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MIMIC-CXR-JPG/2.0.0/files/p16359268/s53091796/e90d7771-93c79cb8-4352b88d-06f8fc8a-6c209a9f.jpg | dual lead pacemaker in similar position in the right atrium and right ventricle. atherosclerotic coronary calcification is heavy. no pneumonia or pulmonary edema. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is mildly enlarged. multiple healing rib fractures on the right. | <unk> year old man with pacemaker for mri. // please evaluate pacemaker, postion and lead integirty. |
MIMIC-CXR-JPG/2.0.0/files/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg | pa and lateral views of the chest. the dual-chamber transvenous pacemaker leads are in the appropriate position in the right atrium and right ventricle. no pneumothorax, mediastinal widening or evidence of hemothorax. no pleural effusion. mild cardiomegaly stable. left mild basilar atelectasis. no evidence of pneumonia. | dual-chamber pacemaker placement. evaluate lead position. |
MIMIC-CXR-JPG/2.0.0/files/p18103381/s52914199/ab8abaf8-f467db53-121e0f4a-4d7380c7-cd74c728.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with hx of ms on prednisone p/w fatigue // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14588669/s52593427/071da97e-78805967-bd4348f6-b8f8082f-185875db.jpg | lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. scarring is seen at the right lung base. the heart is mildly enlarged. the mediastinal and hilar structures are unremarkable. there is no displaced rib fractures seen. sternotomy wires and cabg clips are present. a coronary artery stent is noted. | mvc with rib pain on the left. |
MIMIC-CXR-JPG/2.0.0/files/p16775289/s59459440/cca28852-994e04b8-e034949b-6f0c92b7-4e142ff4.jpg | pa and lateral chest radiographs. left-sided picc tip is in the mid svc. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | fever for two days. |
MIMIC-CXR-JPG/2.0.0/files/p15438873/s50373369/ac24609e-52b47dc0-e8c47f7d-f435c1c9-b26e1263.jpg | the patient is rotated, and part perhaps related to dextroconvex curvature of the thoracic spine. the lungs are well-expanded a essentially clear. no focal consolidation, overt edema, effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. no acute osseous abnormality. | history: <unk>f with sob // eval for infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p14494079/s52812814/78ba0da2-cca2ee61-11d319b0-bf46a0e5-77154c93.jpg | heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. scarring within the lung apices is present. <num> mm nodular focus within the right apex is noted. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is not engorged. the osseous structures are diffusely tomorrow demineralized with moderate diffuse degenerative changes noted throughout the thoracic spine. | history: <unk>f with fever and cough. no history of pulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p18056245/s57047830/0f971be5-4359629d-5b30158f-520d6211-be80fab2.jpg | there is pulmonary vascular congestion. there is no effusion. cardiac silhouette is enlarged, similar compared to prior. no acute osseous abnormalities identified. | <unk>f with noncompliance of diuretics, wheezing // evaluate for fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p19598719/s53668236/06298dfe-be1e55f4-9eb84038-b6f2e28c-a051d201.jpg | heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified. | history: <unk>f with fever, cough // evaluate for pneumonia, acute process |
MIMIC-CXR-JPG/2.0.0/files/p15220389/s55342334/f5407a98-6ab74071-60730e93-bc1300bd-308ff89a.jpg | ap portable upright view of the chest. a right-sided port-a-cath terminates at the lower svc. the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. right humeral fixation hardware is incompletely imaged. | <unk> year old woman with metastatic osteosarcoma // r/o asipration |
MIMIC-CXR-JPG/2.0.0/files/p15233042/s51968075/edba0149-616074c9-e7175b10-f983ee8d-5271e6e5.jpg | ap and lateral chest radiographs were provided. the lungs are well expanded. there is prominence of interstitial markings and of the pulmonary vasculature consistent with pulmonary edema. there is no pleural effusion, focal consolidation, or pneumothorax. the patient has had a prior sternotomy and broken sternotomy wires are unchanged. the bones are intact. the heart is enlarged. | history of dyspnea. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15388837/s53770919/f14e3170-6e27eca6-4fd60951-47f3c91e-2ac49428.jpg | ap and lateral radiograph of the chest demonstrates hyperinflated lungs with flattening of the diaphragms. cardiac silhouette is markedly enlarged due to large pericardial effusion better seen on same day ct. there is no large right pleural effusion. scarring at the lung apices noted. | <unk>-year-old female with shortness of breath and pericardial effusions. |
MIMIC-CXR-JPG/2.0.0/files/p13766439/s59726534/15972ceb-f66a17e5-48156ad8-fd0ee1ad-a367f290.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough, congestion. |
MIMIC-CXR-JPG/2.0.0/files/p10928558/s52995907/4167e5b7-d4136ebf-2e86b089-fd6aae08-66cc4893.jpg | the patient is status post median sternotomy and cabg. heart size remains mildly enlarged, unchanged. moderate size hiatal hernia is re- demonstrated. aortic knob calcifications are present. the mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. linear opacities in both lung bases likely reflect subsegmental atelectasis. minimal blunting of the left costophrenic sulcus suggests a trace left pleural effusion. no pneumothorax is identified. | coronary artery disease, vascular dementia with mechanical fall. |
MIMIC-CXR-JPG/2.0.0/files/p18818535/s51581908/4007a0dc-6d0542a4-d46c11b4-d050a446-fa5baf27.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with ams // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14196009/s56898601/a8c24570-e1cb7764-80aa9cc1-7eec97d1-bba722fd.jpg | heart size is normal. the aorta remains tortuous. mediastinal and hilar contours are otherwise unremarkable and stable. pulmonary vasculature is normal. moderate size right pleural effusion is increased compared to the prior exam. there is associated right lower lobe opacity which likely reflects compressive atelectasis though infection cannot be completely excluded. left lung is clear. no pneumothorax is identified. there are no acute osseous abnormalities. | liver failure, change in mental status, cough. |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s50917281/0b62cc67-3321d4a7-4c76e36d-1f66cc18-9731c42a.jpg | there is mild vascular congestion consistent with pulmonary edema, unchanged from previous examination. slight blunting of the bilateral costophrenic angles suggest small bilateral pleural effusions. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged from previous examination. there is no evidence of focal consolidation. surgical clips and calcifications overlie the right upper chest. there is a vascular stent overlying left upper chest. | history: <unk>f with cough and fever // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16712364/s52790262/9ff460c4-570cf399-67aed14b-aa6db555-a50e54a2.jpg | a single semi-upright portable radiograph of the chest was acquired. lung volumes are slightly low, decreased compared to the prior study. left retrocardiac consolidative opacification and right lower lung patchy opacities are increased compared to the prior study, possibly secondary to atelectasis, although an infectious process could have a similar appearance. mild perihilar fullness is suggestive of mild vascular congestion. the heart size is at the upper limits of normal size. the mediastinal contours are normal. small bilateral pleural effusions are suspected. there is no pneumothorax. | fever and hypoxia. evaluate for fluid overload and/or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15062911/s58398566/aa6be5ba-e2c1b00e-395397df-db2836d2-ee659d51.jpg | single portable view of the chest. right picc line seen with tip in the mid to distal svc. dobbhoff tube is seen off the inferior field of view. there is increased opacity projecting over the left upper lung compatible with previously identified hematoma. there are small bilateral effusions . the no definite pneumothorax is identified. the cardiomediastinal silhouette is unchanged. | <unk>-year-old male status post bentall. |
MIMIC-CXR-JPG/2.0.0/files/p14672542/s54994296/b1451756-3cc83581-688121a8-f0d1f619-c4c04a86.jpg | no focal consolidation, pneumothorax, pleural effusion or pulmonary edema is seen. vascular pattern suggests emphysema. heart and mediastinal contours are within normal limits. there is mild anterior wedging of a lower thoracic vertebral body. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11270948/s53270819/b0b46665-e6ace91a-c4e61a87-a715ae09-70beb0b9.jpg | patient is rotated to the right. there is minimal basilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with tachycardia // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p11499016/s56813215/058a0fb7-ffd9f7c2-5348e91b-a1520e1a-92f4ea5c.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | cough and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15657772/s53288340/2fa708e5-d45bb355-fba9a645-b0b75b95-06130b7b.jpg | the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion. no pneumothorax is demonstrated. the lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17585916/s53939818/38d17836-6555250d-9a2d1b48-8b01dd94-beb28d5d.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old man with ?aspir pna , s/p ett. <unk> year old man with ?aspir pna , s/p ett. now on ra pls perform <unk> am // <unk> year old man with ?aspir pna , s/p ett. now on ra pls eval pna perform <unk> am <unk> year old man with ?aspir pna , s/p ett. now on ra pls ev |
MIMIC-CXR-JPG/2.0.0/files/p16472240/s55156927/56fb6dca-8fd06d59-b09deeb1-2063d05f-a27dd9af.jpg | right lower lobe opacity is increased since <unk> but similar compared with ct <unk>. no pneumothorax identified. linear atelectasis is noted at the left base. cardiomegaly is mild. | right lower lobe bronchoscopy with biopsy. |
MIMIC-CXR-JPG/2.0.0/files/p15980434/s52106366/5360c781-a22df85c-6b22531c-a7b88fc0-aefef230.jpg | mild cardiomegaly and aortic tortuosity are unchanged. there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. there is no significant change from <unk>. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10496352/s55960592/9f38faf4-1dbb6a4f-4de8e785-a2ca4651-ed629b58.jpg | there are low lung volumes bilaterally. there is a chest port with tip located in the lower svc as previously noted and unchanged from previous. cardiac and hilar contours are unchanged. there is no focal consolidation. there is no pneumothorax or pleural effusion. | <unk> year old woman with hx of severe asthma, s/p bronchothermoplasty // r/o pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17908760/s50045535/b09f4264-33034db1-eb43f168-5f9689e4-a920d2b5.jpg | single frontal view of the chest. <num> right pleural tubes terminate in the right lung apex. there is persistent near complete opacification of the right hemithorax with slight rightward shift of mediastinal structures, suggesting right lung atelectasis with likely coexisting effusion. these changes are superimposed on re-expansion edema and residual consolidation. small left pleural effusion persists. widespread nodular pulmonary metastases are similar to prior. | metastatic ivc liposarcoma status post right hemothorax evacuation. |
MIMIC-CXR-JPG/2.0.0/files/p15813307/s53658057/c093a831-0e2b4176-c99bf9bd-e22a5a08-89da30f5.jpg | left-sided prepectoral dual lead pacemaker in situ in the right atrium and right ventricle. evidence of previous cabg. no pneumothorax. interval improvement in pulmonary vascular congestion. no pulmonary edema. small peripheral granuloma in the right mid lung zone is unchanged compared to prior imaging done <unk>. no new airspace consolidation. | <unk> year old man s/p dual chamber pm implantation // check for lead position and pnx |
MIMIC-CXR-JPG/2.0.0/files/p12684822/s59082818/fd25acd1-e8a506cd-66605d46-35c2322c-11b17d31.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 lightheadedness for <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p14789176/s51143872/2ea074f3-cb1f95d2-4f768c08-61dc891a-0b977009.jpg | the lungs are well inflated with mild vascular congestion. new heterogeneous right lower lobe opacity. left lung is clear. no pleural effusion or pneumothorax. heart is top-normal in size, unchanged since prior. mediastinal contour, and hila are unremarkable. replaced aortic valve is unchanged in position since the prior examination. | <unk>f with asthma bipap, shortness of breath. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14435000/s51121774/64e495ae-af4c59fb-1e912b6f-07218295-86c9f3be.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 chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13575070/s51875592/dc6fe3ec-3339edfa-4b0679fa-e25d8a74-a692820c.jpg | the cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. pulmonary vascularity is normal. the lungs are clear. there is hyperinflation of lungs with flattening of the diaphragms which may suggest underlying copd. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17204484/s55110550/3d689d8a-f5f83a25-e841a340-e2d79803-f7782092.jpg | no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits. | <unk> year old woman with diverticulitis, plan for or tomorrow // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p13496616/s54509570/cfbea0be-bdec8f98-8f847157-aa29aa9e-0087da1e.jpg | right picc line is in the mid to low svc. enteric tube terminates in the stomach. moderate right and small left pleural effusions with bibasal opacities. no interstitial edema. calcified mass projecting over the left hemithorax peripherally measuring <unk>.<num> x <num> cm is a calcified pleural plaque. there also calcified diaphragmatic and mediastinal calcified pleural plaques. a possible pneumothorax is seen lateral to this large calcified pleural plaque. | <unk> year old man with recent af ablation, p/w tachyarrhytmia, report of aspiration at osh. // ? aspiration, consolidation, also please eval osh picc placement |
MIMIC-CXR-JPG/2.0.0/files/p14639822/s51909460/b037ff7b-f78e79a0-29585a3f-99ad6294-0d09c2a8.jpg | there is no focal consolidation. there is no pneumothorax or pleural effusion. the heart size is normal. the mediastinal and hilar contours are normal. | status post mvc with left chest wall tenderness. |
MIMIC-CXR-JPG/2.0.0/files/p19732617/s59937161/8f36e0d8-2b73e3c5-783985a1-185657eb-3997904b.jpg | since the prior radiograph performed at <unk> min earlier, of the left-sided pigtail catheter has been removed. the right-sided pigtail catheter is unchanged in position. additionally, the dobbhoff tube has been advanced and now terminates in the proximal stomach. again noted is mild atelectasis at the right lung base. there is no pulmonary edema or evidence of pneumothorax. | <unk> year old man with l chest pigtail removal // l pigtail removal |
MIMIC-CXR-JPG/2.0.0/files/p14967810/s55842494/98dd9fb1-c000e47a-64bd16b0-0998b7d2-bf4198d6.jpg | single portable frontal chest radiograph demonstrates grossly clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | hypertension. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13299566/s50747523/2b253e0d-0290a440-401ac803-fd887e03-8c2375fa.jpg | compared to the prior study there is no significant interval change. again seen is bilateral upper lobe bronchiectasis and scarring there is no new infiltrate the right-sided port-a-cath is unchanged | <unk> year old woman with hypotension, concern for infection // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19358058/s57710940/ec3d4716-48bbd736-1539f844-d64c7906-adebda70.jpg | the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a right internal jugular central venous catheter ends in the low svc. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. bibasilar atelectasis, left greater than right, is slightly increased. lung volumes are low. mild enlargement of the cardiac silhouette is not significantly changed. small pleural effusions are not excluded. there is no pneumothorax. | altered mental status, intubated. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16560053/s59887761/060731dd-58d124d5-e567e731-9e2b090c-1df79ae9.jpg | as compared to prior chest radiograph from <unk>, the right apical pneumothorax has improved. the distance between the right apical pleura and second rib is <num> cm. mediastinal structures are midline. there is mild pulmonary edema. small bilateral pleural effusions remain unchanged. opacities at lung bases are most readily explained by atelectasis. however, early pneumonia cannot be excluded. | <unk>-year-old male patient with pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18262854/s58549592/094f091e-5af135ee-d5fb3c29-a51137c4-bb319a7b.jpg | the inferior aspect of the left hemithorax is not fully included on the image. given this, small bilateral pleural effusions are difficult to exclude, as is left basilar atelectasis. the cardiac silhouette is mildly enlarged and not fully imaged. the mediastinal contours are stable. no evidence of pneumothorax is seen. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11819641/s53752314/62a3c12a-72768ac2-0aa775b1-c10bb579-e84427bc.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16778367/s53707216/5241f3be-b550d83f-64210ab5-c20cba7b-0a2ef136.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with first time seizure, cough // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p18132130/s52972445/4001c1fb-7843d9ed-bcbe3e5a-a21ab1cf-987fb1ab.jpg | there is prominence of the pulmonary vasculature, suggestive of mild pulmonary edema. small amount of fluid is noted in the right minor fissure. bibasilar opacities are noted and likely representative of atelectasis. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19596467/s58553372/0db19fca-73058b34-7fba8375-c50c923d-425cf448.jpg | frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, consolidation, or pleural effusion. incidental note is made of mild cervical scoliosis. | <unk>-year-old female with recent upper respiratory infection and fever, now with worsening cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16963901/s58432478/3c3e9e38-9a0f7a80-10cf9ce1-2e24ba26-27f1c00c.jpg | well-inflated lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. | <unk>-year-old female with dyspnea and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12332171/s58578252/64e619a9-03829f26-6f030806-8da284ce-f1dd9d99.jpg | assessment is limited due to patient positioning. mild to moderate cardiomegaly is re- demonstrated. mediastinal and hilar contours are grossly unremarkable. no pulmonary edema is demonstrated. patchy opacity in the retrocardiac region may reflect atelectasis. infection is not excluded. a small left pleural effusion is likely present. the right lung is grossly clear. no pneumothorax is identified. no acute osseous abnormalities detected. | history: <unk>f with acute hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p18869142/s59665404/7541e839-828347f1-c5f51f46-c1df2af4-07c1c2bf.jpg | a streaky right mid lung opacity has increased, but suggests shifting morphology of pre-existing atelectasis or scarring. the lateral view shows that streaky opacities refer to the anterior chest, probably in the right middle lobe. the moderate relative elevation of the right hemidiaphragm appears unchanged. there is no pleural effusion or pneumothorax. a mild wedge compression deformity along a lower thoracic vertebral body appears unchanged. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16921511/s58806613/c57396a8-baf1ca77-c91314d1-997276bd-5c30c797.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with perforated viscus, sepsis // pls eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p14886080/s55932243/1ed5db18-5637b7ed-81aa337b-3c35e5b0-8f9c7108.jpg | lung volumes are unchanged compared to the prior study. a pigtail catheters seen at the right lung base with a small right apical pleural effusion. there is persistent airspace opacity in the right upper lobe. small left pleural effusion. the left lung otherwise appears clear. a left-sided picc terminates in the proximal svc. a nasogastric tube terminates in the stomach. | <unk> year old man with r pleural effusion, s/p r chest tube, c/b ptx // any interval change in r pleural effusion or r pneumothorax? any focal consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p14134178/s50452075/73947251-b0b117c5-bf355a16-63671aed-4a0bce59.jpg | new opacity in the right lower lobe is homogenous. in the absence of a lateral, can be a combination of pleural effusion and consolidation, versus involving the chest wall given recent surgery. no pulmonary edema. small pleural effusions. cardiomediastinal contours are unchanged. no pneumothorax. | <unk> year old woman s/p l<num>-<num> lami, removal of neoplasm, l<num>-s<num> psf <unk>, now with fever to <num>, pre-op had stable pleural effusion. // r/o infectious process, and pl effusion |
MIMIC-CXR-JPG/2.0.0/files/p19958323/s52517623/97d2bd48-4c000f5c-fbf12147-4a67292b-d5775d2b.jpg | pa and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18001760/s54688173/656830f7-197b2c63-b34de021-aaf07922-4b1c4c0c.jpg | there is moderate enlargement of the cardiac silhouette, increased since <unk>. there is pulmonary vascular congestion without overt edema or effusion. no acute osseous abnormalities. | <unk>m with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p12043836/s59748251/ab7357a0-99708913-d8387271-366bddd0-905c5f1f.jpg | compared to prior exam, there has been no significant interval change. moderate cardiomegaly and pulmonary vascular congestion persist. no focal consolidation is detected on this single view. there may be trace right pleural effusion. no pneumothorax is detected. | <unk>-year-old male with lactic acidosis, severe mitral regurgitation, and tachypnea. |
MIMIC-CXR-JPG/2.0.0/files/p12840146/s56194787/0e9b2b7c-9d08cbce-afd114b9-5661b0d9-4175cd5c.jpg | the lungs are clear besides minimal right basilar atelectasis. there is eventration of the right hemidiaphragm. the cardiomediastinal silhouette is within normal limits. suspected small hiatal hernia is noted. no acute osseous abnormalities. | <unk>f with multiple falls // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15378450/s50705323/6c60904c-8d22bda0-5b35c32b-ac03bf91-2574a78d.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is crowding of vessels and possible mild bronchial wall thickening in the right lung base. | altered mental status and hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p14773318/s58506976/04a5d3e5-04f36082-e5f8809e-5e24e1ba-9bf81ec2.jpg | compared to the most recent prior examination, no significant changes are appreciated. since <unk>:<num> <unk>, there has been interval intubation with re-expansion of the right middle and lower lobes. trace fssural fluid is present. left lower lobe atelectasis and small left pleural effusion are unchanged. | <unk> year old woman with sdh and hip fx and recent rml/rll collapse requiring intubation // interval change |
MIMIC-CXR-JPG/2.0.0/files/p19373341/s53546415/541d98d0-d6cae948-521f1099-c35b8c30-b60f685e.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11106524/s59968261/5e76b625-9b08d339-34bc899b-bae988eb-927b3c2a.jpg | heart size is normal. mediastinal and hilar contours are normal. pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. amorphous calcification adjacent to the left humeral head likely reflects calcific tendinopathy. | hypotension and lightheadedness. |
MIMIC-CXR-JPG/2.0.0/files/p10836444/s55601181/667eeda2-abc47db1-42055696-46f13e69-01f1a0bf.jpg | normal heart, lungs, hila, mediastinum, and pleural surfaces. | <unk> year old man with recent influenza and cough s/p ivfs // eval for e/o of pna |
MIMIC-CXR-JPG/2.0.0/files/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg | the patient has had a prior left lower lobectomy. since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm. central adenopathy in the left hilus and adjacent mediastinum has also progressed. the right lung is clear. cardiomediastinal silhouette is unchanged. | worsening confusion, history of lung cancer, rule out bleed or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12680418/s50620591/7cf0d9ba-73f3ccbc-989d37dc-883c61c9-aec43b4b.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. no free air is identified. | epigastric pain, nausea and vomiting. history of gastric bypass. |
MIMIC-CXR-JPG/2.0.0/files/p14702963/s53997822/7eaf2b21-449a8c53-50b7658f-6a40fc72-9ece0543.jpg | pa and lateral views of the chest provided. the lungs are hyperinflated though appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with c/o sob x <num> days with hx asthma // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p19042464/s55374071/85270e81-c93939a9-edf4d81a-d0be8579-33a9c0b9.jpg | there is a right pectoral cardiac device with its leads in stable position projecting over the right atrium, right ventricle and left ventricle. the cardiac silhouette continues to be enlarged, and there is a left retrocardiac opacity, reflecting atelectasis and/or pleural effusion. lower lobe opacities reflect worsening edema. there are surgical clips along the right neck. | <unk>-year-old male with icd dysfunction. please evaluate lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p16723213/s59561810/05b35ee2-ea422fa9-4bae6295-7ab6bfc0-62d2eaa1.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. | evaluation, with a history of ppd. |
MIMIC-CXR-JPG/2.0.0/files/p17469778/s52641052/ec9554ea-1fcb34fa-35ed22ca-20b6932c-fa9c690f.jpg | compared to the prior study there is no significant interval change. | cardiac arrest, aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p12051380/s56677639/f250151c-01a2d017-bbb0c2bf-07f8ab4d-df4206c7.jpg | moderate right-sided pleural effusion with associated volume loss is new compared to prior. the lungs are otherwise clear. the hila and pulmonary vasculature are normal. no left-sided pleural effusions. no pneumothorax. the cardiomediastinal silhouette is normal and unchanged. | <unk> year old man with inclusion body myositis, several days of weakness and sob, rt chest dullness, some rt chest pain. // ?lung abnormality, effusion? |
MIMIC-CXR-JPG/2.0.0/files/p19333013/s56435681/6e40b89e-a2857246-28570f37-96c6c9fd-74dc67b5.jpg | cardiac silhouette size remains mildly enlarged. the aorta remains tortuous. the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. the lungs are clear. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are seen in the thoracic spine. clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen. | history: <unk>f with tachycardia, new af // evaluate for cardiomegaly, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p11863782/s53159698/d8fde21f-2f20829f-8a300404-05f24314-57777aee.jpg | there is hyperinflation, consistent with copd. the cardiomediastinal silhouette is unchanged. heart size is at the upper limits of normal or slightly enlarged. aorta is unfolded. no chf, focal consolidation, pleural effusion or pneumothorax is detected. minimal blunting of the left costophrenic angle posteriorly is unchanged. bibasilar atelectasis is present. mild elevation and/or eventration of the right hemidiaphragm is unchanged. apparent focal synostosis between the right fifth and sixth posterior ribs is unchanged. degenerative changes about both shoulders noted. | history: <unk>m with cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11817840/s59931528/767f98cc-4cdbfcf1-d4d1176f-3e80b05b-ec74b7b8.jpg | single portable view of the chest. endotracheal tube tip is approximately <num> cm from the carina. enteric tube is seen within the esophagus however folded in the region of the lower esophagus and extends with its tip overlying the pharynx. increased interstitial markings seen throughout the lungs and streaky right basilar opacities identified. cardiomediastinal silhouettes within normal limits for technique. | <unk>f with intubated // eval tube |
MIMIC-CXR-JPG/2.0.0/files/p15019558/s56311921/ae91694b-7ea0c26e-a9de3f7e-48329884-0326646f.jpg | frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | persistent cough. |
MIMIC-CXR-JPG/2.0.0/files/p11292481/s53533995/c20164b1-b573d751-0cf6b8c6-6ea76806-8e708114.jpg | again seen is a small right apical pneumothorax. note is made of acute displaced right posterior third and fourth rib fractures, better characterized by the ct performed on the previous day. no new fractures are identified. heart size is normal. the hilar and mediastinal contours are normal. note is made of mild bibasilar atelectasis, otherwise the lungs are clear. there is a small right pleural effusion. | history of small pneumothorax, rib fractures. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p15378749/s53862875/c3c34dc0-5b4ec0d2-c4d12153-6a02aa21-a150fe83.jpg | the heart is normal in size. the mediastinal and hilar contours appear stable. the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable. there has been no significant change. | fever and hiv. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16504709/s51089422/bae353d5-41848615-19c549e7-e8268f78-effd163f.jpg | the heart is mild to moderately enlarged. the mediastinal and hilar contours are unremarkable aside from mild unfolding of the descending thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear. | fever and tachycardia. confusion. |
MIMIC-CXR-JPG/2.0.0/files/p13198542/s57463031/cc3cc84f-98aa088f-aecf3935-e1ab794d-1c1d233d.jpg | that right subclavian pheresis catheter is noted with the catheter tip at the proximal right atrium. no other central lines are identified. the lung volumes are low and exaggerated pulmonary vascular markings. mild left basilar atelectasis/scarring persists; otherwise the lungs are clear. heart size remains top normal. | central access issues, evaluation for line placement. |
MIMIC-CXR-JPG/2.0.0/files/p19020115/s55738699/e8aeccb3-ec7390df-a1759b19-2eb15283-03f7c895.jpg | nasogastric tube tip terminates within the stomach. cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal patchy atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumo is detected. no acute osseous abnormality is identified. | history: <unk>m with ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p19840732/s58791803/a424fc43-96f3e8ef-34323d26-38a8ad6b-13998689.jpg | there is worsening opacity in the right upper lobe abutting the minor fissure. left lower lobe opacification is also worsened. there is a background of developing mild pulmonary edema bilaterally. small left pleural effusion is slightly larger. mild cardiomegaly is not appreciably changed. right central venous catheter terminates in the mid to low svc. | acute respiratory failure likely secondary to pneumonia. interval monitoring. |
MIMIC-CXR-JPG/2.0.0/files/p13917228/s54038796/857d3c82-c2387275-48ba6c02-8d7673ef-42053350.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free intraperitoneal air is identified below the hemidiaphragms. | nausea and vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p18749963/s56013301/a884f89a-f5cc09f8-cd8eb41f-a6bd8e6a-2891005e.jpg | pa and lateral views of the chest provided. there is chronic elevation of the right hemidiaphragm. there is blunting of the right cp angle which likely indicates a small right pleural effusion. subtle opacities in the lower lungs may represent atelectasis, less likely pneumonia. the upper lungs appear well aerated. the heart is top-normal in size. the mediastinal contour is stable and normal. the hila appear mildly congested. no acute osseous abnormality. | <unk>m with cough sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18907960/s53121682/b155e8c1-ff771975-cabb08aa-4dc2fabf-ea47ae19.jpg | pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. calcified right mid lung nodule is likely a granuloma. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected. surgical clips project over the mid upper abdomen. | <unk>-year-old female with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p12555865/s51682149/9e2daaac-60aca2a3-88cf277d-d1585155-55f01d76.jpg | endotracheal tube tip in good position. enteric tube tip in the distal stomach. central line tip low svc. minimal interstitial prominence left lower lung. | <unk> year old woman with sah // new ogt |
MIMIC-CXR-JPG/2.0.0/files/p14148768/s55968948/c485865e-7d9a0d01-6363d6a7-0cd9bfc3-3f380c36.jpg | there is indistinctness of the aortic knob, and elevated right pulmonary artery, and an enlarged left pulmonary artery suggestive of a developmental mediastinal anomaly or, alternatively, lymphadenopathy. heart size is normal. lungs are fully expanded and clear without focal consolidations or suspicious pulmonary nodules. no pleural abnormalities. incidental note is made of a gastric band in the left upper quadrant. | <unk> <unk> with pnd and orthopnea <num> months post partum // please evaluate for evidence of cardiomyopathy |
MIMIC-CXR-JPG/2.0.0/files/p16007214/s59358550/fd94d946-a610e389-cca88517-0771853e-ac54b98a.jpg | the patient is status post median sternotomy and cabg. left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. the heart is mild to moderately enlarged but unchanged. the mediastinal contours are stable. lung volumes are low which causes crowding of the bronchovascular structures. additionally, there is mild pulmonary vascular congestion. no pleural effusion, focal consolidation or pneumothorax is present. minimal patchy opacities in the lung bases likely reflect atelectasis. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p14043633/s51719779/9cafb856-e61bcc68-cc01ed42-fe45020f-01a36b3f.jpg | pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is present. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area. skeletal structures of the thorax grossly within normal limits. thus, there is no evidence of any acute hip fracture, nor are there existing deformities or callus formation. preceding chest ct of <unk> as well as trauma chest view of the same date is reviewed. nowhere is there any conclusive evidence of any rib fracture. should clinical suspicion of rib fracture persists, please identify patient's local symptoms and ask for dedicated skeletal examination with bb markers for location. | <unk>-year-old male patient with multiple rib fractures, evaluate rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p18276837/s57131373/0ba0aa52-f3bacb1e-e4f10b22-ad936b93-745ab34d.jpg | frontal and lateral views of the chest. multiple support lines and tubes on prior are no longer visualized. the lungs are well expanded and clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is top normal. median sternotomy wires and additional hardware are identified as well as mediastinal clips. degenerative changes seen at the right shoulder. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16915839/s58328610/90d41673-31bda554-18c74b3a-44be5568-fc6bff61.jpg | pa and lateral views of the chest provided. no residual pneumothorax is seen. the lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk> year old man with left pneumothorax - check interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12726753/s54822743/93116c96-df346d7d-14799285-7a6c4232-27ecf0e3.jpg | the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m with dyspnea and cp // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p14766138/s56388072/7b520f8b-be3309d8-1dfb43f6-667a2106-6b031b31.jpg | frontal and lateral radiographs of the chest demonstrate an unchanged dialysis catheter with the tip in the right atrium. there is mild left upper lobe scarring as well as a right lower lobe calcified granuloma, both of which are unchanged. no acute consolidation, pleural effusion, or pneumothorax is detected. the cardiac silhouette is slightly enlarged, although unchanged from the prior radiograph. | acute shortness of breath since last night with cough. |
MIMIC-CXR-JPG/2.0.0/files/p12789933/s50690303/6819aad6-5cce01e0-c22a1380-8cd673b8-b9e013d1.jpg | pa and lateral views of the chest provided. right upper extremity picc line is seen with its tip in the region of the lower svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is a mild dextroscoliosis of the t-spine. no free air below the right hemidiaphragm is seen. | <unk>f with newly placed picc r basilic <num>cm |
MIMIC-CXR-JPG/2.0.0/files/p18544683/s54237295/beb2cd21-6d53bfdf-811b7d48-250035a8-6e805080.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 fevers |
MIMIC-CXR-JPG/2.0.0/files/p11430111/s58552905/ce408760-342dde46-d28336f1-0c17b79f-680418c4.jpg | a dual lead pacemaker is in-situ, unchanged in appearance when compared to the prior study. valve prosthesis also noted. previous median sternotomy and coronary artery bypass graft clips seen. smooth widening of the superior mediastinum is likely vascular and unchanged compared the prior study. no lobar consolidation, pleural effusion or pneumothorax seen. the right hilum appears slightly displaced superiorly however this is unchanged compared to multiple prior studies dating back to <unk>. small right pleural effusion. | <unk> year old man with new dual chamber ppm // assess lead position |
MIMIC-CXR-JPG/2.0.0/files/p13421580/s53672228/60999807-e9c65537-0be33d31-e1f2eb09-329bb2a8.jpg | ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study obtained four hours earlier during the same day. during the interval, the patient has been extubated. previously described right-sided internal jugular approach central venous line remains. again noted is a feeding tube traversing the entire esophagus terminating in the abdomen. the present image covers the line only about <num> inches below the hiatal area. the more distal portion of the line could be followed further on the previous chest examination, still the tip of the dobbhoff line was never included in the image. precise location of the line is essential for patient's management. it is recommended to perform the study under fluoroscopic control. comparison of the chest examinations does not reveal any new acute infiltrate. however, the pulmonary vascular pattern appears to be crowded, probably related to the high positioned diaphragms. | <unk>-year-old female patient with possible dislodged feeding tube. evaluate location. |
MIMIC-CXR-JPG/2.0.0/files/p18546571/s51207684/ba24ebed-f9fb7108-aa0d7898-7645437b-38e7488e.jpg | frontal and lateral views of the chest. there is no pleural effusion, pneumothorax or focal airspace consolidation. atelectasis is seen at the left lung base, as shown on the subsequent ct. the heart size is top normal. the mediastinal and hilar structures are unremarkable. | mantle cell lymphoma status post stem cell transplant, presenting with fever and nausea. evaluate for a fungal infection within the lungs. |
MIMIC-CXR-JPG/2.0.0/files/p10636056/s53613863/86c0c292-bbe676f0-2ee1215a-13899fdf-d9b1053b.jpg | cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. | history: <unk>m with complaints of left breast pain, he is poor historian. |
MIMIC-CXR-JPG/2.0.0/files/p16672810/s58601892/7e6edb8e-4ea5899a-053fe521-9a7c00ce-bc3394e5.jpg | pa and lateral views of the chest provided. dense consolidation is seen in the left lower lobe concerning for pneumonia. findings appear stable. there may be small bilateral pleural effusions as well. mid upper lungs appear well aerated. no pneumothorax or evidence of edema. the cardiomediastinal silhouette is grossly unchanged with an unfolded calcified thoracic aorta. bony structures are grossly intact | <unk>m with new o<num> req, recent pna // characeterization of recent pna, new o<num> req |
MIMIC-CXR-JPG/2.0.0/files/p18469619/s59430013/4b0f465c-23fd9080-d3fd2c2d-c1771e0e-876a5dd8.jpg | the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. | syncope. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16679264/s59870692/2755cfbb-ac7d82ae-e5c6b3f7-16920cde-3866e80d.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. no displaced fracture is seen. | history of chest pain. please evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11752971/s51388526/a4c44d90-ca34b18a-041497c3-7b5a977b-ece05780.jpg | lungs are clear without focal consolidation, effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk>f with chest pain // <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18653435/s54173844/587fc7b9-eacda6b0-6d98a0a7-f4ce071b-7e143b2b.jpg | the cardiac silhouette and pulmonary vasculature are unremarkable. the mediastinal contours are similar to the most recent examination, and largely unremarkable. there is no pleural effusion or pneumothorax. the lungs are clear aside from basilar atelectasis. | history: <unk>m with fever // eval infiltrate |
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