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MIMIC-CXR-JPG/2.0.0/files/p14953390/s57014891/739980dd-3d9c4220-dcd4509f-148c8277-4a71b51d.jpg | sternotomy. cardiac pacemaker. central line tip near cavoatrial junction. there is small right pleural effusion, which is mildly increased. right basilar consolidation,, likely from atelectasis, similar. increased heart size. mildly prominent pulmonary vascularity, similar. there is minimal left basilar atelectasis, more prominent. | <unk> year old man with r lobar collapse // eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p12609609/s53830939/04baaf6f-972e9c02-bec3d527-9f9768c0-f525b9d0.jpg | the cardiac, mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11307703/s53048251/6fce8087-98a34631-ab2fdf24-67a98269-252e9608.jpg | linear opacities at the lung bases are likely due to atelectasis. the lungs are otherwise clear without consolidation worrisome for pneumonia. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14526991/s51699633/ff15f1dc-8a01f427-f53c27a4-6c77efa2-5d4bfb0e.jpg | single portable view of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with syncope and desaturation. |
MIMIC-CXR-JPG/2.0.0/files/p13199702/s50105447/a074a3b7-747bb9cb-51ad6c6c-abf7f684-819171cd.jpg | there is a right chest tube in place. there is no apical pneumothorax however, difficult to evaluate the bases due to known bullous disease. subcutaneous emphysema is seen in the right lateral chest wall. linear opacities at the left base are most likely atelectasis. there is no focal consolidation or pleural effusion. the cardiomediastinal silhouette is stable. | <unk>-year-old man with bullous disease status post right vats and bullectomy and pleurodesis, right chest tube in place, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15876666/s58453483/d4e8a9df-2b54a0b2-5fc42b93-800f2265-54eea5a3.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with chest pain and dyspnea. cough. |
MIMIC-CXR-JPG/2.0.0/files/p17890530/s51910043/b008cf2c-67622b5d-23b6111a-ef675c47-2f63f379.jpg | pa and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. moderate cardiomegaly is unchanged. hilar and mediastinal silhouettes are stable. aortic arch calcifications are noted. descending aorta appears tortuous. there is perihilar vascular congestion. interstitial pulmonary edema seen on prior exam has improved. partially imaged upper abdomen is unremarkable. | patient with cough and green sputum. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10578633/s50241253/bae31ace-6955b383-03132d04-904fef97-68e5cbf0.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. laparoscopic band is noted in appropriate position in the left upper quadrant. | <unk>f with lap band // ? fracture band |
MIMIC-CXR-JPG/2.0.0/files/p18713656/s55297094/7e1427ca-eb8ff391-85fc1992-4b839acf-de39a746.jpg | dual lead left-sided pacemaker is again seen with leads extending the expected positions of the right atrium and right ventricle. the cardiac and mediastinal silhouettes are stable. areas of linear atelectasis are seen in the bibasilar regions. no pleural effusion or pneumothorax is seen. no definite focal consolidation is seen. | history: <unk>f with sob // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p19054786/s52557023/468218c9-45d472e3-6319cf8f-33f4c350-82e2127f.jpg | cardiac silhouette is prominent, but not frankly enlarged and use overall similar to the prior study. again seen is slight unfolding of the aorta, unchanged compared with <unk>. a prominent focus of platelike atelectasis is seen over the right lung base, also similar to the prior study. possible minimal atelectasis at the left lung base. no frank consolidation is identified. no chf. the lateral view suggests a normal variant pectus carinatum configuration, unchanged. | history: <unk>f with arf, fluid retention, c/f pulm edema // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19068326/s57190601/3e3eb11b-702853dc-89f24bb7-6b28df75-d6f6546c.jpg | the bilateral lower lobe opacification has slightly improved. otherwise there is no consolidation. the hila and pulmonary vasculatures are normal. the bilateral pleural effusion has improved. no pneumothorax. the cardiomegaly is unchanged. the mediastinum is normal. no fractures. | decreased breath sounds // decr. breath sounds bilaterally |
MIMIC-CXR-JPG/2.0.0/files/p10598628/s50503480/34e3ae90-6cdadde9-11f4455d-e2476a05-a839d9e0.jpg | the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of pulmonary vascular congestion. | history of melanoma, please evaluate disease status. |
MIMIC-CXR-JPG/2.0.0/files/p12717170/s55553352/987919bd-fa4f9018-240fdc95-ac289ee4-e135d485.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the streaky opacities seen involving the left lower lobe, most consistent with atelectasis. no pleural effusion or pneumothorax is seen. | <unk> year old woman with left lower lobe pneumonia <unk> // ? resolution |
MIMIC-CXR-JPG/2.0.0/files/p16977075/s52588218/826a5a86-3a64b801-4c245b03-73d934d7-95c18231.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a bb marks the site of maximal pain along the left lower chest wall. no definite fracture is seen. no free air below the right hemidiaphragm. | <unk>f with intermittent left cp |
MIMIC-CXR-JPG/2.0.0/files/p15112603/s56228640/301e7483-9b092dad-5acfc9e7-e88a71b2-126aa494.jpg | there are low lung volumes, which accentuate the bronchovascular markings. there is subtle left basilar retrocardiac opacity, which most likely relates to atelectasis. if patient able, dedicated pa and lateral views would be helpful further assessment. no large pleural effusion is seen, however, there is slight blunting of the left costophrenic angle and trace pleural effusion may be present. no evidence of pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal, likely exaggerated by ap technique. | history: <unk>f with dyspnea // eval for pneumonia, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14045846/s55866875/b08494ff-bb9258b8-06216801-fede1ad0-2a1b6d4c.jpg | there is no significant change in the et tube or right ij line. there is increase right lower lobe volume loss. . there continues to be dense retrocardiac opacity compatible with volume loss/ effusion/infiltrate. there small bilateral effusions there is mild pulmonary vascular redistribution mild cardiac | <unk> year old man with ?ards, atalectasis // assess lungs |
MIMIC-CXR-JPG/2.0.0/files/p14602471/s54782540/df86e5a7-60f740ea-62a252ed-f0dbce59-e0d814cf.jpg | a right chest tube is in unchanged position. right mid and lower lung parenchymal opacity appears increased and is concerning for hemorrhage or aspiration. no pneumothorax. the cardiac and mediastinal contours are stable. | <unk> year old man with ct. assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14841168/s51322686/4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68.jpg | the study is somewhat limited secondary to positioning. the patient is markedly rotated. again seen is a large-bore dual-lumen catheter from a left subclavian approach. elevation of the right hemidiaphragm is again evident and slightly exaggerated. there is engorgement of the vascular pedicle and cephalization of the pulmonary vascularity, which is likely at least in part due to the supine positioning. linear atelectasis is seen in the retrocardiac left lower lobe. no focal consolidation is seen. the mediastinum again demonstrates a tortuous aorta exaggerated by the rotation. likewise, the cardiac silhouette is stable, but exaggerated. no large effusion is noted. blunting of the right costophrenic angle is relatively stable. there is no pneumothorax. | hypotension and acidosis. |
MIMIC-CXR-JPG/2.0.0/files/p17551146/s55590979/b288dd1d-77a0608c-516029a6-ca7b560e-b84ae6cb.jpg | pa and lateral views of the chest provided. lung volumes are low. there is elevation of the right hemidiaphragm. mild hilar congestion without frank pulmonary edema noted. there is splaying of the carina which likely reflects left atrial enlargement. no large effusion or pneumothorax. no convincing evidence for pneumonia. left humeral head replacement noted. no acute bony abnormalities. | <unk>f with crackles, chf |
MIMIC-CXR-JPG/2.0.0/files/p12338020/s55354351/474c5497-e7b49b2a-d0324aeb-ad18e482-209e35f4.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. metallic bars noted projecting over the nipples bilaterally. | <unk>f with chest pain // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p18093846/s51351481/a24cd1e9-a846cacd-068317f2-750a6ed2-b5cb4d71.jpg | the heart size is normal. there appears to be effacement of the right mediastinal border, which could be from a tortuous aorta or anterior mediastinal mass. posteriorly in the retrocardiac region, note is made of a small <num>-mm nodule. there is no pneumothorax. no pleural effusions are identified. visualized osseous structures are unremarkable. | history of reproducible chest pain over the left fourth/fifth ribs. please evaluate for rib lesion. |
MIMIC-CXR-JPG/2.0.0/files/p14020020/s55883340/8cd1a26b-8449137a-7b2f5dc4-38c53305-cac95859.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. surgical clips noted in the right upper quadrant. | <unk>f with leg swelling // edema? |
MIMIC-CXR-JPG/2.0.0/files/p10916461/s59806730/d9622e06-801fac1c-71f58f58-5948648b-d45b9e7a.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. linear opacities in the left lung base most likely represent atelectasis. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. | preoperative exam for ankle fracture. |
MIMIC-CXR-JPG/2.0.0/files/p17492278/s57446335/cab552b6-c0ca4e05-9a0a3724-87b0a82e-69814f91.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. previously identified small left basilar pleural effusion has resolved. there is no pneumothorax. biapical scarring is identified. increased interstitial markings are most suggestive of chronic lung disease. there is no consolidation. postoperative changes of left lower lobectomy again seen. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with cough and copd exacerbation. status post left lower lobectomy. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17400716/s54197432/4afe6318-33e95c97-04989c67-5461cef7-6f4d9af9.jpg | when compared to previous exam, there has been no significant interval change. increased interstitial markings again seen suggesting pulmonary edema there is no large effusion. the cardiac silhouette is enlarged but stable. atherosclerotic calcifications again seen in the thoracic aorta. no acute osseous abnormalities identified. | <unk>f with pmhx of chf, presenting with dyspnea, low grade fever // please evaluate for pneumonia, edema |
MIMIC-CXR-JPG/2.0.0/files/p12579469/s51631424/81bbabc0-5dfb4d80-8f2070bc-479446bd-ae74c713.jpg | single portable upright chest radiograph was obtained. there is no significant change in the moderate right and small left pleural effusions. pulmonary edema has improved, particularly at the right base. there are no new abnormal mediastinal or hilar contours. endotracheal tube and enteric catheter remain in satisfactory positions. a pigtail catheter projects over the right mid abdomen. | <unk>-year-old man with pulmonary edema, intubated, now status post <num> liter fluid removal with dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p18056761/s59505524/a3904589-2e5c2489-6d63cf79-4945f984-815ce63d.jpg | there are streaky densities at bilateral bases without evidence of focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with severe persistent asthma with acute exacerbation // any infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13478097/s51015475/ef51d20a-755bc4b7-9b2651bf-7332449e-43de55bd.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 |
MIMIC-CXR-JPG/2.0.0/files/p13385073/s52030541/97c36ba1-52e7fba9-d4ce5f7a-28fa510e-4b93dcc3.jpg | again, there is a small left apical pneumothorax, which allowing for slight differences in positioning, is not substantially changed. a left pleural pigtail drainage catheter is in place. scarring, sutures, and atelectasis in the left upper lobe are stable. the lungs are otherwise clear. there is no right pneumothorax. there is no pleural effusion. the cardiomediastinal silhouette is normal. | status post pneumothorax and pleurodesis, now with a clamped chest tube. evaluate for change. |
MIMIC-CXR-JPG/2.0.0/files/p14376085/s52827580/c05d8a90-1f901864-f6f6c5a5-fe1fbd1b-4428b3ae.jpg | there is mild pulmonary vascular congestion without overt edema. there is no focal consolidation or large effusion. there is moderate cardiac enlargement and a coronary artery stent identified. atherosclerotic calcifications are noted in the thoracic aorta. degenerative changes are noted at the left shoulder. | <unk>m with chest crackles on exam, chest pain. // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg | post-treatment asymmetric appearance of the right hemithorax is unchanged with upper right rib resection and volume loss with rightward mediastinal shift and right hemidiaphragm elevation. suture chains project over the right hemithorax. the opacification at the right lung has decreased from <unk>. the left lung is clear. no pleural effusion or pneumothorax is present. the cardiac silhouette is normal in size. the thoracic aorta is slightly unfolded. degenerative changes are again seen in the thoracic spine. | <unk>-year-old female with history of copd, now with increasing dyspnea, here to evaluate for pneumonia or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15437151/s58534713/fda9a71a-a67fe587-00190dd1-540fbd52-41b93feb.jpg | the lungs are clear without consolidations or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | tachycardia, palpitations, and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19255812/s54109373/15c318f2-03be266f-fc74d271-4cef8882-88b57e84.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is persistent enlargement of the cardiac silhouette. no pulmonary edema is seen. | history: <unk>f with chest pain, shortness of breath // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14196702/s54808424/11636102-0a1fc390-99043cbd-1501d91b-0d0907cf.jpg | there is a hazy rounded opacity in the left upper lung zone which is new from the prior chest x-ray and most consistent with pneumonia. the right lung is clear. there is no evidence of edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | tachycardia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15359646/s59689757/2909a0e4-0ea99555-819baafc-faa9a741-9cd5660d.jpg | portable upright chest film <unk> at <time> is submitted. | <unk> year old woman with sob fevers // r/o pneumonia r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10686970/s56313574/a7e865a7-22cdf64e-d5112513-9ad8aa9e-6be4817d.jpg | compared with recent radiographs from <unk>, there has been progressive worsening of the ill-defined opacity in the right lower lung, without obscuration of the right heart border. bilateral diffuse interstitial opacities are unchanged from <unk>, but new from <unk>, suggesting a background of diffuse interstitial edema. a small right-sided pleural effusion is not significantly changed from prior. there is mild pleural thickening seen in the periphery of the right lung base. there is no left-sided pleural effusion. no pneumothorax is identified. streaky opacities in the left lung base are compatible with atelectasis. even though an ap view is not ideal for assessment of heart size, there appears to be moderate cardiomegaly. | <unk>-year-old male with fever and wheezing. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14916430/s56291608/0e10e3d9-646a4087-d0814f48-736ac9f4-e08e9bd1.jpg | there is a right-sided ij which terminates in the right atrium. there is an enteric catheter which appears to extend below the diaphragm with the tip not well visualized on this exam. there appears to be slight interval worsening of the bilateral mild pulmonary vascular engorgement. there is slight worsening of the bibasilar atelectasis. again seen are stable mild bilateral pleural effusions. there is severe cardiomegaly overall stable compared to the exams dated back to <unk>. there is no pneumothorax. | history of cirrhosis complicated by hepatic encephalopathy. patient appears to be having increased oxygen requirement. please evaluate for an acute pulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p11154185/s59610832/2e8760e7-ed389333-35157b89-ea6b0633-9ea02f61.jpg | pa and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. osseous structures are without an acute abnormality. | <unk>-year-old female with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p10848515/s52022524/c55d036f-21f4e86e-40aaf0f7-47e7f088-9e418926.jpg | frontal and lateral views of the chest. a left pacer has leads ending in the right atrium, right ventricle and interventricular vein. there are small bilateral pleural effusions. interstitial irregularity in the periphery of the right lung likely represents scarring. there is no focal consolidation, pulmonary edema, or pneumothorax. there is moderate cardiomegaly. | cardiac pacer upgrade. evaluate lead position. |
MIMIC-CXR-JPG/2.0.0/files/p10982917/s59113799/ca65c944-1db04853-979bba4f-082a0992-54e870df.jpg | right internal jugular central venous catheter tip terminates in the mid svc. no pneumothorax. heart size is normal. mediastinal contour is unremarkable. there is been interval development of perihilar haziness and vascular indistinctness compatible with mild interstitial pulmonary edema. no focal consolidation or large pleural effusion is identified. no acute osseous abnormalities seen. | <unk>m status post right ij placement, please eval placement |
MIMIC-CXR-JPG/2.0.0/files/p10954764/s58920185/c37b4be8-4c70f357-0839bd45-9e867e3d-76bfbbde.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with duodenal perf, s/p dialysis // fluid status evaluation |
MIMIC-CXR-JPG/2.0.0/files/p15035876/s52236773/1cc928e8-733bb330-3e38fe2c-f1bfcdc9-d0bc58ce.jpg | a right-sided port-a-cath tip terminates in the lower svc. heart size is normal. mediastinal and hilar contours are unchanged, with mild calcification of the thoracic aorta again noted. mildly increased interstitial markings are noted diffusely, which could reflect mild pulmonary vascular engorgement. known bilateral pulmonary nodules are better demonstrated on the prior chest cta. streaky bibasilar atelectasis is noted. there is no pleural effusion or pneumothorax. no acute osseous abnormalities seen. | worsening dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11240116/s59173576/fd157d33-f3f0da53-57e99bb6-185c2186-83c685b8.jpg | extremely low lung volumes could account for opacification of the lung bases, greater on the right, due to atelectasis as well as mild engorgement of pulmonary vasculature. a small right pleural effusion cannot be excluded. no pneumothorax is detected, however there is a crescent of lucency in the left diaphragmatic region that i discussed with dr <unk> <unk> said pneumoperitoneum is excluded clinically . the cardiomediastinal and hilar contours are within normal limits. the trachea is midline. partially imaged spinal fusion hardware is noted at the thoracolumbar junction. | hypoxia and altered mental status, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13553079/s51758787/4dede3af-c8accdd8-3564f385-e2d7f0a6-29a3fbf1.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. linear opacity in the left mid lung likely represents a small focus of atelectasis. heart and mediastinal contours are stable. left upper quadrant clips are noted. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13479420/s52455390/41c4dbf1-f4249439-a20d0410-3ea668b7-3ad7bc42.jpg | this is a rotated film. . . cardiac silhouette projects other mainly the right hemi thorax however this is felt to be projectional. endotracheal tube and ng tube are in similar locations. there is a hazy left lower lobe infiltrate which is slightly increased compared to the study from earlier the same day | <unk> year old woman with polytrauma intubated, dec chest compliance // compare with <unk> am cxr |
MIMIC-CXR-JPG/2.0.0/files/p12358979/s50026633/5dd65c76-20627d9c-925090f2-01909c1c-1eb1533d.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15067625/s50845137/a190f11a-0c6dc652-e16d940c-1320e4fa-1251292e.jpg | normal heart, lungs, pleura and mediastinal surfaces. | <unk>-year-old woman with difficulty swallowing. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14638724/s52453177/8ce77a2c-32ec20f7-b87edb8c-37262d21-ae61fd69.jpg | portable single frontal chest radiograph was obtained. the tip of the et tube terminates <num> cm above the carina. the ng tube terminates in the body of the stomach with the side hole near the gastroesophageal junction. a left subclavian line terminates in the lower svc. lung volumes have decreased with bibasilar opacities. a small left pleural effusion is present. the heart size is normal. mediastinal and hilar contours are stable. there is no pneumothorax. | patient intubated with fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17910122/s58294966/c0b8a6ed-5f651cc8-b658ac70-6d5a3611-eb396e31.jpg | there is an ill-defined hazy opacity at the left base, which is not visualized on the lateral. there is also a streaky linear opacity with an associated round opacity at the right base. no dense airspace consolidation is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | uri symptoms and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11992576/s51669864/1391c0bd-240fe71d-c93215a3-53b5c20d-352d4969.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old man with cough |
MIMIC-CXR-JPG/2.0.0/files/p17452296/s57730255/0c20598a-d362eb18-fde549a8-94032054-894c6cb9.jpg | dual lead left-sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. evidence of a large hiatal hernia is redemonstrated. degenerative changes are again seen along the spine including dish. | recent icd placement, chest pain times <num> for a few seconds. |
MIMIC-CXR-JPG/2.0.0/files/p18566805/s53476998/d570eff0-ab787bc5-d255c663-6e76214a-07b0a624.jpg | lung volumes are low. linear opacity projecting over the right mid lung likely represents atelectasis. the visualized portions of the cardiac and mediastinal silhouettes appear normal. no pleural effusion or pneumothorax is detected on this single view. pulmonary vascular engorgement is noted. pacing hardware appears similarly positioned compared to prior. | <unk>-year-old male with fever. |
MIMIC-CXR-JPG/2.0.0/files/p15172022/s54438459/78101751-dff36882-c9142ad3-8d4152d4-94c57dfb.jpg | portable semi-upright radiograph of the chest demonstrates marked dextroscoliosis of the thoracic spine. the cardiac silhouette may be slightly enlarged. no definite pneumothorax is identified. the tip of the endotracheal tube appears to terminate approximately <num> cm above the carina. there is biapical pleural thickening. retrocardiac opacities are a combination of small to moderate effusion and adjacent atelectasis. faint opacity in the right base could also represent small pleural effusion and adjacent atelectasis. left perihilar opacities are worrisome for aspiration | <unk>f with ett // eval for ett |
MIMIC-CXR-JPG/2.0.0/files/p10847050/s55836462/c4eeea3b-86c1452f-f42626e0-af40874e-398b9c13.jpg | the lungs relatively hyperinflated, suggesting chronic obstructive pulmonary disease. costochondral calcifications are seen bilaterally without definite focal consolidation. <num> mm rounded nodular opacity at the right lung base could represent a vessel on end, but pulmonary nodules not excluded. mild bibasilar atelectasis. no pleural effusion or pneumothorax. cardiac silhouette is top-normal. mediastinal contours are unremarkable. | history: <unk>f with malaise, weakness // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p19774071/s50968346/a845aff6-4fad6b8b-efeb96d7-2fe6d736-3302db1a.jpg | left mid lung linear atelectasis/ scarring is seen. subtle hazy opacity projecting over the right upper lung could be due to pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. right vp shunt catheter is seen projecting over the right hemi thorax, not well assessed at the inferior right hemi thorax. | history: <unk>f with shortness of breath // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10159585/s53095028/26ab32bb-c33f60f1-8fb94db3-c4c10527-f8603636.jpg | heart size is normal. the aorta remains mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is clearly identified. no acute osseous abnormality is detected. | history: <unk>m with "feeling lousy" |
MIMIC-CXR-JPG/2.0.0/files/p10292218/s56651641/aa1d4320-293fea3b-d2cd43f8-c1ef4b1f-2938dfe1.jpg | lungs are fully expanded. there is a well-defined <num> mm rounded opacity projecting over the anterior right sixth rib. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old woman with fever and cough // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16665687/s58513159/3b80e61e-7c63b420-c8c281d8-14b1b6f4-7fa831d0.jpg | there is a new left picc which crosses midline points toward the head. it is likely within the upper svc or right internal jugular vein. the heart size is stably enlarged. there is no significant change in the degree of pulmonary edema and small bilateral pleural effusions. there is a retrocardiac opacity which is unchanged and may be related to significant volume loss in the left lower lung. there is no pneumothorax. | evaluate position of new left picc. |
MIMIC-CXR-JPG/2.0.0/files/p19493097/s58939206/19b97bc1-ce8c4b97-4bf64d65-5073b99f-c5885b7f.jpg | compared to prior, lung volumes are similar. however, there are denser appearing opacities in the right base, concerning for worsening basilar atelectasis or pneumonia. there is persistent left basilar atelectasis. left pleural effusion is small if any. heart is top normal and unchanged from prior. no pneumothorax is seen. ett and ng tubes are in standard position and unchanged from prior. | <unk> year old man s/p fall. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10038332/s51895880/affe72fc-e595b4f9-3cdb725e-9a228403-5cf6d8b6.jpg | new left lower lobe ill-defined opacity adjacent but not obscuring the left heart border. right lung is clear and pleural surfaces are normal. heart size, mediastinal contour and hila are normal without lymphadenopathy. radiopaque opacity projects posterior to the mid thoracic vertebral body and is a bullet. | <unk>-year-old male with productive cough and chills for three weeks. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16906565/s51211539/231a7b90-9523712b-b8d1ffda-d8722055-19df41e0.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. there is a wedge deformity of a midthoracic vertebral body seen on the lateral view. increased density in the anterior aspect of the fourth left rib likely relates to known myeloma. additional known diffuse lytic lesions are difficult to fully appreciate on this examination. | <unk> year old woman with multiple myeloma. r/o pneumonia // cough, multiple myeloma on chemo. bilat crackles and wheezing. cough, multiple myeloma on chemo. bilat crackles and wheezin |
MIMIC-CXR-JPG/2.0.0/files/p18443821/s59172833/4a364ae6-0be31434-abc52b7d-b1765fdb-49674fe6.jpg | mild pulmonary edema is noted. no focal consolidation is identified. no pneumothorax. the cardiomediastinal silhouette is moderately enlarged. mild degenerative changes are noted in the bilateral shoulders. there is elevation of the right hemidiaphragm. paucity of bowel gas is noted in the abdomen. | history: <unk>m with dyspnea // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19017194/s56443889/cd0a7ae0-bb2e258c-73373501-6147bfd0-adac3175.jpg | the tip of the endotracheal tube projects at the level of the clavicular heads. a feeding tube extends into the body of the stomach. the other enteric tube extends beyond the field of view of this radiograph. slight improvement of dense retrocardiac opacity consistent with left lower lobe atelectasis/consolidation. the right lung is clear. no pneumothorax identified. the size the cardiac silhouette is mildly enlarged but unchanged. | <unk> year old man with polytrauma // placement of og tube |
MIMIC-CXR-JPG/2.0.0/files/p12940390/s53199574/18a1ba9e-9bfbcf38-92fff8be-c47d7977-d3acc9e8.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. | <unk> year old man with non-seminomatous germ cell tumor s/p left orchiectomy and chemotherapy, surveillance // recurrence? |
MIMIC-CXR-JPG/2.0.0/files/p18281447/s52493139/75be3ba9-dcad7ab9-09aef0ca-cbd2dfd3-8a554cd1.jpg | the cardiomediastinal silhouettes normal. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. mild widening of the right ac joint measure up to <num> mm, with superior displacement of the lateral aspect of the clavicle can be seen in the setting of ac joint disruption. there is no evidence of a displaced rib fracture. | <unk>m with sob and pain with inspiration after being tackled while playing rugby, rule out fracture. |
MIMIC-CXR-JPG/2.0.0/files/p15506615/s51061856/eb9e9fa5-a5b45a1f-d95770c4-3a15e935-d66f6102.jpg | endotracheal tube terminates at the level of the carina, heading toward the right mainstem bronchus, low in position. recommend withdrawal by approximately <num> cm. there are low lung volumes. did bilateral perihilar opacity is likely due to mild edema. left-sided parahilar opacities asymmetric as compared to the right, which could be due to asymmetric edema however, underlying aspiration or infection not excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged, likely accentuated by supine, ap technique. | history: <unk>m with ams, intubated for gcs; // eval for consolidation, adequate tube depth |
MIMIC-CXR-JPG/2.0.0/files/p18249179/s54300188/5c3662f7-82b4bb20-de8e8198-b1c626f3-a5154592.jpg | a tracheostomy is in-situ. a right-sided picc terminates in the mid to distal svc. there is persistent cardiomegaly, even allowing for the projection. persistent prominence of the pulmonary vasculature with mild pulmonary edema. no definite consolidation, pneumothorax or pleural effusion seen. | <unk> year old woman with seizures, intubated now req increased fio<num> // please assess for infection / reason for increased o<num> demand |
MIMIC-CXR-JPG/2.0.0/files/p10855616/s57302642/f8b74beb-be24cd50-412cd7a3-c8bdb8d7-8c4cf569.jpg | stable tortuous descending aorta. otherwise, mediastinal, hilar and cardiac contours are unchanged. no cardiomegaly evident. no focal opacification concerning for pneumonia. possible trace bilateral pleural effusions noted. degenerative changes are present throughout the thoracic spine without loss of vertebral body height. right-sided picc line terminates in the mid svc. no pneumothorax. | coarse breath sounds, weakness, evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p15592807/s51743772/d580e093-282e654a-88389246-147b2e17-1f83915d.jpg | pa and lateral views of the chest. the lungs are clear of consolidation. cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old female with days of productive cough of green mucus and nasal congestion. productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p12433486/s56439191/a23a1940-0150ec3c-9a4058f9-82ba1031-6e678cd3.jpg | single frontal image of the chest demonstrates better inspiration and lung expansion than on previous radiograph. previously seen pulmonary vascular congestion is much improved and has almost resolved. there is no pneumothorax seen or other complications s/p chest tube removal. there are no pleural effusions. right ij is again seen with the tip in unchanged position. sternotomy wires are noted. cardiomediastinal silhouette is unremarkable. | <unk>-year-old male status post cabg. |
MIMIC-CXR-JPG/2.0.0/files/p11761571/s54605488/7c6fff75-425aec89-864e3853-55186625-19ce5bbb.jpg | left bronchial stent and tracheostomy tube are unchanged. right common carotid vascular sheath is unchanged. there is no definite concerning parenchymal consolidation. there is minimal bibasilar atelectasis. there is no pleural effusion or pneumothorax. surgical clips are seen in the right upper lung. cardiomediastinal silhouette is unremarkable. | <unk>m with history of medullary thyroid carcinoma status post thyroidectomy complicated by recurrence with left mainstem bronchus involvement status post left mainstem bronchus balloon and stent placement. presenting with shortness of breath and cough. |
MIMIC-CXR-JPG/2.0.0/files/p10193875/s55879453/fdbf0522-d9ce3aed-e90951a1-da0dc912-b5109cb4.jpg | no focal consolidation is seen. previously seen right lower lobe pneumonia has resolved in the interval. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable | history: <unk>m with cough // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19464818/s56425453/1807597b-c22488db-6048badc-374da238-cd96be3f.jpg | frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | cough/fever. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19744071/s53362724/22df1b72-89fba925-1e2b1ef4-a6b0393d-17398931.jpg | assessment is slightly limited by patient rotation. cardiac silhouette size is normal. mediastinal and hilar contours are grossly unremarkable. lung volumes are low with crowding of bronchovascular structures. there is probable mild pulmonary vascular congestion. patchy bibasilar airspace opacities are noted, with possible trace bilateral pleural effusions. no pneumothorax is detected. no acute osseous abnormality is present. remote fracture of multiple left sided ribs and the left mid clavicle are re- demonstrated. | history: <unk>f with cough, hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p13204581/s56522613/fca5140d-859ebe23-6e3b85d9-d0fb2600-7f51530b.jpg | allowing for difference in technique there may be minimal reduction in density of the bilateral symmetric extensive opacities and the the probably some decrease to the left pleural effusion. left lower lobe atelectasis remaining. right chest tube endotracheal tube above the carina. in place. there may be minimal left pneumothorax remaining. | <unk> year old woman with esophagectomy, new intubation // ett placement |
MIMIC-CXR-JPG/2.0.0/files/p18785405/s57645875/a01f420b-d27b358f-00bb3840-43f92603-8cc17b0e.jpg | et tube terminates <num> cm above the carina. transesophageal tube terminates in the stomach. lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion. | history: <unk>f with declining mental status w/ sah now s/p intubation // eval ett, ogt placement |
MIMIC-CXR-JPG/2.0.0/files/p18572896/s55160514/7f014587-164647ec-3f56eda7-a57d4467-e365936d.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p19997367/s56060598/d10b6afc-6d8e1605-b1d2a190-4f0e1f37-37eaa7f5.jpg | compared to most recent exam, there has been no significant interval change. there is persistent right basilar pleural-based thickening and likely scarring. hazy right basilar opacities are similar and may be due to chronic underlying changes noting that they have significantly improved since <unk>. the left lung remains clear where not obscured by overlying the left chest wall dual lead pacing device. cardiac silhouette is stable in configuration. prosthetic valve is again noted. right chest wall port remains in place. | <unk>f with dyspnea, history of dchf // please eval for pneumonia, cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p17611423/s56242013/214a88cf-46688f3a-910b3ea9-b8c48590-99d7b283.jpg | no consolidation. there is no pneumothorax or pleural effusions. the cardiopericardial silhouette is within normal limits. the bones appear unremarkable. | <unk> year old man with leukocytosis and chest pain // evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p19528617/s52550943/1cebd628-ad120b0e-d159b4fc-be5a8efb-95abfbe5.jpg | the heart size is within normal limits. the mediastinal and hilar contours are normal. there is a stable appearance of the flattened right hemidiaphragm compatible with pleural-parenchymal scarring. there is no pleural effusion or pneumothorax. | <unk>-year-old male with known tb, now with right-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15111725/s54099906/8b9e3304-bd0dc627-f1235049-2e92056e-0221c462.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man with hypoxia // post intubation post intubation |
MIMIC-CXR-JPG/2.0.0/files/p17971260/s50818279/e4cc6ce7-bcf7a015-3c0f4d6e-9925d171-8c2ea807.jpg | portable semi-erect chest radiograph <unk> <time> is submitted. | <unk> year old woman with chest pain // eval for ptx eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p17517983/s51748434/aa14165e-e1079b24-b9cba964-3c6e56ef-083162e5.jpg | frontal and lateral views of the chest. when compared to prior, there appears to be slight interval progression of the pulmonary edema with more confluent opacities at the bases. prominent extrapleural density seen on the right laterally suspicious for a small effusion. there is no definite left pleural effusion. degree of cardiomegaly is unchanged. | <unk>-year-old female with chest pain. additional history of end-stage renal disease per patient's prior radiology report. |
MIMIC-CXR-JPG/2.0.0/files/p16639088/s53231480/20f755cc-c4b3e2a2-9e86bf11-a67d25a4-7b57a4f8.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. cervical fusion hardware is partially imaged. there is a prominent air-filled loop of colon below the right hemidiaphragm. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p15937283/s59852424/a27e6e54-cd4d2e86-fadacb63-bc81c5f7-deef4fb2.jpg | there has been interval improvement in the right basilar opacity but there is a small amount of opacity remaining. no new consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | <unk> year old woman with immunosuppression s/p kidney pancrease transplant, pulmonary cryptococcus presenting with encephalopathy, weakness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10917306/s53177034/d3700839-cd56ce6e-5d30af0b-4f347ff8-edcca9a6.jpg | the lungs are normally expanded. perihilar and interstitial opacities are compatible with pulmonary edema. there are small bilateral pleural effusions. heart size has increased since the prior study now with mild cardiomegaly. there is no pneumothorax. | history: <unk>f with worsening sob // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p16319606/s53317397/a1135805-9812582d-4cd0e7ce-7bcc1996-b163fa25.jpg | the heart size and mediastinal contours are normal. the lungs demonstrate a right infrahilar opacity that localizes to the right middle lobe on the frontal view, but is not apparent on the lateral view. there is no pleural effusion or pneumothorax. | <unk>-year-old male with leukocytosis and night sweats. |
MIMIC-CXR-JPG/2.0.0/files/p12339290/s57466856/32a77651-c3cf694a-1a327c29-6df466c8-29fbd450.jpg | ap portable upright view of the chest. mildly elevated right hemidiaphragm is unchanged. the lungs appear essentially clear. no large effusion or pneumothorax is seen. the heart size is top-normal. mediastinal contour is normal. bony structures are intact. | <unk> year old woman with found to have ascending colon mass in <unk>, now s/p laparoscopic r colectomy // please evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p19013486/s57614665/015371ae-e9ed9443-7c3a8b64-b8e5b126-3f090fe7.jpg | a new very large pleural effusion fills most of the left chest cavity with presumed collapse of much of the left lung. there is mild mediastinal shift toward the right. a small area of aerated lung is visible at the left apex. the right lung remains clear. | cast operation and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19818284/s55216464/80535974-66340341-9f7ffeaa-73df5483-89009cd7.jpg | the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart size is normal. mediastinal and hilar contours are normal. no acute osseous abnormality. | history: <unk>m with cough for several weeks, chest tightness earlier this evening // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17469186/s53189908/64e0aa4c-aaa21e1b-e3e0e613-c4865c43-c8cb90c5.jpg | the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17965490/s52085551/24c136b1-eb8be1ca-8b710e62-971cd785-49cc8f3d.jpg | normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. the patient's chin obscures the medial lung apices. | history: <unk>m with basial ganglia bleed // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11219670/s57433226/ac3dedef-9ae03c39-83c57be2-eae060bd-c4b850e3.jpg | no significant interval change from <time>. no evidence of pulmonary edema. as before there are markedly low lung volumes and streaky bibasilar opacities which most likely reflect atelectasis. | history: <unk>m with ?chf // eval for fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p18358319/s55705899/4c5264e1-b127b3a1-698b3c03-0161908a-acc21348.jpg | mild-to-moderate right pleural effusion associated with right lower lung atelectasis is unchanged since <unk>. retrocardiac density reflecting left lower lung atelectasis is minimally worsened. mitral annulus calcification is evident. descending thoracic aorta is generally large and moderate-to-severely calcified; however, unchanged in appearance since <unk>. | assess for effusion, edema, and consolidation. patient is status post endovascular aaa repair. |
MIMIC-CXR-JPG/2.0.0/files/p19910173/s59453389/55ab093c-1810235d-d070966f-b7e20c4c-d3604f65.jpg | moderate cardiomegaly is unchanged. re- demonstration of postoperative mediastinal silhouette with intact sternotomy wires. hilar contours are unremarkable. improved consolidation at the left lung base correlates to scarring on prior ct. lungs are otherwise clear. no effusion or pneumothorax. right lower lobe nodule identified on prior ct is not visualized on this study. | recent rectal cancer resection with transient hypoxia to <unk>%. |
MIMIC-CXR-JPG/2.0.0/files/p18143678/s55531337/5f1ba5b9-cbe9d80b-26a114a3-851be63b-3181a70c.jpg | ap and lateral radiograph <unk> at <time> is submitted | <unk> year old male with history of chf, afib, dm, ckd, and pvd who presented to osh after fall. admitted for chf exacerbation and cellulitis now on dialysis. has a rising white count // evidence of infiltrate evidence of infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12799209/s56494954/fa9e9426-a1a8a336-cc809055-f391347b-4ad8a896.jpg | cardiac, mediastinal and hilar contours are normal. known anterior mediastinal lesion is not seen on the current frontal radiograph. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present. | shortness of breath for <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p19648564/s59283559/c0f6b40a-e5089c14-5d79f5a1-0e694fd8-09531e47.jpg | frontal views of the chest were obtained. right pleural effusion has increased, now moderate to large in volume, with bilateral lower lung opacities presumed to be atelectasis. small left pleural effusion is unchanged. no pneumothorax. heart size and cardiomediastinal contours are stable. right internal jugular transvenous pacer has been removed. the replaced aortic valve is unchanged in position. | <unk>-year-old male with aortic stenosis status post transcatheter aortic valve replacement. |
MIMIC-CXR-JPG/2.0.0/files/p18523643/s54733239/a3368993-176b5325-96b17358-9bd1b7fd-9d51d39a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with flu like symptoms, cough, and fever with now pleuritic cp // is there pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17654415/s52788888/06e9cb9d-57d62b6d-99ec985f-77608b5e-15134df1.jpg | patient is rotated to the left. subtle opacity is seen projecting over the medial left lung apex. the right lung is clear. no pleural effusion or pneumothorax is seen. the right hemidiaphragm is mildly elevated. the cardiac silhouette is not enlarged. there may be mild enlargement of the main pulmonary artery. | <unk> year old man with ?schizophrenia presenting with ha, presyncope, and chest pain // evaluate for pneumonia or intrapulmonary processes |
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