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MIMIC-CXR-JPG/2.0.0/files/p14088410/s50528420/d444cdf9-2cbc66ff-408d6496-e2f6d856-95c5d521.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 <num> weeks of worsening persistent cough // eval ? occult pna |
MIMIC-CXR-JPG/2.0.0/files/p12564356/s56901478/4eb7de0b-0a7ae84f-5c9d4fb4-16adb3f6-7e24355e.jpg | the endotracheal tube terminates <num> cm above the carina in appropriate position. an enteric tube is also present, the tip of which is not visualized but the side port is well below the ge junction. the lungs are clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with sepsis, evaluate for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17939894/s54979877/386b62b6-0efb610c-c7d92786-99fd6499-695c2a0d.jpg | the lungs remain mildly hyperexpanded. left lower lobe, retrocardiac streaky peribronchial opacities are not well evaluated on this portable radiograph. mild obscuration of the left costophrenic angle likely reflects a trace pleural effusion. there is no lobar consolidation or large pneumothorax identified. the cardiomediastinal silhouette is unchanged from the prior examination. | history: <unk>f with weakness, hip pain*** warning *** multiple patients with same last name! // r/o fx |
MIMIC-CXR-JPG/2.0.0/files/p11890210/s55640403/d62db708-52941946-dc0b7dcb-fd86a777-5b717908.jpg | the patient is status post median sternotomy and cabg. there are low lung volumes. there is small left and trace right bilateral pleural effusions. the cardiac and mediastinal silhouettes are stable. there is mild pulmonary edema. no pneumothorax is seen. | history: <unk>m with worsening renal function, with volume overload and sob // eval edema |
MIMIC-CXR-JPG/2.0.0/files/p19249586/s56424572/7a42cc09-add91484-6e7d6707-7f9194f6-1531fcfa.jpg | a left picc is unchanged with the tip terminating in the mid svc. a right basilar pleural pigtail catheter is also unchanged. an enteric feeding tube is seen coursing below the diaphragm with the tip terminating in the post-pyloric small bowel. the small right apical pneumothorax is decreased in size from <unk>. small bilateral pleural effusions are unchanged with increased opacification of the right lung base representing worsening atelectasis. left basilar atelectasis is unchanged. the cardiomediastinal silhouette is within normal limits and unchanged. | right apical pneumothorax, here to reevaluate for interval changes. |
MIMIC-CXR-JPG/2.0.0/files/p14264347/s51003326/efdbe436-90a52312-c85e0db6-2cd8fb01-2708fb18.jpg | the heart is normal in size. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there is no focal consolidation concerning for pneumonia. there are no pleural effusions or pneumothorax. no acute osseous abnormality is noted. | <unk>-year-old male patient with fevers and reduced breath sounds in the right axilla. study requested for evaluation of an acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15889331/s55021214/797fae76-5d0047ce-cb8aec09-83b9f6ea-972afb71.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with inc secretions, intubated // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p14422593/s58067458/d3ef78ee-83ddf695-2fda9215-81849745-3dcaa998.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p17705518/s52737862/5070f688-363595b7-25be12ba-c8de1df9-a2007834.jpg | pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no air under the right hemidiaphragm is seen. osseous structures are without acute abnormality. | <unk>-year-old female with left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17006856/s55174876/53f576c2-cb7bcdb2-d1ea7f26-2a6b7900-db56a419.jpg | the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. | lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p19936204/s51224164/4ca478b3-d0984d51-b6e60e68-917a2f06-e254de1d.jpg | pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the mid svc. clips in the right upper quadrant as well as metallic stents in the region of the common bile duct noted in the upper abdomen. stable elevation of the right hemidiaphragm noted. the lungs appear clear without focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with fever |
MIMIC-CXR-JPG/2.0.0/files/p19278034/s58429705/5fd1a757-4e07d8c8-ed3acfbc-285d8094-f4186af7.jpg | lungs are clear. cardiac silhouette is normal in size. no pleural effusion or pneumothorax. | healthy male with two months of cough. |
MIMIC-CXR-JPG/2.0.0/files/p19550773/s59718846/58104742-6125737e-07f9867f-71adca6c-f28395f5.jpg | again demonstrated is a right hilar mass with worsening volume loss in the right lung and unchanged nodular pleural thickening. increased interstitial opacities throughout the right lung may reflect worsening lymphatic engorgement superimposed on tumor and infiltration. small to moderate size right pleural effusion is without substantial interval change. left lung is hyperinflated without new focal consolidation. no left-sided pleural effusion or pneumothorax is present. cardiac and mediastinal contours are similar. | history: <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p19755719/s52684687/4b96a909-68b173d5-c715b07d-1ff75df5-b467928e.jpg | there is mild vascular crowding, particularly at the right lung base. there is no focal consolidation or pleural effusion. the heart and mediastinum are within normal limits. there is no pneumothorax. old healed left rib fractures are identified. there is no evidence of an acute rib fracture. no soft tissue abnormality is identified. | <unk> year old man with right chest wall pain // evaluate lungs and chest wall |
MIMIC-CXR-JPG/2.0.0/files/p12276236/s52114427/9eecc865-e352e394-ce48f1a3-6b1ed6e5-47299f77.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the heart size is top normal. cholecystectomy clips lie in the right upper quadrant. | shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14728956/s52499184/afddaf24-999bf1ba-1fcdba23-5c42517c-02c2cac8.jpg | compared to the prior exam, there has been interval resolution of interstitial abnormality. heart size is persistently enlarged. mediastinal contours are stable. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. hardware projecting over the upper abdomen slightly to the right of midline is of indeterminate etiology. | <unk>-year-old female with diabetes and chronic kidney disease, now with altered mental status and nausea and vomiting, concerning for uremia. |
MIMIC-CXR-JPG/2.0.0/files/p12288694/s54630111/22478e4c-4063bb78-f31dae2d-d184698c-05d2df73.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | history: <unk>m with sob // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg | moderately well inflated lungs with no change in prominence of pulmonary vasculature. stable cardiomegaly. enlarged left atrial shadow is again identified. no pleural effusions or pneumothorax. no change in bony thorax. | <unk> year old woman with hcv cirrhosis, decompensated, here for expedited liver transplant, now with worsening encephalopathy. looking for infectious source. // evidence of infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p18001760/s54266866/a48cc3d6-7f2457e2-58e27345-3b464ec2-7c3d529c.jpg | there is moderate cardiomegaly, similar to the most recent prior study. pulmonary vascular congestion is also similar with new mild interstitial pulmonary edema. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. | <unk>m with dyspnea, evaluate for cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p10673457/s56275899/e10711ed-e9cfdf14-8479e831-c9620b03-1d967a5c.jpg | cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. | history: <unk>m with dyspnea // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13448204/s57752912/be9f31a2-fe3eb494-459d2044-4d6b5237-523ef806.jpg | two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p19854363/s52014462/64fb56b7-180158f6-4725cd5d-7446fd6a-96587597.jpg | heart size remains mild to moderately enlarged. the aorta is tortuous mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. emphysematous changes are noted within the lung apices. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine. | history: <unk>f with right sided weakness |
MIMIC-CXR-JPG/2.0.0/files/p11604900/s50444897/6274dc7b-2ca92b16-6b45a9f4-e0b5497b-b7a35721.jpg | the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk>-year-old woman fatigue, general malaise, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15993654/s52024001/7484ece4-fa9db5ca-c6e82b34-8d40e019-8ad47573.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 non productive persistent cough x <num> days. // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16461981/s58956564/65859886-b89604cc-0c6b7ef4-d68ac83e-694eceed.jpg | pa and lateral views of the chest. calcific rounded nodule projects over the right middle lobe suggestive of a calcified granuloma. the lungs are otherwise clear. there is no consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13557514/s54157923/f493a3f0-0e9048fe-48080443-6983034a-8463fb2c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk>f with sudden onset plueritic chest pain that awoke from sleep // pneumothorax? |
MIMIC-CXR-JPG/2.0.0/files/p12244353/s55898924/a25bc61d-e6860fc3-c6f35196-c8f0e5c9-a2193787.jpg | no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. no pulmonary edema is seen. no displaced fracture is seen. | hiv presenting with <num> weeks of left-sided chest pain radiating to back, worse with exertion and inspiration. |
MIMIC-CXR-JPG/2.0.0/files/p16996460/s51450593/bbde2a9a-6e5b6e29-ec4d9e40-e3792d07-5d395ebf.jpg | the lungs are hyperexpanded but clear. the heart is not enlarged. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation. | history: <unk>m with nausea, diaphoresis, ekg changes // eval for chf/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16026276/s55070848/29debe5c-7c3f5c6d-a1c38247-197cddfd-94014e00.jpg | compared to prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal. there are degenerative changes in the spine. | <unk> year old woman with cough and sputum x few weeks, rare wheezing // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14151442/s54528382/ef296a7e-b6be75b9-b56d01bc-19874cf5-e1fca370.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with hemoptysis // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18153530/s52310559/07445711-049e662f-e4c351b7-4515941a-79e6c089.jpg | there is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, as seen previously. the heart is normal in size. the aortic arch is calcified. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12196030/s50229791/d72a1c6c-89ce56ac-6b851797-c2f1c8a5-56c66a13.jpg | there has been interval placement of a right-sided internal jugular line which terminates at the cavoatrial junction. there is mild perihilar vascular congestion and mild pulmonary edema. no definite focal consolidations concerning for pneumonia are identified. there is no large pleural effusion or pneumothorax. | history of sepsis, central line placement. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p14917939/s52287749/dc7cd68a-bde7215b-0849e360-cc7600c2-e4cbe0c9.jpg | lung volumes are low. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen, however the extreme right costophrenic angle is excluded the field of view. <num> metallic paper clips project over the inferior mediastinum, mostly certainly external to the patient. no acute osseous abnormalities detected. | history: <unk>m with new onset cirrhosis // please evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15189156/s57625169/dd9639ca-8aa83d5f-35af0d6d-7a0c8703-8ca00c6c.jpg | frontal and lateral radiographs of the chest demonstrate expanded lungs. again seen is an area of rounded atelectasis in the retrocardiac region. a right pectoral port-a-cath is seen with the tip terminating in the mid svc. there are no pleural effusions or pneumothorax. | <unk>-year-old man with waldenstrom's macroglobulinemia and persistent cough and left lower crackles on exam. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18774398/s51037728/019ab097-dada2dde-02ec5b86-f2c187a1-4dc61e0c.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with unremarkable cardiomediastinal contours. there is an opacity in the left lung base adjacent to an elevated left hemidiaphragm, which is compatible with atelectasis, although pneumonia cannot be excluded in the appropriate clinical setting. no diffuse pulmonary abnormality is seen. no pleural effusion or pneumothorax is present. no radiopaque foreign bodies are present. the osseous structures are unremarkable. | <unk>-year-old male with cough and pleuritic pain. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12835242/s50065993/a96e22d8-02f407d8-19b67f65-9c73fe7d-d51e83c6.jpg | slight increase in opacity over the inferior spine on the lateral view, not substantiated on the frontal view, felt to unlikely represent consolidation, possibly atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with sob, chills, lightheadness // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19729398/s58647630/5784c41f-a61c787e-ffe49510-ee9c08fc-9e1bc2cb.jpg | frontal and lateral chest radiographs redemonstrate a chronically collapsed right upper lobe, which is secondary to radiation. the right apical pneumothorax is decreased. the right chest tube has been removed. there is a small residual loculated right pleural effusion. the left lung demonstrates improved aeration and is clear, without pleural effusion or pneumothorax. the heart size is unchanged. | non-small cell lung cancer status post pleurodesis, now with shortness of breath. evaluate for pneumothorax or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11036893/s52094558/08d7c7fb-3dd833bf-cec76757-037d4c83-4ad5af7a.jpg | the lungs are well expanded. there is overcrowding of the right cardiophrenic angle. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male with opiate overdose. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14785819/s55144225/8b729e60-85d5ea87-8c878025-3457ba9d-b07de3bd.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. right tenth rib fracture is again seen. | <unk> year old woman with ronchi on r and sob, pt s/p po vanco rx for c. diff and recent r sided rib fractures (please call dr. <unk> with wet <unk> // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15014371/s55632088/426a7eb2-cc4fd354-4add142e-1ae67854-ac6bb232.jpg | the lungs are symmetrically expanded. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the cardiac silhouette is normal in size. prominence of the mediastinal contours is unchanged and likely related to vessels. mild calcification of the aortic knob is noted. the hilar contours are within normal limits. | ventricular tachycardia, on amiodarone, here for screening evaluation to evaluate for amiodarone toxicity. |
MIMIC-CXR-JPG/2.0.0/files/p13458107/s52432395/dccfdedb-e4debcc9-f0432003-be478e7f-3ade5ffe.jpg | frontal and lateral radiographs of the chest show minimal interval improvement in wedge-shaped opacification of the right lung base projecting anteriorly over the heart on the corresponding lateral radiograph, which may represent partial right middle lobe collapse. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are unchanged and within normal limits. eventration of the right anterior hemidiaphragm is stable. | <unk>-year-old male with recent pneumonia, here to evaluate for resolution. |
MIMIC-CXR-JPG/2.0.0/files/p19664531/s56222343/5d48ccd7-220f2b73-20c96ee9-31fede1f-e4112a90.jpg | mild cardiomegaly is re- demonstrated. the patient is status post transcatheter aortic valve replacement. tortuous aorta is again noted with unremarkable hilar contours. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no large pleural effusion or pneumothorax is present. streaky atelectasis is demonstrated in the lung bases. there are moderate degenerative changes seen in the thoracic spine. embolization coils are again noted in the right mid abdomen. | <unk>m with fever. eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19133405/s54304008/25d2b545-14750357-5b086c4a-eb118e5f-8e93ea0b.jpg | left chest wall port seen with catheter tip at the ra svc junction. tracheostomy tube is in stable position. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with trachea, cough green sputum / eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10141364/s50976286/30d51377-ade0bb84-f131b997-79578a54-f814151b.jpg | in comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. diffuse bilateral pulmonary opacifications again seen, possibly slightly worse, consistent with the clinical diagnosis of ards. the possibility of supervening pneumonia would be very difficult to exclude in the appropriate clinical setting. | ards with possible pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10974948/s53472133/4e50e479-0482c5d9-f34922da-2eab705e-0aec8069.jpg | moderate to severe cardiomegaly is present. the aorta remains mildly tortuous. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. streaky opacities are seen in the lung bases likely reflective of atelectasis. no pleural effusion or pneumothorax is present. remote left eighth chronic rib fracture is noted. clips are noted in the region of the gastroesophageal junction. | history: <unk>m with shortness of breath, chest pain. upper gi bleed |
MIMIC-CXR-JPG/2.0.0/files/p10135376/s55854950/cff65f9c-5080b576-aaa6660b-0d89b2f0-0f8243b4.jpg | marked interval cardiac enlargement with pulmonary congestion. confluent areas of airspace opacification most likely representing alveolar pulmonary edema. left lower lobe atelectasis with an associated pleural effusion. left-sided picc line with the tip in the mid svc. intra-aortic balloon pump catheter in situ with the tip <num> mm from the superior aspect of the arch of the aorta. calcification of the aortic arch. widening of the vascular pedicle due to central venous engorgement. prosthetic aortic valve in situ. no pneumothorax. | <unk> year old man with cardiogenic shock with iabp // interval change |
MIMIC-CXR-JPG/2.0.0/files/p14137269/s59513713/7cf96e52-92227c98-ca6ed7fc-8c20a81d-b3df78e2.jpg | pa and lateral views of the chest provided. a port-a-cath is positioned in the left chest wall with catheter tip in the low svc likely at the cavoatrial junction. there is no convincing sign of pneumonia. minimal reticular opacity along the left heart border resolves on the second ap view provided. no pleural effusion or pneumothorax. no signs of congestion or edema. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with subjective fevers and // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16988716/s57347699/228770c6-37b8be69-5d245a1b-d064169f-292bfdf5.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. | <unk>-year-old male with chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13047066/s51765588/d1c2005c-c926e4a8-fdc06e44-0cbd468d-7221c24e.jpg | lung volumes are low but the lungs are grossly clear. mediastinal widening and bilateral hilar prominence due to known lymphadenopathy is unchanged. the cardiac silhouette is stable. there is no pneumothorax. | <unk> year old man s/p mediastinoscopy with ln biopsy // eval for ptx or hemothorax |
MIMIC-CXR-JPG/2.0.0/files/p10398209/s54228955/7c4b5c81-f0dc2706-52d36dce-67314264-6e4c8834.jpg | the lung volumes are low. the tip of the endotracheal tube projects <num> cm above the carina. course of the nasogastric tube is unremarkable, the tip is not displayed on the image. moderate atelectasis in the retrocardiac lung regions. | ischemic stroke, nasogastric tube and endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18501320/s54263763/5cd5b563-67df4bfa-84604d44-4eb54eb7-a1f9ac42.jpg | pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. | <unk>-year-old female with intractable coughing and shortness of breath, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18258883/s54387172/60e1ced6-0516807f-23f57b66-86a9dc26-f5b9f7ce.jpg | a right subclavian infusion port is in place with the tip projecting over the cavoatrial junction. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. cervical fixation hardware is incompletely imaged. a surgical clip projects over the left axilla. mild dextroscoliosis is noted. | breast cancer status post recent port placement. confirm port placement. |
MIMIC-CXR-JPG/2.0.0/files/p13934967/s55951082/a7000664-7e5a2abc-a263915c-c87d6ba4-8635fe10.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal contours are unremarkable. . | history: <unk>m with mvc back pain // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p12781657/s51236574/6b87eec6-50a76f1a-f58913a3-48695fab-35fca9ed.jpg | there has been interval removal of the right central venous catheter. the heart size is enlarged compared to prior study. the mediastinal contour continues to demonstrate calcified atherosclerotic disease of the aortic knob with a tortuous aorta. the lungs demonstrate central and perihilar ground-glass opacities extending to the base with small bilateral pleural effusions. there is no pneumothorax. a low thoracic vertebral body compression fracture with resultant kyphosis is unchanged. | <unk>-year-old female with malaise, crackles, and low-grade fever. |
MIMIC-CXR-JPG/2.0.0/files/p13658228/s59587651/d443e030-76777471-42e62869-50bb79aa-039740ea.jpg | lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old woman with cough/sob/decr basilar bs // r/o basilar pna |
MIMIC-CXR-JPG/2.0.0/files/p16580147/s56205208/99033fba-e976587a-84d4d41a-c8e39be3-6163acef.jpg | frontal and lateral views of the chest. a small left pleural effusion has decreased in size since <unk>. there is minimal left lower lobe atelectasis. the right lung is clear. there is no pneumothorax. the heart size is normal. the central pulmonary arteries are enlarged. | evaluation of a known pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p13043397/s54613623/d5fbd33b-8543e765-317ffc25-8073eb83-4a485ff2.jpg | lordotic positioning. extreme posterior portion of the chest is excluded from the lateral view. the lungs are hyperinflated, suggesting copd. heart size is mildly enlarged. within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. the aortic contour is within normal limits. smooth, hazy soft tissue density in the right paratracheal region likely reflects the silhouette of the svc, together with mediastinal fat. no chf, focal consolidation, pleural effusion or pneumothorax is detected. incidental note is made of ossification of the anterior longitudinal ligament of the thoracic spine. | history: <unk>m with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11665092/s50029825/01e3193b-ab7629b0-8ec67f04-c6c2ed2f-14a8136f.jpg | the patient is status post median sternotomy and cabg. cardiac silhouette size remains mildly enlarged. small to moderate sized hiatal hernia is redemonstrated. the aorta is calcified and tortuous. elevation the right hemidiaphragm is chronic. bilateral calcified pleural plaques are again demonstrated. linear opacities at both lung bases likely reflect atelectasis. pulmonary vascularity is not engorged. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13108511/s59783274/0b87b651-3f83a0ab-ccda85f0-1fb95b9f-d3981bb4.jpg | ap upright and lateral views of the chest provided.evaluation is somewhat limited due to underpenetration. there is persistent left mid and lower lung opacity which remains concerning for pneumonia. there is associated left mid and lower lung atelectasis. no large effusion is seen. no pneumothorax. hilar congestion is suspected. cardiomediastinal silhouette appears grossly unchanged. bony structures are intact peer | <unk>f with recent diagnosis of pneumonia p/w pleuritic back pain and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p14002841/s54150833/55e2b2f2-9ed2876a-3024c201-a411d817-c3939950.jpg | medial right lower lobe opacity is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with sob // ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17049635/s59570625/6494d7d1-a494cd88-4a3e1d06-02a7bc9e-aa44fcd2.jpg | as compared to the prior examination, decreased lung volumes are noted bilaterally. the focal consolidations seen in the right middle and right lower lobes are grossly stable. there has been interval progression of the left upper lobe opacity, which may represent interval progression of a left-sided infectious process. there are small bilateral pleural effusions identified. no overt pulmonary edema or pneumothorax is seen. stable cardiomegaly and a widened mediastinum is again noted. | history of multiple myeloma, chf, and streptococcus pneumoniae on in the right lung, now with worsening respiratory status. |
MIMIC-CXR-JPG/2.0.0/files/p15743736/s50856216/8b4ba789-55ffc0b1-d4a2a2e9-bcf20d3d-17abf1a0.jpg | a right-sided picc line terminates at the cavoatrial junction. the patient remains intubated, with the endotracheal tube terminating about <num> cm above the carina. an orogastric tube terminates in the stomach. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. streaky retrocardiac opacity appears unchanged and most suggestive of minor atelectasis. | intubated with fever. |
MIMIC-CXR-JPG/2.0.0/files/p16311983/s57861051/3e256940-6c60d7fe-deedff00-d6cca304-aae0f75f.jpg | left-sided dual-chamber pacemaker with leads terminating in right atrium and right ventricle is in unchanged position. there is mild cardiomegaly. the mediastinal contours are unchanged. there is mild pulmonary vascular congestion and small bilateral pleural effusions. no focal consolidation or pneumothorax is present. remote right humeral neck fracture, right-sided rib fractures, and chronic fracture deformity of the distal right clavicle are again demonstrated. compression deformity of a mid thoracic vertebral body is also unchanged. cervical spinal fusion hardware is partially imaged. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13084601/s50774574/74cea736-37f0aead-7d6f9670-12cfea8c-6b63c90e.jpg | left port-a-cath with tip terminating in either the right brachiocephalic or svc or in the azygous vein. no focal consolidation, effusion or pneumothorax. hilar and mediastinal contours are normal. mild cardiomegaly is unchanged. | <unk> year old man with portacath placement. // is placement of the catheter tip correct? |
MIMIC-CXR-JPG/2.0.0/files/p18189909/s54184413/68e584da-9e84e525-4525852f-e0e1644e-0e2ba093.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. | persistent cough and new onset of wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p11548762/s51813008/d9ef124b-5b28538b-587fd6d6-9c16f8d8-5ad69c3e.jpg | improvement since prior exam. pleural effusions have improved, there is mild effusion on the left, minimal on the right. . basilar atelectasis has resolved. heart size and pulmonary vascularity have decreased. extensive arterial calcifications. . | <unk> year old man with history of chf // assess for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13205395/s50280878/c27ccf91-1c707479-c1a6f713-a264b35a-4cdfe704.jpg | lung volumes are low, which limits assessment. the stomach is distended. the right hemidiaphragm is elevated. there is hazy bilateral vasculature, but it is unclear how much of this is due to poor inspiration. patchy areas of volume loss are seen bilaterally. the right hilum is prominent, but it is unclear how much of this is due to low volumes. | status post appendectomy with new onset hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13524796/s58191614/cc49af2d-c42e6677-583a12d8-b2da6a97-cfd1a0fa.jpg | frontal and lateral views of the chest. there is new patchy consolidation identified in the left upper and left lower lobes. linear opacity in the right mid lung is likely due to scarring. the right lung is otherwise clear. cardiomediastinal silhouette is unchanged and notable for mild cardiomegaly. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities detected. | <unk>-year-old male with cough and rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p11685699/s54548237/db47f819-3f71931e-5691d06d-add74d89-a840dedc.jpg | there is opacity in the right lower lobe consistent with pneumonia. no pleural effusion or pneumothorax. heart is mildly enlarged and there is evidence of vascular engorgement. mediastinal and hilar contours are unchanged. | chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17261065/s56321064/7a1165df-fc1f2e7a-f901fa11-d73f3ee4-91abd6ae.jpg | again seen is a right ij swan-ganz catheter, with tip overlying the right pulmonary artery. i doubt significant interval change in position. slight differences in relation to the vertical portion of the catheter in the ivc, compared to the prior film, may be accounted for by differences in the patient positioning. however, when compared to the film from <unk>, the tip of the swan-<unk> catheter is more distal. no pneumothorax is detected again seen is a left-sided pacemaker/ defibrillator device with lead tips over the right atrium and right ventricle and with additional lead unchanged. there is marked cardiomegaly, similar to the prior film. there is upper zone redistribution. possible mild interval increase in degree of pulmonary vascular plethora. no focal consolidation or gross effusion is identified. | <unk> year old man with heart failure and a swan in place after several exams today // any change in the position of the swan? |
MIMIC-CXR-JPG/2.0.0/files/p15477975/s53682150/d4f275b0-92ac86e1-45a1a611-9ffbf6c1-53ceb33b.jpg | pa and lateral chest radiograph demonstrate hyperinflated lungs. increased opacity the right lower lung base new since prior study is not convincing for infection. cardiomediastinal and hilar contours are unchanged. there may be aortic valvular calcification. there is no pleural effusion. apical pleural parenchymal scarring, right greater than left, is unchanged. head is turned to the right, but there is the suggestion of slight leftward displacement of the upper tracheal which could be due to a right-sided goiter. | history: <unk>f with cp // ? effusion, consolidation, ptx |
MIMIC-CXR-JPG/2.0.0/files/p11895636/s55054713/77fee087-93db9adf-08b5d319-2e72a95c-f37e0310.jpg | there is no visualization of a picc line or any unexpected foreign body on this radiograph. right chest port remains in good position, terminating in the mid svc. the cardiomediastinal and hilar contours are normal. the lungs are hyperinflated but clear. there is no pulmonary edema, pleural effusion or pneumothorax. | <unk>-year-old with picc line manipulation. |
MIMIC-CXR-JPG/2.0.0/files/p16121000/s50024814/9e6b8887-efea4024-ebb05495-3692b137-5b7659b8.jpg | there has been interval removal of a swan-ganz catheter and endotracheal tube. rij venous catheters ends in the upper and mid svc. a mediastinal drain is in place. right basilar chest tube is unchanged in position. there is no definite pneumothorax. cardiomediastinal silhouette grossly unchanged. there is no pleural effusion. there is mild vascular congestion, lungs are otherwise clear. | <unk> year old man with bivalve replacement, chest tube on water seal. |
MIMIC-CXR-JPG/2.0.0/files/p11152968/s55243060/c4638ffc-6a4c0e7e-c70d5f6c-5247c527-389d8b23.jpg | lung volumes are low. this accentuates the size of the cardiac silhouette which is likely moderately enlarged. mediastinal contours are similar, with tortuosity of the thoracic aorta again noted, and widening of the superior mediastinum, likely due to low lung volumes, with rightward deviation of the trachea. there is crowding of the bronchovascular structures with mild pulmonary vascular congestion. chronic elevation of the left hemidiaphragm is again noted. left basilar opacity could reflect atelectasis. there is no pleural effusion or pneumothorax. extensive glenohumeral joint degenerative changes are again seen bilaterally. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16139194/s52375954/b4e30acb-b3cd86c7-195d85ad-2d7b3485-08299871.jpg | the lungs are hyperinflated and but clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with copd, stage <num> colon ca presenting with hypoxia // acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p10476390/s59961438/e0f24594-b473ad19-e48f3ca0-8116edb7-616973cc.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | <unk>-year-old, cough, three days of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19710787/s52722735/e9aee4e6-67f773b7-9d5acddd-9238b3e9-dba7227e.jpg | the mid to lower lateral left hemithorax is not fully included on the image. single supine portable view of the chest demonstrates nasogastric tube passing into the stomach and out of view. endotracheal tube noted at the level of the clavicles, <num> cm above the carina. the cardiomediastinal and hilar contours are unremarkable. depression of the right hilum noted in conjunction with the right lower lung opacification is concerning for right lower lobe collapse. mild blunting of the right costophrenic angle is likely due to small pleural effusion. faint asymmetry in opacification at the bilateral lung apices may reflect patient positioning or possibly layering effusion. | endotracheal tube and ng tube placement, please evaluate positioning. |
MIMIC-CXR-JPG/2.0.0/files/p19468884/s58938247/5ad372a7-23a68c4d-e51674a3-7dd9b8cd-9432ab3b.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. mild prominence of the left hilum is stable. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | pain in right rib after heimlich maneuver. |
MIMIC-CXR-JPG/2.0.0/files/p13050816/s52146269/4ca07bb4-a5984431-c107bc14-8b0fd339-90293d1d.jpg | upright ap and lateral views of the chest provided. the lungs are clear and hyperinflated. 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>m with ams, hx copd // r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p15970767/s55127892/b4896fff-a61d5b6b-06e2c97c-0c594842-342aa385.jpg | the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. | history: <unk>m with cough and chest tightness // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16626390/s52269027/4d875089-171f28a9-bac09ddb-ec617c40-990dff6b.jpg | there are bilateral pleural effusions as were seen on prior ct from <unk>. there is patchy consolidation in the right upper lung which is also new. cardiomediastinal silhouette is grossly stable. sclerotic areas involving the bilateral proximal humeri are compatible with patient's metastatic disease. | <unk>m with ams // please evaluate for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17963808/s53502238/5218734c-8bf3910d-0fd5c1c3-b9a1391b-e837b435.jpg | compare to <unk>, there is no significant change. lungs are hyperinflated with flattened diaphragms, suggestive of copd. there is no evidence for focal consolidation, pulmonary edema or pleural effusion. mild cardiomegaly is stable. the mediastinal and hilar contours are unchanged. multiple pleural plaques are again seen, unchanged from prior. | <unk> year old man with bronchiectasis, copd, sob/chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12648465/s58832962/027f20c0-953a890a-1e0e0ee1-aca6e0bd-24e6e47c.jpg | bibasilar opacities are most likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with fever, leukocytosis, c/f pna on ct a/p // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p18249606/s50933246/e5d33959-fa6dc082-3dddb858-c3420089-4d2a5a7e.jpg | ap upright and lateral views of the chest provided. chronic elevation of the left hemidiaphragm again noted with left basal atelectasis. no large consolidation, effusion or pneumothorax is seen. the heart size cannot be assessed due to left hemidiaphragmatic elevation. the mediastinal contour is grossly stable with calcification noted. bony structures are grossly intact with chronic appearing deformity of the left humeral head. there is a prominent dextroscoliosis of the t-spine again noted. | <unk>f s/p fall // ? acute process |
MIMIC-CXR-JPG/2.0.0/files/p11209060/s54362500/3ac16be5-4af23c84-c7c5fb5c-63009824-8a3de582.jpg | moderate cardiomegaly is stable. severe pulmonary edema has worsened. there is no pneumothorax. lines and tubes are in unchanged standard position. there are probably bilateral small effusions. skin <unk> project in the right upper quadrant of the abdomen. catheter also projects in the right upper quadrant of the abdomen. | <unk> year old woman s/p antrectomy for gi bleed, volume overloaded s/p transfusions. // please evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p10275529/s58240042/a2e21773-9bca3a3e-56ddd242-04cdac1a-3c23aeb2.jpg | the heart size is mildly enlarged. the mediastinal and hilar contours are normal. note is made of a small right pleural effusion. there is no pneumothorax. no focal consolidation. pulmonary vasculature is within normal limits. | dizzy, lightheaded, fever. |
MIMIC-CXR-JPG/2.0.0/files/p16200793/s51155125/171de8be-c13641ce-8ba82113-46727fa9-b937ab45.jpg | background emphysema is unchanged. there is persistent moderate pulmonary interstitial edema. known consolidation in the superior segment of the left lower lobe is again identified. the cardiac silhouette is unchanged. there is no pleural effusion or pneumothorax. multiple left-sided rib fractures are again noted. | <unk>-year-old man with chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18147212/s51233503/02924a8c-553afbce-ae9652e4-c7f1360b-4592a086.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. increased density overlying the right chest is likely from dense costochondral cartilage. the cardiomediastinal silhouette is normal. | cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11074810/s52172731/d92f0808-ce87c32e-9c775989-784e682a-142ac98c.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is not engorged. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | subcostal pain. |
MIMIC-CXR-JPG/2.0.0/files/p15920096/s53474080/e85ef188-b1e2ee95-b444134a-31d11424-674d25ad.jpg | there is no radiographic evidence of acute, displaced rib fracture or pneumothorax. exam is somewhat limited by overlying external monitoring leads which obscure fine detail. a vague <num> cm round opacity overlying the left second anterior rib may potentially be due to a structure external to the patient and is not well localized on the lateral view. heart size is normal. aorta is tortuous. lungs are clear except for relatively symmetrical biapical scarring. | <unk> year old woman with fall, with left sided chest pain, along ribs // evaluate for abnormality |
MIMIC-CXR-JPG/2.0.0/files/p13786783/s59519892/94dfa41e-1ee9cc56-a1f4e5da-373485bf-32667ec0.jpg | ap upright and lateral views of the chest provided. the heart appears top-normal in size. streaky lower lung opacities likely represent atelectasis and bronchovascular crowding. the hila appear slightly prominent though there is no overt edema. no large effusion or pneumothorax. mediastinal contour is unchanged. bony structures are intact. cervical fusion hardware is partially visualized in the lower c-spine. | <unk>m with dyspnea, cough |
MIMIC-CXR-JPG/2.0.0/files/p16371012/s56016999/0eddb2b3-8f17a880-a643ad84-fd0155ab-e488b034.jpg | the heart size is mildly enlarged but unchanged. the aorta remains tortuous. pulmonary vasculature is normal. the hilar contours are within normal limits. no focal consolidation, pleural effusion or pneumothorax is identified. compression deformity of a mid thoracic vertebral body is new compared to <unk>. | tachycardia and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p16582727/s50787973/2d58fb54-9e9d29f4-409fab29-ddd4160b-e44e6fbb.jpg | frontal radiograph of the chest again demonstrates similar appearance of right pneumothorax without evidence of expansion or tension. otherwise, the right lung is similar in appearance and there is no other relevant change. | re-evaluate pneumothorax for evidence of expansion or tension. |
MIMIC-CXR-JPG/2.0.0/files/p18975498/s50216859/2cb5074f-744ff186-96cecc12-966539e7-f8264391.jpg | moderate cardiomegaly is unchanged. right middle lobe cavitation and right upper, middle, and lower lobe focal opacities are stable. improved trace bilateral pleural effusions. no pneumothorax. the distal tip of a left picc terminates in the region of the the superior cavoatrial junction. intact sternotomy wires and tricuspid valve replacement are unchanged. medial displacement of the gastric bubble suggests splenomegaly seen on prior ct examination. | <unk> year old woman s/p tvr // eval for pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p15886901/s57037276/8c3ce652-5fb7a459-dcf4cb40-a18d42f8-655d9007.jpg | there is a small calcified granuloma in the right upper lung field. this is of no clinical significance. there is no lung consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette and hilar structures are normal. | <unk> year old man with esrd for kidney transplant evaluation // r/o cardiopulmonary abnormalities |
MIMIC-CXR-JPG/2.0.0/files/p12828190/s59803813/34feb42a-d17b00eb-71f07c20-7b295efb-6abd98df.jpg | re-demonstrated is situs inversus. the cardiomediastinal silhouettes are stable. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. | <unk>m with chest pain, evaluate for pneumonia, effusion. |
MIMIC-CXR-JPG/2.0.0/files/p11392990/s59281534/56d5761b-be57c350-ff012c8c-3d107ac8-ca6064f1.jpg | upright portable radiograph of the chest demonstrates single-lead pacemaker in appropriate position. the patient is status post cabg. the heart is markedly enlarged and there is evidence of thickening of the minor fissure on the right as well as relatively increased density of the right and left lower lobes, with no evidence of overt pulmonary edema or interstitial fluid. no pneumothorax is present, and there is no evidence of pneumonia. | <unk>-year-old male with shortness of breath. evaluation for chf. |
MIMIC-CXR-JPG/2.0.0/files/p12598755/s52910218/a955be14-d3d8e2ad-2e4fe457-a901cb8b-9478db43.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. subsegmental atelectasis is noted in the left lower lobe. remainder the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>m with chest pain and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p11792886/s55390567/1f998495-607d9334-0e77b658-f4d9b7a7-e283b9ee.jpg | ap and lateral chest radiographs again demonstrate top normal heart size and low lung volumes. however, there is no pulmonary vascular congestion or large pleural effusion. the cardiac, hilar and mediastinal contours are normal. scattered linear scarring at the lung bases is chronic. | history of chf, presenting with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11147672/s52124235/7a53fdad-b4f09329-8c8b8b4e-84fa8d6a-56bcb845.jpg | lungs are hypoinflated. no acute infiltrates, edema, effusion or pneumothorax are seen. multiple sternotomy wires again noted. the cardio-mediastinal silhouette is unremarkable. | history: <unk>m with fall with left anterior rib pain // assess for rib fx /pneumo |
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