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MIMIC-CXR-JPG/2.0.0/files/p14291723/s52623437/89811037-d752c212-0c1da741-c99541ea-95e5994e.jpg | the endotracheal tube has been pulled back with the tip now <num> cm from the carina. the tip of the nasogastric tube is in the body of the fundus in good position. interval improvement of the mild interstitial edema. persistent left retrocardiac opacity and effusion. | <unk> year old man with seizure and intubation for airway protection. // ? og and ett placement |
MIMIC-CXR-JPG/2.0.0/files/p17244693/s55366457/1f505b19-c273e215-836b4c4f-3792cbb0-5d051e06.jpg | a left pectoral pacemaker is seen with a transvenous lead in the right ventricle. redemonstrated loculated right pleural effusion is unchanged compared to multiple prior exams dating back to <unk>. the left lung is clear. the heart size is normal. no pneumothorax, pulmonary edema, or pneumonia. | <unk> year old man s/p recent icd implantation. // please assess lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p11346752/s50846848/ccf608a8-995224af-4eeb9698-d83b7754-994e0e94.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man with sinus node dysfunction s/p ppm // rule out pneumothorax, lead placement rule out pneumothorax, lead placement |
MIMIC-CXR-JPG/2.0.0/files/p19000505/s55999572/45f46c77-00fce1e1-12eb647d-91370fe2-75394b30.jpg | pa and lateral views of chest demonstrate clear lungs. heart size is normal. no pleural effusion pneumothorax or pulmonary edema. | pleuritic chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17124656/s59191425/6a12649c-acfba97e-f45ecea1-7e39a11a-ef5f27dc.jpg | a portable frontal chest radiograph redemonstrates a dual lead pacemaker with the leads overlying the right atrium and ventricle, and a nasogastric tube which is coiled within the stomach. the right central catheter is unchanged in position. multifocal bilateral consolidations are severely increased, representing either pneumonia or asymmetric edema. please note that the chest apex is excluded from the exam. | status post nasogatric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13278181/s57820652/fa6192a2-450664c7-c6a4a43d-609b28c8-e1370d42.jpg | the heart size is top normal. mild vascular congestion and subtle interstitial abnormality are most readily explained by mild pulmonary edema. note is made of a nodular opacity projecting over the posterior right <num>th rib, measuring <num>-mm. right-sided ij terminates in the low svc. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of sepsis, new right ij placement. please evaluate for placement. |
MIMIC-CXR-JPG/2.0.0/files/p15455450/s51283647/9239d0ef-57ad42f0-f6be1933-d1a753d8-9e039b1a.jpg | as compared to chest radiograph from earlier today, left-sided pleural drain remain in similar position. left hydro pneumothorax appears more conspicuous. air fluid level in the left hemithorax is due to fluid along the major fissure and pneumthorax. left lower lobe substantial opacities are unchanged. small right-sided effusion has shifted due to upright chest radiograph and persistent right lower lobe consolidation. | <unk> year old man with likely l lobe collapse // comparison <unk> at <time>am |
MIMIC-CXR-JPG/2.0.0/files/p13730554/s50812496/547fd5ff-76d27d65-c79d0027-85ca4bd5-953f653d.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.any consolidation at the right base has cleared. calcified mitral annulus is similar to prior. pleural thickening and blunting at the right base are similar to prior. | <unk> year old woman with cough x <unk> year, resolved after antibiotics for new pneumonia seen in <unk>, but now cough returning // eval for resolution of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13280844/s56768830/82c3bc78-50fb8d38-3ce71817-364da96f-7616f758.jpg | in comparison to the prior examination, the right basilar opacity has improved significantly. the cardiac silhouette is stably enlarged. the pulmonary vasculature is unremarkable. no definite consolidation is identified. there is no pleural effusion or pneumothorax. | <unk> year old man with shortness of breath and crackles on right lung // evidence of pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14717765/s53644508/82fb4303-fb6af3fe-25046782-34fa4363-0c3ebd79.jpg | the lungs are hyperinflated with flattening of the hemidiaphragms on the lateral view consistent with chronic pulmonary disease. there is mild pulmonary vascular congestion but no frank edema. the heart remains mildly enlarged. pleural effusions have resolved. no pneumothorax. the mediastinum is not widened. the descending thoracic aorta is tortuous. anterior spinal fusion hardware in the cervical spine is incompletely imaged. bilateral acromioclavicular joint degenerative changes are worse on the right. | history: <unk>m with chf presenting w/cp, sob // ?pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19199702/s59104587/a5bee6bb-19e87e3e-6c2b057b-6edf9249-8fe05c74.jpg | a right internal jugular catheter terminates in the upper to mid superior vena cava. there has been near resolution of the right pleural effusion, now tiny. there is no pneumothorax. a rounded area of consolidation is seen inferiorly, only on the lateral view, and was not appreciated on the pre-operative study. the cardiac silhouette remains mildly enlarged but improved. postoperative mediastinal widening is resolving. | status post aortic valve replacement, evaluate for effusion. |
MIMIC-CXR-JPG/2.0.0/files/p10272619/s58244765/487ddb25-bdc066b7-abef2698-24afaeb9-a09d544f.jpg | in the interim from the prior examination, a nasogastric tube has been placed with tip in the stomach and side port still within the distal esophagus. an endotracheal tube is in standard position. the lungs appear grossly clear with mild basilar atelectasis. the cardiomediastinal silhouette is normal. | status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p15676468/s53976403/c1f9a0ec-82ba2d57-a981c282-9b67ad6e-15c98245.jpg | evaluation is limited due to the overlying zipper and clothing. allowing for this, the heart is mildly enlarged the aorta is calcified and unfolded. no chf. no focal consolidation, pleural effusions, or pneumothorax. mild right basilar atelectasis. incidental note of cervical spinal hardware. | <unk> year old woman with altered mental status and cough. evaluate for focal consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p12703255/s57854195/1b762784-edbaa4ef-26a0a727-affed532-01d7f043.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. | history: <unk>m with cough/sob. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10454455/s56279840/85becf58-2a2dd91b-d4e25f66-7d62f310-bb16992b.jpg | hyperexpanded lungs with flattened diaphragms consistent with emphysema. small right pleural effusion. chronic vascular calcifications within the left subclavian artery are stable, unchanged from <unk>. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. mild degenerative disc disease of the thoracic spine. | <unk> year old woman with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p18221048/s57469760/8de78dc1-feb9247a-dcd67999-5d3c85c9-c32087b1.jpg | previously seen opacity in the right lower lung field has completely resolved with no new areas of focal consolidation observed. there is no pleural effusion, masses, or lesions. the cardiomediastinal silhouette is stable, within normal limits. the pleural surfaces are unremarkable. | <unk>-year-old female here for followup of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15598102/s50507379/681843dd-0f69f7bf-d7f9766e-ac95709a-13d73f66.jpg | ap view of the chest provided. as compared to prior chest radiograph from earlier today, there is little change in the left lung base atelectasis and left pleural effusion. right base atelectasis is unchanged. postoperative cardiomediastinal silhouette is larger since <unk>, but is unchanged since earlier today. | <unk> year old man with s/p avr, hct drop // eval left hemothorax |
MIMIC-CXR-JPG/2.0.0/files/p12428492/s53169207/a6fc72ff-621e7bd6-48d170ba-351d3abd-1a828042.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with chest pain, cough // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p12754196/s56172679/9889eee6-411e3adb-c9d2e254-bc163aa2-6aa8f693.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. left chest wall single lead pacing device is noted with tip projecting over the right ventricular apex. no acute osseous abnormalities. | <unk>f with chest pain and dizziness // eval pneumonia, pm leads |
MIMIC-CXR-JPG/2.0.0/files/p10944871/s54286355/6d3c1271-8146bdd9-047b3e4f-c8264515-6deac26b.jpg | ap view of the chest provided. compared to prior study, there is significant improvement in bilateral pulmonary vascular congestion. there is no new focal consolidation. left lower lobe atelectasis is noted. there is small left pleural effusion. endotracheal tube, enteric tube, and right ventricular pacer lead is unchanged in position. corevalve is again seen. | <unk> year old woman with severe as, s/p tavr. |
MIMIC-CXR-JPG/2.0.0/files/p19509298/s50325310/b52bbf9a-49324ab4-226c85c0-c3df7d4c-25b4afcc.jpg | compared with the prior study on <unk>, there has been no significant change. the tip of the et tube is located approximately <num> cm from the carina. again seen is a left retrocardiac opacity, likely lower lobe volume loss and pleural effusion. however, superimposed pneumonia is considered in the appropriate clinical setting. there is elevation of the right hemidiaphragmatic contour or with mild atelectatic changes and a probable small effusion. | <unk> year old man with advanced tube. assess et tube. |
MIMIC-CXR-JPG/2.0.0/files/p13610050/s58241341/9f2b1e5a-9280f9a5-f0feb2dc-f8abbde6-32a16488.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. there is a <num> mm nodule in the left lower lobe, possibly representing a calcified granuloma, less likely a vessel on end. | history: <unk>f with r sided cp // ptx? ptx? |
MIMIC-CXR-JPG/2.0.0/files/p12098908/s56355988/feaab980-f6187ae5-2ba44daa-9ff0bd3a-1f863e45.jpg | pa and lateral views of the chest provided. there are persistent small bilateral pleural effusions, left greater than right. compared to prior study, the bibasilar opacities have improved, likely atelectasis in postoperative setting. heart size is mildly enlarged. median sternotomy wires and mitral valve annuloplasty ring are in appropriate positions. | <unk> year old man postop day <unk> s/p cabg, now with fever and leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p14924494/s56914062/3a91ce17-6d8228f6-8ce9b307-232eb860-c5b0c269.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. retrocardiac opacity is unchanged. there is no new focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen demonstrates air distended bowel loops with layering radiodense contrast. free air under the right hemidiaphragm is decreased. subcutaneous emphysema is increased. | evaluate for interval change in a patient with oxygen desaturation after hernia repair. |
MIMIC-CXR-JPG/2.0.0/files/p15790697/s57420241/8f40a84e-94c7b1af-8c5ec91e-af61f727-e61e62c7.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with syncope and head strike // eval for injury |
MIMIC-CXR-JPG/2.0.0/files/p13989970/s58459988/c311dac0-3ee43c74-e37d1c0e-bc5900f5-0f4efe25.jpg | a right ij line is present. it extends straight in a vertical vertical along the right chest, with it is tip overlying the right upper quadrant of the abdomen, presumably in the ivc. of note, there is a subsequent film from <unk> at <time>, which shows that this line has been repositioned and follows a more typical swan-ganz catheter course --<unk> see separate report of that subsequent examination. a right-sided central line is present, tip overlying mid svc/ra junction. no obvious pneumothorax is detected. biapical pleural fluid and/or thickening is likely present. cardiomegaly, sternotomy wires, and background copd present. hazy density likely reflects some pulmonary vascular plethora as well as artifact due to technical factors. | <unk> year old man with new swan cordis // cvl position |
MIMIC-CXR-JPG/2.0.0/files/p17075209/s53031050/438345b3-d3adb6f1-8c233b58-63082e50-26d629fb.jpg | there is mild cardiomegaly overall stable compared to the exam from <unk>. note is also made of pulmonary vascular congestion. the lung volumes are low. there is a subtle increase in opacification overlying the lung bases. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of pleuritic back pain. please evaluate for acute infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p18907960/s50565378/021ed201-9f6130ec-3a537010-9932e5d2-9d44f828.jpg | there are relatively low lung volumes. <num> mm rounded calcification projecting over the right mid lung is again seen consistent with a granuloma. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is top-normal. the aorta is calcified and tortuous. surgical clips are noted projecting over the lower chest. | history: <unk>f with concern for fall // please evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p17528624/s54317778/310275b5-59e5c3a0-6e9274e6-6c941810-780d7642.jpg | there is a small region of patchy density in the left lower lobe in the retrocardiac region. . the cardiomediastinal and hilar contours are within normal limits. there is no effusion or pneumothorax. again demonstrated is a spinal stimulator, unchanged in position. | history: <unk>f with cough // infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17286918/s57688032/ad4b025a-42c6e620-01ff69b3-87af8390-57c25e9d.jpg | pa and lateral views of the chest provided. patient is status post vats vagotomy. previously seen small left pneumothorax is not visualized. stable small left pleural effusion. minimal left chest wall subcutaneous emphysema. no pneumomediastinum. the right lung is clear. the cardiomediastinal silhouette is normal. | <unk> year old woman with acute chest pain with vomiting s/p vats vagotomy // pneumomediastinum |
MIMIC-CXR-JPG/2.0.0/files/p13510413/s54244649/9a81837a-47288fcc-979475fd-90ab60ad-81ea093d.jpg | low lung volumes. the lungs are clear. the cardiac, mediastinal and hilar contours appear normal. there is no evidence of pleural effusion or pneumothorax. | <unk>-year-old male with vomiting, question cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p16485810/s54620020/92bf6903-73b52dbd-14964bbf-bde0821d-c70e7922.jpg | portable supine chest radiograph shows stable enteric, endotracheal tubes, and left subclavian central venous catheter. the heart size is top normal and stable. left pleural effusion is new, and right lung base parenchymal opacity has increased, although may be a function of decreased lung volumes. degree of pulmonary edema is slightly better. there is no pneumothorax. | fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17772052/s58273115/9524c444-2ccffabf-aff0a47e-37229d0b-220a8e37.jpg | portable upright view of the chest demonstrates low lung volumes which accentuate bronchovascular markings. bibasilar opacities likely represent atelectasis. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pneumothorax. no pulmonary edema. partially imaged upper abdomen is unremarkable. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p14514349/s52911522/13dc159f-bbbf4955-4aa36109-64e356d7-2d9c0a09.jpg | cardiomediastinal and hilar contours are normal. there is no pneumothorax. possible, increased retrocardiac opacity raises concern for left lower lobe pneumonia. mild blunting of the left costophrenic angle suggests a small left pleural effusion. | <unk>-year-old man with cough and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11190562/s50446304/e22344df-399b2ad0-d03fbd25-79ea8434-5f3002e2.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old woman with rib pain // evaluate for rib fracture/evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14910818/s59329349/c84ab8c7-19b68890-30ba3050-ae5ab7ab-242f527e.jpg | cardiac silhouette size is normal. the aorta is mildly tortuous but unchanged. mediastinal hilar contours are similar. focal left-sided tracheal deviation within the neck likely is due to a large right thyroid nodule, unchanged. lungs are clear. no pleural effusion or pneumothorax is seen. pulmonary vasculature is not engorged. no acute osseous abnormality is visualized. | history: <unk>f with left posterior chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14560636/s54916289/933f63c5-06fd8a79-76449c63-8ecec658-36ea7111.jpg | chronic elevation of the right hemidiaphragm is unchanged. right middle lobe linear scarring and/or atelectasis is unchanged. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. the cardiac and mediastinal contours are normal. the hilar structures are unchanged. compression deformities of the lower thoracic spine are again seen. | long-term asthma with <num> weeks of cough and pain and decreased peak flow. evaluate for bronchitis or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15128045/s50165698/a52a76c8-c9469708-366f0699-ce443645-586780fe.jpg | in comparison to <unk> chest radiograph, there is interval worsening of the hazy ill-defined bilateral opacities in the left mid to lower lung an right lower lung. no pleural effusions are seen. the mediastinal, hilar, and pleural surfaces are normal. the heart size is top- normal. no pulmonary vascular congestion or pulmonary edema. | <unk> year old man with previous cxr with opacities no respiratory symptoms on hcap coverage, wondering if any evolution of opacities. // ?pneumonia/consodliation |
MIMIC-CXR-JPG/2.0.0/files/p12346809/s52890099/0caf8a90-24220828-1e15cad9-8671643d-2b106832.jpg | lung volumes are relatively low. there is mild bibasilar atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. . | history: <unk>f with shortness of breath // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14994130/s51613382/02c551a0-af8ff7b3-ee72b5de-58db8028-54673697.jpg | pa and lateral views of the chest provided. compared to prior study, there is interval resolution of the right lower lobe consolidation. pulmonary vasculature is normal. a round densities again seen in the left mid lung, now measuring <num> cm (previously <num> cm). mediastinal and hilar contours are normal. there are no pleural effusions. a small bochdalek hernia is incidentally noted. | <unk>-year-old male, followup on right lower lobe pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14976258/s50668600/116236e4-66da5972-c57dc091-931ec90e-9e6073ed.jpg | frontal and lateral radiographs of the chest show increased size of a small right pleural effusion from <unk> which silhouettes the right hemidiaphragm and right heart border. the left lung is clear with minimal atelectasis at the lung base. no pneumothorax, pulmonary vascular congestion, or pulmonary edema is present. the cardiac silhouette is enlarged but probably unchanged. the mediastinal and hilar contours are unchanged. the thoracic aorta is unfolded with partial calcification of the aortic knob. | <unk>-year-old female with worsening dyspnea and lower extremity edema, here to evaluate for evidence of heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p19732174/s56787387/6c4f419e-7f75ff69-c7659656-246815eb-312e7c1c.jpg | frontal view of the chest demonstrate persistent opacity in the right upper lobe. there is a heterogeneous opacity in the right medial lung base, which appears slightly more conspicuous since prior. there are prominent interstitial lung markings, which may reflect underlying interstitial edema. lung volumes are low. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable. no pleural effusion is seen. no pneumothorax. | hypotension and cough. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10783694/s50888837/7939530b-263f37ef-89357a94-3b01572b-a450803b.jpg | frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14761552/s53281070/f96d8b02-193a71ea-a449ca9c-44e4eb70-40c80601.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. apparent sclerotic focus is seen at the junction of the left first rib anteriorly and left third rib posteriorly, likely a bone island. | history: <unk>f with ongoing cough, wheezes/rhonchi on exam |
MIMIC-CXR-JPG/2.0.0/files/p16474068/s57760172/5cc68cfb-5b35cf33-09ca73bf-7fdbee55-2440501b.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the mild tortuosity of the thoracic aorta. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | chest discomfort with cough and congestion question infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13383310/s50663043/6ca963b9-a3a245ba-09a51200-28fe5b5e-65710a09.jpg | lung volumes are low with resultant crowding of bronchovascular structures at the lung bases. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size, and the mediastinal and hilar contours are normal. | <unk>-year-old male with shortness of breath, tachycardia, and hypoxia. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12818469/s55538843/ce08a555-d4e6036b-7d64cf8c-6407e722-367b94a0.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy ill-defined opacity is seen within the lingula concerning for pneumonia. right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>f with pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19979081/s51529669/cb884c1f-4c0d0076-bd823a24-d968a27f-226887bb.jpg | the ap view of the chest. the lungs are clear of confluent consolidation. biapical scarring is again seen. linear opacity at the left lung base most suggestive of atelectasis. cardiomediastinal silhouette is within normal limits. surgical clips seen in the left upper quadrant. there is no free intraperitoneal air. no acute osseous abnormality detected. | <unk>-year-old female with abdominal and chest pain. findings status post gastric resection. |
MIMIC-CXR-JPG/2.0.0/files/p10364824/s57666264/603c935f-46056be4-d63c169d-d2707ea0-bbf1b6ef.jpg | dual lead left-sided pacemaker, postoperative mediastinum, and cardiomegaly are stable from <unk>. lung volumes are low and the lungs are clear. there is no evidence of pneumonia. no pleural effusion or pneumothorax. multiple pleural plaques again noted. | <unk>m with worsening doe // eval chf exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p15007866/s51513134/35324daa-ca2f8675-42647dd1-4899a837-062843ea.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. linear atelectasis is noted in both lung bases. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted within the right chest wall. | <unk>-year-old woman with chest pressure and headache. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13752571/s59098711/34db8e7c-efcf89a0-c48ff9de-024abae2-d35f3f4f.jpg | the lungs are normally expanded. no definite focal consolidation is seen. <num> cm relatively rounded opacity is seen at the medial left lung base, may be artifactual, but underlying pulmonary nodule not excluded. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. within the limitations of chest radiography, no displaced rib fracture is detected. | fall to ground, concern for head, neck, chest and pelvic injuries. evaluate for traumatic injury. |
MIMIC-CXR-JPG/2.0.0/files/p16893353/s58531862/f62fc493-a584cbc0-fc9c1c22-a8d817b4-eea11c75.jpg | ap portable semi upright view of the chest. aicd is unchanged. overlying ekg leads are present somewhat limiting assessment. low lung volumes limits evaluation. lower lung opacities are concerning for pneumonia versus atelectasis. the upper lungs appear well aerated. no pneumothorax or large effusion. heart size cannot be assessed. mediastinal contour appears unchanged. bony structures are intact. | <unk>m with sob wheeze lethargy // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12874703/s57850287/0a798118-b7761ac6-5cd76835-5c40257a-482c22bd.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes. normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. | dyspnea, cough and pleuritic chest pain. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p15077764/s56194508/aa75792f-806af577-7dfcb53d-7a290a6b-ca32d1d7.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 college student status post fall now with right rib pain |
MIMIC-CXR-JPG/2.0.0/files/p10664252/s57928632/dfd4a320-ea06ac61-c1aa92f2-f167f037-d53fd782.jpg | pa and lateral views of the chest provided. patient is slightly rotated to the left which limits assessment. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with r/o stroke // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p14795953/s54670529/52af72ca-b8a7a645-322a521c-d491539e-f5c46f86.jpg | the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old female with intermittent chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17059964/s57422753/c4222e71-02d3defd-41ed4dfa-96f33d34-e1f5b08e.jpg | linear right infrahilar opacities likely represent atelectasis, however this may represent aspiration in the appropriate clinical setting.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>m with fever, audio/tactile hallucinations, ivdu // evaluate for acute traumatic or infectious process |
MIMIC-CXR-JPG/2.0.0/files/p12246674/s50495739/ae1b984c-c2c0e1a5-289a4cfa-6f5a15ff-1432c496.jpg | compared with the prior study, the left picc line has been removed. previous left lung base opacification has resolved. currently, the lungs are clear without focal consolidation, pneumothorax, or effusion. the heart size is normal. | <unk>m with chest pain. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13323674/s53402759/b9342e01-a7f9b409-c008381f-1ebc4cf3-9df1d5e0.jpg | the lungs are clear. there is no effusion, consolidation or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with sob since <unk> with chills body aches // consolidation or other process |
MIMIC-CXR-JPG/2.0.0/files/p13361603/s58645750/ee76b316-0e194846-6067ee70-9ed2de79-d8492d89.jpg | the heart is mildly enlarged with a left ventricular configuration. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. diffuse opacification is most suggestive of moderate pulmonary edema. | increased edema. |
MIMIC-CXR-JPG/2.0.0/files/p11181460/s59942452/b012ed0f-74eb6fa9-824db89d-d3d35a29-e0505b02.jpg | interval placement of endotracheal tube terminating <num> cm above the level of the carina. enteric tube courses below the diaphragm, terminating in the left upper quadrant. there is persistent left base opacity. the cardiac and mediastinal silhouettes are stable, with the aortic knob appearing mildly dilated, also seen on priors. hilar contours are stable. | history: <unk>f with copd exac now intubated // eval ett tube placement |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s57914121/9fdce227-ae3ba097-4ad381da-b7fc92dd-d81902fb.jpg | the lungs are clear without focal consolidation or effusion. calcifications projecting over the right mid and upper lung are seen to be pleural-based on prior ct scan. right upper lobe scarring with secondary volume loss and superior retraction of the hilum is again noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips project over the right axilla. | <unk>f with fuo // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16826165/s58752626/b40310de-8f71bd76-a3cfa75b-4e4432c2-6ccef037.jpg | a left chest wall pulse generator with continuous pacemaker leads terminating in the right atrium and right ventricle is unchanged in position. the cardiomediastinal silhouette is stable in appearance. lung volumes are low, and left lower lobe opacity is more conspicuous compared to the most recent comparison studies from <unk>. mild prominent interstitial markings persist, possibly due to underlying chronic interstitial lung disease, with superimposed mild pulmonary edema. no pneumothorax or pleural effusion. | history: <unk>f with fever // fever |
MIMIC-CXR-JPG/2.0.0/files/p10493948/s55653823/c57aa0c2-95b41a06-6fa58df4-9063a078-8e4642c0.jpg | the lungs are well inflated. retrocardiac opacity is present. no pleural effusion or pneumothorax. left heart border is partially obscured. visualized cardiomediastinal silhouette is unremarkable. hila are normal. visualized osseous structures are unremarkable. no displaced rib fracture. | <unk>f with s/p fall. head strike. l <unk> digit pain. assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17470382/s58551422/a38e3226-457e26a2-625ae0af-edbc0c67-d40ca18b.jpg | the cardiac, mediastinal and hilar contours appear stable. again noted is moderate hiatal hernia with streaky opacities suggesting minor associated atelectasis, which is unchanged, within the left lower lobe. in the right upper lobe there is a vague streaky opacity, correlating without previous site of more extensive opacification, perhaps residual scarring from prior infection. there is no pneumothorax or pleural effusion. a moderate l<num> compression fracture was already present before there is new mild to moderate biconcave loss in height of t<num>, age-indeterminant. the bones appear demineralized. | history of fall on the left side with left paraspinal lumbar pain. |
MIMIC-CXR-JPG/2.0.0/files/p17494855/s55770049/035c7f84-cf4b2d1f-d991e522-8d617447-cc5b66a7.jpg | cardiomediastinal contours are normal. aside from minimal atelectasis in the left base the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with afib, schf (ef <unk>%), hcv cirrhosis, t<num><unk> transferred from osh where cxr was concerning for ll infiltrate. has crackles at left base on exam. // ? lll infiltrate, ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19747913/s57088522/1d1b9c04-628afce6-86bdabdb-f115ed1f-8161d072.jpg | pa and lateral views of the chest. there is scarring at the lung apices. there is elevation of the right hemidiaphragm, which may indicate a right hiatal hernia as previously seen. cardiomediastinal and hilar contours are stable. no definite focal consolidation. no pleural effusion. no pneumothorax. | history of dyspnea on exertion and boop, history of hiatal hernia, fvc only <unk>% of predicted. |
MIMIC-CXR-JPG/2.0.0/files/p14082222/s56839141/4a8f7204-1c20f077-f7a15f2c-37fd8595-78e9ff5c.jpg | pa and lateral chest <unk> at <time> is submitted. | <unk> year old man with hfpef, acute sob, lg o<num> req // shortness of breath shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p10446182/s56859300/6a5ff73e-6d9900e3-8ba83bc0-ba6acc31-e4cab50e.jpg | there is hazy ill definition of both hemidiaphragms suggesting bilateral lower lobe infiltrates. the right-sided picc line is unchanged. | aids and productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p12729607/s56266080/0f954372-756ad93b-c4e4c52a-9db91224-f4e1006d.jpg | pa and lateral views of the chest. again seen is elevation of the left hemidiaphragm. bibasilar linear opacities are most suggestive of atelectasis or scarring although a superimposed infection cannot be completely excluded. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. | <unk>-year-old male with shortness of breath. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10850433/s54487797/4f173cce-349c51ae-36c950ee-983ee573-0557b45f.jpg | the previously seen left pleural effusion has completely resolved. there is no residual effusion. there is no focal consolidation, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk> year old man with cirrhosis and hepatic hydrothorax s/p tips // f/u hepatic hydrothorax f/u hepatic hydrothorax |
MIMIC-CXR-JPG/2.0.0/files/p16925328/s56365466/3fff340c-72b76018-360efdfd-571395e2-af7c4b9b.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours and hilar contours are normal. redemonstrated is a left humeral head prosthesis, and extensive degenerative changes noted within the right glenohumeral joint. there is no displaced rib fracture identified. multi-level degenerative changes are noted within the thoracic spine, as well as an unchanged lower thoracic vertebral body wedge shaped deformity. diffuse idiopathic skeletal hyperostosis is noted along the anterior aspect of multiple thoracic vertebral bodies | bilateral chest wall pain and left paraspinal tenderness. |
MIMIC-CXR-JPG/2.0.0/files/p15317862/s54799413/1c47c476-81c396a0-730fa2b6-68af86d1-06089bf3.jpg | pa and lateral chest radiographs demonstrate little change from <unk>. the consolidation seen on prior cta-chest has not progressed. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. stimulator device is again noted over the mid thoracic vertebra. | known pneumonia. pulmonary embolism diagnosed on ct of <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p15566321/s52220090/2780687e-38412f2a-993e1499-a8c193cd-a81817b7.jpg | pa and lateral views of the chest. the lungs are clear of consolidation. linear opacity at the left lung laterally suggestive of atelectasis. there is no effusion. cardiomediastinal silhouette is within normal limits. surgical clips seen in the right upper quadrant. no acute osseous abnormalities detected. | <unk>-year-old female with shortness of breath, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15946234/s56734184/4cd08b12-e5b24547-baf90ddc-7b37ccaf-4bb3ea4e.jpg | moderate cardiomegaly is a stable. moderate left pleural effusion has increased. there is no pneumothorax. surgical chain in the right lung is again noted. degenerative changes in the thoracic spine and left rib fractures are unchanged | <unk> year old man with pleural effsuion // interval change |
MIMIC-CXR-JPG/2.0.0/files/p11234535/s58725148/f181a48f-5158b882-e6053881-72d9e884-16d675b7.jpg | frontal and lateral views of the chest. improved inspiratory effort seen on the current exam. there has been interval resolution of the previously seen vascular congestion. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. | <unk>-year-old male with nash cirrhosis with worsening confusion. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15541773/s56820016/1669fede-2e703c61-92541d71-da88485f-6e7a9039.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. | <unk>m with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18524983/s59540448/27af1756-4c4b3d98-7eb6ac7e-7c0a925b-25ac3726.jpg | ap portable semi upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air is seen below the right hemidiaphragm. | <unk>f with s/p colonoscopy with ab pain // eval for free air |
MIMIC-CXR-JPG/2.0.0/files/p15672432/s51092430/6cad36f0-ce227f05-4637a7b0-134e6a72-95a18111.jpg | moderate cardiomegaly is unchanged. lung volumes are low. mild pulmonary edema. no focal consolidation | history: <unk>m with hypoxia and chest pain // pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p11665789/s55114734/1df05791-f5671d13-a4be21a2-5bd12d9c-a2d98826.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough and shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg | pa and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to <unk>. left basilar scarring and pleural thickening are chronic. median sternotomy wires and aortic prosthesis are unchanged. there is no focal consolidation or pneumothorax. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13000808/s58341199/5f343049-67199525-9e332924-f9f8797a-7d07579c.jpg | cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. right port-a cath tip is in the lower svc | <unk> year old woman with dlbcl, fever // please evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13079394/s59299120/7f8c84a7-e771f3b9-2fc0ca58-6c1d1169-22e8ca37.jpg | the heart size is normal. minimal tortuosity of the thoracic aorta is noted. the mediastinal and hilar contours otherwise are within normal limits. the pulmonary vascularity is normal. minimal patchy opacity is demonstrated within the lower lobes on the lateral view, but difficult to localize on the frontal view, possibly within the left lower lobe. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen. | <unk>'s, acute onset of shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12335221/s56737433/810bd719-dd10ea66-f0ed8342-3e86d3b0-52891569.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is top normal. the mediastinal and hilar contours are within normal limits. | cough and rhonchi on exam. |
MIMIC-CXR-JPG/2.0.0/files/p18566803/s55381070/66063b93-793f6d74-da20bc06-a79c1ab7-cebe7b11.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. degenerative changes are seen along the spine. | history: <unk>m with recent change in mental status // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13266462/s58622008/3ae55bbd-0b323388-8a8c7fe1-f7f43a32-47994867.jpg | the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for mild multilevel degenerative changes, anterior osteophytes and disc space narrowing. small anterior wedge compression deformity of a mid thoracic vertebral body is stable since <unk>. deformity of posterolateral right eighth rib prior fracture is noted. | <unk>m with <unk> disease with "freezing" episode today. assess for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p16750508/s59468946/1e3c8545-b4a7a54f-c93c8c19-a5b85c87-1bc9601e.jpg | the lungs are clear without focal consolidation or effusion. indistinct pulmonary vascular markings suggest pulmonary vascular congestion. cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>f with fever and tachycardia // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18481777/s58022317/366133b0-0e5fc909-4718a434-063f5762-a0c829cc.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 rhonchi |
MIMIC-CXR-JPG/2.0.0/files/p15684891/s55086827/8dff05ac-358a255d-8eba94f1-1ca4a5cb-5918f43f.jpg | displaced left clavicular midshaft fracture is again noted. left <unk> to <unk> displaced rib fractures are again noted. left-sided apical lateral pneumothorax measuring <num> mm in the craniocaudal plane. no left-sided pleural effusion/hemothorax. the heart size normal. the right lung is clear. non-specific scoliosis of the spine and although i cannot visualize a vertebral body fracture a spinal injury cannot be excluded. | <unk>m bicyclist versus pedestrian with a left clavicular fracture as well as <unk> l rib fractures. // please evaluate for pneumothorax/hemothorax, please evaluate for additional injuries |
MIMIC-CXR-JPG/2.0.0/files/p18667817/s54342727/21b86dd2-b9acd099-bb068185-60e5418c-a81a52fc.jpg | ap and lateral chest radiographs were provided. lung volumes are slightly low. there is no focal consolidation, pleural effusion, or pneumothorax. there is bibasilar linear atelectasis. the cardiomediastinal silhouette is notable for a likely dilated or tortuous ascending aorta. the heart is not enlarged. imaged upper abdomen is unremarkable. the bones are intact. | history of falling, feeling unsteady, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17512239/s53365052/4418f1d0-867517b3-de72fc1e-39a2f070-6425f1ae.jpg | ap view of the chest. left chest tube in place. there are low lung volumes and elevation of the left hemidiaphragm more than the right, and bibasilar atelectasis. the cardiomediastinal and hilar contours are widened, but exaggerated likely due to low lung volumes. no pneumothorax. no pleural effusion. | status post left vats wedge resection in the back. |
MIMIC-CXR-JPG/2.0.0/files/p11094463/s58718716/5111662d-13945b6a-b656e094-52c92b3a-3b79d4ac.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17001321/s54204135/81183dfd-52272854-b5d56e04-dca333da-51d6566d.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 hypoxia // opacity |
MIMIC-CXR-JPG/2.0.0/files/p14701621/s59264731/dec08023-f511b68e-cb3af300-ba57673d-5190ce9f.jpg | the tracheostomy tube is unchanged to the previously described areas of increased opacity now are better aerated. there is no focal infiltrate. | copd and hiv. |
MIMIC-CXR-JPG/2.0.0/files/p10904639/s56108371/71872fad-b46b9651-151c2352-320f8d3f-cf6c57b9.jpg | the right-sided pleural effusion is still present but much smaller on today's study. there is unchanged right lower lobe opacity, consistent with persistent pneumonia. aside from the interstitial markings consistent with the chronic fibrotic disease, the lungs are otherwise clear. there is no pneumothorax. the hilar and cardiomediastinal contours are normal. | evaluate for resolution of pneumonia and effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18798628/s52868483/672d7ca9-63b4dcbe-5fc19893-e31b5730-058841af.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. previously seen small bilateral pleural effusions have resolved. the lungs are clear without consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is unchanged. posterior bilateral old rib fractures are again seen. osseous and soft tissue structures are unremarkable. note is made of prosthetic aortic valve. | <unk>-year-old man with malaise. |
MIMIC-CXR-JPG/2.0.0/files/p11262894/s59980258/885de952-1030419a-1eb0f20b-a506d5b2-50d61f1b.jpg | new right-sided central venous catheter seen with tip projecting over the lower svc. there is no other change. there is no pneumothorax. left pleural effusion is again noted with adjacent atelectasis. | <unk>m with ij // line placement |
MIMIC-CXR-JPG/2.0.0/files/p17274146/s58858312/850061e5-48b409b0-b0016563-5ab6cb4b-3e44b6f4.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. <num> mm calcification projecting over the right upper lobe likely reflects a granuloma. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>m with cough, subjective fevers for <num> weeks |
MIMIC-CXR-JPG/2.0.0/files/p14318354/s58915759/3e16677b-b34efc06-00dccfea-e58ff49f-e798ad34.jpg | the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. a radiopaque coil and ovoid metallic object are again seen at the right base. moderate cardiomegaly is unchanged. | one-week of shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12467118/s58415222/d656967b-16802dc5-07a3740b-7d5a84bb-a9bee97f.jpg | the lungs are clear without focal consolidation, effusion, or edema. enlargement of cardiac silhouette is likely accentuated by technique. no acute osseous abnormalities. | <unk>m with presyncope and brbpr, also with several days pulmonary sxs, thick sputum // eval ? infiltrate, edema |
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