Frontal_Image_Path
stringlengths
94
94
Lateral_Image_Path
stringlengths
94
94
Findings
stringlengths
76
2.06k
Query
stringlengths
1
630
MIMIC-CXR-JPG/2.0.0/files/p14589477/s55628048/3996cad5-f2e16cf5-01e6d2f1-15bc287f-aea213a1.jpg
MIMIC-CXR-JPG/2.0.0/files/p14589477/s55628048/106cc8c0-49b3e500-9b22c9b2-d3228d9c-9c36811a.jpg
Density projecting posterior to the medial right clavicle is new since <unk> and more conspicuous as compared to <unk>. Recommend apical lordotic view or chest ct for further assessment. No focal consolidation is seen elsewhere. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Anterior wedging of a lower thoracic vertebral body is stable since the prior study.
history: <unk>f with cough and sob // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15825991/s51687507/5d5df77d-74f47bf6-c7da197c-c3714f90-e10ce8a5.jpg
MIMIC-CXR-JPG/2.0.0/files/p15825991/s51687507/96a637f5-32b03fe5-1be14688-0dbea2b3-7181dd07.jpg
Heart size is normal. Mediastinal and hilar contours are unchanged with slight tortuosity of the thoracic aorta again demonstrated. Pulmonary vasculature is normal. Linear opacities in the left lung base are compatible with subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. The patient is status post bilateral mastectomies with a left breast prosthesis.
history: <unk>f with confusion
MIMIC-CXR-JPG/2.0.0/files/p16050648/s57369335/38794c7e-4077329a-a2c2d7ff-dcd0798f-a4a6131d.jpg
MIMIC-CXR-JPG/2.0.0/files/p16050648/s57369335/b73ac8ba-f86c8cdf-53af9756-7dc656c4-4fb58f6e.jpg
Pa and lateral views of the chest provided. There is left perihilar opacity new from prior concerning for an early pneumonia. Lungs otherwise clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged with mitral annular calcification again noted and borderline cardiomegaly. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with dyspnea worse when lying flat
MIMIC-CXR-JPG/2.0.0/files/p17732633/s58406527/e0dcecc3-2c1bfed0-07cd2f8b-a2537095-4b33eef8.jpg
MIMIC-CXR-JPG/2.0.0/files/p17732633/s58406527/c21f71cd-2c95b35b-810bef38-f1b58fe0-39d8b29b.jpg
Since the earlier same-day chest radiograph, the right apical pneumothorax is minimally worse but substantially improved compared to <unk> chest radiograph. The heart is now shifted back to the normal position following chest tube insertion. The right pigtail catheter position has been slightly moved. The left lung is clear without pneumothorax. The heart size is normal. No pulmonary edema or pleural effusion.
<unk> year old man with pneumothorax s/p pig tail placement // eval lung reexpansion
MIMIC-CXR-JPG/2.0.0/files/p16145193/s58735106/03da5f53-39db315c-174e76b4-fe02422f-3a755954.jpg
null
Portable upright ap view the chest provided. Interval placement of an enteric tube with its tip in the left upper quadrant. Otherwise no change.
<unk>f s/p ngt placement, please eval tube placement
MIMIC-CXR-JPG/2.0.0/files/p10556676/s57103413/f4f4a859-17ff36d3-7bc3d7ad-2b157446-90dd0cd7.jpg
null
The left-sided picc line distal tip is again low and in the distal right atrium. This could be pulled back <num> cm. This was discussed with the patient's nurse, <unk>. There is also a dobbhoff tube whose distal tip is below the ge junction and appropriately sited. The cardiac silhouette is within normal limits. There is some atelectasis at the lung bases. There are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p13479418/s56882508/f04b0030-ba8b8eed-5882b6ee-f70caebd-b651d681.jpg
null
Fibrosis from radiation treatment are seen in the left lower lung, increased since prior chest radiograph from <unk>. The known left pulmonary nodules are not well seen on this exam, and better assessed on recent ct chest. The right lung is clear. The heart size is normal. No pneumothorax or pulmonary edema.
<unk> year old man status post lll rf ablation, please obtain upright chest xray at <num>pm // upright chest x-ray please
MIMIC-CXR-JPG/2.0.0/files/p14702147/s58546051/c73065e8-94e6ff1d-429d6b95-ab4f9526-bc0a7993.jpg
MIMIC-CXR-JPG/2.0.0/files/p14702147/s58546051/1debb752-1bef106c-78fe0042-d3ef2762-9fb757e5.jpg
Pa and lateral views of the chest provided. Low lung volumes limits assessment. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No evidence of congestion or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cp // ? infectious process, ptx
MIMIC-CXR-JPG/2.0.0/files/p15371230/s53890057/3d251b80-019c6aca-fef472cf-3829b05b-cbd745d8.jpg
MIMIC-CXR-JPG/2.0.0/files/p15371230/s53890057/32e9b6d7-8e671d65-6db75ec2-7d94e824-320cceb8.jpg
In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No evidence of parenchymal or skeletal metastasis. Unchanged mild hyperinflation of the lungs, consistent with chronic pulmonary disease.
melanoma, to assess for disease status.
MIMIC-CXR-JPG/2.0.0/files/p15526064/s55214472/3041bc1b-25f50ed3-3bf96c9f-de16440d-5f6382fa.jpg
null
The lungs are hyperinflated. Increased interstitial markings are seen throughout the lungs, similar when compared to prior. There is no new confluent consolidation. Blunting of the lateral costophrenic angles is noted, potentially due to scarring or pleural thickening although small effusions would also be possible. Left chest wall dual lead pacing device is noted. Moderate cardiomegaly and atherosclerotic calcifications are noted. Old posterior right rib fractures are seen.
<unk>f with shortnes of breath // acute process?
MIMIC-CXR-JPG/2.0.0/files/p19127789/s53048596/c3bdc734-840be0e0-f8e8d408-857af5e9-7327e62e.jpg
null
Left pectoral icd in situ with the lead tips present in the right atrium and right ventricle. Et tube in situ with the tip at the level of the medial clavicles <num> mm proximal to the carina. Enteric tube in situ. Swan-ganz catheter in situ with tip in the proximal pulmonary artery. Post cabg changes. Central and chest drains in situ. Intra-aortic balloon pump catheter in situ with the tip <num> mm proximal to the arch of the aorta. No pneumothorax. Lung volumes appear similar compared to prior. The cardiomegaly is slightly improved. Left basal atelectasis/effusion appear slightly decreased in size compared to prior.
<unk> year old man with as above // s/p mvr/asd repair w/hypoxia r/o effusion/ptx
MIMIC-CXR-JPG/2.0.0/files/p14497590/s55926017/6443b800-05c9340b-a7b0eee6-cbc3ac96-9e3bcaa3.jpg
MIMIC-CXR-JPG/2.0.0/files/p14497590/s55926017/ff4be309-1be60022-516d38c5-3233f689-2f2b288a.jpg
The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. The thoracic aorta is tortuous. There is rightward curvature of the thoracic spine.
history: <unk>f with chills, malaise, cough // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p13935870/s58393613/5c4df557-fa458413-c93c8773-08355035-ec7b2750.jpg
null
A left lateral approach chest tube remains in place within a loculated left pleural effusion, which is not appreciably changed. The right lung remains clear. There is no pneumothorax. The cardiomediastinal contours are stable. A cortical irregularity with step-off in the lateral rib cage at the level of the chest tube insertion site is due to an acute rib fracture. In addition, the side port of the chest tube is setting in the rib cage, which is suboptimal for drainage purposes.
<unk> year old man with pleural effusion, nodules, and chest tubes s/p pleurodesis // *** please perform before <num> am ***
MIMIC-CXR-JPG/2.0.0/files/p16726288/s57444604/f37d6400-cceb69aa-d2fbc336-8d69ebaf-4d1d64fa.jpg
MIMIC-CXR-JPG/2.0.0/files/p16726288/s57444604/4d602faf-e4590b8b-4b12254e-6623df12-30e54c15.jpg
The postoperative appearance of the lung following left lower lobectomy is stable. The left-sided chest tube has been removed. Elevation of the left hemidiaphragm with associated left basilar subsegmental atelectasis is unchanged. Left chest wall subcutaneous emphysema has slightly improved. Heart size is normal. There is no appreciable pneumothorax.
<unk>f smoker w/ <num>cm fdg avid (suv <unk>.<num>) lll nodule s/p vats lll lobectomy // eval post chest tube
MIMIC-CXR-JPG/2.0.0/files/p14060911/s50288204/eb041d36-8d011c08-f8fc925e-a3469c6c-ef13f7eb.jpg
MIMIC-CXR-JPG/2.0.0/files/p14060911/s50288204/9f90570c-38f881cf-55ffc488-4413f3a5-35446998.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. Bony structures appear within normal limits.
shortness of breath, cough, and near syncope.
MIMIC-CXR-JPG/2.0.0/files/p11041035/s57316667/98368656-f91a9b9b-22fad52f-70689604-6ec9f278.jpg
null
Right basilar opacity has mostly cleared since the prior radiographs. The cardiac, mediastinal and hilar contours are stable. The patient is status post sternotomy. There is no pleural effusion or pneumothorax.
tachycardia and weakness.
MIMIC-CXR-JPG/2.0.0/files/p19746177/s54096667/139c1dff-6fad9de5-c9d41f16-e167bf08-2cb2dd44.jpg
MIMIC-CXR-JPG/2.0.0/files/p19746177/s54096667/e25e030d-b6a4b0a1-5ddf5b0c-4265383c-639bee6d.jpg
Pa and lateral views of the chest provided. Prosthetic cardiac valve projects over the heart. Mediastinal clips are noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with ams/stroke // pna?
MIMIC-CXR-JPG/2.0.0/files/p15805011/s57157892/37d4c965-d839792c-6225d72a-6e023a21-a7b010cc.jpg
MIMIC-CXR-JPG/2.0.0/files/p15805011/s57157892/5047d9a6-85e78a77-ec3b72b0-1149916d-fba5f288.jpg
Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. There is mild prominence of the right basilar interstitial markings, right greater than left, likely related to low lung volumes. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax evident. No osseous abnormality evident.
history of acs, cocaine abuse, presents with chest pain for two hours. states able to walk half a block before getting fatigue, assess for chf or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19755599/s50432422/3e2b28ab-07c7af00-5d925b38-de924cfd-a55b0838.jpg
MIMIC-CXR-JPG/2.0.0/files/p19755599/s50432422/1dad7263-9594cfc2-29727298-3be5de8b-570e46c4.jpg
The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with craniotomy wound dehiscence. pre-operative evaluation of the chest.
MIMIC-CXR-JPG/2.0.0/files/p10908645/s59918883/a1f1bc0d-fd98f879-01fa29c3-6013846d-66697d66.jpg
MIMIC-CXR-JPG/2.0.0/files/p10908645/s59918883/37eea141-9dec4fde-13e1d42e-bdefc23b-5ba713a1.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with psychosis // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p10113857/s52944141/a1253bd9-acfdccbe-2375f050-7e98f316-d2cc1ee5.jpg
MIMIC-CXR-JPG/2.0.0/files/p10113857/s52944141/8d619fec-9a6573c8-ed69ea2f-fb282bdc-7b4cf09a.jpg
Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old man with fever status post hospitalization. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p10229692/s58235253/47d84a67-5993814b-509d1574-5f33839e-c8fe6dd8.jpg
MIMIC-CXR-JPG/2.0.0/files/p10229692/s58235253/e29ce7ce-d258e3b0-20d0f0cf-ba572b99-7ecde6a7.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. There are no acute osseous abnormalities.
upper respiratory tract symptoms, fever, history of myelodysplastic syndrome with neutropenia.
MIMIC-CXR-JPG/2.0.0/files/p18270774/s56868626/2b99998a-bdf91401-03691281-1f65feb6-b1ea5d6b.jpg
null
Severe patchy alveolar pulmonary edema has slightly improved compared to <num> hr prior. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal size. Right picc terminates in low svc. Dobbhoff tube terminates in the stomach.
<unk> year old man with cirrhosis, increased pulmonary edema overnight. // eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p16589824/s55513635/e12a772e-f6c14752-111b5240-df3b1f9b-52e33a84.jpg
MIMIC-CXR-JPG/2.0.0/files/p16589824/s55513635/f0e805aa-3590f2ca-22a2dbcc-a77bbc50-39b4e3af.jpg
The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. A left-sided picc is seen terminating in the low svc.
intra-abdominal sepsis.
MIMIC-CXR-JPG/2.0.0/files/p18078367/s50427593/1cd4369e-effdeb3c-e7d1f7cd-d224dea9-fcea6fd5.jpg
MIMIC-CXR-JPG/2.0.0/files/p18078367/s50427593/f23e15e7-1635b26f-b30eb592-8e41e50f-819b08c2.jpg
Right internal jugular port-a-catheter remains in place, with tip terminating in the mid superior vena cava. Heart size is normal. Diffuse calcifications are present throughout the ascending aorta, which is also mildly dilated. Lungs are clear except for minimal linear scarring at the left base and focal linear atelectasis in the periphery of the right lung base. No pleural effusion or acute skeletal findings. Incidental note is made of a slightly expansile lesion of the left fifth posterior rib, which is likely a benign bone finding given the absence of reported activity on bone scan of <unk>.
MIMIC-CXR-JPG/2.0.0/files/p19095721/s53686038/78ced0ba-52b8ec30-e561e7f4-1cef117b-d04513b9.jpg
null
The lungs are hyperinflated, similar when compared to the prior study. An endotracheal tube is in-situ, the tip terminates <num> cm above the level the carina, the nasogastric tube terminates in the stomach, a side hole is at the level the gastroesophageal junction, this is withdrawn slightly when compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. A atelectasis at the left lung base.
<unk> y/o m with pmhx copd (never intubated), htn, bph presenting with increased dyspnea, transferred from osh on bipap now with with stable respiratory status near baseline, on treatment for copd exacerbation and possible pna. // compare to prior
MIMIC-CXR-JPG/2.0.0/files/p15240986/s57859852/202eb754-672f6286-48c6c88a-e05de862-d94d6c05.jpg
null
Supine portable chest radiograph obtained. Lungs are clear. No evidence of pneumothorax or effusion. Cardiomediastinal silhouette is normal. No bony abnormality is seen.
MIMIC-CXR-JPG/2.0.0/files/p14023270/s55273919/48150fd0-8ab3ef9e-9a757aa3-62aea99f-3e463214.jpg
null
Limited image quality. The endotracheal tube can be followed down to the level of the carina, in the middle third of the esophagus. A more distal position of the tube cannot be confirmed. The right picc line remains in place. No pneumothorax. Unchanged low lung volumes and moderate cardiomegaly.
self extubation. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p12837959/s54687884/a21b5097-39de9d22-24d63405-46702a36-6be249e9.jpg
null
A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. Lung volumes are low, with bronchovascular crowding. Streaky opacity in the right base likely represents atelectasis. There is no definite focal consolidation or pneumothorax. There may be a trace left pleural effusion. Rightward curvature of the thoracic spine is again seen and grossly unchanged.
shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13841468/s50693333/37396e5b-6b06d3a5-501a6b91-396b5d12-483817d7.jpg
null
A left pectoral pacemaker is in place. The chin and overlying soft tissues partially obscures lung apices. There is no obvious pneumothorax. Aside from minimal left basilar subsegmental atelectasis, the lungs are clear. A rounded left infrahilar contour is new, and may be due to left hilar adenopathy, an enlarged left atrium, or a new descending aortic aneurysm. A small left pleural effusion and left basilar subsegmental atelectasis have decreased.
<unk> year old man with orophyaryngeal bleeding s/p hemostassis with new hypotension and leukocytosis // interval change
MIMIC-CXR-JPG/2.0.0/files/p14034311/s57973910/9c04b000-6f67b06f-fbc86630-04fabe3a-728602f2.jpg
MIMIC-CXR-JPG/2.0.0/files/p14034311/s57973910/fae96d3f-338b9c9b-b53cb170-c7f598ce-07496eac.jpg
As compared to the previous radiograph, there is no relevant change. Status post sternotomy and cabg. Low lung volumes with normal shape and size of the cardiac silhouette and normal hilar and mediastinal contours. No acute changes in the lung parenchyma, notably no evidence of pleural effusions, pneumonia or pulmonary edema. No lung nodules or masses.
prerenal transplant, assessment for cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p13161293/s51643760/a3952af6-a45680e7-21e9560b-89e152eb-137fc85b.jpg
MIMIC-CXR-JPG/2.0.0/files/p13161293/s51643760/f424d75b-3425b7cb-7b970d85-83be0e25-7ec207e0.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 displaced rib fractures seen. The right clavicle appears intact. No free air below the right hemidiaphragm is seen. Nipple rings are in place.
<unk>f with r shoulder pain and r anterior chest pain after a fall
MIMIC-CXR-JPG/2.0.0/files/p10065767/s58161378/788324b5-bfad171f-743af767-c6a36580-935c6dc8.jpg
MIMIC-CXR-JPG/2.0.0/files/p10065767/s58161378/1a1cf8a7-7ab45735-74a12a79-8234a485-cf039bb5.jpg
There is a dual-lead left pectoral icd device with the leads coursing through the left transvenous approach and terminating into the right atrium and right ventricle respectively. Since <unk>, previously described ill-defined opacity in the right mid lung is no more visible. Previously seen mild vascular congestion has completely resolved. There are no new lung opacities worrisome for pneumonia or pulmonary edema. Top normal heart size is unchanged. Mediastinal and hilar contours are unremarkable.
to look for pneumonia. patient has been treated for antibiotics.
MIMIC-CXR-JPG/2.0.0/files/p11995308/s50981266/938988d1-55bf6fa8-1a5ba80c-b30fed0e-49924649.jpg
MIMIC-CXR-JPG/2.0.0/files/p11995308/s50981266/875778a1-0228c1f7-0a201641-5dc17a1e-ea7b94d1.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old woman with ohss with pleural effusions s/p chest tube removal // evaluate pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p10368968/s50453101/a7953176-9008896f-73bd9d51-bbab3ee5-29870849.jpg
MIMIC-CXR-JPG/2.0.0/files/p10368968/s50453101/2391c667-cac5df1e-9a95f6d8-dccbbfa0-bd72faa5.jpg
The lung volumes are normal. Moderate cardiomegaly. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pulmonary edema. No pneumonia.
migraines, pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16683597/s52672680/72ded9ec-9d438f08-24d82918-f0f68795-e32a6123.jpg
MIMIC-CXR-JPG/2.0.0/files/p16683597/s52672680/98da23bf-9b848bce-368d2cd7-b3cb2a73-7f30aa17.jpg
Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart is top normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is gaseous distention of the stomach.
shortness of breath and chest pain with rhonchorous breath sounds. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19596157/s56515867/dae8501e-f65ff3fa-ff4e50a6-4d1fa60f-cd713824.jpg
MIMIC-CXR-JPG/2.0.0/files/p19596157/s56515867/8b351291-9b8a619b-b2d51b02-9dab3889-29d3169c.jpg
The patient is status post median sternotomy and cabg. Left-sided aicd device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus, unchanged. Moderate to severe cardiomegaly persists. There is continued mild pulmonary vascular congestion. Right picc tip terminates in the svc. No pleural effusion or pneumothorax is seen. No focal consolidation is present. Inferior subluxation of the left humeral head relative to the glenoid fossa persists.
congestive heart failure, weakness.
MIMIC-CXR-JPG/2.0.0/files/p19818127/s52405909/03b4c0a7-1672d1dc-5fb40c37-941aa672-b79eed9f.jpg
MIMIC-CXR-JPG/2.0.0/files/p19818127/s52405909/330fc899-c43cefbe-f5975295-9cf6e8e0-81a28fc2.jpg
New compared to prior older exam is hazy right midlung opacity seen on the frontal view. Increased opacity projecting over the hilar region on the lateral view is also new and may correspond a finding on the frontal view. Biapical scarring is grossly unchanged. The cardiac silhouette is enlarged but similar compared to prior. Markedly tortuous thoracic aorta is noted. Left chest wall dual lead pacing device is again noted. Right-sided dual lumen central venous catheter seen with tip projecting over the proximal right atrium. There is no pleural effusion. Compression deformity in the mid thoracic spine is new since <unk> but is age indeterminate.
<unk>f with tachypnea and hypoxia // pna?
MIMIC-CXR-JPG/2.0.0/files/p19294824/s56317831/7c6205e7-090f5797-c84e0260-570a8a60-c598f6f0.jpg
MIMIC-CXR-JPG/2.0.0/files/p19294824/s56317831/11d048c2-f992e04f-0805f204-4d4fc0cb-95c804af.jpg
The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. There is elevation of the right hemidiaphragm.
screening chest for immigration.
MIMIC-CXR-JPG/2.0.0/files/p14538897/s56333260/0296c965-747a37f9-3ac114b7-bbbc8820-43ca361b.jpg
MIMIC-CXR-JPG/2.0.0/files/p14538897/s56333260/a36da46a-b0b626ad-30087869-bf846180-f0bddb0f.jpg
Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. Opacities at the cardiophrenic angles bilaterally are thought to represent prominent fat pads. Cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is detected.
<unk>-year-old female with cough and chest pain. fever.
MIMIC-CXR-JPG/2.0.0/files/p17862835/s54731416/aceae4e3-67bcf7e3-8c0e65fc-e9584178-dea8f5df.jpg
MIMIC-CXR-JPG/2.0.0/files/p17862835/s54731416/5180bede-0be0ef81-bc4fce43-8cb18730-b064ba65.jpg
Pa and lateral views of the chest provided. Linear opacities in the bilateral lower lobes likely represents subsegmental atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Calcification along the expected region <num> of the left lower thoracic anterior ribs likely represents a chronic rib deformity. No free air below the right hemidiaphragm is seen. Clip is noted overlying the right upper quadrant.vascular stent projects over the expected region of the left axillary vein or artery.
history: <unk>m with ams // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p16991646/s52804057/dd6711df-08a1c4e1-86346d34-da9b9cf3-2d64c5db.jpg
MIMIC-CXR-JPG/2.0.0/files/p16991646/s52804057/ebce57a7-960d44bf-bc12cef9-4029f91d-ee3f85d5.jpg
The lung volumes are normal. Normal appearance of the cardiac silhouette. Normal hilar and mediastinal structures. Normal structure and transparency of the lung parenchyma. No acute cardiac or thoracic changes.
evaluation for cardiothoracic emergency.
MIMIC-CXR-JPG/2.0.0/files/p10533175/s51634405/5b02381e-14b8a192-8f24f74f-09dda806-d744a252.jpg
null
As compared to the previous radiograph, the pleural effusions bilaterally have not substantially changed. The pigtail catheter on the right has obviously been pulled back. It is not sure whether the catheter is still located in the pleural space. Moderate cardiomegaly, moderate retrocardiac atelectasis.
hcc, biliary obstruction, evaluation of pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15099341/s58260262/e1c5a3f6-0f1a738d-36639498-4a648925-c2900265.jpg
MIMIC-CXR-JPG/2.0.0/files/p15099341/s58260262/1bf225cc-53c23475-293980ca-3de874ee-347ff072.jpg
Cardiomediastinal silhouette is within normal limits. Pleuroparenchymal scarring is noted at the apices. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cp s/p car ride // pna? mediastinal widening?
MIMIC-CXR-JPG/2.0.0/files/p12313845/s58879357/8533bdf0-e5da6b90-33e99ea5-fd8dfaf0-520ed6f9.jpg
null
The et tube terminates approximately <num> cm above the carina. There is right upper lobe collapse with elevation of the right minor fissure. The heart size is normal. The left lung is overall clear. There is no pleural effusion or pneumothorax. The enteric tube is in the distal esophagus and must be advanced.
history of et tube placement. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p17051420/s53723188/685abeb6-c9bfae1f-b7fb50e6-746d1b0c-b32cdcef.jpg
null
Two portable views of the chest. Exam was somewhat limited due to positioning and portable technique. There is no confluent consolidation or overt pulmonary edema. The cardiac silhouette is enlarged but unchanged.
<unk>-year-old male with shortness of breath and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10383496/s53960103/c68955e5-2bb3f324-226b0646-5b567890-d095ff95.jpg
MIMIC-CXR-JPG/2.0.0/files/p10383496/s53960103/0af0c91a-a66c54cc-7827d64b-1389f517-4b7ceceb.jpg
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
MIMIC-CXR-JPG/2.0.0/files/p12122134/s56938405/cca15770-c1d016a4-53765569-b35e6fee-5c4dd945.jpg
MIMIC-CXR-JPG/2.0.0/files/p12122134/s56938405/32d803fe-657281dd-2ef6c5e4-3ca7e8c8-f2accb83.jpg
Low lung volumes accentuate bronchovascular crowding and hilar size, but there is new heterogenous/ground glass opacification in both lower lungs, bronchial cuffing, and mild bilateral hilar adenopathy. There is no pneumothorax or large effusion and no confluent consolidation.
<unk>-year-old female with fever and cough. question infection.
MIMIC-CXR-JPG/2.0.0/files/p13956943/s52084109/1aa26072-63c9ff84-d86a855b-2f398e30-4f194032.jpg
MIMIC-CXR-JPG/2.0.0/files/p13956943/s52084109/28bab4ca-63785b5c-2baccc1c-9c4fdb03-3e2223d4.jpg
The lungs are clear. The cardiomediastinal silhouette is within normal limits. Right chest wall dual lead pacing device is again noted with tips in the right atrium and right ventricular apex. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hx incarceration and hemotypsis // eval for cavitary lesion
MIMIC-CXR-JPG/2.0.0/files/p15479539/s52093364/118cb17b-966dab4c-8a4f0b1a-133ac098-2fae7757.jpg
null
Frontal view of the chest was obtained. The radiograph is underpenetrated. The patient is in lordotic position with respect to the film. Endotracheal tube terminates <num> cm above the carina. The full course of the og tube is unable to be followed. Left picc is unable to be followed further than the left brachiocephalic. Left ij also appears to terminate in the left brachiocephalic vein. Cardiac silhouette remains enlarged. Prominent pulmonary vasculature is compatible with mild congestion. No substantial pleural effusion or pneumothorax.
<unk>-year-old male intubated with hypoxic respiratory failure. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15581146/s57367964/452f3d14-e5d2b392-cf6faf58-0ce39f9e-e2e77b8b.jpg
null
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The lung volumes are unchanged. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiograph is of unchanged appearance.
intubation.
MIMIC-CXR-JPG/2.0.0/files/p15928453/s53022487/5cfb3055-38add0f8-55f92b67-5176c725-6444c853.jpg
MIMIC-CXR-JPG/2.0.0/files/p15928453/s53022487/262a68d2-d2827d1d-ff55ac67-e41a1932-2382c766.jpg
A left picc is in place with the tip terminating at the cavoatrial junction. The lungs are symmetrically well expanded and well aerated. There is an ill-defined airspace opacity projecting over the left mid lung zone, which is decreased from the prior study. The left lung base is better aerated. No pleural effusion or pneumothorax is present. Biapical scarring appears symmetrical. There is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. There is no free air beneath the right hemidiaphragm.
recent ventilator-associated pneumonia, ex lap and bowel resection, now with fever, here to evaluate for pneumonia or intra-abdominal free air.
MIMIC-CXR-JPG/2.0.0/files/p16110520/s58969282/9437bfd2-8f2e655f-fc59f0b6-afd16e8c-22ec8398.jpg
null
Portable ap upright chest radiograph provided. Lung volumes are low. The heart is top normal in size. There is no evidence of pneumonia or overt chf. No effusion or pneumothorax is seen. The mediastinal contour is stable. Bony structures are intact.
MIMIC-CXR-JPG/2.0.0/files/p10896351/s53944577/a743f959-7bcbdb2c-43c832c5-05237289-18e637eb.jpg
null
As compared to the previous radiograph, the lung volumes remain low. Moderate cardiomegaly without overt pulmonary edema. Minimal atelectasis at the lung bases. No pleural effusions. No focal parenchymal opacities on the current image. The pre-existing small right pleural effusion has resolved in the interval.
systolic chronic heart failure, worsening shortness of breath, questionable pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19655295/s52119393/a5f568fc-2af0890a-ab99dee2-5765f9d2-c0eb9a56.jpg
null
Portable semi-upright radiograph of the chest demonstrates slight interval improvement in aeration of the right lung. There is continued near complete opacification of the left hemi thorax, secondary to large pleural effusion and compressive atelectasis. There is a small area of persistently aerated lung in the left upper thorax. As before there is a moderate right-sided pleural effusion with some adjacent atelectasis. There is no pneumothorax. Note is made of a chronic right anterior shoulder dislocation, which is unchanged.
chronic left lung atelectasis, hypoxia. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19571223/s50613405/7621385c-941d73c6-05618bc6-0952064a-4f8eb6c8.jpg
null
The endotracheal tube terminates <num> cm above the carina. A right internal jugular central venous line terminates at the level of the brachiocephalic vein, but is now apparently curved back on itself and the tip has moved away from the heart over time. An orogastric tube courses into the stomach and inferiorly out of the field of view. There is persistent bilateral lower lobe atelectasis, right greater than left. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk> year old male with new onset seizures currently intubated. evaluate for tube placment and acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13435701/s57774333/1f861f94-107f530f-71ac7d44-629d12b9-f5e0741c.jpg
MIMIC-CXR-JPG/2.0.0/files/p13435701/s57774333/ea67c105-614b0107-d85c8814-2536f6cc-1c9fd31c.jpg
Left picc is seen with tip at the upper svc. On the lateral view, there is increased opacity projecting over the lower spine obscuring likely the right posterior costophrenic angle. Superiorly and on the frontal view, the lungs are clear. The cardiac silhouette is enlarged but unchanged. Tortuosity of descending thoracic aorta is noted. No acute osseous abnormalities.
<unk>m with lower extremity swelling, cough, decreased breath sounds on exam. // any evidence of chf exacerbation? pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p14338016/s51121543/4b249cc1-2e7ed85b-ece32ab2-7307dd20-00e3934a.jpg
null
Right subclavian central venous catheter terminates in upper svc. Right millimetric right apical pneumothorax is unchanged. There is no evidence of tension. No consolidation or large pleural effusion is identified. Cardiomediastinal silhouette is normal size.
<unk> year old man with hx met rcc, s/p ptx yesterday with ct placement last evening. evaluate change with ct now to h<num>o seal. // evaluate r apical ptx with chest tube placed to h<num>o seal <num> hours ago
MIMIC-CXR-JPG/2.0.0/files/p19526851/s58173272/f95f730a-28f10e3a-f482484b-6efe8e38-1a69556d.jpg
MIMIC-CXR-JPG/2.0.0/files/p19526851/s58173272/c8ce8bd4-f9151b60-bb30829e-8955f41b-c027d8ad.jpg
The heart size is enlarged, but there is no mediastinal widening. The lungs demonstrate bibasilar atelectasis as well as plate atelectasis. Trace pleural effusion is present bilaterally. There is no pneumothorax. The pulmonary vasculature appears mildly engorged.
<unk>-year-old female with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16234474/s54905093/cfed0c72-04977582-dfd428a6-e706a90e-39477aeb.jpg
null
A nasogastric tube is in place with the distal tip not visualized. The endotracheal tube terminates <num> cm above the carina. A right-sided internal jugular line is in unchanged position. The cardiomediastinal contours are unchanged. Vascular is congestion is slightly improved on the right and slightly more prominent on the left. There has been slight interval increase in the small left pleural effusion. New obscuration of the left heart border suggests interval increase in basilar atelectasis.
<unk>-year-old woman with an intraparenchymal cerebral hemorrhage, now with respiratory failure and concern for pneumonia. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p11931968/s50210654/51174f31-e35aaafd-085d3012-d5bc0767-777ca1e4.jpg
null
There is a moderate right pleural effusion with opacities in the right mid and lower lung. Cavitation in the right lung mass is better appreciated on recent ct. The lung apices are relatively clear. The heart is normal in size but is shifted to the right secondary to volume loss in the right lower lung. There is no large pneumothorax.
lung cancer with hemoptysis and fever. evaluate for aspiration, pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10873606/s50656059/4487789b-4d6b4e88-dc056b47-73bdedd8-0d554d59.jpg
MIMIC-CXR-JPG/2.0.0/files/p10873606/s50656059/030f988b-f9e639db-6b650e43-9e1bc3f5-411c0fbc.jpg
The lungs are clear of consolidation, effusion, or pneumothorax. Calcified left base granuloma is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough and chills // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19155768/s56119193/4f45e920-587b4ba2-911ab73a-82cf92cb-000b45ba.jpg
MIMIC-CXR-JPG/2.0.0/files/p19155768/s56119193/d202cff9-e1a84b7a-2062edcd-12f0995b-84060dd9.jpg
When compared to prior, there has been no significant interval change. Cardiac silhouette is enlarged and atherosclerotic calcifications are noted at the aortic arch. Prosthetic valves and median sternotomy wires are again noted. Hilar engorgement with increased interstitial markings seen throughout, similar to prior. There is no pleural effusion.
<unk>m with h/o chf and pneumonia dyspnea today, some fevers, and cough, crackles on exam // ?acute cardiopulmonary changes
MIMIC-CXR-JPG/2.0.0/files/p14175259/s57863639/753200b2-c5ffd514-3fb8d1e2-16c5f134-ef69f531.jpg
MIMIC-CXR-JPG/2.0.0/files/p14175259/s57863639/c154df39-6226ffa8-b8665b72-44278f8f-2bb5b1f5.jpg
Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with cough.
MIMIC-CXR-JPG/2.0.0/files/p14817463/s56081488/e96692a9-364dfa4d-7de781b8-7edbc70c-09a3b814.jpg
MIMIC-CXR-JPG/2.0.0/files/p14817463/s56081488/04296b2c-fee52d5a-113e5f59-f246e532-41f8d207.jpg
Frontal and lateral views of the chest. Postoperative changes of right pneumonectomy are seen with air-fluid level in the midlung. There is no prior available for comparison to evaluate for expected superior migration of this air-fluid level. Postthoracotomy changes are identified on the right. Right chest wall port is seen with tip in the upper svc. Stent projects over the expected region of the mid and lower svc. The left lung is clear. Cardiomediastinal silhouette is difficult to assess given opacity at the right lung base however is grossly unremarkable.
<unk>-year-old female status post right chest wall resection and right pneumonectomy for rhabdomyosarcoma. chest pain and shortness of breath. comparison none.
MIMIC-CXR-JPG/2.0.0/files/p13878311/s51826987/0e425692-2c5307c3-0e9c2e08-14d41154-2a85aced.jpg
MIMIC-CXR-JPG/2.0.0/files/p13878311/s51826987/5cdd14ff-ac945ef7-908eed67-b0ab2dc1-0ba670ed.jpg
The lungs are clear without focal consolidation, effusion or pneumothorax. Increased peribronchial markings are seen in the perihilar distribution. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with hypoxia, cough, hemoptysis // ? ptx, pna
MIMIC-CXR-JPG/2.0.0/files/p18893120/s57453043/4160af68-b5792c4b-0384b631-3ea5172f-d71633e0.jpg
MIMIC-CXR-JPG/2.0.0/files/p18893120/s57453043/fb068397-f9508c94-5464d1e9-c4499125-f836831a.jpg
Low lung volumes noted with mid to lower lung atlectasis/scarring, unchanged. No convincing signs of pneumonia, effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>m with abdominal pain and distension // eval for free air
MIMIC-CXR-JPG/2.0.0/files/p19813574/s51692672/8d665c0a-ca40daf7-d5b0fb2a-6c7d2f13-57ea4475.jpg
MIMIC-CXR-JPG/2.0.0/files/p19813574/s51692672/799a5c75-5c3bf35c-89d1ff59-7e5016ad-707c38ce.jpg
Frontal and lateral views of the chest demonstrate low lung volumes. Diffuse interstitial abnormality worst at the lung bases and periphery persists. There are increased interstitial markings compared to the <unk> exam, suggestive of superimposed volume overload. Small bilateral pleural effusions are also new since prior. Heart size has mildly increased. Pulmonary artery remains prominent, suggestive of possible underlying pulmonary hypertension. Aortic arch calcifications are again noted. There is no pneumothorax. Mediastinal silhouettes are unchanged. Degenerative joint changes of the thoracic spine are unchanged.
patient with presyncopal episode.
MIMIC-CXR-JPG/2.0.0/files/p15117030/s59184749/9b2d20f7-e0b1ef01-d37b3302-9233968c-362a2236.jpg
MIMIC-CXR-JPG/2.0.0/files/p15117030/s59184749/646b9f53-24dd88fc-ae734305-494b42d1-76cd4173.jpg
The lungs are well-expanded and clear. No pulmonary edema. No pneumothorax. The hilar and pleural surfaces are unremarkable. The cardiomediastinal silhouette is normal. Anterior flowing osteophytosis of the mid thoracic spine is again noted on the lateral view.
history: <unk>f with palps // ?chf
MIMIC-CXR-JPG/2.0.0/files/p11669136/s51028497/c346f864-c51ec5c1-f9d56f4e-ce1c826f-44ea89ad.jpg
MIMIC-CXR-JPG/2.0.0/files/p11669136/s51028497/b3e2efb1-5399ca83-99c37b75-e2122b68-a1d12acf.jpg
The heart is mildly enlarged. The mediastinal and hilar contours appear within normal limits. The chest is hyperinflated. There are no pleural effusions or pneumothorax. The lungs appear clear. Mild compression deformities are noted among at least four upper thoracic vertebral bodies. These are age-indeterminate, although without features to suggest that they are likely to be recent.
syncope.
MIMIC-CXR-JPG/2.0.0/files/p12988947/s58677904/65ddbf17-7dde1154-95f6875e-a87c7e49-adae58f6.jpg
MIMIC-CXR-JPG/2.0.0/files/p12988947/s58677904/4405ad84-bfc5362f-02f82c18-2e0cae60-6fa1620f.jpg
Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Prominent pulmonary vasculature may be exaggerated by low lung volumes.
<unk>-year-old female with bilateral leg swelling.
MIMIC-CXR-JPG/2.0.0/files/p16044504/s52819057/de9ce8a0-baa65cd6-c05a0d51-ff4c52b0-43856d79.jpg
MIMIC-CXR-JPG/2.0.0/files/p16044504/s52819057/9c0ec252-d3213a23-9927f43b-8a11b2d1-2d2dee3e.jpg
Frontal and lateral views of the chest were obtained. There is elevation of the right hemidiaphragm with overlying atelectasis. Elevation of the right hemidiaphragm could be due to subpulmonic effusion. There is also slight blunting of the right costophrenic angle. The left lung is clear. No pneumothorax is seen. There is no definite focal consolidation. The cardiac and mediastinal silhouettes are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11380379/s52255973/7b3846cd-3d7a7d4a-13a50c1a-42befdb1-946291f4.jpg
MIMIC-CXR-JPG/2.0.0/files/p11380379/s52255973/a1d38ff3-0b6fb4f0-74bd8d63-f16fcfe2-2ae3ecc9.jpg
Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Status post sternotomy and coronary artery bypass surgery as before. Moderate cardiac enlargement is present but no typical configurational abnormalities are identified. The pulmonary vasculature is not congested and there are no signs of pleural effusion in either lateral or posterior pleural sinuses. No pneumothorax identified in apical area on frontal view. Moderately accentuated kyphotic curvature in the thoracic spine with moderately demineralized vertebral bodies, but no evidence of compression fracture. Comparison is made with the next preceding chest examination of <unk>, sizable parenchymal infiltrate existed in the right upper lobe anterior segment. This pneumonic infiltrate has regressed completely and presently no acute parenchymal infiltrates can be seen. Comparison is extended to older chest examination of <unk>, at which time the patient already had undergone bypass surgery with sternotomy wires and multiple surgical clips. Comparison with this more than <unk>-year-old examination demonstrates stable chest findings status post bypass surgery with mild cardiac enlargement but absence of pulmonary vascular congestion and no acute infiltrates.
<unk>-year-old female patient with cough. history of pneumonia last year and did not have interval followup. never smoked cigarettes. evaluate for pneumonia and possible resolution of abnormal findings one year ago.
MIMIC-CXR-JPG/2.0.0/files/p18180310/s55443686/1497955b-482e5752-9e2852c6-1aaa90f2-5faa0eb7.jpg
null
In comparison with study of <unk>, the left port-a-cath tip now points downward in the svc. Right subclavian catheter extends to about the level of the cavoatrial junction. Nasogastric tube extends to the level of the carina, then coils upon itself and points upward with the tip at least at the c<num> level.
ng placement.
MIMIC-CXR-JPG/2.0.0/files/p16145265/s55123749/964b2018-3d3a8dc6-c637225e-16e9a8f8-dabd5c4c.jpg
MIMIC-CXR-JPG/2.0.0/files/p16145265/s55123749/1a3c2621-ef9a3ce4-4694bb62-986c52d5-5009dbed.jpg
Cardiac silhouette is upper limits of normal in size. Mediastinal and hilar contours as well as pulmonary vascularity are within normal limits. Lungs and pleural surfaces are clear. No acute skeletal findings.
MIMIC-CXR-JPG/2.0.0/files/p10246786/s52475019/459ea92e-053cf235-9a61cfa7-1fc76776-19ca0d74.jpg
MIMIC-CXR-JPG/2.0.0/files/p10246786/s52475019/510af18c-c8c67225-1ed10342-51ceec97-2c3d68f1.jpg
Moderate cardiomegaly appears slightly increased in size compared to the prior exam from <unk> which may reflect cardiomegaly, although pericardial effusion should also be considered. Moderate right-sided pleural effusion, also has increased compared to the prior exam. There has been interval appearance of mild pulmonary edema. There may be a small left pleural effusion. Retrocardiac opacity is likely secondary to atelectasis, although pneumonia cannot be entirely excluded. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with missed dialysis // evel for chf
MIMIC-CXR-JPG/2.0.0/files/p14685940/s54760142/5aec50a4-9f1d7d6e-7c90bad8-3a79500c-cf559947.jpg
MIMIC-CXR-JPG/2.0.0/files/p14685940/s54760142/826dc754-ebe4d0b5-bf26c703-ecd9b55c-0b02bded.jpg
Again seen is hyperinflation consistent with background copd. Cardiomediastinal silhouette is unchanged at the upper limits of normal or slightly enlarged. There is upper zone redistribution. There is more focal hazy opacity in the right perihilar region, similar to the chest x-ray from <unk> and similar or slightly more pronounced compared with <unk>. There is subsegmental atelectasis in the retrocardiac region, increased. There is minimal blunting of the left costophrenic angle on the ap view and, on the lateral view, a small pleural effusion is present, new compared with a lateral film from <unk>. Again seen is slight pleural thickening at the left chest wall inferiorly which appears to relate to an old healed rib fracture.
<unk> year old woman with cardiac amyloid and leukocytosis. // please evaluate for possible infection.
MIMIC-CXR-JPG/2.0.0/files/p11515974/s52958419/9b69bcf1-8b7ffd39-0b121b8d-d39bf0d5-18e4a84e.jpg
MIMIC-CXR-JPG/2.0.0/files/p11515974/s52958419/9f0270e6-fbe48f34-6d0ff8cb-c9c03ae2-e749a479.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 dka // r/o occult infiltrate
MIMIC-CXR-JPG/2.0.0/files/p15385889/s54495685/e02f3b7b-53cab35f-f878c068-1a5b71c0-0094a9e9.jpg
MIMIC-CXR-JPG/2.0.0/files/p15385889/s54495685/0a34a54c-142813de-c5d67e1b-15c79015-176212ae.jpg
Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cardiac valve replacement. Interstitial pulmonary edema is again seen. There are bilateral pleural effusions with overlying atelectasis. Additional bibasilar opacities raise concern for underlying infection and/or aspiration. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. Evidence of dish is seen along the spine. There is a minimally displaced fracture of the posterolateral left seventh rib and a healed nondisplaced fracture of the posterolateral left sixth rib, similar in appearance as compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p18887130/s51097518/5b015bd3-b2e7a825-94798f00-a1f68e79-368e4ea3.jpg
null
Right port tip is in upper svc and is unchanged from prior. No interval change from <unk> study. Again seen are chronic right lateral rib defects. No pneumothorax. No focal opacity, pulmonary edema, or pleural effusions. Heart is top normal with normal mediastinal contour and hila.
<unk>-year-old female with lymphoma receiving chemotherapy. assess line placement.
MIMIC-CXR-JPG/2.0.0/files/p14453342/s55539212/2b970e71-6b88396a-d2d3b72d-7f1f1240-2f227849.jpg
MIMIC-CXR-JPG/2.0.0/files/p14453342/s55539212/6524e825-4ab61b69-4e818563-b82c35df-e41b87fc.jpg
The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine. There has been no definite change.
status post fall with ecchymosis.
MIMIC-CXR-JPG/2.0.0/files/p17274271/s52974877/0f81374f-a55a8e23-36a65afe-70d3aca7-d9dfeb7e.jpg
null
Since the prior radiograph performed earlier on the same date, the dobbhoff tube has been advanced and now terminates in the antrum of stomach. No other relevant changes from the earlier study.
<unk> year old man with dobhoff // check placement after pulling stylette
MIMIC-CXR-JPG/2.0.0/files/p14191651/s50584021/e82c2a40-47bf4244-0181ed44-241395cb-e180c48a.jpg
MIMIC-CXR-JPG/2.0.0/files/p14191651/s50584021/3f73dd25-dd23a581-cf3732e4-eaa52c15-dbb91b15.jpg
The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the descending aorta. The lungs are well-expanded and clear. There is no evidence of focal consolidation, pleural effusion or pneumothorax.
altered mental status, cough. rule out infiltrate, pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19750978/s55914890/a7579556-409a6558-dece8413-2d155ec2-3ab3311d.jpg
null
Single frontal view of the chest demonstrates an enteric tube traversing into the stomach. A right-sided dual-channel central venous catheter is in place with tip extending to the lower svc. Patient is status post right shoulder arthroplasty, unchanged. The cardiomediastinal silhouette is mildly prominent but accentuated by ap technique and low lung volumes. Globular appearance of heart unchanged. There is no pneumothorax. Minimal pulmonary vascular congestion may be present without frank edema.
<unk>-year-old male with small bowel obstruction on ct status post central venous catheter placement. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18581957/s53776838/ea151d73-2ae39078-6c2eba60-1cdb55c2-1a25f951.jpg
MIMIC-CXR-JPG/2.0.0/files/p18581957/s53776838/3fd3d88e-da472431-2072aa79-5d82fac9-f1267ab9.jpg
The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the thoracic aorta. No acute osseous abnormality is detected. Hypertrophic changes of the spine are noted.
<unk>m with confusion // pna
MIMIC-CXR-JPG/2.0.0/files/p17431704/s54501453/4a8c9703-7ffc4295-ece8d4de-33d5ef99-b7bf3420.jpg
null
No strong evidence of pneumonia is identified, though low lung volumes limit evaluation of the bases, particularly on the left. No pleural effusion, pulmonary edema, or pneumothorax is present. The cardiomediastinal silhouette is unchanged with tortuosity of the aorta and top normal heart size. A previously seen right-sided picc has been removed. A left humeral prosthesis is partially imaged.
fever and leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p12008763/s50835587/a6ba4a81-01158c6a-63da6d50-71bed4ac-a8dc7006.jpg
null
As compared to the previous radiograph, the intra-aortic balloon pump has been pulled back by approximately <num> cm. The tip of the pump now projects approximately halfway between the aortic arch and the aortic hiatus. Otherwise, the radiograph is unchanged, with unchanged appearance of the lung, the heart and the monitoring and support devices.
intra-aortic balloon pump placement.
MIMIC-CXR-JPG/2.0.0/files/p19815454/s52749152/b68ade2e-abb0ed8a-78998da9-0118dd11-ddb33409.jpg
MIMIC-CXR-JPG/2.0.0/files/p19815454/s52749152/bf1b97fc-7d21d502-5ce1bb2d-a2b6ed3b-6e593364.jpg
Pa and lateral views of the chest were provided. Lung volumes are low, though given this, there is no definite evidence of pneumonia or chf. There is likely bibasilar atelectasis and bronchovascular crowding. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. Anchors are noted in the left humeral head. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p19858494/s59078528/17579ad1-e4a7edbc-6f5eba77-96a65843-6e71bd4d.jpg
null
Comparison is made to prior radiographs performed <num> hours earlier. There is a right-sided central venous line with distal lead tip at the right atrium; however, this may be partially positional. Endotracheal tube has been removed. The study is very limited due to the patient's chin and mass obscuring the upper chest and there are low lung volumes due to poor inspiratory effort. There remains atelectasis and a left retrocardiac opacity. Would recommend repeat of images if there is high clinical concern for pathology; however, there is likely no interval change since the previous study.
MIMIC-CXR-JPG/2.0.0/files/p17594158/s58373782/576c89b2-9a960717-f5225cf1-da167c6a-7e4a1533.jpg
MIMIC-CXR-JPG/2.0.0/files/p17594158/s58373782/e728616d-20d0e58e-b63cc6d4-8aab3842-26cab295.jpg
The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.
left flank pain. question left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17133235/s55963807/95a4048a-74a66579-bfaf58f0-0ecb9109-2b22cad1.jpg
MIMIC-CXR-JPG/2.0.0/files/p17133235/s55963807/ece78129-93da5b78-635d7972-d5e010e1-4aa6dd7b.jpg
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. Linear opacities in the bilateral lung bases are compatible with atelectasis, as before. There is no definite focal consolidation or pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or chf in a patient with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12343289/s57587424/a8704d6b-2b5f05ab-4547353f-5ae362d9-b37be932.jpg
null
The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12488220/s53693532/733e1823-77f847e4-1e45904e-ebffc74e-f24b893a.jpg
MIMIC-CXR-JPG/2.0.0/files/p12488220/s53693532/4d0c1857-b1e5ae96-1280a32f-b75c4fe8-45897408.jpg
As compared to the previous radiograph, there is a small right pleural effusion, limited to the costophrenic sinus. Otherwise, there is no relevant change. The patient has received a right pectoral port-a-cath. Normal size of the cardiac silhouette. No evidence of parenchymal abnormalities. No pulmonary edema. No pneumothorax.
fever, pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14795382/s50426965/d082a89d-155f576c-5f59067c-d3e35ee3-1d8291e8.jpg
null
Elevated right hemidiaphragm is again noted. The lungs are grossly clear. Left chest wall dual lead pacing device and aortic core valve are again noted. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>m with n/v, hx of chf and cad, tacyhpnic and mildy sob on exam // ? pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p14350077/s55739150/7661de46-96bab0b9-4ae9f03d-77d5f64b-c4fd920e.jpg
null
There are persistent multifocal opacities in the right upper, right lower, and left lower lung zones, all of which has increased from the prior chest radiograph. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
status post left lower lobe biopsy. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15308966/s55787748/14d3f3a0-fbf26a0a-0d134466-6f699ca5-dcd3aa41.jpg
null
Comparison is made to the previous study from <unk>. There is again seen a left retrocardiac opacity which is stable. There is a nasogastric tube whose tip and side port are below the ge junction. No pneumothoraces are seen. The rest of the lung fields are clear. Overall, there has been no change.
MIMIC-CXR-JPG/2.0.0/files/p15000393/s55723653/a94444dc-93bd045f-ed89107a-13b83390-a37fcf33.jpg
MIMIC-CXR-JPG/2.0.0/files/p15000393/s55723653/1be634d5-15c7c4ad-db63f0fc-1a9dcadc-085d2ff7.jpg
Patient is status post left upper lobe wedge resection procedure. Left chest tube remains in place, with decreased size of left apical pneumothorax with only a small residual pneumothorax remaining. Increased opacity at the wedge resection site is also improving. However, worsening atelectasis is demonstrated at both lung bases. Note is also made of a small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19431075/s57031978/fb7e46b8-d343122a-d77d52e7-a5c1aac9-a1b8d131.jpg
null
Right picc and feeding tube remain in place, and cardiomediastinal contours are stable in appearance. Pulmonary vascular congestion and interstitial edema have improved compared to prior study. Additionally, a more confluent area of opacity in the right juxtahilar region has also slightly improved. The latter may be due to improving edema or infection. No new or worsening areas of lung opacification are identified to suggest a new source of infection.
MIMIC-CXR-JPG/2.0.0/files/p11179257/s53945172/ded40a0d-ca33cadf-bcd1b00f-a52179dd-b71ebc29.jpg
MIMIC-CXR-JPG/2.0.0/files/p11179257/s53945172/3dada5ba-2319ae62-d01ceeb2-6cbea301-1dba91ed.jpg
The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with hiv, hx of pcp pn<unk>. // please evaluate for pna
MIMIC-CXR-JPG/2.0.0/files/p18814172/s58063035/e09dc93a-4d6526ae-76a5c9a1-d7444d85-7b85e89c.jpg
MIMIC-CXR-JPG/2.0.0/files/p18814172/s58063035/e62567e6-a146bd3a-77fde93f-7892913c-3e48eb25.jpg
Mild to moderate enlargement of cardiac silhouette appears similar compared to the previous exam. The mediastinal and hilar contours are stable, with unchanged widening of the right paratracheal stripe compatible with known lymphadenopathy. There is no pulmonary edema. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. Surgical anchor is visualized within the left humeral head.
chest discomfort, history of cardiomyopathy.