Frontal_Image_Path stringlengths 94 94 | Lateral_Image_Path stringlengths 94 94 ⌀ | Findings stringlengths 76 2.06k | Query stringlengths 1 630 |
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MIMIC-CXR-JPG/2.0.0/files/p15814891/s55062213/4c2232ea-9a13576e-8189ca8b-d3962694-12e94bb0.jpg | null | Moderate cardiomegaly is unchanged. Pulmonary vascular congestion and mild pulmonary edema is again noted. No focal consolidation, large effusion, or pneumothorax. Bony structures intact. | <unk>f with dyspnea and hypoxia. eval for acute process, pulmonary edema, pna, effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18658505/s58269427/02aabec5-73d4903d-62f53b8e-2fa1d063-d810e731.jpg | null | A newly placed dobbhoff catheter ends in the proximal esophagus. No other appreciable interval change from the prior exam, including mild pulmonary edema and moderate cardiomegaly. | <unk> year old man with left basal iph. // eval dobhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p15067399/s51016279/0d7bb0be-6e96ba68-641d4f7e-e3495b10-f99343c4.jpg | null | The lungs are well expanded. Diffusely increased interstitial markings are again noted, improved prior exam, which are non-specific. No focal abnormality or evidence of edema is seen. Probable left lower lobe atelectasis is again noted. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Median sternotomy wires mediastinal clips are noted. The cardiac apex is prominent, which may reflect left ventricular hypertrophy or aneurysmatic dilatation. | history: <unk>m with fall // ? fx, bleed |
MIMIC-CXR-JPG/2.0.0/files/p12678882/s59966284/939531e6-568d4e1a-12b87fcf-af24435b-d557d110.jpg | null | Single ap portable view of the chest was obtained. The patient is rotated to the right. Central pulmonary vasculature remains engorged. The cardiac silhouette remains moderate to markedly enlarged. There is mild bibasilar atelectasis. A trace right pleural effusion would be difficult to exclude. No definite focal consolidation is seen. | |
MIMIC-CXR-JPG/2.0.0/files/p18860416/s57430485/8c1a401f-5a17a47e-5efe3238-3fcdb0b2-5887a255.jpg | MIMIC-CXR-JPG/2.0.0/files/p18860416/s57430485/d9ec5d75-a4e83fe2-049e8cb3-a735ff47-773e34f7.jpg | Pa and lateral views of the chest provided. Biapical pleural parenchymal scarring noted. Lungs are clear without focal consolidation, large effusion or pneumothorax. The heart is top-normal in size. Aorta is unfolded. Bony structures are intact. No free air below the right hemidiaphragm. | <unk>f with history of worsening dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p19201906/s59224228/45075fb6-83cb3d53-138e5f9e-b0638aa7-c0f776fe.jpg | null | In comparison with the study of <unk>, there again are low lung volumes with some atelectatic changes at the bases. Pulmonary vessels are not sharply seen, raising the possibility of some elevated pulmonary venous pressure. No acute focal pneumonia. | intoxication. |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s56606402/c28b5841-af183bc6-b729639d-f318ff97-6015d56f.jpg | null | Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the diaphragm, in the field of view. Left-sided subclavian central venous catheter is stable in position. There has been interval increase in left infrahilar opacity. Right base opacity persists. External leads overlie the right upper lung, making evaluation in this region suboptimal. No pleural effusion or pneumothorax seen. Enlargement of the cardiomediastinal silhouette is stable. | <unk> year old man with worsening appearance of cxr this am // pls eval any interval change since this morning's cxr |
MIMIC-CXR-JPG/2.0.0/files/p18879999/s50708832/b31fcd5e-79feab09-9e193131-58d05051-b6e44750.jpg | MIMIC-CXR-JPG/2.0.0/files/p18879999/s50708832/4ec7e04b-f4098c88-e2c1b1bf-85fad531-220dd3e0.jpg | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No displaced fractures are visualized. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15111504/s54129866/f3148761-8bdfc062-8af258e9-c68e8fee-bd91db32.jpg | MIMIC-CXR-JPG/2.0.0/files/p15111504/s54129866/1c651150-f9e6b12a-57b4d606-a90eff87-dcb70f26.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No gross osseous abnormalities. | <unk> year old man with recent left lower lobe pneumonia presenting with left sided chest pain // eval for ongoing evidence of infiltrate, effusion, or rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p15958024/s54625045/c82e623a-715d4f47-b0afb130-b93519d0-70e8d3d6.jpg | null | Portable semi-upright ap radiograph of the chest. Left chest wall pacemaker-defibrillator has a lead traversing the right svc terminating in the right ventricle and another lead arriving in the right atrium by way of a left sided svc draining into the coronary vein. Lungs are normally expanded. There is blunting and opacity at the left costophrenic sulcus which may represent atelectasis, possibly with small pleural effusion, although infection cannot be completely excluded. However, this area is partially obscured by the pacer. The remaining lung fields are clear. There is no pneumothorax. The cardiomediastinal silhouette is stable; the heart is top normal. | hypotension, cough. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12253202/s50957866/5c3ba0a1-61777ed7-df283a7f-261fb7cd-addb09a4.jpg | null | There is a low position of the endotracheal tube, which is seen with its tip located only <num> mm above the carina. Retraction by at least <num> cm would result in a more optimal position. The ng tube tracks into the left upper quadrant. There is hilar vascular engorgement and mild pulmonary edema. Lung volumes limit evaluation. The heart is mildly enlarged. No pneumothorax or large effusion. Bony structures are intact. | |
MIMIC-CXR-JPG/2.0.0/files/p10640203/s56967206/21da46cf-e0ab4546-a5fe4c2d-23a6c1bf-010725c4.jpg | MIMIC-CXR-JPG/2.0.0/files/p10640203/s56967206/861ffe4e-6a54aaa6-6192416e-58e5a250-69f2ec8d.jpg | There is mild pulmonary vascular congestion without overt pulmonary edema. There is also suggestion of faint bibasilar opacities, which may represent atelectasis or infection. Blunting of the right costophrenic angle on the lateral view suggests a small pleural effusion. Cardiomediastinal contours are within normal limits. Multiple healed right-sided rib fractures are noted. There is no subdiaphragmatic free air. | history: <unk>m with altered mental status and brbpr // eval for infectious process vs. other acute process |
MIMIC-CXR-JPG/2.0.0/files/p10088198/s56778882/b8a9cb8a-e4ddec58-46a74eb8-b4dc9283-3d3a4090.jpg | MIMIC-CXR-JPG/2.0.0/files/p10088198/s56778882/5039096a-1b38e651-7a58bb97-0dc2773d-5a0bef50.jpg | As compared to the previous examination, there is no evidence of pleural effusions. The costophrenic sinuses are well deployed on both the frontal and the lateral image. There is an area of increased radiodensity at the level of the right upper lobe, which is likely caused by the rotation of the patient following relatively severe scoliosis. No pulmonary edema. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. | status post cardiac surgery, assessment for pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p14525215/s52920452/523cdc6a-20a04d0e-975ebc97-ac39ac1d-4267c552.jpg | MIMIC-CXR-JPG/2.0.0/files/p14525215/s52920452/dfabf8b3-4d9219e7-001e85ae-ebca16f6-51cc6a92.jpg | Pa and lateral views of the chest provided. Tracheostomy tube projects over the superior mediastinum. Sternotomy wires, fragmented, again seen with clips in the superior mediastinum. Lungs are clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. | <unk> year old man with cough, hemoptosis, chronic tracheostomy // |
MIMIC-CXR-JPG/2.0.0/files/p15437150/s58911992/5d2f4abc-6754201e-c468c328-51a5ea5c-67d93487.jpg | null | Ap portable upright view of the chest. Patient is angled to her right. To her right. Lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears within normal limits aside from aortic calcification and mildly unfolded aortic arch. Imaged bony structures are intact. | <unk>f with cough, noisy respirations, dementia |
MIMIC-CXR-JPG/2.0.0/files/p19526850/s57646900/053d62fd-a5ad2f10-786ff796-9ba29702-2449148c.jpg | MIMIC-CXR-JPG/2.0.0/files/p19526850/s57646900/3b9cb17c-3f2f2164-275108fb-40575823-82f41979.jpg | The lungs are mildly hypoinflated and clear. No pleural effusion or pneumothorax. Heart is top-normal in size, likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable. | <unk>f with hypoglycemia and cough. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17901871/s56960005/e4c2d8d7-067fec52-3e5d1ee9-217546e1-b4ad2db2.jpg | MIMIC-CXR-JPG/2.0.0/files/p17901871/s56960005/1ce5f334-b4f2c6da-c25ed855-0438eb14-e91ab298.jpg | The heart is moderate to markedly enlarged, as before. The mediastinal and hilar contours appear unchanged. Central pulmonary arteries are again mildly enlarged. There are streaky opacities in the right lower and left mid lungs, similar to the prior examination and suggesting minor scarring or atelectasis. There is no definite pleural effusion or pneumothorax. The bones appear demineralized. Degenerative changes appear similar along each shoulder and about along the thoracic spine. | shaking chills. |
MIMIC-CXR-JPG/2.0.0/files/p11833476/s55752405/bd35a27a-12c90282-1c6007b4-d73a1064-d75394c7.jpg | null | Support lines and tubes are unchanged in appearance when compared to the prior study. Multiple left-sided rib fractures are again noted. There is persistent pleural fluid tracking along the left lateral chest wall. <num> left-sided chest drains are unchanged in appearance. No pneumothorax seen. There is prominence of pulmonary vasculature with diffuse bilateral airspace opacities consistent with pulmonary edema. Left lower lobe atelectasis. | <unk> year old man with left rib fractures s/p left decortication and chest tubes with acute hypoxia, intubated // eval acute cardiopulmonary disease |
MIMIC-CXR-JPG/2.0.0/files/p17552261/s55865467/08085ba1-998697f4-b98cfa5b-dd1341d5-c8050ef0.jpg | null | The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk> year old woman with lumbar stenosis, pre-op cxr |
MIMIC-CXR-JPG/2.0.0/files/p14891689/s55958547/0895e827-d4b3ebb0-f248f454-b6c08cca-52685d11.jpg | MIMIC-CXR-JPG/2.0.0/files/p14891689/s55958547/1d681a11-c8e02ea9-a7816423-8f15d943-e347af19.jpg | Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. | |
MIMIC-CXR-JPG/2.0.0/files/p14863624/s54103097/ca6c471f-277f45fa-6cabbe90-e38829a7-805cb70f.jpg | MIMIC-CXR-JPG/2.0.0/files/p14863624/s54103097/5ed4c032-334919fe-4d3ddd49-6788b39d-32fa5551.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. Bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15009534/s58549447/e9da9e3f-1d5cc317-f1d59ec5-d86b6cea-1c0a171f.jpg | MIMIC-CXR-JPG/2.0.0/files/p15009534/s58549447/3448a7bf-a3d5d7c9-e4b744a2-fa7e097e-a028922b.jpg | There are persistent small bilateral pleural effusions, not significantly changed. There is no focal consolidation worrisome for infection. Small hiatal hernia is noted. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aorta. Mid thoracic compression deformities are unchanged. | <unk>f with delirium, lle swelling // infiltrate, dvt? |
MIMIC-CXR-JPG/2.0.0/files/p10667727/s53534172/7f4d850c-5bbddfa4-6ed8e04d-14de13a7-19336c85.jpg | null | The right ij central venous catheter has been removed. The right picc line, right pigtail catheter, and ng tube are unchanged. The cardiac silhouette is quite enlarged, perhaps due to right paracardiac or paramediastinal pleural loculation or pericardial effusion. Left lower lobe atelectasis is unchanged, and there may be a small left pleural effusion. | <unk> year old woman with respiratory failure now improving with right sided chest tube. chest tube/ pleural effusion improvement. |
MIMIC-CXR-JPG/2.0.0/files/p14082222/s56758895/232f35b6-b6fe35e3-25432121-9e46ffdc-1f91f9b4.jpg | null | Massive cardiomegaly is demonstrated, not substantially changed from the prior study. The aorta remains tortuous. Lungs are hyperinflated with unchanged moderate paraseptal and centrilobular emphysema again noted. Mild interstitial pulmonary edema is worse in the interval. Pulmonary arteries remain enlarged suggestive of underlying pulmonary arterial hypertension. No focal consolidation, pleural effusion or pneumothorax is clearly evident. | history: <unk>m with hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p18460730/s50882218/21a35cb3-dc2d9b4c-30cdf585-08ab760a-1134ab2a.jpg | MIMIC-CXR-JPG/2.0.0/files/p18460730/s50882218/d8d8fb6f-4936559f-6e6d4716-5000a754-67d302d0.jpg | Lung volumes are low, accentuating the cardiac silhouette and the pulmonary vasculature and there is mild enlargement of the cardiac silhouette even accounting for low lung volumes. There is mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. There is no evidence of fluid overload. | untreated hypertension for <unk> years, presenting with systolic blood pressure over <num> with dyspnea and chest pain on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p17720961/s56105644/63f38e0c-86bce4bc-c32193b8-e95ccd21-ef21b473.jpg | MIMIC-CXR-JPG/2.0.0/files/p17720961/s56105644/74db7ac3-d1ae632e-a20bfbb3-b8328d3c-eb7d8b40.jpg | Ap upright and lateral views of the chest provided. Port-a-cath again seen residing over the right chest wall with catheter tip looping in the right neck with right ij access, terminating in the upper svc. The heart appears enlarged of this may be technique related. Lung volumes are low. Scattered areas of atelectasis noted without convincing evidence for pneumonia or chf. No pleural effusion or pneumothorax. Mediastinal contour is stable. Bony structures intact. | <unk>f with copd hx, recent vertebral injury, hx ivdu and lymphoma, recent trauma with t<num>/t<num> compression fxs on osh ct, bilat <unk> weakness |
MIMIC-CXR-JPG/2.0.0/files/p13021846/s54770457/c8c34a12-a553e553-df479b12-ee1f7746-0062bdc7.jpg | null | As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. Also removed is the swan-ganz catheter. Chest tubes and the venous introduction sheath on the right are in unchanged position. There is no current evidence of pneumothorax. There are bilateral pleural effusions, areas of basal atelectasis and moderate cardiomegaly. | status post cardiac surgery, evaluation for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10494497/s50482521/36a6afed-eb957047-19409e21-ed5d71df-7a2cd07c.jpg | MIMIC-CXR-JPG/2.0.0/files/p10494497/s50482521/8bda73e2-424b3f07-ac05534c-3cbdb080-a898134c.jpg | Left-sided port-a-cath tip terminates in the mid svc. Heart size remains mildly enlarged but unchanged. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. | history: <unk>m with nausea, vomiting, diarrhea, vomiting for past <num> days // assess for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18730259/s52068967/52bb0a28-d732859b-f5e139e0-9aa8a9a8-68a5fad0.jpg | null | A portable radiograph of the chest was acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. Aside from minimal bibasilar atelectasis, the lungs are clear. The descending thoracic aorta is mildly tortuous, as before. The cardiac and mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen. Multiple old right posterior rib fractures are again seen. | acute upper abdominal pain, similar to prior myocardial infarction pain. evaluate for acute chest process. |
MIMIC-CXR-JPG/2.0.0/files/p15420371/s59967058/ee3c5310-58231415-85dc8005-0d134711-c0f6e4d7.jpg | null | Ap view of the chest provided. Lung volume are low. In comparison to prior study, there is increased interstitial opacities concerning for pulmonary vascular congestion. No focal parenchymal opacities seen concerning for pneumonia. Previously seen right lung base atelectasis has resolved. Elevation of left hemidiaphgram is chronic, with a component of overlying atelectasis. Nasogastric tube coiled in the stomach. | <unk>m s/p tac w/end ileostomy now febrile, diaphoretic |
MIMIC-CXR-JPG/2.0.0/files/p10124807/s55186280/3e5ffc0f-eaf58698-7149eb16-b4ff2f36-0185d050.jpg | MIMIC-CXR-JPG/2.0.0/files/p10124807/s55186280/3917ffa6-5ce496e6-07f56403-8d7d9866-214f2214.jpg | Compared with prior radiographs on <unk>, there is increased bibasilar atelectasis, right greater than left, and increased small bilateral pleural effusions, right greater than left. There is no vascular congestion or edema. No new focal consolidation or pneumothorax. There has been interval removal of a esophageal drainage tube. The right pleural drain is stable in position. Cardiomediastinal silhouette is unchanged. | <unk> year old man s/p <unk> esophagectomy // check interval change |
MIMIC-CXR-JPG/2.0.0/files/p12317288/s55013536/185c5970-e51bd4bb-b3bd1b3c-bb0d0c5f-98022ef7.jpg | null | The tip of a right pectoral mediport projects over the lower svc. There is no pneumothorax. Bilateral coarse reticular nodular opacities have slightly increased at the left lung base. The presence of chronic fibrotic lung disease makes it difficult to exclude small pulmonary metastases. Correlation with cross-sectional imaging if not already obtained would be helpful. A right upper quadrant stent is again noted. A radiopaque object with both rounded and triangular components projecting over the right lung base is likely external to the patient. | <unk> year old man with metastatic pancreatic cancer and right sided port // please assess port placement prior to accessing. |
MIMIC-CXR-JPG/2.0.0/files/p14614003/s53564772/9f9d0f89-7fba6805-9e088675-6921da5a-f26b5ceb.jpg | null | As compared to the previous radiograph, there is no relevant change. The extent of the known left basal pneumothorax is constant. No evidence of tension. Unchanged position of the left chest tube. The appearance of the right lung is also constant. Unchanged position of the monitoring and support devices, including the endotracheal tube, the nasogastric tube, the hemodialysis catheter, and the right venous introduction sheath. | left pneumothorax, evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16769309/s56896636/67eb7827-0327a46e-409a32fc-4ced4d68-aaf67018.jpg | MIMIC-CXR-JPG/2.0.0/files/p16769309/s56896636/fc17d4f9-d7e917d3-2857ef8c-d6f82ddb-e7d9dadf.jpg | Pa and lateral views of the chest. No prior. The lungs are hyperinflated. Increased interstitial markings are seen bilaterally; however, there is no confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits, noting mildly tortuous aorta. Mild hypertrophic changes seen in the spine. | <unk>-year-old with productive cough, possible fevers. |
MIMIC-CXR-JPG/2.0.0/files/p13536343/s55579765/4f43610f-1779f8d2-600e88ad-0891e6a6-15d19636.jpg | null | Low lung volumes are noted. There is a moderate-large left and small right pleural effusion, some increase on the prior examination. The left hemidiaphragm and left heart border are obscured, likely secondary to pleural effusion and adjacent atelectasis, although underlying consolidation cannot be excluded. Additionally, there is bilateral hilar prominence and cephalization of the pulmonary vasculature, suggestive of pulmonary edema. There is no pneumothorax identified. The cardiomediastinal silhouette is partially obscured but appears enlarged, unchanged as compared to the prior examination. Moderate-severe, right acromioclavicular joint degenerative changes are noted. | history: <unk>f with stroke, heart failure // pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15548746/s58320207/64beaedd-c3528d3a-4eb3d8e6-fa428fd0-b1d2f7e2.jpg | MIMIC-CXR-JPG/2.0.0/files/p15548746/s58320207/9b031683-35bff89a-e989ebf4-388b12c2-d2d3b38c.jpg | Ap upright and lateral views of the chest provided. Lung volumes are low. Ivc dialysis catheter is noted extending into the right atrium. 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. | history: <unk>m with fever // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15103276/s53149981/4b54a06e-102da319-2c613f86-fea709b7-5b62f4c5.jpg | MIMIC-CXR-JPG/2.0.0/files/p15103276/s53149981/bd70d3e5-1586c09f-9a6640cb-19aa3b8d-7e944806.jpg | The cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly with a left ventricular configuration to the heart shape. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes affect the lower thoracic spine, as before. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15206519/s59203872/3d885544-29749082-ccd047dd-5bbc5175-e5ac24d7.jpg | MIMIC-CXR-JPG/2.0.0/files/p15206519/s59203872/5c179312-16b11f5b-95fa2df2-5fef6d07-e296338e.jpg | The cardiac silhouette is stably prominent. The pulmonary vasculature is mildly indistinct. Again noted are bilateral pleural effusions, greater on the right than on the left. No focal consolidation identified. Midline sternotomy wires are intact. Cabg clips are noted. A right she is seen terminating in the lower svc. | <unk> year old man s/p cabg // eval for effusion |
MIMIC-CXR-JPG/2.0.0/files/p12467119/s57849657/05eab540-787268fa-27ca261d-0651b521-50439743.jpg | MIMIC-CXR-JPG/2.0.0/files/p12467119/s57849657/ff239318-ce08014f-f6011e77-a863c6e7-82402684.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with pleuritic r sided chest pain x <num> day // eval pulm edema, pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p16420287/s55088153/0e0fcac8-37c4dd57-c7d4b561-861dca71-51c3d892.jpg | null | There is moderate-to-severe cardiomegaly that is increased compared to the study from earlier the same day with pulmonary vascular re-distribution, perihilar haze and some alveolar infiltrates, lower lobe greater than upper lobe. There is a small left effusion. It is difficult to tell if a right effusion is present. There is dense retrocardiac opacity. The overall impression is that of chf that has worsened in the interval. | gi bleed. |
MIMIC-CXR-JPG/2.0.0/files/p15368407/s53920998/34e516b9-3e45d914-6d648a92-a3c0d24d-acaa0398.jpg | MIMIC-CXR-JPG/2.0.0/files/p15368407/s53920998/a29aac53-3f169fb4-a48824d2-1d61685c-38537f5a.jpg | As compared to the previous radiograph, the picc line is now clearly visualized, with its tip projecting over the right atrium. For secure position in the superior vena cava, the line should be pulled back by approximately <num> cm. No evidence of complications. Otherwise, unchanged radiograph. | picc line, assessment for location. |
MIMIC-CXR-JPG/2.0.0/files/p15018166/s50783674/0c68040c-5815cb50-ffa019c3-4b146302-3607e1bd.jpg | MIMIC-CXR-JPG/2.0.0/files/p15018166/s50783674/8cb17978-24b8aee5-471101c2-9b5c4af4-e5840782.jpg | There is diffuse airspace opacity causing obscuration of the right heart border and projecting over the heart on the lateral view. Findings are consistent with a right middle lobe pneumonia. No pneumothorax, pulmonary edema, or significant pleural effusion is present. The heart size is normal. | <unk>-year-old female with asthma, fevers and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16948106/s53946027/96151fc7-346100f3-1eb25858-ae64e54a-2e10ca2b.jpg | MIMIC-CXR-JPG/2.0.0/files/p16948106/s53946027/9d80be20-b72b35c2-a4745fd0-efa49bfb-e95eb82b.jpg | There is no focal consolidation, pleural effusion or pneumothorax. Lung volumes are low. Linear opacities at the left base are likely atelectasis. Cardiomediastinal sillhouette is unremarkable. There are degenerative changes at the shoulder joints bilaterally, right greater than left. There is cervical fusion hardware in place. | <unk>-year-old with fever of unclear new origin, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17333150/s59669050/7e7d8450-f4de863d-0331b484-293ae13d-ddb2b224.jpg | null | Ap portable upright view of the chest. There is near complete opacification of the left hemi thorax sparing the left apex minimally. The right lung is notable for mild pulmonary edema. Heart size cannot be assessed. No shift of midline structures. | <unk>f with ams, pna |
MIMIC-CXR-JPG/2.0.0/files/p11621459/s59562535/116bbf1b-ca01989c-9972ada4-da5d561a-39b524e7.jpg | null | A right-sided internal jugular central venous catheter terminates in the right atrium without evidence of pneumothorax. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with right ij placed for iv access // eval line placement |
MIMIC-CXR-JPG/2.0.0/files/p17281354/s55412015/34b62483-b34554fe-c42b8f90-5efc3594-1b1841a6.jpg | null | The heart continues to be moderately enlarged. There is minimal pulmonary vascular redistribution. There small bilateral effusions have decreased compared to prior. Overall the aeration is better but there still continues to be some volume loss in bilateral lower lobes | <unk> year old man with chf, now diuresed but still requiring o<num> // acute process? pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p18708137/s57388579/0b2f3bb0-aafeae48-638ea1f7-d94cc043-3eba24fc.jpg | MIMIC-CXR-JPG/2.0.0/files/p18708137/s57388579/7904f708-c3b729e8-d34a7170-ddcc2778-eb41a387.jpg | Pa and lateral views of the chest provided. Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable. | history: <unk>m with cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p11453452/s52771473/4ad6d975-fefa8389-2f9a62ed-99995afb-4eadf641.jpg | null | Lung volumes are low. There is no confluent consolidation or effusion. The cardiac silhouette appears enlarged but likely exaggerated by low lung volumes and portable supine technique. No acute osseous abnormalities. No free air seen below the diaphragm. | <unk>f with abd pain // free air? pna? |
MIMIC-CXR-JPG/2.0.0/files/p18526154/s50320793/9d07b662-a3cf67f2-47c95ead-29610cc9-8850dc6b.jpg | MIMIC-CXR-JPG/2.0.0/files/p18526154/s50320793/b66e0a16-b9fec86e-814212b8-221caa09-d31c9e60.jpg | The cardiomediastinal silhouette is unchanged. The hila are prominent, with prominent patchy opacities surrounding the left hilum and atelectasis at left-greater-than-right bases. Small faint opacities may also be present on the right lung laterally . There is minimal atelectasis at the right base, with possible minimal blunting of the right costophrenic angle. No gross effusion. The left costophrenic angle is clear. Doubt chf. | <unk> year old man with pcp <unk> // assess for improvement vs worsening? |
MIMIC-CXR-JPG/2.0.0/files/p14448385/s58090919/573ea394-91d558cc-88748d14-bf9e0335-e773c04f.jpg | MIMIC-CXR-JPG/2.0.0/files/p14448385/s58090919/085a5051-101fc0ad-2b99e778-ee49d946-0f542163.jpg | Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged but unchanged. Postoperative changes with median sternotomy wires are noted. Degenerative changes are seen at the right glenohumeral joint. No acute osseous abnormality detected. | <unk>-year-old female with cough. |
MIMIC-CXR-JPG/2.0.0/files/p18410366/s58170427/7cc473c4-ccfbf3ed-4484bba8-66a36d81-eef8c10d.jpg | MIMIC-CXR-JPG/2.0.0/files/p18410366/s58170427/b0f1c22f-6f70785c-3d3908d4-7cbaecec-88061477.jpg | Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | <unk>-year-old man with shortness of breath, palpitations, and leg swelling. |
MIMIC-CXR-JPG/2.0.0/files/p15166228/s54674186/69584897-962c3304-63e7aee6-2de4e92e-a07eb4b6.jpg | null | The cardiac silhouette is stably enlarged. Again noted is bibasilar atelectasis without consolidation. Right perihilar opacity is similar to the most recent examination given decreased lung volumes. There is retrocardiac opacity likely atelectasis. Again noted is an endotracheal tube in stable position. A transesophageal tube and left subclavian line are also in unchanged position. There is no pneumothorax or pleural effusion. | <unk>m ivda s/p posterior decompression <unk> for multiple embolic infarcts (l <unk>, l sca, r aica, l pontine) with herniation. pod#<num> p/w stemi (vasospasm vs transient myocardial ischemia in setting of cocaine use), started dilt gtt, ekg normalized. febrile hd #<num>. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p18084077/s59298391/12225497-2fff3918-3f76010a-d6cbaec2-0daaac48.jpg | null | In comparison with study of <unk>, there is a nasogastric tube in place which coils in the fundus. Mild basilar opacifications on the left are consistent with atelectasis. No evidence of acute focal pneumonia. | abdominal distention. |
MIMIC-CXR-JPG/2.0.0/files/p17569886/s51181863/442af651-86f7c5a3-5aab8c93-2bff5507-34efd1e5.jpg | null | Right atrial and right ventricular pacing/icd leads are unchanged in position. Tip of endotracheal tube is in standard position terminating <num> cm above the carina, and a nasogastric tube terminates within the stomach. Cardiomediastinal contours are stable allowing for patient rotation. Apparent worsening opacity in the left cardiophrenic angle. It is difficult to assess in the setting of rotation, but most likely represents a combination of pleural effusion and adjacent atelectasis. | |
MIMIC-CXR-JPG/2.0.0/files/p16612444/s52107352/69d210e0-c113e28b-147ae303-e8404c3b-45a1e845.jpg | MIMIC-CXR-JPG/2.0.0/files/p16612444/s52107352/d68d4ff3-d51bb313-7f761cfa-db88d32d-1cce6e9d.jpg | Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air is seen below the right hemidiaphragm. | |
MIMIC-CXR-JPG/2.0.0/files/p18818535/s51027449/467100c5-c285055a-b5a7c90d-f6ac71fd-dcf03383.jpg | null | Tip of central venous catheter terminates in the inferior aspect of the right atrium. Exclusion of right apex from radiograph limits assessment for pneumothorax. Stable enlargement of cardiac silhouette considering slightly lower lung volumes on the current exam compared to the prior. New moderate gastric distention in the imaged upper abdomen. | |
MIMIC-CXR-JPG/2.0.0/files/p17967857/s56102875/764badcc-1edaeeb7-fba220a5-2a25ddb4-6717a1e6.jpg | null | A right internal jugular pulmonary arterial catheter terminates in the descending right pulmonary artery. A intra-aortic balloon pump has advanced from yesterday, now terminating <num> cm above the left mainstem bronchus. The heart remains moderately enlarged. There is increased ground-glass opacity throughout the lungs, consistent with worsening mild pulmonary edema. There is no definite pleural effusion. There is no pneumothorax. | pulmonary artery catheter and intra-aortic balloon pump. evaluate lines. |
MIMIC-CXR-JPG/2.0.0/files/p17051420/s55868603/c17f93e0-11b3f362-d5bdb308-7c6f0f8e-2e251338.jpg | MIMIC-CXR-JPG/2.0.0/files/p17051420/s55868603/21a6b11d-deff579e-dacdbd50-bd2ab97a-cd960134.jpg | Pa and lateral chest radiograph demonstrates borderline enlarged heart, stable since prior examination dated <unk>. Hilar contours are within normal limits. No evidence of overt pulmonary edema. Wispy equivocal opacity projecting over the medial right lung base may represent an early pneumonia in the correct clinical setting. Otherwise the lungs are clear. Osseous structures demonstrate degenerative changes without an acute abnormality. | <unk>-year-old male with recent pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17904482/s54703335/0b2df260-187b6902-4e0510bf-9673d41b-4775766b.jpg | MIMIC-CXR-JPG/2.0.0/files/p17904482/s54703335/e680a999-4b8b49dd-1a5312c9-b4dfe86a-4c234530.jpg | The heart size is mildly enlarged. The aorta remains tortuous. The mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. There is no focal consolidation, pleural effusion or pneumothorax. Atelectatic changes are noted at the lung bases. Multilevel moderate to severe degenerative changes are noted within the thoracolumbar spine. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p11798793/s53895218/2945f825-7c715c19-375e6c7a-97431eb8-cfcdf226.jpg | MIMIC-CXR-JPG/2.0.0/files/p11798793/s53895218/30b5f362-a291e275-64316e00-7e9b2f9d-6991b176.jpg | Frontal and lateral views of the chest demonstrate stable hyperinflation and flattened hemidiaphragms. The lungs are clear. An infiltrative left apical mass is again seen, but better visualized on chest ct from <unk>. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or pleural effusion. There are no rib fracture identified. | small-cell lung cancer with new right posterior rib pain, assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p12405648/s54272101/630dbd71-92aa4ce7-9c422272-c61e4e19-daae8e01.jpg | null | Low lung volumes with a layering right pleural effusion and bibasilar atelectasis versus consolidation. No lobar consolidation. There is cardiomegaly. Endotracheal tube remains high-riding with tip at the level of the clavicles and could be advanced by <num>-<num> cm. Enteric tube traverses below the diaphragms, distal tip not visualized. Ekg leads overlie the chest wall. Visualized bones are unremarkable. | <unk> year old woman found unresponsive s/p intubation // eval for pneumonia, effusions |
MIMIC-CXR-JPG/2.0.0/files/p17849496/s58879700/2e62563d-de4ecf8a-199371a8-fa008bc7-81334838.jpg | null | A portable frontal chest radiograph again demonstrates a heart which is top-normal in size, unchanged. Plate like atelectasis/ scarring at the left lung base is also unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | evaluate for infiltrate or pulmonary edema in a patient with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15690303/s56109480/e7dccb6d-129dcf30-9587f4a2-8e291753-f135aa38.jpg | null | As compared to the previous radiograph, there is a decrease in severity of the pre-existing left lower lung parenchymal opacity. The opacity, however, is still clearly visible and shows a lateral atelectatic and medial consolidative component. The preexisting atelectasis in the upper to mid zones of the left lung is unremarkable. Normal size of the cardiac silhouette. No acute lung changes. Degenerative changes in the right shoulder, status post partial shoulder replacement on the left. | surgical site infection, preoperative chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p15442180/s55765232/0df584a1-a3327e20-cedb1fb7-320404d7-07a07fb7.jpg | MIMIC-CXR-JPG/2.0.0/files/p15442180/s55765232/353d9fee-c9a82701-3ed4b051-887c8778-3514222f.jpg | Enteric tube has been removed. Improved left basilar opacification. Increased heart size, pulmonary vascularity, similar. Minimally improved right basilar opacity, likely atelectasis. Small bilateral pleural effusions, probably improved. | <unk> year old woman s/p r bka with <unk> // ? fluid status |
MIMIC-CXR-JPG/2.0.0/files/p13001581/s53785391/8d83240d-b7a2a63e-0d1efc4d-5aa76270-8da8c17e.jpg | MIMIC-CXR-JPG/2.0.0/files/p13001581/s53785391/dcc1ee8f-61bd0619-86ef9b44-36e95126-8f164200.jpg | The lungs are hyperinflated, without focal opacities. There is biapical pleural parenchymal scarring. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. | chest pain and palpitations. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p10188935/s57744946/d80ce828-319e7d5c-d31a28a8-22abf1a2-5e13108c.jpg | null | In comparison with study of <unk>, mild enlargement of the cardiac silhouette persists, though there has been substantial decrease in the degree of pulmonary edema. Asymmetric opacification at the right base could be a manifestation of asymmetric edema, though in the appropriate clinical setting, supervening pneumonia would have to be considered. | cardiac cath with possible pulmonary edema or aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13788411/s58275931/48df32a8-364b3534-053f2c50-313e40ef-fb042240.jpg | MIMIC-CXR-JPG/2.0.0/files/p13788411/s58275931/051bb79d-9a1a1025-2f1783d4-1f7cd44f-657054b4.jpg | Mild enlargement of the cardiac silhouette is re- demonstrated. The mediastinal contour is unremarkable. There is mild pulmonary edema with upper zone vascular redistribution. Small bilateral pleural effusions are noted. No pneumothorax is present. There are mild degenerative changes in the thoracic spine. No acute osseous abnormality is visualized. | history: <unk>f with altered mental status, fall |
MIMIC-CXR-JPG/2.0.0/files/p17278932/s56120337/f9f258f3-3e6024d4-42b019b7-d4de045d-36f72c15.jpg | null | Comparison is made to previous study from <unk>. Picc line has been pulled back. There is no longer a loop; however, the distal tip is projecting over the axilla likely within the axillary vein. Tracheostomy and feeding tube are unchanged. There is some atelectasis at both lung bases. There is also increased density at the left base suggestive of developing infiltrate or aspiration. No pneumothoraces are identified. There is a calcified density within the right axilla of unclear etiology but unchanged. | |
MIMIC-CXR-JPG/2.0.0/files/p10957591/s58140794/d0e5055d-11eabad9-0b4c1d79-93dfb81d-671c7568.jpg | MIMIC-CXR-JPG/2.0.0/files/p10957591/s58140794/c3fb784b-7c057cad-945bf6ce-e1ea7b65-dddd3a67.jpg | Pa and lateral views of the chest. The lungs are hyperinflated but clear of consolidation. Scarring identified at the right lung base. Median sternotomy wires and mediastinal clips are identified. The cardiomediastinal silhouette is within normal limits noting a tortuous aorta with dense atherosclerotic calcifications of the arch. No acute osseous abnormality is identified. | <unk>-year-old male with generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p12724735/s58076029/958afabf-e86c62ec-a7ad84ef-4006bb89-266c930c.jpg | null | Multiple prior radiographs dated back to <unk>. Moderate cardiomegaly has been stable compared to prior exams dated back to <unk>. Diffuse opacities are seen throughout the left hemi thorax, predominantly overlying the mid left lung. A left-sided ij is seen, with the tip likely in the ipsilateral brachiocephalic/internal jugular vein junction. A right-sided hemodialysis catheter is seen, terminating in the right atrium, unchanged in position compared to the prior exam. There is no large pleural effusion, or pneumothorax. | history: <unk>f with s/p line // eval for line |
MIMIC-CXR-JPG/2.0.0/files/p18788806/s50405523/d9fc1c51-10464a84-1e991d07-1ea5a45a-1eb2f128.jpg | null | A tracheostomy tube is in place. There is hyperinflation consistent with background copd. The cardiomediastinal silhouette, including mild cardiomegaly and prominence of the superior mediastinum, is unchanged compared with <unk>. There is upper zone redistribution and mild vascular blurring, without other evidence of chf. There are patchy opacities at both lung bases. Possible minimal blunting of the left costophrenic angle, but no gross effusion identified. Again seen is calcification along the left chest wall, possibly sequela from old hemothorax. Multiple clips again noted in the upper abdomen. | <unk> year old man with fever, chills, cough - being treated for copd exacerbation at snf without resolution of symptoms // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18727840/s58186770/d38a96ab-797c0f8a-5a4cdebe-055006a0-65a16085.jpg | MIMIC-CXR-JPG/2.0.0/files/p18727840/s58186770/a1e978cb-16b26c9b-fd70f18f-07d92a2c-1a89b9c7.jpg | The patient is status post recent right upper lung wedge resection procedure. Right chest tube remains in place with a persistent large right basilar hydropneumothorax which is slightly increased compared to the prior study. Postoperative changes of the right apex appear similar, including apical hydropneumothorax. Subcutaneous emphysema has slightly improved. Otherwise, no relevant short interval change since recent study. | |
MIMIC-CXR-JPG/2.0.0/files/p11565193/s51516500/4637952f-f97fa486-2ecf3c04-1ab6a861-5e7c28e6.jpg | null | Indwelling support and monitoring devices are in standard position, including a new left internal jugular vascular catheter, terminating in the lower superior vena cava. Heart size remains normal. Streaky opacities in the juxtahilar regions appear similar to the previous exam, and probably correspond to areas of peribronchial thickening and adjacent peribronchiolar opacity in this patient with clinical diagnosis of rvc. This is most marked in the right infrahilar region and appears unchanged from recent studies. No new areas of localized consolidation are identified to suggest a superimposed bacterial pneumonia. | |
MIMIC-CXR-JPG/2.0.0/files/p16392858/s55006872/062f9093-98ef8a04-f351944a-ab9a06e1-ea70dfa8.jpg | MIMIC-CXR-JPG/2.0.0/files/p16392858/s55006872/1158981b-bf961e5e-fba41e0c-ae1e7295-8453c7b3.jpg | Ap and lateral views of the chest. Left chest wall single lead pacing device is again seen. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is upper limits of normal. Degenerative changes seen at the shoulders bilaterally and orthopedic hardware in the left humeral head. No acute osseous abnormalities detected. Surgical clips project over the neck on the left. | <unk>-year-old male with hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p19919980/s52947698/b351af9f-3397a6be-8e937380-b18a5e4c-59281a82.jpg | null | Two ap portable chest radiograph were obtained. There is cephalization of the pulmonary vasculature, thickened <unk> b-lines, and fluid in the right minor fissure. No pleural effusion is visualized. The left costophrenic angle is excluded from the field of view. There is no pneumothorax or airspace consolidation. Cardiomegaly is severe. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p12445879/s51758043/3c72a2f1-6c45bd25-3eb6fa75-0a93c82e-2006c372.jpg | MIMIC-CXR-JPG/2.0.0/files/p12445879/s51758043/efeab27e-46fb5004-00427e5f-168dcfc7-d11a3202.jpg | The patient had recent sternotomy for cabg. Right jugular line has been removed. Mild cardiac congestion is stable with bibasilar atelectasis with small pleural effusion. Moderate cardiomegaly is stable. | patient with cabg, interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19965610/s58269857/1197587c-810e1774-79224ef7-898c41a6-e7289a07.jpg | null | Overall, two right-sided chest tubes are similar in position compared to the prior exam. Small right apical pneumothorax is unchanged. There has been slight interval improvement in the extent of the right subcutaneous emphysema. Large known upper lobe consolidation on the right appears similar to the prior exam with an interval increase in right lung base atelectasis. The left lung is clear aside from plate-like areas of atelectasis at the left lung base. There is no interval change in the appearance of the cardiac silhouette. There may be a small right-sided pleural effusion. | history of bilateral chest tubes and pleurodesis for malignant pleural effusion. please evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13610050/s58241341/9f2b1e5a-9280f9a5-f0feb2dc-f8abbde6-32a16488.jpg | MIMIC-CXR-JPG/2.0.0/files/p13610050/s58241341/37713bfe-3b20fc4c-9333272e-60414213-70dee2ce.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/p19528617/s59199388/27098511-a9829b28-eb0ae274-af80c53b-a4179cfd.jpg | MIMIC-CXR-JPG/2.0.0/files/p19528617/s59199388/1dd47ff1-98094af6-8be8b574-d314cd83-4b30fac8.jpg | The lungs are well-expanded, with minimal atelectasis or scarring in the right lung base. There is no pleural effusion comp pulmonary edema, pneumothorax, or focal airspace consolidation. Irregularity of the posterior eighth rib is again seen, unchanged since the prior study. | history: <unk>m with r-chest wall pain after assault <num> week ago, subjective chills // evaluate for pneumonia, pulmonary contusion, rib fractures |
MIMIC-CXR-JPG/2.0.0/files/p13119723/s50535510/325e4309-a514d824-0b8a01bf-5f660594-e842d7c1.jpg | MIMIC-CXR-JPG/2.0.0/files/p13119723/s50535510/65a342a2-41b6adc9-78a20fd7-77f6efdd-e581259b.jpg | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. There is no displaced rib fracture. | <unk>m s/p mvc complaining of right sided pain with inspiration, evaluate for rib fracture, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10434791/s50677205/9e1ce92e-7794c359-51b2eb36-061b10ec-40eb9665.jpg | null | The patient has had median sternotomy with intact and aligned sternotomy wires. Lung volumes are low. Moderate right has slightly increased, and the small left pleural effusion has slightly decreased post pigtail catheter drainage. A drainage catheter is partially imaged overlying the right costophrenic angle. Airspace disease or malignancy at either lung base cannot be excluded. There is no pneumothorax. | <unk>m w/ hx of tia, cad, hx of melanoma s/p resection in <unk> with no adjuvent therapy (currently undergoing screening at dfci), hx of prostate cancer s/p prostatectomy <unk> years ago, severe as s/p valve repair and htn presents for evaluation of dyspnea found to have recurrent effusion (last tapped last week @ <unk>), now increased o<num> requirement with dropping sat, low chest tube output // increased effusion |
MIMIC-CXR-JPG/2.0.0/files/p11967683/s55647188/1602e8e8-5006bcc0-a26bf8b5-5a4e5afd-609a2129.jpg | MIMIC-CXR-JPG/2.0.0/files/p11967683/s55647188/82edd998-1f5283c0-87e3a42d-27275299-9cc88805.jpg | <num> views were obtained of the chest. The lungs are well expanded with left basilar opacities likely reflecting aspiration on subsequent ct. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal and hilar contours. | cough and abnormal breath sounds. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13882437/s50037754/c2978d12-7e79aa2c-8c0d4cec-c9978a6e-0ea86ae7.jpg | MIMIC-CXR-JPG/2.0.0/files/p13882437/s50037754/451b146d-2d3e68d0-2503c1a9-6a149013-82edaf26.jpg | The cardiomediastinal contour is stable. Again seen is a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. There is a left sided pacer with the lead terminating in the right ventricle. | history of afib with slow ventricular response, now with bi-v pacer implantation. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p18153920/s52237928/fcdf145e-ca0405ea-bb7b3661-b08820fd-50d607df.jpg | null | Et tube ends <num> cm above the carina. A dobbhoff tube terminates in the mid esophagus. A right subclavian central catheter ends in the lower svc and the right chest tube is in unchanged position. Compared with most recent prior radiograph, the small right apical pneumothorax is unchanged. There is no evidence of tension. Bilateral pleural effusions have redistributed slightly likely due to patient positioning. Mild pulmonary edema is unchanged. Normal heart size and no left pneumothorax. An ng tube has been removed. | patient with pneumothorax, evaluate interval change four hours after chest tube clamped and reintubated. |
MIMIC-CXR-JPG/2.0.0/files/p12961917/s57201049/f45e06ed-743531d7-fcab4736-e6182fe4-43ee3040.jpg | MIMIC-CXR-JPG/2.0.0/files/p12961917/s57201049/dd4626ad-e56f4ae2-9f9283f5-dbb1c191-c36e954a.jpg | In comparison with the study of <unk>, there is little change in the substantial subpulmonic pleural effusion on the right. No evidence of pneumothorax, pulmonary vascular congestion, or acute focal pneumonia. | effusion with worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11060948/s56303781/366c7d31-4cbbd6a0-10f12060-70218204-3466b6be.jpg | null | There is new opacity at the left upper lung, suspicious for pneumonia. There is bilateral moderate pleural effusions, increased from prior. There is mild pulmonary edema. Moderately enlarged cardiac silhouette is unchanged. Sternotomy wires are intact. | <unk> year old woman with new hypoxia // pna, pleural effusion? |
MIMIC-CXR-JPG/2.0.0/files/p18748892/s54667763/98f5655f-ce552a18-27cd7795-8a7baca8-89d28101.jpg | MIMIC-CXR-JPG/2.0.0/files/p18748892/s54667763/b4a2b24b-f3daa023-bd20c4bb-8c4b2334-cc9a42c1.jpg | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. | |
MIMIC-CXR-JPG/2.0.0/files/p14947107/s59235897/37991301-1778702b-16da1a1c-b9527c76-1c4cb003.jpg | MIMIC-CXR-JPG/2.0.0/files/p14947107/s59235897/f6959425-5a8d50b4-e225868b-c38e6120-17869533.jpg | A pacemaker is visualized on the left chest wall. Pacer wires terminates in the right atrium and right ventricle. There are no complications nor pneumothorax seen. Heart size is top normal. There are no pleural effusions nor pulmonary edema. Median sternotomy wires are intact and aligned. Mediastinal surgical clips are seen. | <unk> year old man s/p dual chamber ppm. eval for lead position and post ppm complications. // <unk> year old man s/p dual chamber ppm. eval for lead position and post ppm complications. |
MIMIC-CXR-JPG/2.0.0/files/p15578740/s55554054/4bbc223f-a4360f7b-f556c046-8158898d-846ff4c8.jpg | MIMIC-CXR-JPG/2.0.0/files/p15578740/s55554054/a6ae9500-d0383058-f6893213-89284325-fdd22cbc.jpg | Frontal and lateral views of the chest are compared to previous exam from <unk>. There is no confluent consolidation. There is, however, indistinct pulmonary vascular marking seen throughout. There is blunting of the left costophrenic angle suggestive of small pleural effusion. Right costophrenic angle is sharp. The cardiomediastinal silhouette is stable. Bilateral deep brain stimulator devices project over the chest. Median sternotomy wires are also noted. Osseous and soft tissue structures are otherwise notable for hypertrophic changes in the spine. | <unk>-year-old male with shortness of breath, chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p18774398/s55893576/efa2e5c2-a40e27d4-ed0ae1b3-0fabfc8a-013b18b5.jpg | null | There is an endotracheal tube which terminates approximately <num> cm from the carina. An enteric tube likely terminates in the stomach. Cervical spinal hardware is partially visualized. The cardiac silhouette is enlarged reflective of known mediastinal fat as seen on the recent chest ct. There is a partially visualized left retrocardiac opacity, reflective of known left diaphragm elevation and volume loss. The right lung is clear. | <unk>-year-old male with endotracheal tube. please evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11648387/s58298297/c98315ce-f8b11ffe-8644afd3-584602de-a9d3a5f6.jpg | MIMIC-CXR-JPG/2.0.0/files/p11648387/s58298297/244302fc-194e299c-b0e47bb6-015d1b10-a85777ce.jpg | Frontal and lateral views of the chest were obtained. There is no new focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The cardiac silhouette is not enlarged. The aorta is slightly tortuous. There is no overt pulmonary edema. Right cardiophrenic fat pad is again seen. | |
MIMIC-CXR-JPG/2.0.0/files/p18521264/s53809013/7e49c3cc-bee7abf1-5ca43bf8-34d5e3f4-aecbc08c.jpg | MIMIC-CXR-JPG/2.0.0/files/p18521264/s53809013/d230263f-2a958f6b-611954b0-9a7e364c-45dc554f.jpg | Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Scoliosis is noted. | |
MIMIC-CXR-JPG/2.0.0/files/p15665642/s50632826/7eb56bd2-1a636c44-ee0aa652-0b3e48d4-c6a2d3ec.jpg | MIMIC-CXR-JPG/2.0.0/files/p15665642/s50632826/571c4379-77b5a7ef-274a400c-886b7ff5-bd72afd2.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. Minimal anterior wedging appears chronic along the mid to lower thoracic vertebral body. | chest pain and known chronic lymphocytic leukemia. |
MIMIC-CXR-JPG/2.0.0/files/p14874072/s51401646/16e328d3-e1915bb5-c61ea3fe-b7077bae-fcad7286.jpg | null | Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for leftward rotation. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. Persistent left retrocardiac opacity, likely due to atelectasis with adjacent small left pleural effusion. | |
MIMIC-CXR-JPG/2.0.0/files/p10553635/s55080622/6a8ac2ce-f832ced8-ae86f37a-dfe6ffdb-f488abc2.jpg | null | In comparison with the study of <unk>, there is increasing engorgement of pulmonary vessels consistent with increasing pulmonary venous pressure in a patient with enlargement of the cardiac silhouette. No evidence of acute focal pneumonia or definite pleural effusion. | increasing temperature. |
MIMIC-CXR-JPG/2.0.0/files/p18949602/s55948933/17b476c9-3916d986-02bda45c-5425e048-b59a7052.jpg | null | The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low. Right hilar ill-defined opacity is stable, compatible with known lymphadenopathy. Left pleural effusion and adjacent atelectasis is similar to prior. No pneumothorax. Catheter of a right chest wall port terminates in the low svc. | <unk>-year-old female with remote breast cancer and adriamycin cardiomyopathy. shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19126490/s59208440/92cfe90a-c5891f53-abfe9768-9578a284-45d0eaa7.jpg | MIMIC-CXR-JPG/2.0.0/files/p19126490/s59208440/d11a2e85-7596482a-7f30e079-fe3e4843-32574c70.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p11474034/s52145448/38d11cf4-31201d6b-f761f181-41cb6e56-dd63e24e.jpg | null | Right picc is no longer seen. Tracheostomy remains in place. Linear right basilar opacity could be due to atelectasis or scarring. There is a left basilar opacity which silhouettes the hemidiaphragm. The cardiomediastinal silhouette is not well assessed different positioning but demonstrates no significant change. No acute osseous abnormalities detected. | <unk>-year-old male muscular dystrophy with pneumonia with incomplete treatment <num> weeks prior now with fever and increased sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p12725946/s53426378/93c7f7e6-bc476a97-7e082cf9-de90b7c3-3361019c.jpg | MIMIC-CXR-JPG/2.0.0/files/p12725946/s53426378/704b50aa-5bea3c5a-8e3d3ae6-7a2b5914-b740af74.jpg | Heart size is moderately enlarged. The patient status post median sternotomy with wires intact. A prosthetic mitral valve projects over the heart. A persistent opacity at the right lung base is moderately improved in comparison the prior examination. Mild pulmonary edema is a chronic finding. | history: <unk>m with bilateral leg swelling and history of chf // eval for chf/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14543508/s51451668/7cf6d3cf-c83b0555-74e06a8b-caf29b09-1a1725e2.jpg | MIMIC-CXR-JPG/2.0.0/files/p14543508/s51451668/30cb581a-10d3c08f-41a65272-4864f816-46b5cb57.jpg | Compared to the previous radiograph, no relevant change is noted. The known hiatal hernia is better visible than on the previous image. No evidence of pneumonia. A minimal cortical irregularity at the left rib should be further investigated by dedicated rib series. This was posted to the radiology dashboard at the time of dictation and observation. No pneumonia. No other relevant changes. | sore throat, cough for four days, evaluation. |
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