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MIMIC-CXR-JPG/2.0.0/files/p10251714/s51280690/73cd36a9-0a3d2052-70b0f77b-5e98dd1b-cddee5c5.jpg | the lungs are hyperexpanded. in the right mid lung, there is a <num> x <num> cm cavitary lesion with thick irregular margins. surrounding this, there is additional irregular opacity with similar appearance at the left base. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. | syncope with recent treatment for pneumonia with levaquin. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15962556/s50832436/98cbe9ce-fad8f357-7a709590-db6be1db-926224c5.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted | <unk> year old woman who presented with dic now s/p prolonged hospital course // eval for interval changes, pulmonary edema, pna eval for interval changes, pulmonary edema, pna |
MIMIC-CXR-JPG/2.0.0/files/p19502456/s50945822/a022ccda-57ee2e8c-9898ca96-6daeb48c-ae22b904.jpg | ap portable upright view of the chest. no free air is seen below the right hemidiaphragm. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>f with recent eus // please eval for free air |
MIMIC-CXR-JPG/2.0.0/files/p11372768/s54269946/922752cb-ff86ec4b-b6528579-37984f3b-4a8b8a97.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.bony callus about a deformity of the mid left seventh posterior rib is new since the chest radiograph from <unk>, but does not appear acute. | <unk>f with fatigue. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11498499/s50097849/ea9082ab-9811d493-2be972a4-2723ad13-b7c36fb7.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | history: <unk>f s/p mvc <num>d ago, c/o worsening r chest pain and c; low t-spine point tenderness and pain with posture // ?fracture; ?pna |
MIMIC-CXR-JPG/2.0.0/files/p10694040/s55198209/b789c7b9-2aa29fc2-550c63ea-49ede721-f2ad0431.jpg | frontal and lateral views of the chest. the lungs are hyperinflated. there is moderate cardiomegaly and an unfolded thoracic aorta. there is minimal bibasilar atelectasis. in addition,there is hazy opacity at the right lung base. on the lateral view, there is patchy opacity posteriorly, in ? right vs left lower lobe. the lung markings appear prominent, but this is likely technical -- doubt interstitial edema. there is no pneumothorax. doubt gross effusion. there is no pneumothorax. | <unk>-year-old female with fall and head strike. |
MIMIC-CXR-JPG/2.0.0/files/p13468314/s55541508/82d4cf0c-0a968f83-c4d7afad-7c1e89a0-0ca09eba.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with sob and cough // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14605239/s53630244/bbe41f08-ba74deff-aa822448-2faa266b-c09354e2.jpg | there is a new large left suprahilar mass like density centered in the right upper lobe, measuring approximately <num> cm in extent. its contours appear lobular. elsewhere, the lungs remain clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p18936006/s53607023/117abce0-2f5fc119-55ada77c-4ec3f31c-3c1badba.jpg | dense consolidations are noted in the retrocardiac left lung base, as well as ground-glass opacities within the left upper lung. a mechanical heart valve is present, along with mild cardiomegaly and aortic calcifications. calcific densities also project over the cardiac silhouette, location of which is uncertain. a left pleural effusion is likely. the right hemi thorax is grossly clear. there is no pneumothorax. | <unk>f with hypoxia // eval for pna, edema |
MIMIC-CXR-JPG/2.0.0/files/p11148536/s53452402/a66085fe-516d220f-603b6b5c-c276b21b-a2a4dded.jpg | the heart is enlarged but stable. a left-sided pacing device remains in unchanged position, with <num> leads terminating in the right ventricle, right atrium and coronary sinus. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with cad s/p stent placement presenting with chest pain and question of icd firing // acute cardiopulmonary process. icd component eval |
MIMIC-CXR-JPG/2.0.0/files/p19346204/s50887575/f2502f60-ec8cb5e8-e6eb168a-8b5d5d62-6e1a5ffb.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusions or pneumothorax. bony structures are unremarkable. no free air is identified. | epigastric pain. history of gastric ulcer. |
MIMIC-CXR-JPG/2.0.0/files/p16777182/s56257399/96bcff77-b5897465-e116741b-d8ced09e-91ba9589.jpg | the lungs are clear. no edema, effusion, or pneumothorax. the heart is top-normal in size, not significantly changed. the mediastinum is not widened. no acute osseous abnormality. | <unk>-year-old woman with shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14614509/s58764560/420f64f4-1861672a-c1e51717-d9dffae8-222469eb.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no displaced fracture is seen. | history: <unk>f with pain s/p mvc // evidence of rib fracture, sternal fx or clavicle fracture |
MIMIC-CXR-JPG/2.0.0/files/p16511964/s50564292/ac7d650a-90d361ba-2cae4451-34e4b341-4599c99a.jpg | new diffuse parenchymal abnormalities and air bronchograms noted throughout right lung suggestuve of infectious process. new left perihilar opacities. no pleural effusion, pneumothorax or pulmonary edema is seen. heart size is normal. mediastinal contours are normal. no bony abnormalities detected. | <unk>-year-old male with respiratory distress, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19555898/s52275850/edbfc5b0-cc0170bb-128e56ac-4574cdbf-dadecc06.jpg | the lungs are hyperinflated. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with sepsis // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14236258/s59938198/e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010.jpg | again seen is a dual lumen central venous catheter which terminates in the lower svc coursing through a brachiocephalic/svc stent. no definite consolidation is identified. there is mild pulmonary vascular congestion. cardiac silhouette is top normal. there are likely small bilateral pleural effusions. no pneumothorax is present. mediastinal contour with rightward deviation of the trachea secondary to a thyroid goiter is again noted. | history: <unk>m with hypotension, s/p fall // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11324800/s59559702/6dbceda8-9bd24fbc-dbe20ca1-78de2775-696084f0.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, or pneumothorax. no displaced rib fractures are identified, however if clinically indicated, a dedicated rib series or chest ct is recommended. | <unk> year old man s/p fall, c/o r rib pain. // eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15623806/s55353671/d7ad79a2-39c75d3c-c8150708-a9511977-fc22ed7a.jpg | frontal chest radiograph demonstrates et tube terminating <num> cm above the carina. og tube courses below the diaphragm and terminates outside the field-of-view. moderate pulmonary edema has slightly improved from radiograph obtained <num> minutes prior. | ett and ogt placement. |
MIMIC-CXR-JPG/2.0.0/files/p16710585/s54433329/fe05d0d7-689e8f09-2a7392ee-4f59e567-2676c4b9.jpg | the lungs are well inflated and clear. no pleural effusion or pneumothorax. mild cardiomegaly is noted. mediastinal contour and hila are unremarkable. limited assessment of the osseous structures are notable for mild multilevel degenerative changes of the thoracic spine with anterior osteophytes, endplate sclerosis and disc space narrowing. | <unk>f w/ cp after falling directly onto her chest. one episode vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p13920236/s50958545/304ce089-65429e02-b8aa89da-b381d201-ede27a64.jpg | pa and lateral chest radiograph demonstrate clear lungs. when compared to prior radiograph dated <unk>, there is been no interval change. cardiomediastinal hilar contours are within normal limits. linear opacity within the left lung base is thought to reflect atelectasis. no acute osseous abnormalities identified. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19751455/s56661745/85c6bf30-ee8bf0ea-84436068-f675094e-3153b85d.jpg | a right picc terminates at the mid svc. the cardiac and mediastinal contours are unchanged. an ill-defined left basilar opacity is stable since <unk>, but has gradually become more conspicuous over multiple recent studies. there is no pneumothorax or pleural effusion. postsurgical changes at the left apex are stable. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p11798793/s53895218/30b5f362-a291e275-64316e00-7e9b2f9d-6991b176.jpg | frontal and lateral views of the chest demonstrate stable hyperinflation and flattened hemidiaphragms. the lungs are clear. an infiltrative left apical mass is again seen, but better visualized on chest ct from <unk>. the cardiomediastinal and hilar contours are stable. there is no pneumothorax or pleural effusion. there are no rib fracture identified. | small-cell lung cancer with new right posterior rib pain, assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p15477562/s56385351/5621a36b-86680ae0-d518f0e4-a4361d85-15d07a00.jpg | left chest wall dual-lead pacing aicd device is again seen. a third lead of the presumed prior right chest wall device is redemonstrated. a dual-lumen central venous catheter tip is in the right atrium. sternotomy wires are intact. the lungs are clear without consolidation. there is no effusion or pulmonary congestion. the cardiac silhouette is enlarged but unchanged in configuration. no acute osseous abnormality is detected. | <unk>-year-old male with weakness. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18036964/s56324382/737dcdc5-ca9aebfa-85f2fc5b-718b870c-8e77d409.jpg | left-sided dual lumen port-a-cath is seen in similar position. the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. | <unk> year old woman with delirium and cough // r/o consolidation |
MIMIC-CXR-JPG/2.0.0/files/p15554865/s56234830/26d84906-04f87f37-1c539578-d7e8d1f7-f8088e89.jpg | the tip of the ng tube is in the body of the stomach,. the endotracheal tube is in standard position. moderate right pleural effusion are stable. no pneumothorax. the retrocardiac opacity likely representing left lower lobe atelectasis is stable. large cardiomediastinal silhouette stable. | <unk>f copd, asthma, dchf, p/w doe after failing outpt therapy for pna and copd, found to have loculated r pleural effusion, s/p chest tube placement, transferred to icu for hypercarbic resp failure and ams. // eval for ng tube |
MIMIC-CXR-JPG/2.0.0/files/p17892886/s57830460/acfa83aa-b1b8611d-27950f95-d07b10e8-5548fd8b.jpg | ap upright view of the chest provided. a cbd stent projects over the right upper quadrant. no free air below the right hemidiaphragm is seen. lungs are clear. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f s/p ercp<num>d ago now with right -sided abdominal pain, severe, highly tender. please evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p11002435/s58072216/19ae5bff-7f5c0505-0fddd0df-ca2e9a3c-bd8c840b.jpg | left-sided cardiac device ends with lead in appropriate position. a vp shunt is seen. there are small bilateral pleural effusions, left greater than right. the right pleural effusion has decreased in size compared to prior study, the left has increased. no focal consolidation or pneumothorax. mild apical lung scarring. cardiomediastinal and hilar contours are normal. | evaluate bilateral pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16820602/s58203233/ff3a1097-f31bb115-f10ecb7f-12ea13fe-c70e6ef6.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. | history: <unk>m with asthma exacerbation, respiratory distress |
MIMIC-CXR-JPG/2.0.0/files/p15352109/s53242316/3cd33567-565aabf9-5b8fa8fc-dab52310-690b0fcb.jpg | the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | <unk>-year-old male with a pneumonia noted on an outside hospital chest x-ray who presents for followup evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17464512/s50206238/0cdb0208-e743d83f-23d70a9a-74525b65-cfcb79db.jpg | ap and lateral views of the chest. the lungs are relatively hyperinflated, but clear of confluent consolidation. there is no large effusion. calcified granuloma identified at the right lung base. the cardiomediastinal silhouettes are within normal limits given rotation to the left. old right clavicular fracture is identified. the bones are diffusely osteopenic, limiting evaluation for subtle fracture. kyphoplasty changes seen in the lumbar spine. | <unk>-year-old female with osteoporosis and monoclonal gammopathy presents with bilateral back pain. |
MIMIC-CXR-JPG/2.0.0/files/p14886707/s57084140/3a7c2daf-4f536ad0-304d0022-67b01a50-b23bf296.jpg | the lungs are slightly hyperinflated. there is no focal consolidation concerning for pneumonia. faint retrocardiac opacification on the lateral view may represent a small hiatal hernia. biapical scarring is noted. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged, and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. healed right posterior rib fractures are noted. | history of asthma, now with fever and dry cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10417530/s51045819/76743a57-1ad5118c-6be0a25f-6ad0d6e8-5b229984.jpg | two subsequent radiographs were obtained with the earliest radiograph showing an ng tube curling in the upper neck, and the subsequent radiograph showing no evidence of the tube. a single lead pacemaker is again seen, with the lead ending in the right ventricle a proper position. otherwise there is no significant interval change in cardiomegaly. decreased interstitial conspicuity suggests improvement in the fluid status of the patient. new right lung base opacities may represent atelectasis versus aspiration. a new small right-sided pleural effusion is present. there is no pneumothorax. a single lead pacemaker is again seen, with the lead ending in the right ventricle a proper position. a single lead pacemaker is again seen, with the lead ending in the right ventricle a proper position. | <unk> year old man with ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13590165/s52700391/a377df0a-6b72772f-23c6e648-ac36dbe6-1c4afff9.jpg | moderate right and small to moderate left pleural effusions are new, with adjacent bibasilar atelectasis and or consolidation. the cardiac silhouette is normal. there is fullness at the right hilus. no pneumothorax is identified. a right chest port-a-cath terminates within the right atrium. severe l<num> compression fracture is unchanged. | <unk>m with possible pneumonia // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17973921/s50888918/db417b4a-345e540c-f3a8f204-3119d59d-3e643cf7.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the lungs appear relatively hyperinflated | history: <unk>m with depression and alcohol use, here with hypothermia // ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17535283/s57283660/7bed69f1-cc18e1f0-2eb4dcb3-fc12d45a-27fb8e16.jpg | single portable ap chest radiograph was provided. the endotracheal tube is at the thoracic inlet, approximately <num> cm above the carina. nasogastric tube courses below the diaphragm into the stomach. lung volumes are low. there is no focal consolidation, pleural effusion, or pneumothorax. linear opacities at the bases are likely atelectasis. the cardiomediastinal silhouette is normal. the bones are intact. | <unk>-year-old male with fall, head trauma and intubated. evaluate et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17892964/s52183633/f6a8756b-33ee1651-6826af32-42fc2a83-2e8f0140.jpg | the lungs are clear. azygos fissure is incidentally noted. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality. | <unk>m with right tibfib nonunion with cement through skin. // tibfib- eval nonunion. cxr - preop |
MIMIC-CXR-JPG/2.0.0/files/p19375617/s55109464/650a4927-ed48084e-c563ed7a-996cf4d6-0796040e.jpg | the patient is now extubated. stable bilateral lower lung volumes, with expected increased bibasilar atelectasis after extubation, greater on the right compared to the left. mild increase in pulmonary vascular congestion from the prior exam, consistent with postextubation status. no new focal consolidation, pleural effusion, or pneumothorax. stable cardiomediastinal silhouette. unchanged position of the right picc line, right ij catheter, and ng tube. no pneumoperitoneum. | <unk>-year-old woman status-post total abdominal colectomy, who is now extubated. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19864113/s52187701/19ee8575-263a1af2-9a4647d2-9a2f56bf-cd34ed11.jpg | the tip of the endotracheal tube remains approximately <num> cm from the carina and needs to be advanced. there is slight further improvement of the bibasal atelectasis. no interstitial edema. no significant effusions or pneumothorax. | <unk>m s/p mvc with right <unk> and left <unk>th rib fractures, descending thoracic aorta pseudoaneurysm, and severe hypoxemic respiratory failure requiring <num>-week long course of ecmo now s/p decannulation (<unk>) and still requiring high ventilatory settings support for adequate oxygenation. // assess ett position |
MIMIC-CXR-JPG/2.0.0/files/p14027666/s57302027/d58d148c-4f9827a7-38e73b9a-db31d240-7da1abbd.jpg | compared to prior, there has been no significant interval change. streaky bibasilar opacities persist. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with dyspnea // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17660131/s50009913/3f32410a-61e506a6-9245682d-32a02c66-27e7df6e.jpg | the lungs are clear of focal consolidation, pleural effusion or pulmonary edema. the heart size is normal. the patient is status post median sternotomy, and there are aortic calcifications. | <unk>-year-old female with cough since <unk>. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11053788/s56603703/a1aef5d1-238ff19f-fe753392-e21912d0-8f211ec2.jpg | the heart is at the upper limits of normal size. there is mild-to-moderate unfolding of the descending thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits. | cough and sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p18905861/s56419913/deea382e-97cc37bf-bee3b59b-2829a06c-a6b3e7eb.jpg | lung volumes appear low considerably more than on the prior film. i suspect this is accentuated by kyphosis. there is also slight rotation. allowing for differences in positioning, the cardiomediastinal silhouette is similar to the prior film. there is upper zone redistribution, without overt chf. there is bibasilar patchy opacity more pronounced than on the prior film, most suggestive of atelectasis. no gross effusion is identified. no pneumothorax detected. | <unk> year old man with acute hypoxia // ? acute pathology |
MIMIC-CXR-JPG/2.0.0/files/p18263872/s50412294/36eaed83-7651e3dc-c98c9179-7552c642-ab750f11.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15823371/s57122728/e07a55ec-c63de67e-f07dcf26-8319a5b4-993d4168.jpg | pa and lateral views of the chest. no prior. the lungs are clear, costophrenic angles are sharp. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old man with fever, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10821855/s56513395/a34d7f9b-d0270ce5-8048424a-a0a77010-5ae78454.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk>f with ?positive bcx from an outside hospital, complaining of vomiting and myalgias. ?pneumonia/consolidation // <unk>f with ?positive bcx from an outside hospital, complaining of vomiting and myalgias. ?pneumonia/consolidation |
MIMIC-CXR-JPG/2.0.0/files/p19279007/s55956705/1153de25-a7a8b9a8-25f2af95-23175d7c-c9268bed.jpg | the exam is limited by the patient's body habitus. within the limitations, the lungs are show no focal consolidation or edema. there is no pleural effusion or pneumothorax. on the lateral view, there is an ovoid <num> cm calcific structure which may represent a calcified infrahilar node or calcified granuloma. the mediastinal contours are normal. the heart size is at the upper limits of normal. | subjective chills and low-grade fever. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16321205/s58482397/dcba76ac-c6dba107-e88da31b-57a24e10-ce8e673a.jpg | there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is top normal in size. a left chest aicd and leads are in unchanged positions. median sternotomy wires and surgical clips are again noted projecting over the mediastinum. | <unk>m p/w hypotension with right knee pain/effusion, and erythematous right foot, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17451002/s52337428/300eca3c-1f85711e-c664c200-7d8ce2ca-220b5461.jpg | frontal and lateral chest radiographsdemonstrate well expanded lungs. new right lower lobe opacity may represent atelectasis or aspiration. the lungs are otherwise clear. no pleural effusion or pneumothorax. stable mild cardiomegaly is noted. the mediastinal contour and hila are unremarkable. a left picc tip is within the lower svc and best seen on lateral radiograph. limited assessment of the upper abdomen is within normal limits. | picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p14134981/s58398453/8bda72d2-94193c91-04ec4bb6-1147673b-bf7902d5.jpg | the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | sore throat, wheeze, fever. |
MIMIC-CXR-JPG/2.0.0/files/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg | lung volumes are low. the cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. there is again mild relative elevation of the right hemidiaphragm. calcified nodule in the right lower lobe is again visible. the lungs appear otherwise clear. there are no pleural effusions or pneumothorax. surgical clips project over each axillary region. there has been no definite change. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p19696298/s55477107/31004a85-daac9049-6bafa914-4b224649-c185eecf.jpg | the heart is moderately enlarged the aorta is unfolded. there are atherosclerotic calcifications of the aortic knob. mild pulmonary edema is demonstrated with vascular indistinctness and perihilar haziness. there is blunting of the left costophrenic angle which could suggest a trace left pleural effusion. patchy retrocardiac opacity likely reflects atelectasis. no pneumothorax is demonstrated. there are moderate multilevel degenerative changes in the thoracic spine. | cough, shortness of breath, edema. |
MIMIC-CXR-JPG/2.0.0/files/p12848748/s57344690/5f264098-2c283cc8-57a0e9c7-ad0b1b1a-6f54bc37.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. left subclavian port-a-cath terminates at the cavoatrial junction. | history of metastatic colon cancer presenting with dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p14458334/s55892622/873cd9c8-2d799b35-025851a1-795b8391-b76e98a2.jpg | increased interstitial markings are seen in the lungs. there is no confluent consolidation or pleural effusion. cardiac silhouette is moderately enlarged. no acute osseous abnormalities. | <unk>m with dyspnea and chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p17094631/s59025112/d69283da-bef47eab-5adf4432-d3024d01-6d200e00.jpg | the patient is status post median sternotomy and cabg. left left-sided aicd/pacemaker device is noted with single lead terminating in the right ventricle. curvilinear calcification at the cardiac apex is again noted, and unchanged compatible with prior left ventricular infarct with aneurysm formation. low lung volumes are present, with the heart size appearing mildly enlarged. the aorta remains calcified. the mediastinal contours are stable. innumerable bilateral diffuse nodules are seen in both lungs compatible with metastatic disease. no focal consolidation, pleural effusion or pneumothorax is identified. no definite acute osseous abnormalities are seen. | chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p12252736/s52286693/eb573523-0c1c9bf2-0116faf8-4a028cb6-88a131a5.jpg | the patient is rotated. no fracture is identified. cardiomegaly is moderate. the lung fields are clear. | history: <unk>f with s/p syncope and fall // eval for syncope cxreval for ich |
MIMIC-CXR-JPG/2.0.0/files/p13288413/s52428041/b70c9a8b-7674b553-84d644a5-ad0a2376-25eea030.jpg | lungs are well expanded and clear. there is no focal opacity, pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | <unk>-year-old male with testicular cancer, assess for abnormality for surveillance. |
MIMIC-CXR-JPG/2.0.0/files/p17809500/s57649059/2195b39c-5d5779bd-21bfc895-014113e5-81bb3ada.jpg | the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change. | asthma and cocaine use presenting with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18112176/s52486839/819b1bcd-61612bc4-f3391ef6-35d0a1b9-cc98bcb0.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | history: <unk>f with epilepsy, cough, fever, seizure x<num> // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11771778/s52292659/19ed0337-de06c1be-e7b3d38a-344cec31-9c2bdc27.jpg | the lungs are hyperinflated, similar in appearance when compared to the prior study. pleural thickening or scarring at the right lung base. no consolidation, pneumothorax or pleural effusions seen. surgical clips noted at the right hilum. visualized bony structures are unremarkable in appearance. | <unk> year old woman with crohn's, consideration of remicade // please eval for signs of tb |
MIMIC-CXR-JPG/2.0.0/files/p13575285/s51608226/b72c181a-ff80b0a1-fd85d02e-60312834-2dd71f48.jpg | the lungs are clear. there is no effusion, consolidation, or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain since this am, radiation to back // eval ? infiltrate, effusion |
MIMIC-CXR-JPG/2.0.0/files/p13689440/s56614395/2857df8f-2a9b5d43-381368cd-038e4cb8-b2224954.jpg | when compared to prior radiograph obtained <num> hr previously, there is been little interval change in the appearance of bilateral lungs. cardiomediastinal and hilar contours remain stable. there is been interval placement of a right internal jugular central line its tip which appears to project over the right atrium. there is no pneumothorax. no large pleural effusion is seen. | <unk>-year-old male with recent placement of central line. |
MIMIC-CXR-JPG/2.0.0/files/p11104039/s54310929/36916f03-c5810f0c-559926c2-79a49465-98b6a23c.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is top normal in size with mild central vascular engorgement. the mediastinal contours are normal. | <unk>-year-old female with cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p16689076/s56844536/54ea146f-cff2bcc1-1d1ab824-d2559857-8a7d9792.jpg | ap upright and lateral views of the chest provided. the lungs are clear. heart size is stable and normal. mediastinal and hilar configuration is unchanged. bony structures appear intact. | <unk>f with sob // ? pna/aspiration |
MIMIC-CXR-JPG/2.0.0/files/p12777122/s54125687/d85c5ffa-c3fd8e26-eb6b43b0-0b36dd0e-c5aefeea.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19492293/s50850163/4d8afe2b-a92cd1bb-2250fce1-faa5bc94-ae900233.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with altered mental status // asssess for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11091273/s55659693/0d5a198e-861968b9-cd07b5ba-3ad258c3-8792cf31.jpg | the heart is normal in size. the aorta is calcified and tortuous. otherwise, the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the thoracic spine. the bones appear demineralized. | baseline dementia with decreased oral intake, weakness and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11167924/s58284664/e5c733fc-9845e267-f9db0da7-16135e1c-69393660.jpg | the et tube tip lies approximately <num> cm above the carina. the left subclavian picc line tip overlies the right atrium and could be retracted by approximately <num> cm to lie in the distal svc. an enteric type tube is present, extent beneath the diaphragm, off the film. no obvious pneumothorax is identified. cardiac silhouette remains slightly enlarged. again seen is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. the more patchy opacity previously seen at the left base is less apparent hand may have resolved. patchy opacity at the right cardiophrenic region is again noted. minimal platelike atelectasis in the right mid zone laterally. upper zone redistribution. slight interval improvement in degree of vascular plethora. a rounded density measuring approximately <num> mm in diameter of the was pre the same projecting over the lateral right mid zone overlies the rib cage on the current examination and therefore lies outside the long. clips noted along the lower right neck/thoracic edema. | <unk> year old man s/p bronch // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p13672788/s52198890/fb797fb2-42d954e4-93f3e1f5-0a3a6e11-b39530d3.jpg | a new interstitial pulmonary abnormality predominantly in the right lung has little basal predominance. increased prominence of the pulmonary vasculature is suggestive of elevated left atrial pressure, but not generalized volume overload. right hilar enlargement could be nodal or vascular. an area of linear scarring in the left lower hemithorax is unchanged. the heart size is top normal. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10673200/s57031082/d278e15d-354e7c91-7803daee-ca7afdad-6d926a4d.jpg | there is a <num> mm density projecting over the right lung apex also over the right posterior fourth rib which is not seen on prior. the lungs are otherwise clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk>f with chest pain // acute process |
MIMIC-CXR-JPG/2.0.0/files/p18855495/s58332237/65fa66ef-c9c5280a-35c97a03-f0c1e682-51556292.jpg | there are patchy regions of consolidation throughout the right lung. there is also a nodular opacity projecting over the left mid clavicle over the left upper lung. linear left basilar opacity is most likely atelectasis. there is no pleural effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with bibasilar crackles // pna? |
MIMIC-CXR-JPG/2.0.0/files/p18902344/s55517306/6170a0d6-f22ba9f1-ae12e147-45a0e788-dcdede71.jpg | lung volumes are reduced. heart size is mildly enlarged but unchanged. mediastinal contours are stable. there is mild pulmonary vascular congestion. assessment of the lung bases is limited due to poor inspiratory volumes, with a retrocardiac opacity possibly reflecting atelectasis. infection or aspiration is not excluded. no pneumothorax is detected. assessment for a pleural effusion is limited on these views as the left costophrenic angle is excluded. | hypoxia, altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p14511469/s53126324/a3665f68-9f206583-af7169f3-96c6e12a-fd1f937d.jpg | pa and lateral views of the chest. sternotomy wires are stable. there is no focal consolidation, pleural effusion or pneumothorax. there is slightly more density in the anterior mediastinum, seen on lateral view. otherwise, the cardiomediastinal and hilar contours are normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12637088/s59501267/8dc4294b-c46e5bb1-451ff2d7-6e3c123c-cbca35bb.jpg | pa and lateral chest radiographs. left-sided picc tip terminates in the lower svc. mild cardiomegaly and interstitial edema are unchanged from <unk>. there is no pleural effusion or pneumothorax. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p15877362/s56359227/64633224-ff9fcce8-102bca99-34594fc8-66132864.jpg | cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13944872/s50918543/189a68e4-f14204a5-c67a5f57-3e157dd9-532ead10.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with prod cough, pls eval pna // history: <unk>f with prod cough, pls eval pna |
MIMIC-CXR-JPG/2.0.0/files/p15859508/s55551007/b44e21dd-8a8fc09c-8ea7035c-f2df6433-b5f45480.jpg | compared to the prior exam there is no significant interval change. there continues to be a small the moderate left pleural effusion. there is a tiny right effusion. there is no pneumothorax. mediastinal clips are again seen on the left. there is mild cardiomegaly. there is increased hazy alveolar infiltrate in the right lower lung. it is unclear if this is asymmetric pulmonary edema or an early infiltrate. | <unk> year old woman with lung cancer, pleural effusion s/p thoracentesis // f/u thoracentesis |
MIMIC-CXR-JPG/2.0.0/files/p19172655/s56238537/07acdd89-77f10bb7-811a5b8c-e90c5038-7477d46a.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 top normal in size. | anterior chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15342918/s53167372/e6f6eb59-6b8e9b4e-313eac1a-96c6c3ad-2721a049.jpg | frontal and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with pain with deep breath and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15471349/s59920313/4d7e9d60-65eb4646-353a9979-6ba3732f-732745d0.jpg | a right subclavian catheter terminates in the low svc. there is no evidence of pneumothorax. low lung volumes with bibasilar atelectasis. no focal consolidations. no pulmonary edema. the cardiomediastinal silhouette appears enlarged, however this is likely projectional. no pleural effusion. there are no acute osseous abnormalities. | history: <unk>m with central line |
MIMIC-CXR-JPG/2.0.0/files/p13315365/s51178238/a274554e-052611f4-e2354196-912d5ad2-b76d2be9.jpg | the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. | <unk> year old woman with cough, fever and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p10184327/s55581722/e75510f5-f8f17f74-ca5c5aeb-f8bdf597-44093622.jpg | large pleural left-sided central venous catheter is again seen, grossly unchanged in position. a right-sided single lead pacemaker is also as stable in position. left base opacity with obscuration of the diaphragm likely due to pleural effusion with overlying atelectasis. left base consolidation may also be present. there is also patchy opacity in the right infrahilar region although somewhat similar as compared the prior study and most likely represents overlap of vascular structures. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen. | history: <unk>m with fever, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14558878/s58685075/53862f89-8b54e202-c3add894-8045be7a-22bf810b.jpg | mediastinal and hilar contours are unremarkable. aorta does not appear widened. heart size is top normal. lungs are clear. no pleural effusion or pneumothorax evident. there is exaggerated thoracic kyphosis but without vertebral compression deformity. | chest pain, question widened aorta. |
MIMIC-CXR-JPG/2.0.0/files/p17480736/s57472985/ff2da023-b4847e8f-b6c18e99-ab493e2a-041d7eaf.jpg | the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. calcification projecting along the right hemidiaphragm is most consistent with a calcified pleural plaque. | <unk>m with dypsnea. assess for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p12660752/s51784724/99206d7d-1dc9cc84-3e382934-17717195-a092d8a7.jpg | redemonstrated is a stable, <num> mm right upper lobe calcified granuloma. mild hyperinflation with flattening of the diaphragm is noted. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal. | chronic cough for <unk> months. |
MIMIC-CXR-JPG/2.0.0/files/p17169580/s55451128/7da919da-6cd952fd-2166d457-c9f6563e-2a76c28b.jpg | as compared to the prior examination dated <unk>, there has been minimal interval change. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11786902/s50319602/31589765-f8ecb275-d5fe96f6-c148a82f-4ed359a9.jpg | assessment is limited by low lung volumes and kyphotic positioning. heart size remains mildly enlarged. the aorta is diffusely calcified and tortuous. mediastinal and hilar contours appear similar with calcified mediastinal and right hilar lymph nodes compatible with prior granulomatous disease. there is no overt pulmonary edema. patchy opacities are noted in the lung bases, likely reflective of atelectasis. calcified pleural plaque is again noted within the right lung base. punctate calcified granuloma is seen in the right lung base. there is no focal consolidation, pleural effusion or pneumothorax identified. mild to moderate degenerative changes and compression deformity of a mid/ low thoracic vertebral body are again seen in the thoracic spine. remote right-sided rib fractures are re- demonstrated. | <unk>f with lethargy, please eval for occult pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15890646/s59640903/42f7f796-11b339c2-cd1ed087-6bddb4e5-6f0d5e13.jpg | the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pneumothorax or pleural effusion. | <unk>m with sudden onset chest pain and shortness of breath while exercising // evaluate for spontaneous pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10336412/s55128605/8136415f-131e106b-dfed91ec-6d5aa985-ac41647e.jpg | pa and lateral chest radiographs were obtained. a multifocal pattern of airspace opacities most severely involves the right upper lobe but also involves the right lower and left lower lobes. cardiomegaly is mild. aortic arch calcifications are minimal. there is no effusion or pneumothorax. | shortness of breath cough and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p12426774/s57797340/0c89dca6-0e0e089b-98ee8f29-01e2a4f1-0bb27ba5.jpg | since prior, a right ij central venous catheter has been removed. median sternotomy wires appear intact. other support devices unchanged in position. cardiomediastinal silhouette is unchanged. there is no evidence of pulmonary edema. there is no focal lung consolidation. there is no pneumothorax. | <unk>-year-old man with syncope, evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p11012243/s57347347/bc119ae1-644f6a42-25360d27-97c8d5c4-395055cd.jpg | study is slightly limited positioning mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is not engorged. streaky opacities the lung bases may reflect areas of atelectasis. small bilateral pleural effusions are present, perhaps increased from the previous study. no pneumothorax. no acute osseous abnormalities detected. | history: <unk>m with weakness, hypotension |
MIMIC-CXR-JPG/2.0.0/files/p12279787/s59373560/2c3ee293-528af272-339aaa47-d2c595e9-0a8766cd.jpg | lung volumes are low. heart size is mildly enlarged, unchanged. mediastinal contour is similar. crowding of the bronchovascular structures is demonstrated with mild prominence of pulmonary vascular markings in the left lung, potentially suggestive of asymmetric mild pulmonary vascular congestion. consolidative opacity in the left lung base is new in the interval. patchy opacity in the right lung base is also noted. small bilateral pleural effusions have developed. no pneumothorax is present. cervical spinal fusion hardware is incompletely assessed. mild to moderate multilevel degenerative changes are noted in the imaged thoracic spine. elevation of the right hemidiaphragm is similar. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p15606867/s53069026/0bc7da51-1b6a8269-f1c39942-4668b0e0-59724c28.jpg | the lungs are clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with hemoptysis three times. please evaluate for any lung abnormalities. |
MIMIC-CXR-JPG/2.0.0/files/p13854344/s55650870/ecda1e2c-b0c4451c-684d34d4-a0288888-88e5487c.jpg | frontal and lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. ivc filter is in stable position. | <unk>-year-old male with autoimmune hepatitis and pancreatitis, here with worsening right-sided pain. |
MIMIC-CXR-JPG/2.0.0/files/p16204401/s59534561/1b06bb2d-b55d6e34-2371b15e-178c9023-22f6240c.jpg | the patient is status post right pneumonectomy with associated shift of midline structures. there is opacity within the left mid and lower lung base concerning for pneumonia, less likely pulmonary edema. there is no pleural effusion. | <unk>-year-old male with dyspnea, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15128820/s51640800/37e08be3-70d4573c-898cbb13-bb6659f2-f554c1fa.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | history: <unk>f with chest pain // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p18504502/s58702795/057c2a4d-c1e2366c-8fca9473-438a37f5-33eda662.jpg | the lung volumes are low, but there is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits. | shortness of breath. question copd versus chf. |
MIMIC-CXR-JPG/2.0.0/files/p13189021/s51834171/066e8f33-01ddbc60-ff5ff4cf-e709c398-5a42a238.jpg | the cardiomediastinal silhouette is within normal limits. the pulmonary vasculature is normal. there is no focal consolidation, pneumothorax, or pleural effusion. | <unk> year old woman with history of breast cancer s/p treatment, here with subacute weight loss. // please eval for mass or lymphadenopathy, consolidation, or acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15271013/s57464385/c811090c-e4d9dedb-1c015c24-3ef13fc1-f52e1127.jpg | lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old woman with hx positive ppd, no history of tuberculosis. likely hx of bcg in <unk> // assess for pulmonary disease, hx of pos ppd, no known tb hx. |
MIMIC-CXR-JPG/2.0.0/files/p18022328/s55755813/cf097ec5-3506a799-b97798fe-c143bfe6-0b54dcc2.jpg | the heart is upper limits normal in size. there is obscuration of the left cp angle most likely due to a small effusion although some of this could be due to pleural thickening. there is some linear atelectasis in the left mid lung. there is no focal infiltrate. vertebral body height loss is seen on the frontal film at t<num>. this is better assessed on the outside mr | <unk> year old with multiple myeloma p/w a compression fx of lytic lesion at t<num>. // pre op for <unk> am surg: <unk> (resection of t<num> mass, fusion of t<num>-l<num>) |
MIMIC-CXR-JPG/2.0.0/files/p11266247/s58970167/3c8bc42f-75ce2505-85aae996-82d41e70-b0542b47.jpg | frontal and lateral chest radiograph well expanded and clear right lung. heterogeneous opacity obscuring the left heart border is seen within the lingula. no pleural effusion or pneumothorax. partially visualized heart, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. | <num> week of cough, left-sided chest pain. assess for pneumonia. |
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