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MIMIC-CXR-JPG/2.0.0/files/p10236222/s56747124/559071aa-9bb7bd58-5c3e6b47-b3401e4c-9bc8d1c8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with tachycardia, nausea // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19889178/s51329527/3d98dcd6-14337f54-eac1be12-c6cf1029-9c7305ab.jpg | again seen is moderate to moderately severe cardiomegaly, similar to prior. previously seen tavr is not well visualized on this study, on either the frontal or lateral view. question due to underpenetration. clinical correlation is requested. there is residual chf, but patchy opacities at the lung bases have improved. bilateral pleural effusions are also is smaller. | <unk> year old woman with severe as s/p tavr with hf exacerbation. // evaluate for edema, infiltrate, effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14729676/s58165347/904d4686-a889f56d-71e656ad-ec71a109-493c7dba.jpg | a right sided internal jugular line is noted, it terminating in the region of the low svc. an endotracheal tube is seen, terminating approximately <num> cm above the carina. a transesophageal tube is seen, with the side port terminating past the ge junction and the tip not visible past the film. the cardiac silhouette is normal. there are patchy, bibasilar opacities, worse on the right than on the left, which, in the appropriate clinical context, may represent infection. there is no pleural effusion or pneumothorax. | history: <unk>m with intubated transfer // eval for ett placement |
MIMIC-CXR-JPG/2.0.0/files/p19394918/s50278944/93ea085f-e25fa87b-1fca1b0c-04d539fb-a0634e60.jpg | the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing top normal. the pulmonary vascularity is normal. linear opacities within both lung bases are compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is seen. | palpitations for <num> weeks. |
MIMIC-CXR-JPG/2.0.0/files/p17984444/s54271457/a0348c34-532b3ca4-0d358460-94709a6d-4c5dc80d.jpg | frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. no focal opacifiction concerning for pneumonia; however, the esophagus is air-filled and there is a suggestion of lower lobe bronchial wall thickening. no pleural effusion or pneumothorax identified. multiple compression deformities are noted on the lateral view, at least one of which appears new compared to <unk>. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p14995589/s54939413/96e67f53-f7a62a6a-4108b17a-29ae371f-a6b18d82.jpg | the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the heart size is borderline. calcifications of the aorta are noted. there is severe scoliosis. | history of occasional shortness of breath, found to have questionable chf on mammogram. rule out chf. |
MIMIC-CXR-JPG/2.0.0/files/p15582088/s55463898/84e075d8-5069ec26-4b3f1b44-2f118edb-0e39bc3f.jpg | there is persistent complete opacification of right hemithorax with right mediastinal shift, consistent with right lung collapse. shift of left heart border is less. left lung is clear without pleural effusion. right subclavian venous catheter terminates in mid svc. | <unk> year old man here for gib, s/p attempted ngt placement and r lung collapse and plugging seen on prior cxr // eval interval change |
MIMIC-CXR-JPG/2.0.0/files/p16139035/s51641151/dd7ef2b6-ebf7d09e-f712fd9c-4a88e6f7-78bccd51.jpg | since <unk>, known left pneumothorax is decreased from <num> cm to <num> cm at the left lung apex. known fibrotic lung disease with unchanged low lung volumes. left chest tube is unchanged in placement. no evidence of tension. heart size is normal. | <unk> year old man with severe as and ipf s/p mva c/b hemo/pneumothorax s/p chest tube placement // please evaluate progression/improvement of ptx |
MIMIC-CXR-JPG/2.0.0/files/p17155082/s56737759/0fd0063a-9ac61f46-56c0ae0e-bddf9f3d-400c6623.jpg | ap view of the chest. patient could not tolerate the lateral view. compared with prior, there has been interval improved aeration at the left lung base. there may be small persistent effusion with blunting of the lateral costophrenic angle. elsewhere the lungs are clear. the cardiomediastinal silhouette is stable. median sternotomy wires are again noted. orthopedic hardware is seen at the proximal right humerus. old left lateral lower rib fracture is noted. | <unk>-year-old female with fever and leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg | the lungs are clear without consolidation, effusion, or pneumothorax. left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricular apex. median sternotomy wires and mediastinal clips are again noted. multiple bilateral rib fractures are noted, most of which appear chronic. there is non visualization of the cortical margin of the right posterior eighth rib fracture which raises possibility of acuity. | <unk>m with fall, ams // pna? fx? |
MIMIC-CXR-JPG/2.0.0/files/p13571108/s54975015/efd6cb09-2f2d04d4-41f75c29-c95e86ac-5aba4006.jpg | pa and lateral views of chest demonstrate an extensive left -sided pleural effusion with compressive atelectasis; an underlying pneumonia cannot be excluded. a tiny right pleural effusion may also be present. the cardiac silhouette also appears enlarged, but it is difficult to completely assess the left border given the large pleural effusion. the right lung is clear of focal opacities worrisome for pneumonia. there is no pneumothorax. | hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p13385199/s53016746/a3afbd43-b7c6028b-51af2e37-623f5c2e-c3aae65e.jpg | heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged and there is diffuse calcification of the thoracic aorta. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | increased confusion. |
MIMIC-CXR-JPG/2.0.0/files/p18093343/s56294026/3b709f86-9ce859fc-4985ca21-70cf043d-f00ffe81.jpg | frontal and lateral views of the chest were obtained. moderate cardiomegaly is unchanged. right lower lobe opacity has increased since the prior exam, consistent with infection. no pleural effusion or pneumothorax. | <unk>-year-old female with high fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17918223/s57942697/5bcfe5d5-0418b411-5b38e332-fe5c865a-05f3eb91.jpg | ap upright and lateral chest radiograph demonstrates a patient rotated to her left. a small hiatal hernia is noted. lung fields are hyper-expanded with flattening of bilateral hemidiaphragms consistent with emphysema. there is no pleural effusion or pneumothorax identified. a rib fracture of indeterminate age within the posterior aspect of the left tenth rib is noted, probably healed. several sclerotic vertebral bodies are noted concerning for malignancy, particularly treated or alternatively lymphoma. surgical clips are seen projecting along the right lateral chest wall. | <unk>-year-old female status post fall. |
MIMIC-CXR-JPG/2.0.0/files/p11364022/s54609439/0b8a936f-6c1c76a1-b3e16dae-83d4ca54-66fa8bb4.jpg | in comparison with chest radiograph from <unk>, bilateral multifocal opacities have substantially cleared with some residual opacity in right middle lobe. there is no new focal consolidation, pleural effusion or pneumothorax. there is no pulmonary vascular engorgement or edema. mediastinal and hilar contours are normal. mild cardiomegaly has improved and the heart is currently normal in size. | <unk> year old man with recent multifocal pneumonia and respiratory failure. // resolution of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14899010/s59064976/644524fe-b7f8f113-bfc85880-65c8fbf0-c0672a6b.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. | <unk>-year-old with question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17256683/s59809246/12a0e804-33db8915-571b5fe7-f343420a-e00a238e.jpg | a single portable ap chest radiograph was obtained. aeration of both lungs has improved since the preceding series of radiographs, most recently from <unk>:<num>. there is residual airspace opacity at both lung bases. the hila are indistinct and there is peribronchial cuffing. the left hemidiaphragm is obscured by retrocardiac opacity. there are no abnormal cardiac or mediastinal contours. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13328001/s56438381/da35161e-fc823453-720dccb6-2d5f1827-33ad393b.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 achilles rupture, preop // preop |
MIMIC-CXR-JPG/2.0.0/files/p15297415/s56487303/bd39a38a-fc9515ff-166670b8-1d8d4e0b-7f9b9300.jpg | lines and tubes are unchanged in position. the right-sided pleural effusion has decreased in size. there is a persistent left-sided pleural effusion with retrocardiac atelectasis. | diaphragmatic weakness |
MIMIC-CXR-JPG/2.0.0/files/p15353451/s52457516/5694e00e-95c79665-5b973f2f-778a3bf5-832560aa.jpg | lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. there is no confluent consolidation or large effusion. moderate cardiac enlargement is again seen apparently worse when compared to prior but this is likely due to changes in technique/inspiratory effort. | <unk>f with altered mental status, difficulty speaking // cxr: eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17293450/s56193736/2729a665-0a1b9bdc-68660738-3463c47d-cfa52308.jpg | the endotracheal tube terminates <num> cm from the carina, and the enteric tube terminates at the ge junction, the should be advanced for optimal placement. short interval development of widespread pulmonary airspace opacities, likely accentuated somewhat by low lung volumes, representing severe pulmonary edema, ards, widespread pneumonia, or pulmonary hemorrhage. there is no pneumothorax or pleural effusion. allowing for differences in rotation, the cardiomediastinal contour is stable. the upper abdomen and osseous structures are unremarkable. | <unk> year old man with resp distress leading to intubation, confirm endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19085766/s55025332/55184f71-eedc6654-15a19267-bb8899e4-43b64a97.jpg | the lungs are clear. there is no focal consolidation, edema, or effusion. cardiomediastinal silhouette is stable. no acute osseous abnormality. | <unk>f with hypotension pls eval pna vs effusion |
MIMIC-CXR-JPG/2.0.0/files/p19585869/s54700132/1b5c69a8-ac88dd5a-9d04af62-5fd3110c-a4c20562.jpg | ap and lateral views of the chest demonstrate low lung volumes with mild bibasilar atelectasis. there is no focal consolidation concerning for pneumonia, pleural effusion. there may be mild pulmonary vascular congestion. no pneumothorax is present. the heart is top normal in size and the intrathoracic aorta is tortuous, which is stable since the prior study. upper mid abdominal surgical clips are again noted. | <unk>-year-old female with weakness. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13663087/s52002435/16da1839-0b9731f1-98c62d46-8e1f54d5-e0d07cd1.jpg | median sternotomy new wires are intact. there is a prosthetic aortic valve. mild pulmonary vascular congestion has slightly improved since <unk>. trace bilateral pleural effusions are new. there is no pneumothorax. no new focal opacity concerning for pneumonia. | <unk>m with fever, cough, upper abd pain. |
MIMIC-CXR-JPG/2.0.0/files/p16217957/s50929174/9354a848-0b7e641b-1a0d4fc1-22f6569a-d01b976a.jpg | a large left pleural effusion has substantially increased in size compared to the previous radiograph. heart size is mildly enlarged. left basilar opacity likely reflects compressive atelectasis though infection cannot be excluded. patchy opacity in the right lung base also could reflect atelectasis. trivial right pleural effusion is present. no pulmonary edema or pneumothorax is visualized. multilevel degenerative changes are noted in the thoracic spine. | history: <unk>m with delirium |
MIMIC-CXR-JPG/2.0.0/files/p13383991/s52024807/11fb28d7-f8c073de-963d4ee6-3514084f-209ed30d.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation is identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality. | history: <unk>f with chills, weakness // pna? |
MIMIC-CXR-JPG/2.0.0/files/p17328340/s50499716/c31072c0-80440dce-e065a44b-5d5c9670-ffb357eb.jpg | lung volumes are somewhat low, accentuating the heart size, which is top-normal. a likely small left pleural effusion is seen best on the lateral view. no pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia. left upper posterior lateral rib deformity is unchanged. a posterior spinal fusion construct is again noted, unchanged. rounded opacity projecting over the heart shadow is necklace medallion, seen on the lateral view, external to the patient. | history: <unk>m with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11601011/s59603568/5690a5a2-bd5443b8-5d2eac8f-df3cffcf-cac0ba9d.jpg | relatively low lung volumes are noted. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. catheters project over the anterior subcutaneous soft tissues as well as the right upper quadrant for which clinical correlation is suggested. prior left picc is not clearly delineated. | <unk>m with n/v, dry heaves, severe flank pain // eval ? free air, pneumonediastinum |
MIMIC-CXR-JPG/2.0.0/files/p13482982/s53841960/89d6e0ed-24f9f91c-70017afd-528473be-1950e531.jpg | mild cardiomegaly is stable. the mediastinal and hilar contours are normal. central pulmonary vasculature congestion, retrocardiac opacity, and tiny left effusion are not significantly changed. no pneumothorax. lines and tubes: the ett tip is approximately <num> cm above the carina. a left ij venous line tip is in the upper svc. orogastric tube passes into the stomach and extends out of view. | <unk> year old man with decreased breath sounds on the left // please evaluate new infiltrate and ett position |
MIMIC-CXR-JPG/2.0.0/files/p18531743/s58123741/af3aa08b-c163cdd2-35896aa2-cbe6f2a9-be144674.jpg | there is no free intra-abdominal air. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is likely an epicardial fat pad. the patient is status post a midline sternotomy. | epigastric and right upper quadrant pain. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p15880158/s53801481/989d6327-9ce6f709-0e6624e2-0c4d0375-f5f425c6.jpg | lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old man with positive quantiferon gold, no symptoms of tb // any findings of tb? |
MIMIC-CXR-JPG/2.0.0/files/p17848811/s56214361/116c787f-3423c257-151f5943-ae7bd2ff-b7f0c496.jpg | the patient is status post median sternotomy. a left chest wall aicd device is demonstrated with leads terminating in the right atrium and right ventricle, as before. an abandoned lead is the identified over the right superior hemi thorax unchanged in position. the cardiac silhouette is mildly enlarged but stable in size from <unk>. the pulmonary vasculature is prominent however there is no evidence pulmonary edema. lung volumes are low. there is slightly increased opacity at the base of the left lung which may represent atelectasis or infection in the appropriate clinical setting. there is no pleural effusion or pneumothorax. | <unk>m w/chest pain // <unk>m w/chest pain |
MIMIC-CXR-JPG/2.0.0/files/p12992465/s57664539/1288ed46-d160a792-b64285bf-1c8e9a5a-5cb4f61e.jpg | pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is no free air below the right hemidiaphragm. | <unk>f with <num> day h/o dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p12006266/s51272147/f0e9abaf-6705d1c1-e94fd693-063ecc36-f1cf2394.jpg | an endotracheal tube terminates in the mid clavicular heads. an orogastric tube extends inferiorly off the film. bilateral pleural pigtail catheters are in unchanged positions. the lungs are moderately well expanded. right middle and lower lobe opaciities are unchanged. there is no pneumothorax or large effusion. new consolidation is present. the patient has a known mass in the inferior anterior mediastinum as seen on ct <unk>. | <unk>-year-old man with mantle cell lymphoma, bilateral pleural effusions and pigtail catheter is in place. |
MIMIC-CXR-JPG/2.0.0/files/p13091767/s59952909/eec74fd0-7808a6cd-509096c7-2e4f38c8-6d2ff070.jpg | the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | <unk>f with smoke inhalation <num> week ago, now much worse. assess for edema. |
MIMIC-CXR-JPG/2.0.0/files/p17770649/s53752212/7c9b5324-c91cbe54-55a72f9c-e182cf7b-6f4f7df5.jpg | a right pneumothorax is again seen and largely unchanged in size. again seen is atelectasis and pleural effusion at the right base, which appears largely unchanged but is difficult to compare due to differences in patient positioning. the cardiomediastinal silhouette and hilar contours are normal. | evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17293172/s57242765/87fc0b7b-717f0bc8-edfd7f6d-7656b1c1-95d42e1a.jpg | pa and lateral views of the chest <unk> at <time> are submitted. | <unk> year old man with recurrent pneumothorax now s/p r vats rul wedge resection and mechanical pleurodesis // evaluate for pneumothorax s/p chest tube removal evaluate for pneumothorax s/p chest tube removal |
MIMIC-CXR-JPG/2.0.0/files/p15188685/s58122636/41ae63aa-81ec8a61-aeff0f5f-006d1d3f-02a1da17.jpg | ap semiupright portable radiograph is compared to a study from <unk>. endotracheal tube, nasogastric tube and left subclavian catheter are in unchanged position. left greater than right basal atelectasis and trace left are unchanged. no pneumothorax or right pleural effusion is seen. heart is normal in size with normal cardiomediastinal contours. | <unk>-year-old man with bacterial meningitis, now intubated, assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12027392/s52537539/e8830258-3d4a07a6-57b5173a-c6e9d68d-7960e98b.jpg | pa and lateral views of the chest provided. clips are noted projecting over the left axilla. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14076054/s58971647/4cbcfad5-36020b78-06a2dee1-17f43c8c-878a336d.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | bilateral severe uveitis, evaluate for sarcoidosis or tb. |
MIMIC-CXR-JPG/2.0.0/files/p18494866/s58729495/cd49798d-c7c288ac-b5cf25d9-4cc0798f-1e263450.jpg | aside from right midlung linear atelectasis, the lungs are clear. there is no pneumothorax. the aorta is tortuous. the heart and mediastinum are magnified by the projection. the bones are osteopenic. | <unk> year old woman with pna // eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p15444862/s55312471/2eec08b5-c61f6d3a-0419cde7-9f1bfed3-405bb7db.jpg | one portable upright ap view of the chest. a left pleural tube is in place. subcutaneous emphysema on the left is decreased compared to prior study. small left apical pneumothorax. small left pleural effusion is unchanged. pneumomediastinum has decreased. no evidence of pneumonia. no pleural effusion on the right. cardiac, mediastinal, and hilar contours are normal. | metastatic ovarian cancer, status post left pleurodesis for pleural effusion, evaluate extent of pleural effusion. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14300822/s50896421/8d7dd0a5-96863ea1-25ff0675-5d2bb129-eb583ed5.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. | auto accident. |
MIMIC-CXR-JPG/2.0.0/files/p17176505/s54258518/51a64e32-c0938368-477ab13d-c1514907-ca31ac67.jpg | pa and lateral views of the chest provided. new left lung base opacity is concerning for aspiration or pneumonia. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal. a moderate hiatal hernia is stable. | <unk> year old man history of gerd, htn, hld, abdominal hernia repair, who presents with nausea, diarrhea and abdominal pain as well as getting a piece of chicken stuck in his throat. // assess for aspiration |
MIMIC-CXR-JPG/2.0.0/files/p12263113/s58375033/1a1543bf-9e0f73dc-211a9c9b-92200fb0-0ba29eec.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. previously noted lingular pneumonia appears resolved. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. chronic deformity of the left mid clavicle is compatible with a remote fracture. | history: <unk>f with cough with bodyaches. // concern for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16446532/s58237383/368cdafa-b1487f99-ac2562dd-f7e294cd-3d41cff4.jpg | there is a new large left pleural effusion from from <unk> with resolution of the mild pulmoanary edema. there is no pneumothorax or right pleural effusion. while there is prominence of the central vasculature, there is no overt evidence for pulmonary edema. the mediastinum retains a postoperative appearance. assessment of the cardiac silhouette is limited. a right internal jugular catheter terminates within the right atrium. sternotomy wires, mediastinal clips and a mitral valve prosthesis are unchanged. | status post cabg with increasing shortness of breath. evaluate effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15233042/s57291956/21095d37-5cc1e934-c9009f26-a57bdd17-0ee4e6ce.jpg | no definite focal infiltrate is identified. compared to the prior film, there is slight increase in the degree of vascular engorgement, consistent with mild superimposed chf. no frank consolidation or gross effusion. again seen is background copd and cardiomegaly, with sternotomy wires, including fractured sternotomy wires superiorly, similar to the prior study. the right ij central line is no longer visualized. partial image right humeral hardware noted. | <unk> year old woman with diarrhea but spiked a fever // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19604613/s54536778/140f0530-a611e673-1b4864fe-f65b84ec-9a261bfb.jpg | right pleural effusions is slightly smaller than on the prior exam. lungs are clear. there is no focal consolidation or pneumothorax. cardiomediastinal silhouette is unremarkable. median sternotomy wires are intact. osseous structures are unremarkable. | <unk>-year-old man with cough, postop cholecystectomy in early <unk>. evaluate persistent cough. |
MIMIC-CXR-JPG/2.0.0/files/p17696123/s54074355/bacf2da4-df39997a-633622c5-c02ddbcc-b0d7ba58.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. disk space narrowing at a level of the lower thoracic spine is stable. | cough, rigors. |
MIMIC-CXR-JPG/2.0.0/files/p13063188/s50193278/41bcc495-b456938b-282ea737-23f21b2b-675bdeea.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky scarring in the lingula is unchanged. the lungs appear otherwise clear. | congestive heart failure and bright red blood per rectum. |
MIMIC-CXR-JPG/2.0.0/files/p19344311/s54016317/9dcb93d1-3bd55dd1-169e6131-95ac1b08-2b4f0fd4.jpg | et tube has been repositioned with tip ending at <num> cm from carina bifurcation. it can be pulled back by <num>-<num> cm. the ng tube has been pulled back with tip ending at the esophagogastric junction. it can be pushed down by <num>-<num> cm. right ij catheter is unchanged with tip ending in upper svc. there is minimal interval change of lung opacification with mild increased of right upper lobe atelectasis, and left lung opacification for increased pulmonary edema. heart size is not fully assessable because it is covered by pulmonary edema and bilateral pleural effusion. there is no pneumothorax. | assessment of et tube. |
MIMIC-CXR-JPG/2.0.0/files/p11778436/s54968585/94c695f2-85f8b13b-d561182b-685fa0de-a4641e70.jpg | in comparison to the most recent radiograph performed earlier on the same date, the right sided pneumothorax appears minimally enlarged. no pneumothorax on the left. there is severe upper lobe predominant emphysema. bibasilar interstitial abnormalities are overall similar in appearance. remainder of the lungs are otherwise free of consolidation. heart size is normal. | <unk> year old man with pneumothorax, s/p pneumostat // evaluate for ptx, acute change; please perform at <unk>, thank you! |
MIMIC-CXR-JPG/2.0.0/files/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg | the right central line tip sits in the mid svc. the cardiomediastinal contours are unchanged. the lungs continue to demonstrate mild bibasilar atelectasis. the previously described left pleural effusion has decreased. there is no pneumothorax. | <unk>-year-old male status post thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p17381425/s53382746/66b314b5-0c4891c0-73cc08ec-b70de335-dfc413d1.jpg | tracheostomy tube is still in place the left subclavian central line is in standard position an unchanged. the pleural fluid on the left lung is increased with opacification of the entire left lung. heart size is slightly increased, with increased vascular congestion on the left side. | <unk>-year-old male with consolidation and atelectasis or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p16085209/s58104053/e8f292d3-021fdc30-f7caf60a-800facb3-8a1774eb.jpg | there are low lung volumes, with bibasilar atelectasis. the post-operative mediastinum appears widened with loss of normal mediastinal landmarks. a chest tube is in place. there is no pneumothorax. right-sided thoracotomy changes are present. | <unk>-year-old male with myasthenia <unk>, status post thymectomy, evaluate position of ett. |
MIMIC-CXR-JPG/2.0.0/files/p13833101/s59894093/1a286e59-906747b0-6c6765b8-de307315-1a10a738.jpg | there is been interval placement of a left internal jugular central venous catheter which terminates in the expected location of the left brachycephalic vein. no pneumothorax. mediastinal contour is flatter than on previous examination the cardiac silhouette is unchanged. no pleural effusions. | <unk>f with post cvl placement // line placement |
MIMIC-CXR-JPG/2.0.0/files/p12064623/s57409080/d0db8c09-43368309-e9735f5e-4885b284-9d6d6f9c.jpg | patient is status post median sternotomy and mitral valve replacement. left-sided aicd/pacer device is noted with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is slightly increased in size compared to the previous study. atherosclerotic calcifications are diffusely noted throughout the thoracic aorta. ill-defined nodular and hazy opacities are seen throughout the right lung, and likely involving the left mid lung field, which may reflect multifocal pneumonia with asymmetric pulmonary edema a differential consideration. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | history: <unk>f with shortness of breath, cough, wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p14381700/s59200874/1f49293d-99daff3e-ca4d6a90-71aadf49-337a3032.jpg | portable ap upright chest radiograph <unk> at <time> is submitted. | <unk> year old woman with sob and hypoxia intermittently // ? fluid ? fluid |
MIMIC-CXR-JPG/2.0.0/files/p10751369/s50286379/8efd8686-89fbc176-5697facd-88f1971b-0638eb0f.jpg | cardiac silhouette size is top normal. aorta is tortuous and demonstrates mild atherosclerotic calcifications diffusely. hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with right shoulder pain, chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18806186/s54552717/f94dbe00-6a2a4944-c1dd5053-ea71b764-f4c5ebb5.jpg | the heart size within normal limits. the mediastinal contours are not widened and demonstrate a mildly tortuous aorta. the lungs are clear of consolidation. there is no pleural effusion or pneumothorax. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17352429/s51937026/aa1c24ee-a847cc60-7e891773-1bc48b98-5ffcac4a.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 tightness and history of pneumothorax // chest tightness |
MIMIC-CXR-JPG/2.0.0/files/p10144569/s56547879/45b78fe3-a0f113e0-7f08dbbe-d5cacc8d-51b01e31.jpg | compared to the study from the prior day there is improved aeration with postsurgical changes seen on the right. there is no pneumothorax. there is a small left effusion. | right vats wedge check pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19003314/s54972508/876676b2-08b9406f-cd954e51-6f160194-e63665df.jpg | frontal and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable. | <unk>-year-old male with fall from <unk> feet. |
MIMIC-CXR-JPG/2.0.0/files/p14761733/s56495647/8e318ea2-8d001d5c-3785f216-491160e8-b35a80f0.jpg | evaluation is somewhat limited due to low lung volumes. however, there are bibasilar opacities, likely representing a combination of atelectasis and pleural effusions. additionally, there are bilateral interstitial opacities raising suspicions for mild pulmonary edema. the visualized portions of the upper cardiomediastinal silhouettes are normal. lower cardiomediastinal silhouette is severely limited on evaluation. there is a lucent focus adjacent to the lower right heart border which may be suggestive of a herniated loop of bowel. severe kyphosis of the thoracic spine is noted. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16108710/s56741676/fe6d7794-256bc23c-dcff01e0-283fe45b-3318ad83.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the left posterior costophrenic sulcus is partly excluded making it difficult to exclude a pleural effusion. there is probably a trace pleural effusion, however, detectable on the left side. a small round hyperdense focus in the right mid lung is most consistent with a nipple shadow, or perhaps less likely a possibly calcified pulmonary nodule. otherwise the lung fields appear clear. | chest pain. recent st elevation myocardial infarction. |
MIMIC-CXR-JPG/2.0.0/files/p16477871/s55032465/459d798c-456ee124-e93b5d4b-4fdbc890-6c0cc745.jpg | pa and lateral views of the chest. sternotomy wires are intact. there is a <num> cm round opacity in the left upper lobe, also a <num> cm round opacity in the right lower lung field. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. there is scarring at the right lung base. mild cardiomegaly. otherwise, mediastinal and hilar contours are normal. | week of cough. hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p11902760/s50495086/d380bacb-543b3fcd-56a90480-1370d8f2-e5190a43.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. specifically no displaced rib fracture is seen. no free air below the right hemidiaphragm is seen. | <unk>f with s/p fall // evaluate for fracture, eval for r lower rib fracture / coccyx fracture |
MIMIC-CXR-JPG/2.0.0/files/p16056788/s56081404/f86680b6-ffa565ec-0ebf5736-60147900-c329df42.jpg | lung volumes are somewhat low. there is no focal consolidation, pleural effusion or pneumothorax. an apparent opacity at the left lung base silhouetting the left heart border is seen only on the frontal view, and may represent prominent pericardial fat. heart size is normal. no acute osseous abnormalities identified. | <unk>-year-old male with no significant past medical history presents for evaluation of epigastric abdominal seen. |
MIMIC-CXR-JPG/2.0.0/files/p16855598/s59953845/4a0b782a-79bf67e6-ee60b73c-af82255c-e8c7c200.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 chest pain with back pain. pain radiated to right arm. |
MIMIC-CXR-JPG/2.0.0/files/p12025546/s50358001/e6e65a3d-3f12c9fa-fa7c0ecd-134adcee-51a8d23b.jpg | left picc tip terminates in the lower svc. the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present. | picc, chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13335223/s57911302/b2ed7529-568134f7-5327275f-c83b91bd-a411f137.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 weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13614046/s56325862/985f9d37-f539cf34-d8a8438a-3fd65033-b6c55e1d.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with cough, wheeze // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg | the lungs are hyperinflated and diaphragms are flattened. an ill-defined opacity in the right upper lobe is persists compared to <unk>, and has changed configuration slightly. an <num> mm right lower lobe pulmonary nodule is stable. a small right effusion or pleural thickening is unchanged. there is no pneumothorax. cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through. | productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p13429359/s50436658/f4c6ec14-024803b9-3a661dab-274bf2d6-141ac00b.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. no definite rib fractures identified. included upper abdomen is unremarkable. | <unk>f with hx of dvt and mult falls, and hip surg, now with fall and head trauma, evaluate for rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p14056375/s51850354/d02d5277-f1fadedc-943d393f-9eeaca4a-e70e4d14.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with pain, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p10517939/s51043579/30cd1e9a-7f459adc-408d3087-d4f99a65-1736fa21.jpg | frontal upright and lateral chest radiographs demonstrate well-expanded lungs. cardiomediastinal silhouette is unremarkable. lungs show mild basilar atelectasis without focal consolidation. sternotomy wires and aortic valve replacement are noted. no pleural effusion and no pneumothorax. | fever, evaluate for pneumonia or fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p18926447/s57603037/2c6df363-6ad319a2-17ed732b-c559bf60-f00f65a1.jpg | there is a heterogeneous opacity in the lower lung seen best on the lateral view. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with dyspnea, hypoxia, cough, and leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p11593650/s52091927/dc8c0df2-7bd9e13e-53bd56a5-4e3ba0c0-31cf0f48.jpg | the lungs are somewhat hyperinflated but clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with intermittent right upper quadrant abdominal pain, abnormal lfts and normal right upper quadrant ultrasound. |
MIMIC-CXR-JPG/2.0.0/files/p13965747/s59716669/3a87b2e3-39719b8a-8e4b25bc-341e20b2-16b8f927.jpg | single frontal portable chest radiograph demonstrates fully expanded and clear lungs. pleural surfaces are normal without evidence of pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable without free intraperitoneal air. | new atrial fibrillation. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16081970/s55226940/7401802a-0ee00266-46648d25-3d9b00bd-a4f1381f.jpg | pa and lateral views of the chest provided. volumes are low limiting assessment. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. evaluation for sternal fracture is limited. no free air below the right hemidiaphragm is seen. | <unk>m with chest pain over sternum after car accident |
MIMIC-CXR-JPG/2.0.0/files/p18362456/s50302550/8ea97502-d07bde02-007796dc-b3eea935-a4dd8a3e.jpg | heart is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is mild pulmonary vascular congestion with trace interstitial edema. lungs are otherwise clear without focal consolidation. there is no pleural effusion or pneumothorax. | dka. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17328272/s56859521/94054150-37bec41a-2d3d7445-539f3af6-92b4e305.jpg | ap and lateral views of the chest. the lungs are clear of consolidation. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is tortuous. no acute osseous abnormalities detected. | <unk>-year-old female with presyncope. |
MIMIC-CXR-JPG/2.0.0/files/p12987063/s54172653/d0e59f8e-13e69c4e-177817ca-ffe1a39f-6b37d246.jpg | the lungs are well-expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. | <unk> m with sore throat and cough and fever // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p11560612/s55452191/287f1f8e-6c14356b-4c7c4467-197c83da-789d47e4.jpg | right pectoral infusion port terminates in low svc. lung volume is low. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | <unk>m w/history of lymphoma p/w lightheadedness and blurry vision, please assess patient for intracranial involvement of lymphoma // |
MIMIC-CXR-JPG/2.0.0/files/p16481189/s56483370/69b4921a-7d9e7d1e-aa25c7eb-666b8d56-5fa09086.jpg | moderate cardiomegaly is present. pacemaker with electrodes in expected positions in the right atrium and right ventricle. atherosclerotic calcifications are noted in the aortic knob. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. low lung volumes. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities with mild to moderate degenerative changes of the visualized thoracic spine noted. | history: <unk>f with chest pressure and left arm heaviness |
MIMIC-CXR-JPG/2.0.0/files/p12248064/s51512613/23d84dc6-6dbad1aa-d920069f-8f83913f-cfb72271.jpg | there is mild cardiomegaly. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of cough, fever x several days. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12108393/s50581026/80cca56a-3659a8e2-ceed1cd8-dbcbd286-cf91eda5.jpg | normal cardiomediastinal contours. interval improvement in bilateral perihilar airspace opacities with air bronchograms, particularly on the left, suggests improving noncardiogenic pulmonary edema. peripheral, right upper lobe consolidation appears slightly worse, concerning for superimposed aspiration. there is no pneumothorax or pleural effusion. | <unk>-year-old man with a heroin overdose. |
MIMIC-CXR-JPG/2.0.0/files/p17813103/s50917261/bb75ebfc-90e990b6-a92159f3-12916a6e-bd387bf4.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are again seen within the thoracic spine. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17096606/s56417780/24150da8-4e4a47fa-3e2ad061-234b1a78-a9fe588f.jpg | 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 six and a half hours earlier during the same day. status post sternotomy, marked cardiac enlargement and aortic valve replacement (metallic structures of porcine valve) unchanged. pulmonary congestive pattern encountered earlier during the day has regressed slightly. patient remains intubated, the ett in unchanged position. previously suspected small left apical pneumothorax cannot be identified with certainty now on portable film and a special high contrast copy. no new pulmonary abnormalities are seen. | <unk>-year-old female patient, intubated, follow up tiny left apical pneumothorax. evaluate for interval change of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18369403/s55165775/db6d3dd3-e3b5096f-0800ddc4-b06a2383-55faab96.jpg | pa and lateral chest radiographs were provided. large opacity in the right upper lobe is somewhat masslike and may represent infection, however neoplasm is also possible. a nodule is present superior to the large opacity. patchy lower lobe opacities are also noted, possibly infectious in nature. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | history of productive cough. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18068560/s55371913/4502ef96-322242aa-32f2ec78-b937ead3-26a73e87.jpg | et tube is seen approximately <num> cm from the carina. enteric tube passes below the inferior field of view. there is complete opacification of the left hemi thorax with associated volume loss suggesting component of atelectasis. the right lung is clear. cardiac silhouette cannot be assessed. no acute osseous abnormalities. | <unk>m with ett, ?hemoptysis and pls eval placement and hemothrorax and cta chest for acute vessel bleed and pe |
MIMIC-CXR-JPG/2.0.0/files/p16880551/s54992279/1879c284-52654a41-b637adba-686d9a77-b56342d6.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f on chemo for breast ca with fever // any pna |
MIMIC-CXR-JPG/2.0.0/files/p17044995/s56502603/45a7cb7e-f909417f-a209e9a8-c828ef54-e111432f.jpg | posterior opacity projective over the spine on the lateral view could be due to rotation of the patient. recommend repeat lateral radiograph with proper technique for further evaluation. there is no pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk>-year-old female with leukocytosis, acidosis |
MIMIC-CXR-JPG/2.0.0/files/p12494432/s52977923/caf72bf2-bb0714e9-760922b6-c16ba60f-ab97e439.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. the patient's inspiration motion has improved in comparison with the previous study, and the supradiaphragmatic related pneumothorax cavity is filling in fluid and scar formations. linear parenchymal density just above the elevated diaphragmatic contour suggests remaining plate atelectasis, but there is no evidence of new pulmonary parenchymal infiltrates. this includes also the linear densities on the left lung base, also suggesting peripheral plate atelectasis or scar formations. no evidence of new parenchymal infiltrates and pneumothorax in the apical area can be excluded. | <unk>-year-old female patient with right-sided vats decortication, check interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19928285/s50211363/a27c219a-895984d7-eb6a4b68-f0e1a526-71c9bbe1.jpg | there is mild bibasilar atelectasis; otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. no free air is noted under the hemidiaphragms. a tube is visualized overlying the sternum in the lateral projection, is likely external to the patient, but clinical correlation is recommended. nodular opacity over left lung base is likely nipple as this area of lung is clear on ct performed the same day. calcific densities are again noted in the region of the pancreatic tail and consistent with patient's history of chronic pancreatitis. | evaluation of patient status post liver biopsy with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19318312/s51289658/7923a076-8f6cf88e-beaf7d59-9a41bacf-dd823ea8.jpg | since the prior exam, the left picc line has been retracted, but still terminates in the svc. the endotracheal and enteric tubes remain in appropriate position. there is no pneumothorax. the lungs are clear. the heart is normal size. there is new slight thickening of the left paratracheal stripe at the level of mild lower thoracic spine angular kyphosis where a mild t<num> compression fracture was identified on recent ct scan. | <unk>-year-old female with left picc line placement. |
MIMIC-CXR-JPG/2.0.0/files/p19815165/s52831101/2518f897-dff38a3f-1ff372f5-d7b28aab-6310f55f.jpg | heart size is normal. the aorta is mildly tortuous, unchanged. mediastinal and hilar contours are similar. multiple clips are noted within the right neck compatible with prior right thyroidectomy. lungs are clear. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>f with chest pain and dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p18307935/s51516479/568d7e93-e81612bf-715e16de-bafccb67-9823670f.jpg | a right-sided picc line terminates in the uppermost atrium. a pacer device appears unchanged. the cardiac, mediastinal and hilar contours are stable. there is similar slight relative elevation of the left hemidiaphragm compared to the right. the lungs are clear. there are no pleural effusions or pneumothorax. surgical clips again project over the right upper quadrant. the bony structures appear within normal limits. | chest pain and pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11068569/s56922961/6d79f644-2a11cc65-192fba14-e3fa813f-627d0a20.jpg | heart size is mild to moderately enlarged with a left ventricular predominance. the mediastinal contours are unchanged. there is mild pulmonary vascular congestion, accentuated by the presence of low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax present. streaky atelectasis is noted in the lung bases. no acute osseous abnormality is detected. | <unk> year old woman with history of asthma with new o<num> requirement |
MIMIC-CXR-JPG/2.0.0/files/p11996766/s51223751/789a4b16-b8bce860-7cf3131f-cf97eceb-c89b3543.jpg | no acute focal consolidation, nodules, pulmonary edema, or pleural effusion is noted. the cardiac silhouette and mediastinal contours are normal. | <unk>-year-old woman with unintentional weight loss, cough and history of smoking. |
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