no consolidation, effusion or congestion. median sternotomy wires are again noted. old posterior left rib fractures identified. | <unk>m with sob // ?pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p10207998/s56545200/90ef1c65-e1792b0a-96eb5bac-2ae930a9-c28c38ca.jpg | pa and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk> year old man with pleuritic back pain. |
MIMIC-CXR-JPG/2.0.0/files/p15460742/s56490501/a55c8705-3e7de6f7-d9cb4b45-eff55f09-13d7bfce.jpg | increased interstitial markings are again seen suggesting mild pulmonary edema. patchy region of consolidation noted in the left lung on the frontal view as well as increased opacity at posteriorly on the lateral view. there may be small pleural effusions. moderate cardiomegaly is unchanged. | <unk>f with cough and fever // cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p18568661/s57582142/c4b36b11-7c98cba5-3f418b65-1a1b0810-d16218d7.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 hematemesis and sob. |
MIMIC-CXR-JPG/2.0.0/files/p17336743/s53923321/41803311-49b8735c-a643c711-c91b4f78-43757bd3.jpg | the patient is intubated, the endotracheal tube is unchanged in position compared to the prior study. a right subclavian catheter and <unk> enteric tube are also unchanged in appearance. a left-sided chest drain is in-situ. possible tiny left apical pneumothorax. bilateral pleural effusions are seen, possibly slightly increased in size on the left. extensive subcutaneous emphysema again noted. | <unk> year old man s/p mvc // serial eval |
MIMIC-CXR-JPG/2.0.0/files/p12159290/s55659709/52a09b31-02ccf7a0-12c27f69-6770f771-518162cd.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 are visualized. | productive cough, fever and chills. |
MIMIC-CXR-JPG/2.0.0/files/p10743976/s56438238/5a923fa6-829b784d-f72c7f88-6e2e0380-00fee140.jpg | a focal density overlying the spine on the lateral radiograph could represent a small pleural effusion, subsegmental atelectasis, or early consolidation, likely in the medial right base. there is no pneumothorax or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the previously described large, peripherally-calcified splenic cyst appears grossly similar to prior ct. | <unk>m with dyspnea, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12228114/s55824356/934d2d97-642c3189-cdbc2dfe-163b7758-c34ab9ad.jpg | patient is status post median sternotomy and aortic valve replacement. heart size is borderline enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. an electronic device is noted within the left anterior chest wall. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10316043/s56532376/70e164f2-e7cca8d9-13648b91-c8028e80-174b2c24.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | patient with productive cough and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p14048242/s50009152/e3189d70-c9ecedb0-58828bc2-37a96818-5eab39ff.jpg | an orogastric type tube is again seen, extending beneath the diaphragm off the film. a right-sided picc line is again seen, tip overlying distal svc. no pneumothorax detected. as before, there is prominent cardiomegaly with slight unfolding of the aorta. the overall cardiac silhouette appears slightly smaller, though this could be accentuated by differences in technique. there is upper zone redistribution, without overt chf. considerable interval improvement in previously seen bibasilar atelectasis. no frank consolidation. no effusion. | <unk> year old man with recent lower extremity surgery with afib with rvr. // please evaluate for pneumonia. prior x-ray report yields a history of cll, an icm, septic right prosthetic hip |
MIMIC-CXR-JPG/2.0.0/files/p12896928/s53000546/04a8245c-9c8dd800-d7142b13-3c708091-821e78e4.jpg | pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with cough. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg | single ap view of the chest provided. a right atrioventricular pacemaker appears unchanged. the right lung is hypoinflated in relation to the left lung. there is mild vascular congestion consistent with fluid overload. no pneumothorax. small, bilateral pleural effusions are seen with associated bibasilar atelectasis. hilar contours are normal. the aorta is tortuous. severe s-shaped is unchanged. | <unk> year old woman with sob/chf // r/o pulm edema, pna |
MIMIC-CXR-JPG/2.0.0/files/p15875886/s53029749/f492a26a-55aafb4b-b89725f3-904cd2c8-091921cb.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>m with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17944557/s53096491/3db90586-7b75e060-1a544889-b541ab0c-57b701d6.jpg | cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. | leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p11257115/s54490194/ecfc9e98-8a69f7b0-896e3f32-d644c64c-9cb4a03d.jpg | compared with the immediate prior study of <unk>, a left-sided dual-chamber pacemaker has been placed with leads in standard position. the moderate left pleural effusion has increased, now moderate to large and layering. there may be a small to moderate layering right pleural effusion.there is no focal consolidation, pneumothorax, or pulmonary edema. there is unchanged moderate to severe cardiomegaly. | <unk> year old woman with s/p cabg mv repair and ppm // eval leads s/p ppm |
MIMIC-CXR-JPG/2.0.0/files/p12522208/s58031530/7290c531-64b42016-46f7c803-be2b74e7-549d56a8.jpg | frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications again seen of the aortic knob. hypertrophic changes seen in the spine. | <unk>-year-old male with history of diabetes with progressive shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17175688/s51441845/7ff54fff-b6354088-1b114e06-60f9fc93-832b6899.jpg | heart size is mildly enlarged but unchanged. the aorta is unfolded. mediastinal and hilar contours are similar with unchanged asymmetric enlargement of the right hilum. there is no pulmonary vascular congestion. lungs are hyperinflated but clear without focal consolidation. minimal fluid is seen within the fissures. no large pleural effusion or pneumothorax is otherwise demonstrated. | history: <unk>m with shortness of breath, and history of congestive heart failure, med noncompliance |
MIMIC-CXR-JPG/2.0.0/files/p15549613/s57203218/637f665a-43146f6e-8e3237dc-2c8fcb35-e7472e3b.jpg | the heart size is mildly enlarged. the aorta remains tortuous. mediastinal contours are within normal limits. previously noted right-sided tracheal deviation is no longer identified. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14952873/s57704948/c36b2070-a81aadd3-19c65cb8-b7a6488e-e2579285.jpg | a port-a-cath terminates at the cavoatrial junction. the lung volumes are low. streaky opacities at the lung bases are probably attributable to atelectasis. there is no definite pleural effusion or pneumothorax. | fever after abdominal surgery. |
MIMIC-CXR-JPG/2.0.0/files/p18727964/s50322623/2cb5f6e3-2f69661b-1fb7ca1d-ae67bd36-59a79be7.jpg | there has been minimal improvement in the pulmonary edema. there is a new small left pleural effusion. there is no pneumothorax or focal airspace consolidation. the cardiac silhouette is top normal in size. the mediastinal contours are unchanged. a left-sided pacemaker is again noted. | mild to moderate pulmonary edema with the repeat chest radiograph recommended after diuresis. evaluate for an infiltrate or change in edema. |
MIMIC-CXR-JPG/2.0.0/files/p15531965/s59836618/71411e08-f52a033a-e3edcc9a-8909c98e-e6330ab3.jpg | the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. elevation of the left hemidiaphragm is overall unchanged. cardiomediastinal contours are unchanged. the descending thoracic aorta is slightly tortuous and/or ectatic, unchanged. multi-level degenerative changes of the thoracic spine appear overall similar to the prior exam. | history: <unk>m with intermittent chest pain // eval pneumonia, other acute process |
MIMIC-CXR-JPG/2.0.0/files/p16934201/s56064919/b467901f-af4c8979-36c96662-3d7189f9-c3f32f43.jpg | the pacemaker is in unchanged position. bilateral mid to lower lung opacities, right more than left, have worsened. bilateral pleural effusion with associated volume loss has increased. superimposed pneumonia in the right hemithorax cannot be ruled out, especially without lateral view. severe cardiomegaly is unchanged. mediastinal silhouette is unchanged. | <unk> year old man with dyspnea, tachypnea // new pna? effusion interval change? |
MIMIC-CXR-JPG/2.0.0/files/p17680120/s57647567/43b9ffa6-928ea4f2-a5941ef3-4bb44b61-b8460196.jpg | lung volumes are low with minimal bibasilar atelectasis. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart size is persistently enlarged. the aorta is tortuous and calcified. sternal wires appear intact. severe degenerative change of the left shoulder are again noted. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15281216/s52648068/50f40914-20fe1b35-273e3e56-d7a619f2-18d0f703.jpg | portable frontal chest radiograph demonstrates near complete opacification of the left hemithorax concerning for mucous plug. there is additionally increased right mid to low lung opacification raising the possibility of aspiration versus pneumonia. the endotracheal tube is seen in appropriate position. a left internal jugular line is seen terminating at at the origin of the left brachiocephalic vein. | <unk>-year-old male with left pigtail catheter, sepsis and acute desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p15753793/s54683556/b4df31ae-378d1273-3540e0c5-c2502bf7-4e0cb151.jpg | the ett is in standard position. an enteric tube traverses the midline and its side port is in the stomach. a left internal jugular venous catheter likely ends in the mid upper svc with its tip pointing cephalad, similar to the prior exams. lung volumes remain low, but are slightly improved from the previous exam. bilateral small pleural effusions are perhaps slightly improved. atelectasis in left lung is moderate and overall unchanged. right lung atelectasis is improved. no pneumothorax. the heart is mildly enlarged, perhaps slightly decreased in size from the prior exam. overall no change pulmonary vascular congestion when accounting for differences in redistribution but no frank pulmonary edema. | <unk> year old woman with septic shock of urinary vs pulmonary source, intubated for respiratory distress, pulmonary edema with bilateral effusions // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p10253803/s56004654/764733c9-62aa1c96-c7e5b970-979a71f9-6b3dad28.jpg | there is persistent faint hazy opacities predominantly in the right lung but also to a small extent at the left lung base compatible with known chronic infection and bronchiectasis. the heart is mildly enlarged. hilar contours are stable. a left chest aicd and four leads are in unchanged positions. surgical material projects over the right upper mediastinum. there is no pleural effusion or pneumothorax. | <unk>m with one week of worsening dyspnea. decreased breath sounds at left base. diffuse expiratory wheezes. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10926537/s52464392/4e9a8912-da542d33-6582bd2e-510335f7-00ed46e1.jpg | ng tube terminates in the stomach. cardiac size appears mildly enlarged. lungs are clear. there is no pneumothorax or pleural effusion. | <unk> year old woman with basilar artery thrombus // interval changes, new ngt placed, please assess placement |
MIMIC-CXR-JPG/2.0.0/files/p15581272/s50728733/4bcbf1c2-7641f6e5-7e5b8b60-d075524b-e5d46b65.jpg | the cardiomediastinal and hilar contours are normal. there is no pneumothorax or large pleural effusion. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. surgical clips and suture material seen projecting in the region of the lower esophagus. | <unk> year old man with hcv/hcc s/p tx with laryngeal ca hypoxic overnight // please evaluate for evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16598160/s50930334/b60a3b67-636950c4-95d9791c-16bce62b-fb7a0c61.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air. | <unk>m with abdominal pain and fever post op from lap chole and ercp w/ stents // abscess? |
MIMIC-CXR-JPG/2.0.0/files/p19952477/s57634432/39cec107-7098c053-91d812fb-e6303982-c2559e47.jpg | heart size is normal. small hiatal hernia is re- demonstrated. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. extensive bronchiectasis is re- demonstrated predominantly involving both lung bases with bronchial wall thickening and mucous plugging. no pleural effusion or pneumothorax is present. scarring is noted at the lung apices. no acute osseous abnormalities present. | history: <unk>m with tachycardia, cough |
MIMIC-CXR-JPG/2.0.0/files/p10225793/s58649903/9e2609cd-e41b7c7d-ef32ae11-3b089916-26ffefa5.jpg | pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11043981/s55225608/6ef226b6-a440f2c2-eda4b215-e9a88f1a-0a1f35d8.jpg | chronic elevation of the left hemidiaphragm is redemonstrated. there is mild interval increase of layering left pleural effusion. a small right pleural effusion is also present. increased interstitial markings and upper vascular redistribution are seen. no convincing signs of pneumonia. cardiac contour cannot be assessed due to obscuration of the left heart border but appears stable. sternotomy wires and mediastinal clips are redemonstrated. degenerative changes of the right shoulder are also seen. | patient with shortness of breath. evaluate for pulmonary edema or any other acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13230448/s56149350/7b6c1f1a-40ecd112-afc607bb-7d51a5eb-bb8bff81.jpg | the lungs are clear without consolidation, effusion, or congestion. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine. no acute osseous abnormalities identified. | <unk>f with confusion // r/o ich, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17379346/s56110716/1ac78608-0e6a6bde-14ec1d9a-fcca215c-c3bb34ef.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with fever cough x <num> week // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13953606/s54605008/0f44a6ea-571669c0-01886e3c-6da6e72e-f5161d64.jpg | a frontal semi upright view of the chest was obtained portably. the nasogastric tube ends in the stomach. low lung volumes results in bronchovascular crowding. again seen is a large right upper lobe mass, larger than on <unk>, with mediastinal involvement, better evaluated on the prior chest ct and pet-ct. there is no pneumothorax or pleural effusion. heart size is upper limits of normal, unchanged. | recently placed nasogastric tube. evaluate position. |
MIMIC-CXR-JPG/2.0.0/files/p15830985/s50260674/e6d6090b-9aa1bbac-6d9a479c-2298f30e-eca9abc4.jpg | frontal lateral radiographs of the chest was obtained. heart size and mediastinal contours are normal. the lungs are well inflated and clear. no pleural effusion, pneumothorax or focal consolidation. unchanged mild leftward convex scoliosis of the thoracic spine. | pleural effusions on right upper quadrant ultrasound, evaluate for infiltrate or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p12119094/s59302899/0b8cf317-4506fe04-b2eb7fc7-c74ffd79-c902c093.jpg | there is a large left lower cervical mass with associated unchanged rightward deviation of the trachea, which corresponds to a known large left thyroid nodule, as described on prior thyroid ultrasound from <unk>. the lungs are hyperinflated. there is no focal consolidation, effusion or pneumothorax. there is a large hiatal hernia with an air-fluid level. | <unk> year old woman with acute cough x <num> week // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14691641/s50843626/22299ba0-083b5ad1-0c0aa95d-f43f5159-732825d5.jpg | portable supine chest radiograph <unk> at <time> is submitted. | <unk> year old man with chf and nstemi, respiratory failure, intubated // iabp placement, and pa catheter placement iabp placement, and pa catheter placement |
MIMIC-CXR-JPG/2.0.0/files/p17545707/s54459405/c34c75b6-727b01fa-f3c9ed5b-03c83911-f765eb90.jpg | pa and lateral views of the chest provided. streaky lucencies overlying the mediastinum noted concerning for pneumomediastinum. no focal consolidation, effusion or pneumothorax. heart size is normal. bony structures are intact. | <unk>f with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14151932/s57101194/5a07536a-1f270441-c2c2c379-95579922-dc92991e.jpg | when compared to <unk> <time> chest radiograph, there is no change in size of the small left apical pneumothorax. both lungs are hyperinflated with stable emphysematous changes. the cardiomediastinal silhouette, hila, and pleural surfaces are normal. | <unk> year old man with l ptx // check interval change. please do around <num>pm |
MIMIC-CXR-JPG/2.0.0/files/p19505136/s55528427/e512ba2f-0edb5ceb-31d2a599-a66d7cac-29d8077a.jpg | the heart size is normal. the aortic knob is calcified. the mediastinal and hilar contours are normal. scarring within the lung apices is present. remainder of the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. the pulmonary vascularity is normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19252766/s56896431/5b27f437-244f5a2a-15d51c8a-36bdac72-4b4eb4ae.jpg | the lungs are clear of consolidation, effusion, or vascular congestion. there is mild cardiac enlargement and tortuosity of the thoracic aorta. no acute osseous abnormalities come hypertrophic changes noted in the spine. | <unk>m with brain mets. // preop |
MIMIC-CXR-JPG/2.0.0/files/p17244595/s55164519/680dff55-bc1b0c2e-0bd35baf-39c6fcc2-83c0bb39.jpg | left picc line placed. left pneumonectomy. stable small right pleural effusion. stable right basilar, right upper chest opacities. right chest tube. no definite pneumothorax. | <unk> y/o m w/ history of lung cancer s/p left pneumonectomy + adjuvant chemotherapy, rml+rll lung ca s/p chemoradiation who initially presented with several days cough followed by acute chest pain, found to be in acute respiratory failure and to have spontaneous right pneumothorax, s/p right sided chest tube placement, continued hypercarbic respiratory failure // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p19702674/s59959514/a31e399b-7e7ae683-faaabc8b-5e6f7dc4-e04773c0.jpg | pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. unchanged scarring in the right suprahilar region compared with multiple prior imaging studies dating back to <unk>. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p19057990/s51222593/47b022ec-c6bccf96-add1b7c6-7feb3d1e-d66dfb8f.jpg | right internal jugular central venous catheter tip terminates at the junction of the svc with the right atrium. no pneumothorax is identified. remainder of the chest is unchanged with continued diffuse bilateral alveolar opacities. no pleural effusion is identified, though the left costophrenic angle is excluded from the field of view. | new central line placement. |
MIMIC-CXR-JPG/2.0.0/files/p10990167/s56613094/c68e8d7d-80b4e406-35a0be3f-f9ddbba1-811d4201.jpg | compared with chest radiograph from <unk>, lung volumes are somewhat lower. there is no focal consolidation, pleural effusion or pneumothorax. there is no vascular congestion or pulmonary edema. mediastinal and hilar contours are stable. heart size is normal. moderate hiatal hernia. there are severe degenerative changes of the right shoulder. bilateral healed rib fractures are seen. | <unk> year old woman with dysphagia // dysphagia |
MIMIC-CXR-JPG/2.0.0/files/p14680089/s57965607/ab0c4038-dbac3d01-001a6868-4b7a4eac-52e35fbe.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 // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14886080/s51644362/fdf0b12f-70e2fdb5-ff7e4e8e-d434b1a8-64963737.jpg | a knee right-sided chest tube is in-situ, unchanged in appearance compared to the prior study. there is a small right-sided pneumothorax, unchanged compared to the prior study. airspace opacity in the right upper lobe is also unchanged. small left pleural effusion. the left lung appears grossly clear. an knees o gastric tube terminates in the stomach. a left-sided picc terminates in the very proximal svc. | <unk> year old man with right sided effusion s/p pigtail catheter c/b pneumo // eval for change pneumo and effusion |
MIMIC-CXR-JPG/2.0.0/files/p19141681/s58223310/e0bf3b26-ce74b976-a999deaf-9368ecf7-35d1bb16.jpg | tip of the right port-a-cath terminates in the mid svc. the lungs are free of consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities. | <unk> year old woman with glioblastoma, port placed <unk> at <unk> <unk> // assess catheter tip placement |
MIMIC-CXR-JPG/2.0.0/files/p13956943/s58152454/05c46a64-a8d48cad-a1509f60-d146c4e8-2880710a.jpg | frontal and lateral radiographs of the chest were acquired. there is redemonstration of right-sided pacemaker with associated right atrial and right ventricular leads. heterogeneous opacities in the left lower lobe are highly concerning for pneumonia. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | status post renal transplantation, presenting with fevers and productive cough. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18511818/s54683259/7ec2e222-371a3fc6-ae7a1589-e2cd3083-8e5f1a61.jpg | pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected. | <unk>-year-old female with pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10579352/s56964945/76cd6910-ff1806f8-02198013-7b367297-68316443.jpg | frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. increased opacity in the right lower lung, with corresponding increased opacity over projecting over the spine on lateral view is suggestive of the right lower lobe consolidation. no pneumothorax is seen. there is a small right pleural effusion. previously noted bullae are unchanged. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14913896/s53955510/abbdc642-05e9c871-c14dea04-4cc64ca2-bfb1df8d.jpg | the cardiac and mediastinal silhouettes remain stable, with mild calcifications seen at the aortic knob. changes of bronchiectasis are seen bilaterally, with chronic interstitial changes very similar to the prior examination. there is no evidence of new consolidative process or significant pulmonary edema. osseous structures appear grossly unchanged. | productive cough. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17180800/s53724090/e02121e8-13f1c739-84a57c1b-53bcb8bb-9d5a3639.jpg | lungs are well expanded and clear bilaterally. there is subtle blunting of the right costophrenic angle which may represent a small pleural effusion. left subclavian catheter is seen in unchanged position terminating within the mid svc. there is no pneumothorax. the cardiomediastinal silhouette is unchanged and within normal limits. the pleural surfaces are unremarkable. there is no pneumothorax. | <unk>-year-old male admitted for subarachnoid hemorrhage, now with decreasing o<num> saturation. |
MIMIC-CXR-JPG/2.0.0/files/p13821814/s57932582/992280a9-a1ecb666-dfc1abb8-cb2dfb30-3e4a3281.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded. there is no focal consolidation or pneumothorax. bilateral pleural effusions are small. the cardiac and mediastinal contours are normal. a right-sided picc line has been removed since the prior exam. | febrile neutropenia. |
MIMIC-CXR-JPG/2.0.0/files/p14947107/s52015077/5ec7d199-5f0f1d86-396fa10d-e1d2dbdb-a6b5b3ff.jpg | there has been interval removal of the chest tubes. lung volumes remain low with bilateral lower lobe atelectasis and small bilateral pleural effusions. a swan-ganz catheter is unchanged in appearance. no pneumothorax seen. | <unk> year old man with s/p cardiac surgery // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17096102/s53786121/c2df2e8a-befc1318-efd54309-353ec134-ed062ecc.jpg | a feeding tube is seen with its tip in the stomach and would need to be advanced at least <num> cm for all the side ports to be past the ge junction. again seen is bilateral pulmonary edema which is mildly improved from the prior study. bilateral pleural effusions are largely unchanged. there is no pneumothorax. the heart size is top normal. | acute hypoxic respiratory failure. evaluate og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11216730/s52831053/34f8571a-6d918f1e-0e81567d-813cc611-bb60a7ef.jpg | there is no change from the prior study from <unk>, with mild vascular engorgement of the pulmonary vasculature, right pleural effusion, also accumulating at the minor fissure, and right atelectasis. the cardiomediastinal silhouette and hila are normal. a ng tube ends in the chest within a gastric pull-up. | <unk>-year-old with esophagectomy and right lower lobe pneumonia on outside hospital chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p19929426/s59374474/992410bd-28b29feb-dd66f39c-2118cce7-c5509d50.jpg | single portable view of the chest. there is interval slight improvement in the pleural effusions bilaterally. there is no change in the bibasilar atelectasis as compared to the prior radiograph. monitoring and support devices are seen, unchanged. | respiratory failure status post cardiac arrest. evaluate progress. |
MIMIC-CXR-JPG/2.0.0/files/p16727715/s55399445/43b1c26e-8aed8b5c-7229b0c4-97b33052-23432776.jpg | heart size is stable. central vascular congestion is unchanged. left lower lobe atelectasis and small left pleural effusion is stable. interstitial edema is mild. no evidence of pneumonia. | <unk> year old woman with fever, tachypnea // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11429306/s56495057/3b6a9344-4f40559f-3a8f469b-fb39f093-a2a85001.jpg | the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. there is no evidence of pulmonary vascular congestion. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old woman with chest pain, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18378270/s52735448/a33d7ac0-0e6cf232-a303d476-4771c0af-7728fef7.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the previously seen opacities projecting posteriorally on the lateral film are no longer seen. a left chest wall pacemaker is in place with leads in the right atrium and right ventricle. cardiomediastinal silhouette is normal. bony structures are unremarkable. | <unk>-year-old man with left retrocardiac opacity treated as pneumonia, question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13430481/s55068437/ab6ffd5d-83a1d049-54e68b16-b4164ec4-504d099b.jpg | there is silhouetting of the bilateral hemidiaphragms suggestive of a moderate right and a small left pleural effusion. bulky, lobulated densities seen in the anterior and middle mediastium. there is also increased density in the subcarinal region and associated narrowing of the left mainstem bronchus. pathcy opacity seen a the right lung apex. no focal opacities are noted in the left lung. multiple thoracic vertebral compression fractures are also noted. surgical clip seen in the neck on the left. | evaluation of patient with shortness of breath. history of lymphoma |
MIMIC-CXR-JPG/2.0.0/files/p18037800/s50937927/e3f4727f-e70aa88f-ef068033-3e7201b1-546528ee.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable. | fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p11613512/s50481572/09216d0f-5fa4ab22-a1ddb1d3-3d315b36-4c2fe53c.jpg | lungs are grossly clear. there is tenting of the right hemidiaphragm. the heart size is normal. the aorta is tortuous. no pneumothorax. | <unk>m with incarcerated hernia // pre-op - r/o occult process |
MIMIC-CXR-JPG/2.0.0/files/p18612306/s59901708/faa3c37d-f4e3ff4e-2d258f19-91882075-aa75172a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is mild thoracic scoliosis. | <unk>f with epigastric pain, mg pt, concern for infection. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16814111/s51583078/48d8d775-870eccf4-648b12e7-99eed573-4fabda1e.jpg | dual lead left chest wall pacing device is again seen with leads in unchanged position. the lungs remain clear. cardiomediastinal silhouette is grossly the stable given rotation to the left. no acute osseous abnormality is identified. | <unk>m with r-shoulder pain // evaluate for acute changes |
MIMIC-CXR-JPG/2.0.0/files/p15297752/s56359917/3ffa1ff6-866bd45e-1f7fa7a4-cf8e3999-ef35429e.jpg | there is a hazy opacity at the right base. the lungs are otherwise clear. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | worsening cough over the last three days. |
MIMIC-CXR-JPG/2.0.0/files/p17477876/s53627216/042c6dbd-8cbbc5c9-ac7cda24-63f1f574-c4004e5d.jpg | lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>f with cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18058896/s53429951/9f61261d-984e9a2d-ee72354c-e18e9e09-d09befcc.jpg | the lungs are expanded and clear. slight flattening of the hemidiaphragms and widening of the ap diameter is better appreciated in the lateral view, overall unchanged from the prior exam but could reflect chronic pulmonary disease. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart size is normal. the mediastinum is not widened. the hila are within normal limits. calcifications of the aortic knob are overall unchanged. | <unk> year old woman with persisting cough after z pak. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11465141/s52074080/08800a08-5abddea7-c720f5d6-d6c9f551-ef4bbaa3.jpg | right pleural drainage catheter is in place. the cardiomediastinal and hilar contours are stable. a small right pleural effusion is smaller compared to prior study. asymmetric pulmonary edema, worse on the right is not changed. a moderate left pleural effusion is slighter larger. the known left upper lobe mass with postobstructive left upper lobe collapse is re- demonstrated without significant change. no pneumothorax. | lung cancer, pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p15874204/s59949970/5d4d7819-487abea0-42f6f594-76a421a0-65e545cb.jpg | an ng tube is present. the tip and side-port lie beneath the diaphragm over the left upper/ mid abdomen. the previously seen curvilinear lucency about the gastric bubble is not appreciated on the current exam and could represent artifact. an et tube is present. the carina is not well seen, but the tube likely lies approximately <num> cm above the carina. the cardiomediastinal and parenchymal findings are similar to the prior study. | <unk> year old man with food impaction s/p bronch and new og tube placement. // please evaluate for og tube and et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13810570/s53000242/3bb969d2-5d020c60-23ef9d32-57021cd8-7dbe507c.jpg | patient is status post median sternotomy. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with mild prominence of the main pulmonary artery, which can be seen in the setting of pulmonary hypertension.. no pulmonary edema is seen. | history: <unk>f with cough and dyspnea // r/o acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p19466506/s51008043/225f71b7-0a5944e1-371c5a96-da384af3-2ed99dbc.jpg | since <unk>, there has been re-accumulation of left pleural effusion with minimal atelectasis at the left base. small right pleural effusion is similar to <unk>. the heart size is top normal. mediastinal and hilar contours are unchanged. right picc terminates in mid to low svc. a pleural catheter is right of midline. no pneumothorax is seen. | <unk> year old man with prior left pleural effusion. left pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p13457393/s57459889/d0af8611-5a1eb226-ca317359-9ad3bbb0-1ac84860.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | chest pain. evaluate cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14189848/s59308180/5256a45d-7468b137-0ecf4295-280e49e3-6250ce52.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | history: <unk>f with cough // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17999487/s50283672/7ac69d13-0d2c9c62-8d5a4d3c-f84e62ea-bdfea89a.jpg | the lungs are clear. there is no consolidation or effusion. the cardiomediastinal silhouette is within normal limits. orthopedic hardware seen in the proximal left humerus. hypertrophic changes are noted in the spine. | <unk>m with latent tb p/w fevers // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p13895555/s59344614/0268edfb-c67fd9e6-f649fa5e-2b37fb7e-368a26e5.jpg | the ng tube is in the stomach with tip pointing upwards. the picc line tip is at the cavoatrial junction. there is no significant change in appearance of the lungs | <unk> year old man s/p ngt placement // ? tube position |
MIMIC-CXR-JPG/2.0.0/files/p18809319/s58967568/033f829f-60b14fc2-c829d000-9ef1ab50-4626adf0.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 episode of epigastric/chest/jaw pain |
MIMIC-CXR-JPG/2.0.0/files/p19962526/s52240425/691294d3-32b647a7-60618295-fb64e350-2e963e2a.jpg | prior radiographs from <unk> at <unk> are not available for comparison, however compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiomegaly and aortic atherosclerotic calcification is unchanged. median sternotomy wires are stable in appearance. | <unk> year old woman with pneumonia dx'd <unk> at <unk> // f/u pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18271273/s52209567/f2ee5cf9-adc23497-46a8153b-ecad2b3d-2fdd5bb9.jpg | the tip of the endotracheal tube terminates at the level of the clavicular heads, approximately <num> cm from the carina. lungs are relatively clear aside from linear atelectasis in the left mid lung. no pleural effusion or pneumothorax. | <unk> year old man with chronic subdural s/p craniotomy for evacuation reintubated in recovery s/p respiratory distress refractory to ppv. // ett placement? pulmonary pathology. |
MIMIC-CXR-JPG/2.0.0/files/p16720509/s57915250/03162bc4-58f25239-df872b3b-953e8272-13c77ed5.jpg | median sternotomy wires are intact. low lung volumes are again seen with crowding the bronchovascular markings. no definite superimposed acute cardiopulmonary process. cardiac silhouette is within normal limits for technique. no acute osseous abnormalities. | <unk>f with cva. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p11700849/s51258474/0e2cd4b0-54af6850-d5b0b4aa-a3e1a309-a70fb552.jpg | a new area of segmental consolidation has developed in the anterior medial segment of the left lower lobe, and is best visualized on the lateral view. as well as a linear area of atelectasis in the lingula. lungs are otherwise clear, and cardiomediastinal contours are stable. no definite pleural effusion or pneumothorax. | <unk> year old woman with h/o copd w/ sob and productive cough // please evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p19187816/s51114226/d037fc8f-0ae3cec5-d929e2b8-deb2a0fa-7f87e3ab.jpg | unchanged positioning of the tracheal stent, projecting over the thoracic inlet. the increased retrocardiac opacity may reflect atelectasis and/or consolidation. no pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. | <unk> year old man with a.fib, recent tracheal stent placement. // new onset bradycardia, to evaluate for possible respiratory causes pneumothorax etc. |
MIMIC-CXR-JPG/2.0.0/files/p12897175/s53545187/db12ec9f-8305e596-1f0ead64-c00145c6-85b34a0f.jpg | the cardiomediastinal and hilar contours are within normal limits. there is a focal patchy opacity at the base of the left lung seen only on the frontal view. there is no evidence of pleural effusion or pneumothorax. | history: <unk>f with cough, wheeze // evaluate for pneumonia, acute process |
MIMIC-CXR-JPG/2.0.0/files/p18199379/s50734741/bf270b89-3982c0ff-08ca8458-54e56c27-905a7681.jpg | ap portable upright view of the chest. a left thoracostomy tube has been removed. there is no pneumothorax. extensive left lower zone opacities remain stable, denoting recent vats | <unk> year old woman with recent post pull chest tube // pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13335114/s59916711/9953154f-0cdf0553-b7c25ef7-0bfee916-2b496acc.jpg | pa and lateral views of the chest provided. lung volumes are low. a similar faint linear density in the left lower lung as seen previously may represent a focus of scarring. no convincing evidence for pneumonia or edema. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with weakness and left lower crackles |
MIMIC-CXR-JPG/2.0.0/files/p11522433/s51154813/97b76bf5-77e28583-b533b6cc-f4a34fff-c76ea9e9.jpg | the lungs are clear without focal consolidation or effusion. there is mild pulmonary vascular congestion without overt edema. cardiac silhouette is mildly enlarged. compression deformities in the lower thoracic spine at <num> contiguous levels are new since <unk>. | <unk>f with nash increae abdominal distention // eval for pna cxrruq eval for portal venous thromobosis |
MIMIC-CXR-JPG/2.0.0/files/p13774759/s56058195/ea4cc3d4-06a5e982-e44ab40a-ace4598f-f758a38c.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. rounded calcific density projecting over the right lung apex is within the soft tissues demonstrated on ct as opposed to within the lung. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old female. left-sided numbness. |
MIMIC-CXR-JPG/2.0.0/files/p17735225/s54165653/81d1d5d2-1d494b3c-bda05292-0ccec992-28950d99.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. | evaluation of patient with blood tinged sputum. |
MIMIC-CXR-JPG/2.0.0/files/p11197360/s56363385/683c2a2a-626760e2-3e8633ec-088c1047-54c9c8f7.jpg | frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right middle lobe obscuring the right heart border, consistent with right middle lobe pneumonia. a second focus of pneumonia is seen in the left upper lobe. there is no pleural effusion or pneumothorax. the heart is not enlarged. | <unk> year old woman with right sided pleuritic chest pain x two months. // r/o small effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11579043/s50749066/99f1e082-4e6cb62d-c4cc4aed-c1707a92-8e5025e7.jpg | portable radiograph is obtained with patient in the upright position. right port-a-cath terminates in the upper-mid svc. there is a <num>-cm well-circumscribed round mass projecting over the mid right lung, consistent with history of primary lung cancer. there is increased hazy opacification at the left base that is new compared to the prior study and could represent atelectasis or infiltrate. in the appropriate clinical context, this may represent a pneumonia in development. no pleural effusions. no pneumothorax. cardiomediastinal silhouette is unchanged. | <unk>-year-old woman with lung cancer, ? infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p10300976/s55201242/c91823e9-3bbbdc50-d8774af8-8f43d21d-61424770.jpg | pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. | <unk>m with ataxia. |
MIMIC-CXR-JPG/2.0.0/files/p12114953/s51288349/a1d89517-115df296-9eebb775-85e5c6ee-7c8eef32.jpg | the cardiac silhouette is enlarged, consistent with known pericardial effusion. there is a pericardial drain overlying the heart. known left upper lobe spiculated mass, seen on outside chest ct, cannot be visualized on this examination. blunting of the left costophrenic angle is related to a small pleural effusion. there is mild atelectasis at the right lung base. the right lung is otherwise clear. | <unk>-year-old man with pericardial effusion status post pericardiocentesis, possibly malignant effusion secondary to spiculated lung mass seen on imaging at outside hospital. evaluate lung mass. |
MIMIC-CXR-JPG/2.0.0/files/p19218926/s54131548/90dd1ea2-8f4d4253-d19c2f78-05d602e7-f41ae305.jpg | the new endotracheal tube ends <num> cm above the level of the carina. the tunneled right-sided catheter is unchanged in position. slightly improved lung volumes allow better visualization of unchanged bibasilar atelectasis. small pleural effusions are unchanged. | status post intubation. evaluate endotracheal tube position. |
MIMIC-CXR-JPG/2.0.0/files/p14934559/s59000735/719e11ca-9ff55ffc-01a41a78-84e461cd-e30fa9af.jpg | there is evidence of borderline cardiomegaly. note is made of mild deviation of the trachea to the left, suggestive of an enlarged right thyroid lobe. the hilar and mediastinal contours are otherwise normal. the lungs are clear without evidence of focal consolidations concerning for infection. no pleural effusions or pneumothorax is identified. | history of chest pain. rule out intrathoracic cause of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11123733/s55208039/2ebce8d9-b4a1ddb9-5ef6130b-424c0711-c38064bb.jpg | lungs are hyperinflated with flattening of the diaphragms compatible with copd. heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are stable. previous pattern of mild pulmonary edema has resolved. small bilateral pleural effusions are noted. no focal consolidation or pneumothorax is seen. minimal atelectasis is noted in the lung bases. degenerative changes are seen within the thoracic spine. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14264347/s55411605/69096f8d-08662750-0a29a423-e7324dc3-c88a682f.jpg | pa and lateral views of the chest. the lungs are clear except for bibasilar atelectasis. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. a left-sided picc line terminates in the high svc, retracted by at least <num> cm from the prior scan. no pleural effusion. no evidence of pneumothorax. | chest pain and recent admission for e-coli bacteremia. |
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