File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p13735420/s52635345/1b1061a0-38096d50-e52ba2f8-6c9e018c-6861e1eb.jpg
dense consolidation in the right lower lobe is most consistent with pneumonia. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
history: <unk>m with cough, hemoptysis // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p17008145/s53472396/e2411483-840028df-9ba94a00-6a6b6ec2-27fcdced.jpg
pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, interstitial opacity or pneumothorax. the cardiomediastinal silhouette is normal.
history dermatomyositis and new fever.
MIMIC-CXR-JPG/2.0.0/files/p12504496/s54276681/f6bf16ac-1dcb156d-1ed7de75-9ab1a5ac-30acdf96.jpg
ap and lateral views of the chest. linear opacity at the left lung base laterally may be due to atelectasis given relatively lower lung volumes. retrocardiac opacity is more conspicuous on today's exam. blunting of the posterior costophrenic angles may be due to small effusions. the lungs are clear of confluent consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>-year-old male with fall and right leg injury.
MIMIC-CXR-JPG/2.0.0/files/p13027405/s52583495/d75f29d1-9be40437-209750fe-68c2aa6c-15d8bb63.jpg
there is retrocardiac opacification, localized to the lower lobe on the lateral, which may represent atelectasis, but is concerning for an early/developing pneumonia. the heart is mildly enlarged, which may be projectional. there is pulmonary vascular congestion, but no frank pulmonary edema. probable small left pleural effusion. no pneumothorax.
history: <unk>f with sob, progressive ascites // please evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p11757830/s53968329/92710f1e-c86f3867-e0dbcf21-83aff482-23a04a5b.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 constant <num> week
MIMIC-CXR-JPG/2.0.0/files/p18170491/s52176151/05becf55-feb86c37-8916c353-ea7bae98-b8f68f75.jpg
the lungs are well inflated. patchy opacity in the right base was not clearly seen in prior exam. the remaining lungs are clear. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are unchanged. healed fractures of the fifth, sixth, seventh posterior right ribs are noted. prior tracheostomy tube no longer seen.
<unk>-year-old male with fever. please evaluate for evidence of pneumonia or any other infectious process.
MIMIC-CXR-JPG/2.0.0/files/p10080695/s54495391/beaeb71a-3df47bdd-455b43d0-971856fa-396c25f1.jpg
left chest wall single lead pacing device is again seen. low lung volumes are noted. increased interstitial markings are noted in the lungs with a basilar predominance which are similar compared to priors compatible with a chronic interstitial abnormality as seen on prior ct scan. there is no superimposed acute consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. hypertrophic changes are seen the spine.
<unk>m with c/o left lower cp with sob and cough // ? pna
MIMIC-CXR-JPG/2.0.0/files/p18198470/s59561167/8b606d2b-bad6c2ed-92dd9266-746bb825-a7bf0de3.jpg
the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cp // eval for infiltrate, pneumo, cm
MIMIC-CXR-JPG/2.0.0/files/p10627650/s56000617/c922a366-af596b0b-7d7e8ea3-22981fb2-2c785c61.jpg
small, bilateral pleural effusions are noted. there is no definitive, focal consolidation. there is no pneumothorax or overt pulmonary edema identified. the heart size is normal. mediastinal and hilar contours are normal.
ckd stage <num>, hypertension, now with increasing dyspnea at night. rule out pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17644567/s52530443/ffe033e6-631602bf-35867c5a-29306616-ce604802.jpg
the inspiratory lung volumes remain low. there is improved aeration of the bilateral lung bases in comparison to the most recent prior study p there is no focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. pulmonary edema is significantly improved from <unk>. the cardiac silhouette is mildly enlarged but stable. tortuosity of the thoracic aorta is unchanged with slight prominence of the mediastinum.
severe aortic stenosis and altered mental status, here to evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p14074579/s51517218/9a208760-ec2bb867-2d33ff28-b91e53c3-e0f8c58d.jpg
increased right mid to lower lung opacity is worrisome for worsened pneumonia and/ or aspiration. the left lung is clear. no large pleural effusion is seen although a trace right pleural effusion be difficult to exclude. no pulmonary edema. cardiac and mediastinal silhouettes are stable.
history: <unk>f with spo<num> <unk>'s // chest xray
MIMIC-CXR-JPG/2.0.0/files/p18722548/s55921531/814b8aa4-8853a3b3-6dc46e84-dfcf2ef8-0a8a1558.jpg
ap and lateral views of the chest. there is a right lung opacity seen laterally, new from prior. elsewhere, the lungs are grossly clear. please note that lateral view is limited due to patient's arms being down by his side. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk>-year-old male with hiv, pml, cough.
MIMIC-CXR-JPG/2.0.0/files/p17729171/s59431770/ab3bdbad-619c461f-3a02efc2-cbf62c9e-c5081364.jpg
ill-defined opacities at the lung apices do not appear significantly changed and may appear chronic. no new focal parenchymal opacity is seen. no pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is normal.
palpitations and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16080613/s50461321/c15af123-7f4e0fe0-3aea4815-60157130-e1d5af3f.jpg
pa and lateral chest radiographs are provided. there is no focal consolidation, pneumothorax or pleural effusion. there is no overt chf. however, there is linear plate atelectasis and thus concurrent kerley b lines cannot be entirely be excluded. cardiomediastinal silhouette is unremarkable. there is no free air under the right hemidiaphragm. there are no concerning osseous lesions.
<unk>-year-old man with dyspnea on exertion, lower extremity swelling, question chf.
MIMIC-CXR-JPG/2.0.0/files/p11162709/s53833662/33809019-28477ae4-e30c9eb0-13ad131d-a49818a9.jpg
cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>m with sepsis, status post recent cerebral angioembolization; likely urinary source with dysuria
MIMIC-CXR-JPG/2.0.0/files/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg
portable ap radiograph of the chest is obtained with the patient in the upright position. support and monitoring devices are unchanged. diffuse parenchymal opacities are less dense and lungs are better aerated. cardiomediastinal contours are unchanged. no pleural effusions and no pneumothorax.
<unk>-year-old woman with pulmonary edema and renal failure, progression of pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p15816591/s54824408/48413f8c-0c7ad953-792e776e-2b6586f5-c762b156.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. streaky left basilar opacities are not specific, but more suggestive of atelectasis although potentially pneumonia. the right costophrenic sulcus is indistinct, which is non-specific; minor scarring, trace pleural effusion or atelectasis could be considered. small to moderate anterior osteophytes are noted along the thoracic spine.
fever and tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p19051163/s54538205/f714c2f5-23327a3d-82b8e554-2c169563-4a3121f2.jpg
lung volumes are low. cardiomediastinal and hilar contours are normal. opacity in the left lung base is concerning for pneumonia, particularly given the clinical history. scarring within the right upper lobe laterally is unchanged. no pleural effusions or pneumothorax.
<unk>m with liver cancer fever, chills, shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12826483/s57602855/1ef1c611-6c70a450-01258347-4f367a85-de122c60.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.
history: <unk>f with cough x <num> week, non productive // rule out pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11589725/s52257232/303d15d6-3bb1cddf-84230d54-486665df-4e7ba465.jpg
dobhoff type tube with radiopaque tip overlying the gastric fundus. left subclavian central line with tip over mid/distal svc. there are low inspiratory volumes. cardiomediastinal silhouette is probably unchanged. mild vascular plethora is suggested, similar to the prior film. however, this appearance is likely accentuated due to low inspiratory volumes. minimal patchy opacity at both lung bases again noted, similar to the prior film. no frank consolidation, effusion, or pneumothorax detected.
<unk>m h/o seizures alcoholism s/p fall down stairs resulting in status epilepticus and right iph, unchanged bilateral sdh, unchanged sah, and acute fracture of the inferior left parietal bone with associated <num> mm epidural hematoma // interval cxr
MIMIC-CXR-JPG/2.0.0/files/p13249211/s50863684/ef5d7e24-be50c6f3-9348b853-e93e1911-8bb184c9.jpg
patient is status post left upper lobectomy. as on recent chest ct, there has been improvement in the consolidative process in the left lower lobe. persistent spiculated nodular opacity seen in the left upper and mid lung, better characterized on ct. the right lung is clear. cardiomediastinal silhouette is difficult to assess. old posterior right rib fractures again noted.
<unk>f with dyspnea, cough; h/o lung cancer undergoing outpt eval for possible recurrence, sp left upper lobectomy // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p19156000/s52216843/c7de4d84-f64e85bd-050c24aa-aeceefd6-59a37e4d.jpg
heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
pain.
MIMIC-CXR-JPG/2.0.0/files/p10621303/s53635828/37aa81a2-ade53b05-4d4066f7-12d6c58d-24682dd6.jpg
compared to chest radiographs <unk>: lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old woman with spondyloarthropathy on humira. having productive cough x <num> days, chills, rales left posterior lung base. // ? cap,
MIMIC-CXR-JPG/2.0.0/files/p13599784/s52822469/2100a806-c5836944-596cf2fb-d1c51d81-9962e920.jpg
frontal and lateral views of the chest were obtained. heart size is mildly enlarged. the mediastinal contours are normal. a <num> mm rounded nodule in the lateral right lung base overlying the right <unk> anterior rib could represent a pulmonary nodule or a skin lesion. no pleural effusion, pneumothorax, or focal consolidation. no displaced rib fracture.
<unk>-year-old female with pain status post motor vehicle collision. rule out rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p12886719/s50218343/088c3237-763d0bdb-f1993ec2-fc27f776-3e49b431.jpg
heart size is normal. mediastinal and hilar contours are unchanged, with mild calcification of the aortic knob present. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18716038/s54017801/b56e6e94-fa02c2dd-0eb0b71c-b1a4ffe0-d4e21022.jpg
very small bilateral effusions left greater than right with volume loss at both bases. the upper lungs are clear.
decreased oxygen saturation.
MIMIC-CXR-JPG/2.0.0/files/p16217957/s59139159/c8f7dbb6-8f6eb2a6-4a87b7fd-19bfae43-d50a7d2e.jpg
there is a left sided catheter projecting over the left apex with evacuation of apical effusion and small collection of residual air. unchanged left basilar opacity obscures the hemidiaphragm, likely secondary to fluid and/or atelectasis. moderate right pleural effusion is unchanged. cardiomediastinal silhouette is within normal limits. there is no new area of consolidation.
<unk> year old man with loculated left effusion s/p <unk>fr chest tube // ? ptx ? ptx
MIMIC-CXR-JPG/2.0.0/files/p19169036/s55475337/73891ed2-dc3f5e93-346eb4b5-0672e636-b53978f9.jpg
frontal and lateral views of the chest are compared to previous exam from <unk>. indistinct pulmonary vascular markings are seen throughout the lungs. there is no evidence of frank consolidation or large effusion. the cardiac silhouette is massively enlarged, similar in configuration compared to prior. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest tightness.
MIMIC-CXR-JPG/2.0.0/files/p17255841/s55292101/6a4c521d-bf08266c-d5117584-61a6e5fa-5d07f012.jpg
the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. no evidence of pneumomediastinum. heart size is normal. no acute osseous abnormality. no evidence of subdiaphragmatic free air.
<unk>-year-old man with cp, vomiting, upper abdominal pain. evaluate for pneumomediastinum? free abdominal air?
MIMIC-CXR-JPG/2.0.0/files/p18230098/s58964529/ef582e36-fe63fc3f-a5d512ae-9e2828c0-88d3b59d.jpg
the heart is mild to moderately enlarged. the main pulmonary artery contour is again prominent. the aortic arch appears calcified. the mediastinal contours appear unchanged. there is increased indistinct bilateral perihilar fullness with a widespread peribronchial cuffing, interstitial prominence and small nodular opacities suggesting airspace disease. a streaky opacity in the lingula suggests underlying scarring. there is a new small right-sided pleural effusion and a very small left-sided pleural effusion is difficult to exclude. the bony structures are unremarkable.
chest pain and cough. question pneumonia or widening of mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p19057052/s58144545/801e0558-9ad8e4f2-8879b43c-f1e6ca4c-96db47f2.jpg
frontal semi-erect view of the chest was obtained. the heart is of top normal size with normal cardiomediastinal contours. pleural fluid is again seen within the right minor fissure. indistinct costophrenic angles are compatible with small bilateral effusions. bibasilar atelectasis is present. no focal consolidation or pneumothorax. tracheostomy tube and peg are in similar position to prior. anterior cervical fusion device is similar to prior and incompletely imaged. a right picc terminates in the lower svc.
<unk>-year-old female with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p16238338/s59003675/4f01dddb-57c5ec3e-dddea2b9-e9c4f9bc-163a3268.jpg
a single ap upright frontal view of the chest was obtained. there is no free air below the hemidiaphragms. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
right-sided shoulder pain after colonoscopy. evaluate for free air.
MIMIC-CXR-JPG/2.0.0/files/p18001923/s51117754/0f4dbf2f-8e1d8f67-67aa7e6c-7e550bf3-97a7461f.jpg
pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are stable. the aorta is tortuous.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14155163/s50248992/e9f582bb-0ecaf6d2-48b656cc-1a7989fb-499b3411.jpg
frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. there is no pneumothorax. cardiac silhouette is enlarged, similar to prior. mid thoracic dextroscoliosis is again noted. superior and inferior endplate deformities are again noted, likely sequelae from patient's known sickle cell disease.
<unk>-year-old female with sickle cell and low back pain with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14639986/s55468680/d6e397e1-aaab2b05-37940f14-c3c520d2-bdc95d4f.jpg
the cardiac and mediastinal contours are stable. the previously seen mild pulmonary edema has resolved. there is no focal opacity concerning for pneumonia. there is no pleural effusion or pneumothorax. there is evidence of prior cabg.
<unk> year old man with smoking hx, persistent productive cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17863255/s54666351/16a4bddf-ca7e2a9f-efe0ef03-d4fecb5d-79908108.jpg
lung volumes are low, accentuating the cardiomediastinal contours. the heart size is top-normal. the mediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. a focal opacity at the right lung base medially may represent atelectasis or aspiration.
<unk>m with vomiting, query acute process.
MIMIC-CXR-JPG/2.0.0/files/p14380509/s53907313/e62194be-10d3d593-48f5f90f-399eb808-9d688215.jpg
there is mild cardiomegaly with no pulmonary edema. a right basilar opacity likely represents atelectasis. there is prominence of the right superior mediastinum, likely due a tortuous subclavian artery, less likely due to a substernal goiter. calcification at the aortic arch is seen. there is a vertebral compression fracture of one of the lower thoracic or upper lumbar vertebral body, of inderterminate age.
<unk>-year-old with cough.
MIMIC-CXR-JPG/2.0.0/files/p15979152/s52126586/1109fe4a-820f5163-bad584ba-3b710f4e-70d89852.jpg
ap upright portable view of the chest provided. lungs are clear. no focal consolidation effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no displaced rib fractures are seen. no free air below the right hemidiaphragm.
<unk>-year-old female status post fall.
MIMIC-CXR-JPG/2.0.0/files/p18288301/s52701770/80b4ab22-2712e14d-4eb315bc-afbccc5d-bdfa0eb6.jpg
cardiac silhouette is enlarged compared to the prior examination. increased opacification in bilateral lungs likely represents increased pulmonary edema. left moderate and right small pleural effusions are noted.
patient with bilateral pleural effusion status post right diagnostic thoracocentesis. rule out pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13453653/s58524476/492b8a70-5f021c44-44ea48de-2ac4cfde-3ea1ed13.jpg
the <num> mm focal opacity projecting over the left first rib corresponds to a bone island seen on most recent chest ct from <unk>. left basilar atelectasis is noted. cardiac size is normal. there is no pneumothorax or pleural effusion.
<unk> y/o m w/ significant for c<num>-<num> stenosis along with increase cord signal at approximately c<num>-<num> // pre-op cxr surg: <unk> (spine surgery)
MIMIC-CXR-JPG/2.0.0/files/p15100271/s51727715/d95bc437-e4cd2e7d-52102472-60c1ab41-699e4314.jpg
frontal and lateral chest radiographs were obtained. compared to prior study from <unk>, there has been no significant interval change. right basilar atelectasis is unchanged. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax.
patient with worsening cough and shortness of breath, rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12199299/s55173023/325f14bf-0da4e218-a354e4c2-94902df0-67c7f154.jpg
two portable semi-erect chest radiographs were obtained. ng tube passes into the stomach and extends inferiorly out of the field of view. a right-sided picc line has been pulled back into the axillary vein. low lung volumes and extensive bilateral left greater than right alveolar opacities are unchanged. moderate cardiomegaly is similar.
ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p15036930/s52200703/e24b943e-9c8981b3-46e2d3d0-c06e9017-228a9f31.jpg
no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. no acute displaced rib fractures identified.
<unk> year old man s/p fall with new right lower rib cage ttp // rib fractures?
MIMIC-CXR-JPG/2.0.0/files/p11790339/s52689981/fe1c8b70-4741bde8-d8eac8f0-00e5daea-0135a01f.jpg
the et tube is in the right mainstem bronchus. at the time and dictated this report the severity been repositioned.
<unk> year old woman with ich, intermittent desaturations // interval change
MIMIC-CXR-JPG/2.0.0/files/p15929245/s58770057/dd632359-032de46a-2aa36c6e-c30af34a-a40dd9d3.jpg
a port-a-cath terminates at the cavoatrial junction. the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. the heart is borderline in size with a left ventricular configuration, and there is mild unfolding of the thoracic aorta. a small eventration is noted along the anterior right hemidiaphragm. the lungs appear clear. there are no pleural effusions or pneumothorax.
wheezing and productive cough.
MIMIC-CXR-JPG/2.0.0/files/p12637050/s59368801/38ec1527-78023762-d8b5b872-ecb3510a-127c6525.jpg
pa and lateral chest radiographs were obtained. lung volumes are low. no focal consolidation, effusion or pneumothorax is present. the mediastinal contour is widened by a prominent abdominal fat pad.
<unk>-year-old man with chest pain, now resolved, question acute process.
MIMIC-CXR-JPG/2.0.0/files/p15095931/s57369832/8acda963-124d90b5-78e1363b-c6312707-7838852e.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiac silhouette is top-normal to mildly enlarged. calcifications are seen within the aortic arch. no free air is seen below the diaphragm. evidence of dish is seen along the thoracic spine.
history: <unk>m with cough/dyspnea // acute process
MIMIC-CXR-JPG/2.0.0/files/p16789054/s54974559/b61789fe-644bf130-8a98d50c-673a16db-6fe9d3d4.jpg
there is extensive chronic interstitial abnormality. there is no new focal airspace consolidation. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with a history of uip the common presenting with worsening dyspnea and left-sided crackles on exam.
MIMIC-CXR-JPG/2.0.0/files/p12694726/s53997380/953afad5-4a04b9b3-e2351e17-dd1d5bb8-4b488f41.jpg
as compared to prior chest radiograph from <unk>, there has been no significant change. pulmonary vascular congestion is chronic. moderate cardiomegaly is stable. there are asbestos-related calcified pleural plaques. a small right pleural effusion is unchanged. there is no pneumothorax. there are no new focal consolidations. tip of right internal jugular line is at the level of the superior cavoatrial junction.
<unk>-year-old male patient with history of pulmonary fibrosis, asbestosis, admitted with urosepsis and with new fevers. study requested for evaluation of infiltrate versus pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15857729/s59698726/46c161c4-0cac1236-ec95dd28-d99eb016-ee9a344d.jpg
pa and lateral views of the chest pain. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. stent is identified in the upper abdomen.
<unk>-year-old female with gangrene, pre-op.
MIMIC-CXR-JPG/2.0.0/files/p19541392/s51255358/ecedb98f-3fb99d02-8004f051-826bc1ca-288ff5cb.jpg
patient is status post median sternotomy and aortic valve replacement. moderate cardiomegaly remains unchanged. mediastinal contours are similar. there is mild pulmonary edema, with patchy atelectasis noted in the lung bases. a small left pleural effusion appears not substantially changed in the interval. patchy opacities are noted in the lung bases. no pneumothorax is detected. no acute osseous abnormality is visualized.
history: <unk>m with hypoxia
MIMIC-CXR-JPG/2.0.0/files/p19316207/s55102753/686bfcc2-e992f1f5-58d5c6e7-164a1730-f8cd8136.jpg
the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history: <unk>f with shortness of breath, tachycardia, low grade fever // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p12122134/s58715811/3008f800-481f618f-87cb0db2-c25a2d41-4bb80443.jpg
the cardiomediastinal hilar contours are within normal limits. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
chest pain. evaluate for fluid, pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14972005/s55831153/42e317c4-adefc965-60dace16-2ea8dc68-0f42b749.jpg
new moderate right pleural effusion obscures the right heart border. the left sided contours of the cardiomediastinal silhouette are normal. sternotomy wires predate <unk>. right hilus is displaced inferiorly indicating that infrahilar opacity in the lower lobe is segmental atelectasis. left lung and pleural space are normal. there is no pulmonary edema or vascular congestion.
<unk> year old man with cml. now with new onset lower extremity edema and sob> // new lower extremity edema. h/o cad
MIMIC-CXR-JPG/2.0.0/files/p14255354/s54117650/667df42c-99d2eec3-6a4596f2-40e73f30-8367dc00.jpg
a right-sided picc is in-situ, unchanged in position when compared to the prior study unchanged small left pleural effusion. no pneumothorax seen. no focal consolidation seen. the cardiomediastinal contour is unchanged compared to the prior study. calcification of the thoracic aorta.
<unk>f h/o copd not on home o<num>, htn, recurrent utis, prior cva c/b residual l sided weakness, and depression who p/w concerns for intrauterine infection and underwent endometrial aspiration where she became intraoperatively hypotensive to <unk>, started on neo gtt, and now being admitted to icu with concerns for septic shock. now <num>l positive and worsening hypoxia. // interval exam
MIMIC-CXR-JPG/2.0.0/files/p10046166/s50051329/427446c1-881f5cce-85191ce1-91a58ba9-0a57d3f5.jpg
lateral view somewhat limited due to overlying motion artifact. the lungs are low in volume. there is no focal airspace consolidation to suggest pneumonia. a <num>-cm calcified granuloma just below the medial aspect of the right hemidiaphragm is unchanged from prior study. no pleural effusions or pulmonary edema. there is no pneumothorax. the inferior sternotomy wire is fractured but unchanged. surgical clips and vascular markers in the thorax are related to prior cabg surgery.
<unk>-year-old male with history of metastatic melanoma, presenting with confusion and somnolence. evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13040016/s57001290/a96e47ae-39f0af89-81b52bd4-b40e6d9c-0dc3f9e6.jpg
the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11105131/s59039303/e463714c-d89dfaa4-012701fc-4c77df9b-0b15f247.jpg
pa and lateral images of the chest demonstrate well expanded lungs. there is a thin-walled area of increased emphysematous changes at the left lung base consistent with what was previously described. if this area is clinically concerning, could consider a high-resolution ct scan of the chest to look for possible interstitial changes. there is no evidence of acute cardiac or pulmonary process. visualized osseous structures are unremarkable.
<unk>-year-old female with left-sided chest pain and prior history of smoking and pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14453634/s54267042/8d9ce51c-2ad1e465-fac2e096-1557af8e-c7fde42f.jpg
there has been no significant change compared to prior examination with redemonstration of bibasilar atelectasis and small bilateral pleural effusions unchanged in volume. cardiomediastinal silhouette and hilar contours are unchanged. the lung apices are clear.
crohn's, status post ileocecectomy, postop day #<num>, now with increasing work of breathing.
MIMIC-CXR-JPG/2.0.0/files/p19583131/s58737243/62956c97-b7f49e71-8346fa6d-67c69fe8-c34bab1f.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the aortic knob appears mildly dilated ; this could be further assessed on nonurgent chest ct for assess for underlying aortic dilatation. .
history: <unk>f with left arm swelling and pain
MIMIC-CXR-JPG/2.0.0/files/p15325143/s50829620/16de100d-b63a0180-5a1c03dc-f8a455d0-83cb6f9d.jpg
single portable view of the chest. no prior. the lungs are clear of focal consolidation. cardiomediastinal silhouette is within normal limits for supine technique. multiple bilateral anterior rib fractures, which appear old, are noted. old left clavicular fracture is also seen.
<unk>-year-old male with witnessed fall, intoxicated, head strike.
MIMIC-CXR-JPG/2.0.0/files/p19530208/s52039543/f5940939-5e0babf6-0b805707-eed58b47-2a8a157b.jpg
frontal and lateral upright radiographs of the chest were obtained. the vascular stent in the superior vena cava is unchanged in appearance. top normal heart size and mediastinal contours are unchanged. mild tortuosity of the thoracic aorta is stable. no focal consolidation, pleural effusion or pneumothorax. an oval <unk> x <num> mm opacity projects over the <unk> right posterior rib unchanged dating back to at least <unk> corresponding to a sclerotic lesion in the <num>th rib on ct, likely a bone island.
cough and chest pain for <num> days. rule out pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14150037/s50275494/e15ff569-2634f8f0-a5e8d964-4c6ba996-23090cf7.jpg
the endotracheal tube tip projects approximately <num> cm above the carina. right ij swan-ganz catheter tip is unchanged in position. left ij central line tip is unchanged, extending to the junction of the brachiocephalic vein and superior vena cava. pacer lead tip projects in the region of the right ventricle. positioning of the lvad is unchanged. the prior left chest tube is unchanged in position, with interval decrease in the amount of pleural fluid. increased aeration of the bilateral lower lungs. diffuse bilateral pulmonary opacifications persist. moderate severe cardiomegaly is unchanged.
<unk> year old man with s/p lvad. eval lines and ? infiltrates
MIMIC-CXR-JPG/2.0.0/files/p15714088/s51944066/1351b4ef-9b14fdd5-da451051-343d0d72-562c3a1b.jpg
the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. clips project over the right upper quadrant.
new onset uppercase diplopia.
MIMIC-CXR-JPG/2.0.0/files/p19695333/s54678790/ffafa257-4703f54b-bf657d50-432cb686-3d467882.jpg
the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with left sided weakness. assess for infectious process.
MIMIC-CXR-JPG/2.0.0/files/p12553953/s51240492/73dba542-bd6bc2e2-2968cdae-0e3ee407-c7aa757e.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 patellar knee tendown damage // pre-op clearance
MIMIC-CXR-JPG/2.0.0/files/p17257279/s51767787/009f229c-1f13585e-c939bc66-88ee13ef-c0d50877.jpg
repositioned right picc line ends in the mid-to-low svc. otherwise no significant interval change. the lungs are clear. no pleural effusion, focal consolidation, pulmonary edema, or pneumothorax. the heart is normal in size. the mediastinum and hila are unremarkable. remaining median sternotomy wires are unchanged.
<unk> year old man with reposition of picc line. evaluate new picc line position.
MIMIC-CXR-JPG/2.0.0/files/p12586254/s56437286/23a81656-5641313c-6f511177-3dc4d2fe-3d230b4d.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with shortness of breath // acute process?
MIMIC-CXR-JPG/2.0.0/files/p17418579/s57577346/1e2ba48e-8c454e5f-6942dee3-e0391e19-1bcbed37.jpg
single portable view of the chest is compared. left apical pneumothorax is again seen and not significantly changed since previous exam. the lungs are otherwise clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with left pneumothorax, evaluate for change.
MIMIC-CXR-JPG/2.0.0/files/p19976966/s55613511/b852595d-8e3e1607-6a387fcb-1a2e42bd-016928a6.jpg
there is a ng tube which extends below the diaphragm with the tip out of view of this exam. small-to-moderate bilateral pleural effusions have slightly improved compared to the prior exam. there is no pulmonary edema. no focal consolidations concerning for pneumonia are identified. there is no pneumothorax. the visualized osseous structures are unremarkable.
history of shortness of breath. please evaluate for effusions.
MIMIC-CXR-JPG/2.0.0/files/p10963981/s56979487/11086397-9449831e-c4991e0d-0ea047db-34d703af.jpg
enlarged cardiomediastinal silhouette is unchanged with moderate cardiomegaly and pulmonary vascular engorgement. increased multifocal opacities likely represent pulmonary edema given the current history however multifocal pneumonia cannot be excluded in the appropriate clinical setting. no pleural effusion or pneumothorax are seen. support devices are unchanged in position.
<unk> year old man with h/o paraplegia presented with intra-abdominal bleed. now in shock with hemolytic anemia and liver failure // please assess for interval cahnge
MIMIC-CXR-JPG/2.0.0/files/p19700882/s52407984/194acc3a-8d3d2b8c-ea557cef-b0f4da5b-e5646a1b.jpg
there is no substantial pleural effusion remaining following recent thoracentesis although a minimal one may remain (the right costophrenic angles are partially excluded). there is no pneumothorax. the lungs appear clear. the cardiac, mediastinal and hilar contours appear stable. the patient is status post sternotomy.
dyspnea. status post thoracentesis.
MIMIC-CXR-JPG/2.0.0/files/p18568249/s50107351/7151c069-c5404ace-03610699-1a0853c5-ea408565.jpg
focal region of consolidation is noted in the left mid lung was seen on multiple priors dating back to <unk>. these appear slightly more conspicuous on the current exam likely secondary to overlying scapula. elsewhere, the lungs are clear. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aortic arch. no displaced fractures identified.
<unk>f with slurred speech, weakness // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14090642/s53877474/01d544e3-5f2fc0e9-67f68dd5-6ad77b9d-7cf1f8d8.jpg
the lungs remain hyperinflated. right greater than left biapical pleural thickening is again seen, stable. pectus deformity is again noted. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
not feeling right.
MIMIC-CXR-JPG/2.0.0/files/p11743890/s56594012/575d172d-4c2ebe84-56a7ddaf-a7163b18-3e41f49b.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. slight degenerative changes are similar throughout the thoracic spine.
cancer and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12317110/s52911177/4bece286-1b07bb45-788be38c-41b103fd-7d205b51.jpg
pa and lateral views of the chest. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified noting degenerative changes in the mid thoracic spine.
<unk>-year-old female with night sweats and cough.
MIMIC-CXR-JPG/2.0.0/files/p10259372/s58258281/4256ce99-403b3e0d-1871ebf3-27134b0b-5026280a.jpg
a port-a-cath terminates in the superior vena cava. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
fever.
MIMIC-CXR-JPG/2.0.0/files/p18572264/s51596186/1eb8bdb6-159de2fd-3c356b7b-783d9ad6-76361e25.jpg
ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with h/o cad and stent, here after syncopal episode
MIMIC-CXR-JPG/2.0.0/files/p10104730/s58014007/ea3df38c-d3e90662-3233a6b4-f0f066ad-bbd4ea18.jpg
dual lead left-sided pacer device is stable in position. the patient is status post median sternotomy and cardiac valve replacement.the cardiac and mediastinal silhouettes are stable. there are lower lung volumes on the current study than on the prior. there is blunting of the posterior left costophrenic angle concerning for a left pleural effusion. no right pleural effusion is seen. left base retrocardiac opacity may be represent combination of pleural effusion and atelectasis, however, underlying consolidation is difficult to exclude. while there may be minimal central pulmonary vascular engorgement, no overt pulmonary edema is seen.
history: <unk>f with tachycardia, recent pacer // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p18579911/s52758766/f70e25f8-9f026ddc-1900ade2-f0942413-dad290ef.jpg
right picc tip is located in the mid svc. cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
history: <unk>f with picc in r arm. eval location // eval location of picc
MIMIC-CXR-JPG/2.0.0/files/p15557080/s53590481/33ada262-856c2e48-59ea0878-53cdbc24-42a897f7.jpg
nearly total opacification of the left lung field is re-demonstrated, compatible with a large left-sided pleural effusion. there are new diffuse interstitial opacities, with indistinctness of the right hilum suggesting pulmonary edema. no pneumothorax is identified.
<unk>-year-old female status post thoracocentesis for left pleural effusion. evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19781176/s51339095/3ab9580f-ccc4bab3-33888b5b-7dbe2f68-faa600f8.jpg
cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
burkitt's lymphoma in remission. <num> week productive cough and dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p14495624/s50868457/e7db9d75-a169e5b2-60630d16-23a1584a-3f1b52b8.jpg
pa ad lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. the sternum is incompletely evaluated due to overlying shadows from the arms.
<unk>-year-old male with <num> days of central chest soreness.
MIMIC-CXR-JPG/2.0.0/files/p18760108/s56976165/bf706313-8cd24d20-67f8a309-ce670be4-18132123.jpg
heart is normal size and cardiomediastinal contours are stable. large right upper lobe nodule was better evaluated on recent ct of <unk>. there is no focal consolidation suggestive of pneumonia. no pleural effusion or pneumothorax.
<unk> year old woman with weakness and subjective fevers // history of nsclc eval for other pulm process ? pna
MIMIC-CXR-JPG/2.0.0/files/p16855430/s54172798/fd4d0982-653e46f1-41642c43-423df23d-c0f86cbc.jpg
the heart size is stable and mildly enlarged. mediastinal and hilar contours are within normal limits. the lungs show no consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the previously described right picc tip has been removed.
<unk>-year-old female with fever.
MIMIC-CXR-JPG/2.0.0/files/p13775203/s51194817/578504b7-469071e6-7e38d904-ae62ae73-9dec9720.jpg
heart size is normal. the aorta is mildly unfolded. the mediastinal hilar contours are normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. hypertrophic changes are noted within the mid thoracic spine.
history: <unk>f with <num> days of cough, influenza-like illness // please eval for consolidation, infiltrate
MIMIC-CXR-JPG/2.0.0/files/p19250753/s50573225/6952d864-bdb6f122-d186fde4-9f164045-45a194cd.jpg
the heart size is within normal limits. the mediastinal contours demonstrate a small-to-moderate hiatal hernia. a nodular density projects above the left hilus. the lungs <unk> volumes but are clear. there is no pleural effusion or pneumothorax. degenerative changes are seen in the spine. opacity in the left upper quadrant may represent splenomegaly.
<unk>-year-old female with right-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14691065/s50906395/0caccb5d-7729c6eb-937a0e44-70e16508-ae96ae01.jpg
compared to the prior study there is no significant interval change.
<unk> year old man planned for liver transplant today // please eval for acute cardiopulm process surg: <unk> (liver transplant)
MIMIC-CXR-JPG/2.0.0/files/p17593363/s52028656/673c488d-815721ce-98199559-131e4730-fd0e8f00.jpg
lungs are hyperinflated with upper lobes bullous changes for severe emphysema. there is a new lung triagular shaped consolidation of the right lower lobe concerning for pneumonia. persistent small bibasilar atelectasis. there is no pneumothorax. heart size is still moderately enlarged.
<unk>-year-old man with copd, sick sinus syndrome, tachycardia/bradycardia, now with shortness of breath. pneumonia, pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10190973/s55441292/e01c302d-7bb2f627-4b13cb85-fa44b42e-1029d42b.jpg
an endotracheal tube is in place with the tip terminating below the thoracic inlet, approximately <num> cm above the carina. an enteric tube is seen coursing below the diaphragm with the tip and sideport in the proximal stomach. the patient is status post median sternotomy. a coronary stent projects over the left border of the heart. the cardiac silhouette is normal in size. prominence at the right paramedian stripe appearing relatively lucent on radiography likely represents prominent mediastinal vessels. a small right pleural effusion may be present. no significant hemothorax is seen on this single supine view. hazy airspace opacities in the right middle and lower lung zones with smaller airspace opacities in the left mid lung zone may reflect atelectasis. the pulmonary vasculature is essentially within normal limits. healed right lateral rib fractures are noted.
respiratory distress requiring intubation, here to evaluate for pulmonary edema and et tube position.
MIMIC-CXR-JPG/2.0.0/files/p16900636/s50017806/644c0b96-04958a0d-2b825021-27d34413-26218038.jpg
compared to the prior study there is no significant interval change. continued extensive bilateral, right greater the left, pulmonary opacities concerning for multifocal pneumonia.
<unk> year old man with worsening dyspnea s/p fluids for sepsis/pna // please assess for interval change
MIMIC-CXR-JPG/2.0.0/files/p12974480/s51259745/899ea828-7bcce510-52e08515-44ce4668-a3729ddf.jpg
new left-sided picc line ends in the mid svc. there is no pneumothorax. there are mild bibasilar atelectatic changes.there is no focal consolidation, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with new picc // l picc <num>cm sal <unk>
MIMIC-CXR-JPG/2.0.0/files/p19666878/s59457800/690db61c-f90c158e-7b6f3ea0-0cccc457-7bcf4c46.jpg
the et tube terminates high, approximately <num> cm above carina. ng tube tip and side hole are in the stomach. new small left pleural effusion is seen. a component of left lower lobe atelectasis is likely present. patchy right basilar opacity may reflect atelectasis or infection. there is no pneumothorax. the cardiomediastinal silhouette is normal.
altered mental status. intubated.
MIMIC-CXR-JPG/2.0.0/files/p13605623/s53445148/30a0684e-6a161ef8-54aa97a4-c64eeedb-54ba18de.jpg
mild pulmonary vascular congestion and edema. left lower lung atelectasis with slight elevation of the left hemidiaphragm. cardiomegaly is mild. no pneumothorax or focal consolidation. no acute osseous abnormality.
<unk>-year-old man presenting with shortness of breath. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19180767/s52320886/ac9c2ad5-9dbe86de-86023ac0-dc498817-f318b5cf.jpg
the lungs are clear. no effusion, consolidation or pneumothorax is present. the heart and mediastinal contours are normal.
<unk>-year-old woman with weakness, question infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p18335087/s57729842/6360f5b3-b5501900-f1171298-d2e77cbc-cf07c25d.jpg
cardiac, mediastinal, and hilar contours are normal. lungs are clear and the pulmonary vascularity normal. no pneumothorax or pleural effusion is present. there are no acute osseous abnormalities including no displaced rib fractures.
left chest wall pain the lung lobe mid axillary line in the superior ribs.
MIMIC-CXR-JPG/2.0.0/files/p16425412/s57830636/7208951b-6290941b-9a5a370e-e6b6b193-f58e73a5.jpg
bilateral lower lobe peribronchial linear opacities have not significantly changed stent <unk>. in comparison to abdominal ct from <unk>, there is a most in keeping with lower lobe bronchiectasis. no acute focal consolidation, or interstitial edema. the cardiomediastinal contours are stable. no pneumothorax.
<unk> year old woman with esrd s/p transplant on prednisone, <unk> presenting with <num> days of nasal congestion and doe // please evaluate for evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15505564/s56317352/a326e2c5-644d728c-fca854da-b6555608-8472acbc.jpg
pa and lateral views of the chest provided. there is extensive left pleural effusion, increased since prior ct chest from <unk>. there is no pleural effusion on the right. there is evidence of prior resection of the right upper lung.
<unk> year old woman with metastatic breast cancer with pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p16817189/s53285723/8439e8d5-1c7a079b-f55403f3-909833a4-45338ea7.jpg
the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded. mild peribronchial cuffing is seen. increased interstitial markings are seen at the lung bases. there is no discrete focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits. the upper abdomen is unremarkable. there is no acute osseous abnormality.
<unk>f with chest pain, cough // infiltrate?
MIMIC-CXR-JPG/2.0.0/files/p16452187/s54997710/bee847c1-37c0b80b-4e57fe4a-b4499a29-0d8f2a29.jpg
single portable view of the chest. left chest wall dual lead pacing device is again seen. the lungs are clear where not obscured by overlying leads and pacer. the cardiomediastinal silhouette is normal. median sternotomy wires again noted. no acute osseous abnormalities detected.
<unk>-year-old male with palpitations.