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MIMIC-CXR-JPG/2.0.0/files/p12399776/s51898677/d9fe3da1-57a178d4-6b1a4c9b-e94d2072-064e633e.jpg | patchy right upper lobe opacity is worrisome for pneumonia. right base opacity may be due to overlap of structures although it additional focus of pneumonia is not excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable in unremarkable. | history: <unk>m with history of pe presenting with cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13586954/s54279389/d693c023-f13cfa0d-7f12143e-b3499695-73f39e2c.jpg | diffuse increase in interstitial markings bilaterally is similar to prior consistent with mild interstitial edema with pulmonary vascular congestion. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with dyspnea // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15686764/s57351092/0f543c6d-bacf4599-f5f1bb1d-ec232f4a-9faca8c2.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13503962/s51047794/197490de-2b28075e-e1eca166-af2f37cf-2fc32746.jpg | normal heart size, mediastinal and hilar contours. low lung volumes accentuate pulmonary vascular markings. there is minimal bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p15112182/s53919485/a5ffcca5-417cf193-dd0162e9-1ea496c5-944fdb5a.jpg | cardiomediastinal contours are normal. in the right lower perihilar region ill-defined opacities could represent atelectasis or pneumonia in the appropriate clinical setting. there is no pneumothorax or pleural effusion. | <unk> year old man with schizoaffective disorder and poor self care, w/ leukocytosis. // evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p15548746/s52056100/a17c0ad6-693a8253-6ec945df-859342e5-1ad29445.jpg | catheter overlying the heart is thought to represent an inferior-approach dialysis catheter, similar in position compared with the <unk> cxr. inspiratory volume are slightly low. the heart is not enlarged and the cardiomediastinal silhouette is essentially unchanged. the azygous fissure is minimally enlarged (<unk>.<num> mm) on today's exam, but may be accentuated by low lung volumes. no chf, focal infiltrate, effusion, or ptx is detected. | fever while on hemodialysis. |
MIMIC-CXR-JPG/2.0.0/files/p18699864/s52739916/b6b073c9-3c023b0c-3736b11c-4c9fcd67-e7f0f2e3.jpg | the lungs are relatively hyperinflated, but clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with hx asthma, focal l side wheezing // acute pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p11943854/s51004178/4212a8fd-6fc908df-5c603b51-b9b939a2-194aae56.jpg | single portable ap upright chest film <unk> at <num> <num> is submitted. | <unk> year old woman with renal failure and pleural effusion // ? ptx s/p right <unk> ? ptx s/p right <unk> |
MIMIC-CXR-JPG/2.0.0/files/p13958446/s58911373/1dea5b3d-1c0d7902-b03f660c-ee086581-0c8b3283.jpg | portable semi-upright radiograph of the chest demonstrates a small apical pneumothorax on the left and a likely loculated lateral left-sided hydro-pneumothorax. stable appearing interstitial abnormality in the right lung may represent pulmonary edema versus dissemination of tumor. again seen is a discrete metastatic mass in the right upper lobe. | <unk>-year-old female with metastatic lung cancer status post placement of pleurx catheter. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16472682/s56527016/651f8de0-cbc32108-86320903-dc294d39-666d50cb.jpg | the heart is normal in size. the aortic arch is partly calcified. the lungs appear clear. there are no pleural effusions or pneumothorax. cholecystectomy clips project over the right upper quadrant. | weakness and hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p12203731/s54378185/2d12dc44-566b6982-54dc9980-52ca1bcb-acd2261c.jpg | cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. moderate size hiatal hernia is re- demonstrated. lungs are clear. pulmonary vasculature normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19244907/s53297381/c69563c0-75fee58b-a0264029-b26bea61-d6714231.jpg | there is bibasilar atelectasis. the lungs are clear of focal consolidation or pneumothorax. a tracheostomy is stable in position, and a left picc terminates within the upper svc. the cardiac and mediastinal silhouette are within normal limits. | <unk> year old woman with fever |
MIMIC-CXR-JPG/2.0.0/files/p10455192/s56329898/089bdb14-d777926d-758cf6f3-494f1087-d73f8124.jpg | the et tube ends at <num> cm from carina bifurcation and can be withdrawn <num> cm. the ng tube ends in proximal gastric cavity, likely in the fundus of the stomach. the left picc ends in upper svc. lung volumes are persistently low with bibasilar consolidation, suspicious for pneumonia. cardiomediastinal silhouette is normal. there is mild vascular engorgement. there is no pneumothorax. | <unk>-year-old man with fevers, assessment for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18737772/s54728405/7df16036-2fccd851-e8577ab9-1c5f514f-f5e160c9.jpg | heart size is normal. the aorta is tortuous. the mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old man with chest tightness, |
MIMIC-CXR-JPG/2.0.0/files/p17057903/s55239243/903dc47a-bfab7340-5d828a87-c3563a75-5b6fe68b.jpg | ap chest radiograph. there is no focal consolidation, pleural effusion, or pneumothorax. there may be a small amount of bibasilar atelectasis. the cardiomediastinal silhouette is normal. | weakness and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p15486454/s50897388/5424ae88-97cab49f-02e4dda5-c43efbd6-1f274687.jpg | the lungs are well expanded with minimal linear left basilar scarring, unchanged from <unk>. the cardiomediastinal silhouette and hila are normal. no pneumonia, pulmonary edema, or pleural effusion. | <unk> year old woman with <num> wk fever, chest congestion, dyspnea and decreased o<num> sat, ? crackles r base // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17611077/s52290277/5b5865ae-6f12373d-ff7ef873-0bb25584-13ed0010.jpg | cervical fixation device is seen spanning the lower cervical spine. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded with no focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits. no nondisplaced rib fractures are seen. the upper abdomen is unremarkable. | <unk>-year-old female with right chest wall and back tenderness to palpation. |
MIMIC-CXR-JPG/2.0.0/files/p15355207/s52797917/399027e6-eabf00d4-89f000d5-85d2e06e-4789e311.jpg | no pleural effusions, no new consolidations. no pulmonary edema. a right basilar opacity has resolved. chronic left lower lateral rib fractures. | <unk> year old man with heart failure, hypotension // pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13427502/s54890645/2cbc48f1-5ec5baae-baa2c4f0-8f0d83ad-5dc0fec7.jpg | the patient's condition required examination in sitting upright position using ap frontal and left lateral views. comparison is made with the next preceding portable single chest examination obtained nine hours earlier during the same day. the heart size is at the upper limit of normal variation, but no typical configurational abnormalities are identified. the thoracic aorta is unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is not congested and the lateral and posterior pleural sinuses are free from any fluid accumulation. no evidence of acute parenchymal infiltrates. specifically, in response to the posed question, there is no evidence of any retrocardiac density. when comparison is made with the preceding portable chest examination, no significant interval change can be identified. | a <unk>-year-old female patient with end-stage renal disease and diabetes, status post renal transplant and stent removal on <unk> presenting with two-day history of nausea and fevers, growing gram-negative rods in four out of four blood culture bottles and in urine. evaluate for possible retrocardiac pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14394983/s57721434/28b79379-1b3c24d5-8b1e4e17-13f4987b-f3cd5342.jpg | in comparison to chest radiograph from earlier the same day, the right apical pneumothorax is no longer seen. the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | a <unk>-year-old male with chest pain and right apical pneumothorax, evaluate for change in pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11967665/s50443086/77effb5f-3bb5b118-169c2167-506160f5-ba86049a.jpg | two views of the chest demonstrate minimal airspace opacity in the left upper lung. there is mild biapical architectural distortion, with borderline bronchiectasis. the cardiac silhouette is normal in size, the mediastinal contours are normal. there is no osseous abnormality. | <unk>-year-old female with shortness of breath. she has a history of cystic fibrosis and asthma. |
MIMIC-CXR-JPG/2.0.0/files/p12131998/s56304021/d70466af-1e652a5e-f14da178-6da64a29-d91c95e6.jpg | portable upright view of the chest demonstrates dobbhoff tube positioned at the gastroesophageal junction. et tube terminates <num> cm above the carina, unchanged. the lung volumes are low, which accentuate bronchovascular markings. the hilar and mediastinal silhouettes are unchanged. intrathoracic aorta is tortuous. heart size is top normal. there is no pulmonary edema. no pleural effusions or pneumothorax. | assess for dobbhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17458363/s55388486/ec15d542-a48ff151-8f387bc4-0bf10e22-4c00085c.jpg | single portable view of the chest is compared to previous exam from <unk>. the lungs are grossly clear of focal consolidation based on this portable semi-upright view. there is no evidence of pneumothorax. there is no large pleural effusion. cardiomediastinal silhouette is stable noting differences in positioning and technique. osseous and soft tissue structures are again notable for median sternotomy wires. | <unk>-year-old male was found down, intoxicated. |
MIMIC-CXR-JPG/2.0.0/files/p18725676/s54390161/431a0953-fb3df2e1-d257dade-e3484c9b-106fd0b1.jpg | there has been significant interval improvement of findings with resolution of vascular congestion, pulmonary edema and right effusion. there is persistent remnant small left pleural effusion with associated atelectasis. moderate cardiomegaly is unchanged. there is no pneumothorax. | evaluate effusions. |
MIMIC-CXR-JPG/2.0.0/files/p17031760/s52025753/375e5696-49dff0b2-586c4d4d-27e60d8a-98b7267a.jpg | there is no evidence of pneumothorax. the bilateral lungs and cardiomediastinal silhouettes are unchanged in appearance compared with the prior study with bilateral opacifications suspicious for pneumonia or aspiration. there has also been interval repositioning of the endotracheal tube, which is now in appropriate position, terminating <num> cm above the carina. the nasogastric tube has also been repositioned since the prior study, coursing below the diaphragm with side hole below the level of the diaphragm, but near the gastroesophageal junction, and could be advanced several cm. | attempted internal jugular line placement. evaluation for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11786699/s51969498/3281c39f-cf262a09-4c9cb73b-803eae4e-e2702a9c.jpg | lung volumes are low, causing crowding of bronchovascular structures. heart size is top normal. no pleural effusions or pneumothorax. no definite focal consolidation identified. on the lateral view, density overlying the lower thoracic spine is thought to be bronchovascular structures. | history: <unk>f with altered mental status. eval for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11769254/s57859350/64e49897-e7d7f891-87ce4331-f364cc85-37882a45.jpg | better seen on a recent comparison chest ct, there are numerous soft tissue nodules throughout the lungs bilaterally, worse on the right, compatible with metastases. the largest of these is located adjacent to the right heart border, in the area of heterogeneous opacity on the current chest radiograph. increase opacity at the right lung base is in part due to known metastatic disease, however, superimposed infection would be difficult to exclude in light of the lack of recent prior chest radiographs. the heart is normal in size and there is no pneumothorax. large hiatal hernia is again seen. | <unk>f with fever on chemotherapy. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p10703146/s51378730/2704e59a-f91c75a5-d383c17f-57aad063-a2769fed.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. low lung volumes accentuate bronchovascular markings. bibasilar opacities likely represent atelectasis. there is no pulmonary edema. heart size is top normal. partially imaged upper abdomen is unremarkable. | persistent cough and leukocytosis. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12959538/s55567406/ef5bcbc8-776e4cc8-7454a3fc-fb242b18-40c22ecc.jpg | unchanged top-normal heart size with left ventricular configuration. mediastinal and hilar contours are also unchanged since <unk>. streaky right basilar opacity may be due to aspiration. likely small left pleural effusion. no pneumothorax. | <unk>f with left facial numbness with hx cva. pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17170624/s55608893/08e5d285-2e9dd244-11391133-c454f079-a1ec3f1a.jpg | patient is status post right pneumonectomy with complete opacification of the right hemi thorax with unchanged clips in the right hilar region and rightward shift of mediastinal structures. heart size is difficult to assess. left lung remains hyperinflated but clear without focal consolidation. no pulmonary edema is present. no left-sided pleural effusion or pneumothorax is identified. postsurgical deformity of the right thoracic rib cage is again noted. | history: <unk>m with sirs(+) |
MIMIC-CXR-JPG/2.0.0/files/p12086409/s51350872/322bcb77-6110bc46-18c78fde-cd567726-8364fb90.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with dyspnea // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p15660203/s57221823/bda4caf9-e5b62a45-6a4b30f4-0381b0a4-5c0f59cf.jpg | pa and lateral views of the chest provided. mild right basal atelectasis. otherwise lungs are clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures appear intact. | <unk>f with cough and fever // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p14002720/s55088053/cf24839c-4e8d4c15-2e7580c9-5416ae05-088f72c4.jpg | pa and lateral views of the chest. a right port-a-cath ends in the mid svc. there is a small hiatal hernia. right coronary and left circumflex coronary artery stents are seen. there is no consolidation, pneumothorax, or pleural effusion. there is no pulmonary vascular congestion. the cardiac, mediastinal, and hilar contours are normal. | cough, rule out acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14328084/s52878392/cc0b5096-1c00e643-ad1b6d77-d62cd0e9-0f578a3f.jpg | compared to prior, the lung volumes have increased and appear grossly clear. known lung nodules are better assessed on prior ct. right picc terminates in cavoatrial junction. there is no pneumothorax or pleural effusion. the heart size and mediastinal silhouette are unchanged. | <unk>-year-old female with history of metastatic small cell lung cancer. picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p15871582/s57329511/c41e287d-d88d3cc1-baee8be1-4782ce7d-3d3ccfa7.jpg | since <unk>, a very mild improvement in the bilateral pleural effusions. unchanged moderate cardiomegaly. persistent mild pulmonary edema. no pneumothorax. hilar mediastinal structures are normal. | <unk> year old woman with dchf // progression of effusions |
MIMIC-CXR-JPG/2.0.0/files/p16848073/s51780481/943eea27-fbd84e49-bf38a522-5020d59e-0c6c7541.jpg | post-surgical changes are again noted within the esophagus. bilateral pleural effusions are noted, right greater than left, and appear slightly decreased in comparison to prior study from yesterday. cardiomediastinal silhouette remains stable. the lungs are without any focal consolidations or pneumothoraces. | evaluation of patient with history of esophagectomy, assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13196494/s55261179/22c0d3fe-58c73f7a-bcb177b9-138bb71a-ddb59daa.jpg | further worsening of the previously noted diffuse pulmonary edema has ensued consistent with cardiac decompensation. the cardiomediastinal size and configuration remain markedly stable with evidence of prior cabg. no definite effusion or pneumothorax is seen. | fever with left upper and left lower extremity joint pain. |
MIMIC-CXR-JPG/2.0.0/files/p16077095/s51751570/725f40b9-269b75f2-1b2b18b7-ba01e4a8-9d00ac81.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 chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16984939/s56977125/4a52eb10-c883101c-baf8323a-e0078c65-a830146d.jpg | pa and lateral views of the chest provided. the lungs are slightly hyperexpanded. 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 projecting over the left chest are likely related to prior left breast procedure. | history: <unk>f with pleuretic right posterior chest wall pain // ? acute cardiouplm process |
MIMIC-CXR-JPG/2.0.0/files/p18588433/s51181206/5cba7456-821bf185-c9ea5a27-336c665c-22172e0e.jpg | pa and lateral views of the chest. left chest wall dual lead pacing device is again seen. there are small bilateral effusions similar to prior. streaky left basilar opacity is seen, potentially atelectasis noting that the infection is not completely excluded. cardiomediastinal silhouette is unchanged. surgical clips again project over the left lung likely from prior resection. no acute osseous abnormality detected. | <unk>-year-old male status post lung resection with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17088793/s51329115/32f8b1d8-f66f2e37-7d272f2f-b3786d85-ab5c7113.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>f with cough x <num> month crackles on the right. |
MIMIC-CXR-JPG/2.0.0/files/p17513501/s50280211/38bcc637-d0386909-57bf31f6-6629d64b-b3c27aa3.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. mild biapical pleural thickening is symmetrical. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits with mild unfolding of the thoracic aorta and mild calcification of the aortic knob, which is unchanged. the trachea is midline. the visualized upper abdomen is unremarkable. multilevel degenerative changes are noted throughout the thoracic spine. | altered mental status, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18580594/s56562091/6abe4ea4-169e4ba1-a84d3279-9d50d94c-f5eea071.jpg | ap and lateral views of the chest. the innumerable bilateral nodular densities, better appreciated on recent chest cta from <unk>, appear slightly worse compared to study done on <unk> but this may be exaggerated by difference in technique and superimposed edema. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | hypoxia and hemoptysis. metastatic renal cell carcinoma. |
MIMIC-CXR-JPG/2.0.0/files/p11502574/s50762103/a0ef1c4a-6da5eb2f-621cbc9d-7e046360-4616f426.jpg | since the prior exam, the lung volumes are lower. there is no opacity to suggest pneumonia. the azygos vein and pulmonary vessels appear more prominent, consistent with worsening vascular congestion. there is no frank pulmonary edema. no pleural effusion or pneumothorax is identified. moderate cardiomegaly is unchanged. | worsening dyspnea and tachypnea. evaluate for pneumonia or other change. |
MIMIC-CXR-JPG/2.0.0/files/p12542274/s50247390/03acf91b-9e01d6e5-e4bf2d0f-e0aa97a3-450ff0cd.jpg | there is no focal consolidation to suggest pneumonia. paucity of vasculature at the apices and flattened diaphragms is compatible with chronic obstructive lung disease. heart size is normal. there is no pleural effusion or pneumothorax. there is bibasilar streaky atelectasis. degenerative changes of the right acromioclavicular joint are marked by mild spurring. | productive cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17542845/s56500735/5c260510-00795eb5-354b6418-c608fa9a-8ab7d88a.jpg | cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation or other finding concerning for pneumonia. pulmonary vasculature is within normal limits. | history of cll, immunosuppressed with cough. |
MIMIC-CXR-JPG/2.0.0/files/p15416392/s59038236/41874040-7869db87-84d45867-639549b1-ee2a56ea.jpg | the lung volumes are low. the heart is borderline enlarged. there is moderate perihilar congestion and more generally edema in each lung of mild extent. there is no definite pleural effusion or pneumothorax. | hypoxia. history of congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p11886174/s55553675/51fcc19b-5d6df269-fed5f629-1247ce59-82237730.jpg | the lungs are well inflated. increased heterogeneous granular opacities within bilateral lung bases. lucencies projecting along the right costophrenic angle and along lateral right pleural surface may represent blebs. pleural plaques again noted. there is evidence of severe emphysema. persistent moderate left basilar pneumothorax. no pleural effusion. no significant change since prior examination. heart size, mediastinal contour, and hila are unremarkable. aortic arch calcifications are present. a right anterior chest wall pacer device with single lead tip within the right ventricle. | <unk>m with large ptx. assess for progression of ptx |
MIMIC-CXR-JPG/2.0.0/files/p18874187/s54253046/93ff153a-6ad131af-8fb386d9-88055df8-c82fc805.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. fiducial seeds in the posterior lower chest are stable | <unk> year old woman with report of dyspnea x<num> weeks // dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p12304672/s58934491/93869f93-fe26c4b8-82c0ccd0-a438f1ae-66ab6cac.jpg | an endotracheal tube ends in the mid thoracic trachea. patchy opacities which are worse at the lung bases are significantly increased from the study <num> hour prior. this may represent worsening edema or aspiration. an enteric tube courses below the diaphragm and off the inferior aspect of the film. | history: <unk>m with new ett, // intubated, og tube |
MIMIC-CXR-JPG/2.0.0/files/p14500788/s58066206/ddc8b8bb-6ab695d3-3c13a8c5-8d63ca02-c9649dd9.jpg | there is no concerning focal airspace opacity. there is slight blunting of bilateral costophrenic sulci, likely due to atelectasis. the cardiomediastinal silhouette and hilar contours are normal. the heart is not enlarged. the aorta is somewhat tortuous. no large pleural effusion is detected. there is no pneumothorax. | chest pain. evaluate for pneumonia or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p16612232/s54622067/c6dad1d9-b27adc34-3c0735f1-af6c28a7-b0743bee.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 chest pain/sob on chemo. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10267709/s58799562/77664a25-a1de5c6d-bc0a6729-7677d01f-717bc303.jpg | ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are noted. lung volumes are low markedly low limiting assessment. allowing for low lung volumes, there is no convincing evidence for pneumonia or edema. hilar congestion difficult to exclude. no large effusion or pneumothorax. cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. | chf/pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13748634/s50832214/177a879c-d046c5ff-fcaa258a-c4e12867-9c681e2b.jpg | study is slightly limited by patient rotation. cardiac silhouette size is mildly enlarged. pulmonary vasculature is not engorged. ill-defined opacity in the right lower lobe corresponding to the area of infarction seen on the prior ct has increased, can hemorrhage. linear atelectasis seen within the left lung base. no pleural effusion or pneumothorax. | <unk> year old woman with rll pe and infarct, hemoptysis, cardiomegaly. // evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17881139/s55056965/e502bd7d-03f3b3a7-1cf3761c-31db5be3-ccce247c.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>m with cough, travel |
MIMIC-CXR-JPG/2.0.0/files/p12255329/s54597166/feccebfe-1ce5a762-44980867-c626e6d1-5f3911cb.jpg | the lungs are hyperinflated but clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. multilevel thoracic and lumbar vertebroplasty changes are noted. mild height loss of mid thoracic vertebral bodies are age indeterminate. chronic left lateral rib fractures are noted. there is no visualized acute displaced fracture. | <unk>f with <unk> swelling and rib pain // eval pulm edema, rib fxs |
MIMIC-CXR-JPG/2.0.0/files/p10263569/s58005286/3de78c22-58bd498b-ac5b2021-b940c44d-02399e0d.jpg | the lungs are well expanded and clear. there is a trace left pleural effusion seen best on the lateral view. there is no right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is unremarkable. | elevated white blood count. |
MIMIC-CXR-JPG/2.0.0/files/p14716081/s54414087/4b83f71b-43390479-7eea461d-74e7ed28-711145a3.jpg | a portable frontal chest radiograph demonstrates interval placement of an enteric tube which extends below the diaphragm and off the inferior edge of the image. a left picc terminates in the low svc. the heart remains top-normal in size. there is no focal consolidation, pleural effusion, or pneumothorax. | confirmed nasogastric tube positioning in a patient status post component separation in <unk> complicated by enterocutaneous fistula, now status post exploratory laparotomy, lysis of adhesions, small bowel resection, enterocutaneous fistula takedown. |
MIMIC-CXR-JPG/2.0.0/files/p11426151/s53507989/ce84526b-47b34e25-7b663e1e-4111e850-de903d04.jpg | the et tube is at the upper limit of acceptable position, no less than <num> cm from the carina. there are low lung volume. the left lung opacification has improved on this study. there is mild pulmonary edema. there is no mediastinal hematoma or pneumothorax. | <unk>-year-old woman intubated status post spine surgery, evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18042178/s52595621/9df9e68a-f1169710-43c90f3c-402cc9f6-39d6b824.jpg | the heart is enlarged, with overlying surgical clips and intact sternotomy wires. in the left upper and lower lobes, there is an opacity with an unusual configuration, corresponding with the pleural effusion seen on the ct from the same date, and suggesting possible loculation. there is calcification of the right basal pleura. there may be right-sided pleural effusion as well, however correlation with a ct chest is done for confirmation. | <unk> year old man with low sats. please eval interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19442226/s55802076/1b308ded-6c895775-949f5d75-5be20754-a244cd15.jpg | pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is no focal consolidation, pleural effusion, or pneumothorax. a convex, linear opacity in the right lung base is stable from <unk> and may represent an area of scarring. the pulmonary vasculature is normal. | two weeks of cough and pleuritic chest pain. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p11274067/s54606777/d3e99866-60739eee-251e5ec0-271f81f5-eacef784.jpg | ap portable semi upright view of the chest. aicd again seen projecting over the left chest wall with leads extending to the region the right atrium and right ventricle. cardiomediastinal silhouette is normal. lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. imaged bony structures are intact. please note, the right cp angle is partially excluded. | <unk>m with hypotension, hx chf // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p11324462/s55456031/153e6c6c-140f5498-f751aa1c-c5a088b6-ed600921.jpg | a single portable upright view of the chest was provided. the lungs are clear. the hila and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10491834/s55225640/7bcd20d3-d0a07560-edc5c63c-7f7e8d38-479208f5.jpg | the lungs, mediastinum, hilar, heart, pleural surfaces are all normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19951239/s52939041/ee4a7178-3c253753-e39ab614-164aa972-32bc6876.jpg | pa and lateral chest radiograph demonstrates an airspace opacity within the right upper lobe marginated by the minor fissure. the left lung field is clear. there is no pleural effusion or pneumothorax. heart size is normal. there is no evidence of pulmonary edema. | history: <unk>f with fever and cough // r/o acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p14775533/s54339614/f54c050f-e289f0e3-60c2396e-b30a1fba-7c1757f9.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. extensive subcutaneous emphysema persists, not significantly changed from the prior. there is probable pneumopericardium as well. bibasilar opacities represent pleural effusions with adjacent atelectasis. a chest tube projects over the left hemithorax. the cardiomediastinal and hilar contours are unchanged. no pneumothorax. | <unk> year old man s/p asc ao replacement // eval for pneumothorax s/p asc ao replacementchest tube to water seal |
MIMIC-CXR-JPG/2.0.0/files/p17554575/s54617690/b25c2546-0a0b15d5-9cfd7310-c3f1fbd0-2a7da078.jpg | cardiac and mediastinal silhouettes are stable. large hiatal hernia is again seen. mild basilar atelectasis is seen without definite focal consolidation. no large pleural effusion or pneumothorax. there is diffuse osteopenia. | history: <unk>f with fever and ams // please eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17779312/s53012797/212c9af0-1ef6b68f-1c22f8c9-7e58d5c4-6c471156.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine. | dizziness and left arm numbness. |
MIMIC-CXR-JPG/2.0.0/files/p18627107/s56692775/9a063e8a-bd122987-f2d98d01-b6af36e3-6ddb5311.jpg | the cardiomediastinal silhouette and pulmonary vasculature are normal. no focal consolidation is seen. there is no pleural effusion or pneumothorax. | history: <unk>f with pre-op cxr // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p12623286/s52669143/603c064d-ae1f83f7-ca59ac86-72713de8-dd3ee866.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there are degenerative changes in the lower thoracic spine. | history: <unk>f with n/v/d, fever // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17464246/s57160253/7e736619-59dbf194-bdbc3587-78d1a746-85f92c38.jpg | lungs are fully expanded and clear. cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | patient with history of melanoma, eval disease status. |
MIMIC-CXR-JPG/2.0.0/files/p14150037/s55673929/b7101776-6a9cff67-c563a6aa-b7954655-660ccf2a.jpg | when compared to <unk> chest radiograph, there is pulmonary vascular congestion with cephalization and mild interstitial edema bilaterally. segmental atelectasis of the left lower lobe is again noted. there is stable severe cardiomegaly. the right costophrenic angle is sharp. left costophrenic angle is obscured by the large heart. the single lead left pectoral icd and left ventricular assist device in situ. median sternotomy wires are intact and aligned. | <unk> year old man with h/o idiopathic dilated cm s/p lvad p/w weight gain // please evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p14158971/s58027805/6bdfeba0-0aa2615d-a499a526-c0329847-2e61a9c7.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 intermittent chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15348168/s53630559/976adbf1-3431d6ee-922d7423-6dbab0c5-b9720a29.jpg | mild cardiomegaly is accompanied by pulmonary vascular congestion and diffuse bilateral interstitial edema. there are probable very small pleural effusions bilaterally. | <unk> year old man with hypoxia sp cath // pna? chf? |
MIMIC-CXR-JPG/2.0.0/files/p12043836/s51607590/f5a17b5e-490e91f8-81385956-827c5daf-f615082e.jpg | portable semi-erect chest film <unk> at <time> is submitted. | <unk> year old man with pleural effusion on left s/p <num> chest tubes and decortization vats <unk>, esrd, mvr with mv regurgitation // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p15209552/s55082124/89360e09-bdb5a678-a4e03e53-a50c3e63-dade9e57.jpg | there is unchanged extensive subcutaneous emphysema as well as pneumomediastinum. a left chest tube is in unchanged position. presence of pneumothorax is difficult to evaluate given the extensive subcutaneous emphysema but no definite large pneumothorax or mediastinal shift is present. the cardiomediastinal silhouette is unchanged. | <unk> year old man with sub cutaneous air, bilateral pneumothorax, evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p14539710/s55541741/ad9fde06-3f884e8a-fe4dc6bc-66159c0d-b3e9444e.jpg | patient is status post endobronchial valve placement. there is increased subcutaneous emphysema supraclavicularly as well as persistent subcutaneous emphysema noted in the left pectoralis muscle, the left lateral chest wall, and the axilla. pneumomediastinum is noted as well. there is a persistent small left apical pneumothorax. the left pleural catheter is in place. cardiac contours are unchanged. | <unk> year old man with ptx s/p endobronchial valve placement for alpha <num> anti-trypsin deficiency/severe emphysema. // interval change in ptx |
MIMIC-CXR-JPG/2.0.0/files/p14687797/s54805025/93f30719-72c1ea18-2697d00a-6270ba1b-3daf236d.jpg | some rounded right lung base opacity is re- demonstrated, best seen on the frontal view. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | history: <unk>m with l cva, hydrocephalus s/p vp shunt who p/w worsening r-sided deficits // interval change, please evaluate subtle right base opacity detected on shunt series. |
MIMIC-CXR-JPG/2.0.0/files/p11697323/s58294260/5d15efe1-f160c1ba-c8f771ee-1865e312-0ed75567.jpg | the tip of the endotracheal tube is in appropriate position terminating <num> cm above the carina. an enteric tube is partially visualized. there is near complete opacification of the right hemi thorax with just a small amount of aeration at the right mid lung. the left lung is grossly clear. there is no pneumothorax. | respiratory failure status post intubation, evaluate for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11959315/s57843111/8740f17e-52794c38-da55e210-b2f11cd2-a19a196d.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. | difficulty speaking. |
MIMIC-CXR-JPG/2.0.0/files/p14675727/s57946532/1590a1d2-46077801-68ece979-e43d2e41-e1240cf3.jpg | the aorta remains calcified and tortuous. the cardiac silhouette is mildly enlarged. prominence of the right hilum is grossly stable and may be due to prominent pulmonary vasculature. the lungs are hyperinflated. mild bibasilar atelectasis is seen. no definite focal consolidation. the patient has an azygos lobe. no pleural effusion or pneumothorax is seen. evidence of dish is seen along the thoracic spine. likely hiatal hernia. | history: <unk>m with loose cough // ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19629814/s56405717/744af514-1ef45953-73a99d7e-fd3b5a03-2a33285c.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. aside from patchy basilar opacities most suggestive of minor atelectasis in association with low lung volumes, the lungs appear clear. the bony structures are unremarkable. | chest pain. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14707553/s59793351/a1d73111-83d45b27-b8f35cfa-dd734cd4-c4b97999.jpg | single lead right-sided pacer device is stable in position. there is a left-sided picc which terminates at the cavoatrial junction/proximal right atrium, as seen on prior study. again, this could be pulled back <num>-<num> cm. the cardiac silhouette remains enlarged. mediastinal contours are stable. there is a moderate right pleural effusion with overlying atelectasis. pleural fluid appears decreased in amount as compared to the prior study, although this may relate to differences in patient position. left pleural effusion has essentially resolved. | history: <unk>f with picc line in lue pls eval placement of picc and pacemaker // history: <unk>f with picc line in lue pls eval placement of picc and pacemaker |
MIMIC-CXR-JPG/2.0.0/files/p12934243/s55514373/58a3772c-21844a40-f52fe020-d761f2dd-e9ecbf25.jpg | the new enteric tube courses below the diaphragm with the tip in the stomach. the stomach remains distended with air. an endotracheal tube is in satisfactory position, <num> cm from the carina. a right picc is unchanged with the tip in the mid svc. there are bilateral pleural effusions, slightly larger on the left than the right, which are not significantly changed from the prior exam. there is no pneumothorax. emphysematous changes and atelectasis, particularly on the right, are unchanged. there is some volume loss at the lower lobes bilaterally, slightly more prominent in the left lower lobe. since the prior exam, pulmonary edema has improved. the patient is rotated, but within the limitations, the cardiomediastinal silhouette is unchanged. | hypoxia. evaluate og tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11194322/s51228414/a4e80da9-6cbca948-8a28fd04-84a9fc55-2b569c82.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18718558/s57928618/a7598bc9-4c49ff6b-84ab7903-edee7c60-9e77f014.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>m with chest pain // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p10763729/s59368186/9b56ac77-7464466a-a41f500f-ba1c0ae6-b0621028.jpg | supine portable radiograph of the chest demonstrates hazy multifocal opacities involving the right upper and lower lobes as well as the left lower lobe which have increased in density since the prior study. the endotracheal and nasogastric tubes are in appropriate position. a right subclavian central venous catheter is unchanged in position, terminating in the low svc. there is no pneumothorax or pleural effusion. | <unk>-year-old man found down with fever. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19901190/s56254921/9396c5f2-069a30a9-d65f32d7-872d9121-54c79f8f.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 cough, bronchial breath sounds lml/lul, bibasilar crackles, positional cough. |
MIMIC-CXR-JPG/2.0.0/files/p19150392/s50524371/9b6cb358-38c9859e-75bdf7e7-f8c6e701-b7b592ce.jpg | ap upright 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 ms flare. completing infectious workup |
MIMIC-CXR-JPG/2.0.0/files/p16484832/s50817813/a73febe1-26551bec-c09c0491-35d0b5c0-5bdc0111.jpg | the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. dense left mid lung nodule is consistent with a granuloma. lungs appear otherwise clear within the limitations of technique. there is no pleural effusion or pneumothorax. right-sided picc line terminates in the superior vena cava. | septic shock. |
MIMIC-CXR-JPG/2.0.0/files/p19195933/s59131773/66ccca0f-586b477d-248fe422-ac678151-45a14d41.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is no evidence of radiopaque foreign body visualized within the intrathoracic trachea. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with ?pill impaction in upper and lower esophagus // evaluate for esophageal foreign body |
MIMIC-CXR-JPG/2.0.0/files/p11593376/s56591388/a8ab97f7-956f7de0-5fca4e2c-57999a69-fb9f8fe5.jpg | the lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | progressive personality change and altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19643838/s56355154/15a6e583-8dda590c-2d665a0e-8e42a119-19f2ad99.jpg | ap and lateral views of the chest. the lungs are essentially clear noting some streaky left basilar opacity not significantly changed, potentially due to atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with fever and feeling weak. |
MIMIC-CXR-JPG/2.0.0/files/p17970878/s54030221/a355780f-e8bf2f28-bbbbadc9-4d3bc279-190cf217.jpg | portable semi upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. the previously described left apical pneumothorax is not definitely identified. air outlining the left pectoral muscle is unchanged. a left-sided pleurx catheter is present. there are small bilateral pleural effusions with adjacent atelectasis, which have decreased over the interval. indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure. | <unk> year old man // eval for pneumo |
MIMIC-CXR-JPG/2.0.0/files/p17214002/s55486278/9ee9808d-b3b14301-0633fb73-ab2b1852-0a564666.jpg | portable ap chest radiograph is somewhat limited by rotation to the left. however, it does <unk> lung volumes with mild pulmonary interstitial edema. there is no large pleural effusion or pneumothorax. heart size is difficult to ascertain. | fever and congestion. |
MIMIC-CXR-JPG/2.0.0/files/p18637590/s53577187/381ba371-b0d79bd2-481f7399-31412647-8c85e5d4.jpg | frontal and lateral radiographs of the chest demonstrate interval resolution of right apical pneumothorax. the right chest tube is unchanged. small right pleural effusion is also unchanged. the left lung is clear. no acute consolidation is identified. the cardiac and mediastinal contours are normal and unchanged. | right rib fractures and pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13429223/s58585668/a019e75f-050a3089-d5488f0f-4df39bc1-938b4c95.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. there is no radiopaque foreign body. | history: <unk>f with sternal chest pain, cough, dyspnea s/p chocking on food <num> nights ago // ?pneumonitis/pna, foreign body |
MIMIC-CXR-JPG/2.0.0/files/p16747881/s52940705/ebc6d073-513a97ee-a4e81985-dd3a68a5-90fb5035.jpg | an endotracheal tube is in place with the tip terminating at the level of the thoracic inlet approximately <num> cm above the carina. a nasogastric tube is seen with the tip terminating above the level of the diaphragm, which should be advanced for proper positioning. a right internal jugular central venous line is in place with the tip terminating in the upper to mid svc. the patient is status post median sternotomy with intact wires and multiple mediastinal surgical clips compatible with prior cabg. the cardiac silhouette is moderately enlarged. the mediastinal contours are slightly prominent, which is related in part to ap technique. no focal airspace opacity, pleural effusion or pneumothorax is detected. mild pulmonary vascular congestion is present. | intubated status post cardiac arrest, here to evaluate for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p14257388/s57245951/ef7202e0-98d39024-0ba684d1-91e65ad1-cec12e11.jpg | evaluation is limited by technique and body habitus. lung volumes are low. the lungs are clear without focal consolidation pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size. the mediastinal contours are normal. | <unk>-year-old male with syncope and palpitations status post fall with head trauma and head pain. the patient was amnestic to the event. |
MIMIC-CXR-JPG/2.0.0/files/p13984508/s54952490/c4475f3e-50c5a583-e700e875-9f7cf046-080db839.jpg | an endotracheal tube terminates <num> centimeters above the carina. a right ij venous catheter terminates in the mid-to-lower svc. an enteric tube terminates in the gastric fundus. a chest tube terminates in the right apex. as compared to prior chest radiograph from <unk>, there is a persistent lateral and right inferior pneumothorax. right upper lobe consolidation has not changed acutely, however there has been improvement when compared to prior chest radiograph from <unk>. vascular branching pattern on the left suggests emphysema. the cardiomediastinal and hilar contours are within normal limits. there is improved subcutaneous emphysema. | <unk>-year-old female patient status post cardiac arrest, intubated, right upper lobe pneumonia and pneumothorax status post right chest tube. study requested for evaluation of interval change. |
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