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/p11750559/s59322367/02a61d9b-e67f62d6-92e469ca-fbdc674e-7ba6866e.jpg
null
Again seen is the markedly elevated left hemidiaphragm. There is near complete opacification of the left hemi thorax due to volume loss/ effusion. There is some mediastinal shift to the right. There is some mild vascular engorgement on the right but no overt pulmonary edema. Tracheostomy to, ng tube, and right picc line are unchanged. Please note that the stomach is distended which is an unusual finding in a patient with an ng tube. Question if the ng tube is not connected to suction
<unk> year old man with hx diaphragmatic paralysis, on chronic trach // evaluate for interval change
MIMIC-CXR-JPG/2.0.0/files/p19124341/s58817820/9df19f8e-6f658548-d1dadfea-8d8cd96a-04ca40ae.jpg
null
In comparison with the earlier study of this date, there is no definite pneumothorax. Overlapping scapula somewhat obscures detail on the right. There is continued opacification at the left base consistent with atelectasis and effusion and evidence of multiple old healed rib fractures. Somewhat low position of the endotracheal tube persists.
bronchoscopy, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19997367/s59310942/0421eb2c-79ace2bd-337f9e10-374b6d29-bd680632.jpg
null
Portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. There is a persistent moderate-sized loculated right pleural collection with adjacent atelectasis. There is stable left apical thickening with volume loss. The cardiomediastinal and hilar contours are unchanged. Mild pulmonary edema is unchanged. A right-sided port-a-cath ends at the cavoatrial junction. A dual-chamber pacemaker is again seen over the left chest, with appropriate position of the leads in the right atrium and ventricle.
<unk> year old woman with empyema // effusion f.u
MIMIC-CXR-JPG/2.0.0/files/p15866216/s59955286/3e64f3f7-50c1c7bd-8b2143c9-dbdb3c18-50e0dd9f.jpg
MIMIC-CXR-JPG/2.0.0/files/p15866216/s59955286/e52d0fa7-c29f36ff-73074d45-59a16e60-a31f7b35.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right port-a-cath is stable in position, terminating in the low svc.
history: <unk>f with sle on immunosuppresion // please evaluate for infectious process
MIMIC-CXR-JPG/2.0.0/files/p16319577/s55297580/e05ce514-f827adc6-d6c0341b-09ed7e9e-f70ec39a.jpg
null
Comparison is made to previous study from <unk>. There are no pneumothoraces seen. The previously seen left-sided tiny pneumothorax is not visualized. There are persistent bilateral pleural effusions. There is some consolidation at the right base. This may represent atelectasis or early infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p11203579/s55328539/5864db55-d546a88a-7f9c1404-5be686b3-5a42c6af.jpg
MIMIC-CXR-JPG/2.0.0/files/p11203579/s55328539/b1939445-1200d5b0-ac98a1b4-f9dbc9f6-93b0cf38.jpg
The heart size is normal. The hilar and mediastinal contours are normal. Streaky right basilar, and left mid lung opacities secondary to atelectasis, are overall unchanged compared to the prior exam. Retrocardiac opacity, well seen on the lateral view is new compared to the prior exam. Small right pleural effusion has increased compared to the prior exam. There is no pneumothorax. Visualized osseous structures are unremarkable.
history of hypertension, leukocytosis. please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15868448/s50713392/07da8c82-4beee0d5-f0930adc-b0348199-765fb7b0.jpg
null
As compared to the previous radiograph, there is no relevant change. Lung volumes remain low. Moderate cardiomegaly, bilateral pleural effusions and moderate pulmonary edema as well as slight widening of the mediastinum are constant. No pneumothorax. No new parenchymal opacities. Unchanged appearance of the chest wall.
intubation, evaluation for acute process.
MIMIC-CXR-JPG/2.0.0/files/p14876226/s54134566/b7d3daec-5952b08b-7cf6783e-cb27219d-97995ce1.jpg
null
As compared to the previous radiograph, there is no relevant change. Large right paramediastinal mass with perifocal fibrosis, most likely caused by radiation. Unchanged generalized left lung reticular opacity. No pleural effusion. No newly occurred parenchymal opacities. Moderate cardiomegaly without pulmonary edema. Unchanged left pectoral pacemaker.
non-small cell lung cancer, worsening dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p10432862/s54569117/bf7a1769-eca2f008-a871f725-c2c6597b-e2c289d8.jpg
null
The endotracheal and left apical chest tube have been removed. A small to moderate left apical pneumothorax was likely obscured by the apical chest tube. A left subclavian central venous catheter extends to the upper right atrium. A left basilar chest tube is unchanged in position. Multiple metallic left chest wall skin <unk> are in place. Left lung postsurgical changes persist, including stable retrocardiac opacification which may be due to a combination of atelectasis and pleural fluid. There is a new small layering right pleural effusion with associated basilar atelectasis and consolidation. An enteric tube courses below the hemidiaphragm, its distal tip not visualized.
<unk>m with with empyema s/p l thoracotomy, decortication on <unk> s/p takeback <unk> for concern for bleeding. s/p removal of one chest tube - please do at <num>pm
MIMIC-CXR-JPG/2.0.0/files/p15207296/s50890209/f523044e-d2a83765-62a25b31-1be2ddef-2e6d9b80.jpg
null
No significant interval change compared to the prior exam. Stable persistent left lower lung collapse with silhouetting of the left hemidiaphragm. No focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. Stable probable subsegmental right lower lung atelectasis. Stable cardiomediastinal silhouette. Standard position of the ett tube. Og tube demonstrated traversing the diaphragm into the left upper quadrant, likely unchanged in position although the tip is not seen. Stable incidental interposition of the colon between the right hemidiaphragm and liver. Multiple left-sided rib fractures, better seen on recent chest ct.
<unk>-year-old man with respiratory failure <unk> flail chest and septic shock likely pneumonia;evaluate for interval progression. .
MIMIC-CXR-JPG/2.0.0/files/p14931360/s51630604/3cfe9536-67f580df-a4fa609a-c3ca3457-8bffccf6.jpg
null
As compared to chest radiograph from earlier today, significant interval decrease in right-sided pleural effusion with pleurx catheter in good position. Right upper lobe and mediastinal contours are stable. Mild pulmonary vascular congestion has improved. Mild cardiomegaly with mitral annular calcification. Endovascular stent in similar configuration. No pneumothorax.
<unk> year old woman with hx nsclc s/p pleurex catheter // post pleurex catheter drain, eval size of pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p18769510/s50680118/6fcbfc7e-9151e483-17bc8819-222a5ab8-ebfa3464.jpg
null
As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged size of the cardiac silhouette with bilateral small pleural effusions. The transparency in the right upper lobe has substantially improved, likely reflecting improvement of the pre-existing pneumonia. However, the parenchymal opacities at the left and right lung bases persist. In addition, the diameter of the vascular structures has increased, likely reflecting mild-to-moderate pulmonary edema. No evidence of pneumothorax.
respiratory failure, pneumonia, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19591855/s57018240/e0541ed6-fa476533-8cd42739-c7c7ebee-c7d49f87.jpg
MIMIC-CXR-JPG/2.0.0/files/p19591855/s57018240/56194dfd-ea21ae6b-69a6d1da-cbd83158-ce4719f6.jpg
Pa and lateral views of the chest are provided. The heart is mildly enlarged. There is no focal consolidation, effusion, or pneumothorax. There is no sign of pulmonary edema or chf. Bony structures are intact. No free air below the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p19500235/s53724322/3674d6e0-22d4e6df-857e6b22-b280c2c2-0a19d1c3.jpg
MIMIC-CXR-JPG/2.0.0/files/p19500235/s53724322/cb05c028-54da6786-40b7e50f-41045854-a94af53c.jpg
As compared to the previous radiograph, there is unchanged evidence of pneumopericardium and pneumomediastinum. However, no pneumothorax is seen. The extent of the changes appeared to slightly decrease in severity as compared to the previous image. No new parenchymal changes. Normal size of the cardiac silhouette.
chest pain and pneumothorax, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p12713831/s57405250/5b942209-c6bd0095-c9cd4e83-e08ca686-4fe6162b.jpg
null
Single frontal radiograph demonstrates stable position of a left pectoral cardiac pacer/aicd with leads terminating in the right atrium and right ventricle. The device partially obscures a portion of the left mid lung. Median sternotomy wires appear intact. There is evidence of prior coronary arterial bypass surgery. The heart is normal in size. The thoracic aorta is moderately tortuous. There is atherosclerotic calcification in the aortic arch. The lungs are clear, despite low volumes. There is no pneumothorax, pulmonary edema, or pleural effusion.
<unk>-year-old male with ischemic cardiomyopathy and chest pain. question consolidation or effusion.
MIMIC-CXR-JPG/2.0.0/files/p17224229/s55036135/edfca1ae-43368247-2fd23bf8-8fff04b0-f14f4474.jpg
MIMIC-CXR-JPG/2.0.0/files/p17224229/s55036135/6a95cfbe-79798bda-83dc51a8-b5759b0b-87ab8fde.jpg
Lung volumes are mildly decreased, though no focal consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p19249052/s53122790/2398ea00-32a995af-4e7c129d-b0909da2-1e5e937e.jpg
null
There is a new right pneumothorax that is mild to moderate in size. This finding was called to <unk> at the time of discovery of the finding at <time> by dr. <unk> by telephone. The ett has been removed. The feeding tube tip is off the film, at least in the stomach. The right subclavian line tip is at the cavoatrial junction. There is pulmonary vascular redistribution and perihilar haze compatible with fluid overload. The heart is moderately enlarged, increased compared to prior. There are bilateral pleural effusions, left greater than right. There are bilateral lower lobe infiltrates , also increased in the interval.
type a dissection repair cardiac arrest.
MIMIC-CXR-JPG/2.0.0/files/p11937467/s56821120/d3680ffb-8eb17c65-4926e55b-36692c30-cd9800ee.jpg
MIMIC-CXR-JPG/2.0.0/files/p11937467/s56821120/2d2aeb14-b1f8b97e-b192786f-56ba8784-7a8662b3.jpg
The heart is mild-to-moderately enlarged, but stable bust prior examination. The aorta is markedly tortuous. The bilateral hila are prominent but similar appearance to the prior emanation. There is no evidence of pulmonary vascular congestion. There is mild pleural thickening at the left costophrenic angle. There is no evidence of pneumothorax or pleural effusion. There is no focal consolidation seen to suggest infection.
<unk>m with confusion // acute cardiopulm disease
MIMIC-CXR-JPG/2.0.0/files/p11486239/s53652547/d1e5e221-d8b2884f-2e14ea3f-5c053d27-207627f3.jpg
null
In comparison with the earlier study of this date, the right chest tube has been removed and there is no evidence of pneumothorax. Bilateral pleural effusions are stable.
chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p13733377/s56061562/e070bff4-ea78fa24-4d33abb6-d98c1763-e5cbd5e0.jpg
MIMIC-CXR-JPG/2.0.0/files/p13733377/s56061562/e635afcc-65170e92-905ec8a0-1dd368de-7ac3ad38.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 are unremarkable. There has been no definite change.
epigastric and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10161682/s52947663/51acdbcc-ca2edbb9-f5e902c8-63253d20-72df85cd.jpg
null
Compared with <unk>, the effusion at the right base is larger and underlying collapse and/or consolidation is increased. Otherwise, allowing for technical differences, i doubt significant interval change. Again seen is somewhat confluent opacity at the right lung apex and patchy opacity at the left lung base, similar to the prior study. No gross left effusion. Doubt chf. Cardiomediastinal silhouette unchanged.
<unk> year old man with osa, lung mass, dchf with worsening hypoxia // evaluation of worsening hypoxia
MIMIC-CXR-JPG/2.0.0/files/p10993554/s51053854/d34f2d3a-212bb903-dfb3717f-679d944a-e4328795.jpg
MIMIC-CXR-JPG/2.0.0/files/p10993554/s51053854/cada5e0a-3b133c26-8e5333de-c40829fa-19cfb74a.jpg
The heart and great vessels are normal. The lungs are clear of an active process and well expanded. There is no pleural effusion or pneumothorax.
<unk>f w/ h/a and elevated wbc count. // concern for intapulmonary source of elevated wbc
MIMIC-CXR-JPG/2.0.0/files/p19542419/s54945679/7068f28c-12adbdb0-7b78a3e3-edab347c-d4d2e502.jpg
null
Both the parenchymal abnormalities and the rib fractures are better visualized on the ct examination performed on <unk>. On the current radiograph, there is no safe indication of pneumothorax, although a hypertransparency lucency along the aortic arch persists. The bilateral chest tubes, the endotracheal tube and the nasogastric tube are in unchanged position. Lung volumes remain low. Acute change as compared to the previous image is obvious on the radiograph.
multiple injuries, status post fall at home, evaluation for aspiration.
MIMIC-CXR-JPG/2.0.0/files/p14179539/s50858477/006f1a94-516affeb-cbdb3ee0-52f5e924-70f7d305.jpg
null
In comparison with the study of <unk>, there is little change in the appearance of the endotracheal and nasogastric tubes. Severe scoliosis is again seen. Cardiac size is stable and the lungs are essentially clear without pulmonary vascular congestion.
on ventilator with fever.
MIMIC-CXR-JPG/2.0.0/files/p15244289/s56953939/8a0a3ba1-c7c5413b-ba493207-4f70a3bf-133c3400.jpg
MIMIC-CXR-JPG/2.0.0/files/p15244289/s56953939/d0ed30f0-2d783f58-692963ce-d4971c69-3a472804.jpg
A pleural effusion on the right has markedly decreased in size. There is still a small right-sided pleural effusion, however. There has been partial expansion of the right lung with residual streaky opacities suggesting atelectasis. There is no evidence for pneumothorax. The left lung remains clear. An interstitial abnormality has improved. There is a similar mild thoracolumbar compression deformity.
status post right thoracentesis. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11544860/s59057890/ec86e9df-183cf390-83c86d21-e38abbb9-9a6433e5.jpg
null
Increase in the size of the bilateral pleural effusions, now small to moderate in extent. There are overlying opacities which likely reflect atelectasis and/or consolidation. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged. There is calcification of the mitral annulus. A right internal jugular central venous catheter is present, the tip projecting over the superior cavoatrial junction. Marked degenerative changes of the right shoulder.
<unk>f s/p recent r colectomy for obstructing colon cancer <unk> s/p recent fall from standing s/p l hip orif <unk>, now w abscess cavity near r colectomy anastomosis s/p ir drain now w/ new oxygen requirement // ?pna ?aspiration
MIMIC-CXR-JPG/2.0.0/files/p15159712/s51303003/971f61af-e63c7aa1-770c31f9-70fb95ae-f5e15505.jpg
MIMIC-CXR-JPG/2.0.0/files/p15159712/s51303003/cbc0573d-1e5eb0c9-60fc053d-48a06f4d-929c926a.jpg
There are low lung volumes. Vascular crowding is again seen. There is left basilar atelectasis. There is no focal consolidation. Cardiomediastinal silhouette is mildly enlarged. The left hemidiaphragm is again seen to be mildly elevated. There is no pneumothorax or pleural effusion.
dementia from nursing home with presyncope, headache, and possible fall.
MIMIC-CXR-JPG/2.0.0/files/p13227028/s56582010/94f27a0f-46cb4dc0-54ba6d1b-f0bef184-52ea082c.jpg
MIMIC-CXR-JPG/2.0.0/files/p13227028/s56582010/f5696326-0094d868-ad3154b8-1de4798e-b18bacd5.jpg
Pa and lateral views of the chest were reviewed and compared to the prior studies. Focal opacities over the right posterior third rib are consistent with bone islands and were present since <unk>. Hyperlucency of the apices with attenuation of the vessels is suggestive of emphysema. Left lower lobe atelectasis is unchanged; otherwise, the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The aorta is tortuous and contains calcifications. Heart size is normal. Bilateral humeral head prostheses are unchanged.
pleuritic chest pain and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19461484/s50131508/71d2b9fd-6bc1f99b-29ee023b-b6400faa-80940296.jpg
MIMIC-CXR-JPG/2.0.0/files/p19461484/s50131508/10f8be2f-5e8e6915-8e877872-991ac0e3-ea1320d5.jpg
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with dizziness, intermittent cough // please eval for pna
MIMIC-CXR-JPG/2.0.0/files/p15946488/s52357546/5b75d4ea-fe0ef544-e73ef531-d5a7ea8f-2e68a4f0.jpg
MIMIC-CXR-JPG/2.0.0/files/p15946488/s52357546/49cad5ef-07944851-24bbe4f2-bc57ef3c-68cc0d41.jpg
In comparison with study of <unk>, the areas of suspected opacification bilaterally have cleared. At the present time, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
fever.
MIMIC-CXR-JPG/2.0.0/files/p15244599/s52434973/40ba3916-11a3606a-3a4d4647-666bb011-7dd4c715.jpg
MIMIC-CXR-JPG/2.0.0/files/p15244599/s52434973/b80f72f7-48cedda5-9881fa31-6cea0f99-1cb4f2b9.jpg
Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lung volumes are low with unchanged small right pleural effusion. There is no focal consolidation or pneumothorax. No acute osseous abnormalities demonstrated. No displaced fractures are visualized.
history: <unk>f with fall poor historian
MIMIC-CXR-JPG/2.0.0/files/p18568013/s53224383/3294beef-99bf6cf8-b1b40a69-35e3172a-01760c3f.jpg
null
In comparison with the study of <unk>, following the procedure, there is no evidence of pneumothorax. Continued enlargement of the cardiac silhouette with hyperexpansion of the lungs and diffuse interstitial lung disease.
mediastinoscopy, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17850703/s54614464/171f1316-6484f86b-044ba433-1587a82e-1694fd64.jpg
MIMIC-CXR-JPG/2.0.0/files/p17850703/s54614464/de006f6f-4ff20412-fb11c13c-a2b71d97-73caf0f5.jpg
The lungs are clear. There is no pneumothorax. There is relative elevation of the left hemidiaphragm. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cough // ? chest pain
MIMIC-CXR-JPG/2.0.0/files/p15753793/s54683556/b4df31ae-378d1273-3540e0c5-c2502bf7-4e0cb151.jpg
null
The ett is in standard position. An enteric tube traverses the midline and its side port is in the stomach. A left internal jugular venous catheter likely ends in the mid upper svc with its tip pointing cephalad, similar to the prior exams. Lung volumes remain low, but are slightly improved from the previous exam. Bilateral small pleural effusions are perhaps slightly improved. Atelectasis in left lung is moderate and overall unchanged. Right lung atelectasis is improved. No pneumothorax. The heart is mildly enlarged, perhaps slightly decreased in size from the prior exam. Overall no change pulmonary vascular congestion when accounting for differences in redistribution but no frank pulmonary edema.
<unk> year old woman with septic shock of urinary vs pulmonary source, intubated for respiratory distress, pulmonary edema with bilateral effusions // please evaluate for interval change
MIMIC-CXR-JPG/2.0.0/files/p14088217/s56027103/b3f46dc9-d51caaa5-22ebd453-c44f6281-a6eb1a42.jpg
MIMIC-CXR-JPG/2.0.0/files/p14088217/s56027103/d1d9e7ad-3a60ef20-75d0d0a4-05b229ec-fe4cb5da.jpg
There relatively low lung volumes and mild right base atelectasis.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with central chest pain // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p16856553/s55765731/96cb167d-1d85436c-6e410c75-bb8f28ff-9bba1998.jpg
MIMIC-CXR-JPG/2.0.0/files/p16856553/s55765731/b33502b0-22154595-b307a0a4-954afc34-37da5423.jpg
There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with feeling unwell, elevated troponin // evaluate for acs
MIMIC-CXR-JPG/2.0.0/files/p18645624/s59668830/233de6c1-c8888bb5-0f820d34-b3072fbc-a2614532.jpg
MIMIC-CXR-JPG/2.0.0/files/p18645624/s59668830/b2a12b0c-6a0dcf0d-d35f549e-a83f4ce8-46e63ad2.jpg
The patient is status post median sternotomy. The superior most wire is fractured. Lucency in the upper lobes in comparison to the more inferior lungs suggests pulmonary emphysema. Increased bibasilar right greater than left opacities may be due to chronic changes and underlying copd; however, infection is not excluded, particularly in the right lower lung. There is no pleural effusion or pneumothorax. Chain sutures are noted projecting over right middle lobe. The cardiac silhouette is not enlarged. The mediastinal contours are normal. The mediastinum is not widened. Aortic contour is within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p16812879/s58147662/3c3cf235-27ec2c42-7b603f69-c364beb4-154e9be2.jpg
MIMIC-CXR-JPG/2.0.0/files/p16812879/s58147662/4bb0f9b6-496909ca-7232340c-813805fd-10fb1d26.jpg
The heart size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. Elevation of the right hemidiaphragm is noted with associated right basilar atelectasis. Left lung is clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are visualized.
chest pain radiating to the back.
MIMIC-CXR-JPG/2.0.0/files/p17986383/s52817393/5e418233-3a5f20f2-18fa889c-0a84d2ad-b7086239.jpg
null
In comparison with study of <unk>, the patient has taken a somewhat better inspiration. Continued enlargement of the cardiac silhouette with some element of mild pulmonary vascular congestion. Striking prominence of the central pulmonary vessels persist, consistent with pulmonary artery hypertension. Elevation of the left hemidiaphragmatic contour with blunting of the costophrenic angle is again consistent with atelectatic changes and pleural effusion.
hypercarbic respiratory failure.
MIMIC-CXR-JPG/2.0.0/files/p13048289/s55273569/1e3d4200-b4662afd-24fc807c-99f96beb-4d17939b.jpg
null
The initial radiograph from <unk> shows interval placement of an endotracheal tube whose tip terminates above the clavicles. Advancement by <num>-<num> cm would provide more effective ventilation. There is also new right upper lobe atelectasis with associated volume loss. The left lung is clear. The heart and mediastinum are magnified by the projection. A nasogastric tube coils in the stomach, distal tip not visualized. The follow-up radiograph from <unk> shows slight advancement of the endotracheal tube. The right upper lobe has re-expanded, but lung volumes remain low. There are new bilateral airspace opacities which are most likely due to pulmonary edema. Small bilateral pleural effusions are also new. Increased retrocardiac opacification is most likely due to atelectasis. Heart size has increased.
<unk> year old woman with asthma s/p intubation during egd. // please eval for et tube placement and pulmonary process. <unk> year old woman with asthma s/p bronch and et tube reposition. // please eval for rul change and et tube placement.
MIMIC-CXR-JPG/2.0.0/files/p16232416/s58315421/1781175c-85127445-75cac875-d1bd15a8-6649a3a4.jpg
MIMIC-CXR-JPG/2.0.0/files/p16232416/s58315421/5a3c447d-c6aa971a-d79d3daf-7554774c-ad4629d0.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No acute fracture is seen.
history: <unk>f in <unk> with mild chest wall pain and mild neck pain. // any fractures
MIMIC-CXR-JPG/2.0.0/files/p10142844/s54376788/6c727d56-9953c237-bf5182c8-c6862b50-1da4a227.jpg
MIMIC-CXR-JPG/2.0.0/files/p10142844/s54376788/6e81bedd-c9ba2e22-f5eaf45a-44414d56-5492804d.jpg
There is mild left base atelectasis. There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
altered mental status, feeling off-balance.
MIMIC-CXR-JPG/2.0.0/files/p12786821/s51628837/8b6f08b8-1810ef39-1f993a1f-c2944ec5-4c81196f.jpg
null
Single frontal view of the chest demonstrates normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with neck and arm pain as well as chest pain.
MIMIC-CXR-JPG/2.0.0/files/p19340580/s58348795/3f360e80-3445da5a-7711bd36-b2505bc9-b810cbdd.jpg
MIMIC-CXR-JPG/2.0.0/files/p19340580/s58348795/24c4d250-843919d9-cb3cc5fe-e24ee30a-fd1ffe68.jpg
The heart is enlarged, probably to a similar degree allowing for decrease in lung volumes. On this study, the main pulmonary artery contour appears larger, which could be seen with fluid overload. Multifocal opacities are seen in the context of a generalized moderate interstitial abnormality. Findings suggest pulmonary edema. Mild atelectasis is also suspected at the posterior left lung base. There are probably very small pleural effusions.
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p11296936/s59914709/41bf54e2-6f1afd7d-4d4d4af8-42c1c0d4-3d2ab3bc.jpg
MIMIC-CXR-JPG/2.0.0/files/p11296936/s59914709/25712481-f2080446-ebaafcd4-9087124d-ab644417.jpg
There is moderate cardiomegaly with increased interstitial pulmonary edema and vascular congestion. A small right pleural effusion is stable. No focal opacities are present that are concerning for pneumonia. There is no pneumothorax.
cough, question fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p15285971/s56724205/7d22a4c7-c93c71e6-32f165c5-cd98b2df-801c3090.jpg
MIMIC-CXR-JPG/2.0.0/files/p15285971/s56724205/78177e2b-1fa3076d-823f4dc2-70c1adaa-b0b4b272.jpg
Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
positive ppd.
MIMIC-CXR-JPG/2.0.0/files/p17645409/s55563205/01b8a821-d90035d5-deec805c-661ef89c-06ee6660.jpg
MIMIC-CXR-JPG/2.0.0/files/p17645409/s55563205/f51ede88-71f916fc-35178bef-0877a899-75097f8d.jpg
Pa and lateral views of the chest. There is slight deformity of the anterior right fourth rib, likely post-traumatic. The lungs are clear. The heart, mediastinum, hila, and pleural surfaces are normal. No pneumothorax. No pleural effusions. No evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11224611/s50182966/8776329b-8e7500f7-ee7daa7a-1f4049fe-378b31aa.jpg
MIMIC-CXR-JPG/2.0.0/files/p11224611/s50182966/8f2ca465-ea5d58ae-c86b1cba-08958440-b36473c1.jpg
There is persistent elevation of the right hemidiaphragm, unchanged from prior. Otherwise, the lungs are well inflated and clear. The cardiomediastinal silhouette is stable. The hila do not appear prominent to suggest adenopathy. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with inactive sarcoid now with doe. // assess for change in diaphragm and lad.
MIMIC-CXR-JPG/2.0.0/files/p16141064/s53910196/56d7a8a4-901a8224-d762733f-a5a0d4b5-2be8e489.jpg
MIMIC-CXR-JPG/2.0.0/files/p16141064/s53910196/0b1daa0f-ed7275f8-7b62f004-52de71d9-13d58ef8.jpg
Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Significant soft tissue attenuation does limit fine parenchymal detail. Cardiac and mediastinal contours are normal.
cough.
MIMIC-CXR-JPG/2.0.0/files/p15003296/s55100464/059e3991-70549e3f-2494c0e5-b89c291f-99bb0245.jpg
MIMIC-CXR-JPG/2.0.0/files/p15003296/s55100464/15e3f613-86418283-86efdfe7-2c02ddf6-da2c6b92.jpg
There is chronic elevation of the right hemidiaphragm. There is pulmonary vascular congestion and mild pulmonary edema. There is no focal airspace opacity. Cardiomegaly is chronic. There is no pneumothorax.
<unk>-year-old woman with lower extremity swelling, dyspnea on exertion, and a history of chf. evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11324800/s50114307/96e8834d-1076ac14-35e3a5a2-a9e812bb-e8a0271b.jpg
MIMIC-CXR-JPG/2.0.0/files/p11324800/s50114307/c6f926fb-6495767e-83ec2131-2ad08470-ac789297.jpg
Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are normal. There is no air under the diaphragm. No displaced rib fracture is seen.
patient with accident, bike versus car.
MIMIC-CXR-JPG/2.0.0/files/p14952873/s58071777/7174ec29-a6d4613c-e3141e28-cb7594bd-ae0304af.jpg
MIMIC-CXR-JPG/2.0.0/files/p14952873/s58071777/fd5fb0e8-33e3bb47-a4b9868a-cd728eeb-54ad4cb9.jpg
The cardiomediastinal and hilar contours are normal. Lung volumes remain low. There is no focal consolidation, pleural effusion or pneumothorax. A right-sided port-a-cath catheter remains in unchanged position.
on chemotherapy, immunocompromised, presenting with fever, chills. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17448106/s59882271/bc7f8287-8cec6647-6c78b063-2360f0e6-ff399631.jpg
MIMIC-CXR-JPG/2.0.0/files/p17448106/s59882271/e2abb2f4-1a71d452-e7e5b841-fca73061-665dbdf5.jpg
Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
three weeks of cough, diffusely rhonchorous with rales of the left base.
MIMIC-CXR-JPG/2.0.0/files/p13160565/s52759961/9c4bea32-355b3099-352c0d58-d594fb9c-70880b66.jpg
null
As compared to the previous radiograph, the monitoring and support devices are in unchanged position. The lung volumes have minimally decreased, but there is no evidence of newly appeared parenchymal opacity suggesting pneumonia or another acute parenchymal lung disease. Borderline size of the cardiac silhouette. No pulmonary edema. No pleural effusions.
new leukocytosis, evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10585788/s56696473/0e1be153-bccff862-58379ee4-14dc4673-d8305b83.jpg
MIMIC-CXR-JPG/2.0.0/files/p10585788/s56696473/27db04bc-5a889bde-8dd11f73-903d09b2-cfb08511.jpg
Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. The heart size is within normal limits. No typical configurational abnormalities identified. Thoracic aorta of ordinary dimension but some calcium deposits are now present in the aortic wall at the level of the arch. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in apical area. Skeletal structures of the thorax are grossly within normal limits.
<unk>-year-old male patient, former smoker, now with cough for last six months, evaluate for abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11124675/s58164054/9b6904bb-f6a6bb95-32d135fb-f08c7209-cdb64b3e.jpg
null
A newly positioned dobbhoff tube ends into the fundus/body of the stomach. An orogastric tube courses below the diaphragm into the stomach; however, its distal end is off the radiographic view. Right-sided picc line tip is at mid svc and tracheostomy tube is in standard position. Bilateral lungs are diffusely hazy with obscuration of bronchovascular markings, suggestive of mild pulmonary edema, is little more sever since <unk>. The upper left mediastinal shadow at the aortic arch is more prominent with lateral bulge than it was on <unk>. If this reflects engorged mediastinal vessels or acute aortic pathology, cannot be determined on this supine view alone. Pleural effusions, if any, are minimal bilaterally. Top-normal heart size is unchanged, aorta is generally tortuous, and the mediastinal and hilar contours have a stable appearance. Impression; in order to differentiate recent widening of left upper mediastinum due to engorged mediastinal vessels which appears reasonable as reflected by interval worsening mild pulmonary edema vs acute aortic pathology, erect view is recommended for further evaluation.
to evaluate for the position of the dobbhoff tube.
MIMIC-CXR-JPG/2.0.0/files/p16260564/s50725147/aa25f54d-6eae7114-9a9b06e1-80f84c60-d2463c8c.jpg
null
There has been interval removal of the endotracheal tube. There is mild increase in bilateral pulmonary edema. There is a focal increase in consolidation at the left lower lung. The hilar and mediastinal contours are stable. The left heart border is obscured by the focal consolidation. There is no significant pleural effusion. There is no pneumothorax. The enteric tube terminates in the body of the stomach.
<unk>-year-old female with desaturation to the high <num>s who presents for evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11687109/s58314174/a197bb57-e2d03d35-550de373-724e041c-12294a6e.jpg
MIMIC-CXR-JPG/2.0.0/files/p11687109/s58314174/09e1e895-acd56bc8-ac35784d-28eb42c6-87c12b42.jpg
There are bibasilar vague opacities. The lung volumes are low and there is significant overlying soft tissue which limits evaluation. There is likely pulmonary vascular congestion and mild cardiomegaly. Pneumonia at the lung bases cannot be entirely ruled out. There is no pneumothorax. There is a possible small right pleural effusion.
prostate cancer, fever, hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p17750747/s59238405/9fcb18b3-477645ad-c1a80921-7bc889da-ca646c51.jpg
MIMIC-CXR-JPG/2.0.0/files/p17750747/s59238405/5e07d313-8f78bbad-043d6853-794c9ceb-6a1c6f99.jpg
Frontal and lateral views of the chest were obtained. There is persistent elevation of the right hemidiaphragm. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
MIMIC-CXR-JPG/2.0.0/files/p15177732/s57192624/b178e9bb-a1056dc4-7287d8ec-344b1166-2044a62e.jpg
MIMIC-CXR-JPG/2.0.0/files/p15177732/s57192624/fde4f77e-b346317d-eca601d2-4fe24e9a-b878fb25.jpg
Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough.
MIMIC-CXR-JPG/2.0.0/files/p12046197/s52176380/93839083-153036b1-304e004a-0200d810-25a66301.jpg
MIMIC-CXR-JPG/2.0.0/files/p12046197/s52176380/791211be-05ae4431-23ba4870-6d63e60e-b4d9178a.jpg
Frontal and lateral radiographs of the chest demonstrate low lung volumes, which results in bronchovascular crowding. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with jaw pain, cough // acute process
MIMIC-CXR-JPG/2.0.0/files/p13316245/s54651153/4502755f-d964ac95-90655e2e-ccc6d9ed-ed8ef5ea.jpg
null
Slightly rotated positioning. Heart size is at the upper limits of normal. Aorta is mildly tortuous. There is upper zone redistribution, but no overt chf. No focal infiltrate, consolidation, or effusion is detected. Minimal atelectasis at the left base.
<unk> year old woman with ?stroke // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18117357/s52815169/93aa7830-33172f72-cc880420-eed26fd1-9f5cda6e.jpg
MIMIC-CXR-JPG/2.0.0/files/p18117357/s52815169/24bfe076-90ac19ae-cfc84ece-a08ce3c9-71a70b1c.jpg
Compared with prior chest radiographs, there is interval improvement in bilateral hilar prominence and bilateral interstitial markings. The right lung shows some discoid atelectasis in the mid and lower lung fields as well as a small pleural effusion. A moderate pleural effusion is redemonstrated in the left lung with associated moderate lower lobe atelectasis. Mediastinal contour is unremarkable. There is no evidence of pneumothorax. A left-sided picc line ends in the mid subclavian region in unchanged position compared with prior exam. Degenerative changes of the right glenohumeral joint are again noted.
<unk>-year-old female with pancreatic adenocarcinoma and complicated with pulmonary edema. evaluate for interval change since diuresis.
MIMIC-CXR-JPG/2.0.0/files/p18829575/s54099630/5184dbb2-dfebd176-66113b83-e72ebbc4-510bda30.jpg
MIMIC-CXR-JPG/2.0.0/files/p18829575/s54099630/64b0366f-bdd4d677-5ad9de6d-ed03b96a-144395d6.jpg
There are no old films available for comparison. There is comminuted left posterior third rib fracture. There is increased pleural opacity in that region, which may represent a small amount of blood. There is subsegmental atelectasis in the left lower lobe.
bike accident, small apical pneumothorax, followup.
MIMIC-CXR-JPG/2.0.0/files/p19083272/s50896287/b9153806-d5124520-7dc8c565-85db049a-aca4a1df.jpg
null
The et tube is <num> cm above the carina. Picc line catheter tip is in the mid axillary vein and is not seen extending beyond this point. Left subclavian line tip is in the svc. There is increased pulmonary vascular congestion with moderate cardiomegaly, bilateral pleural effusions, right greater than left pulmonary vascular redistribution and alveolar edema.
check et tube.
MIMIC-CXR-JPG/2.0.0/files/p17940376/s55847993/24531eb3-3674bee7-74d3496d-13c8188b-443a3746.jpg
MIMIC-CXR-JPG/2.0.0/files/p17940376/s55847993/ec3d4654-e03f9ac9-4c458263-c15e3b5e-d416c1e4.jpg
The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. Previously noted consolidation in the left lower lobe has resolved. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Partially imaged is cervical spine fusion hardware.
cough, fever.
MIMIC-CXR-JPG/2.0.0/files/p18753212/s52601501/192796d8-07c82969-91ad0ae8-85ea0137-30d41458.jpg
MIMIC-CXR-JPG/2.0.0/files/p18753212/s52601501/3ebf5757-743eb41f-7443e958-b4e49333-3028ca68.jpg
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p11865423/s55518951/0af935e5-e6d31d6c-72e2cefa-e01587f9-d779b01c.jpg
MIMIC-CXR-JPG/2.0.0/files/p11865423/s55518951/b7911029-d5f730c0-1e1627bc-eca295a4-dcef8cd5.jpg
The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with neuro sx, also with chest tightness // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p17700805/s51437680/8b5ab313-61efcac0-514b1d55-d5580e3b-10664d5d.jpg
MIMIC-CXR-JPG/2.0.0/files/p17700805/s51437680/a9603c7e-cc040672-323bd7c3-a66750b4-d347182c.jpg
Ap upright and lateral views of the chest provided. Lung volumes are low. There is a probable mild bibasilar atelectasis. The mid upper lungs are well aerated. The heart size cannot be assessed. The mediastinal contour stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chest pain // acute process?
MIMIC-CXR-JPG/2.0.0/files/p14365589/s50783190/dff142bf-50408112-65c714c2-93b0362c-03e8f733.jpg
null
In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with substantial pulmonary edema and bilateral pleural effusions with compressive atelectasis at the bases.
chf exacerbation.
MIMIC-CXR-JPG/2.0.0/files/p13248201/s57641571/a2925faf-c8eff0cf-9a432e0a-f1ce407f-2ae9d76a.jpg
MIMIC-CXR-JPG/2.0.0/files/p13248201/s57641571/99770fc4-7235eae1-e57a7002-9d16f097-eaa9e220.jpg
The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with fall, headache and seizure. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11585755/s55213100/6769e61f-b9bc8dca-8791fc0f-96b58a70-02e2ec21.jpg
null
The lung volumes are normal. Moderate enlargement of the cardiac silhouette. Mild tortuosity of the thoracic aorta. An aneurysmal dilatation of the aorta cannot be detected. There is no pleural effusion, no left mediastinal widening and no apical cap that could suggest an acute aortic injury. However, given the lack of previous comparisons, short-term radiographic followup should be performed and the images should be re-evaluated accordingly. Status post sternotomy. Mild increase in diameter of the hilar pulmonary vessels. No substantial atelectasis. No lung nodules or masses.
aortic graft, status post motor vehicle accident, evaluation for mediastinal changes.
MIMIC-CXR-JPG/2.0.0/files/p17377831/s56497554/5fecb895-7f44fffa-2753317f-71528730-f7d6e532.jpg
MIMIC-CXR-JPG/2.0.0/files/p17377831/s56497554/2d054012-0b6c0463-50122307-733f100e-0fffcfee.jpg
The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Pacemaker is in place. The patient is status post median sternotomy with broken superior most cerclage wire. Extensive mediastinal clips from the prior cabg.
?infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11039013/s50185724/a8e6793e-68b3d8a1-fb079b61-5b4a473d-aeba5355.jpg
MIMIC-CXR-JPG/2.0.0/files/p11039013/s50185724/dce5f8a6-ac66cb50-941a5385-e6fc3006-a19fd2bf.jpg
Ap and lateral views of the chest are obtained. Multiple rounded calcified opacities in the left lower lung correspond to calcified granulomas. The right lung is clear. No focal consolidation, pleural effusion, or pneumothorax is seen. The aortic knob is calcified. The cardiac and mediastinal silhouettes are unremarkable. Lucency under the right hemidiaphragm is consistent with pneumoperitoneum seen on preceding ct abdomen and pelvis. Patient is status post cholecystectomy with surgical clips seen in the right upper quadrant. Partially imaged are air-distended loops of bowel, better assessed on ct.
MIMIC-CXR-JPG/2.0.0/files/p15797190/s52210618/ab5a6012-e15bee00-1756e596-cf7073e3-969ad79e.jpg
null
Lung volumes are low. Heart size is moderately enlarged but accentuated by the low lung volumes. There is mild pulmonary vascular congestion with ill-defined patchy opacities in the lung bases, possibly atelectasis but infection or aspiration cannot be excluded. There may be trace bilateral pleural effusions. No pneumothorax is demonstrated. Left subclavian vascular stent is in unchanged position.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12580546/s53497598/7c3c942f-8b7c3ffb-19d21579-32c334ce-92538756.jpg
MIMIC-CXR-JPG/2.0.0/files/p12580546/s53497598/93002424-6f5d8d08-601ee52d-06060d18-231d9345.jpg
There is a new <num> cm mass in the right chest. Ct is recommended for further evaluation. Otherwise the lungs are clear without infiltrate or effusion. The cardiac and meddastinal silhouettes are normal.
new left-sided chest pain and cough.
MIMIC-CXR-JPG/2.0.0/files/p12831242/s52809988/0896e0ed-7e7b7dc7-882becea-ea3bc945-c171fa12.jpg
null
Endotracheal tube tip terminates <num> cm above the carina and is low lying. Consider retracting the et tip by additional <num> cm for a better sitting. Right internal jugular line ends at lower svc. Ogt is seen to course below the diaphragm into stomach; however, the distal end is beyond the view of radiograph. Bilateral lower lung opacities reflecting a combination of mild-to-moderate pleural effusion and atelectasis are unchanged since <unk>. Upper lungs are clear without any discrete opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal.
MIMIC-CXR-JPG/2.0.0/files/p12980551/s50998423/ce796ba4-27e3c9b9-261b702e-dc80ffcc-616df58b.jpg
MIMIC-CXR-JPG/2.0.0/files/p12980551/s50998423/9ed5ab3c-3a1af0fc-55d7f307-03ab14b1-54976ef9.jpg
No focal consolidation is identified. There is an irregularly marginated <num> cm nodule in the right upper lobe which contains apparent calcification, but superimposition over the rib limits this assessment. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Median sternotomy wires and surgical clips are noted.
<unk> year old man with chest discomfort, n/v // eval for cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p11877234/s59227454/297aacc3-1b129fc3-ef13e787-e35ee379-7144c35f.jpg
MIMIC-CXR-JPG/2.0.0/files/p11877234/s59227454/598d3ec8-68f76ecf-586f682b-44d36a81-90a0e556.jpg
Frontal and lateral views of the chest were obtained. The cardiac silhouette remains moderately to severely enlarged. No pleural effusion or definite focal consolidation is seen. There is minimal interstitial edema. Right-sided picc is again seen, distal aspect not well seen, likely due to overlying left-sided aicd lead. Single-lead left aicd is seen with lead grossly similar in position. No evidence of pneumothorax is seen. The aortic knob is again calcified.
MIMIC-CXR-JPG/2.0.0/files/p17986383/s52541841/07eaf199-1bf08ebe-2a3bf0b9-307e8e8f-79800944.jpg
null
There is marker worsening of a large left pleural effusion with complete opacification of the left hemithorax. There is continued central pulmonary vascular congestion with mild pulmonary edema. Severe degenerative changes throughout the glenoid normal joints are again seen. A right humeral rod is incompletely visualized.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19371028/s55010130/e04a1398-1db4cbd3-32696ef5-ad30f0b6-eecc4e5a.jpg
MIMIC-CXR-JPG/2.0.0/files/p19371028/s55010130/f6c4cd2d-ef0ef0ec-a4a7f6f0-df461fcd-25dfc5ac.jpg
The lungs are clear besides mild left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with afib, cva, recent admission for cholecystitis complaining of sob. // evaluate for pna
MIMIC-CXR-JPG/2.0.0/files/p11198819/s59699175/a0428f33-1f6f7e7d-29dfe92d-8c7bf971-8095b230.jpg
null
As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. The vertebral stabilization devices have been modified. Unchanged appearance of left pectoral pacemaker. Unchanged size of the cardiac silhouette. Unchanged position of the left chest tube. No indication for pneumothorax. No pulmonary edema, no pneumonia. No other acute lung changes.
status post fall, evaluation for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15936063/s53257875/734439a3-a16a8c03-88a2eda0-6dd4cf2e-300a8972.jpg
null
Portable ap semi-upright view of the chest was reviewed and compared to the prior studies. A moderate left pleural effusion and bilateral, left greater than right, lower lobe atelectasis are relatively unchanged since <unk>. There are no new focal lung opacities to suggest pneumonia. There is no pneumothorax. Cardiac enlargement and aortic calcifications are unchanged. The tracheostomy tube ends <num> cm above the carina.
assessment for pneumonia in a patient with new respiratory distress.
MIMIC-CXR-JPG/2.0.0/files/p14247006/s58978523/5dd90058-c0923811-d3c9fa3c-5e24faa3-bc2549ab.jpg
MIMIC-CXR-JPG/2.0.0/files/p14247006/s58978523/c0270444-8e1b729c-450fa886-159fc009-ac6aeaae.jpg
The inspiratory lung volumes are slightly decreased from the most recent prior study. No pleural effusion or pneumothorax is present. There is no overt pulmonary edema. Increased opacification at the lateral left lung on the frontal view, without definite correlate on the corresponding lateral view may represent underpenetration of soft tissues. There is mild atelectasis of the left lower lobe. The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Multiple mediastinal surgical clips are compatible with prior cabg. A left pectoral pacemaker is unchanged with three leads in stable position. The patient is status post median sternotomy.
dyspnea and chills, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17934671/s52629589/ec04a048-e038a79f-eb7f1ea4-5cbb4671-6e1f41d5.jpg
null
The left-sided picc line is no longer present. Lung volumes are low. There is volume loss in the right lower lobe greater than left lower lobe and infiltrate in these regions can't be excluded. Otherwise the upper lungs are clear.
sepsis and tachypnea.
MIMIC-CXR-JPG/2.0.0/files/p19140218/s52197948/e02ae7c0-7f35df2f-4510b785-83bdd387-2c163773.jpg
MIMIC-CXR-JPG/2.0.0/files/p19140218/s52197948/3d0739a5-c11460cf-bfc00608-391c761f-b55a2b71.jpg
A left port-a-cath is unchanged in position with tip projecting over the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
aol status post chemo the opposite with productive cough.
MIMIC-CXR-JPG/2.0.0/files/p16921793/s53870005/d8c603cc-6959b63c-bb820b9f-e957b220-b0009362.jpg
null
Ap single view of the chest has been obtained with patient in supine position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient remains intubated, the ett in unchanged position. Same holds for the previously described right internal jugular approach central venous line still terminating overlying the upper third of the right atrium. No pneumothorax has developed, and the previously described pulmonary vascular parenchymal changes appear unaltered. Unchanged appearance of cardiomegaly, vascular findings and configuration are consistent with thw clinical diagnosis of pulmonary vascular hypertension.
<unk>-year-old female patient with pulmonary hypertension and end-stage renal disease. intubated, evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p15002678/s56528605/7b9cdde8-b3b59a81-3a1bb816-05165c90-f71d843f.jpg
null
Single portable view of the chest. There is persistent indistinctness of the pulmonary vasculature which could be due to mild congestion or chronic underlying parenchymal changes without superimposed confluent consolidation. Blunting of the left costophrenic angle could be due to an effusion.cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old female with altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p10056223/s57733074/185ef302-c2aa6070-cda98c90-88f59501-a0fc1d33.jpg
MIMIC-CXR-JPG/2.0.0/files/p10056223/s57733074/ac055a95-d13bea84-58faba7b-3a9fda64-dd46d05d.jpg
There is a left lower lobe opacity that is worsened when compared to <unk>. The top normal size of the cardiomediastinal silhouette is likely due to low lung volumes. There is no pleural effusion or pneumothorax.
recent chemoembolization for liver tumor. rigors.
MIMIC-CXR-JPG/2.0.0/files/p10029411/s55015852/8722b33e-306810c3-0e85ae3c-905f1644-d47dc3df.jpg
MIMIC-CXR-JPG/2.0.0/files/p10029411/s55015852/079fca68-a4bd1322-708bb90a-ef9a0eda-1a70506c.jpg
Minimal left base linear atelectasis/scarring is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, flu like symptoms // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15630301/s55183065/6834d211-cd60d1f6-be1cae8d-76d7a836-3c7c794b.jpg
MIMIC-CXR-JPG/2.0.0/files/p15630301/s55183065/55715b2a-8fcc986e-0b0e79e2-09159ef1-5f74accd.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // pna, acute process
MIMIC-CXR-JPG/2.0.0/files/p18346402/s56944819/ece68dc9-97b1ca65-bab7f556-f46e7989-b8aca5a9.jpg
MIMIC-CXR-JPG/2.0.0/files/p18346402/s56944819/484c21f5-9b13e3e2-50d38dcd-8a45603b-52dd3ecc.jpg
Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is seen. Partially imaged is bilateral posterior fusion hardware within the thoracolumbar spine. There are moderate multilevel degenerative changes in the thoracic spine.
history: <unk>f with history of bilateral shaking tremors presenting with bilateral shaking tremors episode
MIMIC-CXR-JPG/2.0.0/files/p10570398/s54168947/c15b8be5-74673f96-1a54f2a1-b747b275-a8c8ad04.jpg
null
Since <num> p.m. There is no change in left lower lobe atelectasis and low lung volumes. The swan-ganz catheter, endotracheal tube, enteric catheter, chest and mediastinal drains are in unchanged positions. There is no pneumothorax or new consolidation.
<unk>-year-old man status post cabg, avr.
MIMIC-CXR-JPG/2.0.0/files/p11871329/s50904025/d6aec645-f59d9c37-4adb5bc3-23420251-0094df04.jpg
MIMIC-CXR-JPG/2.0.0/files/p11871329/s50904025/b803bad0-81c3aeed-200c89a7-582377b9-6ac052a1.jpg
Heart size is top-normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low however the lungs are clear. No pleural effusion or pneumothorax is seen. Mild vascular congestion without pulmonary edema.
history: <unk>m with assault, loc // eval for fx/bleed
MIMIC-CXR-JPG/2.0.0/files/p18163289/s52017705/7d442340-5afd3fff-46524e90-39b60f28-820803fb.jpg
null
Since the prior exam, the endotracheal tube and enteric tube have been removed. A left picc is unchanged with the tip at the origin of the svc. Allowing for changes in lung volumes, mild vascular congestion and retrocardiac atelectasis is not significantly changed. There is likely a small left pleural effusion. There is no new opacity, right pleural effusion, or pneumothorax. Marked enlargement of the cardiomediastinal silhouette is stable.
history of chf. evaluate after extubation.
MIMIC-CXR-JPG/2.0.0/files/p16071367/s59244107/93402394-268b4dae-a0f0121a-df74c776-d9d95941.jpg
MIMIC-CXR-JPG/2.0.0/files/p16071367/s59244107/c279342b-4e30caa5-6d6bc92f-477e0876-31e272f3.jpg
Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Lung volumes are somewhat low, which limits evaluation. There is no convincing sign of pulmonary edema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16988043/s55510674/2c16d442-2284fa1f-2e0aba6d-c6bae1c4-5c633c0e.jpg
MIMIC-CXR-JPG/2.0.0/files/p16988043/s55510674/c8daf4ce-158363ab-d6553df1-54eda931-1a5059fe.jpg
Pa and lateral views of the chest. Port-a-cath ends in the mid to distal svc. The lungs are clear bilaterally. The previously seen pneumonia is no longer apparent. There is no consolidation, pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal.
ongoing fatigue, question of resolved pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18423190/s50839728/d2719682-43667bfd-57bd9f66-4870c94e-6ad11b7a.jpg
MIMIC-CXR-JPG/2.0.0/files/p18423190/s50839728/56e7590f-c5072434-3139dbe0-76618cdb-3425faf6.jpg
In comparison with study of <unk>, there is little overall change. Again there may be mild increased opacification at the left base, though this is of questionable clinical significance. Extensive aortic changes and post-surgical changes are again seen.
prior aortic dissection with decreased left breath sounds.
MIMIC-CXR-JPG/2.0.0/files/p14835486/s59683923/e6a57f94-5c9fd0f3-56a0ef91-e132a0bc-9184ec80.jpg
null
Right internal jugular central venous catheter has been removed. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is no pulmonary vascular engorgement. Right basilar ill-defined opacification persists, and may reflect atelectasis and / or scarring. A small right pleural effusion is relatively unchanged. Left lung is clear. No pneumothorax is identified. Partially imaged is cervical spinal fusion hardware.
altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p17169479/s50416341/a18447f7-15ca5c64-65af097e-5f2826e9-9063c1b9.jpg
MIMIC-CXR-JPG/2.0.0/files/p17169479/s50416341/43f1418d-3c28b52e-bec30524-7c7e7465-39a2d512.jpg
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain