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/p17604134/s57776509/2817f4fc-3c9f7500-b227f466-829b3110-18701c23.jpg
MIMIC-CXR-JPG/2.0.0/files/p17604134/s57776509/9a5306f8-3aa00722-7e295ade-189db650-90c13ab8.jpg
The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Left humeral head prosthesis is partially imaged.
<unk>m with dyspnea // eval heart and lungs
MIMIC-CXR-JPG/2.0.0/files/p11670805/s57263832/77db9578-f6d461ed-5c9e9ac9-9f13f714-3d31d2e3.jpg
MIMIC-CXR-JPG/2.0.0/files/p11670805/s57263832/557e4971-982be8b7-a158fb65-6b9ab958-2b2bee72.jpg
The cardiomediastinal and hilar contours are normal. There is no pleural effusion pneumothorax. The lungs are well expanded without focal consolidation concerning for pneumonia. Mildly increased interstitial markings may be technical. The upper abdomen is unremarkable.
<unk>m with <num> days of fever, cough, general muscle aches // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p14481284/s54250348/db3fa398-fd8818bd-f6c6e1b0-bc8757f8-96836488.jpg
null
Cardiomediastinal contours are stable in appearance. Previously present interstitial edema has nearly resolved, and there has also been improved aeration in the left retrocardiac region with residual opacity remaining as well as a small left pleural effusion. Upper lobe predominant emphysema is also demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p16734287/s57995679/83bf8dc5-cc60b906-1728ecf2-5b7890a0-11a5d9cb.jpg
MIMIC-CXR-JPG/2.0.0/files/p16734287/s57995679/3eb325f8-dcf5ba0f-a2ea42a3-97b8a198-8a5a0fa6.jpg
Two views are compared with most recent radiographs as well as cect of the chest, both dated <unk>. Since those studies, the findings of mild chf, including small bilateral pleural effusions and slight vascular blurring, representing interstitial edema, have cleared. The lungs are now better inflated and clear, without focal airspace process. There is residual cardiomegaly with, in particular, left atrial enlargement and there is dense dystrophic calcification of the mitral annulus, as before. There is chronic scarring at the left lung base with a calcified granuloma at that lung apex, as before. The remainder of the examination is notable for atherosclerosis involving the thoracic aorta and marked diffuse osteopenia with loss of height of several mid-thoracic vertebrae and resultant kyphosis, not significantly changed.
<unk>-year-old female with cough and atrial fibrillation; rule out chf/pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13077217/s56876872/3a8139c9-76bd9e8c-bb6ea3b3-0d2bb5a9-48f78e24.jpg
MIMIC-CXR-JPG/2.0.0/files/p13077217/s56876872/59b34098-a3d7e5a5-9445cbfc-3b8fc736-198b6c95.jpg
Frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right upper lobe, consistent with pneumonia. There are small bilateral pleural effusions. The left lung is clear. There is no pneumothorax. The cardiomediastinal and hilar contours are unchanged. The heart is top-normal in size. Right paratracheal opacification is consistent with lymphadenopathy on recent ct.
<unk> year old man with rul pneumonia and effusion seen on chest ct // evaluate size of effusion, establish baseline for future cxr
MIMIC-CXR-JPG/2.0.0/files/p12085553/s50103423/85b6259d-dc2ee643-f6f23f6e-043c2ac9-589cc362.jpg
MIMIC-CXR-JPG/2.0.0/files/p12085553/s50103423/7b9cf12a-7db222f6-cfc28391-c555e791-91011d6e.jpg
In comparison with the study of <unk>, the possible opacification in the right mid zone has cleared. There is no evidence of acute cardiopulmonary disease or old tuberculous disease.
positive ppd.
MIMIC-CXR-JPG/2.0.0/files/p11589725/s57822637/22f12b59-0f89085e-cbca7a3d-0f817410-eef247a7.jpg
null
The enteric tube courses below the left hemidiaphragm a terminates within the stomach. The side port is proximal to the ge junction within the distal esophagus. Endotracheal tube is no longer visualized. Left picc line terminates in the mid svc, unchanged. No focal consolidation, pleural effusions, or pneumothorax.
<unk>m h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right iph, unchanged bilateral sdh, unchanged sah, and acute fracture of the inferior left parietal bone with associated <num> mm epidural hematoma. eval ogt position. please perform at <num>pm.
MIMIC-CXR-JPG/2.0.0/files/p13636813/s55830912/98560066-869c2b1b-81b37475-417fc3ca-7fb16d83.jpg
null
The right chest tube remains in place. There is minimal , if any, residual pneumothorax. Otherwise, i doubt significant interval change. Bibasilar, left-greater-than-right, collapse and/or consolidation is again noted. Skin <unk> again noted over abdomen.
<unk> year old man sp stab wound to chest, has chest tube to sxn. please do <unk> am // routine eval for ptx and chest tube
MIMIC-CXR-JPG/2.0.0/files/p14732249/s57763057/33acb052-7b4db2f0-5c7ebf09-67484400-2e83cbfc.jpg
null
As compared to the previous radiograph, the right chest tube has been removed. There is no evidence of a remnant right pneumothorax or pleural effusion. Minimal effusion is seen in loculated location at the level of the minor fissure. The course and position of the pacemaker wires is constant. Small-to-moderate left pleural effusion with retrocardiac atelectasis. No pulmonary edema. No pneumonia. Moderate cardiomegaly. The alignment of the sternal wires is constant.
status post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p11541295/s59725826/47564de6-dfac1640-771f375e-fa5ebbf0-98812ec8.jpg
MIMIC-CXR-JPG/2.0.0/files/p11541295/s59725826/dacb48e4-4524c658-9a9b5536-1dbd2c1f-89b553cc.jpg
Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. No free air seen below the diaphragm.
<unk>-year-old with cough and fever. right upper quadrant tenderness.
MIMIC-CXR-JPG/2.0.0/files/p14836998/s59498571/6a75b794-b756e419-d63e9dd8-1d220818-ef79561e.jpg
null
Worsening bibasilar opacities with blunting of the hemidiaphragms is concerning for developing pneumonia. There are no pleural effusions or pneumothoraces. There heart continues to be mildly enlarged, and the mediastinal contours are normal.
<unk> year old man status post right basal ganglia bleed now coughing after bedside swallow eval
MIMIC-CXR-JPG/2.0.0/files/p13904642/s53789112/17636187-d17a7364-d61d55b8-d3346002-54afae1a.jpg
MIMIC-CXR-JPG/2.0.0/files/p13904642/s53789112/2988d40a-eb1afa8a-1713e8bf-f132b0e8-559133b3.jpg
The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with hypertension presenting with fever, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19388762/s50799410/a684b9d0-ce6131d9-094f35ce-faac290d-a599e65f.jpg
null
Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of focal consolidation. Please note the left costophrenic angle is excluded from the field of view. Cardiomediastinal silhouette is within normal limits for technique. Osseous structures are unremarkable. Colonic interposition over the liver seen in the right upper quadrant.
<unk>-year-old male with gi bleed and vomiting. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17538292/s59390855/5d51fd49-ebc8e7e8-3f0fd3d7-472cfc9d-b002f6aa.jpg
MIMIC-CXR-JPG/2.0.0/files/p17538292/s59390855/e457bcac-37502f08-8c017702-688b112e-1c6ee1ff.jpg
The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp, sob // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p18569207/s57888399/61723f49-84c82def-46bbc781-715d0ff0-fba23470.jpg
null
Portable supine chest radiograph shows no change in positioning of a large bore right ij central venous catheter. Since yesterday, the patient has been endotracheally intubated and the tip of the endotracheal tube is <num> cm above the carina and the cuff appears maximally inflated. Dense obscuration of the right hemidiaphragm and perihilar region persists with suggestion of the right hilar or perihilar mass, unchanged from previous studies. The heart appears enlarged. The left hemidiaphragm is also obscured and speckled density of the spleen is visible. Bones are diffusely sclerotic.
<unk> year old man with scd // s/p et placment
MIMIC-CXR-JPG/2.0.0/files/p12034321/s57866738/69a10c38-b4a02149-e0aef0bc-a71a2141-8a86e243.jpg
MIMIC-CXR-JPG/2.0.0/files/p12034321/s57866738/2e6b4194-d25ca886-c5cb3242-c3280c0a-f0ce6227.jpg
Lungs are clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is normal.
<unk>m with <unk> time seizure, tachycardic, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11652662/s55427448/2e30e45e-96d9c65a-33a5bd44-be2b75e6-c97f912b.jpg
MIMIC-CXR-JPG/2.0.0/files/p11652662/s55427448/afee2d74-c6b77f80-135b983a-11f243e6-6034bd41.jpg
Patchy right upper lung opacity seen on the frontal view is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // ?pna
MIMIC-CXR-JPG/2.0.0/files/p11372027/s54720747/262eee0a-0de99a7e-7d676afb-8e9e35a2-4f8b0a10.jpg
null
Since <unk>, small bilateral pleural effusions, right greater than left, are new and mild pulmonary vascular congestion and interstitial edema are increased. The hemodialysis catheter is again seen in the right atrium. Stable appearance of cardiomegaly. No pneumothorax.
<unk> year old woman with sepsis and hd line in place // ? interval change
MIMIC-CXR-JPG/2.0.0/files/p19287104/s51850314/9b6c4b51-843ce971-95342322-d20e8881-e5794535.jpg
null
Single portable view of the chest. No prior. There is retrocardiac opacity which silhouettes the medial hemidiaphragm and descending aorta. Increased pleural-based opacity seen laterally at the left lung base. This could potentially be due to an effusion. Elsewhere, the lungs are clear. Cardiac silhouette is enlarged, potentially accentuated by technique. Posterior thoracic/lumbar spinal fixation hardware is seen with midline surgical <unk>. Anterior cervical fixation hardware is also seen. There is apparent erosion of the distal aspect of the right clavicle which is incompletely evaluated.
<unk>-year-old female with low oxygen saturation status post surgery and hypotension. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15675092/s51763315/6c49ef5b-a77dcb2c-08b102ba-951406ef-a127c7eb.jpg
MIMIC-CXR-JPG/2.0.0/files/p15675092/s51763315/68182b4f-1b456877-2121696c-9bb4c419-4a3bf0d3.jpg
Right picc is no longer visualized. Moderate right-sided pleural effusion is again noted. There is a small left pleural effusion. Irregular interstitial markings seen in the right lung and at the left lung base. While these may be in part due to chronic underlying copd, possibility of superimposed interstitial edema is possible. Surgical chain sutures project over the right mid lung. Focal nodular opacities projecting over the lung bases likely to represent nipple shadows. There is apparent increase in size of the cardiac silhouette particularly along the right. This could be due to medially loculated effusion but incompletely characterized.
<unk> year old woman with junky cough and doe // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p17618796/s59322777/816a4bb2-8156caf5-23810b9c-d913d89b-0623e9ee.jpg
MIMIC-CXR-JPG/2.0.0/files/p17618796/s59322777/8a3ab0d0-f4f1d42a-b2083fb3-f3d4c315-f1677387.jpg
Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with cough, congestion known ms on avonex, hx of pe <unk>, eval for pna .
MIMIC-CXR-JPG/2.0.0/files/p12868814/s53172402/7b6da9c3-e15149d9-ca7d9aca-778d813f-4ac6726b.jpg
MIMIC-CXR-JPG/2.0.0/files/p12868814/s53172402/b896a9cd-f4b8f332-99825706-b7f8d197-4ee8d005.jpg
Lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cp // ? infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11174233/s58678570/d0c09440-ba60628d-25175016-fe67c3af-83dce47b.jpg
MIMIC-CXR-JPG/2.0.0/files/p11174233/s58678570/2f43cb26-873b0f0a-db8cff53-62678392-60c21ab4.jpg
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged lap-band in the left upper quadrant.
history: <unk>f with slight cough and fever. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p11126801/s53283411/8abd9eae-22c5659a-103bb915-7d18fa30-217be497.jpg
null
Portable supine chest radiograph (<num> exposures): an endotracheal tube is in satisfactory position, <num> cm above the carina. An enteric tube courses along the esophagus and terminates just distal to the gastroesophageal junction. The gastric side port is located within the esophagus. There is a large consolidation of the right upper lobe, consistent with pneumonia. Additionally, there is volume loss of the right lower lobe with elevation of the right hemidiaphragm. There are probable small bilateral pleural effusions. There is evidence of mild pulmonary edema. No pneumothorax. Heart size is mildly enlarged. There is apparent widening of the mediastinum. Calcifications are seen within the aortic arch.
respiratory distress with possible pneumonia in an intubated. evaluate for tube placement.
MIMIC-CXR-JPG/2.0.0/files/p19458379/s50477646/60568610-aeafcbb6-434b896f-8533496f-dc0d30a2.jpg
MIMIC-CXR-JPG/2.0.0/files/p19458379/s50477646/69c92dee-91c9e938-1d5c6393-8cf5aa21-d16f23e2.jpg
The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. The osseous structures are unremarkable.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16864174/s52945227/6da10454-fbbce825-cdfa8b71-6ec410f5-21216e56.jpg
MIMIC-CXR-JPG/2.0.0/files/p16864174/s52945227/caee2b38-b3551b59-35a69a09-adfb04f3-a9bbbd83.jpg
<num> views were obtained of the chest. Low lung volumes limits evaluation with bronchovascular crowding partially obscuring evaluation of the lung bases. Retrocardiac opacity more apparent on the lateral could reflect atelectasis or developing left lower lobe pneumonia in the correct clinical setting. Cardiomediastinal sillouhette is stable and normal though aortic calcification is noted. There is no pneumothorax.
cough
MIMIC-CXR-JPG/2.0.0/files/p15110036/s56934971/d0583552-5e6b0f2d-4d613e52-92be76e9-97863d36.jpg
MIMIC-CXR-JPG/2.0.0/files/p15110036/s56934971/9b80f4ba-89ddb2e8-237d1b8f-f8a75039-c320968a.jpg
Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>m with cough, tachypnea, hypoxia // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p11615169/s54506661/00ef0b0f-2dc56494-3490506a-fa9dd10b-5bfc735c.jpg
null
In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with bilateral pleural effusions and asymmetric pulmonary edema, more prominent on the right. Compressive atelectasis is noted at the bases. Overall, little change.
chf with worsening hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p11906175/s55255939/7ac2eb3b-d63f3784-05aec748-0c21acbc-7e4fc8ff.jpg
MIMIC-CXR-JPG/2.0.0/files/p11906175/s55255939/230d1523-70603f48-82e56c77-143b9693-2d27fffb.jpg
Lung volumes are relatively low. Lungs are clear except for a patchy right infrahilar opacity. Heart size, mediastinal and hilar contours are normal. There are no acute, displaced fractures evident on this chest radiograph, but lower ribs are incompletely evaluated due to overlapping soft tissue structures.
MIMIC-CXR-JPG/2.0.0/files/p12178049/s57514229/adb46877-9da13da8-f32930b8-0bc0686e-79c87fba.jpg
MIMIC-CXR-JPG/2.0.0/files/p12178049/s57514229/59badaf0-a41b85f3-363b0e5b-89bae3ca-a26c7376.jpg
The heart is normal in size. There is mild elevation of the left hemidiaphragm with streaky opacity suggesting atelectasis and volume loss. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear otherwise clear. Bony structures are unremarkable. Projecting over the left upper quadrant, probably along the gastric cardia is a linear radiodense foreign body measuring about <num> cm in length but only up to <num> mm in width. It might be in part along the gastroesophageal junction and not fully within the stomach or within the cardia of the stomach.
reported swallowing of <num> mm dental tool.
MIMIC-CXR-JPG/2.0.0/files/p18344931/s52308042/38025d74-4a3fea10-dcaf71e6-6a588a62-3debbf37.jpg
null
The patient is status post right vats segmentectomy with chain sutures noted in the right hilar region and right upper lobe. There is continued moderate right pleural effusion which obscures the right heart border making determination of the cardiac size difficult. There is associated right basilar atelectasis. Subsegmental atelectasis in the left lung base is also noted. Left lung is hyperinflated with emphysematous changes again seen in both lungs. Resolution of the previously noted right chest wall subcutaneous emphysema. Pulmonary vasculature is not engorged. There is no pneumothorax. No acute osseous abnormalities detected. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.
history: <unk>f with dyspnea
MIMIC-CXR-JPG/2.0.0/files/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg
null
There is complete opacification of the right lower lung with air bronchograms suggestive of pneumonia. The large cavity in the upper lung field is partially opacified by adjacent effusion, which appears intervally increased. Increased interstitial thickening in the left lung is unchanged. There is no pleural effusion or pneumothorax in the left.
<unk>-year-old male with lung cancer, liver and brain metastasis, now lethargy, hypoxia and tachycardia. evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11622111/s54130536/5ebf5107-e020091c-3df67705-ecb92dc0-d2680dc7.jpg
null
As compared to the previous radiograph, the patient has developed pulmonary edema. The edema is moderate in severity and has both an aveolar and an interstitial component. The size of the cardiac silhouette remains enlarged. Small bilateral pleural effusions are visible. No evidence of pneumonia. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were discussed immediately afterwards over the telephone.
desaturation, bilateral crackles, evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16381749/s50477228/37f2bf9b-49f354e2-83ddd0ba-f8276621-605b3088.jpg
MIMIC-CXR-JPG/2.0.0/files/p16381749/s50477228/fb007192-ca454dea-61ad6257-e9fcd2d1-fe947dc0.jpg
The cardiomediastinal silhouette is upper limits normal. There is increased pulmonary vascular congestion and mild edema. No pneumothorax. Osseous structures are unremarkable.
history: <unk>m with dyspnea on exertion*** warning *** multiple patients with same last name! // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p19021847/s58936077/bd5d04e3-dec5c7eb-2c910e0b-210d1ef7-ec2c429e.jpg
MIMIC-CXR-JPG/2.0.0/files/p19021847/s58936077/75188dd5-9df51d44-07d3bb0d-2ff60f8c-3fa6ad23.jpg
The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with cough, sputum, asthma // any evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11750478/s50615025/dde4ace1-670460b4-3c2ddeac-8c4d6aee-6786354f.jpg
null
A portable frontal chest radiograph demonstrates low lung volumes, exaggerating cardiac size. Allowing for this, the cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>m with gunshot wound to the head
MIMIC-CXR-JPG/2.0.0/files/p19994505/s53069774/3c63849e-c01f2746-2139b8d4-309cd578-23f503ee.jpg
MIMIC-CXR-JPG/2.0.0/files/p19994505/s53069774/3e2cf86d-52667106-82accf56-d5001da9-501536e6.jpg
Moderate cardiomegaly has been persistent compared to exams dated back to at least <unk>. There is mild pulmonary vascular congestion with overall somewhat improved mild-to-moderate diffuse pulmonary edema. Small bilateral pleural effusions are persistent. There is mild bibasilar atelectasis. There is no evidence of a pneumothorax. Left-sided pacer leads are in unchanged position. Interval removal of a right sided central line.
history of altered mental status, who presents from nursing home. please evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15177504/s59429134/4806ece9-820d40d3-e01ee477-4f356289-2e385601.jpg
null
The lung volumes are normal. Minimal atelectasis at the right medial aspect of the lower lobe. Borderline size of the cardiac silhouette without pulmonary edema. Left pectoral pacemaker in situ. No acute changes such as pulmonary edema or pneumonia. No pneumothorax.
left ankle fracture, preoperative assessment.
MIMIC-CXR-JPG/2.0.0/files/p12383686/s58203721/77db8ad9-2f5ad3fa-b4c8adf3-416ab90c-cb6daefa.jpg
MIMIC-CXR-JPG/2.0.0/files/p12383686/s58203721/5b4b77b3-3aa77a1e-0fb0db66-ed6f11a2-f23ec706.jpg
No comparison radiographs are available at the time of dictation. The patient carries a nasogastric tube. Terminates with its tip at the level of the gastroesophageal junction, the tube could be advanced by approximately <num> cm. The lung volumes are normal. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal contours. No pleural effusions. No pulmonary edema. No pneumonia. No pneumothorax.
pelvic mass, concern for cancer. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17967970/s53413629/050f371d-ba5d90c6-53c51bd9-35475598-22d2e1da.jpg
MIMIC-CXR-JPG/2.0.0/files/p17967970/s53413629/58a21dce-722d926d-916dfff2-90e32bbd-2bd70eb9.jpg
The patient is status post bilateral upper lobe wedge resections. There is bilateral apical pleural thickening, worse on the right, which reflects a combination of postoperative change and pleural fluid. The right pleural effusion appears unchanged in size in comparison to the prior chest radiograph. There is a focus of linear opacity in the right upper lung, likely representing scarring. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman s/p r vats rul wedge. post op bronchitis vs pna. // check interval change
MIMIC-CXR-JPG/2.0.0/files/p13085034/s53669729/37f3441c-4b9f47b4-027b1a27-3b3b3ef9-538061b4.jpg
MIMIC-CXR-JPG/2.0.0/files/p13085034/s53669729/2a88c248-9691eefa-5a9adf5f-3c0a17b4-da5784ee.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with persistent cough // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p11227287/s57390379/bd5beea5-8ab7b87e-42944f1a-f5ee9fdd-6bbf39ac.jpg
MIMIC-CXR-JPG/2.0.0/files/p11227287/s57390379/6d856851-f2e98b25-0a036735-fdc20c04-29aa0169.jpg
No focal opacity to suggest pneumonia is seen. No pleural effusion or pneumothorax is present. The heart size is normal.
chest congestion.
MIMIC-CXR-JPG/2.0.0/files/p18970053/s57908209/9b292a79-20d50fb4-0777f03e-65504de2-cfffa7b0.jpg
null
There has been interval improvement in the left effusion, now small and improvement in the right effusion, also small. Bilateral opacities have diminished consistent with improving pulmonary edema. Et tube, ng tube, feeding tube, right subclavian catheter are in unchanged satisfactory position. The cardiomediastinal silhouette is unchanged. No pneumothorax.
pancreatitis status post left-sided thoracentesis, question pneumothorax/effusion.
MIMIC-CXR-JPG/2.0.0/files/p13303843/s59667026/38643afa-e4ab211e-feefef1a-f7037931-7d7e82be.jpg
null
There remains complete collapse of the left upper lobe, known to be post-obstructive in this patient with history of central left lung cancer. Left lower lobe consolidation may represent an infectious pneumonia given appearance on recent ct of two days earlier. Within the right lung, interstitial edema is present as well as a known cavitary mass in the right upper lobe.
MIMIC-CXR-JPG/2.0.0/files/p17517983/s53725963/177a299c-77693bd4-8d13a149-debf68a7-1da23408.jpg
null
In comparison with prior examination, there has been removal of the ekg leads and the associated ellipsoid density in the left upper chest does not persist and was associated with the lead itself. There is otherwise no change compared to prior evaluation. Cardiomediastinal silhouette and hilar contours are stable. Lungs are clear. There is no pleural effusion or pneumothorax.
dka. opacity in the left chest on prior study was obscured by ekg lead. repeat evaluation with removal of ekg leads.
MIMIC-CXR-JPG/2.0.0/files/p13665999/s50329426/e65e910b-54da97d0-7a744972-50f4d86b-0e15ec9b.jpg
MIMIC-CXR-JPG/2.0.0/files/p13665999/s50329426/5292747f-c7bd1c10-e3b17581-aeced2e4-3561219c.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with rib pain s/p fall
MIMIC-CXR-JPG/2.0.0/files/p16490354/s57293581/cba91d76-14c601c5-8b8ddb51-86d18694-d677a356.jpg
null
A new endotracheal tube ends at the carina, angled down the right mainstem bronchus. The orogastric tube ends in the stomach. There is collapse of the left lower lobe. New opacity over the right lung likely represents atelectasis. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
<unk> year old woman intubated and ogt placed. evaluate tube position.
MIMIC-CXR-JPG/2.0.0/files/p12248936/s55987413/a23a0599-0c0df237-3d498610-d2e7d4ca-d75b0dab.jpg
null
In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Some hyperexpansion of the lungs raises the possibility of chronic pulmonary disease. Extensive costochondral calcification is seen, as on prior ct scan.
pre-op cabg.
MIMIC-CXR-JPG/2.0.0/files/p14504982/s54687581/b85dbba0-7ff588bb-a28c1f09-fa475819-38a45353.jpg
MIMIC-CXR-JPG/2.0.0/files/p14504982/s54687581/a057160e-a1151063-24e38cb7-5613140e-bf4230b1.jpg
Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is no convincing signs of pneumonia. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable with coronary stents again noted. On the lateral view there is diaphragmatic eventration noted anteriorly involving the right hemidiaphragm. Mid thoracic spine compression deformities appear grossly stable. Degenerative changes at the right shoulder are noted. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16817573/s59770682/87c66713-460bc9da-7d246f99-43501515-1c945b73.jpg
MIMIC-CXR-JPG/2.0.0/files/p16817573/s59770682/71867977-7c6dbe12-e0c92ee6-4aeb12ef-25a34482.jpg
Compared to the previous radiograph, the right lateral pneumothorax has minimally increased in size. The previously seen air-fluid levels are noted in almost unchanged manner. Unchanged mild-to-moderate right pleural effusion. Unchanged size of the cardiac silhouette.
history of metastatic rcc, evaluation of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17547176/s51062075/7b039c95-c4bac346-d3bce9c4-cad372db-fc66273c.jpg
MIMIC-CXR-JPG/2.0.0/files/p17547176/s51062075/909067b4-8a526197-e4f1aa06-dc9e1a42-24c9ac1c.jpg
Compared to the previous radiograph, there is a newly appeared and previously not visible left apical pneumothorax with a diameter of approximately <num>-<num> mm. No evidence of tension. The right lung is unremarkable. A minimal pleural effusion is also seen on the left, appreciated on the lateral radiograph only. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification (a pneumothorax had already been known from the ct examination from <unk>).
stab wound in the chest wall. followup.
MIMIC-CXR-JPG/2.0.0/files/p15003988/s50511251/10703be3-0725f46e-a1989587-29b04efe-154770ed.jpg
MIMIC-CXR-JPG/2.0.0/files/p15003988/s50511251/db57ba5a-ad134866-d5b0dbaa-27e2a4b7-8acb7c6e.jpg
No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia. Of incidental note is bilateral apical pleural thickening, suggestive of old granulomatous disease.
dyspnea, to assess for parenchymal lesions.
MIMIC-CXR-JPG/2.0.0/files/p19972172/s55081687/8a1f7033-795ae1ed-26a6c06c-40c653ea-026cc1c9.jpg
null
The enteric tube courses below the hemidiaphragm, tip not visualized. Moderate right and small left pleural effusions are unchanged. Mild cardiomegaly despite the projection is unchanged. There is slightly increased pulmonary vascular congestion, and new obscuration of the left hemidiaphragm, which is most likely due to atelectasis. A tiny left apical pneumothorax shows no appreciable change. The patient has had previous cervical spine fusion.
<unk> year old man with trauma // please eval interval change
MIMIC-CXR-JPG/2.0.0/files/p18009599/s50786647/bf254cec-ce328511-35f75f87-e012a6ae-f80b58b7.jpg
null
The left subclavian picc line crosses the midline and enters the right brachiocephalic vein. Mild atelectatic changes are seen at the bases.
picc placement.
MIMIC-CXR-JPG/2.0.0/files/p15964158/s57040833/0857e9ce-6ebf7e9c-0a318a73-433dac10-090d6ee9.jpg
null
Supine portable ap upright view of the chest was provided. There has been interval placement of a right chest tube with catheter extending through the right lateral chest wall with the distal tip situated along the medial pleural space at the right lower lung. There has been significant interval reexpansion of the right lung. Extensive right chest wall subcutaneous emphysema is redemonstrated. Right eighth and ninth rib deformities are redemonstrated. Left lung is clear and well inflated. No signs of tension.
MIMIC-CXR-JPG/2.0.0/files/p15580790/s52625111/7af3977a-176618c5-0728e99c-5dfe27cf-cb11625b.jpg
MIMIC-CXR-JPG/2.0.0/files/p15580790/s52625111/23ea3d2d-844ca65a-e867e5aa-c58f1a4a-73fef442.jpg
The patient is status post median sternotomy, coronary artery stenting, and cabg. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted in the thoracic spine with mild loss of height of a lower thoracic vertebral body, unchanged.
confusion.
MIMIC-CXR-JPG/2.0.0/files/p15973725/s58144089/2f146928-72f16931-b7cfc87e-4065ad9f-1e9ff0c6.jpg
null
A nasogastric tube terminates within the stomach. The heart size is normal. The hilar and mediastinal contours remain within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p12850197/s51241583/c9267206-c27e82f2-822f32bf-a0eb9b53-42d2e8d8.jpg
null
As compared to the previous radiograph, there is unchanged borderline size of the cardiac silhouette. The vascular structures are minimally enlarged, reflecting mild fluid overload. There is atelectasis at both the left and the right lung bases, but no evidence of pneumonia. No pleural effusions. A slightly enlarged azygos vein reflects the mild fluid overload and should receive attention on followup exams.
recent pneumonia and bacteremia, questionable pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18693594/s59078317/bca09c13-7ad5ba9a-33bcd0be-43b85b43-f40bb9c0.jpg
null
Soft tissues of the neck overlie the bilateral lung apices, limiting evaluation. The lung volumes are low, which accentuates the cardiomediastinal silhouette. Within these limitations, there is blunting of the right costophrenic angle compatible with a small right pleural effusion. The left lung base is opacified, which may represent atelectasis; however, a consolidation is not excluded. The cardiac silhouette is enlarged but likely stable. The mediastinal contours are prominent, related in part to unfolding of the thoracic aorta. No acute osseous abnormality is detected. The bones are diffusely demineralized. There is mild pulmonary vascular congestion/interstitial edema.
history of aortic stenosis and dementia, now with altered mental status, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19945152/s56154153/2c7a7e2e-ad3be5f6-f3dcd86c-05cde8b7-87aab545.jpg
null
Ap portable upright view of the chest. Overlying ekg leads are present somewhat limiting the evaluation. There is no focal consolidation, effusion, or pneumothorax. No overt signs of edema. Suture in the right mid lung is noted. Heart size is top-normal. Imaged osseous structures are intact.
<unk> year old woman with hx of scleroderma and chr. pericardial effusion comes w/worsening dyspnea and o<num> req // eval for congestion, pneumonia, ild
MIMIC-CXR-JPG/2.0.0/files/p12204700/s55827182/2cdd3dc1-f55d4eed-44058dd9-8dd81cf8-fff9b3de.jpg
MIMIC-CXR-JPG/2.0.0/files/p12204700/s55827182/fb81e71b-6bc25e29-730944d3-0bc1fa13-3bbd0d68.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Old left seventh and eighth rib fractures are noted. No free air below the right hemidiaphragm is seen.
<unk>f with syncope and fall // eval for ich, pna, c spine fracture
MIMIC-CXR-JPG/2.0.0/files/p17253762/s57698048/60457727-f6e594c3-8537f0e0-8c014a1f-1b26aa33.jpg
MIMIC-CXR-JPG/2.0.0/files/p17253762/s57698048/110cbe86-60780e29-4fbd577f-da19ff00-4c8b0f17.jpg
Ap upright and lateral views of the chest were provided. A catheter is partially projects over the right upper arm and right mid chest level, which could represent a picc line, though tip is likely in the region of the right axillary vein. There is diffuse interstitial edema without pleural effusion or pneumothorax. The heart size appears within normal limits of size. There is calcification of the thoracic aorta. Bony structures appear intact. Ac joint arthropathy noted bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p13560084/s56216336/33a6b5d2-0b87aa0f-e08fbd38-73cdac47-81df9e18.jpg
MIMIC-CXR-JPG/2.0.0/files/p13560084/s56216336/fbb698a8-26d458a6-0b8c3e6c-219ad619-dca39c11.jpg
Two views were obtained of the chest. The lungs are well expanded with slight interval increase in interstitial pulmonary edema. Small bilateral pleural effusions on the previous examination have decreased in size. Moderate cardiomegaly is unchanged with normal mediastinal and hilar contours.
dyspnea
MIMIC-CXR-JPG/2.0.0/files/p17937834/s51847217/b0d9f85c-781f637a-e3790707-14bd5f71-a72ce666.jpg
MIMIC-CXR-JPG/2.0.0/files/p17937834/s51847217/6ce56c30-c32b6662-f80dea3b-e1b148cc-3bacffb8.jpg
Sheath like device is seen overlying the left axilla. There is no pleural effusion or pneumothorax. The lungs is clear. Cardiomediastinal silhouette is unremarkable.
<unk> year old man with gastroparesis. // pna? pna?
MIMIC-CXR-JPG/2.0.0/files/p17885927/s53308467/31c0e329-2554134b-e152b32a-a10e41fd-fe135d2b.jpg
null
Ap portable upright view of the chest. Right chest wall port-a-cath is noted with catheter tip in the region of the mid svc. Scattered calcified pleural plaque noted. No focal consolidation, large effusion or pneumothorax. Patient has undergone prior right upper lobectomy. Cardiomediastinal silhouette appears grossly unremarkable. No acute bony abnormalities.
<unk>m with port, history of metastatic lung cancer.
MIMIC-CXR-JPG/2.0.0/files/p16775055/s50302339/c6698e8c-0e4cfdac-6ef4c03f-413b240a-79fccff8.jpg
null
The left internal jugular catheter is terminates in the distal left brachiocephalic vein. Lung volumes are low. Linear platelike atelectasis at the right lung base. No pneumothorax or large pleural effusions. Heart size is top normal, but may be due to portable technique. No free air under the diaphragms. No acute osseous abnormalities.
<unk> year old woman with crohn's disease on tpn. cxr for central line placement confirmation. // central line placement confirmation
MIMIC-CXR-JPG/2.0.0/files/p15374797/s58621684/6f0d3351-8e9f082c-ae14210d-b0b643c1-b4331b97.jpg
null
Since prior, left chest tube has been slightly withdrawn. Remaining changes are as previously described including bullet-shaped metallic foreign body projecting over the left upper quadrant, increased density projecting over left hemithorax potentially layering pleural fluid or blood and left lateral <num>th rib fracture. No pneumothorax seen based on this supine film
<unk>-year-old male status post chest tube placement. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14343066/s54512825/54410451-cb6ea219-d1f95966-20223b46-6abaea35.jpg
MIMIC-CXR-JPG/2.0.0/files/p14343066/s54512825/4f7bb3ba-12b583af-f4e64a55-1cb82cdc-9c42ee7e.jpg
Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
shortness-of-breath and history of chest pain. evaluate for pneumonia, cardiomegaly, or other etiology for shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12666107/s51436209/160ebcb4-265b518e-52264a0d-008cda12-737f6c54.jpg
MIMIC-CXR-JPG/2.0.0/files/p12666107/s51436209/a0e8b2a2-d348022a-c5fbff9b-c2dabe2a-4d1d70bc.jpg
The lung volumes are low. Within the limitations of technique, the cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post posterior the thoracolumbar fusion. Fracture and displacement of pedicle screws is noted at the uppermost level with increased degree of retraction since the prior study.
left tibia fracture with paraplegia.
MIMIC-CXR-JPG/2.0.0/files/p12619139/s58400262/5d087eb4-081b2120-29e8c8c8-15b3864c-247096b9.jpg
MIMIC-CXR-JPG/2.0.0/files/p12619139/s58400262/e8119e8f-427513a4-de88490e-9cbeeb63-a7d249a5.jpg
The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11089978/s58446816/a9b17e66-9981f5cc-b7509852-6ad6b697-4a524475.jpg
MIMIC-CXR-JPG/2.0.0/files/p11089978/s58446816/41a47a73-12b5a4b2-da3ab9c7-3a5b6b93-15cc03a9.jpg
Pa and lateral views of the chest provided. Lung volumes are low, though no definite consolidation, effusion, pneumothorax seen. The cardiomediastinal silhouette appears normal. Bony structures appear intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p15574056/s58014444/64ee67f8-1cd00567-271735bb-f497762a-5bde70c8.jpg
MIMIC-CXR-JPG/2.0.0/files/p15574056/s58014444/e38970c8-8036c197-a458a4e7-215b9214-af489923.jpg
The lungs are clear. Sub-<num>-mm pulmonary nodule seen on prior ct from <unk> are not well appreciated on the current study, likely below the resolution of conventional radiography. No definite pulmonary nodules are identified. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
smoking history, presenting with chest pain. assess for pulmonary nodules.
MIMIC-CXR-JPG/2.0.0/files/p16289699/s53377750/178887ce-15ed00b4-cd1d86f6-caacf75b-339fd80b.jpg
null
Moderate right pleural effusion and adjacent area of right basilar consolidation or atelectasis remains unchanged. Within the left lung, allowing for patient rotation, there are no new areas of consolidation to suggest the presence of pneumonia. A vertically oriented interface in the periphery of the left lower lung, very likely represents a skin fold. However, considering the history of left-sided chest pain, followup radiograph would be helpful to exclude an atypical manifestation of pneumothorax. These results have been communicated by telephone to dr. <unk> on <unk> at <time> a.m., <num> hour after the time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p10728002/s52890480/9d6ecdf9-9b9da392-91108dbf-4e7b9dbd-45ffe888.jpg
MIMIC-CXR-JPG/2.0.0/files/p10728002/s52890480/c11bbf9e-2a48984c-e7fc8b2f-343853c6-427cccce.jpg
The heart size is normal. The hila are normal. Low lung volumes. Linear opacification the left lung base most likely represents atelectasis. No lobar consolidation. No pleural effusion. Surgical clips in situ in the right breast and right chest wall.
<unk>f with history of breast cancer, htn who presents with significant leukocytosis in the setting of night sweats, weight loss, easy bruising with high concern for new acute leukemia. // r/o mediastinal mass, other acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p19843379/s53701459/591bf52b-c0acb57b-5c39f8ae-d9e524d6-3f0b4f80.jpg
null
The ett is <num> cm above the carina. The ng tube is in the stomach. The lungs are clear without infiltrate or effusion.
intubated.
MIMIC-CXR-JPG/2.0.0/files/p19901341/s57792046/8ee9829e-381f8571-ddcd17bb-b63f8364-5c3bce17.jpg
null
New small bilateral pleural effusions with new nodular opacity in the right lower lobe. Heart size is normal. There is no pneumothorax. Cholecystectomy close project in the right upper quadrant. There is no subdiaphragmatic free air.
<unk> year old woman with anorexia // eating do protocol
MIMIC-CXR-JPG/2.0.0/files/p18203000/s58011805/488ba8fc-095006fd-7a72bb2d-caf72af2-c2276d7a.jpg
MIMIC-CXR-JPG/2.0.0/files/p18203000/s58011805/ea583bc8-2ef8738d-bcbe387c-b5709d12-56b13524.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. No overt pulmonary edema is seen. No displaced fracture is seen.
MIMIC-CXR-JPG/2.0.0/files/p19424808/s53848574/3c0603eb-239d1b5e-5de37692-6975f09c-4af553cb.jpg
MIMIC-CXR-JPG/2.0.0/files/p19424808/s53848574/fa57f314-f94178ee-1c38b3fd-2e02ff8e-ed91c0b2.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f w/productive cough and fever, please rule out pna // <unk>f w/productive cough and fever, please rule out pna
MIMIC-CXR-JPG/2.0.0/files/p13976104/s59820109/744b4457-623a5abe-1e09d058-61b46900-acb7683a.jpg
null
Patient is status post cabg. Low lung volumes persist. An ett is seen <num> cm above the carina. An ng tube is seen coiling in the fundus. A right ij catheter seen with the tip in unchanged position. A left pleural drain is stable. There is mildly increased appearance of a widened mediastinum, which may all be postsurgical, but an enlarging hematoma cannot be excluded. Moderate bilateral atelectasis and small to moderate bilateral pleural effusions are stable.
<unk> year old man s/p cabg w/post-op bleeding // assess for hemothorax
MIMIC-CXR-JPG/2.0.0/files/p19602745/s50328448/1bb7e34b-a32a1613-c3a8708f-b29480e5-2a7750ed.jpg
null
The patient has hyperinflated lungs. There is new bilateral lower lobe bronchial wall thickening consistent with bronchial infection. Subtle right upper lobe subcentimeter nodular opacity adjacent to <unk> anterior rib is new. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal.
patient with tachycardia, fever, evaluation for infection.
MIMIC-CXR-JPG/2.0.0/files/p19033014/s58967258/e00db829-9a4e2821-ffc616fc-2e6be7ca-e5e3bed1.jpg
null
Radiograph centered at thoracoabdominal junction was obtained for assessment of a nasogastric tube, which terminates within the stomach. Within the chest, cardiomediastinal contours are stable. There are worsening asymmetrically distributed bilateral airspace opacities in the mid and lower lungs, affecting the left lung to a greater degree than the right. Small left pleural effusion is present, but there is no visible pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13017215/s55105647/3d8b1431-4da236ff-138d89de-a269d359-c7627e0f.jpg
null
Endotracheal tube terminates approximately <num> cm above the level of the carina. Left-sided central venous catheter is stable in position. Enteric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. Basilar-predominant opacities are again seen, somewhat increased in the right lung base since the prior study, although more similar to <unk> at <time>. The most recent comparison is from <time>. No large pleural effusions are seen. There is no evidence of pneumothorax. The cardiac silhouette is top normal to mildly enlarged. The mediastinal contours are stable with calcification in the aortic knob.
MIMIC-CXR-JPG/2.0.0/files/p12115320/s56531282/16f896ba-8bd128c3-74276d52-64daadaf-9614dcae.jpg
MIMIC-CXR-JPG/2.0.0/files/p12115320/s56531282/fbd79180-6128b476-99ceeaf9-0846de97-2f805ea0.jpg
Stable cardiomediastinal silhouette. There are bibasilar left greater than right. And left perihilar opacities. No pleural effusion or pneumothorax.
history: <unk>m with pre op // pre op
MIMIC-CXR-JPG/2.0.0/files/p15662549/s50072653/eb9c9355-7d22a55f-5afd7f5c-1f5982a3-186bdbb4.jpg
MIMIC-CXR-JPG/2.0.0/files/p15662549/s50072653/6232294b-89672f29-034308cb-aea959ff-9701a178.jpg
Left-sided aicd/pacemaker device is noted with single lead terminating in the right ventricle. Borderline enlargement of the heart size is demonstrated with a left ventricular predominance. The mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vasculature is normal. Small left pleural effusion is noted. No focal consolidation or pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p15811084/s56543040/5282c2d9-7bd1fd08-0455d893-1f6d9cd0-314c3c17.jpg
MIMIC-CXR-JPG/2.0.0/files/p15811084/s56543040/2cb94dd6-55f950d1-443176b3-9f316ea8-c53a76ac.jpg
Comparison is made to the prior radiographs from <unk>. There is a right-sided port-a-cath with distal lead tip at the cavoatrial junction. There is a jp drain whose distal tip is not well seen. There is a single loop within the drain projecting over the left upper chest. On the lateral view the jp drain distal tip appears to end near the aortic knob. The heart size is enlarged. Near the ge junction there is a structure which contains a contrast/air level. There are additional air-filled structures projecting over the right lower lobe. No pneumothoraces are seen. The visualized upper lung fields are clear.
location a jp drain tip.
MIMIC-CXR-JPG/2.0.0/files/p16948106/s50968473/5bd31ae9-481b247d-5f327b77-abc1a4ac-7cee4db5.jpg
null
A nasogastric tube has been placed and it terminates in the stomach. The cardiac, mediastinal and hilar contours appear stable. Patchy opacities are probably similar, allowing for small differences in technique, suggesting atelectasis. No free air is identified. Dilatation of bowel in the upper abdomen is better described in a separate abdominal report of the same day.
status post nasogastric tube placement.
MIMIC-CXR-JPG/2.0.0/files/p18325012/s55290589/64c7d834-19adc9cd-b5662ecd-6c4aca7d-66512081.jpg
null
Low bilateral lung volumes. Slight interval increase in the left lower lung zone airspace opacities. Additionally there is a new opacity in the right midlung zone, peripherally. There is suspected small left pleural effusion. No pneumothorax identified. A partially evaluated ventriculoperitoneal shunt catheter courses along the left neck and left hemithorax. Re- visualized are degenerative changes around the left shoulder.
<unk> year old man with fevers, pod <num> vp shunt // evaluate pna
MIMIC-CXR-JPG/2.0.0/files/p18901084/s51820821/44532f22-bfbbae1a-06ee69cc-fde9fe99-eb3a8b16.jpg
MIMIC-CXR-JPG/2.0.0/files/p18901084/s51820821/c105affc-fb60fb2f-4d605298-c8fe253a-7bc0d67f.jpg
Prominence of the right hilum appears similar. The heart is normal in size. There is persistent moderate relative elevation of the right hemidiaphragm. Streaky right basilar opacities suggesting atelectasis have decreased somewhat. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. A port-a-cath terminates in the superior vena cava.
leukocytosis and chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p16015533/s57908107/a44ddc20-b8520eab-e25a3222-4a0d65e8-b52b2549.jpg
null
An nasogastric tube again terminates in the stomach where it makes a single loop. The cardiac, mediastinal and hilar contours appear stable. There is vague diffuse increase in opacity in the right lung compared to the left, particularly involving the lower part of the lung, raising suspicion for developing pneumonia. There is no pleural effusion or pneumothorax.
increasing total <unk> <unk>. question infection.
MIMIC-CXR-JPG/2.0.0/files/p18727840/s53894409/b2c461b0-7de8a69b-3e74a07c-2fa48eee-7413e864.jpg
null
Right chest tube remains in place, with a persistent moderate right pneumothorax most prominent at the right lung base with a lesser right apical component. Overall, the size of the pneumothorax is similar, although this distribution has slightly changed. There remains extensive subcutaneous emphysema in the chest wall, loculated fluid at the right apex, and heterogeneous opacities in the right lung. Linear atelectasis is present at the left lung base as well as minimal scarring at the left apex; probable small left pleural effusion is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14641605/s55946154/2a87398a-036f8344-b9fca427-b907095e-92d74638.jpg
MIMIC-CXR-JPG/2.0.0/files/p14641605/s55946154/41988dd5-66f38391-d4067cb5-886f4852-6cd6806e.jpg
Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14559486/s52523600/2812601c-439af2bf-5480313c-fabac2a4-ea1157ed.jpg
MIMIC-CXR-JPG/2.0.0/files/p14559486/s52523600/de43d340-d82b368c-dff551de-05b691dc-a3054562.jpg
Mild cardiomegaly, similar to prior, with mild to moderate pulmonary edema. Blunting of the right costophrenic angle is consistent with a tiny right pleural effusion. No substantial left pleural effusion. No new focal consolidation or pneumothorax. An area of scarring in the right upper lobe is similar to prior. Leftward deviation of the trachea is unchanged since <unk> and consistent with a previously seen large goiter.
history: <unk>f with weakness // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14207656/s58855997/f31af046-d69a7327-999db5bc-f939baa6-084a9064.jpg
MIMIC-CXR-JPG/2.0.0/files/p14207656/s58855997/f2d40c48-67665393-3224bfed-f08aa95b-4c630a39.jpg
The lungs remain hyperinflated. Evidence of calcified mediastinal and hilar nodes are again seen. There is persistent elevation of the left hemidiaphragm with evidence of bochdalek hernia seen at the left lower hemithorax. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are relatively stable. There is minimal left mid lung atelectasis/scarring.
MIMIC-CXR-JPG/2.0.0/files/p18056245/s59442350/9671b9b6-df0d2d38-ea860587-a89554bf-86d7e506.jpg
MIMIC-CXR-JPG/2.0.0/files/p18056245/s59442350/8d9413c0-a3c786f4-01846a6a-b825d065-f03a7c84.jpg
Mild cardiomegaly is unchanged. Compared with the most recent chest radiographs, the lungs appear more aerated and expanded, with continued improvement in previously described interstitial pulmonary edema. There has been improvement in the left lung basal atelectasis. No large pleural effusions are identified. No new focal consolidation to be concerning for pneumonia identified. Increased basilar interstitial lung markings may be due to chronic pulmonary interstitial abnormality, as described on the recent ct chest.
<unk>f with weakness. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14814421/s56451402/0765cbcd-37f5ba32-64883a0c-6d775bde-a40450ae.jpg
MIMIC-CXR-JPG/2.0.0/files/p14814421/s56451402/e22d725d-58051cf7-9970f950-0d1499c2-fee9ec18.jpg
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough and hiv.
MIMIC-CXR-JPG/2.0.0/files/p10955240/s55773244/250d1648-8608ed57-3ae275d4-b162a163-ca31fb43.jpg
MIMIC-CXR-JPG/2.0.0/files/p10955240/s55773244/f90ac726-d323e116-351b402a-fe586c80-7423e492.jpg
Artifact from the patient's hair overlies the right left lung apices. Inspiratory volumes are slightly low. Probable mild cardiomegaly. There is bibasilar atelectasis with small bilateral effusions. No definite consolidation or infectious infiltrate. The mid and upper zones are grossly clear, without infiltrate. The apices, as noted, are obscured by overlapping artifact. There are calcified mediastinal and hilar lymph nodes, suggesting prior granulomatous disease. At the right base laterally, there is a small focal irregularity, which may simply be artifact due to fluid and atelectasis. However a focal pulmonary nodule, possibly a calcified granuloma, might also account for this appearance. Mild degenerative changes noted in the thoracic spine.
<unk> year old woman with alcoholic hepatitis. has tachycardia and decreased b/l breath sounds. // ? source of decreased b/l breath sounds
MIMIC-CXR-JPG/2.0.0/files/p17967970/s58043169/f1801314-5ab36c68-416c9801-01f838e5-7d5cf128.jpg
null
The cardiomediastinal silhouette is normal. Bilateral pleural thickening and scarring remains unchanged. Bilateral pleural effusions are unchanged. Support devices remain in stable position. No pneumothorax or pulmonary edema are seen.
trach, <unk> requirement // ? effusion, consolidation
MIMIC-CXR-JPG/2.0.0/files/p19424609/s58903198/0fc63900-8f94e310-fd12a5ea-4e17483e-8ff6ba36.jpg
null
Endotracheal tube ends <num> cm above the carina. Increasing, large right pleural effusion. Stable, small left pleural effusion. Normal heart size and distended azygos vein. Normal hilar contours. New, interstitial edema on the left.
<unk>-year-old man with a gi bleed status post intubation. evaluate for pulmonary infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p12135022/s52473283/8f420621-6a3a5c69-6fe84aa6-effa3a4b-302daf2e.jpg
null
Portable upright chest radiograph demonstrates an ng tube, and right upper extremity picc in standard position. The ett is at the level of the clavicular heads on this kyphotic film. Bilateral moderate pleural effusions appear increased. Bibasilar atelectasis appears similar. Top normal cardiac silhouette and mediastinal contours are unchanged. Mild pulmonary edema is little changed. Rib fractures are unchanged.
<unk>-year-old male with rib fractures, bacteremia, intubated.
MIMIC-CXR-JPG/2.0.0/files/p12063075/s59848605/27d61fa4-3b416323-db375d13-72cd2ff3-dbeb216c.jpg
null
Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding portable chest examination obtained one hour earlier during the same day. The previously malplaced dobbhoff has been withdrawn. The tip of the dobbhoff line is now seen to overlie the neck region apparently located in the hypopharynx. It is surrounded by convoluted line structures indicating unsuccessful advancement. No pneumothorax or any other placement related further complication can be seen. Dr. <unk> was paged and findings were communicated at <time> p.m.
<unk>-year-old female patient with subdural hematoma, dobbhoff line replaced, evaluate placement.