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MIMIC-CXR-JPG/2.0.0/files/p11849423/s50128390/37c8b818-f9d0f7cc-74815508-811433b8-d8e3ca54.jpg | there are low lung volumes, which accentuate bronchovascular markings. mild bibasilar opacities may be due to combination of low lung volumes and atelectasis, but aspiration or pneumonia is not excluded in the appropriate clinical setting. again seen linear scarring in the right right mid and lower lung. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable. | history: <unk>f with shortness of breath // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13899653/s57832779/3bf71b44-8cfeb08c-dfa325a3-c1a311b9-70154131.jpg | lung volumes remain low with secondary crowding of the bronchovascular markings. there is no consolidation, effusion, or overt edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with ams, cirrhosis // ?ich, ?pneumonia, ?portal vein thrombosis |
MIMIC-CXR-JPG/2.0.0/files/p17183027/s51317661/9b1d61d2-318a5a48-9a6fe806-8a98f8be-f753beee.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. clip is noted the right upper quadrant of the abdomen. | history: <unk>f with htn, hld, dmii presents with acute onset bilateral lower rib pain, abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg | the previously seen chest tube has been removed without evidence of pneumothorax. the right loculated pleural effusion remains. the right hemithorax appears less opacified due to improved position of the patient, but mild residual diffuse opacification remains. the cardiac silhouette remains enlarged. | <unk>-year-old woman with chest tube removal. |
MIMIC-CXR-JPG/2.0.0/files/p11505655/s54584884/6fa692d8-f3bc5f28-3ad56965-4c4ddf61-9bd81254.jpg | right picc tip remains within the upper svc. mild enlargement of the cardiac silhouette is similar compared to the previous study. mediastinal and hilar contours are unchanged. streaky opacities within the lung bases persist, though appear slightly improved compared to the prior exam likely reflecting improving atelectasis. small bilateral pleural effusions are noted on the lateral view. the pulmonary vasculature is not engorged. no pneumothorax or acute osseous abnormalities demonstrated. | <unk> year old man with dyspnea status post recent tips // acute pulm process |
MIMIC-CXR-JPG/2.0.0/files/p11484887/s52115350/9987832f-99ab8f88-1315b32b-b6bc1892-4c9d9f65.jpg | pa and lateral views of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no acute fracture or dislocation is detected. | possible left scapular fracture after fall, left back pain, now requiring assessment for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14006122/s51213738/6b2fc9cb-411fe963-b53df68f-2678900c-de789ef4.jpg | frontal lateral views of the chest. there is elevation of the right hemidiaphragm with a configuration that raises possibility of a subpulmonic effusion. there is no left effusion. right basilar opacity is seen which could be due to atelectasis noting a component of infection is not excluded. the cardiac silhouette is enlarged. no acute osseous abnormality detected. | <unk>-year-old male with hypertension, decreased lung sounds at the bases. |
MIMIC-CXR-JPG/2.0.0/files/p16279488/s53920143/efe283c3-ba30a112-d9afbfab-802a443e-8c2cb1ee.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with cough, dyspnea x <num> wk // eval ? peribronchial cuffing, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11146162/s51090079/0a5858a1-5a2b1a90-84d57dce-50f0cf99-6a6a58a5.jpg | chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen. | <unk>-year-old man status post assault with possible loss of consciousness and left posterior rib pain. |
MIMIC-CXR-JPG/2.0.0/files/p10190482/s51873055/76386da6-bb59da5d-ea959797-8889663e-7315293e.jpg | pa and lateral views of the chest provided. there is no focal consolidation. pulmonary vasculature is normal. heart size is moderately enlarged. aorta is tortuous. hilar and cardiac contours are normal. | <unk> year old woman with bilat axillary lymphadenopathy, bx neg lymphoma |
MIMIC-CXR-JPG/2.0.0/files/p13254547/s56752089/60f7f84c-c34a9be1-d8e9bfed-1317e801-f13cf588.jpg | the et tube is in adequate position. lung volumes are somewhat low, with bronchovascular crowding. there is mild pulmonary vascular engorgement with minimal perihilar opacities. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged. | history: <unk>m with intubation // evaluate intubation |
MIMIC-CXR-JPG/2.0.0/files/p18738027/s56810762/c3cda20c-faa23a6d-1254b50c-299ca46c-50e3d2e1.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. there is mild left greater than right apical scarring. cardiomediastinal silhouette is within normal limits. osseous structures are unremarkable. | <unk>f with chest pain // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p15038651/s53511742/323a5ca8-7ab1baf7-999b588b-17b4dfc3-58ea58f1.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. since prior, there has been interval improved aeration at the left lung base. the lungs are clear of confluent consolidation or effusion. cardiomediastinal silhouette is within normal limits. elevation of the left hemidiaphragm is as seen on prior. osseous structures again notable for lower cervical, upper thoracic anterior fixation hardware and probable posttraumatic and potentially post-surgical changes at the left shoulder including the acromioclavicular joint. | <unk>-year-old female with chest pain and seizure. |
MIMIC-CXR-JPG/2.0.0/files/p11576703/s50363191/8a4073b2-63cc8b28-a83f48f7-9f2b72e1-828bff92.jpg | pa and lateral chest radiographs were provided. the lungs are hyperexpanded with prominent interstitial markings consistent with copd. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is notable for tortuous aorta. the heart is not enlarged. imaged upper abdomen is unremarkable. there is mild wedging of mid thoracic vertebral bodies. | history of shortness of breath for one week, evaluate for pneumonia or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p19893304/s52771884/96c8f34c-6f3f715c-35ca78eb-c404308c-1167e8bb.jpg | there are small bilateral pleural effusions, larger on the left, with associated atelectasis. superiorly, the lungs are clear. there is enlargement of the cardiac silhouette with a configuration raising concern for underlying pericardial effusion. no acute osseous abnormalities. | <unk>f hx hiv p/w with <unk> edema, orthopnea, exertional dyspnea. no hx chf. // pulmonary edema? cardiomegaly? |
MIMIC-CXR-JPG/2.0.0/files/p16007214/s59889309/769345a0-ea039e2f-fc0aee7b-5517d0fa-7d985ca5.jpg | the lung volumes are low which causes crowding of the bronchovascular structures. pulmonary vascular congestion has improved since <unk>. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. there is a cardiac pacer, mediastinal clips and sternotomy wires. | . <unk>m with anterior chest pain. evaluate for an acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18513641/s53871471/5bc3eb46-94f788f7-2dd6b361-65c9e381-8ecf09da.jpg | ap portable upright view of the chest. there is subtle retrocardiac opacity which in the correct clinical setting may represent pneumonia. lateral view may aid in diagnosis. no large effusion or pneumothorax. no convincing signs of edema. heart size is normal. mediastinal contours unremarkable. bony structures appear intact. | <unk>f with resp distress // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19553823/s57200232/af657c96-6b269f4d-b203c33b-06d7032d-8b7b44dc.jpg | the lungs hyperinflated but clear without focal opacity, pulmonary edema or pneumothorax. minimal left pleural thickening is unchanged since <unk>. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm. | <unk> year old man with orthopnea; recent surgery for pancreatic neuroendocrine tumor; prior pneumonia and hilar adenopathy. evaluate for cv-pulm disease. |
MIMIC-CXR-JPG/2.0.0/files/p16259585/s56566247/0cac815a-c3b6e9d3-68e8fc73-76879657-8de60d15.jpg | the picc line terminates <num> cm above the carina. right ij central venous catheter is in the lower svc. lung volumes remain low and heterogeneous bilateral airspace opacities have not substantially changed. there is no large pleural effusion or pneumothorax | <unk> year old woman with influenza, pneumonia, intubated // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p10578325/s58672627/e84af51e-f53d38fb-3ab64326-73b0188f-4071f521.jpg | the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15674420/s51813610/6c91a991-33c06030-5e5971a2-27f717dc-7ca3762b.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. there is increased density of visualized osseous structures | <unk>m with shortness of breath, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19900981/s56887342/7b142f36-5e0235af-f5731a5b-199fd487-f4070c19.jpg | there is moderate cardiomegaly and pulmonary vascular congestion. no focal consolidation is identified. there are likely small bilateral pleural effusions. no pneumothorax is seen. | history: <unk>m with sickle cell, chest pain // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19717536/s57014170/01873c12-387d4a00-7c053fa7-6c6057b5-292015cc.jpg | left-sided pacer device is again noted with leads terminating in the right atrium and right ventricle. moderate enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs are hyperinflated with emphysematous changes again noted. patchy opacities within the lung bases without substantial interval change, likely atelectasis, without focal consolidation. no pleural effusion or pneumothorax is demonstrated. mild to moderate degenerative changes are seen in the thoracic spine. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p10882916/s58988106/89263a2b-1935810a-5a8cd81f-6b75f7d9-7104084e.jpg | pa and lateral views of the chest provided. there are patchy areas of parenchymal opacity in the right upper lobe which is unchanged from <unk>. no pleural effusion or pneumothorax. median sternotomy wires and vascular stent are again visualized. imaged osseous structures are unremarkable. no free air below the right hemidiaphragm is seen. | <unk>f with right femur/hip fracture //preoperative. |
MIMIC-CXR-JPG/2.0.0/files/p15869001/s52885209/045371ee-8649e9c9-ed09a89d-dfeb3d77-6a97e6c8.jpg | ap and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. there is no pneumothorax. the cardiac silhouette is enlarged. hypertrophic change is seen in the spine. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with chest pain after fall. |
MIMIC-CXR-JPG/2.0.0/files/p18142481/s50396154/10f78a5a-52747772-1d107c6e-2597533f-97614540.jpg | the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. mid thoracic levoscoliosis is noted. no acute osseous abnormalities. | <unk>f with lightheadedness // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p11948874/s50435118/219f0db1-bfc60c63-ec97573a-527c136e-ff13e7f9.jpg | the right internal jugular vein central venous catheter ends in the upper right atrium. an enteric tube ends off the imaged portion of the screen, likely within the stomach. the endotracheal tube ends at the thoracic inlet. sternotomy wires are intact. there is a large opacity throughout the entire right lung likely representing the patient's pneumonia. the left lung is grossly clear. there is no pleural effusion on the left. evaluation for pleural effusion on the right is limited. there is no pneumothorax. | pneumonia. evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19105611/s50332338/ec525dc4-cda1e5a7-bfbb6311-9bad8304-83d8cae1.jpg | a drain or other to overlies left upper quadrant. surgical clips are noted near its tip. no free air seen beneath the diaphragm. lordotic positioning with low inspiratory volumes. no chf identified. there is patchy retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. lungs are otherwise grossly clear. no effusion identified. no pneumothorax detected. | <unk> year old man s/p distal panc/splenectomy now with few onset fever // ? infectious processes |
MIMIC-CXR-JPG/2.0.0/files/p16842605/s54236763/b13e8a9a-c8cbb263-f56d6f6b-8aa18e7f-b12ff29f.jpg | the lungs are well inflated. the left lung demonstrates some linear basilar opacities suggesting discoid atelectasis. an ill-defined opacity in the right lung base is not significantly changed compared with prior exam on <unk>, and might represent an area of atelectasis or scarring. this area of ill-defined opacity was also present on <unk>. otherwise, the cardiomediastinal and hilar contours are unchanged. there is mild cardiomegaly. a moderate-sized hiatal hernia is again seen. there is no pleural effusion or pneumothorax. sternotomy wires are intact. a prosthetic aortic valve is unchanged in position. dual lead pacemaker is noted in the left chest with leads ending in expected position in the right atrium and ventricle. | <unk>-year-old male with shortness of breath. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18412842/s50868760/1d3d512d-d2f0ad95-5bc7eb1d-e6068fda-0ba909fc.jpg | frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. the cardiac silhouette is normal in size. the mediastinal contours are normal. | <unk>-year-old female with cough and fatigue, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12647636/s52803550/cc64ae02-a9ff8d4e-afc1be5d-d31d39f2-c89261e6.jpg | there is an ng tube in the stomach. there is some residual contrast in the kidneys from earlier ct | small bowel obstruction and antique g tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18699523/s59902452/201090d1-a18c6c40-c88f1762-68b007e0-8ab13612.jpg | the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. no free air is noted under the hemidiaphragms. | nausea and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p12054905/s58270690/5df1a2eb-7bb714a4-fa5a3846-6a673ba5-f3182e84.jpg | the heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no effusion or pneumothorax. visualized osseous structures are grossly unremarkable. | chest pain, pleuritic. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17218894/s55886310/7dc09c68-65e8dace-d613eb28-a99be934-2f77316a.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | <unk>-year-old man with right femoral neck fracture, preop chest evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p10800710/s54496454/911d4611-e989b7fe-0846a84f-9179a557-df482c92.jpg | the cardiac, mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. | right chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18804278/s59853379/db20e7f5-acbfa547-9d90cbb7-d941c886-84619e85.jpg | heart size is normal. mediastinal and hilar contours are not significantly changed from yesterday at <time>. the pulmonary vasculature is mildly congested. extensive bilateral opacities are worsened from yesterday at <time>. right effusion is small. no pneumothorax. | <unk> year old man with s/p bental // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p12934243/s55802264/99b79cbf-2eab4d83-decc3706-49951675-65785b22.jpg | frontal and lateral views of the chest were performed. findings: the lungs are hyperinflated. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation. there is no pulmonary edema. the bones are osteopenic. | shortness of breath, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12244355/s58484607/7af692a2-b206419d-fdf4df15-6b817acf-1bb05c1d.jpg | the lungs are well inflated and clear. trace left pleural effusion is new. no right pleural effusion. heart size, mediastinal contour, and hila are unremarkable. visualized osseous structures are notable for multilevel degenerative changes of the thoracic spine with anterior bridging osteophytes, endplate sclerosis and disc space narrowing. | <unk>m with fever and cough. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15977129/s52044923/a275c5e4-57c72424-dbb8fee6-e323fe12-c8a250b8.jpg | since the previous exam, the ett and ng tube have been removed. no change in the position of the left picc line and left chest tube. significant interval decrease of the small left apical pneumothorax, now barely visible. tiny right apical pneumothorax, not clearly seen on the prior exam. no evidence of tension. the lungs are well-expanded and otherwise clear after the ett removal. no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette and hila are normal. no pneumomediastinum or pneumoperitoneum. no subcutaneous emphysema. | <unk>-year-old woman status-post facial trauma. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18230852/s59436143/a7c211c7-e03783a0-a9774796-18d563d6-4f1debeb.jpg | low lung volumes cause bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. allowing for decreased lung volumes, the cardiomediastinal silhouette is stable.old right <num>th rib fracture is noted. | <unk>m with ams, etoh withdrawal, concern for aspiration, evaluate for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p15107347/s56584393/9b7ce4e4-bdbe22b4-5fb67513-78c36f18-af94c405.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with chest pain and hematemesis |
MIMIC-CXR-JPG/2.0.0/files/p12936246/s58736040/70092e04-42c789db-5bf58fcf-d6624100-37f72871.jpg | pa and lateral views of the chest are compared to prior exam from <unk>. on the frontal, again seen are bibasilar opacities suggestive of atelectasis versus scar. there is, however, more density projecting over the spine on the lateral view inferiorly compared to prior, potentially localizing to the left on the frontal exam. there is blunting of the lateral costophrenic angle on the left suggesting a scar given interval stability. superiorly, the lungs remain clear. cardiomediastinal silhouette remains stable, noting moderate-to-large hiatal hernia. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with cough. |
MIMIC-CXR-JPG/2.0.0/files/p17470752/s58534967/446dda00-7f33045b-1635d3ef-564c2d26-36a43640.jpg | a right-sided picc line extends well into the right atrium. withdrawal by <num> cm would position its tip in the low svc. small bilateral pleural effusions are unchanged. there is no pneumothorax. the heart and mediastinum are within normal limits. | <unk> year old woman with cirrhosis, pleural effusion s/p <num>l <unk> today with new chest discomfort. // interval change in pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p15847940/s55072071/cfd10e2d-4448682d-e6eb8f8d-f225527e-bdc492f4.jpg | ap portable view of the chest. there is bibasilar atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar areas contours are normal. | altered mental status and cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15712703/s59791406/819b1c8f-a7875f99-b5fba51b-e5cb9cc1-cee55326.jpg | frontal views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign body. | <unk>-year-old male with hyperglycemia and altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15638099/s58137449/8e172ac2-74bc14e6-0898d8b1-44fcffd3-58b788c5.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16258153/s54190435/61b4f4ae-cd6ef8b3-050daa18-253bda7e-b1c10246.jpg | since the prior exam, the right internal jugular venous catheter approach swan-ganz catheter tip has been advanced and now lies within the right main pulmonary artery, well within the mediastinal contours. the left-sided and right-sided chest tubes as well as mediastinal drain has since been removed. otherwise, no significant interval change. persistent lower lung volumes. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart is mildly enlarged, unchanged. ett in standard position. median sternotomy wires unchanged. | <unk> year old woman s/p mvr/cabg // eval for swan position s/p cco placement |
MIMIC-CXR-JPG/2.0.0/files/p19934880/s50358193/cd948b43-97e99fe2-41282eef-7def28ed-9c33d7bd.jpg | ap upright chest film <unk> at <time> is submitted. | <unk> year old woman with mrsa spinal abscess s/p peg with worsening o<num> requirement. // pls eval for interval change pls eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p19397036/s50391971/f1f262ef-cbf60286-f89bde0c-b407d39a-05dfd516.jpg | new dobbhoff tube with the tip at the first portion of the duodenum. surgical clips are again noted in the left upper mediastinum. otherwise, there is little change in comparison to prior study. there is continued elevation of the right hemidiaphragm with liver enlargement. mild right basilar atelectasis as well as small right pleural effusion are again noted. additionally, mild pulmonary edema persists. otherwise, no new consolidations, effusions, or pneumothoraces. | evaluation of patient with new dobbhoff tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11596906/s58657894/7af1241f-acd67b5f-e22546b6-f4e13269-868f53f7.jpg | the heart size is top normal. mediastinal and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>m with r tib/fib fx. eval fracture pre-op. |
MIMIC-CXR-JPG/2.0.0/files/p11223325/s51956278/e54d1feb-2337abfa-9f3ac340-af49390c-9a8f6fa1.jpg | two views of the chest demonstrate streaky opacity in the right lung base, possibly atelectasis. remainder of the lungs are clear without pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. pulmonary vasculature is normal. no displaced rib fracture is seen. if there is further concern for rib fracture, recommend repeat dedicated views with bb marker to mark the site of pain. | <unk>-year-old female with right-sided thoracic back pain, on prednisone, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18019452/s52392135/532bef6c-a1f9631a-44a7267c-1602b61a-831bf612.jpg | ap chest radiograph again demonstrates moderate right pneumothorax, slightly larger from <time> a.m.. increasing subcutaneous emphysema is seen tracking up the right hemithorax into the supraclavicular fossa. supraclavicular approach right subclavian line is in stable position as is the et tube and ng tube. bibasilar opacification is worse now on the left. there is no large pleural effusion. | right-sided pneumothorax and bibasilar pneumonia. evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13381928/s54838991/e149570f-79058da5-562aafe6-95962c30-75bcda0d.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax. there is persistent mild elevation of the left hemidiaphragm. | increasing confusion over the past <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p19869327/s58926696/be9c841d-a01fe3ca-1031865f-996d83d2-38839979.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. pulmonary vasculature is unremarkable. mild degenerative changes of the right acromioclavicular and glenohumeral joints are present. osseous structures are otherwise unremarkable. no radiopaque foreign bodies. | <unk>-year-old male status post mvc on <unk> with upper right extremity weakness. assess for c-spine malalignment. |
MIMIC-CXR-JPG/2.0.0/files/p11832757/s50410535/9ab11d19-5ef2957f-0a9dd5f7-9abe3e31-bcfc9ec8.jpg | ap and lateral views of the chest. there is persistent mild pulmonary edema. there is no pleural effusion. cardiac silhouette is enlarged but stable. the aorta appears enlarged, similar compared to prior. there are multiple compression deformities in the lower thoracic and upper lumbar spine which are not changed since <unk> ct scan. | <unk>-year-old female with bilateral rhonchi and rales. |
MIMIC-CXR-JPG/2.0.0/files/p12335138/s59277741/7606a4e4-a839f925-1129fc34-63c5405a-f29f8e8b.jpg | the lungs are clear. the cardiomediastinal silhouette is stable. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities. | <unk>m with abd pain, ams // ? consolidation, pna |
MIMIC-CXR-JPG/2.0.0/files/p10605957/s51954258/4703a58a-2b89b78a-3cc1e7e0-3791280f-5a6cdb65.jpg | right internal jugular central venous catheter terminates in the low svc just above the superior cavoatrial junction. no pneumothorax. there has been interval removal of the swan-ganz catheter. postoperative mediastinum and cardiac borders are stable. lung volumes are low with increased bibasilar atelectasis and residual small left pleural effusion. | <unk> year old man s/p cabg and new cvl // check line placement |
MIMIC-CXR-JPG/2.0.0/files/p17214906/s58241457/1989e2e9-b4ffa95b-f67e74eb-47bb09fd-b7c38afc.jpg | the patient is status post median sternotomy. the cardiac silhouette is enlarged, but stable. the mediastinal and hilar contours are within normal limits. the lungs are slightly hyperinflated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. no acute osseous abnormality is detected. | cough and fever, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11134357/s55986222/d341aab3-bcc29a78-e1c118dc-2a274de7-0838ecf0.jpg | the lungs are hyperexpanded and clear. cardiac size is normal. the main pulmonary artery appears enlarged. there is no pneumothorax or pleural effusion. | history: <unk>f with generalized weakness, chest pain // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13573972/s54863067/2f527753-3715d881-76a89f9b-8f632696-e897fffa.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | chest pain and shortness of breath. question pneumothorax or intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p10878836/s58599642/1653127e-ed63edf5-715c3a25-2d8152eb-b103795e.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal slight is slightly enlarged compared to the prior study. the imaged upper abdomen is unremarkable. compression of a mid thoracic vertebral bodies is unchanged since <unk>. | history: <unk>f with weakness // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p18543891/s55442088/f26e67fb-c3d4de08-46d880d3-a8af9e61-c71ca06b.jpg | clips project over the left axilla, compatible with prior lymph node dissection. the heart size continues to be at the upper limits of normal. the mediastinal and hilar contours are normal. the lungs overall are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old female status post cva, now with tachypnea and decreased left base breath sounds. |
MIMIC-CXR-JPG/2.0.0/files/p11198939/s54787712/7f74f313-329ebfde-6200c498-291ec82c-32f6b753.jpg | the et tube terminates approximately <num> cm above the carina. there is mild thickening of the right minor fissure which may be secondary to a tiny right-sided effusion. left-sided rib deformities may be secondary to prior surgery. there is no evidence of a pneumothorax or large pleural effusion. there is no evidence of significant pulmonary edema. | history of respiratory arrest, now intubated. please evaluate for intrapulmonary process or et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p19159693/s57405817/fe344266-f2178ebd-e6ea4e09-c0e4d9c7-30e5456e.jpg | the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19928190/s54029824/e36990f9-bb4b9be5-1d310c08-1a585727-39fd29a0.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 new facial droop // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16766035/s59920856/d228788d-e1582677-4d375edb-5c1c7d51-d1504aa0.jpg | right-sided picc is again seen terminating in the low svc. since the prior study, there has been increase in interstitial and airspace opacities bilaterally suggesting moderate pulmonary edema, possibly of a background of chronic lung disease. lateral left lung scarring is again seen. small pleural effusions may be present. no pneumothorax is seen. cardiac and mediastinal silhouettes are stable. . | history: <unk>f with sob // chf |
MIMIC-CXR-JPG/2.0.0/files/p17595883/s55857326/f73a006a-c7a9f5dd-03fcc7d4-5c23eca9-d1caeb9b.jpg | the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unchanged. the aorta is tortuous. no pneumothorax, pleural effusion, or consolidation. no free air beneath the right hemidiaphragm. | history: <unk>f with epigastric pain // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12913020/s57585542/a182741c-4a28578c-edca7b01-87210a40-18ec7283.jpg | pa and lateral views of the chest provided. lung volumes are low. 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, fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p10161722/s52861425/362c3bb2-2bdba551-dbeedfa4-6caa6272-68eef771.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. slight tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities. hypertrophic changes are seen in the spine. | <unk>m with doe, cough, sob, pedal edema // pneumonia/pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p18073159/s59141448/6dbe851f-a3e2a472-a52f91a5-f94e28ea-76421b89.jpg | there are relatively low lung volumes. subtle small nodular opacities noted at the left upper lung and possibly right lung base are nonspecific and of uncertain chronicity, given lack of priors for comparison. recommend comparison with any prior studies, if none consider nonurgent chest ct for further assessment if clinically appropriate given patient age. bibasilar atelectasis is seen. more focal lateral right base opacity could be due to scarring but underlying pulmonary nodule or focal consolidation is not excluded. dedicated pa and lateral views the chest would be helpful for further assessment if/when patient able. no large pleural effusion or pneumothorax. cardiac silhouette size is top-normal. the aorta is calcified and tortuous. subtle deformities of several lateral mid to lower right ribs are of indeterminate age, but could be due to prior fractures. | history: <unk>f with fall, sdh // please evaluate for acute abnormality |
MIMIC-CXR-JPG/2.0.0/files/p16893042/s50174139/a29a0ec6-c63f7387-39178c7d-d1a78cbe-9af193fc.jpg | the enteric feeding tube is coiled in the stomach, with the tip at the gastric fundus. the endotracheal tube ends <num> cm from the carina. the lungs are clear. cardiomediastinal silhouette is not enlarged. no pneumothorax an check a trace left-sided effusion is suspected. | <unk> year old man currently intubated with og tube // please evaluate placement of og tube; ett |
MIMIC-CXR-JPG/2.0.0/files/p15002645/s57365926/c72112df-a6feb754-1d0e0e18-e1175487-13c6c9b8.jpg | lung volumes are slightly decreased. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. | history: <unk>m with chest pain // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10500388/s59411008/f3a243e6-61d8965e-24d13bee-b70d39ea-47b00208.jpg | lower lung volumes seen on the current exam secondary crowding of the bronchovascular markings. biapical calcified granulomas, with left apical scarring are again noted. cardiac silhouette is top-normal. hypertrophic changes noted in the spine without acute osseous abnormalities. | <unk>f with palpitations // consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p12792423/s50365297/484aced1-77735b03-a09c6df4-b19cbfea-6643b362.jpg | there are no focal consolidations, pleural effusions or pneumothorax. no pulmonary edema. calcifications are noted in the aortic arch. median sternotomy wires are unchanged in position. cardiomediastinal silhouette is within normal limits. the right posterior sixth rib is fractured, which was seen on the <unk> radiograph and is likely due to prior thoracotomy. | <unk> year old man with scc scalp // baseline |
MIMIC-CXR-JPG/2.0.0/files/p14501935/s59429851/f9ae53c1-f93f7a68-3701fa5f-a6a8f5f1-48ec9af7.jpg | single portable view of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormalities are identified. | <unk>-year-old male with abdominal pain and nausea. |
MIMIC-CXR-JPG/2.0.0/files/p11219670/s51430757/f5a11c58-f1c85a96-092f935c-4858dd40-ee260af3.jpg | lung volumes are low, similar to <unk>. pulmonary vessel congestion is slightly improved. there is persistent bibasilar opacities which is probably due to lung base atelectasis and pleural effusions. ng tube appears to terminate in mid esophagus. et tube terminates <num> cm above the carina. left pectoral pacemaker has its leads terminating in right ventricle. there is a tube projecting over left hemidiaphragm. prosthetic heart valve and sternotomy wires are unchanged. right internal jugular venous catheter terminates at mid to low svc. | <unk> year old man with ngt // ?interval change |
MIMIC-CXR-JPG/2.0.0/files/p17184471/s57916733/bbab8cd1-07fb9190-07e84282-751a7d74-2ac2726b.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. mild thoracic scoliosis is noted. | chest pain x<num> days, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12503324/s52674195/56dce8df-ca6f47da-856f1cdc-3a3dad17-4c12d19a.jpg | two pa and one lateral chest radiographs were obtained. bibasilar horizontal plate-like atelectasis is new since <unk>. no additional consolidations, effusions or pneumothorax is present. the cardiac and mediastinal contours are normal. aortic arch calcification is identified. new lower cervical fusion hardware appears intact without obvious hardware fracture or periprosthetic lucency. | <unk>-year-old with cough, dizziness, hypertension, status post coronary stent placement. |
MIMIC-CXR-JPG/2.0.0/files/p11210828/s58145916/b771c74e-09923380-9d7e317d-2a71a3c2-38260a76.jpg | pa and lateral views of the chest. lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | cough and wheeze. |
MIMIC-CXR-JPG/2.0.0/files/p15185501/s58262331/711e4f78-a1c2ae1c-ac4d203f-4b738dbb-5f612121.jpg | the et tube is been removed. left-sided picc line tip is at the cavoatrial junction. the right hemidiaphragm is mildly elevated. there <num> volume loss in the right lower lobe. there is no focal infiltrate | <unk> year old woman with sclerosing cholangitis and biliary duct strictures admitted with acute respiratory distress with improved breathing but persistent <num>l o<num> requirement and decreased breath sounds at b/l bases // ? atelectasis vs pleural effusion vs infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18863639/s57290922/2e8d546c-b2391ee3-5c37126c-d7d4d164-a8a722e6.jpg | portable semi-upright radiograph of the chest demonstrates hyperinflated, clear lungs. there is no pneumothorax. two right-sided pleural drainage catheters are present, in slightly different configuration as compared to the most recent prior study. there is no evidence of tube kinking. the cardiac silhouette is unremarkable. | history: <unk>m with recent spontaneous pneumothorax s/p blebectomy with pigtail drains, reported one drain clogged // evaluate position of drains and pneumothorax, thanks! |
MIMIC-CXR-JPG/2.0.0/files/p10619088/s56395492/5b510bb8-4a9715b0-4a3ec1f8-22ca919d-417c9227.jpg | frontal views of the chest show no consolidation, pleural effusion, or pneumothorax. increased prominence of the pulmonary vasculature is likely due to low lung volumes. the cardiomediastinal silhouette is unremarkable and unchanged from prior exams. sternotomy wires and mediastinal clips are present. no fracture is identified. | fall with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p18717547/s52400537/72068406-05c5d9d5-6842e717-694f5227-4ee00ccc.jpg | the inspiratory lung volumes are decreased with resultant bronchovascular crowding and accentuation of the cardiomediastinal silhouette. within this limitation, there is streaky opacification of the right lung base most compatible with atelectasis. a small right pleural effusion is difficult to exclude. no pneumothorax is detected. the cardiac silhouette is likely enlarged. the thoracic aorta is slightly tortuous. | <unk>-year-old man with dyspnea, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p16742247/s53747478/e58e6780-d560be2a-e888ba22-3cab30b6-d2ce36a4.jpg | pa and lateral views of the chest. again seen is consolidation in the lingula which on the lateral view appears minimally improved. there is however more conspicuous opacity in the right mid to lower lung, likely localizing to the lower lobe on the lateral exam. cardiomediastinal silhouette is within normal limits noting calcified mediastinal nodes. no acute osseous abnormality detected. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15913356/s57683646/5d55f258-e5b6754d-322f5817-f91bc5c2-2015ef09.jpg | the lungs are well expanded. no focal consolidation is seen. there is very minimal lateral left lung base linear atelectasis. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p18599654/s52736157/e508b85a-990ae9e8-e589617c-50302c6b-ce9474fe.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p14531295/s50494694/da31e26d-53bb53c3-428c2cde-e1d149cc-ef499980.jpg | degenerative changes are noted at the right acromioclavicular joint. cardiomegaly is mild, unchanged. there is no focal consolidation or effusion. increased interstitial markings are seen a lungs but are chronic and had been seen on prior chest ct and are compatible with patient's underlying history of sarcoidosis. no acute osseous abnormality. | <unk>f with weakness // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p17517983/s56461205/472b1a0a-60a97f98-ff9fe3f9-ebac246b-9647b3bc.jpg | the inspiratory lung volumes are decreased from the prior study. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm. no displaced rib fractures are detected. | right-sided chest wall pain status post mechanical fall, here to evaluate for pneumothorax or rib fracture. |
MIMIC-CXR-JPG/2.0.0/files/p14607376/s53855055/4d7e9cc8-9290e086-03e9ad4f-e01f1ace-06070913.jpg | shallow inspiration accentuates heart size, pulmonary vascularity. . interstitial prominence bilateral lungs, new since prior exam, may represent edema or inflammatory/ infectious process. no pleural effusions. no consolidations | history: <unk>m with ams // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14973190/s51362653/4ff59c98-1d83f5f5-1de6e30a-44669c82-af326331.jpg | endotracheal tube ends about <num> cm above the carina. compared to yesterday, the lung volume has decreased and there is a new left retrocardiac opacity, likely atelectasis. there is mild, new edema. small left effuion is stable. | <unk>-year-old man with pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p11441519/s51343967/f995e38a-73208922-a8b73b7c-9e7b0206-8351a077.jpg | right-sided picc is stable in position. patient is status post sternotomy and cabg. cardiac and mediastinal silhouettes are stable. there are low lung volumes and persistent moderate right pleural effusion with overlying atelectasis. there has been no significant interval change in right base opacity. | <unk> year old man with pleural effusion // please assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17439447/s54408427/6c0d9347-a0feae3d-01bee08d-74a9ed83-fe9b9d24.jpg | slightly low lung volumes, as before. lungs are clear. no pleural effusion. no pneumothorax. heart size is normal and unchanged. | <unk>m with fevers and weakness x <num> days // ? infection |
MIMIC-CXR-JPG/2.0.0/files/p18796759/s54272546/289898e8-266bb785-4016f96f-3866e110-34393a27.jpg | orogastric tube courses into the stomach with its distal end looped within the body of the stomach. faint right lower lobe opacity is due to a combination of mild pleural effusion and adjacent lung atelectasis as conformed from ct abdomen study dated <unk> and is unchanged as compared to the prior radiograph from <unk>. there is no pleural effusion on the left side. the lungs are otherwise clear. the heart size, mediastinal and hilar contours are normal. | <unk>-year-old man with hepatic coma, fever, rhonchi, desaturating interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14661688/s58311136/e57c1b6d-7b315f66-059cba57-ee0f405f-56547df8.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p11201345/s53481729/206eb7dd-a7758277-8de7c63c-57a4f654-871f74d0.jpg | there are increased interstitial markings bilaterally consistent with mild to moderate interstitial edema, versus atypical infection. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is moderately enlarged. the aorta is calcified and tortuous. degenerative changes are seen along the spine. | history: <unk>m with four months cough many year smoking hx // any consolidation or mass |
MIMIC-CXR-JPG/2.0.0/files/p15249048/s50971730/3d8b10c6-ec8ac625-ae6d7652-ee95f829-2d24fa88.jpg | ap portable upright view of the chest. lungs are hyperinflated and lucent possibly reflecting emphysema. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>m with fall, rectal bleeding // ?consolidation |
MIMIC-CXR-JPG/2.0.0/files/p17528431/s57174209/2516deff-4ad06e12-e186467f-253c2c8b-bb8d9019.jpg | the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. no osseous abnormalities appreciated. | <unk>f with lle swelling and mass // eval for mets |
MIMIC-CXR-JPG/2.0.0/files/p19244673/s50750864/1dff8a98-c67892d4-cdd4338f-43721ec8-8b37f35e.jpg | lines and tubes: enteric tube terminates in the stomach. lungs: low lung volumes with unchanged bibasilar linear atelectasis. no lobar consolidation. pleura: there is no pleural effusion or pneumothorax mediastinum: stable cardiomediastinal silhouette. bony thorax: no interval change. | <unk> year old woman with <unk>f w. recent hx of gallstone pancreatitis and cholecystitis treated w. ercp and perc chole tube who p/w recurrent choledocholithiasis now s/p ercp and lap cholecystectomy // position of ngt |
MIMIC-CXR-JPG/2.0.0/files/p13236973/s50274100/c6678593-526f424b-abb5e71d-28399cfb-4339d9ba.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. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p17256511/s51775688/80ebd779-92b21fc7-2ee8194d-03317ac1-e22b6675.jpg | left-sided aicd device is noted with single lead terminating in the right ventricle. moderate to severe cardiomegaly is unchanged. the aortic knob is densely calcified. the mediastinal and hilar contours are unremarkable. there is no pulmonary edema. focal opacity within the right upper lobe is concerning for an area of infection or aspiration. retrocardiac patchy opacity could reflect atelectasis. no large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | dyspnea. |
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