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MIMIC-CXR-JPG/2.0.0/files/p11130698/s58619084/e3920059-0ebcd620-95535219-d7f086e6-85ecefc6.jpg | frontal and lateral views of the chest. no prior. there are indistinct pulmonary vascular markings seen bilaterally. some of this could be due to overlying soft tissues; however, there is suspected superimposed interstitial process such as edema. there is no effusion. prominent extrapleural fat is seen particularly posteriorly and on the left at the apex. cardiac silhouette appears enlarged. osseous and soft tissue structures are grossly unremarkable. | <unk>-year-old male with difficulty speaking. question stroke. question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18284271/s50628432/9a2b4ea3-fbebbad9-bce07349-2bd9c941-84b99154.jpg | patient is status post median sternotomy. there is persistent eventration of the right hemidiaphragm. the cardiac silhouette is again quite enlarged. mediastinal contours are stable. prominence of the central pulmonary vasculature may be due to pulmonary vascular engorgement without overt pulmonary edema. no pleural effusion or pneumothorax is seen. | history: <unk>f with dyspnea, recent valve replacement // eval infiltrate, chf |
MIMIC-CXR-JPG/2.0.0/files/p10524770/s59421334/bfe4e1c0-3548002f-2f856321-5ae4f07f-d91ba070.jpg | the lungs remain hyperinflated and clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cabg. | history: <unk>f with confusion // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15668238/s51996228/631132fe-19b3d730-bd3ecf51-b39ba922-a4a69259.jpg | ap and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiac silhouette is at upper limits normal. there is no visualized displaced rib fracture. connecticut of the changes in the spine. | <unk>-year-old male recently chemical fall and head strike. right-sided pain. |
MIMIC-CXR-JPG/2.0.0/files/p19505901/s51667343/9e28a0b9-85768c11-38fb611e-98cfed56-68ac336d.jpg | ap upright and lateral views of the chest provided. lung volumes are slightly diminished from prior. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with fever, vomiting // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p15945590/s53782945/65dbfd38-6e1b856c-43a3350b-17c52411-5d4c9f0e.jpg | single ap view of the chest was reviewed. since the recent prior study less than one hour prior, there has been introduction of an endotracheal tube with tip terminating <num> cm above the carina. there has been no significant change in the remainder of the radiograph. | intubation. |
MIMIC-CXR-JPG/2.0.0/files/p11751107/s54121461/0e49abcc-ece8fc68-2b4ac69f-eb8fadf0-e614fb9d.jpg | vp shunt is partially seen coursing along the right neck, right chest and upper mid abdomen. lungs are normally expanded and clear. there is no pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. the aorta is unfolded. incidentally, there are surgical clips in the right upper quadrant likely from cholecystectomy. | history: <unk>f s/p fall, hx of aneurysm rupture and vp shunt // rule out intracranial bleeding, fractures |
MIMIC-CXR-JPG/2.0.0/files/p18879982/s50146006/99d5995f-780d42b8-753e9001-90de3bab-437bba42.jpg | the mediastinal and hilar contours are stable with calcification of the aortic knob. there is no right pleural effusion. again demonstrated is a stable left loculated pleural effusion. the heart size cannot be assessed due to the presence of this effusion. there has been interval placement of a left chest tube with tip terminating at the left lung base. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. | pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p15151778/s55519208/660e6b04-56e61503-3f66d33f-e19a466e-3bf59a97.jpg | chronic scarring and atelectasis at the right lung base is again demonstrated. there is a small right pleural effusion. difficult to exclude a superimposed pneumonia. heart size and mediastinal contours are normal. no pneumothorax. | <unk>m with increasing dizziness and weakness // ? cardiopulmonary changes |
MIMIC-CXR-JPG/2.0.0/files/p19559921/s50086520/f8249dc8-99effb07-672ef5fb-c6eacddd-8b9510a8.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar pleural surfaces are normal. there is no subdiaphragmatic free air. | <unk>f with abdominal pain // ?free air |
MIMIC-CXR-JPG/2.0.0/files/p14086423/s54514294/bdffb743-3e0ddfe9-bdc79416-2ae9a265-394a2a9d.jpg | pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. degenerative changes are seen in the spine. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10289851/s55738218/a099ed5f-313009d0-249bdbca-b028d375-29c1a05a.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. prominence of the right hilus is only insinuated behind the mediastinal shadow due to a slight rotation of the patient's position but is unchanged from the prior examination. there is no pleural effusion or pneumothorax. | patient with hypoxia. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11303674/s53627628/1e1de455-7b41fe88-6f801693-ec8f3995-29ba1705.jpg | the heart is mildly enlarged. the pulmonary interstitium is mildly prominent with peribronchial cuffing. mild fluid overload or airway inflammation could be considered. there is no pleural effusion or pneumothorax. | abdominal pain and distention. |
MIMIC-CXR-JPG/2.0.0/files/p14557146/s57154093/84b5097a-efa4e5a5-29b83f71-2f276bad-7f3726df.jpg | heart size is normal. the aorta is tortuous and potentially dilated at the level of the diaphragm but unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs remain hyperinflated compatible with copd. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13332630/s58340245/d26f1288-1dbca978-9e778e54-d1b738cd-ee48b9dd.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>f with cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13680126/s52239856/25989cf7-7847c5e8-46fa77ae-24c3dd32-13c5f446.jpg | the right port catheter is in expected and unaltered position. heart size is normal. again seen is paramediastinal fibrosis, likely secondary to prior radiation therapy. the pulmonary vasculature is normal. underlying emphysematous changes. again seen are hazy opacities in the right mid and lower lung, which may represent resolving pneumonia. no pleural effusion or pneumothorax is seen. calcified right lower lobe granuloma best seen on the lateral view near the cardiophrenic angle. no acute fractures. again seen are left posterolateral thoracotomy rib fractures. again seen are surgical clips in the left upper quadrant. | <unk>m with squamous cell carcinoma of lung presenting with cough and axilla pain. evaluate for pneumonia or rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p19475604/s57796651/c1c00ac3-9ad96d97-48e3516a-848a92c1-a5d49c35.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old male w/pmh of cad (s/p cabg), chf s/p remote cardiac arrest (<unk>) with aicd, dm, and ckd who presents with hypoxia due to acute on chronic schf exacerbation due to atrial fibrillation now with increased work of breathing // eval for interval change eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p16599061/s52675361/ab41daee-29b6a9f2-6a720df6-946f4bb5-434358ea.jpg | the lungs are relatively hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>f with new onset atrial fibrillation, syncope // evaluate for acs, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p11408283/s50274325/931a1cbb-01bb2e6b-9096b1a2-7f3f1b14-23f3e570.jpg | heart size is mildly enlarged with a left ventricular predominance. the aorta is tortuous. the mediastinal and hilar contours otherwise are unchanged, with a small hiatal hernia noted. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there is mild retrolisthesis at the thoracolumbar junction, unchanged, likely t<num> on l<num> and l<num> on l<num>. mild loss of height of a mid thoracic vertebral body is also stable. the lungs are hyperinflated compatible with underlying copd. | dyspnea, left lower lung crackles. |
MIMIC-CXR-JPG/2.0.0/files/p18052946/s52871442/5b2c9487-f290dc1b-3e44c549-b6430aa4-2cb1e282.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air is identified below the hemidiaphragms. | status post colonoscopy one day ago with persistent nausea and abdominal pain. evaluate for free intraperitoneal air. |
MIMIC-CXR-JPG/2.0.0/files/p12645994/s58557506/9a923684-0d632d13-07146924-96e78d94-b65eb84f.jpg | the lungs are hyperinflated. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits with aortic knob calcification and aortic tortuosity. old left rib fractures are noted. | <unk>-year-old male with cough. |
MIMIC-CXR-JPG/2.0.0/files/p12445127/s51498611/5c831971-a036d72d-602da807-79c3b6a5-f61a6926.jpg | lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with chest pain after smoking marijuana // ?pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15400120/s57692429/5550d93c-1170a9b7-751ac77a-7888a4af-023033fa.jpg | patient is status post median sternotomy. cardiac and mediastinal silhouettes are stable. left mid lung with linear atelectasis/scarring is stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. | history: <unk>f with ams // eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p19475604/s59031637/58f58751-9adb85ff-9a5815e9-1ca33818-0263888f.jpg | portable ap chest film <unk> at <time> is submitted. | <unk> year old man with chf, ?copd, wheezing // eval for interval change in edema eval for interval change in edema |
MIMIC-CXR-JPG/2.0.0/files/p19496992/s56430139/5a11b068-34957a74-6d8edf18-fb721ab7-7ea092b1.jpg | no change in the position of the biv-icd leads, which terminate in the right atrium, right ventricle, and epicardial vein of the left ventricle. since the radiograph from the prior day, there has been no significant change. unchanged bilateral pleural plaques, left clavicular old fracture, old left rib fractures, and bilateral apical caps are noted. no pneumothorax or new effusion. | <unk> year old man with new bivicd implant. pneumothorax and lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p19867531/s51770506/07703085-f3fe507b-f4224ed8-e1d9ad6e-edf631a7.jpg | pa and lateral views of the chest provided. faint linear densities in the lower lungs, right greater than left likely represent areas of platelike atelectasis. no convincing evidence for pneumonia or edema. no effusion or pneumothorax is seen. the heart size appears normal. mediastinal contour is unremarkable. the imaged bony structures are intact. surgical clips are noted in the right upper quadrant. | <unk>f with dyspnea, new onset t<num>dm |
MIMIC-CXR-JPG/2.0.0/files/p12142918/s55369517/080db098-6645f970-1d89f773-e4ba38ec-31440b74.jpg | left chest wall dual lead pacing device is again seen. the lungs are clear of focal consolidation, effusion, or pulmonary edema. cardiac silhouette is mildly enlarged. median sternotomy wires and mediastinal clips are again noted. no acute osseous abnormalities identified. | <unk>m found down, known aicd // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17442082/s52926242/66ee5d07-dc1f6cef-0eb13046-bd3a62a1-ebe36f2d.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 resolved left arm weakness <num> hours ago // eval for ich |
MIMIC-CXR-JPG/2.0.0/files/p10578209/s53022736/04070d59-ba096383-d042239e-2a37ab27-85a7cc7c.jpg | lung volumes are normal. right port-a-cath terminates in the lower svc. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk>f with cancer, on chemo w/ epistaxis // ? infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17366592/s56992576/8742a5d6-cf16760c-f5043a93-889eb150-8f04e92b.jpg | allowing for differences in technique, the cardiomediastinal silhouette is stable. pacemaker wires are unchanged in position. lung volumes are slightly lower. there is no focal consolidation, pleural effusion, or pneumothorax. | history: <unk>f with fall, cough // ptx? |
MIMIC-CXR-JPG/2.0.0/files/p18597372/s59648509/7b42e382-ba7fecb6-cfd3b8fa-f9f8ba7e-34c7ca76.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the heart is top normal in size. the hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with c<num>-<num> ligament fx // eval for effusion, consolidation, or fluid overload. pre-op |
MIMIC-CXR-JPG/2.0.0/files/p13736284/s53936666/8fe6175d-aadede2a-2025aa40-0e676b77-7b5b8f4b.jpg | since chest radiographs dated <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. | <unk> year old woman with right upper chest pain with cough for a month. no fever or purulent sputum. never a smoker. // r/o lung disease |
MIMIC-CXR-JPG/2.0.0/files/p17014569/s58390062/3991bdb4-5d178e23-e9fe6edf-42b98da9-6c034166.jpg | pa and lateral views of the chest. the lungs are well-expanded and clear. there is no consolidation nor effusion. the cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>-year-old male with <num>-week history of upper respiratory infection symptoms. productive cough and dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p11202856/s51522847/af8f9e44-80034729-11ed9362-c54f065a-c65c1dec.jpg | lungs are well-expanded and clear. cardiomediastinal and hilar contours are normal. no consolidation, pleural effusion, mass, or pneumothorax. | history: <unk>f with seizure // chest mass |
MIMIC-CXR-JPG/2.0.0/files/p15185183/s55104835/d4bd40b4-1d50b0b3-7fb5d04e-9c1c1cae-3fdb3a66.jpg | a right-sided chest tube is noted. no pneumothorax is detected. there are low inspiratory volumes, with bibasilar atelectasis, including patchy retrocardiac opacities, similar to prior. mild vascular plethora is unchanged, likely accentuated by low inspiratory volumes. no gross effusion. spinal fixation hardware is again noted, similar in configuration, not fully evaluated on this study. | <unk> year old man with chest tube in place // eval pneumo |
MIMIC-CXR-JPG/2.0.0/files/p10900906/s51875937/371b51b9-b86576de-accab777-13768bda-948676a8.jpg | pa and lateral views of the chest. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiac, mediastinal and hilar contours are normal. slightly low lung volumes. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16165636/s56752165/eec0fea4-fa833526-f8510662-ec46ed11-5065be07.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>m with <num> days of cough, uri symptoms // please eval for infiltrate or consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15952397/s51591282/ff7a60d1-c93af4fa-b20b960f-bdc1d40d-5571abb2.jpg | an endotracheal tube terminates <num> cm above the carina. an orogastric tube extends to at least the level of the stomach. a left picc terminates at the caval atrial junction. the heart size is normal. the hilar and mediastinal contours remain within normal limits with engorgement of the central pulmonary vessels, but no edema. there is no new consolidation, effusion, or pneumothorax. the findings are overall unchanged since the <unk> study. | recurrent pneumonia, intubated. |
MIMIC-CXR-JPG/2.0.0/files/p10397160/s50496560/8f42f871-e733de50-34646845-7a9987eb-c9d3f4b4.jpg | moderate to severe cardiomegaly is similar to the prior examination. hilar contours are unremarkable with mild prominence of the central pulmonary vasculature though there is no frank interstitial edema. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax. median sternotomy wires are intact. surgical clips are noted along the upper left mediastinum from prior left hemithyroidectomy. | hypoglycemia |
MIMIC-CXR-JPG/2.0.0/files/p18696302/s57403825/6ef671e3-7e835722-5ad817da-f963365d-f60907fe.jpg | compared to prior examinations, there is better expansion of the lung fields with redemonstration of a small left-sided effusion, but with improving bibasilar atelectasis. there has been interval removal of a right internal jugular central venous catheter. there is no pneumothorax. | status post cabg, evaluate for effusions and pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19769721/s51890424/e08be6ae-b61ab610-706fba63-fb235486-b9853c83.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>f with tachycardia // tachycardia |
MIMIC-CXR-JPG/2.0.0/files/p13067514/s51472267/0306fab9-6e44681c-26127930-fbad9ef7-76592c62.jpg | the lungs are normally expanded and clear, however the inferior most aspects of the costophrenic sulci are omitted from view on the frontal projection. there is no large pleural effusion or pneumothorax. heart size is normal. the mediastinal and hilar contours are normal. | history: <unk>m with cough fever cp on l // acute process |
MIMIC-CXR-JPG/2.0.0/files/p14090642/s56308858/fee48129-735ae921-113ca16b-c2fba8b6-4cdc953f.jpg | frontal and lateral views of the chest were obtained. the lungs are mildly hyperexpanded. there is no focal consolidation, pleural effusion, or pneumothorax. biapical extrapleural thickening, right more than left, is unchanged since <unk>. heart size is normal. mediastinal silhouette and hilar contours are normal. a pectus deformity is noted. | <unk>-year-old man with cough for two weeks. history of lobectomy for tb. |
MIMIC-CXR-JPG/2.0.0/files/p19631540/s56228788/1b3f21c9-779ca1e7-a43acce0-369dac0b-7ab7c28e.jpg | mild advancement of the intra-aortic balloon pump to now <num> cm below the apex of the aortic knob. otherwise no significant interval change since chest radiograph performed earlier on the same day. | <unk> year old man with severe cad, iabp pending cabg. please perform in ccu // iabp pushed up <num>cm, reeval position |
MIMIC-CXR-JPG/2.0.0/files/p18682607/s55135720/f51d63fa-73ebb3a4-95179136-6520a6d0-f35d272e.jpg | the lungs appear clear; the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax. | <unk>-year-old man with seizure. please assess for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p14760908/s54301040/55c01348-3a5d5d15-d2a847c2-691febcb-2b41009c.jpg | there has been interval retraction of a left approach picc with tip now in the mid svc. an enteric tube traverses below the diaphragm with weighted tip in the stomach. the lungs remain low in volume, accentuating peribronchovascular crowding. the heart is top normal in size allowing for low lung volumes and ap technique. there is likely minimal subsegmental atelectasis in the left base. there is no pneumothorax or large effusion. | <unk>-year-old female status post left upper extremity approach picc with re-positioning. |
MIMIC-CXR-JPG/2.0.0/files/p16619623/s52417075/f0b2606b-4347c71f-f1b0655a-a7711a0f-53991eb2.jpg | endotracheal tube terminates <num> cm above the carina. left subclavian central venous catheter remains in unchanged position in the left svc. increased opacities persist at the right lung base with increased aeration in the right upper lobe. this could be related to asymmetry of residual edema in the setting of copd as well as to fissural pleural fluid. left lung base has not cleared. cardiac silhouette is not enlarged. there is no definite pneumothorax. | <unk>-year-old man with et tube placement. study requested for evaluation of et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p16643736/s50114191/1ff17510-f6400e96-d4be3350-4faf0a62-7f63f36b.jpg | ap upright and lateral views of the chest provided. lungs are hyperinflated with coarsened reticular markings possibly reflecting a component of fibrosis/emphysema. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. imaged bony structures are intact. | <unk>m with weakness, leukocytosis // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15894036/s53564922/057e5d02-42e12cb9-7ee0b1a8-61ba4b68-46ed5076.jpg | the endotracheal tube is been pulled back and is now <num> cm above the carina. the right ij line is unchanged. this is a rotated film and therefore it is difficult to assess for the degree of right lower lobe volume loss. a <num> cm rounded opacity is seen projecting to the right of the spine. it is unclear where this originates from. is not been visualized on prior studies however we have not had a prior exam in this rotation. a ct scan would be needed for further assessment. | <unk> year old woman with chf // tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18019295/s52794569/7f6a6df4-689db4b6-56b97eab-207c0830-d6e4d34e.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old female with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p18029015/s51315247/15fdfa0d-e0f313f9-0405b2d9-17d430fd-73ff1623.jpg | as compared to prior examination dated <unk>, there has been no significant interval change. bibasilar atelectasis is noted. partial obscuration of the left heart border due to mediastinal fat, pleural thickening, and atelectasis is unchanged. there is no lobar consolidation, pneumothorax, or pleural effusion. moderate cardiomegaly is unchanged. the descending thoracic aorta remains tortuous. | history: <unk>f with dyspnea on exertion and asymetric edeme rle. // ? pnemonia, plueral effusion |
MIMIC-CXR-JPG/2.0.0/files/p18336565/s55054899/969247ff-b91384bb-70b2588b-5da10ce8-24a7445c.jpg | ap view of the chest provided. lung volumes are low with resultant crowding of bronchovascular structures. there are no focal consolidations concerning for pneumonia. left lung atelectatic changes have improved. there is no pleural effusion. distended stomach and intestines are partially visualized. | <unk> year old man with fever and leukocytosis, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13744378/s51022354/7bb17404-019d51aa-6bc6b64a-e30ba849-ae9ccdd7.jpg | pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p13853827/s57565351/e18df313-0cd5dbd0-a52bfdd4-08f00f36-30b6d7cf.jpg | frontal and lateral views of the chest. vague opacity projects over the right mid lung, compatible with previously seen calcified pleural plaque. lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. no displaced rib fractures are identified. hypertrophic changes seen in the spine. | <unk>-year-old male status post fall, presenting with severe right chest wall pain. |
MIMIC-CXR-JPG/2.0.0/files/p12348638/s50264690/ecf54e5a-b1530c4e-3bb40321-aeb65748-22928aed.jpg | frontal and lateral views of the chest. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. cardiac silhouette is within normal limits. tortuosity of the thoracic aorta is again seen with atherosclerotic calcifications at the arch and a prominent contour of the ascending aorta. no acute osseous abnormality is identified. degenerative changes are noted at the left acromioclavicular joints as well as mild compression deformity of an upper thoracic vertebral body as seen on prior. | <unk>-year-old male with aggressive behavior. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17406546/s59649046/62120e94-7aec332d-0c5d0290-c593fec8-feb08abf.jpg | the lungs are well inflated. there is no opacity concerning for pneumonia or lobar collapse. no pulmonary edema, pleural effusion or pneumothorax. the aorta is tortuous. the heart size is normal. | history: <unk>f with <num> sats <unk>%ra // ? process |
MIMIC-CXR-JPG/2.0.0/files/p15104159/s56444816/7e8f684a-33681e31-f65fd3fb-2289d66a-fdf6d4cd.jpg | the heart is borderline in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. vague opacification of the left mid to lower lung spares the left cardiac border, which appear sharp; although the opacities are not well seen on the lateral view, it is probably in the left lower lobe. although the density is not very elevated, the extent of the abnormality may be significant. | fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12132996/s56009412/9cfbc6ab-862a910d-79f9bc80-1984aa33-7473b5cc.jpg | the heart appears mildly enlarged. there is a dense retrocardiac opacity with air bronchograms, suggesting pneumonia. there are also more patchy streaky right basilar opacities. in addition, central pulmonary arteries are mildly prominent with upper zone redistribution, suggestive of mild fluid overload. small pleural effusions are difficult to exclude. there is no pneumothorax. the bones are probably demineralized. there is mild leftward convex curvature centered along the mid lumbar spine. | pancytopenia and possible pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15353817/s56989616/e82f670f-0fd03b7c-9dab80ad-1aa9dda3-ca8e05ba.jpg | ett in standard position. left internal jugular venous catheter tip projects over the expected region of the right atrium, unchanged. enteric tubes traverse the midline into the left upper quadrant <num>, beyond the scope of this image. right pigtail catheter projects over the lower right hemithorax and appears slightly kinked. bilateral airspace opacities, more confluent in the left and also in the right lower lobe are overall minimally changed from the prior exam, consistent with history of ards and concurrent right lower lobe pneumonia. cardiomediastinal silhouette is overall unchanged. no effusion. no pneumothorax. | <unk>m hx hcv cirrhosis, sigmoid colectomy divert ileostomy(<unk>) for perforated diverticulitis s/p ileostomy reversal(<unk>) w/ acute encephalopathy and vre/gnr bacteremia, and resolved a-fib on diltiazem s/p bronchoscopy // interval change after bronchoscopy |
MIMIC-CXR-JPG/2.0.0/files/p17092359/s50356381/062d7911-a21aa952-06c28eb8-00dee779-345ee100.jpg | mild cardiomegaly persists. mediastinal contours unremarkable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen. | history: <unk>f with hypoxia // ? chf |
MIMIC-CXR-JPG/2.0.0/files/p13772123/s51943623/9c341260-00313bf4-b8daec22-a8765ce9-3525fbeb.jpg | patient is status post median sternotomy and cabg. heart size is top normal. aorta is tortuous, unchanged. mediastinal and hilar contours are otherwise similar from the previous study. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. minimal patchy atelectasis is noted lung bases. there are mild degenerative changes seen within the thoracic spine. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p14527771/s50186044/4aea1159-d99675a8-49a0ef23-298dfcc9-eef02d9c.jpg | lung volumes are low. this accentuates the size of the cardiac silhouette which is mildly enlarged with a left ventricular predominance. the aorta is unfolded. the mediastinal and hilar contours are unremarkable. lungs are essentially clear without focal consolidation. there is minimal subsegmental atelectasis in the right lower lobe. no pleural effusion or pneumothorax is present. no acute osseous abnormalities present. moderate degenerative changes in the thoracic spine with bridging anterior osteophyte formation are noted. | history: <unk>m with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13027405/s52914174/13eef527-da482f19-7b2fba99-995254b6-93ef88a0.jpg | in comparison to the prior radiograph performed on <unk>, there has been interval development of a moderately-sized right pleural effusion. left lung is essentially clear. no pneumothorax. heart size is within normal limits. no acute osseous abnormalities identified. | history: <unk>f with dypsnea // r/o pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p12047910/s50034180/53d3fd8b-1d42db35-47bdccb4-21aec917-8b0282e6.jpg | patient is status post median sternotomy. chronic changes/ eventration of the right hemidiaphragm are stable and there is stable relative decrease in volume of the right lung as compared to the left. . no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | history: <unk>m with syncope, hypoxia, dyspnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p12324075/s59749484/496a2025-c2d7b8bd-c4c93f7e-6752d9b9-93272380.jpg | portable semi-upright radiograph of the chest demonstrates oblique positioning of the patient. there is a large left-sided basal pneumothorax with associated rightward shift of the mediastinum, raising concern for tension pneumothorax. there may be a small right-sided pleural effusion with adjacent atelectasis. assessment of endotracheal tube positioning is made difficult based on the patient's position; however, the endotracheal tube ends at the level of the clavicular heads. note is made of gaseous distension of the stomach. | <unk>-year-old man with recent intubation for respiratory failure. evaluate for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p12118473/s53335230/3a4f6379-4cbfadf1-ee7525ac-8361c2f3-19564804.jpg | a left-sided pacer unit demonstrates leads in the right atrium, right ventricle, and coronary sinus. a coronary stent is present. the heart size is at the upper limits of normal. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. the lungs are clear of consolidation. in the lateral lower portion of the right lung, the previously described ill-defined nodular opacity is less apparent and sits over the intersection of tubes and bronchovascular structure, likely reflecting the superimposition of normal structures. | <unk>-year-old male with a newly discovered lung nodule, in need of followup. |
MIMIC-CXR-JPG/2.0.0/files/p16989388/s50652095/59d458af-47db5e03-0c00e2eb-bd0790f2-0119c103.jpg | frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. numerous pulmonary nodules measuring up to <num> cm are present. small bilateral pleural effusions with adjacent atelectasis or new over the interval. the cardiomediastinal and hilar contours are unchanged. the heart is enlarged and the aorta is tortuous. there is no pneumothorax. | <unk> year old woman with likely colon ca and possible lung ca(biopsy not pursued for spiculated lesion given age an other known malignancy) // more sob. ?chf ?increased pulmonary nodules? |
MIMIC-CXR-JPG/2.0.0/files/p16391403/s51386163/c6c42c23-0b60457c-cc9733e5-8c20a74f-e7085dc2.jpg | the cardiac, mediastinal and hilar contours appear unchanged. the right upper paratracheal stripe is widened, but the appearance is stable over time and in comparison to the ct torso. the appearance is probably due to tortuosity of the great vessels and prominent mediastinal fat. patchy left basilar opacity is not specific but could be seen with minor atelectasis. there is no pleural effusion or pneumothorax. mild degenerative changes are noted along the thoracic spine. no free air is seen. | gastrointestinal bleeding. |
MIMIC-CXR-JPG/2.0.0/files/p11335879/s56993154/df3d1e93-1dd32037-05ebaf31-fd2b549a-c4fad901.jpg | pa and lateral views of the chest were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | <unk>-year-old woman with chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17776423/s50156812/932a434a-9d6bd61e-f955bc99-d6994b5c-51d78c6b.jpg | the lungs are clear bilaterally. right chest wall port is unchanged in position. no pleural effusion or pneumothorax is seen. the left hilum is smaller since the radiograph dated <unk>. the cardiomediastinal silhouette is unremarkable. | <unk> year old woman with hx of hodgkins lymphoma and new cough // assess for consolidation/infiltrate assess for consolidation/infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18439463/s58689985/bed71f2a-19537b3c-97b907e9-42e2d7df-a03dcbf8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. vascular clips superior to the clavicle as suggest prior lower neck surgery. new indentation of the left tracheal wall concerning for new thyroid mass. | <unk> year old man with couple wks progressive dyspnea. hx includes mitral regurg. lung exam is normal. // eval for structural cause of sob |
MIMIC-CXR-JPG/2.0.0/files/p10883596/s58294735/947a9509-1c0b1f76-137116f4-81a1d84c-ac390b4c.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 cough |
MIMIC-CXR-JPG/2.0.0/files/p15621186/s52547218/17823010-afc1dd4e-cf50fbc0-a3c33001-c121d290.jpg | lung volumes are reduced compared to the previous exam. heart size remains borderline enlarged. the aorta remains tortuous. there is crowding of the bronchovascular structures but no overt pulmonary edema. patchy opacities are noted within the lung bases, more pronounced on the left, which may reflect areas of atelectasis though infection or aspiration cannot be completely excluded. no pleural effusion or pneumothorax is seen. bullet shaped radiopaque foreign body is noted within the left axilla. | fevers, change in mental status. |
MIMIC-CXR-JPG/2.0.0/files/p15262628/s52432323/6d068f66-247a3b0f-4a856829-6edc57ec-a5f6adb4.jpg | assessment is limited by patient rotation and low lung volumes. heart size is moderately enlarged. widening of the mediastinal contours is likely due to low lung volumes. there is mild pulmonary edema. no large pleural effusion or pneumothorax is detected. atelectatic changes are seen in the lung bases. no acute osseous abnormalities present. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p19555192/s50769278/fc1f1daf-5cf9c513-9f3a6058-a6d803ed-05bc51a3.jpg | compared to <unk> chest x-ray, there is new patchy opacity at the right lung base, slight blunting of the right costophrenic angle, and minimal, if any, atelectasis at the left lung base. no gross left effusion. no chf. cardiomediastinal silhouette unchanged. biventricular pacemaker again noted. no pneumothorax detected. | sss (??) status post biventricular pacemaker implant, continued chest pain. chest, |
MIMIC-CXR-JPG/2.0.0/files/p15176968/s59475713/b4e881ec-b2dbe4eb-824d9649-07862804-17af7264.jpg | there has been interval decrease in the bilateral pleural effusions with small residual pleural effusions left greater than right there is some volume loss at the left base heart is mildly increased in size. | acute chf. |
MIMIC-CXR-JPG/2.0.0/files/p13735608/s55671963/44387b3b-231bceea-bef0f704-a76bd046-c4c59430.jpg | frontal and lateral views of the chest were performed. there is no pleural effusion, pneumothorax or focal airspace consolidation. mediastinal and cardiac contours are normal. the hilar structures and pleural surfaces are unremarkable. the imaged upper abdomen is normal. there are no acute osseous abnormalities. | chest discomfort and shortness of breath. evaluate the presence of a pneumothorax or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18244868/s53765620/e3fa5877-12ab646d-9b4e8af7-63c9943d-c7efd2b3.jpg | lung volumes are relatively low. the lungs are clear. skin fold overlying the left lung apex mimics a pneumothorax. blunting of the right posterior costophrenic angle is compatible with a small pleural effusion. the cardiomediastinal silhouette is within normal limits. no displaced acute fractures. deformity of the proximal left humerus suggests prior healed fracture. | <unk>m with fall // rib fracture? |
MIMIC-CXR-JPG/2.0.0/files/p11674008/s55724439/a0d25242-98f8f0a5-32ea617e-9349f6fd-758c6fe9.jpg | portable frontal chest radiograph is slightly rotated to the left. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19601036/s56271545/38847b80-e0eac28a-ea9333f3-444e209a-0fd19d7c.jpg | portable ap upright chest film <unk> at <num> <num> is submitted. | <unk> year old woman s/p cabg/chyle leak // eval for dobhoff placement eval for dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p12313313/s57963173/e126f938-23831f9e-284d6495-b00f10e1-34f825a9.jpg | persisting perihilar and bibasilar opacities are again present, slightly decreased on the right and increased in the left lower lung zone. there may be minimal interval decrease in extent of the pulmonary edema. small bilateral pleural effusions are suspected. no pneumothorax identified. the size the cardiomediastinal silhouette is enlarged but unchanged. | <unk> year old man with hypoxemic respiratory failure secondary to aspiration requiring intubation on <unk> and was transferred to <unk>, where he was extubated on <unk> now with worsening respiratory status and tachypnea // c/f aspiration vs worsening bilateral opacities |
MIMIC-CXR-JPG/2.0.0/files/p14538785/s53805648/3701911e-f374e769-ece705b1-36ddbf52-d4036056.jpg | new from the prior examination is repositioning of the left-sided chest tube. the radiolucent portion of the tube, presumably representing a side hole, now projects over the left hemi thorax. no other significant change from the prior examination. | history: <unk>m with chest tube // ? placement of chest tube |
MIMIC-CXR-JPG/2.0.0/files/p16798209/s50782480/126c245a-5ff88823-0c24f313-c06c17b2-a7108124.jpg | frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. low lung volumes exaggerate bronchovascular markings, but there is probably a mild interstitial abnormality. since there are no other findings of heart failure, intersitial pneumonia or reaction to drugs, prescribed or otherwise should be considered. there is no pleural effusion, or pneumothorax. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13156342/s59087776/7ae8e6bd-0b663de0-5c3612e7-a045da65-2588915b.jpg | the lungs are hypoinflated. there are bilateral increased vascular markings as well as interstitial opacities, more pronounced in the lower lobes. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unremarkable. | <unk>-year-old female with one-week history of nonproductive cough, now with fever. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13518094/s59972031/909c4181-1177251e-50921294-78065b8a-ed7b4bd4.jpg | interval increase in pulmonary vascular markings as follows cardiac silhouette. linear increasing opacities and loss left lower lobe opacity partially silhouetting the left hemidiaphragm seen on the lateral view could be a combination of atelectasis and possible left lower lobe pneumonia. no pleural effusions or pneumothorax. implantable subcutaneous device in the anterior left chest wall in similar position. | <unk> year old man with waldenstrom macroglobulinemia, receiving ofatumumab. non-productive cough and an isolated fever. dyspnea on exertion. // rule out infiltrates. <unk> |
MIMIC-CXR-JPG/2.0.0/files/p14634952/s58149706/26988a46-00120718-ca46c9b8-d098b7d9-6615b787.jpg | frontal and lateral chest radiographs demonstrates no focal opacity convincing for pneumonia. heart size is upper limits of normal with prominent central vasculature. there is no overt pulmonary edema. there is no appreciable pleural effusion. no pneumothorax. there is no air under the right hemidiaphragm. | <unk>f with chills, weakness // eval for pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p17831676/s52994526/00992d4c-eed171f5-2927d740-c189b940-1565847d.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with renal txp and, fatigue and fever // r/o pna, check renal indices and interval changes |
MIMIC-CXR-JPG/2.0.0/files/p15041543/s52477390/f6023e9c-3d7d57e6-52ba451d-7448167e-5ceebef1.jpg | the lung volumes are low which exaggerate pulmonary vascular markings. bibasilar atelectatic changes are visualized and appear minimally increased in comparison to prior study from <unk>. however, there is no evidence of focal consolidation, effusion, or pneumothorax. the dobbhoff tube is visualized with the tip in the stomach. osseous structures are grossly unremarkable. right picc with the tip in the mid svc. | evaluation of patient with history of cva, now with evd and fever. |
MIMIC-CXR-JPG/2.0.0/files/p12254324/s56978401/c0dfda67-1fbbd042-d9807585-e6db7a28-f659740d.jpg | in comparison to the prior study, there is no substantial change. cardiomediastinal contour is stable. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk> year old woman with rll crackles // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17405640/s56435748/f4b3607f-2f334d64-53046026-0c0ce9fb-8e8cd9ba.jpg | normal heart size. there is stable prominence of the pulmonary arteries. no focal consolidation, pleural effusion or pneumothorax. there are <num> new compression fractures in the mid thoracic and lower thoracic spine of uncertain chronicity although new from <unk>. | <unk> year old man with h/o <unk>'s disease with new cough, vomiting |
MIMIC-CXR-JPG/2.0.0/files/p17914007/s52383574/ecc0f95a-ce50b33d-26e28e8f-c822a708-d9536dc2.jpg | ng has been removed. et tube is unchanged right ij catheter is unchanged, ending at the atriocaval junction. the dobbhoff tube is folded in the lower esophageal portion, with tip ending in an upper esophageous the bibasilar plrural effusion persists, minimally reduced since prior cxr and more conspicuous at the right base cardiomediastinal silhouette is normal. | <unk> year old man s/p resection klatskins tumor with necrotizing pancreatitis |
MIMIC-CXR-JPG/2.0.0/files/p12289470/s52047180/b1c0250b-96eb4fcf-ee9e78e9-0d9db2d6-059b5d5f.jpg | pa and lateral chest radiographs again demonstrate hyperinflation. multiple calcified nodular densities in both lungs correspond pleural plaques better seen on prior ct. apical pleuroparenchymal scarring is again noted. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. | shortness of breath. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16003661/s54974641/649e8d38-22bccc26-32b1b52f-67f944ec-22fef2c1.jpg | the new endotracheal tube terminates <num> cm from the carina. an enteric tube terminates at the level of the ge junction and should be advanced for optimal placement within the stomach. a small left pleural effusion is increased in size compared with the prior study. left mid lung masslike opacification has increased in density compared to prior studies and better characterized by ct of <unk>. hyperinflation is similar to multiple prior studies. there is no new focal consolidation, pneumothorax, or pulmonary edema. | <unk>f with copd in resp distress intubated, evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11802200/s53139413/cd0dce49-fde592ea-d9677846-e174691d-87ac550c.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man admitted preoperatively, with picc in place per nursing // assess for picc placement assess for picc placement |
MIMIC-CXR-JPG/2.0.0/files/p18360993/s57105925/b4398f49-2d2b2cd5-5c02f3a7-e1f9abfd-21b12f34.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is tortuous. no acute osseous abnormalities identified. | <unk>m with chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p17123392/s55619172/fe4c56c5-e6064ed6-ebf3c1d2-897a2c28-2453d9ce.jpg | mild enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are also stable, with prominence of the main pulmonary artery indicative of pulmonary arterial hypertension. perihilar hazy opacification which is more pronounced on the right likely reflects mild asymmetric pulmonary edema, similar to that seen on the previous exam. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are demonstrated. | diastolic congestive heart failure, restrictive lung disease, pulmonary hypertension, chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15996558/s58783567/89a1b190-a3071c24-f19e7ac8-86196348-ae69bf0d.jpg | fractured cerclage wires around left ribs and marked elevation of the left hemidiaphragm date back to <unk>. there is stable blunting at the right costophrenic angle. lungs are otherwise clear. the heart size is normal. the hilar and mediastinal contours are normal. | <unk>-year-old male with decreased left breath sounds who presents for evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17229811/s58545225/dc159519-17d4a9c5-27aacf5b-eb0d6d38-2d74cb9b.jpg | an extensive consolidation in the right upper lung has increased both in density and extent. there is also a developing consolidation in the left upper lobe. a small-to-moderate pleural effusion is seen on the right, and probably a trace one which is suspected on the left. there is no evidence of pneumothorax. the cardiac, mediastinal and hilar contours appear unchanged. | recent thoracentesis. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13185626/s56923649/a1d13f32-c5810f06-6d4e47ef-d2af36d4-39f0c224.jpg | two portable plain film studies centered around the epigastric region are submitted dated <unk> at <num> <num> | <unk> year old man with severe mrsa infection // dobhoff tube placement dobhoff tube placement |
MIMIC-CXR-JPG/2.0.0/files/p16550112/s59795233/b9a1007a-36117c9b-5800ea88-69ce4049-be2f314a.jpg | single portable view of the chest compared to previous exam from <unk>. lungs are clear of consolidation or effusion or pulmonary vascular congestion. calcified ap window lymph nodes are again seen. cardiomediastinal silhouette is otherwise unremarkable as are the osseous and soft tissue structures. | <unk>-year-old male with stroke, now with dizziness. |
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