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MIMIC-CXR-JPG/2.0.0/files/p15028952/s50138375/59c47442-06949e3d-78da743f-96ab2228-5d58aa76.jpg | the tip of the endotracheal tube appears slightly lower, <num> cm above the carinal. right ij central venous catheter tip is at the level of the confluence of the brachiocephalic veins. the tip and side hole of the nasogastric tube are not visible, related to underpenetration of the lower chest and upper abdomen. there is some interval clearing in dense airspace consolidation bilaterally, with more improvement noted on the left which was worse than the right on the previous studies. | <unk> year old man with dm and recent back surgery who presented s/p cardiac arrest and intubated. // interval change |
MIMIC-CXR-JPG/2.0.0/files/p19243474/s51077446/41ea0c06-97c03d06-37badf96-79cd1acb-43accac6.jpg | compared the prior study, lung volumes are low. there is increased opacity at the left lung base consistent with a combination of pleural effusion and atelectasis. this has increased slightly when compared the prior study. superimposed infection cannot be excluded. there is unchanged moderate cardiomegaly with mild prominence of the pulmonary vasculature consistent with mild pulmonary vascular congestion. | <unk> year old man with diminished breath sounds // interval change |
MIMIC-CXR-JPG/2.0.0/files/p14718254/s52627706/160901b4-02e5332c-0f1ce6cc-9f568ec3-d452299f.jpg | lung volumes are low. heart size is top normal. there are bilateral increased interstitial lung markings and central pulmonary vascular congestion. no focal consolidation is identified. please note that chest x-ray is not optimal for evaluation of chest trauma. however, no obvious bony deformity. | <unk>f with fall. eval for traumatic injury. |
MIMIC-CXR-JPG/2.0.0/files/p18305480/s58263620/6e06ab93-b20ad4b2-03858c14-40429442-a8751d58.jpg | the lungs are well inflated. bibasilar linear atelectasis is noted. retrocardiac opacity is likely related to gastric pull through, but previously seen superimposed pulmonary consolidation cannot be optimally evaluated for without a lateral view. mild cardiomegaly and aortic tortuosity are unchanged. the cardiomediastinal and hilar contours are unremarkable otherwise. there is no pleural effusion or pneumothorax. again seen are three bone islands projecting over the anterior left second rib. | <unk>-year-old male with hemoptysis and recent diagnosis of left lower lobe atelectasis versus consolidation. evaluate for evidence of alveolar hemorrhage, infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18007841/s51146096/e257cf63-8cc5fd9d-651d27fe-8bf93b69-f21d607a.jpg | the cardiac silhouette is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. streaky left lower lobe opacity is present along with a small left pleural effusion. no pneumothorax is identified. mild irregularity of the <num> posterior left rib could indicate a nondisplaced fracture. | left-sided back and rib pain after fall off chair. |
MIMIC-CXR-JPG/2.0.0/files/p10883384/s54090676/53476219-94cab58f-f451280a-8d77d35e-4c6b3b80.jpg | the heart is moderately enlarged, similar to prior. there is dense retrocardiac opacity that could be due to volume loss or infiltrate. there is mild pulmonary vascular redistribution. there are no definite effusions. | history: <unk>m with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p14987339/s56198214/98e6206a-efa0874e-b0c17d52-6e9615cb-63daceab.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with cough and history of hiv positive. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15110714/s52734329/7bfa96a7-59f78749-e6c57373-27ad046c-6e0c5440.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with opacity seen in rul on ct. pt c/o cough. |
MIMIC-CXR-JPG/2.0.0/files/p16098894/s57745671/be898224-fedd0773-ef122c9c-8c08971b-f9a51644.jpg | pa and lateral chest radiograph demonstrates a clear lungs bilaterally. when compared to prior study dated <unk>, there is decreased intravascular congestion. the lungs are low which exaggerates the size of the heart. there is no overt pulmonary edema. there is mild prominence of the pulmonary vascular to suggest vascular congestion. no pleural effusion is seen. osseous structures are without acute abnormality. | <unk>-year-old female with cirrhosis who presents with volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p15543965/s58935300/f5bb59f9-c3d3bd14-7b041564-4c2c1228-a4a540f3.jpg | there is a new, small, right-sided pleural effusion, and likely a trace left-sided effusion. heart size and pulmonary vascularity remain within normal limits. the diffuse lower lung predominant septal thickening is present as well as poorly defined lower lung peribronchiolar opacities centrally in the infrahilar areas appear | <unk> year old man with crohn's and cmv viremia // please eval for pleural effusions or interstitial abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p12351481/s56832843/f6bda2fd-7609aa4a-0e333736-a3f07a98-baff0eae.jpg | a moderate size right pleural effusion has increased in size compared to the previous exam. right basilar opacity may reflect compressive atelectasis though infection is not excluded. aeration of the left lung base is improved with residual streaky opacity likely reflecting atelectasis. heart size is difficult to assess given the presence of the moderate right pleural effusion. mediastinal and hilar contours are relatively unchanged. mild pulmonary edema vascular congestion is demonstrated. small left pleural effusion has decreased in size. there is no pneumothorax. degenerative changes are seen within the thoracic spine. | cough, increase shortness of breath, copd. |
MIMIC-CXR-JPG/2.0.0/files/p15948222/s51074302/eaf54564-b1aef9d4-ce6aa64b-56212880-a44541e1.jpg | cardiac silhouette size is normal. mediastinal and hilar contours are within limits. pulmonary vasculature is not engorged. <num> mm nodule within the right lower lobe was better visualized on the previous pet-ct. lungs are otherwise clear. no focal consolidation pleural effusion pneumothorax is present. mild degenerative changes are noted in the thoracic spine. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p15682814/s52479134/5a5c5e2e-fb8277fd-c47683b0-9634a008-696b7a94.jpg | single supine ap portable radiograph through the chest demonstrate low lung volumes with atelectasis or scarring at the bases. aortic valve is again identified in the expected position. no focal consolidation convincing for pneumonia is identified. multilevel compression fractures and vertebroplasties throughout the visualized spine are noted as are calcifications through the splenic artery within the left upper abdomen. significant degenerative changes involving bilateral shoulder joints noted. there is no large pleural effusion or pneumothorax. | <unk>-year-old female with fall. |
MIMIC-CXR-JPG/2.0.0/files/p10671800/s51042324/cd781589-61653b22-d5516580-ac4e26c6-eb7e1bb9.jpg | a right upper extremity picc line is unchanged in position, with its tip in the mid svc. the lung volumes are slightly decreased compared with prior, accentuating the pulmonary vasculature. there is no pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. | <unk>-year-old male status post c<num>-<num> fusion with fever, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17615845/s58516733/7a8a4dbd-17b2a714-26cb2fcf-ab440254-e69a2454.jpg | there is a new et tube with tip <num> cm above the carina. the picc line is unchanged. the appearance of the lungs is are unchanged. | <unk> year old man with resp distress, aspiration event, possible sbo with sepsis. // ett placement |
MIMIC-CXR-JPG/2.0.0/files/p16295064/s56339494/1941e260-6730c375-aa320749-48d37339-fae0f04c.jpg | slightly asymmetric increased opacity in the left lower lobe persists but appears to have improved compared to the prior exam, likely reflecting atelectasis. no definite focal consolidation, pleural effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the aortic knob is calcified. extensive distension of multiple loops of bowel with inter in the visualized that abdomen is noted. there is free air under the diaphragm. surgical clips project over the right upper abdomen, perhaps related to cholecystectomy. | <unk> year old woman with esophageal adenocarcinoma and concern for aspiration in setting of egd now with fever to <num>, evaluation of pna. patient had peg placed this morning. |
MIMIC-CXR-JPG/2.0.0/files/p14228640/s50424775/5b549083-795729a8-166489bc-c793074b-94c212e2.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar structures are within normal limits. there is no pneumomediastinum. subtle lucency along the posterior margin of the trachea and middle mediastinum may represent superimposed shadows although pneumomediastinum cannot be entirely excluded. the trachea is midline. no acute osseous abnormality is detected. | <unk>-year-old man with dyspnea and question of pneumoediastinum on recent prior chest radiograph, here for further evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p17222468/s57993282/23d36ae7-5b57927a-b900f518-07e890d4-9669f918.jpg | patient is rotated to the right. there is a large area consolidation in the left mid to lower lung with some obscuration of the left heart border, likely involving at least the lingula, and possibly the left lower lobe. there is also evidence of bronchiectasis in region. no large pleural effusion is seen. there is no evidence of pneumothorax. right apical pleural thickening is again seen in this patient status post right upper lobectomy. | history: <unk>f with sob, // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11210583/s59466370/31e8d519-254510ac-f6f72586-c455dfb3-b7969d60.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragm. | history: <unk>f with hx pancreatitis now with burning epigastric pain radiating to back // please assess for etiologies of abdominal pain |
MIMIC-CXR-JPG/2.0.0/files/p13778554/s53090949/e1340210-c5f934cf-8e2a580c-2dab39b9-0a773f5a.jpg | the tip of the picc is visible in the low svc. tip of the picc seems not displaced compared to prior exam. a partly visualized gastrojejunostomy tube projects over the epigastrium, not fully imaged. lung fields are well inflated without any opacities. there is no sign of pleural effusion. | evaluation of picc line placement as well as any sign of pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10146735/s51894296/ddc7b8b0-50b5b154-c843b5ab-408719aa-29f28718.jpg | the lungs are clear without focal consolidation or effusion. right basilar linear atelectasis is noted. cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta is unchanged. no acute osseous abnormalities. chronic changes of the right fifth rib are unchanged. | <unk>m with cirrohiss p.w ascistes // eval for pna cxr eval for portal venous thrombosis |
MIMIC-CXR-JPG/2.0.0/files/p19640899/s58890566/2d6e235f-f5d3190c-25e990fb-9295c667-b406e46c.jpg | the radiograph is underpenetrated secondary to the patient's body habitus. allowing for this limitation, the lungs are well expanded. there are slightly increased interstitial opacities compared with prior chest radiographs, but no focal parenchymal opacity. moderate cardiomegaly is unchanged. costophrenic angles are partially obscured potentially from overlying soft tissue/technique versus small effusions. there is no pneumothorax. a left-sided picc line ends in the lower svc. | patient with cough and shortness of breath. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18651605/s52772934/8e4865af-8be7c80f-dbc5aac4-9c30676c-816f1db8.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>m with chest pain, shortness of breath, rhinorrhea x <num> days*** warning *** multiple patients with same last name! // ?acute process |
MIMIC-CXR-JPG/2.0.0/files/p11858720/s58193778/b5d83f53-172206b2-52495819-b0dd527b-ba259abb.jpg | known large left upper lobe pulmonary mass is seen. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. slight prominence of the left hilum may relate to known underlying lymph nodes. | history: <unk>f with lung cancer and recent fever // lung cancer on chemo with a fever |
MIMIC-CXR-JPG/2.0.0/files/p10955604/s56160993/c03d8955-22028444-124ab064-68e3de74-954b8d6b.jpg | surgical chain sutures are seen overlying the left mid lung. there is rightward rotation of the patient on the current examination. allowing for changes due to this, the cardiomediastinal silhouettes are within normal limits. central pulmonary vascular engorgement and left greater than right diffuse interstitial prominence likely reflects asymmetric mild pulmonary edema, left greater than right. more focal opacity within left lung apex may reflect superimposed infection. there is no pneumothorax or pleural effusion. | a <unk>-year-old man with hypoxia, evaluate for edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18120578/s59036255/3ad01021-52784685-09d5dac1-b82bbe05-60f0349c.jpg | the lungs are clear without consolidation, large effusion or edema. the cardiac silhouette is mildly enlarged. no acute osseous abnormalities. no free intraperitoneal air. | <unk>f with fever, abdominal pain, diarrhea s/p transplant patient // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19245405/s55105932/a49960b9-f4ddc875-d345d7b8-4299f3ba-82a685a2.jpg | lower lung volumes seen on the current exam. the lungs are grossly clear. the cardiac silhouette is enlarged but this is likely accentuated by technique and low lung volumes. no acute osseous abnormalities. | <unk>m with tachycardia // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p19774284/s56650153/96a21897-765fbc68-d63ea99d-984e2fdb-765f6ddc.jpg | compared to chest radiographs from <unk>, lung volumes have improved, as well as left pleural effusion and bibasilar atelectasis. no appreciable effusion on the right. moderate cardiomegaly is unchanged. there is no central vascular congestion or overt pulmonary edema. no focal consolidation. no pneumothorax. significant dilatation of the descending thoracic aorta is consistent with known thoracic aortic aneurysm, better assessed on prior ct. | <unk> year old man with pe with ongoing hypoxia // interval changes in pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p19075055/s52447307/6fcf2f57-f3a5a3c3-30fa692f-5204c7f0-ecf6cff8.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. | <unk>-year-old female with cough for four days. |
MIMIC-CXR-JPG/2.0.0/files/p15629821/s58407515/23ff58c7-3661a734-fd11527f-4c87229e-774ea9f6.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits, and the lungs appear clear. there are no pleural effusions or pneumothorax. the osseous structures appear within normal limits. | asthma exacerbation with hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p10644476/s58202409/f2b91355-a2d53eb2-5d8e927e-a3bc9a85-98c9f949.jpg | there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. | <unk>-year-old male with chest pain and shortness of breath, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16445072/s50472010/e6e107ab-c969f855-b5736cf2-bd96d2ae-db45f8a2.jpg | frontal and lateral views of the chest were obtained. lung volumes are significantly lower than on the prior study, resulting in bronchovascular crowding. opacity at the left lung base is likely combination of tiny effusion and atelectasis but supervening infection cannot be excluded. the upper lung zones are clear. no pneumothorax and no right pleural effusion. pulmonary vasculature is normal. cardiac and mediastinal silhouettes are stable allowing for lung volumes. an abdominal drain projects over the left upper quadrant. clips are seen in the thyroid bed after total thyroidectomy. | <unk>-year-old woman with ef of <num>%, status post abdominal surgery. evaluate for effusions or edema. |
MIMIC-CXR-JPG/2.0.0/files/p19934880/s53513172/8d821d18-ef6593b4-dff05645-466b8d75-79894729.jpg | the lungs are hyperinflated. there are streaky retrocardiac opacities. no pleural effusion or pneumothorax. heart is normal size. there is no pulmonary edema. the mediastinal and hilar structures are unremarkable. sternotomy wires, some fractured, and cervical hardware are noted. | hypoxia and fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17098669/s57119297/13cbeae8-23d42413-d2a9bcd5-aa198767-b4698979.jpg | frontal and lateral views of the chest. the lungs are clear. there is no effusion, pneumothorax or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. | <unk>-year-old male with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11761571/s58481311/bbb88e60-cb37cdab-7f46ae19-4f009535-23b49d5e.jpg | compared with prior radiographs on <unk>, there has been interval collapse of the left upper lobe, worrisome for a mucous plug in the known narrowed left bronchial stent. the endotracheal tube terminates <num> cm above the carina. there is a left chest tube with no pneumothorax. upper mediastinal and right neck vascular stents are again seen. there are surgical clips in the right axilla. | <unk> year old man s/p right vats ln biopsy // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg | the patient is status post coronary artery bypass graft surgery. there is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion. the heart is mildly enlarged with a left ventricular configuration. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the bones are probably demineralized. a mild anterior wedge compression deformity along the lower thoracic spine appears unchanged. mild degenerative changes along the mid-to-lower thoracic spine are also similar. | weakness. recent urinary tract infection. |
MIMIC-CXR-JPG/2.0.0/files/p14820131/s54359628/d983b8a8-600cffde-ecda3acf-058dc375-8b9e675f.jpg | again seen is a small left apical pneumothorax. unchanged compared to the film from the prior day. there are small bilateral pleural effusions. the heart size continues to be severely enlarged. | follow up pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18426561/s57208029/693212a9-523c671e-153948a5-2e35e837-26f9dac0.jpg | the lung volumes are low. allowing for that, the cardiac, mediastinal and hilar contours are likely within normal range. there is no pleural effusion or pneumothorax. the lungs appear clear. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p16131197/s58172086/6cd15345-de7ce573-d402aadc-bce9df03-fe9b3451.jpg | mild enlargement of the cardiac silhouette is present. the mediastinal and hilar contours appear unremarkable. there is mild pulmonary vascular engorgement without frank pulmonary edema. minimal patchy opacities in the lung bases may reflect areas of atelectasis. no pleural effusion or pneumothorax is present. multiple remote left-sided rib fractures are noted. | history: <unk>f with hiv and non-compliance presents with chest pain, shortness breath and wheezing on exam. more awake at this time. |
MIMIC-CXR-JPG/2.0.0/files/p18003419/s57133583/54214500-db527f04-dc81b5e2-cb577d60-2986120d.jpg | the enteric tube has been advanced to the level of the clavicular heads. the remaining support devices, include a swan-ganz catheter and right ij central venous catheter are unchanged in position. the side port of the nasogastric tube is at the ge junction, and it may be advanced by at least <num> cm for more optimal positioning within the stomach. a moderate right layering pleural effusion is unchanged. extensive bilateral airspace opacities, likely reflecting pulmonary edema, are unchanged. | <unk> year old woman s/p liver/kidney txp. confirm line placement |
MIMIC-CXR-JPG/2.0.0/files/p19735078/s50638138/124f97f0-f55c4592-a6e69ce9-8eec8626-c871690a.jpg | frontal and lateral chest radiographs demonstrate interval decrease in size of cardiac silhouette; however, there is similar "water bottle" configuration to the cardiac silhouette suggesting persistent pericardial effusion. right pleural effusion is decreased, now small to moderate in size. faint opacification projecting over the right lower lung likely reflects residual atelectasis. no pulmonary nodules identified. | recurrent pleural effusion and recent pericardial effusion of unknown etiology. please assess for pleural effusion or cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p16116099/s50307565/9777bbb0-3f4af736-effa7584-b702adf3-0c6cbf83.jpg | left chest wall port is again seen. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with intermittnet palpitations // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p17168310/s59763743/0edeb5bb-e0959342-0710122a-b84ed94c-ce42f105.jpg | the lungs are clear without consolidation, effusion, or pneumothorax. linear left basilar opacity may be due to atelectasis or scar. the cardiomediastinal silhouette is within normal limits. compression deformity of l<num> is unchanged from prior. there is no acute osseous abnormality. | <unk>m with seizure in setting of known gbm // eval ? occult infection, acute process |
MIMIC-CXR-JPG/2.0.0/files/p10364180/s56206968/03ce6df1-08a37e9b-2f44b227-1470dc1e-548f0325.jpg | ap portable upright view of the chest. since the prior exam, there has been near complete resolution of pulmonary edema. cardiomegaly is unchanged. no large effusion is seen. no pneumothorax. aortic atherosclerotic calcification noted. bony structures appear grossly intact. no free air below the right hemidiaphragm. | <unk>f with ?chf // eval for volume overload |
MIMIC-CXR-JPG/2.0.0/files/p10933538/s52450734/2b81302d-a0f0d86f-1d2ab8dd-c75d8037-00de4a72.jpg | frontal and lateral views of the chest were obtained. cardiomegaly is mild and similar to prior. small plate-like atelectasis is seen at the right lung base. the lungs are otherwise clear. no pneumothorax or pleural effusion. pulmonary vasculature is unremarkable. a new double-lumen dialysis catheter terminates in the right atrium. osseous structures are unremarkable. | <unk>-year-old female with presyncope and shortness of breath. evaluate for pulmonary process causing shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17736979/s55267163/7dfa5184-9bebfe4b-f3965161-c4be6868-05b020d1.jpg | left internal jugular venous line terminates in mid svc. mild pulmonary edema is improved compared to <unk>. mildly enlarged cardiac silhouette is smaller compared to <unk>. there is small to moderate right pleural effusion, increased from prior. new opacity at the left lung base is likely an atelectasis. | <unk> year old woman with mr and acute pulmonary edema. // improvement in acute pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17177210/s58828672/5c047a87-15c2d391-582c9bdc-5fc59339-44059087.jpg | the lungs are well expanded clear. mediastinal contours, hila, and cardiac silhouette are normal. there is no pneumothorax or pleural effusion. no osseous abnormality within limits of plain radiography. | <unk>m mvc |
MIMIC-CXR-JPG/2.0.0/files/p12646061/s51609966/6b44bbe8-61ba2ba4-a975998d-77deceb6-6863f458.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with left shoulder and chest pain // pna? |
MIMIC-CXR-JPG/2.0.0/files/p19900981/s50292907/d7934022-56fdb4d4-52435c98-c6b637df-a0a2247f.jpg | frontal and lateral chest radiograph demonstrate hypoinflated lungs with crowding of vasculature and left lower lobe atelectasis. small right pleural effusion is noted. no left pleural effusion. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. persistent h shaped vertebrae is consistent with known history of sickle cell disease. | sickle cell with chest pain. assess for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15574823/s58055626/b5f13dcf-51b52437-c036bf9c-eb56505d-ba90b20e.jpg | severe enlargement of the cardiac silhouette is not substantially changed from the prior study. the aorta remains mildly tortuous and diffusely calcified. moderate alveolar pulmonary edema is worse in the interval with small bilateral pleural effusions noted. more focal opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax is identified. no acute osseous abnormalities detected. | history: <unk>f with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p19603090/s54970926/ddf6d620-dd113a0f-bd5c377b-cad8eb8d-552d5c7f.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. linear opacity within the right mid lung zone most compatible with linear atelectasis. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. no large pleural effusion is identified. osseous structures are unremarkable. | <unk>f with fever, tachycardia // evaluate for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p15993209/s53730348/6826c7fa-d51017b8-c8e0b6e2-796f3f22-777e39c8.jpg | the focal peripheral left lower lobe opacity appears unchanged compared to <unk> chest x-ray. there is mild improvement of the small left pleural effusion. linear atelectasis are noted in the left lung bases. the right lung is fully expanded and clear. sternotomy wires and mediastinal clips are noted. | <unk> year old man with cavitary pneumonia. // assess for response to <num> weeks of antibiotics. |
MIMIC-CXR-JPG/2.0.0/files/p11317871/s59441712/08d388c1-4c0fa575-cfe688d8-3cfcd335-b120c061.jpg | the patient is status post median sternotomy with multiple mediastinal clips again noted. the heart remains mildly enlarged. the mediastinal contours are stable, with mild tortuosity of the thoracic aorta again noted. there are mild atherosclerotic calcifications at the aortic knob. new ill-defined opacity are demonstrated within both upper lobes, as well as worsening opacity within the left mid lung field, findings concerning for a multifocal infectious process. additionally, there is mild pulmonary edema, which may be minimally worse compared to the prior study. small bilateral pleural effusions, right greater than left, are not substantially changed from the prior exam. persistent bibasilar airspace opacities are relatively similar from the prior exam, and could reflect areas of atelectasis. | recent asd repair with hypoxemia and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17167982/s51325629/946574ea-a069a220-5b2ac2e3-1469a7e6-053d0466.jpg | endotracheal tube again terminates at the level of the clavicular heads. right internal jugular central venous line, subdiaphragmatic drain, and right chest tube are unchanged in location from earlier this morning. there is no pneumothorax. the first <num> radiographs, performed with slight difference in all obliquity, both show the nasogastric tube in uncertain position, its tip projecting over both the right lower lobe bronchus and the expected location of the neo esophagus. a loop of the drainage tube is in the hypopharynx. the third image, performed after re- insertion of the tube shows that it it terminates low in the neo esophagus, and not in the bronchial tree. bibasilar atelectasis worse in the left lung and small pleural effusions are present. there is no pneumothorax. right jugular line ends in the upper right atrium. | <unk> year old man with new ngt // position of ngt |
MIMIC-CXR-JPG/2.0.0/files/p10954531/s57642634/8f9a3028-42ba8774-3982df5a-0c25dcbe-961db115.jpg | endotracheal tube is in place roughly <num> cm cranial to the carina. left internal jugular approach central venous catheter is in place terminating at the brachiocephalic confluence. upper enteric tube tip is outside of field-of-view, terminating at least within the gastric body. left base chest tube is in place. there is no large pneumothorax. there are prominent bilateral lower lobe opacities. lung apices are clear. no large pleural effusion. | intubated transportation with pneumonia. evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p12376499/s56567018/257a6be8-dfecdd47-44355832-610359e3-ebb362d2.jpg | pa and lateral views of the chest. the lungs are in hyperinflated but clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. surgical clips project over the upper abdomen. | <unk>-year-old female with fall and right chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15449016/s57784660/5ad8511c-38ddb15c-7f01cfcc-0ca3b95f-daa91ead.jpg | the tip of the right picc terminates in the upper right atrium, and could be retracted by approximately <num> cm for positioning just above the cavoatrial junction. the lungs are otherwise clear and the cardiac, hilar, and mediastinal contours are normal. no pneumothorax. | <unk> year old woman with concern for picc placement in ra. evaluate picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg | the lung volumes are low. there is a hazy linear opacification at the right base, which is new from the prior exam, and concerning for pneumonia, aspiration, or atelectasis. there is persistent blunting of the right costophrenic angle, without definite pleural effusion. there is a moderate left pleural effusion. the upper lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is unchanged with stable mild cardiomegaly. | probable aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p12289118/s51463001/e68ad834-e2acb744-be4860e5-07318b4d-c2e332bc.jpg | two portable frontal views of the chest initially show a consolidation within the left lung which immediately clears on repeat imaging, suggesting atelectasis. there is no pleural effusion or pneumothorax. the lung volumes are low, which accentuates the bronchovascular structures. the cardiac and mediastinal contours are unremarkable. | altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11400517/s55539115/8a4c3bd2-b2172544-3a905f34-7e1c9679-ea48f7df.jpg | prior right-sided central venous catheter is no longer visualized. on the lateral view there is increased density projecting over the lower thoracic spine new since prior. this could represent region of atelectasis although developing infection is also possible. elsewhere, the lungs are clear without consolidation. there is pulmonary vascular congestion without overt edema. linear midlung opacities bilaterally are most suggestive of atelectasis. cardiomediastinal silhouette is stable. median sternotomy wires are again noted. | <unk>f with s/p atrial myxoma excision by ct surg on <unk> now w/ afib and chest pain // eval ? pleural effusion, infiltrate, ptx, mediastinal abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p11968004/s52681357/e0d597aa-dd620145-9454c0f1-c2aa391a-e9402515.jpg | lungs are well-expanded and clear. no focal opacity. pulmonary edema and vascular congestion have resolved. trace left pleural effusion. severe cardiomegaly is unchanged. cardiomediastinal and hilar silhouettes are unremarkable. <num> pacemaker leads are unchanged in position. | <unk> year old man with cellulitis, sepsis, s/p resuscitation with dyspnea // please eval for edema, effusion, infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p14246668/s53737823/4e8e5ae9-cd8172c7-c7127d2e-379564f9-e2d968b8.jpg | frontal and lateral chest radiographs demonstrate low lung volumes. cardiomediastinal contour is unremarkable. lungs are clear without focal areas of consolidation. there is no pleural effusion and no pneumothorax. | weakness, cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11888614/s51840085/7f7f9559-e0020fe2-d818feea-fe3dfc5a-6fe1fdf3.jpg | again seen are nonspecific bibasilar opacities, which have increased from <unk>. the apices of lungs are clear. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. cardiomediastinal and hilar contours are unremarkable. no acute displaced rib fracture identified. | history: <unk>m with chest pain // eval for structural process |
MIMIC-CXR-JPG/2.0.0/files/p10979398/s55664493/28c7c2f0-1a154079-ad386369-ced782ae-91bbb824.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine | wheezing x few months // assess lungs |
MIMIC-CXR-JPG/2.0.0/files/p15123397/s58793060/b10daa6a-3c1f63b6-0179500b-71e7d31f-e5043ea7.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pressure // ? fluid overload? |
MIMIC-CXR-JPG/2.0.0/files/p17453847/s52597990/edb6fa53-0bf6b6dd-d3adbeb0-276753b6-79906e91.jpg | the lungs are clear of consolidation, effusion, or pulmonary edema. callus from healed anterior left fifth through seventh rib fractures are identified as well as prominent extrapleural fat on the right laterally. left chest wall pacing device is again seen. cardiac silhouette is moderately enlarged similar prior. | <unk>m with lightheadedness, dizziness, hypotension // eval ? chf, pna |
MIMIC-CXR-JPG/2.0.0/files/p12778602/s54492203/3bf7ebaa-03a3978e-16bfaa24-cce5d47f-d8203bbf.jpg | heart size remains mildly enlarged. the aorta is tortuous but unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. the patient is status post right upper lobectomy with chain sutures noted in the right hilum. slight increased interstitial opacities within the right lung base corresponds to a mild chronic interstitial abnormality, better assessed on the previous ct. marked degenerative changes are seen involving both acromioclavicular joints with narrowed acromiohumeral intervals bilaterally suggestive of rotator cuff disease. cholecystectomy clips are seen in the right upper quadrant of the abdomen. there are mild degenerative changes seen in the thoracic spine. | history: <unk>m with syncope , general malaise |
MIMIC-CXR-JPG/2.0.0/files/p19053629/s50880276/94001fa3-1a2ef0db-fa95d0b2-289b3dfa-20c9c0dc.jpg | pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18719994/s58842568/da67a19a-e5e1162c-0f4f80da-1f0366cc-dfda6316.jpg | pa and lateral radiographs of the chest demonstrate clear lungs. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. chronic anterior wedge compression fracture of a lower thoracic vertebral body is unchanged since <unk> and is partially responsible for exaggerated kyphosis of the thoracic spine. | fever, cough and coarse breath sounds over the right lower lung field. |
MIMIC-CXR-JPG/2.0.0/files/p18871604/s50398534/64bed63b-4fcec5d8-762f29d0-c272dab0-237368ba.jpg | the right swan-ganz catheter, endotracheal tube and chest tubes have been removed. the right central venous sheath remains. sternal wires are intact in good position. right upper lobe and middle lobe subsegmental atelectasis have improved. mild interstitial edema has improved. the cardiac silhouette remains moderately enlarged. blunted left costophrenic angle could represent small effusion. | <unk> year old man with septal myomctomy // r/o ptx, s/p ct d/c |
MIMIC-CXR-JPG/2.0.0/files/p18551091/s58917389/25490ad2-8096d9e3-dfc5ec5b-c6485f4d-994c14be.jpg | the cardiac, mediastinal, and hilar contours appear unchanged, allowing for differences in technique. the lung volumes are low, particularly in that setting, streaky opacities in both lower lungs are most suggestive of minor vague bibasilar atelectasis. these opacities are also not present on the lateral view which appears to have been obtained with better inspiratory effort. the hemidiaphragms are flattened. degenerative changes along the mid thoracic spine with small-to-moderate anterior osteophytes appear similar. there is similar mild rightward convex thoracic spinal curvature. | question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14517807/s52767040/3e6f9cb1-68a6452a-02e60f6e-7f825c82-6fb71678.jpg | the right port-a-cath tip projects over the expected region of the right atrium, unchanged. opacity projecting over the left upper hemithorax is new and appears external to the patient, limiting detailed evaluation of underlying structures. otherwise, no significant interval change. persistent large right loculated pleural effusion with air-fluid component, consistent with known hydro pneumothorax. degree of associated compressive atelectasis and adjacent remaining aerated right lung is overall similar. the neoesophagus is noted. a chest tube projects over the right lower hemithorax, unchanged. the appearance of the left lung is unchanged. no left pleural effusion or pneumothorax. a colocolonic stent projects over the left upper abdomen, unchanged. fiduciary marker projecting over the left upper quadrant is also unchanged. | <unk> year old man with chest pain and tachycardia. evaluate the recurrent hydropneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17821946/s50442870/d98d88a1-80aec48a-abea0940-096fa00d-44112200.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with chest pain and sickle cell disease // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13564245/s53081195/c6e4d2b5-8e5c35bd-f0f2f2ec-02c3d019-fee0dab7.jpg | there is bibasilar linear atelectasis. the lungs are otherwise clear. elevation of the right lung base could be due to displacement of the diaphragm, perhaps due to subphrenic pathology in the right upper abdominal quadrant, particularly subphrenic abscess or abnormality in the liver. it could also be due to subpulmonic right pleural effusion, and is associated with atelectasis at the base of the right lung. heart size is normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p10060142/s52590350/32f259ea-97f841b2-02f4209d-6b8a0083-6e2f3c23.jpg | there is a small left pleural effusion. the heart is upper limits normal in size. ng tube tip is off the film, at least in the stomach. | pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16493235/s50357625/94e0ac08-106260bd-e4b7e226-d9274939-89bc8e97.jpg | cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. | history: <unk>f with mvc, rear passenger, c/o neck, facial, wrist pain // <unk>f |
MIMIC-CXR-JPG/2.0.0/files/p11841994/s50868642/3be433d0-a44a92c1-e3b5139d-53b51b91-554ba7bc.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with ulcerative colitis, on remicade, with cough and fever. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17106788/s55911389/4d8bad98-1f21704b-08f78eb8-7f0c2795-c96ba2c1.jpg | mediastinal contours, hilar, cardiac borders are normal. the lungs are well-expanded with vague focal opacification the left mid lung, not seen on lateral view. mitral annular and aortic bulb calcifications are noted. | <unk> year old woman with sob, hx asthma, edema // ?chf |
MIMIC-CXR-JPG/2.0.0/files/p19681724/s57238949/b05d1cba-e780fcb0-ca0b9206-138ebd83-7532b8ce.jpg | no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. | <unk> year old man with bacteremia r/o pna // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p12757493/s55045495/24953bb6-74724cab-4bd63423-72e975c7-01004177.jpg | the patient is status post previous right lower lung resection with stable postoperative volume loss and diffuse pleural thickening in the right hemi thorax. left lung and pleural surfaces remain clear, and cardiomediastinal contours are stable in appearance. | <unk> year old woman with hx rll lung ca, copd // focal wheeze on left - any evidence of bronchial obstruction? |
MIMIC-CXR-JPG/2.0.0/files/p12047910/s58587629/d042e292-7de510b3-8b092e3c-5fc1eb6c-75356e02.jpg | postsurgical changes are noted with intact median sternotomy wires. the aorta appears tortuous. mild vascular congestion is noted. the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. the heart is at the upper limits of normal. no acute fractures are identified with fracture of the lower thoracic spine again noted along with degenerative changes and osteopenia of the thoracolumbar spine. | brief episode of hypoxemia with coughing up sputum. |
MIMIC-CXR-JPG/2.0.0/files/p14432776/s53104248/388becf8-521c7453-f247a382-81cfe03e-11682df3.jpg | ap upright and lateral views of the chest provided. lungs are clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears grossly within normal limits. anterior-inferior dislocation of the left hand humeral head is noted. no acute displaced rib fracture. | history: <unk>f with fall onto l upper extremity, left chest wall pain // presence of rib fxs |
MIMIC-CXR-JPG/2.0.0/files/p19644942/s54247037/ebbe2082-2f0acdc5-88d80557-aa1ef172-2371869c.jpg | lateral view is partially obscured by patient's overlying arm. no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there is possible focal narrowing of the distal trachea vs artifact. | <unk>-year-old female with post-traumatic right arm pain and clinical concern for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15327983/s50220073/5202c771-a7a6a10a-51a020b0-2492bd11-da7c4878.jpg | the lungs are clear without focal consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy. | <unk>f with chest pain, dyspnea // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p18802280/s52485709/e7bb9e20-ab233d79-c573cfb4-ff4bced9-16139276.jpg | there are minimal interval changes since prior cxr with mild improvement of the fluid overload, especially in the right lung. the bibasilar atelectasis is stable. unchanged moderate cardiomegaly. there are no sign of pneumothorax or pleural effusion. | evaluate for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p13419205/s54106892/29802973-1249f44c-c000e159-50f485ab-6eb9993e.jpg | the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. a linear lucency near the medial right hemidiaphragm most likely reflects superimposition of the lower cortex of the adjacent medial right rib in conjunction with overlying pulmonary vasculature rather than trace free air under the medial right hemidiaphragm. | <unk>-year-old man with trauma. |
MIMIC-CXR-JPG/2.0.0/files/p18600028/s51137616/9766bf87-668c2eae-7e70bb0e-fb137306-26d28bfb.jpg | lung volumes are low which along with ap technique exaggerates the cardiac silhouette which remains normal in size. mediastinal and hilar contours are unremarkable. bronchovascular crowding is attributable to low lung volumes without definite vascular congestion or interstitial edema. there is no focal consolidation suggestive of pneumonia. pleural surfaces are clear without effusion or pneumothorax. extensive thoracolumbar fixation hardware is incompletely imaged. | high fever and abdominal pain, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13725275/s53218811/8481b77d-12d89042-b10b7f0d-40e3bdd7-5e26777f.jpg | hazy bibasilar opacities silhouetting the diaphragm suggests small to moderate pleural effusions. there is moderate pulmonary edema. enlargement of the cardiac silhouette is moderate. no acute osseous abnormalities. | <unk>m w/sob, please eval for degree of pulm edema // <unk>m w/sob, please eval for degree of pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p16160001/s55816074/80f5f555-827359af-29ec5e7d-c5606845-4a5f0450.jpg | endotracheal tube terminates overlying the mid thoracic trachea <num> cm above the carina. .an enteric tube terminates below the left hemidiaphragm and out of view. lung volumes are normal. lungs are clear without focal consolidation, pneumothorax, or pleural effusion. cardiomediastinal silhouette is normal. a calcified aortic knob is noted. there is no acute osseous abnormality. | history: <unk>m with intubated from osh // eval ett |
MIMIC-CXR-JPG/2.0.0/files/p19300381/s59176296/87b31ada-90a2a5eb-599f3a87-6649dab9-f9103625.jpg | ap upright and lateral chest radiographs were obtained. the lungs are low in volume with an opacity in the superior segment of the right lower lobe. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | cough and lethargy with lithium toxicity. |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s57167437/d6e2199a-92f9f210-9ecf407d-47193fc0-865d04a3.jpg | frontal and lateral radiographs of the chest show dramatic improvement and near resolution of previously seen extensive bilateral parenchymal opacities from <unk>. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. a right-sided picc line is unchanged in position with the tip terminating in the mid svc. | <unk>-year-old male with crack pneumonitis status post four days of steroid therapy, here to re-evaluate for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p13541762/s55691433/68568bbe-54f4c6ee-e6d57bd4-a02f962d-10f45450.jpg | there is elevation the right hemidiaphragm with adjacent right basilar atelectasis. elsewhere, lungs are clear. incidentally noted is an azygos fissure. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the arch. no acute osseous abnormalities. | <unk>m with shortness of breath // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17673221/s59643964/a9d99de9-a2d72724-b4a34a36-0f756ca2-6ab1429e.jpg | endotracheal tube remains in unchanged position and is likely in appropriate position, although its relation to the carina is not well evaluated on today's examination. a right subclavian central venous catheter remains in unchanged position with tip at the low svc. right-sided chest tube remains in position at the right apex with unchanged persistent right moderate apical pneumothorax. widening of the superior mediastinum is unchanged since prior study with mild rightward shift of the mediastinal structures of unclear etiology. there is no focal consolidation concerning for pneumonia. | lung cancer. evaluate endotracheal tube and ng tube position. |
MIMIC-CXR-JPG/2.0.0/files/p18898766/s57487466/19f54e97-502feab7-fd1f2b13-f1159506-7578da1c.jpg | portable semi-upright radiograph of the chest demonstrates very low lung volumes with resulting bronchovascular crowding. there has been an interval increase in the amount of atelectasis at the right base. there are small bibasilar pleural effusions. the cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. a left-sided subclavian central venous line ends at the mid svc. nasogastric tube courses into the stomach and out of field of view. | <unk>-year-old female with recent abdominal surgery. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18198385/s54479429/22da759a-2bd72c3a-e630c20a-f6c8ed68-12325d14.jpg | the lungs are well expanded and clear. there is no pleural effusion small left apical pneumothorax is seen. the cardiomediastinal silhouette is unremarkable. the rib fracture seen on ct is not seen on this exam. | history: <unk>f with assult, severe left sided pain, bruising of face // ? fx, bleeding |
MIMIC-CXR-JPG/2.0.0/files/p14685016/s50758763/937a6525-c98b25b6-002bdc1c-2f02a439-8b546ff8.jpg | frontal and lateral radiographs of the chest demonstrate well expanded lungs. the cardiomediastinal and hilar contours are unremarkable. there is no chf, pneumothorax, pleural effusion, or consolidation. a marker overlies the upper abdomen anteriorly near the lower left lung. no displaced rib fractures identified on these long technique films. no basilar atelectasis is seen. | history: <unk>f with rib pain // r/o fx |
MIMIC-CXR-JPG/2.0.0/files/p17350587/s55190132/4eaef996-25c3e788-39fbb6ee-716722ac-08168d56.jpg | lung volumes are low. there is a mildly increased retrocardiac opacity likely representing atelectasis. the heart remains moderately enlarged. the thoracic aorta appears tortuous. there is no pleural effusion or pneumothorax. no acute fractures are identified. | cough and fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p10909579/s54905672/c62a27e7-0fa544bb-2408e82b-4afe20f5-87d7a305.jpg | cardiac silhouette size is mildly enlarged, unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is elevation of the right hemidiaphragm which is unchanged. right basilar atelectasis or scarring is also similar. there is minimal left lower lobe streaky atelectasis. no focal consolidation, pleural effusion or pneumothorax is demonstrated. several clips are noted projecting over the right upper quadrant of the abdomen. bullet fragment is again noted projecting just to the left of midline within the upper abdomen. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10667959/s51305516/19ddc310-4930e70c-37666f50-fcffa66b-08078dc3.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. right paratracheal opacity is again seen, also seen on multiple prior studies, could be due to prominent vasculature or large right thyroid. | history: <unk>f with throat burning typical of gerd symptoms and intermittent sob when drinking // acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p15805011/s54797950/470fe22d-fa8cc37c-58664733-c4d69f5a-1ff0fdc9.jpg | frontal and lateral views of chest demonstrate normal cardiomediastinal silhouette. there is mild unfolding of the thoracic aorta. the lung volumes are slightly decreased but stable. there is no pneumothorax, vascular congestion, or pleural effusion. there is a small opacity obscuring the left posterior costophrenic angle, which is likely due to a bochdalek hernia. apparent thickening along the left lateral basal pleural space is consistent with extrapleural fat as correlated with ct. | <unk>-year-old woman with chest pain. question pneumonia. |
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