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MIMIC-CXR-JPG/2.0.0/files/p16133730/s56185464/f672a29b-91388e96-02851bc2-11608fca-6467d09d.jpg | the patient is status post sternotomy. there is mild to moderate cardiomegaly. compared with the prior film, there is new chf, with upper zone redistribution, thickening of the minor fissure, and diffuse vascular blurring. more patchy opacity at the right cardiophrenic region could reflect vascular plethora and atelectasis, but the possibility of an early infiltrate cannot be excluded. otherwise, no consolidation. no gross effusions. | <unk> year old man with ?aml and worsening <unk> // eval sob, ?fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p17205470/s57498531/28106a1a-fcc34818-db99798e-cd166eab-11ade8b7.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. | <unk> year old woman with chest pressure and dyspnea on exertion // acute pulmonary vs. cardiac process |
MIMIC-CXR-JPG/2.0.0/files/p19439157/s55732742/8f8bca81-a7c85cb5-c0f576c5-34bd6891-5a8c7e83.jpg | the lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>m with sob, difficulty taking a deep breath. assess for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13545680/s56246177/452bb347-43652a87-f22ba2cd-0c8c0214-cb0bf34a.jpg | heart size is normal. the aorta remains mildly tortuous but unchanged. mediastinal and hilar contours are otherwise unremarkable. lungs are clear and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13251286/s53522045/9d17622d-8f023d8a-67681396-0608d673-f5d8fd32.jpg | as compared to the prior examination dated <unk>, there has been interval progression of multifocal airspace opacities. bilateral pulmonary edema is now moderate. a small right pleural effusion is noted. the left costophrenic angle is blunted and may be secondary to a small left pleural effusion or consolidation. a large, left, subpleural opacity is consistent with known metastatic rib lesions. moderate cardiomegaly is noted. the mediastinum is minimally widened as compared to the prior examination, likely secondary to patient positioning and mediastinal vein distension. monitoring and support devices are unchanged in position. | <unk> year old man with metastaic prostate ca // eval interval progression pna, pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11422357/s53573581/9327b154-851ed1d5-76444bc1-68cb5641-2f0e2b6b.jpg | lung volumes are low. patient is status post left-sided aicd device with single lead terminating in the right ventricle, unchanged. patient is also status post median sternotomy and cabg. moderate cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged. mild interstitial pulmonary edema is not substantially changed in the interval. no focal consolidation, pleural effusion or pneumothorax is present. | history: <unk>m with cough, confusion |
MIMIC-CXR-JPG/2.0.0/files/p19796957/s57051557/b0cda8a3-ddffb15c-e8d7fdb8-00fbf9fa-a5b1a60d.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 male with chest tightness. |
MIMIC-CXR-JPG/2.0.0/files/p12132436/s51967712/fc3fca75-b4c6ce62-32b01455-e65a7590-ab7f458d.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. subtle patchy opacity is seen within the right base. no focal consolidation, pleural effusion or pneumothorax is present. there are degenerative changes noted in the lower thoracic spine. | history: <unk>f with fever |
MIMIC-CXR-JPG/2.0.0/files/p13217099/s52811536/8d00162e-9dcdeb85-e890feea-a5be3c78-35cca189.jpg | a tracheostomy is in-situ, unchanged in position. a left-sided picc terminates in the mid svc. there is moderate cardiomegaly, unchanged compared to the prior study. bibasilar opacities have improved somewhat on the right. there is residual left basal opacity likely reflecting atelectasis. infection cannot be excluded. no pneumothorax seen. | <unk> year old woman with iph s/p vp shunt; difficulty weaning from vent s/p trach. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p17694771/s59629063/3a0eba6b-a70c2452-cb051511-9561811c-c04e317f.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. lower lung volumes seen on the current exam. the lungs are clear of confluent consolidation. linear atelectasis identified at the left lung base. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged. | <unk>-year-old female with advanced dementia, status post fall for unknown reason. |
MIMIC-CXR-JPG/2.0.0/files/p14008146/s51872698/426846b3-24a6e771-9f7001e0-1cbec4af-89986c90.jpg | two portable ap views of the chest are compared to previous exam from <unk>. as on prior, there is elevation of the left hemidiaphragm with multiple air-filled loops of bowel beneath it. there is new right basilar opacity which obscures visualization of the right hemidiaphragm. blunting of the left costophrenic angle could be due to small effusion or atelectasis. superiorly, the lungs are clear. noting mild indistinctness of pulmonary vasculature which could be due to lower lung volumes with component of vascular congestion also possible. cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures. | <unk>-year-old male with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11093401/s54837068/1bfc57bb-3bc843d5-9311e2c4-d4ffca45-44b4b4fa.jpg | frontal and lateral views of the chest demonstrate left pic catheter tip projecting over distal svc. no pneumothorax. lung volumes are normal. no focal consolidation, pleural effusion. no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. patient is status post medial sternotomy. <num> cm density projecting in the subcutaneous tissues of the back without definete connection to the spinal <unk>, <unk> <unk> a foreign object. | assess for a picc line placement. |
MIMIC-CXR-JPG/2.0.0/files/p10436697/s50450510/7def445e-6951c51f-9d7d527d-c758eada-4c7624f8.jpg | pa and lateral views of the chest provided. nodules seen on recent ct projecting over the upper lungs are again visualized. please refer to recent ct report for further details regarding followup recommendations. otherwise the lungs are clear. no evidence of pneumonia or edema. no large effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged bony structures are intact. | <unk> year old woman with chest pain. // any sign of cardiovascular etiology of pain or pe? |
MIMIC-CXR-JPG/2.0.0/files/p14439027/s50607911/410e7c15-2b37cfbc-64a11fdd-e9df2a80-46e8c45e.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. | history: <unk>f with chest pain and sob // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11213912/s52025847/5002ccfc-affe6e22-2917b1b2-ba3d13cf-eec18620.jpg | the et tube is <num> cm above the carina and is pointed on to the right with the tip likely against the right side of the trachea. ng tube tip is off the film but the proximal port is in the proximal stomach. there is bilateral moderate effusions layering posteriorly that have increased compared to prior. the heart is moderately enlarged. the swan-ganz catheter tip is in the right descending pulmonary artery. dual lead pacemaker is again visualized. there is bilateral hazy alveolar infiltrate right greater than left. | <unk> year old man with recent stemi c/b cardiogenic shock now with concern for pna // interval change; evaluate for consolidation vs pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p13732201/s56304909/26e73650-b93ac487-3f99683c-16b7a710-49a33c2a.jpg | ap and lateral views of the chest. ground-glass opacities at the lung bases seen on ct are most conspicuous on this exam, and when compared to <unk> are not significantly changed. moderate cardiomegaly is again noted as well as atherosclerotic calcifications at the aortic arch. no acute osseous abnormalities identified. | <unk>-year-old female with hiv and cough. |
MIMIC-CXR-JPG/2.0.0/files/p12953164/s58415650/568cce1e-e97dade0-cab0978f-45443bb9-b9620127.jpg | there is increased prominence of reticulation, which suggests mild vascular congestion. a meniscoid appearance of the left lateral costophrenic angle is new and suggests a trace effusion on the left only. there is no pneumothorax or focal opacification. the cardiac, mediastinal and hilar contours appear stable. the bones are probably demineralized. | failure to thrive. |
MIMIC-CXR-JPG/2.0.0/files/p12038559/s51442327/fb01a603-b79a79a6-ed278f27-5a0e74cc-20223b03.jpg | ap upright and lateral views of the chest provided. marked cardiomegaly is again seen. there is mild pulmonary vascular congestion without frank pulmonary edema. no convincing signs of pneumonia. please no lateral view is limited due to motion artifact. no large effusion or pneumothorax is seen. bony structures appear intact. | <unk>m with altered mental status // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17423863/s56557577/07bf1ce0-f8b17a31-794c0b93-28da2d4c-f8553c3b.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 fall from bike |
MIMIC-CXR-JPG/2.0.0/files/p12454697/s50505681/63fc5ff1-942fc974-cf95f1af-aad22457-49b8db65.jpg | there are increased interstitial markings throughout. at the lung apices these changes may be chronic however they are now more apparent at the lung bases with associated <unk> b-lines, and mild cardiomegaly. increased opacity at the right lung base may represent atelectasis, but cannot completely exclude aspiration or pneumonia in the right clinical setting. the previous seen left lung base nodule is similar or may have possibly increased slightly in size from prior exam. there is small left pleural effusion. there is no pneumothorax. median sternotomy and mediastinal clips clips are seen. degenerate changes in the bilateral humeral heads are noted. | <unk>f with c/o sob // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14634306/s54974178/8ca0c4df-1ba23b8f-69765f3d-71768969-98dca1b0.jpg | compared to <unk>, there is mild increased pulmonary vasculature congestion, with apparent slight increase in bilateral basilar confluent opacities. the heart size is mildly enlarged. costophrenic angles are blunted bilaterally. support lines are unchanged in position. there is no pneumothorax. | <unk> year old man with multifocal pneumonia and bilateral pleural effusions. please assess interval change in pleural effusions. please perform in am. |
MIMIC-CXR-JPG/2.0.0/files/p14975281/s51352945/7586aad4-a3ae16a7-aa1476e6-caa6af73-8a62905f.jpg | pa and lateral views of the chest provided. an aicd a projects over the left chest wall with lead extending to the region the right ventricle unchanged. lungs are clear and well expanded. no focal consolidation, effusion, or pneumothorax is seen. a rounded density projecting over the left lung base is compatible with a nipple shadow. there is no evidence of pulmonary edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with dizziness and sob pls eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12927172/s57379406/f25060e3-57cb64f8-aa338a10-f23e8903-6758998e.jpg | there are new bibasilar airspace opacities, left greater than right. there are small areas of increased lucency within these constellation, raising concern for item cavitation. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. a radiopaque tips catheter projects over the right upper quadrant. a nasogastric tube enters the distal stomach, tip not visualized. | <unk> year old woman with new fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14796094/s57976712/48d883c7-413e7525-93e4fea5-04f55dd0-b7691908.jpg | the previously seen left apical pneumothorax has resolved. there is new moderate gastric distention. mild levoscoliosis of the upper lumbar spine is unchanged. there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk> year old man with left spontaneous pneumothorax // check interval change |
MIMIC-CXR-JPG/2.0.0/files/p18860477/s51268841/60956dd8-99fd8353-159c9bfc-9cd8bf9d-cb36deab.jpg | pa and lateral images of the chest again demonstrate near-complete opacification of the right lung which is unchanged from imaging earlier the same day. there is no pneumothorax or other post-thoracentesis complication seen. again seen is right-sided volume loss. small left pleural effusion is again seen, unchanged. the chest radiograph is otherwise unchanged from imaging earlier the same day. | <unk>-year-old male with pleural effusion, status post thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p16246483/s56705511/a16f47b6-6aa03735-fdf321a9-6eb40f63-1696d829.jpg | there is moderate-to-severe cardiomegaly. the patient is status post cabg. sternal wires are intact. clips are noted in the mediastinum. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. very mild peripheral fibrosis is present at the bilateral bases. | history of coronary artery disease and gi bleed. evaluate cardiac size. |
MIMIC-CXR-JPG/2.0.0/files/p15945760/s51674019/2c79637b-0ba6dcb5-70146740-55dbdf32-fc3ce37b.jpg | pa and lateral views of the chest provided. midline sternotomy wires are again noted as well as mediastinal clips. minimal bibasilar atelectasis noted. no signs of pneumonia edema. no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with left chest/rib pain s/p fall |
MIMIC-CXR-JPG/2.0.0/files/p12704996/s50903562/390361bb-2306726f-e5f84b7d-e8f4c5a0-026cbd73.jpg | there relatively low lung volumes. mild basilar atelectasis is seen, particularly on the left. no definite focal consolidation. there is no pleural effusion or pneumothorax. there is mild to moderate pulmonary vascular congestion. the aorta is calcified and tortuous. the cardiac silhouette is not enlarged. | history: <unk>m with raf*** warning *** multiple patients with same last name! // ? chf |
MIMIC-CXR-JPG/2.0.0/files/p14141188/s57587299/f76760fd-4651eb4f-ee620c7a-1131af1a-a091b81a.jpg | the heart is normal in size. the hilar and mediastinal contours are normal. two stable calcifications likely representing granulomatous disease are noted on the right. lungs are otherwise well expanded and clear. there are no pleural effusions or pneumothorax. previously described rib fractures are not visualized on today's examination. | <unk>-year-old female patient with trauma status post rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p14743778/s57371941/ea9d92a5-76facb65-60c04c7d-abbebe89-91122d90.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. a linear opacity is again seen in the right upper lobe, stable across multiple prior exams and compatible with scarring. there is no evidence of new focal or diffuse pulmonary abnormality. there is no focal consolidation, pneumothorax, or pleural effusion. osseous structures are unremarkable. no radiopaque foreign bodies. | <unk>-year-old male with chest pain. evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p16343839/s52729053/425ecb25-e55828df-37317beb-2d95be01-0fab00cc.jpg | pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. heart size is at the upper limit of normal variation, but unchanged in comparison with the preceding examination. unchanged appearance of thoracic aorta, no new mediastinal abnormalities are seen. right-sided hemithorax comparably small in volume related to previous right upper lobectomy with scar formations surrounding the apical area. pleural scars also blunt the right lateral pleural sinus and exist along the right lower lateral chest wall. in the left hemithorax, no pulmonary vascular congestion can be identified. a previously identified <num> mm diameter rounded lesion overlying the second anterior intercostal space laterally appears unchanged. it has not increased in size and there are no new additional round lesions that are suggestive for pulmonary secondary metastasis in this elderly patient with clinical history of renal cell carcinoma. | <unk>-year-old female patient with history of renal cell carcinoma, evaluate for disease status, rule out pulmonary metastases. |
MIMIC-CXR-JPG/2.0.0/files/p15936063/s57099950/de9fd8a2-0e97b23d-b5555fe6-eb6f184d-9ae3bbf4.jpg | single portable chest radiograph was provided. tracheostomy tube is in appropriate position. the trachea is narrowed as seen previously. a right picc line has been removed. compared to the prior radiographs, there is no significant change in the appearance of the lungs. again seen is a left basilar opacity with obscuration of the left hemidiaphragm which may represent a combination of atelectasis and effusion. there is no overt pulmonary edema. there is no pneumothorax. there are aortic valvular calcifications. the heart is unchanged in size. bones are intact. | <unk>-year-old man with chronic respiratory failure with acute hypoxia. assess for pulmonary edema, pneumonia or mucus plugging. |
MIMIC-CXR-JPG/2.0.0/files/p18916626/s53939287/c3f12ea8-8f06b397-068bca6d-3eecd753-e02dbf3c.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with abdominal pain and cough. lower quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p13695905/s57138304/9e4bf322-ac8fa743-e780043d-416f5428-16e95704.jpg | the lungs are well expanded. the right upper lobe lesion is again seen, unchanged from prior exam. there is no new consolidation or mass. there is slight blunting of the right costophrenic angle and possibly an underlying trace pleural effusion. there is no pneumothorax. the chest tube is again seen in the ending in the medial mid lung, unchanged in position from prior exam. cardiomediastinal silhouette is unremarkable. | stage iii non-small cell lung cancer with new drainage from thorax. |
MIMIC-CXR-JPG/2.0.0/files/p13764539/s59576456/cebfefdc-2e16a154-0db11d39-80a9e447-c019c75e.jpg | there is diffuse increase in interstitial markings bilaterally, right greater than left, worrisome for moderate to severe pulmonary edema; however, given clinical history, findings could be due to severe atypical pneumonia. on the lateral view, in addition to the aforementioned interstitial opacities, there is basilar consolidation posteriorly. the patient is status post median sternotomy and cabg as well as what appears to be in aortic valve replacement, although appears slightly superior in position for such. the cardiac silhouette is enlarged. | history: <unk>m with cough pls eval pna // history: <unk>m with cough pls eval pna |
MIMIC-CXR-JPG/2.0.0/files/p11508679/s53251665/8bb9d2ba-fe934edf-42e65199-08b74467-34bf32d4.jpg | portable chest radiograph demonstrates stable positioning of medical devices. nasogastric tube was seen coursing out of view; side port not demonstrated on current image. endotracheal tube tip position difficult to evaluate but appears approximately <num> cm from the carina. there is stable mild pulmonary edema and bibasilar atelectasis. the appearance of decreased small left pleural effusion likely reflects patient positioning given short time period. picc line located in the upper right atrium. | patient with stemi status post cardiac catheterization, now with ng tube placement. please evaluate ng tube positioning. |
MIMIC-CXR-JPG/2.0.0/files/p17616048/s58257623/7befc65d-e5a40ba9-e50657b2-b3106662-6141f220.jpg | ap portable upright view of the chest. mild left basal atelectasis noted. otherwise lungs are clear. no large effusion or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm. | <unk>m with h/o <num> perf ulcer, p/w sudden onset ruq pain |
MIMIC-CXR-JPG/2.0.0/files/p10199945/s51826643/262628a5-997312e7-1fcc94f1-cc2c2595-59c16d83.jpg | left mid and lower lung airspace opacity most likely represents acute pneumonia. ill-defined right lower lung airspace opacities may represent extension of the left-sided infectious process, aspiration, or atelectasis. a right posterior seventh rib deformity is unchanged from <unk>. an irregular contour of the medial left first rib is similar to the prior study. allowing for differences in technique, the cardiomediastinal silhouette is likely unchanged. there is no pulmonary edema or pneumothorax. | <unk>f with chest pain, dyspnea, +d-dimer, hypoxic, chest pain radiating to back, evaluate for pe or dissection. |
MIMIC-CXR-JPG/2.0.0/files/p13112524/s54826686/431315f3-5251ceb1-b317b518-efc379be-48a78029.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. | <unk>-year-old woman with a history of cardiomyopathy presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12292383/s53416538/2b179ef3-5fcd8c0d-4261c08a-891d73f1-a06fed5e.jpg | the left-sided pacer/icd leads are unchanged in position since the prior study. lung volumes are low causing bronchovascular crowding. there is minimal pulmonary vascular congestion. no focal consolidation, large pleural effusion, or pneumothorax. the cardiac silhouette is unchanged. | <unk>m with hip fracture. preoperative film. |
MIMIC-CXR-JPG/2.0.0/files/p19106853/s51750410/ff7f80fe-da575937-520e2eab-01432c85-12d77b6a.jpg | the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unchanged with unfolding of the thoracic aorta and moderate calcifications of the aortic arch. no pleural effusions or pneumothorax. | <unk> year old man with persistent right mid back pain inferior to right scapula since <unk>, worse with deep inspiration and rue movements. no cough or f/c. no rash. clear lungs. ex-smoker. // r/o pulm / pleural / rib abnormality |
MIMIC-CXR-JPG/2.0.0/files/p14650159/s57720108/d46b87b1-096fe286-59295712-92de4e45-49d727cd.jpg | the cardiac, mediastinal and hilar contours appear unchanged. diffuse opacification has resolved, but there are new patchy focal opacities in the right upper lung suggesting pneumonia. there is no pleural effusion on the right. trace pleural effusion is difficult to exclude on the left versus unchanged scarring effacing the left costophrenic angle. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17675880/s58025601/15e40abb-34601f24-81bcab70-8e355027-80ff31e3.jpg | chest pa and lateral radiograph demonstrates near complete resolution of right lower and left lower lung opacifications with only minimal residual bibasilar and left upper lobe atelectasis. the right pleural effusion has substantially decreased in size, now small. stable mild cardiomegaly. mediastinal and hilar contours are unremarkable. please note portions of the left lung are obscured by overlying pacemaker which has leads positioned in the right atrium and right ventricle. | patient with congestive heart failure and acute kidney injury, history of scant hemoptysis and persistent cough and recent pneumonia as well as a <unk>-pack-year history concerning for malignant process. |
MIMIC-CXR-JPG/2.0.0/files/p19311250/s54705647/e17e4f4e-3eec5d63-c4c46f81-8122112f-a8c31e7d.jpg | a right port-a-cath tip projects over the expected region of the distal svc. the lungs are clear. no evidence of a pleural effusion, edema, consolidation, or pneumothorax. hilar contours are within normal limits. the heart is normal in size. the mediastinum is not widened. no concerning osseous lesions on this nondedicated exam. bilateral degenerative changes in the ac joints of the shoulders are moderate. | <unk>-year-old man presenting with fever. rule out infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17277208/s56214437/98e2c409-2dceef28-606c81ed-1bef67ff-77f9654e.jpg | there is a maoderate to large right-sided pleural effusion, similar to exam from earlier the same day but enlarged since <unk>. bilateral pulmonary nodules are again seen, largest in the left lower lobe medially measuring approximately <num> cm. there is no left-sided pleural effusion. abnormal mediastinal contour particularly on the right is compatible with known mediastinal adenopathy. no acute osseous abnormalities identified. | <unk>f with r pleural effusion s/p thoracentesis at osh, persistent effusion, tachypnea/sob // extent of pleural effusion, additional acute process |
MIMIC-CXR-JPG/2.0.0/files/p11862315/s59548861/c8ac0ad1-8789fe40-ca11009c-3e8d5d05-a5eb9ead.jpg | the lungs are hyperexpanded petechial in the upper zones. there are coarse interstitial markings in the right lower lung more so than the left likely reflecting component of chronic lung disease. heart is mildly enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | history: <unk>m with crackles at bases // ?pna, pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11371424/s54520952/58f33240-984cd37c-de77847e-df2f6cb8-39269e79.jpg | ap portable semi upright view of the chest. there has been interval placement of a left chest tube with the tip of the left chest tube positioned medially in the left upper chest. there is no large residual pneumothorax. scattered atelectasis in the left lung noted. subcutaneous emphysema along the chest tube insertion site in the left chest wall noted. | chest tube placement, assess residual pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19596527/s55785040/01730821-9321d0de-23c03057-4e3656eb-30da72a6.jpg | interval removal mechanical support devices including left chest tube, et tube, and ng tube. more distal projection of right ij catheter terminating in right atrium likely due to interval decrease lung volumes. there is expected postoperative leak, the cardiomediastinal silhouette is enlarged but stable with mild increase of right and left lower lung atelectasis. no pneumonia, pleural effusions or pneumothorax. | <unk> year old woman with cabg // s/p ct pull |
MIMIC-CXR-JPG/2.0.0/files/p13919890/s57325341/daee8502-35614fde-efb858ea-fe3ce0fe-a1abd212.jpg | patient is status post median sternotomy and endovascular stent graft repair of the thoracic aorta at the level of the aortic arch due to a saccular aneurysm. mediastinal contour appears unchanged. heart size is mildly enlarged though difficult to definitively delineate due to the presence of a moderate-sized left pleural effusion. small right pleural effusion is also unchanged. bibasilar airspace opacities likely reflect compressive atelectasis. no pulmonary edema or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p15928453/s52144492/07c5d2d7-563e1bc4-035b0813-72f03382-d1f9b0da.jpg | single portable view of the chest. left picc is no longer visualized. the lungs are essentially clear noting that the left costophrenic angle is excluded from the field of view. there is no evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. | <unk>-year-old female with left ij attempts, unsuccessful. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11263530/s55208905/ad403e1c-79154c00-f4e7e5b5-fa136569-56055a82.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. thoracic scoliosis is noted. | history: <unk>f with cp, hypoxia // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p17841372/s55222310/8a89eb07-ba512287-e58a1d37-209604ae-26fe03f1.jpg | cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. linear opacity in the left lower lobe likely reflects subsegmental atelectasis or scarring. there are mild degenerative changes in the thoracic spine. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10868254/s53651158/174d8390-090bde31-c87db4ff-59aa5abd-742a0c3b.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left lower lobe pneumonia is less dense, improving over time. no pleural effusion or pneumothorax.severe bilateral apical thickening and likely calcified granulomas are unchanged from prior. chronic changes in the right base are again seen. | <unk> year old man with recurrent pneumonia // have infiltrates continued to resolve? |
MIMIC-CXR-JPG/2.0.0/files/p11586159/s55712885/363368e5-d70d849a-e5f69a85-93f61849-b3a50504.jpg | since prior, there has been increased reticular opacity involving the left hemithorax. the right lung is grossly clear. hilar prominence has not significantly changed, and is most pronounced on the left. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | <unk> year old man with hiv and meningitis, now with worsening tachycardia and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13237459/s54227757/d466f0a8-e5c30f78-e7f18a8c-fb63a900-87cac465.jpg | ett overall unchanged in position. progressive increased in bilateral, right worse than left parenchymal opacities concerning for worsening multifocal pneumonia: specifically, opacities in the right lung, left apex, and left lower lung. | <unk>-year-old man with bullous emphyema. intubated. hypotensive now. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10997073/s53529286/b742a5f2-ca492717-3c7b59f1-1efbabb3-e190a73f.jpg | prior right-sided central venous catheter is no longer visualized. severe cardiomegaly is again noted. there is no definite consolidation, large effusion or overt pulmonary edema. tortuosity of the thoracic aorta is again seen. | <unk>f with hypoxia, tachycardia // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16721536/s50131844/7aa6f59f-c65694f6-b7cfeb6a-b3134df9-eed89bf9.jpg | compared to the prior film, i doubt significant interval change. again seen is a moderate left effusion, with underlying collapse and/or consolidation. there is also minimal blunting at the right costophrenic angle consistent with a small right pleural effusion, very slightly larger. chf may be very slightly improved. | <unk> year old woman s/p l iliac thrombectomy // eval for pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p18139850/s54314784/1c708aa7-f83594e4-da0df4d0-1564d1be-c486201c.jpg | patient is post cabg with intact median sternotomy wires. the left chest wall pacer is stable in position since <unk>, with unchanged leads projecting to the region of the right atrium and right ventricle. minimal cardiomegaly is unchanged. the cardiomediastinal silhouette is otherwise unremarkable. no focal consolidation, pleural effusion, or pneumothorax. | <unk>f with pacemaker, chest pain and lightheadedness. evaluate pacemaker lead placement and for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18708688/s51738709/d6b050af-50330249-765f1182-6ffee65b-fe17ee1b.jpg | the heart size is mildly enlarged. the aorta is tortuous. the mediastinal contours otherwise unchanged. pulmonary vascularity is normal and the hila are unremarkable. lung volumes are low with bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is clearly noted. known diffuse osseous metastatic disease is better visualized on the previous ct. | hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p11681682/s59853433/be127e60-11c53826-757c1c05-d1af453c-bd2dae30.jpg | right-sided dual lumen central venous catheter and left-sided subclavian central venous catheter terminate in the low svc. lung volumes are low. this accentuates the size of the cardiac silhouette which appears mildly enlarged. mediastinal contours are grossly unchanged. crowding of the bronchovascular structures is noted without overt pulmonary edema. streaky opacities in the lung bases likely reflect atelectasis. no pleural effusion or pneumothorax is identified. "rugger <unk>" appearance of the thoracic spine is compatible with renal osteodystrophy. | history: <unk>m with dyspnea x <num> week, worsening // chf vs copd vs pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10710902/s51690328/f6ee8e1c-cb36bcb9-c84e23cd-f564df23-10a1fa7a.jpg | ap upright and lateral views of the chest provided. low lung volumes limits the evaluation. scattered areas of atelectasis noted without convincing signs of pneumonia or edema. mild hilar congestion difficult to exclude. the heart appears mildly enlarged. the aorta appears partially calcified and unfolded. no pneumothorax. a calcified granuloma projects over the right lung apex. chronic degenerative disease is noted at both shoulders, with humeral head deformities. no free air below the right hemidiaphragm is seen. | <unk>f with abd pain // eval for free air, structural process |
MIMIC-CXR-JPG/2.0.0/files/p10665897/s50196178/86f79923-f7cb3b44-666c7d7d-047dcd37-fff2fb04.jpg | ap portable supine view of the chest. there is a dialysis catheter in place with its tip in the low svc. the lungs appear grossly clear. no supine evidence for effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact. | <unk>f with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p18443532/s53622618/fe855b7d-a77c8584-efe811db-30451059-5eb85227.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk> year old woman with cough for <num> days, rhonci, more on the rll // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18433796/s55504274/216e7796-1244832d-8ef3429e-fe5415f7-f740e4cf.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p12855476/s57223871/a9e1cc9b-6e86f8ee-f15133b5-fc3959d0-d9f39b7f.jpg | tracheostomy tube and right picc line are appropriately positioned. cervical fusion hardware noted. there is increased airspace opacification at both bases. no large effusion or pneumothorax | <unk> year old woman with fevers, sputum, trach // ? aspiration pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13480812/s56097497/5d8a4f07-defd3ea2-fd845147-6fc6483d-509cf8db.jpg | there has been interval radiographic resolution of a large right midlung zone opacity. there is a small amount of residual fluid at the posterior aspect of the horizontal fissure, with mild adjacent atelectasis. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | evaluate for occult pneumonia, signs of immune reconstitutio |
MIMIC-CXR-JPG/2.0.0/files/p12082178/s52224557/1beedc55-70f4935c-ed3e9187-54300333-266e5cf9.jpg | there is a new left hilar mass or dilated pulmonary artery, which could be due to an acute pe. endotracheal tube terminates <num> cm above the carina. lung volumes are low. mild pulmonary vascular engorgement, particularly in the right lung, is present. | <unk> year old woman with sob poor respiratory drive. evaluate for cause. |
MIMIC-CXR-JPG/2.0.0/files/p14583397/s56437925/7fdf802e-9067de1e-6698cf2a-402439f4-e909e8f3.jpg | ap view of the chest. a left internal jugular central venous line ends in the upper-to-mid svc. there are no pleural effusions, focal consolidation or pneumothorax. the cardiomediastinal and hilar contours are normal. | line placement. |
MIMIC-CXR-JPG/2.0.0/files/p14995538/s58550427/b6b3a246-f57a487c-a16fcc37-34304262-f943110e.jpg | chest, ap and lateral. the lungs are clear. mild upper mediastinal enlargement is chronic. otherwise, the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p16739253/s56901981/53bc2686-d504030c-ae0b3518-3c2b47b6-cd238979.jpg | the previously seen right base opacity has cleared. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk> year old man with subacute shortness of breath, prior pna // assess for interval chg, ?e/o pna |
MIMIC-CXR-JPG/2.0.0/files/p15257559/s58899615/6d43dc79-2780a9a2-a21a3d0f-ba9f8f4c-a8c925ef.jpg | portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. | <unk>f with failure to thrive and leukocytosis // pneumonia, infection, malignancy |
MIMIC-CXR-JPG/2.0.0/files/p17244619/s50940656/bc5799a4-430d4d62-6cf7be66-6eec5439-28c94194.jpg | right-sided pacemaker device with lead terminating in the right ventricle is unchanged. the heart remains moderate to severely enlarged. aortic knob calcifications are re- demonstrated. there is mild pulmonary vascular engorgement, similar compared to the previous exam. no focal consolidation, pleural effusion or pneumothorax is identified. remote right-sided rib fracture is present. no acute osseous abnormalities are seen. clips are noted within the upper abdomen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17639856/s50010545/49231288-5285a56b-78d934cf-dddb54df-8c14b7a0.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. right ac joint arthropathy is partially imaged appearing quite severe. no free air below the right hemidiaphragm is seen. | history: <unk>m with chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p12351222/s57274879/08259aca-9f2fc0ad-14ce8327-c15d6c77-0ddab45b.jpg | there is new right chest tubes with the tip projecting near the medial mid lung. there is a small right apical and basilar pneumothorax. there is extensive subcutaneous emphysema along the right chest wall. the heart is not enlarged. widening of the mediastinum is likely postsurgical. there is likely a small right pleural effusion. there is a fracture of the apparent lateral right third rib. | <unk> year old woman s/p rul lobectomy // r/a in pacu |
MIMIC-CXR-JPG/2.0.0/files/p17470135/s51304426/9b993d40-40514412-7d45cc68-0c02a32a-08487701.jpg | left cardiac conduction device is contiguous with leads which terminate in the right atrium right ventricle. there is a fracture of the inferior-most sternal wire. severe cardiomegaly is unchanged. there is a focal opacity in the right midlung and right lung base. bilateral pleural effusions are small. severe degenerative change at the glenohumeral joints, bilaterally. no pneumothorax. | history: <unk>f with increased fatigue // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13817013/s52172750/18f1225d-2349fc2e-2d709b69-796ac76e-88561df1.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no overt pulmonary edema. there is no focal consolidation. there is s-shaped scoliosis of the thoracic spine. | <unk>-year-old man with chest pain, evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p16945691/s50294000/aec5ba2c-3175c36f-612ca03c-c7e23560-0497865b.jpg | there is severe cardiomegaly. the aorta is tortuous. the lungs are clear without focal consolidation. there is no elevated pulmonary vascular congestion, pulmonary edema, or pleural effusion. a left chest wall pacemaker is present, with leads terminating in the right atrium and right ventricle. surgical clips are noted overlying the upper abdomen. | history: <unk>f with cp // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p18062127/s52455765/bc50a5dd-a59455d3-373362d6-f7b5dd56-de83cde4.jpg | the lungs are clear. there is moderate cardiomegaly. otherwise, the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with chest pain. rule out pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14451001/s57842819/82a04fd5-f5925004-b5f28735-6f64c5dc-e423b768.jpg | pa and lateral chest radiograph <unk> at <time> is submitted. | <unk> year old man with hep c/etoh cirrhosis admitted w/ ftt, started tpn, hcap on cxr <unk> treated with vanc/cefepime -> cefepime, today w/ rising bilirubin. // ? pneumonia ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12116366/s55703748/d761d068-9fe63c83-183a5b3a-e1113045-bbcba1e6.jpg | there is mild diffuse prominence of interstitial markings and bibasilar lung vasculature. no lobar consolidation present. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | chest pain, dyspnea, evaluate for heart and lungs. |
MIMIC-CXR-JPG/2.0.0/files/p12426774/s59695404/4a9aeeac-2d33c588-15d84780-1f984eca-0432acf0.jpg | frontal and lateral chest radiographs demonstrate multiple sternotomy wires and a left subcutaneous icd with the lead in proper position, traveling along the left sternum within the subcutaneous tissues. there is mild unchanged cardiomegaly. the lungs are clear. chronic blunting of the right costophrenic angle is again seen. there is no pleural effusion or pneumothorax. | status post subcutaneous icd implant. evaluate position of subcutaneous icd lead. |
MIMIC-CXR-JPG/2.0.0/files/p11633635/s52778523/4c5048f0-7df1a533-1f3d84dc-b95dec1b-fa1e7a5b.jpg | no focal consolidation is seen. subcentimeter rounded calcification projecting over the right lower hemithorax may represent a calcified granuloma. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with chest pain, sob // ? effusion |
MIMIC-CXR-JPG/2.0.0/files/p12101085/s55088746/25aac78a-5301267a-5e7d546f-b5e80639-a6b63373.jpg | left picc tip terminates in the lower svc. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. clips are noted in the right upper quadrant of the abdomen. | <unk>-year-old female who with past medical history of psc and recent cholangitis presents emergency room for evaluation of a fever <num> despite treatment with meropenum. // evaluate picc line placement. |
MIMIC-CXR-JPG/2.0.0/files/p13904986/s52711117/3de0f111-5f1bf153-666ed887-bb768410-990fe032.jpg | heart size is mildly enlarged, mildly increased from the previous study. mediastinal and hilar contours are normal. pulmonary vasculature is normal in the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. | <unk> year old woman with progressive shortness of breath in setting of anemia and hypothyroidism |
MIMIC-CXR-JPG/2.0.0/files/p13049897/s54157365/fe2eea28-40553306-6cd5795a-fff836f1-5ef9bdbc.jpg | heart size and cardiomediastinal contours are normal, allowing for patient rotation. lung volumes are low with minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. | <unk> year old woman with chest pain, palpitations. // assess for intrapulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p13725781/s55021495/950444b3-6aa92049-536bb1f9-6fbb1fee-cc23ad66.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. lower lung volumes seen on the current exam. there is no large confluent consolidation or pneumothorax. there are bibasilar opacities and crowding of the pulmonary vascular markings which are mildly instinct which could be due to low lung volumes. cardiomediastinal silhouette is within normal limits, noting calcifications of the aortic arch. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with head injury status post unwitnessed fall and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18523789/s50648863/8cb59c09-5ce4071a-550bb44c-81e37845-53e02935.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16146005/s58032891/cb2277b2-c68f848f-ca38bfdb-24044c9f-c7ade06f.jpg | frontal and lateral views of the chest were performed. blunting of the left costophrenic angle, most pronounced posteriorly, is again seen. there is no right pleural effusion. there is no pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unchanged. a rounded density projecting over the right lower lung is unchanged from <unk>. old right rib fractures are noted. sternotomy wires, mediastinal clips and a valve prosthesis are unchanged. | chest pain, evaluate for an acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18657029/s58984640/f84b781a-0cfca32f-19d41e83-7f9e8131-438952b1.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. | history of chest pain. please evaluate for acute pathology. |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s58782385/bbf82ae7-c4a738b3-0ca9df23-2a30f501-347a4508.jpg | left subclavian and axillary stents are unchanged. clips in the right axilla are demonstrated. coarse breast calcifications project over the right upper and mid hemi thorax as before. the cardiomediastinal and hilar contours are stable. subtle bilateral pulmonary opacities are consistent with mild pulmonary edema, minimally increased from the prior examination. there is a small right pleural effusion. no pneumothorax. scarring at the right apex is stable. | <unk> year old woman with pulm edema // resp distrses |
MIMIC-CXR-JPG/2.0.0/files/p13658570/s56063816/8a5ea5c6-89d58335-96e58bf9-4b804fbb-abc11925.jpg | the lungs are clear. there is no consolidation, effusion, or edema. aortic valve replacement is again seen as well as a left chest wall dual lead pacing device. no acute osseous abnormalities. | <unk>f with recent tavr/pacer now with right sided chest pain. // pneumonia, cardiomegaly? |
MIMIC-CXR-JPG/2.0.0/files/p15897099/s53580529/b0111fa6-68ac0b6f-3a2f6872-c08a3501-3bbbe74a.jpg | there is apparent enlargement of the cardiac silhouette likely in part due to pectus deformity seen on prior film. tortuosity of the thoracic aorta is again noted. surgical clips project over the right paratracheal region and there is associated right hemithorax volume loss. there are also surgical clips projecting over the left lung base, potentially within the overlying soft tissues. lungs are clear without consolidation or edema. no acute osseous abnormality. | <unk> year old woman with dyspnea // pneumonia, atelectasis, chf, pe? |
MIMIC-CXR-JPG/2.0.0/files/p12110466/s50221524/836506fa-adca822e-937bba86-8c5b39fd-88af51a9.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. the lungs are clear. no pleural effusion or pneumothorax. | fevers and leukocytosis, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14190122/s55812627/83f76be9-de6b14c8-5588141a-8b926479-ae6d50cd.jpg | right basilar opacity persists compared to previous chest radiographs this is consistent with small layering pleural effusion and is unchanged. the left costophrenic angle remains blunted, which is consistent with previous history of left decortication. otherwise, no focal consolidation, pulmonary edema, or pneumothorax is seen. the cardiomediastinal contours are unchanged. median sternal wires are unchanged, and no bony abnormality is noted. | <unk>-year-old male with pleural effusion, evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p16078289/s55924518/158d3c6f-5980c94a-ca3935c1-343690e5-b3c2c264.jpg | the cardiomediastinal silhouette is unchanged with moderate cardiomegaly, a calcified aortic knob, and postsurgical changes status post median sternotomy and aortic valve replacement. the hilar contours are unchanged with evidence suggestive of vascular congestion. bibasilar atelectasis is again seen and unchanged from <unk> study. surgical clips are again seen in the right upper lobe and remain unchanged in position from previous studies. | <unk> year old woman with upcoming v/q scan // interval change |
MIMIC-CXR-JPG/2.0.0/files/p13199702/s58464910/7322022f-6dab9c44-7fc0dd7a-c8673d93-af1c77f0.jpg | frontal and lateral radiographs of the chest show a moderate-sized right basal pneumothorax with slight leftward shift of the mediastinal structures and associated collapse of the right middle lobe and right lower lobe. suture chains are noted in the left lung base consistent with prior surgery. the lungs appear hyperinflated with flattening of the diaphragms and increased ap diameter of the chest suggesting underlying copd/emphysema. small bilateral pleural effusions are present. no focal consolidation concerning for pneumonia is detected. the pulmonary vasculature is not engorged and no pulmonary edema is seen. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. | <unk>-year-old male with possible right pneumothorax, here to evaluate for pneumothorax and complications. |
MIMIC-CXR-JPG/2.0.0/files/p11366266/s54131170/0adaa381-12b282ef-373216e6-282d621d-0cc9e24a.jpg | heart size is exaggerated by low lung volumes and ap technique. there is no focal consolidation or pneumothorax. no pulmonary vascular engorgement or edema. trace bilateral pleural effusions. small left retrocardiac opacity is most consistent with atelectasis. mediastinal and hilar contours are normal. moderate calcification of the aortic knob. multiple dilated loops of bowel suggest ileus, though the bowel is incompletely evaluated on this study. | <unk> year old woman with peritonitis, preop cxr // preop cxr surg: <unk> (<unk>'s ) |
MIMIC-CXR-JPG/2.0.0/files/p15140537/s50939016/e85949d7-d68cb958-e135f7a1-4a5d9c5e-46ea73e5.jpg | the lungs are hyperinflated. there is no focal opacity to suggest pneumonia. there is no pleural effusion. the cardiomediastinal and hilar contours are unremarkable. stable mild cardiomegaly. there is no pleural effusion or pneumothorax. | <unk>-year-old female with right arm numbness. |
MIMIC-CXR-JPG/2.0.0/files/p19792993/s58146785/08930278-22b3eb6d-873c1828-77b569bd-6225a3a0.jpg | a left pectoral dual-chamber pacemaker has been placed with dual leads terminating in the right atrium and right ventricle. the right ventricular lead is oriented superiorly with the tip projecting towards the free wall of the right ventricle. the course of the leads is unremarkable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. | status post dual-chamber pacemaker placement, here to evaluate repositioning. |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s53196247/f347ab4d-06fd30a0-bb31087b-2f7b1374-dd6e3dc3.jpg | there is now moderate to severe alveolar pulmonary edema, worse compared to the prior cxr on <unk>. there are no large pleural effusions or pneumothorax. no evidence of pneumonia. cardiomediastinal silhouette is unchanged. surgical clips are again noted in the right axilla, and right hemidiaphragm. | <unk> yo woman with a pmh of cad with mi x <unk> s/p bms, schf (ef <unk>%), hld, breast ca s/p radiation/hormone therapy, and ckd on hd who presents with productive cough and fevers. // please assess for pulmonary edema/evidence of volume overload. |
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