File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p15472473/s58538679/b193755e-15059ae2-41000ab7-2d33e966-be778423.jpg
faint peribronchial opacification likely in the left lung base is of uncertain significance and may reflect atelectasis though very mild pneumonia or aspiration is not fully excluded. the remainder of the lungs are clear. the heart is normal in size. normal cardiomediastinal silhouette.
new oxygen requirement. assess for aspiration pneumonitis.
MIMIC-CXR-JPG/2.0.0/files/p11895151/s52246701/ebedd9c5-0648d1ef-43f10974-d1d79ef5-fd223b1d.jpg
the ett is <num> cm above the carina. right ij line tip is at the cavoatrial junction. there is a small left-sided effusion and bilateral lower lobe volume loss.
intubated sepsis.
MIMIC-CXR-JPG/2.0.0/files/p14622418/s51757676/7fe40528-a84f898d-f99fc7f0-51f1a21c-dd439a81.jpg
pa and lateral chest radiograph demonstrates an enlarged heart. no evidence of pulmonary edema. prominence of the left hilus is additionally noted. there is no pleural effusion or pneumothorax. no focal consolidation convincing for pneumonia is seen. there is no acute osseous abnormality.
<unk>-year-old male with dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p17324101/s56241674/8d1cb1ee-7285c9e0-18e5de1a-52ffe4b7-c12fe66a.jpg
heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. subsegmental atelectasis in the right lung base is noted. otherwise the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the patient is status post bilateral mastectomies. s-shaped scoliosis of the thoracolumbar spine is re- demonstrated.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13752677/s56172384/0604d173-801d3e74-e891cdaf-56ed48e1-75d0d46a.jpg
single ap upright radiograph was provided. an ng tube is seen coursing below the diaphragm. lung volumes are low. crowding of the pulmonary vasculature is consistent with pulmonary edema. a radiopaque density over the right hemidiaphragm is likely outside of the patient. median sternotomy wires are intact. patient is status post aortic and mitral valve replacement. cardiomediastinal silhouette is unchanged. osseous structures are intact.
<unk>-year-old man with recently placed ng tube. evaluate ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p19132043/s50044191/90e137ab-d354be58-67352549-276dcce7-27145915.jpg
a left internal jugular central line terminates at the cavoatrial junction. a right subclavian line terminates in the right atrium. severe cardiomegaly is stable. there is no focal consolidation or pneumothorax. there has been improvement in the right pleural effusion and a small left pleural effusion is stable.
history of tachypnea, evaluate for possible intrapulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18049473/s52441474/d72788f7-dea1ceea-6bde520e-ec1ce51b-7816aac2.jpg
the cardiac, mediastinal and hilar contours appear stable. predominantly central opacification is bilateral and again greater on the left than right, and worse than on the prior study, most consistent with pulmonary edema. there is no pleural effusion or pneumothorax.
cough and fever. end-stage renal disease.
MIMIC-CXR-JPG/2.0.0/files/p17894121/s54428144/42f2c20e-7de28a7e-593e2a8b-f6e94287-b8b08a73.jpg
the patient is status post median sternotomy with at least two discontinuous wires in the superior sternum, which are unchanged from the prior study. epicardial wires are seen, as before. there is no new consolidation concerning for pneumonia. the inspiratory lung volumes remain decreased. no significant pleural effusions or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged but stable. the mediastinal contours are prominent but unchanged with unfolding of the thoracic aorta. the hilar contours are also stable. calcification in the posterior upper mediastinum on the lateral view corresponds to the abdominal aorta.
asthma and cough, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16993760/s50933101/549593c7-09f93b8d-7609090e-09fc3ace-f8451f46.jpg
the heart is top-normal in size. the cardiomediastinal and hilar contours are within normal limits. there is minimal bibasilar atelectasis. there is no pleural effusion or pneumothorax. there is a minimally displaced fracture of the posterior right fifth rib. no additional rib fractures are identified however chest radiograph is not sensitive for the detection of nondisplaced rib fractures. there is moderate degenerative change throughout the thoracic spine.
<unk> year old man with r anterior chest wall pain s/p fall down <num> stairs // r/o rib fractures or other traumatic injuries
MIMIC-CXR-JPG/2.0.0/files/p17405329/s53437385/42a3c898-cd3dacb8-13368f2a-37f07416-bbb4f1de.jpg
single frontal view of the chest demonstrates tracheostomy in standard position and multiple intact median sternotomy wires. a right picc has low lying tip, which resides <num> cm below the carina. this is minimally changed as compared to prior exam. there are increased interstitial opacities in the right lung, compatible with pulmonary edema. a small right effusion is present. a previously seen left pleural effusion has largely resolved: improved but residual retrocardiac opacity likely represents atelectasis. there is no pneumothorax. mildly prominent cardiomediastinal silhouette is unchanged.
<unk>-year-old female here for assessment of pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10748105/s58738187/83c99cc5-bc93c2bc-8f407d2c-96d7b213-347e0040.jpg
the cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
productive cough.
MIMIC-CXR-JPG/2.0.0/files/p12934874/s56182386/6449af22-63f73d3b-70c7a7a8-bfcf8a62-4ba56565.jpg
frontal and lateral radiographs of the chest were obtained. there are persistent low lung volumes with streaky bibasilar atelectasis. there is stable top-normal heart size. the mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax.
abdominal tenderness, leukocytosis and altered mental status. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16805260/s51243830/c80babf4-18347955-6475a008-570efdfc-777e23c5.jpg
heart size is mild to moderately enlarged but unchanged. the aorta is diffusely calcified and tortuous. there is mild pulmonary edema, worse when compared to the prior exam. no focal consolidation is seen. there is no pleural effusion or pneumothorax although the lung apices are obscured due to the patient's chin. moderate compression deformity of a lower thoracic / upper lumbar vertebral body is again noted. this is age indeterminate.
severe aortic stenosis and worsening shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p18164965/s50399926/38820ae4-902b5509-bbbe3183-3f6eafe0-ef449931.jpg
the endotracheal tube has been discontinued. right internal jugular central venous catheter is in stable position in the low svc. two left-sided drains are in place. mild cardiomegaly is unchanged. there is decreased widening of the mediastinum. there is no pneumothorax. left basilar opacity appears slightly increased.
<unk> year old man with s/p cabg // increased chest tube output
MIMIC-CXR-JPG/2.0.0/files/p11026064/s54771896/0c730410-1a960caa-2612e50e-c4dabb59-ea7e301b.jpg
the heart is normal in size. there is a moderate hiatal hernia. the mediastinal and hilar contours appear otherwise unremarkable. the lungs appear clear. there is no pleural effusion or pneumothorax. severe rightward convex curvature is centered along the mid thoracic spine.
dyspnea on exertion and pleuritic chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12704088/s57609966/e9f4563b-65d30929-80455de5-8a7a3443-f014d3da.jpg
the diffuse interstitial opacities are worsening compared with the prior study of <unk>, likely representing progressive interstitial edema. a developing opacity at the left costophrenic angle was not present on the prior study of <unk>, and may be atelectasis, but superimposed infection cannot be ruled out. the attention is recommended on subsequent followup imaging. surgical clips in the reconstructed right breast are unchanged. the dual chamber left chest wall pacemaker leads are in unchanged position.
<unk> year old woman with breast cancer s/p resection and chemo now admitted with chf <unk> heart block and s/p left sided pacemaker. also being treated for cap. // please eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p15341255/s57747328/935647ac-b1f040ba-1e6cea70-c68f2920-2f80e88a.jpg
a right internal jugular line is seen at the origin of the svc. a left chest tube is unchanged in position. there is minimal decrease in a left apical pneumothorax. small bilateral pleural effusions are stable. there is persistent vascular engorgement. no other significant change
<unk> year old man with s/p cabg // eval (l)ptx, s/p pigtail pull
MIMIC-CXR-JPG/2.0.0/files/p14752184/s51983851/fda36957-83c28a87-6ef64117-414e0801-904617f4.jpg
left chest wall port is again seen. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. upper abdominal skin <unk> are seen.
<unk>f with fever, abd pain, purulent drainage from g-tube site, recent whipple // cxr eval for acute infectious process, ct eval for abd collection
MIMIC-CXR-JPG/2.0.0/files/p11343499/s54398804/88074c1d-3bcd5214-2e1b6783-cda6b2a0-cf1f6e2f.jpg
lung volumes are low. no focal opacity to suggest pneumonia is seen. a calcified granuloma projecting over the posterior right fifth rib is unchanged. a likely pleural calcification on the left is unchanged. no pneumothorax or pleural effusion is seen. rib deformity on the right and pleural thickening along the left lateral thorax are unchanged. the heart size is normal. there is tortuosity of the aorta. no displaced fracture is identified.
rib pain. evaluation for evidence of fracture or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13031024/s51286949/0e497561-bd121dc8-7c5df080-4b6e98a9-e8d58ce8.jpg
there is mild cardiomegaly as seen on prior. there is no focal consolidation or effusion. there is pulmonary vascular congestion without overt edema. no acute osseous abnormality.
<unk> yo f with pmhx hfpef p/w cp <num> week duration radiating to her l arm // eval for pulm edema, pna
MIMIC-CXR-JPG/2.0.0/files/p10807807/s50068434/fab069f0-321651aa-f51bea75-da384c9c-276d361c.jpg
lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>-year-old female presented with hyperventilation after witnessing an assault. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p17804385/s54565600/5211418c-ae49844f-9d64a3a1-3ab8c1fe-42e403ce.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. central venous catheter tip is approximately at the cavoatrial junction. dextroscoliosis of the thoracic spine is mild.
<unk> year old woman with mantle cell lymphoma, s/p auto stem cell transplant <unk>. recent neutropenia which improved but still with low cd<num> count // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11973138/s53947308/90437ba1-8553a72a-ff35f99b-fa6f371d-a3efd926.jpg
single frontal view of the chest was obtained. the heart is enlarged and has a widened vascular pedicle, similar to prior. there is unchanged rightward tracheal deviation. mild pulmonary congestion is seen with bronchovascular crowding exaggerated by low lung volumes. no overt pulmonary edema or focal consolidation. no pleural effusion or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old man with shortness of breath. rule out acute infectious process.
MIMIC-CXR-JPG/2.0.0/files/p19548130/s52772458/1446a91b-1ca0c16c-2f38159b-2f9bccb5-d1c9ed5d.jpg
persistent diffuse right lung opacities again seen and left lower lobe opacities. the heart remains enlarged. the aorta is tortuous. central line in svc. .
<unk> year old woman with pna and volume ovwrload // interval xhange
MIMIC-CXR-JPG/2.0.0/files/p18097395/s54336935/f1104a81-5864f6e7-09fe1edf-8dab30e5-e93cdac3.jpg
cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are demonstrated.
chest pain, history of pulmonary embolism.
MIMIC-CXR-JPG/2.0.0/files/p17516073/s50666848/701b208b-cb8bdf06-6c5f9ad4-13c83144-7cb0804d.jpg
the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are stable. no pulmonary vascular congestion is demonstrated. small bilateral pleural effusions are noted, right greater than left, with bibasilar patchy opacities, likely atelectasis. there is no pneumothorax. mild to moderate degenerative changes are noted in the thoracic spine. oral contrast is seen within the abdominal loops of bowel. multiple clips are also demonstrated within the upper abdomen.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19209268/s57935248/91fc9cbc-19cfb031-beec1d0c-7f498994-3a6f15e7.jpg
a right port-a-cath is seen, terminating in the low svc/ cavoatrial junction. there is mild elevation of the right hemidiaphragm. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable. there are perihilar opacities which may be due to pulmonary edema, infection not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax.
history: <unk>f with stage iv pancreatic adenocarcinoma presenting with worsening abd pain, weakness, loss of appetite // eval port-a-cath placement
MIMIC-CXR-JPG/2.0.0/files/p14931360/s54334028/7fe30209-2df49397-1caa3414-1c4431fc-6a9e18e9.jpg
in comparison to the most recent prior study, there is improved aeration at the left lung base with mild blunting at the left costophrenic angle compatible with decreased size of small left pleural effusion from <unk>. there is elevation of the right hemithorax compared to the left. a small-to-moderate right pleural effusion is unchanged. opacity at the right paratracheal stripe and lung apex is unchanged, compatible with radiation changes of non-small cell lung cancer. no pneumothorax is present. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is moderately enlarged but stable. there is diffuse calcification and tortuosity of the thoracic aorta with a graft stent in the descending thoracic aorta, as before. the mediastinal contours are unchanged.
history of non-small cell lung cancer, now with worsening dyspnea, here to evaluate for increased pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18644268/s58378000/f975876f-c4cb3807-18a7db28-d1836a7d-d1c9f77f.jpg
pa and lateral views of the chest provided. the lungs are hyperinflated and clear though there is apical scarring noted bilaterally. there is prominence of the left atrial appendage unchanged. no large effusion or pneumothorax. no signs of congestion or edema. aortic calcifications again noted. mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with right chest and shoulder pain // pna?
MIMIC-CXR-JPG/2.0.0/files/p14494263/s51452782/6107be1f-9ce2d0de-9fba2375-ddce7ead-0b2fd7d3.jpg
frontal and lateral chest radiographs demonstrate a new region of retrocardiac consolidation as compared to radiograph dated <unk> which on lateral views corresponds to left lower lobe consolidation concerning for pneumonia. there is a small right-sided pleural effusion with stable appearing bronchial infiltration at the right lung base. redemonstration of right picc with its tip terminating in the cavoatrial junction. heart size is normal. no pneumothorax.
<unk>-year-old male with new retrocardiac opacity.
MIMIC-CXR-JPG/2.0.0/files/p11199001/s50283637/ebc0bc97-4f6fef71-2395f421-179b2892-00203d6f.jpg
frontal and lateral chest radiographs demonstrate well-expanded lungs. cardiomediastinal contours are within normal limits. lungs are clear without focal areas of consolidation. there is no pleural effusion and no pneumothorax.
history of nstemi status post pci with stents, presenting with chest pain, now resolved. evaluate for effusion or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12658964/s51286931/1069b22e-2700bf39-3f13aca2-cbb488d6-37503866.jpg
cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with tachycardia // tachycardia
MIMIC-CXR-JPG/2.0.0/files/p12523062/s51214652/41891b0f-cba4879e-b029cef9-504211d4-e58c4034.jpg
left-sided aicd device is noted with single lead terminating in the right ventricle. right-sided port-a-cath tip terminates in the mid/ low svc. heart size is normal. multiple coronary artery stents are noted. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is seen. mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with dyspnea on exertion
MIMIC-CXR-JPG/2.0.0/files/p18560345/s51544112/1859ec78-34268aef-2e8acbca-429f5f68-cb4f0f7c.jpg
the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with hypotension please evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16364540/s54118064/bcd94aeb-a3e00db4-2aa7d40a-552c2246-b1fcb84c.jpg
frontal and lateral views of the chest were compared to previous exam from <unk>. lower lung volumes are seen on the current exam. the lungs are grossly clear of consolidation, effusion, or pneumothorax. the cardiac silhouette is stable, as are the osseous and soft tissue structures.
<unk>-year-old male with basilar skull fracture, rule out fracture or acute process.
MIMIC-CXR-JPG/2.0.0/files/p17054851/s59475113/f3a8e99d-b5287da1-b69f27d0-790cd0f5-350e6fb9.jpg
right apical postsurgical rib defects, postsurgical changes again seen. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with persistent cough and hx of tracheobronchomalacia. // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p12465184/s51347110/509b8e2a-6059d332-2b899785-f56f7d1a-2c1a2717.jpg
ap portable upright view of the chest. right chest wall port-a-cath is noted, unchanged in position from prior with catheter tip extending into the lower svc region. the catheter projects over the upper abdomen. ekg leads are noted overlying the chest. the lung volumes are low with mildly elevated left hemidiaphragm and mild retrocardiac linear densities most compatible with subsegmental atelectasis. the right lung is clear. the heart size appears enlarged though this is likely due to technique. mediastinal contour is normal. bony structures are intact.
<unk>f w/fever, please eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18761084/s59105146/3e1b396b-0b963cbf-3c84d4f4-47e5a23c-0bc49b9f.jpg
heart size, mediastinal, and hilar contours are unremarkable. the aortic arch is tortuous and calcified. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. a vps shunt courses below the hemidiaphragm and out of view.
<unk>f with r/o tia. eval for acute infectious process.
MIMIC-CXR-JPG/2.0.0/files/p12883763/s52032563/b7f225b6-ab262de0-318aec4c-c451aa99-93389a43.jpg
patient is status post abdominal surgery. compared to <unk>, the lung volumes are low but not significantly changed from prior. heart size and the mediastinum have mildly increased since prior. dobbhoff tube appears to terminate in below the diaphragm below the ivc filter. right-sided abdominal drain is in place. epidural infusion catheter projects over the thoracic spine. nasogastric tube appears to be coiled in the mid esophagus.
<unk> year old man s/p whipple with post-anastomotic dobhoff and ng. evaluate ng and dobhoff tube placement.
MIMIC-CXR-JPG/2.0.0/files/p13800501/s54370397/3c513a98-462e3a93-a1bde988-1d4f2a6f-98da843c.jpg
there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. posterior spinal fusion hardware involving the lumbar spine is partially imaged. age indeterminate loss of height of a lower thoracic lumbar vertebra and a mid thoracic lumbar vertebra are unchanged from immediate prior study.
<unk>f with paranoid delusions, evaluate for pneumonia or acute process.
MIMIC-CXR-JPG/2.0.0/files/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg
moderate cardiomegaly is re- demonstrated. the aorta is tortuous. pulmonary vasculature is not engorged. patchy opacities are seen in the left lung base, potentially atelectasis but infection or aspiration cannot be excluded. streaky atelectasis is also demonstrated in the left lung base. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with cough, fever
MIMIC-CXR-JPG/2.0.0/files/p17934369/s58998639/bd253946-a7d5f92c-eea4ff85-f9f5d2c3-096e13d4.jpg
ap portable upright view of the chest. there is persistent consolidation within the right lung predominantly localized within the right mid and lower lung medially. left lung is grossly clear. lungs appear hyperinflated. cardiomediastinal silhouette appears normal. bony structures are intact. no large effusion or pneumothorax.
<unk>m with aids, hxx of mac pna, pls eval for atypical pna vs pcp <unk>: <unk> ct
MIMIC-CXR-JPG/2.0.0/files/p16082456/s56124264/ff75fe67-1bc9f59a-be381ada-f41e95bd-bde239fa.jpg
lung volumes are slightly low. the heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. no pleural effusion, focal consolidation or pneumothorax is identified. no displaced fractures are seen.
pain after assault.
MIMIC-CXR-JPG/2.0.0/files/p13767558/s53310138/19c9c8ec-0ba4d4ab-6bdce9de-65f07bec-c9481650.jpg
probable background hyperinflation/copd, though inspiratory volumes on the frontal view are slightly low. again seen are sternotomy wires and multiple mediastinal clips, with linear radiodensities seen adjacent to the right mainstem bronchus, similar to the prior study. the cardiomediastinal silhouette is unchanged. no chf or effusion. subsegmental atelectasis is present at both lung bases. however, no focal consolidation is identified. within the limits of plain film radiography, no hilar adenopathy or pulmonary nodules are identified. (subtle abnormalities might not be apparent radiographically.) biapical pleural thickening is similar to the prior study. again seen is slight accentuation of thoracic kyphosis, with minimal degenerative changes and slight nonacute wedging of multiple mid thoracic vertebral bodies. relative increased density of the t<num> vertebral body is compatible with previously described findings.
history: <unk>m with cp // c/f pna, possible extension of mets
MIMIC-CXR-JPG/2.0.0/files/p12458552/s51632090/c85ed494-2b81e6f2-cc9f390c-d2e9eb1a-653e7404.jpg
the cardiac silhouette size is normal. the mediastinal contours are unchanged with slight tortuosity of the thoracic aorta again noted. the pulmonary vasculature is normal. chain sutures in the right at apex compatible prior wedge resection are noted. there are mild emphysematous changes noted. streaky bibasilar opacities likely reflect atelectasis. no focal consolidation is noted. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16094282/s56272066/ad95026f-92aa15c1-ba0af434-f6723119-763b2f09.jpg
small right apical pneumothorax measuring <num> mm in diameter. subcutaneous air seen in the right chest wall. heart size is normal. left lung is clear. linear atelectasis/scarring seen in posterior basal aspect of the left lower lobe.
<unk> year old man with ptx // post ctx pull. please do at <num>h (<unk>)
MIMIC-CXR-JPG/2.0.0/files/p18157237/s53045058/0f0012e8-7f0ff18a-cd9f0dbf-1e95d840-c133cf27.jpg
the cardiac, mediastinal and hilar contours are stable. there is unchanged pleural thickening at each lung apex, greater on the right than left. there is no pleural effusion or pneumothorax. there are similar coarse interstitial markings, but no definite acute findings.
shortness of breath and chest tightness.
MIMIC-CXR-JPG/2.0.0/files/p18167699/s57543346/2e6ce3c2-3c5f057e-bb3a4f48-5600213d-b007c50f.jpg
there has been interval resolution of right middle lobe opacification, consistent with clearing of pneumonia. emphysematous changes at bilateral upper lungs, right greater than left, is similar to prior. there is no pleural effusion. cardiomediastinal silhouette is normal size.
<unk> year old man with ? right middle lobe abnormality on recent film. recently had pneumonia (films elsewhere) // assess for resolution of rml abnormality
MIMIC-CXR-JPG/2.0.0/files/p17731214/s56366898/8e1ab7d5-30bcd0f9-3a32e13d-41cbecee-1f72c9ca.jpg
no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart, mediastinal and pleural surface contours are normal.
chest pain and recent cough.
MIMIC-CXR-JPG/2.0.0/files/p11450442/s51340136/3cb11a02-147862f7-61768f10-53b5d39d-19523e4e.jpg
the endotracheal tube ends <num> mm from the carina. there are low lung volumes and bibasilar opacities are again seen and unchanged, which may represent atelectasis given the lung volumes however pneumonia cannot be ruled out. no pneumothorax. no large pleural effusion.
history: <unk>f s/p intubation // eval ett position
MIMIC-CXR-JPG/2.0.0/files/p16234474/s57093429/698c9f48-7a2e46fb-706d0fad-8ba14000-a8e2afa3.jpg
endotracheal tube terminates approximately <num> cm above the carina. right ij central venous catheter is in the mid svc. lung volumes remain very low. bibasilar opacities likely represent atelectasis. there is mild pulmonary edema. a small left pleural effusion is unchanged. there is no pneumothorax.
<unk> yo f hx of htn/ hypothyroidism w/ expanding left frontoparietal hemorrhage and now w/ midline shift // postintubation
MIMIC-CXR-JPG/2.0.0/files/p10224976/s53517305/eabff76b-fee7e6e7-043b7103-923dd7e9-e08b950d.jpg
right-sided port-a-cath tip terminates in the svc. the heart size is normal. mediastinal and hilar contours are unchanged. there has been interval improvement in aeration of the left lung base. a small left pleural effusion is likely present. persistent partially loculated small to moderate right pleural effusion is unchanged with adjacent right basilar opacity likely reflecting compressive atelectasis. no pulmonary edema or pneumothorax is identified.
febrile neutropenia.
MIMIC-CXR-JPG/2.0.0/files/p10253919/s51992810/61639162-28e32421-415983a7-c5d6e54f-85a4e39a.jpg
pa and lateral views of the chest. transvenous right atrial and right ventricular pacer leads are in standard placement. the right internal jugular line tip projects over the mid svc. lungs are grossly clear. there are small bilateral pleural effusions. no pulmonary edema. the cardiac, mediastinal, and hilar contours are normal.
shortness of breath and worsening wheezing, assess for worsening pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10495998/s59580555/25e7efc1-eae680ea-b414f009-5c709232-ee4916c7.jpg
bilateral layering pleural effusions are increased from prior examination. substantial left lower lobe collapse is likely due to retained secretions. no pneumothorax is present. prominence of the vascular pedicle and pulmonary edema have decreased since the previous examination although the heart remains moderately enlarged. a right-sided port is unchanged.
<unk> year old man with l mca stroke and multiple embolic infarcts with new hypoxia // interval change
MIMIC-CXR-JPG/2.0.0/files/p19305674/s58467754/1118b6a2-023f93d1-3aa6f342-e50b04ee-bd6a2233.jpg
moderate right and small left pleural effusions are noted with adjacent opacities likely compressive atelectasis. heart size is difficult to discern but is at least, likely mildly enlarged. the aorta is slightly unfolded. there is no pulmonary edema or pneumothorax. no acute osseous abnormalities seen.
altered mental status. unresponsiveness.
MIMIC-CXR-JPG/2.0.0/files/p17964313/s53111158/c3ebe86d-e4b7a71d-83ae195c-53dbaab0-e4dfcc0a.jpg
stable, severe cardiomegaly with unchanged enlargement of the left atrial appendage. hardware projecting over the left heart is unchanged and likely reflects prior mitral valve repair. mediastinal and hilar contours are normal. interval improvement in right basilar atelectasis. new, slight blunting of the right costophrenic angle likely reflects a small pleural effusion. no appreciable pneumothorax or pneumonia.
<unk>-year-old man with and dyspnea on exertion. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg
single portable supine ap image of the chest. the right ij central line has been pulled back in the interval and now terminates in the superior direction junction. the lungs are well expanded. there has been interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
sepsis, line pulled back a <unk> time.
MIMIC-CXR-JPG/2.0.0/files/p15556497/s54223485/eb23e911-59140de7-0c2bd348-cb0abe91-cfee02b0.jpg
endotracheal tube again terminates less than <num> cm from the carina. enteric tube terminates beyond the diaphragm, out of the field-of-view. left subclavian central venous line terminates in the mid svc. left lower lobe collapse and interstitial edema is again noted. increasing density of the right infrahilar and left suprahilar regions may reflect edema, however consider infection. multiple left rib fractures are again seen.
<unk> year old man with multiple rib fractures, intubated. evaluate interval change.
MIMIC-CXR-JPG/2.0.0/files/p13312271/s57252651/78a84b6f-b4b2866c-8901c3e8-3a9faa01-05553d85.jpg
frontal view of the chest . heart is mildly enlarged. bilateral airspace opacities likely represent pulmonary edema, progressed since prior. left costophrenic angle is blunted, suggestive of small pleural effusion. no definite right pleural effusion is seen. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. sternotomy wires, coils, prosthesis and multiple surgical clips are noted.
respiratory distress, assess for chf.
MIMIC-CXR-JPG/2.0.0/files/p14335377/s52082510/40c00789-a57c5d6e-45948603-ba601d40-388158e8.jpg
in comparison with chest radiograph from <num> day earlier, there is no significant change. enteric feeding tube terminates in the proximal stomach with side ports beyond the gastroesophageal junction. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.
<unk>m hx dm<num>/esrd s/p spk c/b nstemi presented to osh with nausea/emesis here w/ ileus vs sbo now with a low grade temp, productive cough // assess for pneumonia, assess location of ng
MIMIC-CXR-JPG/2.0.0/files/p14662388/s53141412/a5264ded-14c4bccc-6750d3fc-3392f7ee-04f797d7.jpg
the cardiomediastinal and hilar contours are within normal limits. lung volumes are low. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with ams // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14779783/s52650452/2e58022f-55f73351-1409ca09-1a2eaff5-94f68aa3.jpg
the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
<unk> year old woman with chest pain // chest pain protocol
MIMIC-CXR-JPG/2.0.0/files/p11697323/s55279623/a7ff5b19-a6eb62cc-c732bda3-5f8658ca-18eebc30.jpg
right-sided chest tube appears unchanged in position. there is a very small persistent right-sided pneumothorax, not significantly changed. otherwise, there has been no significant change.
follow-up of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19467588/s58912353/d31be2a5-0117cfb0-157c7c0e-78cb57ee-32d56f7a.jpg
the patient is status post median sternotomy with mediastinal clips noted. heart size is normal. the aorta is mildly tortuous but unchanged. mediastinal and hilar contours are unremarkable. right picc tip terminates within the svc/right atrial junction. no pleural effusion or pneumothorax is seen. minimal patchy bibasilar opacities are present. there is no free air under the diaphragms. no acute osseous abnormalities are seen.
fever, vomiting, on tpn.
MIMIC-CXR-JPG/2.0.0/files/p15513389/s51104679/e39b1930-956e7e77-a4b5194b-a5065cdf-76b4fc31.jpg
the heart is mildly enlarged. the cardiomediastinal and hilar contours are within normal limits. lung volumes are low which accentuates bronchovascular markings. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hart n/v dizziness // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p15904284/s51959655/a353e791-05dd9dad-9280063f-63eb805f-ec6f9095.jpg
there is elevation of the right hemidiaphragm. no focal consolidation is seen. there is no pleural effusion or pneumothorax. several skin folds overlie the right hemithorax. the cardiac and mediastinal silhouettes are stable. no displaced fracture is identified.
history: <unk>m with unwitnessed fall // ? traumatic injuries
MIMIC-CXR-JPG/2.0.0/files/p12726753/s50192784/d799f595-4ee5722b-be3b4dfc-2cea2b44-82c55887.jpg
pa and lateral views of the chest provided. left central venous line ends at the cavoatrial junction. endotracheal tube ends <num> cm above the carina. lung volumes are low. lungs are grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old man with cirrhosis and variceal bleed now s/p l central line // l cvl position
MIMIC-CXR-JPG/2.0.0/files/p12530930/s53455349/41771916-71ef35e4-8c0aed0d-89cf3aeb-618b0b31.jpg
single frontal view of the chest was reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded and clear. pulmonary vasculature is within normal limits.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15448035/s56922535/d3391048-2bb07486-3c244a30-2dc505b3-9a5958fb.jpg
portable chest radiograph demonstrates endotracheal tube in appropriate position. lungs are grossly clear but low in volume. no interval accumulation of pleural fluid. no pneumothorax. enteric tube identified with its tip terminating in the expected location of the stomach.
<unk> year-old male with open abdomen and ventilator dependent. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg
single portable view of the chest. endotracheal tube is seen with tip within <num> cm of the carina and should be withdrawn. enteric tube is seen with tip at the gastric fundus, side port likely just beyond the ge junction. low lung volumes are seen. surgical chain sutures project over the right mid lung with associated linear opacity, potentially atelectasis. increased opacity at the right perihilar region. median sternotomy wires and mediastinal clips are identified. linear opacity at the left lung base may represent atelectasis. the bones are diffusely osteopenic.
<unk>-year-old male with endotracheal tube, status post transfer.
MIMIC-CXR-JPG/2.0.0/files/p13485250/s57853369/ecd2eda8-9654fcd8-582a526c-777a652a-3002c3f8.jpg
there are opacities in the right lower and left upper lobes worrisome for multifocal pneumonia. there is no pleural effusion and no pneumothorax. the cardiomediastinal silhouette and hila are normal. pulmonary vascularity is normal.
<unk>-year-old woman with cough.
MIMIC-CXR-JPG/2.0.0/files/p14768054/s56086881/dc62c0e4-bfd1606a-e420cd14-1483a019-d08401d8.jpg
ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with sob pls eval pna
MIMIC-CXR-JPG/2.0.0/files/p16388630/s56085427/8af1db29-c0b32c3d-b52188cc-4a1accac-3600aa58.jpg
there is a right-sided picc line that terminates most likely at the confluence of the brachiocephalic veins. the heart is enlarged. there is bilateral hilar congestion, and in addition to mild pulmonary edema, asymmetric opacification of the left mid to lower lung.
cough, hypoxia, and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p14717582/s53517945/9080844b-a9352122-6b011e31-d8dbe66d-5ae63ee3.jpg
small right apical pneumothorax is unchanged since <unk>. probable small right pleural effusion is also similar in appearance. right mid chest drain and right lung base chest tubes are present, unchanged in position. both lungs are clear, no abnormal opacities. heart size, mediastinal and hilar contours are normal. no pneumothorax or effusion on the left side.
to look for apical pneumothorax and monitoring and pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12426774/s55645929/242c13a4-285b77e9-e607ab42-fdca270c-64667530.jpg
heart size is top-normal, decreased from prior. postoperative cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax. right internal jugular approach central venous catheter terminates at the cavoatrial junction. device type projects over the lower left chest wall with pre sternal electrode unchanged in position.
syncope. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10388177/s52298576/331f2bbf-cca3bf37-3c008c53-ca9c4b03-cdc6c397.jpg
pa and lateral views of the chest. vague linear opacity persists in the right lower and left mid lung -- likely atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are normal.
status post whipple procedure with anastomotic leak, question of intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11894220/s51654664/f60f8583-d5b2a894-fe8f0ca8-4e08b2d1-e05034e2.jpg
chest, pa and lateral. compared to the prior study, there is even more heterogeneous opacity in the left lower lobe, obscuring the left hemidiaphragmatic contour. there are some new mostly linear opacities at the right lung base, likely atelectasis, but aspiration cannot be ruled out. stable mild cardiomegaly is present. the aoritc knob appears moreprominent on this exam, but this is likely an artifact due to slight rotation. aortic calcifications are stable. copd with extensive background bullous change and right apical pleural thickening and parenchymal scarring is again noted. r.l hilar retraction and prominent hila with a tapered appearance suggestive of pulmnary hypertension again noted. no pneumothorax or gross pleural effusion.
cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p16086325/s51277002/0a9c7695-9a02422b-c89262e5-47a30152-b9af853e.jpg
there is no significant interval change compared to exam from six hours prior with a persistent diffuse interstitial lung process. cardiomediastinal silhouette and hilar contours are stable. there is no large effusion or pneumothorax. endotracheal tube is appropriately positioned. there is no subdiaphragmatic free air.
abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p18076600/s54420064/72a2fa4c-87f7af6b-2650accc-36c626a2-acd95bab.jpg
no new focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m being worked up for metastatic disease who is p/w sob, cough and crackles on exam. // ?pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15615259/s56917481/7708342d-c7160a4c-74ba7b1b-705c175a-c31a95a4.jpg
sternotomy wires are unchanged. calcified curvilinear structure along the base of the heart is consistent with known aneurysmal an calcified left ventricular infarction. the lungs are moderately hyperinflated consistent with the patient's known emphysema. there is no evidence of edema or focal consolidation. there is no pleural effusion or pneumothorax.
<unk> year old man with left pleuritic pain // left pleuritic pain near apex
MIMIC-CXR-JPG/2.0.0/files/p15326204/s51699607/4b297f2f-ae22aa11-e4af9375-6fc517ae-5f36681c.jpg
a nasogastric tube terminates in the stomach. cardiomediastinal and hilar contours are unchanged. bilateral, multifocal areas of consolidation appear relatively unchanged. stable, small left pleural effusion. no pneumothorax. previously seen free intra-abdominal air is not identified on the current study, but given that this is not a true upright radiograph, pneumoperitoneum cannot be excluded. recommend repeat upright pa and lateral radiographs or ct for definitive evaluation of intra-abdominal free air.
<unk>-year-old man with pneumonia, now with new concern for free intra-abdominal air.
MIMIC-CXR-JPG/2.0.0/files/p11818101/s54933024/9be23099-324c00d9-fa07ac1c-4882e058-a3b4e5e8.jpg
lung volumes are low. the right lung is clear. the pulmonary vasculature is normal. no pleural effusion is seen. there is no air under the right hemidiaphragm. there are no acute osseous abnormalities. <num> chamber pacemaker is seen.
<unk>m w/chest pain, please eval for mediastinal widening, pna
MIMIC-CXR-JPG/2.0.0/files/p16115482/s52085370/acf7d457-183e2fe4-2b576d5f-44ec634d-44ecdb02.jpg
heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is minimal atelectasis in the left lung base. no focal consolidation or pneumothorax is seen. there is blunting of the left costophrenic angle which may suggest a trace left pleural effusion. there is no acute osseous abnormalities.
abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg
cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through. atherosclerotic calcifications within the aortic arch are re- demonstrated. ill-defined patchy opacities are noted involving the right mid and lower lung fields as well as to a lesser extent within the left lung base, findings which are suspicious for aspiration pneumonia. blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions, new in the interval. no pneumothorax or pulmonary vascular congestion is present. there are no acute osseous abnormalities.
history: <unk>m with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p16777967/s51610691/94e4fb6e-f7ed26bf-205c77d2-64184f9f-d432a585.jpg
pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal. prominence of the right hilus is unchanged since <unk>.
<unk>-year-old woman with cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p19599279/s55249212/087fe20d-b3e32849-27872238-e598031c-5766edc0.jpg
since the previous film there is a increased an pulmonary vascular congestion. inspiratory effort remains limited increased opacity in the left lower lobe may suggest early edema. picc line in svc with no interval change. .
<unk> year old man with history of chf, afib, amyloid angiopathy presented with hypoxia/tachypnea likely secondary to mucous plugging/pneumonitis/volume overload. // evidence of pulmonary edema or volume overload given h/o heart failure
MIMIC-CXR-JPG/2.0.0/files/p19199554/s53716192/6db17f58-81c7213c-528bb9e3-d9ae8d4c-bc619722.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain and left arm tingling and numbness.
MIMIC-CXR-JPG/2.0.0/files/p19048635/s58222183/a792a91f-d29c2178-257c2fb2-ffe3f781-bf5f606e.jpg
portable semi-erect ap chest radiograph demonstrates low lung volumes and minimal bibasilar atelectasis. the lungs are otherwise clear. there is no pneumothorax. the heart size is normal. the cardiomediastinal silhouette is unremarkable. anterior cervical fusion hardware is partially visualized.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15808118/s57385530/8d317646-5b155412-9bf812e9-69d76710-8cf57f8d.jpg
the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
hypotension.
MIMIC-CXR-JPG/2.0.0/files/p13385073/s52758650/7402f810-9e4719c3-d1752fdc-6d2c542d-a6a3c851.jpg
compared with the prior film, the left apical pneumothorax may be very slightly larger. left-sided chest tube is again seen, appearing straighter in its course than on the prior film. otherwise, no significant interval change is detected. cardiomediastinal silhouette is unchanged. no chf, focal infiltrate, effusion, or significant atelectasis detected.
<unk> year old man with ptx s/p pigtail // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p10762352/s50258728/6bd761fb-9eab9f51-b005b1b5-a8a54980-a83c576e.jpg
the patient is status post sternotomy and aortic valve replacement, as before. there is a new moderate new left-sided pleural effusion with associated atelectasis in basilar parts of the left lower lobe with lesser opacities also suggesting partial areas of atelectasis in the superior segment and lingula. opacification of the posterior right lower hemithorax, however, has resolved. background lung parenchyma appears within normal limits.
history of aortic stenosis status post mitral valve replacement presenting with worsening dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p17042519/s53060536/0918fa77-6f12fd1a-79329585-a776e890-2177ebc8.jpg
compared to the prior study there is a slight increase in the retrocardiac opacity, otherwise no significant interval change
<unk> year old woman with septis <unk> to pna // eval for interval change
MIMIC-CXR-JPG/2.0.0/files/p18356134/s59309588/10da749a-0ca059ba-e3397032-d0ef8d77-da864916.jpg
ap upright and lateral views of the chest provided. lung volumes are low with mild platelike atelectasis in the right lower lung. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no convincing signs of congestion or edema. there is mild aortic calcification. the heart size is normal. mediastinal contours unremarkable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with infectious workup
MIMIC-CXR-JPG/2.0.0/files/p10453488/s56265138/0b5654a7-294fe67c-f631919e-0399c8d0-bdbe845c.jpg
ap and lateral views of the chest. aortic calcifications are again seen. no focal consolidation is seen. there is no pneumothorax. the cardiomediastinal contours are stable.
<unk>-year-old female with fever and right upper quadrant tenderness.
MIMIC-CXR-JPG/2.0.0/files/p19182957/s55745219/7662f933-19ee1471-0b54bdff-2d8e066a-a49ce6b6.jpg
the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>f with cough, syncope, hypotension, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14158739/s50123952/d25da8ba-bd3efafe-4ad86fc9-badb0076-130c73f2.jpg
the lungs are hyperinflated but remain clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>f with chest pain // chest pain evaluation
MIMIC-CXR-JPG/2.0.0/files/p17937664/s52369084/693c1e2f-81e6940a-d2a20f2f-e81b0940-625fd350.jpg
lung volumes are lower compared to the prior exam. the left hemidiaphragm is elevated secondary to gaseous distension of bowel, incompletely visualized. no pleural effusion, pneumothorax, focal consolidation, or edema. bibasilar atelectasis is mild. the cardiomediastinal silhouette is unchanged. median sternotomy wires and mediastinal clips are intact and unchanged in position.
<unk>-year-old man presenting with fever and confusion. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15994571/s59790529/0322df0f-15450411-3f1e69be-292f84ce-c68b7acd.jpg
on the lateral view, a peripherally inserted catheter is seen terminating in the region of the axillary vein. heart size is top-normal. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is identified. mild loss of height of a mid thoracic vertebral body is unchanged.
history: <unk>f with pain at right midline site // eval midline
MIMIC-CXR-JPG/2.0.0/files/p19731665/s57887269/96393114-a21c29b0-4b110d5d-0e454d88-973f01ed.jpg
coarse bilateral reticular opacities are in keeping with the known history of fibrosis. as compared to the prior chest radiograph from <unk>, new superimposed interstitial opacities suggest an acute process such as infection or pulmonary edema. moderate cardiomegaly is stable. there is no pleural effusion or pneumothorax.
<unk> year old woman with pulmonary fibrosis presenting with fever, cough, dypsnea // please assess for infiltrate, edema
MIMIC-CXR-JPG/2.0.0/files/p12367301/s56961612/bbc1467d-c91c85f7-ad66c996-92360c17-62ca4d8c.jpg
in comparison to the prior chest radiograph, the external pacemaker has been removed. there is a aortic stent. there is a diffuse reticular interstitial pattern, more pronounced at the bases, which has improved in comparison to the prior chest radiograph. heart size is normal. the mediastinal and hilar contours are normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there is a marker seen within the right lower lung. there are surgical clips seen within the upper abdomen.
<unk> year old man with copd, suspected gi bleed, bibasilar crackles. r/o pulmonary edema. // please evaluate for pulmonary edema.