Frontal_Image_Path stringlengths 94 94 | Lateral_Image_Path stringlengths 94 94 | Findings stringlengths 83 2.06k | Query stringlengths 4 577 |
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MIMIC-CXR-JPG/2.0.0/files/p10585182/s56669745/edeec580-e8606cba-aa510902-8baaee95-4d81a674.jpg | MIMIC-CXR-JPG/2.0.0/files/p10585182/s56669745/e2c5f23a-df77d413-00fa53e9-9f702eb5-f19e73a9.jpg | Previously seen opacity in the right upper lobe is decreased and left perihilar opacity unchanged compared to prior study from <unk>. No pleural effusion or pneumothorax is seen. Moderate cardiomegaly is unchanged. The aorta is tortuous. Postsurgical clips are noted. | <unk> year old woman with severe asthma, chf with ef <unk>%, h/o breast cancer s/p radiation <unk>, with recent pneumonia vs. cop, now completed steroids and feeling better. ? new baseline // any change in infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p15723212/s57286843/a381efc4-55f5c0a2-74132b36-e109b42e-96bb7899.jpg | MIMIC-CXR-JPG/2.0.0/files/p15723212/s57286843/f99d6c86-b8037304-14f51718-e7c843e9-779ef3d7.jpg | Pa and lateral views of the chest provided. Transvenous pacer lead tip is in standard position and right ventricle. Patient is status post cabg with sternal wires and surgical clips noted. There are linear opacities in the bilateral lower lobes which is unchanged compared to chest radiograph <unk> and likely represents scarring. There is no focal consolidation, pneumothorax, or pleural effusion. Moderate cardiomegaly is punched. Elevation of the left hemidiaphragm appears unchanged from comparison study. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | history: <unk>m with cough, pnd. known chf. // pulm edema, pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10217853/s59113381/398a4597-546461fe-ae2e2ef8-b995e832-1460ffee.jpg | MIMIC-CXR-JPG/2.0.0/files/p10217853/s59113381/d86856f2-86cd75ba-cf16a11a-b17f975e-628a456d.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are stable and unremarkable. No pulmonary edema is seen. | history: <unk>f w acute transient chest pain this am, bp elevated to <unk> // any mediastinal widening |
MIMIC-CXR-JPG/2.0.0/files/p10111614/s55729805/815c31f6-7d58c136-caaa710a-9e83ee19-2fa663e3.jpg | MIMIC-CXR-JPG/2.0.0/files/p10111614/s55729805/94b2d43c-6783e861-aa91df75-bc8eed5c-fb6826f0.jpg | Since the chest radiographs obtained <num> day prior, right lung parenchymal opacities located at wedge resection sites have decreased in extent. Small right pleural effusion. Bilateral interstitial opacities are unchanged since at least <unk>, better appreciated on recent ct chest dated <unk>. No pneumothorax. Moderate cardiomegaly is stable without pulmonary vascular congestion or pulmonary edema. There is gaseous distention of the visualized colon. | <unk> year old man s/p vats wedge resection x<num> (rul/rml/rll) // ? interval change/lung expansion/interstitial opacities |
MIMIC-CXR-JPG/2.0.0/files/p18721570/s55056179/7f74c918-781bf7cd-1bb30a98-2f0b6f45-dd82e1f6.jpg | MIMIC-CXR-JPG/2.0.0/files/p18721570/s55056179/3f6b8cbf-ab21e3e4-2afe864a-ec4acc6b-a89b158c.jpg | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable. | chest pain. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14072116/s51988542/90a48b42-5a1cbbd5-4cb77528-abdbe8cd-1691d262.jpg | MIMIC-CXR-JPG/2.0.0/files/p14072116/s51988542/7c5b043a-1647d767-1277216a-ab347488-6db26fd3.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 <num> weeks cough |
MIMIC-CXR-JPG/2.0.0/files/p14097764/s58666431/fef04d87-01568e2a-d802a54c-cd49bf78-4405e0c9.jpg | MIMIC-CXR-JPG/2.0.0/files/p14097764/s58666431/9a774730-09b79c08-e0525881-e47aecde-891f9759.jpg | Pa and lateral views of the chest were obtained. The lungs are clear bilaterally without focal consolidation or congestive heart failure. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17145082/s56087175/82c09ad6-517ad9fa-d3e3137b-a3d0dd68-70d97160.jpg | MIMIC-CXR-JPG/2.0.0/files/p17145082/s56087175/fd49eb46-d3c61509-35bc05ce-27142789-a0a07758.jpg | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no evidence for rib fracture. A previously reported sternal fracture based on ct imaging is not well demonstrated on this examination. | multiple rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p10407730/s55195498/305f78d2-95f3bf3f-0c0e4fee-2c759e37-f196e91a.jpg | MIMIC-CXR-JPG/2.0.0/files/p10407730/s55195498/3066e00c-8b0d213c-802c6473-648d8c14-6d8d145b.jpg | Ap supine and lateral views of the chest provided. Dialysis catheter and pacemaker appear unchanged. Midline sternotomy wires and mediastinal clips again noted. There is a moderate degree of pulmonary edema with stable mild cardiomegaly and small bilateral pleural effusions. There is no supine evidence for pneumothorax. Aortic atherosclerotic calcifications are noted. Imaged bony structures appear grossly intact. | <unk>f with sob, last dialysis stopped early // eval for fluid overload vs pna |
MIMIC-CXR-JPG/2.0.0/files/p10675719/s52464745/ee091843-131d1bfe-dcb43728-0912b71c-31f2827f.jpg | MIMIC-CXR-JPG/2.0.0/files/p10675719/s52464745/ad5f60b9-eda7916e-f46d1e2a-81211a82-d2b3a9ab.jpg | Cardiac silhouette size is mildly enlarged but unchanged. Aortic knob calcifications are present. No pulmonary edema, focal consolidation or pleural effusion is present. No pneumothorax is identified. Elevation of the right hemidiaphragm is unchanged. Hypertrophic changes are again noted in the thoracic spine. | history: <unk>f with chest pressure |
MIMIC-CXR-JPG/2.0.0/files/p15250378/s50528925/36b474e3-db7e2561-ba88208c-8e9b81f3-eee461e4.jpg | MIMIC-CXR-JPG/2.0.0/files/p15250378/s50528925/8a0354db-51728cf9-b83d160b-af676961-fe4b9d5c.jpg | The lungs are mildly hypoinflated. No pleural effusion although slightly limited evaluation due to limited view of the right costophrenic angle on frontal projection. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Subtle increase in hyperdense area on lateral projection just superior to the a costophrenic angles. Limited assessment of the upper abdomen is within normal limits and visualized osseous structures are unremarkable. | history: <unk>m with cough, brown phlegm. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14791686/s50870206/7bff8079-e41249c7-dd9dd63b-eacb70dc-5a2fdcae.jpg | MIMIC-CXR-JPG/2.0.0/files/p14791686/s50870206/7c80c732-236305db-d2acfab1-ef675e5e-c137162c.jpg | The heart is mildly enlarged with left ventricular configuration. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small osteophytes are noted along the thoracic spine. | shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10857611/s59345201/ae024a50-4f1f91b9-e2781aa5-1dc5d7d3-1425fdd3.jpg | MIMIC-CXR-JPG/2.0.0/files/p10857611/s59345201/fc19d33b-85c88e57-ecbc3288-9b43339c-d86e6477.jpg | Frontal and lateral views of the chest. No prior. Exam is somewhat limited due to low inspiratory volumes, motion and body habitus. There is no evidence of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. | <unk>-year-old male with shortness of breath and productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p18269383/s53982397/6a67a705-d9dfb77a-71aeb3ab-d1042845-5178884a.jpg | MIMIC-CXR-JPG/2.0.0/files/p18269383/s53982397/fa32759d-977b9210-255859f9-39400e60-e9133e37.jpg | As compared to prior radiograph dated <unk>, there has been a significant interval decrease in the size of the right pleural effusion, now small to moderate in volume. There is no left-sided pleural effusion identified. No focal consolidation, pneumothorax, or pulmonary edema is seen. The heart size is normal. Aortic calcifications and mild tortuosity is noted. Mediastinal contours are otherwise stable. Extensive spinal fusion hardware is seen spanning the lower cervical through lower thoracic spine. A small hiatal hernia is noted. | history of right pleural effusion, assess for resolution. |
MIMIC-CXR-JPG/2.0.0/files/p15980545/s56015041/683105eb-a1062b62-5894998d-e6f6d303-0d30f961.jpg | MIMIC-CXR-JPG/2.0.0/files/p15980545/s56015041/b8e62f25-cdbbf6a9-fac3efdb-7906101e-e2de9bf6.jpg | Moderate enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are stable, with calcification of the aortic knob again present. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. Cholecystectomy clips are seen in the right upper quadrant of the abdomen. | epigastric pain and ekg changes. |
MIMIC-CXR-JPG/2.0.0/files/p17463048/s50256736/1e9726f2-85f29925-7c335a97-8fb95e99-81ae0fb1.jpg | MIMIC-CXR-JPG/2.0.0/files/p17463048/s50256736/e86cc0d8-95fc3109-ae990012-ebdb51a5-b6ca0a29.jpg | There is severe kyphosis and demineralization of the thoracic spine. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | cough and fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17013671/s53251091/204bb4de-4efe56b6-f58fd93f-552d60e2-6453c779.jpg | MIMIC-CXR-JPG/2.0.0/files/p17013671/s53251091/ea5921e1-3d69922f-99be75c2-80df49e9-241ce37c.jpg | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes are seen along the spine including dish and anterior bridging osteophytes in the mid to lower thoracic spine. Hilar contours are stable. | <unk> year old man with dizziness and mild altered mental status with concern for possible infectious etiology // please assess for possible pneumonia or pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p10592794/s55419603/1dc51d18-6f757f35-86347c24-ebac5738-f55a11eb.jpg | MIMIC-CXR-JPG/2.0.0/files/p10592794/s55419603/af2d7af8-9adcd099-e05f1821-57a3b0b9-6bee9a23.jpg | As compared to the previous radiograph, the pre-existing right upper lobe opacity is unchanged in extent and severity. Unchanged minimal scarring at the right lung base. Moderate cardiomegaly, no overt pulmonary edema. | new oxygen requirement, clinical improvement, questionable right upper lobe opacity. |
MIMIC-CXR-JPG/2.0.0/files/p18412168/s55546856/cb1c6757-d9bb92dc-c8c0c292-631d7a94-37a86382.jpg | MIMIC-CXR-JPG/2.0.0/files/p18412168/s55546856/5f008f51-29985da3-26ece350-f052bbc9-ea459601.jpg | There are relatively low lung volumes. Increased prominence of the soft tissue along the lower right peritracheal region and right hilar region is nonspecific, but could be due to lymphadenopathy versus prominent vascular structures or mediastinal fat. Right mid lung atelectasis/scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. The aortic knob is calcified. Degenerative changes seen along the thoracic spine without loss of vertebral body height. | history: <unk>m with ttp over t<num> t-spine pain // eval for fx |
MIMIC-CXR-JPG/2.0.0/files/p13774492/s54636286/f7401d5c-c3a6e2b8-7b770558-de71d801-768b314e.jpg | MIMIC-CXR-JPG/2.0.0/files/p13774492/s54636286/f7857bc0-c751502d-86a5ad21-3969756b-cd30e396.jpg | The lungs are hyperinflated. Atelectatic changes are again noted within the right middle lobe, similar compared to the prior exam. No pleural effusion or pneumothorax is present. The heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. No acute osseous abnormalities demonstrated. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17810264/s50920149/11e1b2a1-69c21685-a020f05e-1279c777-db96c71e.jpg | MIMIC-CXR-JPG/2.0.0/files/p17810264/s50920149/001fc853-beb14144-5944e4e5-63527a7c-cd69208e.jpg | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Mild cardiomegaly and aortic tortuosity are unchanged from three days prior. Hilar contours are normal. No displaced rib fracture is identified. Mild loss of height in the lower thoracic vertebral body is unchanged from <unk> and of unknown chronicity. | chest pain with recent stent work. |
MIMIC-CXR-JPG/2.0.0/files/p10084233/s53106834/3934715b-c0e32d32-d77af580-647f1020-5152c776.jpg | MIMIC-CXR-JPG/2.0.0/files/p10084233/s53106834/c9fea234-a1f666f6-57281e2e-2378f6df-09409a21.jpg | There is moderate cardiomegaly. The lungs are clear without focal consolidation, effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | <unk>m with hypotension // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p12127709/s50390999/cacd172f-70a0d422-18c0a371-d85d382f-e659faf0.jpg | MIMIC-CXR-JPG/2.0.0/files/p12127709/s50390999/57294192-8d9ad945-1ef3bbb8-fc266da0-073c1947.jpg | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. There is partly visualized leftward convex rotary curvature along the upper lumbar spine. There is no evidence of fracture. | status post motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg | MIMIC-CXR-JPG/2.0.0/files/p10569231/s53678530/d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f.jpg | Underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. No focal consolidation is seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette. | history: <unk>f with altered mental status // r/o ich, pna |
MIMIC-CXR-JPG/2.0.0/files/p10257709/s57346457/e2012512-0ac4dce5-dcbf8a9a-4a00fd68-afd9b9f7.jpg | MIMIC-CXR-JPG/2.0.0/files/p10257709/s57346457/82022a51-fff18793-a1592f0b-76558dc3-614e84c6.jpg | There is a new right upper lobe opacity with a linear border consistent with intervening radiation treatment to this area. Again seen is an infrahilar opacity which is largely unchanged and may represent focal fibrosis. There is slight right hilar elevation, consistent with post-radiation changes. There is an opacity projecting over the right lower lung field, which is best explained by change in patient position and technical differences. The left lung is unremarkable. There is stable cardiomegaly and tortuosity of the aorta. There is no pleural effusion or pneumothorax. The pleural surfaces are unremarkable. | <unk>-year-old female with small cell lung cancer status post chemotherapy, and radiation, presents with persistent cough. |
MIMIC-CXR-JPG/2.0.0/files/p10046282/s59720796/9c5c9f70-5499fd6f-b612606d-ab74edeb-dd3cafcc.jpg | MIMIC-CXR-JPG/2.0.0/files/p10046282/s59720796/05361238-0987cf83-00425fb2-56ed7bdb-14e821da.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. | altered mental status, hypoglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p14531295/s58434755/9289d3c8-451992ed-ecb859a0-fac2dfea-461d2efd.jpg | MIMIC-CXR-JPG/2.0.0/files/p14531295/s58434755/c7f449ac-a8ff4ebf-147a1d7f-ca01199d-9799e425.jpg | No focal consolidation is seen. There may be minimal interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | history: <unk>f with chest pain // eval for structural process |
MIMIC-CXR-JPG/2.0.0/files/p19023232/s56730436/82613ba1-c8323c54-70129567-9def1499-fa3a2969.jpg | MIMIC-CXR-JPG/2.0.0/files/p19023232/s56730436/64f29972-d9c447e1-34ae9672-a28699e5-a6171a39.jpg | Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. Increased opacities at the bilateral bases reflect small bilateral pleural effusions with adjacent atelectasis. There is cephalization of pulmonary vessels, indistinct hila bilaterally, and increased interstitial markings, consistent with pulmonary edema. Superimposed infection cannot be excluded. There is no pneumothorax. | dyspnea on exertion. evaluate for pulmonary infiltrates. |
MIMIC-CXR-JPG/2.0.0/files/p12689478/s51406824/d840daf1-2d6755ec-2edf3370-a9df79b5-66c7474c.jpg | MIMIC-CXR-JPG/2.0.0/files/p12689478/s51406824/23977bb1-7909fb84-4ece6a8e-4105d034-80cea18f.jpg | The cardiac and mediastinal silhouettes are stable in appearance. Nipple markers are in place. The opacity at the right lateral lung base seen on prior does not correlate with the nipple markers, which are seen more inferiorly. This area at the right lateral lung base is less prominent on the current study. There is a small residual opacity in this area and this may represent an area of atelectasis or clearing infiltrate if the patient has been treated in the interim. There was no opacity in this area seen on recent chest ct, <unk>. One more followup is recommended to document clearance. There is no pneumothorax, pleural effusion, or other area of focal consolidation within the lungs. Stable appearance of the visualized bony thorax. | <unk>-year-old female with question nodule on x-ray, possibly nipple. repeat with nipple markers. |
MIMIC-CXR-JPG/2.0.0/files/p17029854/s50333936/ec8cf586-496b41a2-f4bf5c52-b027dd94-a7bdafec.jpg | MIMIC-CXR-JPG/2.0.0/files/p17029854/s50333936/88d242c9-32b4f7bd-2934db56-a9e758f7-ccffafff.jpg | Patient is status post median sternotomy and mitral valve replacement. Mild cardiomegaly is decreased compared to the prior study. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | history: <unk>m with syncope |
MIMIC-CXR-JPG/2.0.0/files/p18255016/s57895148/725f4d29-7c4751ec-4a005afc-84479972-5124dab7.jpg | MIMIC-CXR-JPG/2.0.0/files/p18255016/s57895148/959c9515-27f0e4cf-b47cdf56-64f8e0ec-80229d77.jpg | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. Lungs are hyperinflated, but otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No rib fractures are identified. No radiopaque foreign body. | <unk>-year-old female with shortness of breath and pain. evaluate for fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18715578/s52988709/fc7d9e48-483b50a7-ca6c15b3-d6333cc2-6d935b4c.jpg | MIMIC-CXR-JPG/2.0.0/files/p18715578/s52988709/d81646a0-9a762696-a928da7d-566ea488-ef5b0cbd.jpg | Linear opacities in the bilateral lung bases likely represent scarring, as they are similar in appearance since at least <unk>. The lungs are otherwise well aerated without evidence of focal consolidation, pleural effusion, or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | <unk>f with fatigue, lethargy. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13570371/s50282739/cd6b6355-317f268c-7d3b5528-e36c0b7f-4aa22520.jpg | MIMIC-CXR-JPG/2.0.0/files/p13570371/s50282739/25ade3b7-a75a4787-d39a7af2-3382435b-da0dd6fc.jpg | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. A nipple ring is noted on the left side. Bony structures are unremarkable. | chest pain after motor vehicle collision. question fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15898350/s52897767/7298efeb-735459e0-75ef5014-1bb8d03a-240616a4.jpg | MIMIC-CXR-JPG/2.0.0/files/p15898350/s52897767/c95d2707-ff053144-62ff1d6d-bb087d1a-1d5a4111.jpg | Enteric tube seen in the region of the inferior mediastinum and cannot be seen more inferiorly secondary to overlying soft tissues. Lungs are grossly clear. Old posterior right rib fracture is identified. The cardiomediastinal silhouette is within normal limits. Colonic interposition seen underneath the right hemidiaphragm. Air-filled loops of bowel seen underlying the left hemidiaphragm. | <unk>m with abd pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p15852061/s50422496/d6d24133-4011cac7-ccd83eaa-386e4144-efe5f972.jpg | MIMIC-CXR-JPG/2.0.0/files/p15852061/s50422496/76ed3f1a-f731ad5e-d0e04cab-f98e6c74-829bc367.jpg | The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16025773/s56330165/7cfe6b0d-0a86f6c2-cd0799b4-3f5433a3-113e83a4.jpg | MIMIC-CXR-JPG/2.0.0/files/p16025773/s56330165/c32b017f-cd802b9b-361e9980-8980ffbb-c463f1a4.jpg | The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>f with chest pain and shortness of breath // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15310905/s58635000/27d04c16-ea29fdad-b2d8f628-3582e0ce-f7ae1146.jpg | MIMIC-CXR-JPG/2.0.0/files/p15310905/s58635000/d8d96ce4-5f233f19-92476c5b-38f6cb74-deed37d2.jpg | The cardiac, mediastinal and hilar contours appear stable including moderate cardiomegaly and enlargement of the main pulmonary artery contour. There is mild unfolding of the thoracic aorta, which is calcified in a patchy fashion. There are persistent pleural effusions, possibly decreased on the left, but similar-to-increased on the right and moderate in size. In addition, a lenticular opacity along the posterior right hemithorax suggests a loculated effusion, similar-to-increased but not easy to compare to the recent prior radiographs due to slight differences in orientation. Fissures are thickened. There is a moderate interstitial abnormality suggestive of pulmonary edema, increased since the prior examinations, but also a relatively confluent area of vague right lower lung opacification. The possibility of coinciding pneumonia could be considered. Short-term serial radiographic followup may be helpful to reevaluate. There is exaggerated kyphotic curvature and a similar severe lower thoracic compression deformity. The bones appear demineralized. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p12934122/s51763114/3d3538df-9e930394-83075811-49491aab-46cdcb64.jpg | MIMIC-CXR-JPG/2.0.0/files/p12934122/s51763114/a160f0e8-bd1f6196-1b9e233c-38480f73-fbcfd69a.jpg | The heart appears mildly enlarged. The aorta is mildly tortuous and calcified. Allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant. There is again slight rightward convex curvature centered along the mid thoracic spine with small-to-moderate marginal mid thoracic osteophytes. | chest and left arm pain. |
MIMIC-CXR-JPG/2.0.0/files/p19000917/s52109135/d27f34fc-6b9d196c-a35ae853-61dc57ab-68e43d51.jpg | MIMIC-CXR-JPG/2.0.0/files/p19000917/s52109135/05d646b1-45adb342-029c1c64-6a11e96f-6898ba98.jpg | Chest: the heart is not enlarged. No chf, focal infiltrate, effusion, or pneumothorax detected. Ribs: no localizing history is available. No marker is placed to indicate the site of focal symptoms. No dedicated rib radiographs were included. Of note, the lower most right ribs are not fully included on the available views. Allowing for this, the possibility of slight cortical offset involving the right eighth rib anteriorly cannot be excluded. | history: <unk>m with bruising and falls // pna? rib fracture? |
MIMIC-CXR-JPG/2.0.0/files/p19952477/s57634432/1627105c-81e0fd30-7c7642db-6844b2f2-2ab47ae4.jpg | MIMIC-CXR-JPG/2.0.0/files/p19952477/s57634432/39cec107-7098c053-91d812fb-e6303982-c2559e47.jpg | Heart size is normal. Small hiatal hernia is re- demonstrated. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Extensive bronchiectasis is re- demonstrated predominantly involving both lung bases with bronchial wall thickening and mucous plugging. No pleural effusion or pneumothorax is present. Scarring is noted at the lung apices. No acute osseous abnormalities present. | history: <unk>m with tachycardia, cough |
MIMIC-CXR-JPG/2.0.0/files/p13948171/s57734968/6f6b8945-e087a3ba-55451e8b-c6cb085a-bcea6816.jpg | MIMIC-CXR-JPG/2.0.0/files/p13948171/s57734968/bd8a63ab-e9a11d08-b4fae913-e670e42e-bb70876c.jpg | Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | <unk> year old woman with acute onset chest pain // eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p16779923/s50797260/10b65c02-4a30d5eb-2f49bce8-6adac010-292d8eda.jpg | MIMIC-CXR-JPG/2.0.0/files/p16779923/s50797260/6ad2c0a3-1e594341-f90b9465-3c5bb8c8-1762411b.jpg | The heart size is normal. Mediastinal and hilar contours are unremarkable. There are mild atherosclerotic calcifications of the aortic knob. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are visualized in the thoracic spine. Clips from prior cholecystectomy are seen in the right upper quadrant of the abdomen. | fatigue, lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p16545443/s52310459/76c04631-1ace9252-0da3ca47-87c4a95e-6f1e721d.jpg | MIMIC-CXR-JPG/2.0.0/files/p16545443/s52310459/879d03dd-28f4b927-2cf28f5a-8b9e39e5-a0a91434.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are normal. | cough and low grade temp. |
MIMIC-CXR-JPG/2.0.0/files/p17458726/s51642684/990b85ba-ff10ecae-b70da50c-7ff4fc65-a92d8184.jpg | MIMIC-CXR-JPG/2.0.0/files/p17458726/s51642684/a0e54c65-59ae31d0-9287fe9b-df14b6a9-0a82af1c.jpg | The lungs to not demonstrate focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bony structures are grossly intact. | chest pain. question acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14247006/s53654313/7e8b6434-24f01f1d-ed4a7885-c833c699-c43a3f53.jpg | MIMIC-CXR-JPG/2.0.0/files/p14247006/s53654313/7c6eda39-487ba421-ef961520-2b20f519-236ac2a8.jpg | No pleural effusion or pneumothorax. The icd leads follow their expected course. The heart is normal. | <unk> year old man with biv icd and new noise seen on rv lead // evaluation of rv lead evaluation of rv lead |
MIMIC-CXR-JPG/2.0.0/files/p12744040/s51310043/45015feb-8e32c62d-7e114a51-5fa0f17f-aafffd48.jpg | MIMIC-CXR-JPG/2.0.0/files/p12744040/s51310043/7d47338f-8f029776-08a01b81-f9084acd-53e80192.jpg | There relatively low lung volumes. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is borderline in size. Mediastinal contours unremarkable. No pulmonary edema is seen. | history: <unk>f with left sided chest pain, shortness of breathe, and cough for the past <num> weeks. // ?cardiomegaly ?infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15497616/s53624545/b6daa066-1e404415-38bcad1f-4053ee2a-9d21504b.jpg | MIMIC-CXR-JPG/2.0.0/files/p15497616/s53624545/7e8d0a75-83e867d8-2f9ac0bd-6ff78de5-0fcc329b.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 cough and dizziness // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p12304672/s52940578/1cdf6b9d-6bd5bc5d-38d5e63e-2f9143e7-e2faf889.jpg | MIMIC-CXR-JPG/2.0.0/files/p12304672/s52940578/a55ced32-676bccfb-fac9ec36-4c6cb47b-d412b3e8.jpg | The heart size is normal. A left-sided pacemaker projects leads into the right atrium and ventricle. There is no pneumothorax or focal consolidation. Left volume loss and blunting of the left costophrenic angle is unchanged, possibly from a chronic tiny effusion versus pleural thickening or scarring. There is no new effusion or consolidation. The right lung is clear. | known left pleural fusion and fibrotic lung. <num> weeks worsening symptoms, including right-sided rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p18461883/s58521688/54442d60-b3bff833-00769b1b-be394289-d42f30db.jpg | MIMIC-CXR-JPG/2.0.0/files/p18461883/s58521688/cc360fc3-66f67753-bb48a71f-246f60fb-9dd6d76b.jpg | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | <unk>-year-old male status post recent atrial fibrillation ablation procedure presents with palpitations. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p13503962/s51047794/dc54666c-048fb6c8-31b9f221-0a09d838-9cdf773c.jpg | MIMIC-CXR-JPG/2.0.0/files/p13503962/s51047794/197490de-2b28075e-e1eca166-af2f37cf-2fc32746.jpg | Normal heart size, mediastinal and hilar contours. Low lung volumes accentuate pulmonary vascular markings. There is minimal bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p19025237/s51086554/c6ab1bfb-70b896e5-054012a5-bcbc4d5a-ea1830f4.jpg | MIMIC-CXR-JPG/2.0.0/files/p19025237/s51086554/9a56e53a-14699720-e302049c-6c678cb5-04593fa2.jpg | There is persistent chronic blunting of the right costophrenic angle. No new focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable. | history: <unk>m with cough // cough |
MIMIC-CXR-JPG/2.0.0/files/p19788382/s50093647/5340ca72-217bf602-c6e353c5-a217ed39-45d77e12.jpg | MIMIC-CXR-JPG/2.0.0/files/p19788382/s50093647/97d8b8a5-3be65488-54d2d337-f7859766-a7f1b0a1.jpg | Moderate to severe cardiomegaly is unchanged. The aortic knob remains calcified. Mediastinal and hilar contours are similar. Moderate size left pleural effusion appears minimally increased compared to the prior study. Opacification of the left lung base likely is due to compressive atelectasis. Mild pulmonary vascular congestion appears similar. Trace right pleural effusion is relatively unchanged. No pneumothorax is identified. | generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p18443821/s55770870/6ee00f9e-e414ec58-9a1ed448-89c325b2-ac222471.jpg | MIMIC-CXR-JPG/2.0.0/files/p18443821/s55770870/b8717b51-3e36aafa-ed2d448c-e36618ae-ddc64f35.jpg | The size of the cardiac silhouette is enlarged but unchanged. There is a small right pleural effusion with subjacent atelectasis. No pneumothorax identified. No abnormal calcifications within the lungs or mediastinum. Degenerative changes of the thoracic spine are visualized. | <unk> m recently immigrated <unk> <num>x cxr with mild pulmonary edema now with positive tb test on left arm r/o active tb // r/o active tb |
MIMIC-CXR-JPG/2.0.0/files/p18984875/s58365211/e4b6ff04-4a0c0f3f-9d09e6ba-33264e6e-c427ac24.jpg | MIMIC-CXR-JPG/2.0.0/files/p18984875/s58365211/49ebb3df-bfb329a4-9b160e72-f1b1dded-4d758c28.jpg | Small left apical pneumothorax is stable compared to <num> hr ago, measuring <num> cm in depth. Nodular opacity at the left lung apex may reflect post procedural change. There is no pleural effusion. Cardiomediastinal silhouette is unchanged. | <unk> year old woman with left small pneumothorax secondary to ct-guided biopsy of lung mass. // change in size of ptx |
MIMIC-CXR-JPG/2.0.0/files/p10987937/s57241969/34880ec4-79339dc7-2c5f36cf-79e2a0fa-6956b7da.jpg | MIMIC-CXR-JPG/2.0.0/files/p10987937/s57241969/7d2b6d6e-57925b03-074f1400-e70d8a62-653da367.jpg | There is a fracture of the left scapula, infra-glenoid in location. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Small displaced bony fragment projects over the mid scapula. There is no clear evidence for rib fracture. | motor vehicle collision with pain over the left scapula, shoulder and left anterior and lateral ribs, with t<num>-t<num> tenderness. |
MIMIC-CXR-JPG/2.0.0/files/p15172735/s54208174/fc277c32-3cb60e8e-05aa5179-282b7adb-973c1862.jpg | MIMIC-CXR-JPG/2.0.0/files/p15172735/s54208174/283b2bb0-034fd7b3-54f39fa6-7266bf4b-a2f02987.jpg | Pa and lateral images through the chest demonstrates clear lungs bilaterally. The cardiomediastinal contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality. | <unk>-year-old female with cough, chills. |
MIMIC-CXR-JPG/2.0.0/files/p17815057/s50812121/ab242bfb-da7b273c-fb58c712-58d4124b-9cfdc0e9.jpg | MIMIC-CXR-JPG/2.0.0/files/p17815057/s50812121/01aa706b-0c5fa095-5c681d8d-6a1dbaaa-97984ec7.jpg | Right chest wall port is seen with catheter tip over the lower svc. There are increased interstitial markings throughout the lungs compatible with fibrotic changes. There is no new consolidation nor effusion. Cardiomediastinal silhouette is stable. Hilar adenopathy was better seen on prior exam. Known pulmonary nodules are not delineated on this x-ray. Surgical clips seen in the upper abdomen. | <unk>f with fever, on chemo // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16660367/s58287234/22d7f86d-f3874dc0-8571c64e-64c12c0b-9d3e8e01.jpg | MIMIC-CXR-JPG/2.0.0/files/p16660367/s58287234/a9e09ea5-9dc6cc0f-5cc5acc1-74660990-4f288bc6.jpg | Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | <unk>m with pancreatitis // eval for effusions |
MIMIC-CXR-JPG/2.0.0/files/p15488747/s57456691/2ddcd757-71a6f896-d7eeb1f3-976db0cc-192b4918.jpg | MIMIC-CXR-JPG/2.0.0/files/p15488747/s57456691/8b1014cc-c6e713c8-2c31a68e-09cf5257-7dcc5c4e.jpg | Pa and lateral views of the chest provided. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. | <unk> year old woman <num> weeks pregnant with cough, fever // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16984771/s50135664/5059eb13-7affb731-79f764be-85152bff-fa50124d.jpg | MIMIC-CXR-JPG/2.0.0/files/p16984771/s50135664/22efb192-2ac49dff-382b46e3-c4630a43-8164343f.jpg | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. Surgical material potentially prior mesh seen adjacent to the diaphragm. | <unk>m with left chest pain // chest pain evaluation |
MIMIC-CXR-JPG/2.0.0/files/p13157621/s58620220/f66323ed-5b950cf1-012aac88-9f957c62-ad3c5d1f.jpg | MIMIC-CXR-JPG/2.0.0/files/p13157621/s58620220/5d88341c-2bde3a3c-b8790ea2-d5cfeb90-debeb8ab.jpg | Normal heart, mediastinum, hila, and pleural surfaces. A vague opacity in the left lower lung is new and likely to be atelectasis, however a small pneumonia cannot be excluded. Multiple right healed rib fractures were present on the ct from <unk>. | <unk> year old man with cough and crackles in bilateral bases. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12384056/s58547276/4497a376-4a795546-b53d7d96-d02982ed-823d6b4f.jpg | MIMIC-CXR-JPG/2.0.0/files/p12384056/s58547276/776f6a1f-cedefe5f-37aa6164-8b444a19-fe84ecf9.jpg | A right-sided port-a-cath is seen terminating in the low svc. There is no evidence of pneumothorax. No pleural effusion is seen. There are relatively low lung volumes. Right perihilar infrahilar opacity is seen, infectious process is not excluded. There may be minimal interstitial edema. The cardiac and mediastinal silhouettes are unremarkable. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p12767234/s50374638/13e54c81-cb9495b1-7e0d5e0e-60d8854e-63fff3c7.jpg | MIMIC-CXR-JPG/2.0.0/files/p12767234/s50374638/e93b36f4-8a15e335-a1077a4b-4e0fcc40-b8b12b43.jpg | There are relatively low lung volumes and mild elevation the right hemidiaphragm. There is diffuse increase in interstitial markings, with a peripheral predominance, in this patient with history of interstitial pulmonary fibrosis. The hila are somewhat prominent, and a superimposed vascular congestion/ pulmonary edema is not excluded. No priors available for comparison to assess for interval change. No large pleural effusion or pneumothorax. Cardiac silhouette is top-normal. | history: <unk>f with ipf, worsening exertional dyspnea // consolidation, effusion |
MIMIC-CXR-JPG/2.0.0/files/p13002063/s52816882/18b0eef1-586a8513-e54378d9-d84cb257-cec333c7.jpg | MIMIC-CXR-JPG/2.0.0/files/p13002063/s52816882/6c98f457-b8133126-132930ac-d14cac4d-d6f65dee.jpg | Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | <unk>m with cough, fatigue // evaluate for pneumonia (typical or atypical) |
MIMIC-CXR-JPG/2.0.0/files/p10002430/s53254222/4873aa08-977bfd31-fb492e64-6ef432d1-3f12cbe3.jpg | MIMIC-CXR-JPG/2.0.0/files/p10002430/s53254222/590ae2db-d9330aec-1e81d571-d6bd3751-640cee9b.jpg | Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Suture is again noted in the right lower lung with adjacent rib resection. There is mild scarring in the right lower lung as on prior. There is no focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The heart remains moderately enlarged. The mediastinal contour is stable. | <unk>m with doe // pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p17828122/s58322656/39747d61-63a961ae-40e19367-86eddce3-9fcd1a59.jpg | MIMIC-CXR-JPG/2.0.0/files/p17828122/s58322656/480b061c-f2dd9472-06df6e99-7f8f13a7-d1690c8a.jpg | The cardiac silhouette size is normal. The mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. Mild h shape configuration of the imaged vertebral bodies is compatible with the history of sickle cell disease. | sickle cell disease with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18647733/s54082460/4f972649-1f592bd8-fdec6ff7-3084608f-686b2509.jpg | MIMIC-CXR-JPG/2.0.0/files/p18647733/s54082460/29758730-7d4f4e15-aec94368-cc45648f-08cb5fd2.jpg | The lungs are well expanded. There is mild pulmonary vascular congestion without overt ischemia. There is no focal consolidation or pneumothorax. Moderate cardiomegaly stable. Median sternotomy wires are intact. | cough for a month, rales at the right base, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14581261/s58320679/eda1c364-3089bd95-02f79aae-65790ff2-b52ecd5a.jpg | MIMIC-CXR-JPG/2.0.0/files/p14581261/s58320679/cc142403-57591ac5-0613e41c-16c68066-cb176eb7.jpg | Pa and lateral chest radiographs. The lungs are hyperinflated and thoracic kyphosis is exaggerated. However, there is no focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is slightly better than on prior imaging. The patient has had a hemiarthroplasty in the right glenohumeral joint. There is no pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10033552/s58734596/f0c76dd6-aae11ffd-7fb9e184-b9b42d5b-b3764744.jpg | MIMIC-CXR-JPG/2.0.0/files/p10033552/s58734596/0f9a2df4-9ad1c576-b93d24c4-4b89e43a-af15a46f.jpg | Frontal and lateral views of the chest were performed. The cardiac silhouette is top normal in size. The mediastinal and hilar structures are normal. The lung volumes are low, however, there is no focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is normal. The imaged upper abdomen is unremarkable. | fatigue, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p13285652/s56532239/aab5297b-b1ef2d4b-78f2f91b-62525442-1704a672.jpg | MIMIC-CXR-JPG/2.0.0/files/p13285652/s56532239/c64ba700-d8a34f9d-d387e6d3-b4bf750c-cd9149d6.jpg | Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. Minimal scarring is noted in the lung apices. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormality is detected. | history: <unk>f with epigastric pain |
MIMIC-CXR-JPG/2.0.0/files/p14300020/s54585158/51b278a3-811afeb7-76c3a9a8-e9ffc826-fa898e1c.jpg | MIMIC-CXR-JPG/2.0.0/files/p14300020/s54585158/85ae9a6a-9e6fa83c-7cb89b9a-9a5ac497-e4da4eb4.jpg | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable. | <unk> year old man with shortness of breath, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16172743/s57202677/f038d979-dd308611-9451c800-97003e6a-d970a335.jpg | MIMIC-CXR-JPG/2.0.0/files/p16172743/s57202677/3a36e982-a63dd916-c5e85fc8-da0f1738-84994d8f.jpg | There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | history: <unk>m with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13756263/s52107378/5852b1d7-50f125e3-3fd8b518-f23a522e-85176494.jpg | MIMIC-CXR-JPG/2.0.0/files/p13756263/s52107378/995b790c-22560719-88a7764c-37c67425-4c30ac49.jpg | The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. | <unk>f with lightheadedness // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17035637/s57707537/999bbc8e-56111e81-27fca6d1-381da524-5dd1945d.jpg | MIMIC-CXR-JPG/2.0.0/files/p17035637/s57707537/8811a84a-fb6a2cac-1cbcde90-acbc409f-127435fa.jpg | <num> cm rounded opacity projecting over the edge of the anterior right first rib likely relates to the rib however, was less evident on the prior study. Findings could be further assessed with shallow obliques or ap lordotic view. No focal consolidation seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac, mediastinal, and hilar contours are stable. Chronic changes noted at the distal right clavicle, as also seen on the prior study. A few compression deformities are noted along the thoracic spine, not optimally evaluated on this study. | history: <unk>m with etoh, luq pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19297337/s50365589/6abbd713-1df53f45-743c699f-8601a60f-32f74735.jpg | MIMIC-CXR-JPG/2.0.0/files/p19297337/s50365589/40f95f19-accc6b81-3917df29-bc3dc03b-e2ae4dc4.jpg | There are three right chest tubes in place and in unchanged position, two of which terminate in the apex. The large, persistent, right apical pleural space, measuring <num> cm from the top of the thoracic cage to the collapsed right upper lobe, is unchanged. There is no mediastinal shift or hemidiaphragmatic flattening to suggest tension. Increased area of density in the collapsed right upper lobe is likely hematoma from recent surgery. The extent of soft tissue air collection in the right chest wall has not changed. | <unk>-year-old male patient, status post right upper lobe bullectomy and pleurodesis, now with right upper lobe pneumonia and air leak. study requested for evaluation of interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14799855/s50672948/3cb01cc2-19347b54-0d4fef6a-fb960fe0-cdc6b572.jpg | MIMIC-CXR-JPG/2.0.0/files/p14799855/s50672948/d488acde-78df2978-63b32ada-54de5d46-eff76e1d.jpg | The cardiac silhouette is borderline enlarged. In aicd is again noted, stable in appearance since the prior examination. Again again noted are stable bilateral pleural effusions. Opacity is again seen in the right upper and mid lung zones, which may be related to prior rib fractures though metastatic disease is not excluded. No pneumothorax is identified. | history: <unk>m with tachycardia, on chemotherapy // eval for acute porcess |
MIMIC-CXR-JPG/2.0.0/files/p15918921/s56573082/886e9943-cee5005d-42af2c9c-d6c7d97a-8b9255cf.jpg | MIMIC-CXR-JPG/2.0.0/files/p15918921/s56573082/bbd4fd37-7709f018-8d2b12d6-5145c61f-b06174a3.jpg | There has been interval removal of a right internal jugular catheter. The heart is mildly enlarged. Bilateral hilar fullness and mild perihilar opacities are minimally decreased from the prior study. Additionally, there is volume loss in both upper lobes. No evidence of focal, infectious consolidation. No pleural effusion or pneumothorax identified. | <unk> year old woman with leukocytosis and r basilar crackles // assess for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12758734/s57813486/0ac0c3c8-cd55374a-fd66fd04-708cd63f-91455df3.jpg | MIMIC-CXR-JPG/2.0.0/files/p12758734/s57813486/0a20f853-aeebee14-5d5b40a9-bc4cb1d6-e6c82d7b.jpg | Ap upright and lateral views of the chest provided. Fusion hardware is noted in the upper t-spine. Pleural thickening is noted along the lateral aspect of the right lower lung. There is no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Imaged bony structures appear intact. | <unk>f with quadriplegia and fever. |
MIMIC-CXR-JPG/2.0.0/files/p11547745/s50925046/cd17be28-2fa7231a-51f62ea0-a13121ef-32cbc544.jpg | MIMIC-CXR-JPG/2.0.0/files/p11547745/s50925046/3bd2de0c-1a0296f2-78935390-49eb1b59-5fffb1f2.jpg | Pa and lateral chest views were obtained with patient upright position. Comparison can be made with a preceding similar study dated <unk>. The heart size is at the upper limit of normal variation. There is a relative prominence of the left ventricular contour to the left and posteriorly but no significant enlargement of the left atrium can be identified. The thoracic aorta is generally widened and elongated and shows some calcium deposits in the wall, mostly at the level of the arch. No local aortic contour abnormalities identified. Pulmonary vasculature shows a mild upper zone redistribution pattern but there is no evidence of interstitial edema or marked perivascular haze on the bases. The lower areas have more the appearance of hyper-aeration. The right-sided diaphragm is scalloping in appearance with mild elevation in the anterior third on the right side. There is, however, no evidence of any acute pleural effusion as the lateral pleural sinuses remain free. No new acute discrete pulmonary parenchymal infiltrates can be identified. There are few linear peripheral interstitial densities bilaterally contributing to the general impression that the patient has a rather prominent copd. When comparison is made with the preceding similar chest examination of <unk> it can be stated that the cardiac size has not increased significantly. On the other hand, the general widening of the thoracic aorta is more marked than before. Acute pulmonary chf signs are not present. As already seen on previous examination, the patient has orthopedic hardware in the upper lumbar spine region. | <unk>-year-old male patient with shortness of breath, evaluate for heart size. |
MIMIC-CXR-JPG/2.0.0/files/p17088480/s58312112/66dd9993-2c09cc12-d2eae143-df86ac75-fa67d080.jpg | MIMIC-CXR-JPG/2.0.0/files/p17088480/s58312112/b45601f6-6024074b-d1634270-5e44c333-dde091d9.jpg | Heart size is top normal. Mediastinal and hilar silhouettes are unremarkable. Lung volumes are low, accentuating the cardiopulmonary vasculature. There are increased reticular markings, particularly at the lung bases suggestive of edema or aspiration. There is no pleural effusion or pneumothorax. No definite fracture is identified. | status post fall with tachycardia. evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17894379/s59807849/60676317-e6eea05c-a1c31e40-666cb657-6e0a8020.jpg | MIMIC-CXR-JPG/2.0.0/files/p17894379/s59807849/6422fb41-69f52433-c25c236a-12c8a43b-b6571c46.jpg | Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiac silhouette is enlarged but stable. Enlargement of the thoracic aorta is unchanged. Median sternotomy wires and mediastinal clips are again seen. | <unk>-year-old male with history of afib with recent episodes of rapid ventricular rate at dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p18112427/s56708690/0a14ad4d-f2a023d0-8a0f9dff-030562ed-0cc43e29.jpg | MIMIC-CXR-JPG/2.0.0/files/p18112427/s56708690/8b018d5b-5e294d63-fc66028d-63c43151-948e72cb.jpg | There is probable mild hyperinflation, suggesting background copd. The heart is not enlarged. There is patchy opacity in the right infrahilar/cardiophrenic region which may lie within the right middle lobe. Minimal atelectasis noted at the left base. No other infiltrate is identified. No frank consolidation. No chf or effusion. Slight asymmetric pleural thickening noted at the right lung apex . | cough and shortness of breath rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13499390/s55202969/9f81e02f-1c4cff28-c91dce4c-13f1a9c4-ca1abbad.jpg | MIMIC-CXR-JPG/2.0.0/files/p13499390/s55202969/b2da7cc9-e545348b-3b708ea5-940b0291-9b6f5d17.jpg | The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. | motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p10337761/s52982082/0374a4ed-6c473ef2-0fdbcab1-ae0266f6-74dd6da4.jpg | MIMIC-CXR-JPG/2.0.0/files/p10337761/s52982082/d5a35493-d0ce7cce-c3bc6712-c3884af5-e785e5ef.jpg | There is stable cardiomegaly with prominence of the hila and pulmonary vasculature but no overt signs of failure. No pleural effusion is seen. There is no evidence of pneumothorax. Lungs are otherwise clear and well expanded bilaterally with no focal consolidation, lesions or masses. The pleural surfaces are unremarkable. | <unk>-year-old female with history of hiv, diabetes, chronic renal failure, and hypertension presents with dyspnea and cough x<num> weeks. |
MIMIC-CXR-JPG/2.0.0/files/p12347683/s56670331/1b813580-73d66548-4abf6453-36263ab6-3628264f.jpg | MIMIC-CXR-JPG/2.0.0/files/p12347683/s56670331/be11efc6-f627a613-ef6d9253-65a464fb-01acef55.jpg | Lungs are fully expanded and clear. The heart is top-normal in size. The mediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. A calcified granuloma is noted in the right lower lung. | <unk>m with shortness of breath, dyspnea on exertion, please evaluate for pneumonia or other intrathoracic process. . |
MIMIC-CXR-JPG/2.0.0/files/p10679138/s55685479/d9405f19-0ddbf80b-8b176248-cd250529-90f1ff70.jpg | MIMIC-CXR-JPG/2.0.0/files/p10679138/s55685479/8d95e625-196d9a33-07ba6167-bdb4b0ca-b28d3399.jpg | First heart size remains moderately enlarged. The aorta is unfolded and demonstrates diffuse atherosclerotic calcifications. Hilar contours are relatively unchanged. There is mild interstitial pulmonary edema. No pleural effusion or pneumothorax is identified. There are multilevel mild degenerative changes throughout the thoracic spine. | history: <unk>f with shortness of breath and wheezing |
MIMIC-CXR-JPG/2.0.0/files/p19262586/s53536651/a490de8f-e39d32d1-aad2fb6c-5b2fb926-5c3d18b9.jpg | MIMIC-CXR-JPG/2.0.0/files/p19262586/s53536651/2f9560ca-3d5711ce-2e679e18-7a0dc745-b7b747f8.jpg | Pa and lateral radiographs of the chest demonstrate interval improvement in right apical opacity previous seen in <unk>. Residual opacity at the right apex likely represents scarring. There is no opacity concerning for airspace consolidation. No pleural effusion or pneumothorax is seen. The cardiac, mediastinal, and hilar contours are normal. Left pleural lipoma is noted. | cough and fatigue. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13423793/s50795287/acb9f1b5-4f95c83c-c7ffa005-5f1a61d2-aee2e30f.jpg | MIMIC-CXR-JPG/2.0.0/files/p13423793/s50795287/6411f38f-93b0e2bd-03b078d1-771a62e8-c9b9d72f.jpg | Heart size is top 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. Clips are noted within the right upper quadrant of the abdomen. | history: <unk>f with chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p13016076/s59335973/02846eee-c48b4679-3f90dcc5-d6bf35c7-84a63c42.jpg | MIMIC-CXR-JPG/2.0.0/files/p13016076/s59335973/8f883f63-06134fdd-6364d61e-14d1f261-e32eb6a7.jpg | Ap upright and lateral chest radiograph demonstrate eventration of the right hemidiaphragm anteriorly, unchanged when compared to radiograph dated <unk>. No focal consolidation convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of overt pulmonary edema. No acute osseous abnormality is identified. | <unk> year old female with hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p15007710/s51338738/7d3aace2-f69d0ef2-1dfabb1d-2659540f-5ee861c9.jpg | MIMIC-CXR-JPG/2.0.0/files/p15007710/s51338738/483d8732-2e080c8f-a807b44e-0cfdccea-615acaa9.jpg | The heart is moderately enlarged, and there is no overt pulmonary edema. No definite focal consolidation, and the lungs are hyperinflated. Small effusions or pleural thickening is seen. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p17840764/s58077737/900d04e1-5eece74c-591c2ee0-6f3e9bdf-beb8cc00.jpg | MIMIC-CXR-JPG/2.0.0/files/p17840764/s58077737/7880a535-2a605f6c-626a7bd4-867f4aba-256cd266.jpg | There has been interval placement of a right internal jugular approach dialysis catheter with tip terminating in the high right atrium. Lung volumes are persistently low accentuating the pulmonary vasculature. Heart size is top-normal. Mediastinal and hilar contours are otherwise unremarkable. Posterior base consolidation is seen on lateral view. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. | dizziness and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14439133/s51268065/ebbd481c-274237ce-76fd961b-d3079328-39d24386.jpg | MIMIC-CXR-JPG/2.0.0/files/p14439133/s51268065/3dc68fba-6245a203-d3d81774-2ff8f140-cf7d73f0.jpg | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | <unk>m with palpitations, chest discomfort // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s56695945/54a7fedf-a3d2fa0a-f263a707-e8c214e2-a412c151.jpg | MIMIC-CXR-JPG/2.0.0/files/p11818101/s56695945/be5ef125-9d9640d2-748eba25-1fd2e776-9e40e908.jpg | Frontal and lateral views of the chest were performed. A left-sided pacemaker is present with leads terminating in the right atrium and right ventricle. The cardiac silhouette remains mildly enlarged. The mediastinal contours are unremarkable. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The imaged upper abdomen is unremarkable. | chest pain and shortness of breath, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10304137/s53163243/eec07d63-82b853f1-c53b5ac1-9f4ba496-59144def.jpg | MIMIC-CXR-JPG/2.0.0/files/p10304137/s53163243/6a6c1435-89539cca-da68b2c7-a0b1fe58-f4dd7e54.jpg | As compared to the previous radiograph, there is no relevant change. Relatively low lung volumes, minimal atelectasis at the right lung base, elevated right hemidiaphragm. Normal size of the cardiac silhouette. No pulmonary edema, no pneumonia, no pleural effusions. | rule out infection or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p10501557/s52176984/b011d8cc-dc7132b2-88dbf1ce-25edfe98-e7f91d64.jpg | MIMIC-CXR-JPG/2.0.0/files/p10501557/s52176984/6ea51953-f5874389-da0d0ea1-87370f02-388c1b28.jpg | Lung volumes remain low. An azygos fissure, normal variant, is re- demonstrated in the right upper hemithorax. Small left pleural effusion is overall unchanged. Blunting of the right costophrenic angle with silhouetting of the lateral aspect of the right hemidiaphragm may reflect a combination of moderate atelectasis and elevated right hemidiaphragm. No definite right pleural effusion, and if present, is minimal/trace. Appearance of the heart and mediastinum are unchanged. No frank pulmonary edema or pneumothorax. | <unk> year old man with hepatic decompensation, and recent cxr <unk> <unk> showed bibasal opacities and left pleural effusion. // please evaluate for interval change. please have patient take full inspiration, as previous cxr did not show good inspiration. |
MIMIC-CXR-JPG/2.0.0/files/p18976063/s58037710/4703cca7-cb745675-d1ec778f-61da0550-59dcae8e.jpg | MIMIC-CXR-JPG/2.0.0/files/p18976063/s58037710/9e960dd4-4e40044c-8b1cb515-4a99c23a-ca594363.jpg | Pa and lateral chest radiograph demonstrate clear lungs with no focal opacity. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Imaged osseous structures demonstrate no acute abnormality. Imaged upper abdomen is unremarkable. | <unk> year old woman with cough, decreased breath sounds, rhonchi. patient is status post liver transplant. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16427335/s59487676/adbb4331-68758f0c-6970c0e7-d70a6996-0d975c91.jpg | MIMIC-CXR-JPG/2.0.0/files/p16427335/s59487676/8c87c5cb-bc2d226b-af523e14-c0ce2469-be33531e.jpg | There is minimal streaky atelectasis at the lung bases. No focal consolidation is seen. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. No radiopaque foreign body is identified. | <unk>f with throat pain s/p eating fish. evaluate for fish bone. points to mid substernal area as pain. |
MIMIC-CXR-JPG/2.0.0/files/p13405890/s51375228/0e76d53b-500e40e2-9da55fc6-683f1799-e3932ef5.jpg | MIMIC-CXR-JPG/2.0.0/files/p13405890/s51375228/675f8dee-84047bf3-b2a33338-d7366770-fae4df04.jpg | Ap upright and lateral views of the chest provided. Overlying ekg leads noted. Cardiomegaly and hilar congestion persist with mild interstitial pulmonary edema again noted. Small bilateral pleural effusions likely present. There is increased bibasilar patchy opacity which may reflect a superimposed pneumonia or sequelae of aspiration. No pneumothorax. High-riding humeral heads bilaterally reflect chronic rotator cuff disease. | <unk>f with ams, acute onset confusion, no fever |
MIMIC-CXR-JPG/2.0.0/files/p16852633/s53535689/b5725e72-b36714c0-9057169d-dd5c5ae3-ffb6c3f5.jpg | MIMIC-CXR-JPG/2.0.0/files/p16852633/s53535689/87b438ae-35661d30-e1175bbd-b195de38-00403c14.jpg | Right-sided picc tip terminates at the junction of the svc/proximal right atrium. The cardiac silhouette size is normal. Mediastinal contours are unremarkable. There are low lung volumes with crowding of the bronchovascular structures. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. | history: <unk>m with fever // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17991372/s55598502/86c34404-f1b452d6-2fa6eb79-72889a14-7a5e8d16.jpg | MIMIC-CXR-JPG/2.0.0/files/p17991372/s55598502/1450710f-f4e6ceb1-7ad72925-09a36157-fbe0ceb6.jpg | Lungs are well expanded bilaterally with no pleural effusion seen. There is mild left pleural scarring and left lower lobe linear opacity, most likely representing suture line. Previously seen atelectasis has completely resolved. There are no areas of focal consolidation concerning for pneumonia. There is no pneumothorax. The cardiomediastinal silhouette is stable within normal limits. Previously documented interstitial abnormalities are essentially unchanged at the bases. | <unk>-year-old male status post vats, left upper and lower lobectomy. |
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