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MIMIC-CXR-JPG/2.0.0/files/p19201973/s52549521/2771709d-09376106-bf5ea85b-c59c88ed-25737cf8.jpg | right pectoral infusion port terminates in upper svc. mild left lung base opacity is likely due to atelectasis and overlying soft tissues. there is no pneumothorax or large pleural effusion. cardiomediastinal and hilar silhouettes are unchanged. | history: <unk>m with nhl, neutropenic on chemo w/ fever, tachycardia, abd wall rash // eval ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13542882/s57389218/74702dba-a45a225d-861ae1bd-ae4d2fe7-c95e4302.jpg | no evidence of consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. degenerative changes are noted throughout the thoracic spine. mild wedging in inferior lower thoracic spine, unchanged from prior. | <unk> year old woman with altered mental status and report of brbpr by nursing home // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11948471/s56669106/559ce0f7-1c0e89c7-2ab211fb-1c608d84-5ea69fa7.jpg | the lungs are well expanded. the opacity in the medial right lung base is decreased slightly in conspicuity in the interval, consistent with resolving abscess. a small area of consolidation is again seen in the left mid lung, unchanged from prior exam. no pleural effusions are smaller than on prior exam. there is no pneumothorax. the cardiomediastinal silhouette is stable from prior exam. endobronchial bowel is again noted in the right lung. | <unk> year old man with respiratory failure, pneumonia, now trached // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p17909181/s52383603/8697ccfa-e0950b81-6fa69145-5b4813eb-3f133af4.jpg | the lungs are hyperinflated but clear of consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with fall // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p15666511/s55232305/fc556f63-9a653a9c-a4b517ad-3b30dc9f-8fe750fc.jpg | frontal and lateral radiographs of the chest demonstrate mild right basilar atelectasis. asymmetric elevation of the right hemidiaphragm is stable. left upper extremity picc ends at the cavoatrial junction. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. a pigtail catheter projects over the right upper quadrant. | history: <unk>f with fibrolamellar hcc, biliary drain placement, with fever, nausea, abd pain // evaluate for acute process, abdominal drain placement |
MIMIC-CXR-JPG/2.0.0/files/p16136367/s53544782/7fe44b23-5097f21f-6107c834-36284192-9c04b443.jpg | the lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal. | <unk>-year-old female with cough and upper abdominal pain. pa and lateral chest radiographs |
MIMIC-CXR-JPG/2.0.0/files/p12690962/s54580883/34503bfb-69466411-7ae5f99f-b6b689a5-98d678ac.jpg | pa and lateral views of the chest provided. low lung volumes limits assessment. the heart is mildly enlarged. no edema or pneumonia. no large effusion or pneumothorax. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with sob // ? cardiomegaly, effusions |
MIMIC-CXR-JPG/2.0.0/files/p13906645/s59801108/9820b76c-9869a072-06835a63-24a950b8-14b69109.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities. | <unk>m with cp // ? effusion, pneumo |
MIMIC-CXR-JPG/2.0.0/files/p12622018/s53304240/5a44dd17-33bdb40b-1a751069-be1958ac-d3a23d0e.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | patient with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14583219/s58790598/ae354f03-73eef900-2ffd50d1-f59996f2-cd570281.jpg | frontal and lateral views of the chest. normal lungs, heart, pleura and mediastinal surfaces. | right flank pain. right lower chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12411448/s51811925/e6ae4acd-8f490313-a74e3872-cccafd20-d65f84d7.jpg | right chest wall port catheter terminates in the mid svc. again seen are numerous bilateral pulmonary masses in keeping with metastases, better characterized on the recent chest ct from <unk>. no lobar collapse, pleural effusion, or pneumothorax. | <unk> year old man with esophageal cancer and lung mets -worsening respiratory symptoms - short of breath at rest // progresion of chest disease vs infection |
MIMIC-CXR-JPG/2.0.0/files/p12226163/s50038514/4743d323-9846c09b-d8133970-c5f1637b-29306b6b.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. | <unk> year old woman with doe // r.o pneumonia, pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p16495770/s59739758/a1ff677c-5c3ebee7-fe1235a5-9cf43c6a-d7db00e2.jpg | lung volumes are slightly low which accentuates the size of the cardiac silhouette which is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>f with chest pressure and dyspnea x <num> days |
MIMIC-CXR-JPG/2.0.0/files/p12628480/s59582948/7b7e5457-0a80b8b8-858c793c-59a9d195-45393916.jpg | pa and lateral chest radiographs. there is an ill-defined opacity in the left base without clear correlate on the lateral view. otherwise there is no consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | tachycardia, hypotension. |
MIMIC-CXR-JPG/2.0.0/files/p17596014/s54331681/b62fb96e-c2271dc4-1d6906eb-8b829f17-95cd1326.jpg | the patient is status post median sternotomy, cabg surgery and coronary artery stenting. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits. the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. no acute osseous abnormality is detected. hypertrophic changes of the spine are noted. | history: <unk>m with cough, dyspnea // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12029820/s57705626/d0665a74-20dba8f8-62101a15-3553cb01-9bc999be.jpg | there is extensive hazy consolidation of the central portion of the left hemithorax that appears to involve the left upper lobe and lingula. this is better characterized by the recent ct chest performed on <unk>. the right lung is essentially clear without evidence of pneumonia, pulmonary edema or a pneumothorax. no evidence of pleural effusions. the heart is enlarged. no acute osseous abnormalities. | <unk> year old man with left pna, slow to improve // eval for other process eg pleural effusion/empyema |
MIMIC-CXR-JPG/2.0.0/files/p13206251/s52898114/3235220f-36a8c379-06fe9e8b-ef701227-560531cf.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. there is posterior fusion hardware in the mid to lower thoracic spine at the getting history level with mild anterior wedging of the thoracic vertebral body in the middle of this. | fever, dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p19593791/s58575621/5688ed29-c28c610a-2dc89d23-958c56cf-8aa261fa.jpg | single portable view of the chest. right picc is seen with tip in the lower svc. relatively low lung volumes are noted. the lungs are clear of consolidation or large effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. | <unk>-year-old male with multiple sclerosis and picc presents with mental status change. |
MIMIC-CXR-JPG/2.0.0/files/p17217213/s51487019/a130355a-1b890463-9b39c4ce-efc6f8bc-aa6fbe52.jpg | cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. elevation of the left hemidiaphragm is again noted. atelectasis at the left base is noted. no focal consolidation is present. pulmonary vasculature is within normal limits. | status post fall with fever. |
MIMIC-CXR-JPG/2.0.0/files/p18280086/s56683356/7124d673-9cece2ba-cb7054b1-ad25590e-d3ab8a5a.jpg | the cardiac, mediastinal and hilar contours appear stable. there is new confluent retrocardiac opacification with a probable small pleural effusion on. otherwise, the lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18110461/s51469635/5da4e027-18b021c3-54ba07b2-6ce65993-32daab39.jpg | the previous multifocal pulmonary opacities have resolved. there is no evidence of new pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | <unk> year old woman who had pneumonia <unk> // evaluate for resolution pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11953959/s52982034/dad93f24-f2927780-dce4065d-9ed3f00b-4846b5d3.jpg | moderately well inflated lungs. unchanged bibasilar atelectasis. worsening bilateral pleural effusions. right sided chest tube is in unchanged position. persistent subcutaneous emphysema along the right lateral chest wall. mild cardiomegaly. ekg leads overlie the chest wall. multilevel degenerative changes of the thoracic spine and spinal fixation hardware projects over the lower cervical spine. | <unk> year old woman s/p tracheoplasty and bronch yesterday with recent ptx s/p ct // interval change. please complete <unk> at <num> am |
MIMIC-CXR-JPG/2.0.0/files/p16164779/s54091385/25aad2de-c12507f0-c609a770-ab2c04df-1a210932.jpg | there is a progression of the consolidation at the lung bases, likely for pneumonia. the pleural effusion is increased especially in the right base heart profile is cancelled, but seems not enlarged aorta is dilated with calcification of aortic arch | <unk> year old man with ipf, on niv . |
MIMIC-CXR-JPG/2.0.0/files/p18043016/s58804003/a7144128-4f75f37a-471a3fbd-9b820980-14423c34.jpg | there is mild bibasilar atelectasis. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. old healed left clavicular fracture is identified. | <unk>-year-old woman with fall stent hallucinations. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17399295/s59220812/70584b48-9ca2f049-2b48d576-1b9587d1-963ba7dc.jpg | no significant interval change. right-sided pleural thickening and possible chronic pleural effusion appears stable. the cardiomediastinal silhouette is also overall unchanged with stable moderate cardiomegaly. extensive coarse calcifications in the hila and mediastinum as well as projecting over the left supraclavicular region appear similar. mild left pleural thickening is stable. mild linear atelectasis on the right is also overall unchanged. no pneumothorax or focal consolidation. no left pleural effusion. partially imaged vascular stents in the right axillary region, also seen on the prior exams. device projecting over the left lower hemithorax is unchanged. | <unk>-year-old man with l-avg failure, hx of hodgkins s/p radiation to lungs ; evaluate for acute process, fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p17808216/s55527446/067ddc5b-c8cad4ce-f4866086-3c1acfd6-e04c0c0b.jpg | heart size remains mildly enlarged. mediastinal and hilar contours are similar with atherosclerotic calcifications noted within the descending aorta. multiple clips are again noted about the right hilum compatible with prior lobectomy. calcified pleural plaques are again seen bilaterally. lungs remain hyperinflated with emphysematous changes again seen. small bilateral pleural effusions, left greater than right are re- demonstrated. moderate pulmonary edema appears worse in the interval. no pneumothorax is detected. patchy opacity in the left lung base may reflect an area of atelectasis. rib deformities on the right likely reflect postoperative changes. | history: <unk>m with hypoxia, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p13855491/s54299881/c4ca4bc3-56adf429-80528854-dd35290f-b36bf7a6.jpg | low lung volumes cause mild bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. the osseous structures and upper abdomen are unremarkable. | <unk> year old woman with shortness of breath, evaluate for abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p10282451/s56941887/75413397-61622bcc-92598451-1062cf2a-89033f52.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f w/syncope, please eval for occult pna |
MIMIC-CXR-JPG/2.0.0/files/p11098660/s51588595/f2e960dc-25113ebc-d4110fc2-167adf86-75ad9ae0.jpg | pa and lateral views of the chest demonstrate moderate cardiomegaly, unchanged. patient is status post median sternotomy and aortic valve replacement. minimal right basal atelectasis is again noted. no pleural effusion, focal consolidation or pneumothorax is demonstrated. no evidence of pulmonary edema. | <unk>-year-old man with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16997599/s55061831/ce03e563-2a5e510e-22f944cd-63724364-8141cfc1.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. bony structures are unremarkable. there has been no significant change. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16386208/s56373387/b81504e6-c94e2849-44698ac0-cfbf2201-80e7e779.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. degenerative changes are seen along the spine. | history: <unk>f with sob // sob |
MIMIC-CXR-JPG/2.0.0/files/p14295275/s54512774/06b2fee2-7d9b1a05-c45a33d9-a3ac58fa-0fab369e.jpg | frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. | syncope and fever. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15432819/s52891003/8e1d16d6-41a9de9e-75e4c387-815643cc-8bb8654e.jpg | pa and lateral chest radiographs were obtained. there is an ill-defined airspace opacity in the left upper lobe. there is no effusion or pneumothorax. opacities over both hila have increased in size since <unk>. moderate cardiomegaly has worsened since <unk>. the right hemidiaphragm remains asymmetrically about elevated over the left. calcifications of the tortuous thoracic aorta are stable. chest wall surgical clips are unchanged. | abdominal aortic stenosis cough and wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p13247319/s59106260/54d1147b-565d2641-39bc555f-2882db59-bd244ec6.jpg | the lungs are normally expanded and clear. the heart is top-normal. the mediastinal and hilar contours are normal. there is no pleural effusion, pneumothorax or pulmonary edema. rightward curvature of the thoracic spine is unchanged. | <unk> year old woman with history of ild, dchf, now with hypoxia. // eval for infiltrate, effusion or pulm congestion |
MIMIC-CXR-JPG/2.0.0/files/p15597269/s51211292/60e91b23-a8458ebc-a58235a8-d43a6779-b03a5cfb.jpg | the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | fevers. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16152239/s51744770/b048255d-94301bd1-2a64b242-771896c1-0c9002df.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with trauma |
MIMIC-CXR-JPG/2.0.0/files/p10038999/s50971552/1fa9e818-e87b1da0-a236c55f-2b940f25-eb8769bd.jpg | <num> portable view. lung volumes are low. there is hazy increased density at the lung bases likely representing pleural fluid. the retrocardiac area is not well penetrated and there is a suggestion of air bronchograms in the lower right lung. the cardiac silhouette appears large although cardiac size may be exaggerated by technical factors. mediastinal structures are otherwise unremarkable. an endotracheal tube is present and terminates approximately <num> cm above the carina. a nasogastric tube is in place and terminates well below the diaphragm, off of the bottom of the image. a no other radiopaque catheter is projected over the lower left chest, with its tip projected over the left hilus. | does this gentleman have airway space disease or pleural effusion? |
MIMIC-CXR-JPG/2.0.0/files/p19719124/s55382488/6248f440-6decc272-4144067f-ac189991-39f2afb5.jpg | frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. no osseous abnormality is identified. | hypercalcemia. evaluate for sarcoid. |
MIMIC-CXR-JPG/2.0.0/files/p17018278/s56811140/5f416a64-ab03dd7d-61d9cb3f-c6a99a31-7526db39.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. | cough for <num> month, now in afib. |
MIMIC-CXR-JPG/2.0.0/files/p13205603/s50299752/19a21440-49e7822a-50ec86a4-61c275a6-b72e4bb2.jpg | one pacemaker lead is in the right atrium and the other is in the right ventricle. mild cardiomegaly. the mediastinal and hilar contours are normal. bibasilar atelectasis is slightly improved since yesterday. no focal consolidation, pleural effusion, or pneumothorax. | <unk> year old man s/p ppm placement, subclavian access // ptx, leads |
MIMIC-CXR-JPG/2.0.0/files/p12251689/s52948637/a7f7371f-d826c10f-f30f14a3-299b4328-6029ad5e.jpg | there is no focal consolidation, pleural effusion or pneumothorax. there is a small nodular opacity overlying the ninth posterior rib on the right, which may represent a nipple. the cardiomediastinal silhouette is normal. the bones are intact. | <unk>-year-old man with chest pain, rule out infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p10183551/s54987723/ef543b24-c763c58a-b7be8027-cf39d846-3b3de53b.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 altered ms // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p13748151/s52932554/32ce911f-b5a112cf-f595b4b5-759e5c8d-e77672ba.jpg | supine portable view of the chest demonstrates normal lung volumes without pleural effusions or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. pulmonary edema has progressed since <unk> exam. the patient is status post median sternotomy. aortic and mitral valve prosthesis. | altered mental status and intracranial hemorrhage. |
MIMIC-CXR-JPG/2.0.0/files/p14019847/s53691339/a54f0262-689150e6-1812d5d0-adc3292a-3beb44dd.jpg | the lungs are better inflated on today's study with a more optimal inspiratory effort. the trachea is central. the cardiomediastinal contour is notable for enlargement of the right hilum, this is likely vascular as there is evidence of pulmonary vascular congestion on the prior study however continued attention on followup is recommended. no consolidation, pneumothorax or pleural effusion seen. the visualized bony structures are unremarkable in appearance. | <unk> year old man with new rising leukocytosis and febrile // please eval for pna, acute process |
MIMIC-CXR-JPG/2.0.0/files/p11956125/s51588563/8d78c6d8-99260c7e-767d022c-4c75bde7-f2815971.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart is normal in size and does not show any configurational abnormality. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax remain within normal limits. | <unk>-year-old female patient with diabetes mellitus type <num>, prolonged cough with upper respiratory infection that improved and now worsened again. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18694024/s54553378/60080a55-0fd8a60b-640dd3df-86f45ad6-208e94ea.jpg | et tube is <num> cm above the carina. the ng tube tip is in the stomach with the proximal port just below the ge junction. the right hemidiaphragm is mildly elevated. the patient is status post cabg with sternal wires and mediastinal clips. there is some patchy areas of alveolar infiltrate in both lower lobes. | intubation. |
MIMIC-CXR-JPG/2.0.0/files/p12778102/s53906108/1e1c4006-5cbc8631-7eef3c2c-e498816e-8776e05f.jpg | there are relatively low lung volumes. there is mild pulmonary vascular congestion. left base opacity with obscuration of the left hemidiaphragm is seen with may be due to atelectasis as well as dilatation of the descending aorta. aortic arch is calcified. cardiac silhouette is top-normal to mildly enlarged. no large pleural effusion is identified. mid lung atelectasis is seen. | history: <unk>f with pancreatitis, incr rr // eval for evolving effusion |
MIMIC-CXR-JPG/2.0.0/files/p19784489/s50475500/095cb3e7-af0bdd98-fef3a100-9bcdfe14-ab049620.jpg | within the left retrocardiac region, projecting lateral to the costochondral calcifications, there is a <num> x <num> cm radiodense structure of uncertain etiology, possibly related to summation of normal thoracic structures. the lungs are otherwise clear. the heart is top normal in size. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen. marked dextroscoliosis of the thoracic spine is noted. | altered mental status with question of intracranial hemorrhage. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11217443/s52759993/8386b742-8ffa4c75-4814c4c3-1496d9e9-2ab2a357.jpg | single ap view of the chest was reviewed. heart size is slightly larger than on the prior studies. the mediastinal contours are stable. indistinctness and fullness of the hila with increased interstitial markings is consistent with mild edema. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p19852254/s53225050/e6aa76b8-07205d9c-8138aa13-935da7cf-6b9b7eb0.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with cough, fever, pleuritic chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17524921/s54375312/3d6b30f6-a995ce6a-f9d95d65-ecc30507-b1684352.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. there are no acute fractures. | <unk>-year-old male with shortness of breath, chest pain, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12764570/s50122117/ea35d8e6-b83746b4-05ee801c-89223976-f6da82ad.jpg | portable upright view of the chest demonstrates three right-sided chest tubes. small right pneumothorax is noted, which has decreased in size since prior. there is blunting of the right costophrenic angle, suggestive of pleural effusion. right upper lung consolidation is new since prior. left lung is essentially clear. there is no left pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. the heart size is normal. there is no pulmonary edema. | patient status post right upper lobe wedge resection and decortication. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17794037/s55126741/a3e5dd62-642a34d1-8500fa9e-437870ab-128ad453.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs which are hyperinflated, without focal consolidation. a <num> mm focal area of nodularity is seen in the left lung apex and may be inflammatory, although a parenchymal nodule cannot be excluded. the bilateral hemidiaphragms are flattened. there is no pneumothorax or pleural effusion. | weakness and dizziness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15475850/s55974396/e94bf590-7f9eab85-26ca2c65-a572fe68-add44132.jpg | right internal jugular central venous catheter tip projects over the mid svc. there has been interval removal of the endotracheal and gastric tubes. unchanged retrocardiac opacity and a small left pleural effusion. minimal right basilar atelectasis. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged. | <unk> year old man with pna, now extubated // pulmonary edema lll infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12712004/s57832634/0730727d-7619d81d-c9616dd0-c1a5a762-c79553c1.jpg | pre-existing calcified nodules and pleural plaques are stable. the lungs are clear. mild hyperinflation. incidental note of an azygos fissure. heart size is normal. no pleural effusion or pneumothorax. | <unk> year old man with asthma, abpa with increased dyspnea / wheeze off steroids // eval for opacities |
MIMIC-CXR-JPG/2.0.0/files/p18916144/s50350152/27b21f78-8182d293-642894bd-d84047b5-073d8a67.jpg | a new endotracheal tube is in satisfactory position approximately <num> cm from the carina. the nasogastric tube courses below the diaphragm with the tip out of fields of view. since the prior exam, the lung volumes are lower. there is moderate pulmonary edema, which is somewhat accentuated by the lower lung volumes, though likely worsened. small pleural effusions are difficult to exclude. there is no pneumothorax. mediastinal contours appears wider, which may be due to technique. the heart size remains mildly enlarged. | evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13659033/s58770858/e29db795-99934172-3c199563-b7cd12e9-c8fb38e0.jpg | there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is eventration of left hemidiaphragm posteriorly. the aorta is slightly tortuous. the cardiac silhouette is not enlarged. | persistent cough for <num> weeks productive end no sputum. |
MIMIC-CXR-JPG/2.0.0/files/p15360405/s51700019/d1011673-bebe377f-f5b0fc7b-cbdba8c1-7e410b44.jpg | pa and lateral views of chest demonstrate clear lungs. cardiac silhouette is normal. no pleural effusion or pneumothorax. no signs of chf. incidental note is again made of the cervical left <num>st rib. right neck clips are present. | <num> month of bilateral leg swelling. |
MIMIC-CXR-JPG/2.0.0/files/p11670635/s53545880/6e63ec40-bf0eebc5-07dc02ec-a4443b3e-b5279cc1.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is borderline in size. no overt pulmonary edema is seen. | history: <unk>f with code stroke, speech changes // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15284302/s54021166/df66976b-de547de0-26ec4bc5-72a908f7-807c9d66.jpg | frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. no overt pulmonary edema. the heart size is upper limits of normal, unchanged. mediastinal silhouette and hilar contours are normal allowing for lung volumes. no acute osseous abnormality is identified. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17591232/s51998854/e7e18983-5c1b8662-07a5a322-49b6f2fd-c73c59df.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. the lingular opacity has resolved. there is no pleural effusion or pneumothorax. | hiv, history of pneumonia in <unk>, now with cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14146667/s55518483/27f1b737-af2dff06-ee03f236-a9bd27af-da599328.jpg | lungs are well-expanded and clear. cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or consolidation. the left hemidiaphragm is chronically elevated. | history: <unk>f with shortness of breath, chest pain. query acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17946855/s59299331/396bac4c-2b2a1796-64c0e59b-59b5fac5-ee4528b6.jpg | ap upright and lateral views are provided. patchy left lower lobe opacity may represent pneumonia. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. aortic arch calcifications are mild. | history: <unk>f with fever, weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12527107/s55863088/93d5d281-9f472b8e-37e18859-6fde2c73-e8647427.jpg | iabp is <num> cm below top of aortic arch. femoral swan-ganz catheter tip overlies right hilum. cardiac pacemaker. bilateral perihilar symmetric pulmonary infiltrates, with sparing of the very periphery of the lungs have mildly worsened, likely represent pulmonary edema, similar appearance can be seen with pulmonary hemorrhage or ards, infection. mildly increased heart size, accentuated by shallow inspiration, similar. | <unk> year old man with acute hypoxemia // is iabp in place - how is pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p13410885/s58166908/def9193b-54a40919-22dde416-e86ce528-826ec8b6.jpg | heart size is top normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. subsegmental atelectasis is seen in the lingula. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is seen. | history: <unk>f with chest pain/ right upper quadrant pain |
MIMIC-CXR-JPG/2.0.0/files/p19655295/s52349204/782f82d4-d14dccae-63f446d9-bbc8decf-a18992fd.jpg | there is near-complete opacification of the left hemithorax, due to atelectasis/collapse of the left lung. there is leftward deviation of the trachea, as before. the right demonstrates slight interval worsening of linear basal atelectasis. chronic right humeral head dislocation is again noted, unchanged compared to the prior study. | <unk>-year-old female with tracheomalacia and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p12740470/s50799336/21b6a5b0-e8109f30-27057e98-85e38749-c609fecc.jpg | pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. there are no pleural effusions. heart size is normal. mediastinal and hilar contours are normal. | <unk> year old man with cough, congestion, subjective fever and chills for <num> weeks with worsening symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p15002678/s54040323/49a85bba-8d0a21b3-788633fa-882f344e-cfbaf2ae.jpg | increased, moderate left pleural effusion shifts the mediastinum rightward and obscures some of the left lung base, but atelectasis if any, is secondary to, not the cause of the effusion which could be empyema, other exudate, or under the appropriate circumstances, hemothorax. mild edema is present in the left lung, but there is no appreciable right pleural effusion. cardiac silhouette is larger and a pericardial effusion might be present. | <unk>-year-old female with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17125663/s56120606/7e354622-63507123-b72dc874-05e43f8d-58fabaae.jpg | cardiomediastinal silhouette is normal. there is no focal consolidation. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality. there is a mild s-shaped scoliosis of the thoracic spine. | <unk>-year-old woman with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18173644/s51499123/2493b0b1-f3c4270a-23e70df5-4f079006-420711c9.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>f with dizziness, weakness |
MIMIC-CXR-JPG/2.0.0/files/p10288512/s55177321/457671f6-4e47659f-9e822bc2-d21ddfd9-2ef1b50f.jpg | the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable. | <unk> year old man with <num> weeks of cough post liver transplant // rule out chest infection |
MIMIC-CXR-JPG/2.0.0/files/p12349353/s56369489/759bbc0b-b9d11807-e4b7936d-fbd526f2-751aaff8.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough and altered mental status. follow adrenal crisis. |
MIMIC-CXR-JPG/2.0.0/files/p15837207/s56931352/7a2500e0-fc5a3dc3-0a938064-275890ff-165987ec.jpg | ap portable upright view of the chest. midline sternotomy wires again noted. interval removal of a right ij introducer and right picc line. calcified lymph node projects over the right mediastinal border. lungs are hyperinflated with upper lobe lucency suggesting emphysema. retrocardiac opacity persists which could represent pneumonia. there is mild interstitial prominence in lower lungs which could reflect mild interstitial edema. small bilateral pleural effusion is difficult to exclude. cardiomediastinal silhouette appears stable. bony structures are intact. | <unk>m with worsening dyspnea and cough // ?pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p17536303/s58385090/4b4b5cca-cf723cf8-45fddf87-4b685496-1756dba9.jpg | the lungs are well-expanded and clear. mild vascular congestion is slightly increased from <unk> without pulmonary edema or pleural effusion. mediastinal contours, hila, and cardiac borders are normal. left chest icd pacing device is unchanged. | <unk> year old man with cough, increased sputum production and leukocytosis. // r/o pna. |
MIMIC-CXR-JPG/2.0.0/files/p19490778/s54416652/b83d98d7-7b9fd5c4-2be7448d-e03f268a-03aecacc.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. hypertrophic changes are seen in the spine. | <unk>m with recent intermittent chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p17431640/s59726970/4d0d9430-9eedf9b5-7e58392a-1151784d-77a5fa31.jpg | opacity at the right lung apex is new compared with the <unk> radiograph and in keeping with findings on the <unk> ct scan. allowing for differences in modalities, it may have progressed compared with the with yesterday's ct scan. there is minimal atelectasis at the left base, similar to the prior film. new linear atelectasis in the left mid-zone. lungs are otherwise grossly clear. no chf or effusion detected. there is a new right-sided ij sheath in place in catheter entered follows the expected course of a swan-ganz catheter, with multiple radiopaque segments. this presumably represents the ekos catheter. the tip overlies the proximal right pulmonary artery. no pneumothorax detected. | <unk> year old woman with ekos catheter // evaluate for placement |
MIMIC-CXR-JPG/2.0.0/files/p13461731/s59184371/03191117-4ed2d873-da0be350-2ca1ac66-c7f39b3e.jpg | a moderate diffuse interstitial abnormality, more severe in the right lung than the left, is similar in appearance to the prior radiograph. the abnormality is similarly to perhaps slightly more prominent that the prior study, although this may be due to the difference in the penetration of the image. these abnormalities are likely for the most part due to the patient's underlying chronic interstitial lung disease. there is no definite evidence of pulmonary edema, although small component of new pulmonary edema cannot be fully excluded given the very abnormal underlying lung. no focal consolidation is present. no definite pleural effusions are present. there is no pneumothorax. the cardiomediastinal silhouette is normal and unchanged. | history of interstitial lung disease with shortness of breath. evaluate for pneumonia or edema. |
MIMIC-CXR-JPG/2.0.0/files/p16990362/s52384673/2584f79f-3feef994-fc5b34fe-ec5a2e2f-62e45dd3.jpg | low lung volumes are again noted. the lungs remain grossly clear. the cardiomediastinal silhouette is stable. median sternotomy wires are intact. no displaced fractures identified. | <unk>m with cough x <num> weeks // please eval for infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p16864004/s57950213/223d0283-f2edd696-22599143-0b414792-3f49cdd3.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> m w well controlled hiv w <num>wks sob, cough, malaise. ?infiltrate. // ?infiltrates, lad |
MIMIC-CXR-JPG/2.0.0/files/p15084163/s58034971/ee2fe063-6f2a1447-29cd37c6-d84fcd92-5c218df4.jpg | single portable frontal chest radiograph was performed. evaluation is limited by underpenetration from patient body habitus. streaky atelectasis seen at the left lung base is again compatible with scarring, and better evaluated on the same day ct of the abdomen. there is no pleural effusion or pneumothorax. there is mild unchanged cardiomegaly and central congestion without overt signs of pulmonary edema. the mediastinal contours are normal. right humeral orthopedic hardware is partially imaged. | wheezing and rhonchi, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14681474/s56673853/ecbd7605-7b50f9bd-f3e320d0-34a0038c-1cf7aa04.jpg | lung volumes are slightly low. the heart size is top normal with a left ventricular predominance. the mediastinal and hilar contours are within normal limits. left lower lobe opacity is concerning for pneumonia. minimal patchy opacity in the right lung base could reflect atelectasis. no definite pleural effusion or pneumothorax is seen. minimal patchy opacity is also seen within the left upper lung field. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16882192/s58134256/5cb786f2-1530c3e8-80291bb0-2038ac3d-1209ac97.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. degenerative changes are noted at the right acromioclavicular joint. | heart failure, tachycardia, dyspnea, evaluate for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p18955018/s56855749/a44f638a-6d93b85e-71764cab-13a703aa-b3dbc4d5.jpg | the moderate to large layering right pleural effusion with superimposed right lower lobe consolidation is unchanged. the left pleural effusion is decreased, now small, if present at all. the left perihilar consolidation and mild pulmonary edema have slightly improved. the right ij central venous catheter ends in the low svc in unchanged position. a pigtail catheter projects over the left upper abdomen. there is no pneumothorax. | <unk> year old woman with urosepsis, cirrhosis, worsened hypoxia and tachycardia // pneumonia, other cause for worsened hypoxia? |
MIMIC-CXR-JPG/2.0.0/files/p13748151/s57481779/4bdde0a0-e17335b1-8ba03022-dd93b310-1ccca1f5.jpg | the patient is status post mitral and aortic valve replacements. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | delirium and right thigh pain. |
MIMIC-CXR-JPG/2.0.0/files/p15216540/s56604320/33473940-ef8d8b49-b6582c79-9beea07f-45d1c6db.jpg | comparison made to <unk> unchanged position of the right chest tube. the pre-existing right basal parenchymal opacity and adjacent effusion are unchanged. the elevation of the left hemidiaphragm and the diffuse bilateral areas of parenchymal scarring, and nodularity, are constant in extent and severity. mild to moderate cardiomegaly persists. no pneumothorax. | <unk> year old woman with plural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p16883140/s56166654/ef81ab39-5e799f94-edb2f8dc-1bf1c107-7efaf950.jpg | there is mild interstitial prominence. no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is mildly enlarged. the aorta is tortuous. there is fullness along the right paratracheal stripe. | <unk>-year-old male with with history of congestive heart failure, now with cough and subjective fever. |
MIMIC-CXR-JPG/2.0.0/files/p18257430/s53111362/5a6287d7-f35abfd4-e94e982d-5f7050c9-9f09e910.jpg | ap portable upright view of the chest. patient is rotated to her right. bibasilar opacities with small right pleural effusion re- demonstrated without significant interval change from prior exam performed <num> hr earlier. no overt edema is seen. | <unk>f with dyspnea // evidence of fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p14852886/s58049650/e22d7e85-49d86bcd-51b8bca7-523d4602-a4f763c8.jpg | pa and lateral views of the chest provided. left chest wall pacer device is seen with leads extending to the region of the right atrium and right ventricle unchanged. midline sternotomy wires, mediastinal clips and a prosthetic cardiac valve again noted. the lungs are hyperinflated, lucent and clear. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is normal. bony structures appear intact. no free air is seen below the right hemidiaphragm. | <unk> year old man with dyspnea. // please evaluate for intrathoracic pathology. |
MIMIC-CXR-JPG/2.0.0/files/p17058141/s58722326/7c335f0a-7a1db1d4-12a5bd99-71e2ed9a-d1167d4c.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16086325/s50523870/6c88fdd2-1114f082-5b32bb65-7bbeb456-16a65c15.jpg | compared to the study from the prior day there is no significant interval change. | known interstitial lung disease question tube placement with. |
MIMIC-CXR-JPG/2.0.0/files/p18754895/s50791375/4f9a8315-747fbaf5-103463c9-2f6590ce-b83ee5e1.jpg | frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is persistent elevation of the right hemidiaphragm. no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. partially imaged upper abdomen is unremarkable. | dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p13960889/s53583649/d2977b9f-8c442a6b-be17f4e3-63d547b5-89c0965e.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. well-defined calcified granulomas are seen in the right upper lobe. no focal pulmonary consolidation, pleural effusion, or pneumothorax. a cardiac stent is identified. radiopaque metallic right upper quadrant clips are seen. osseous structures are unremarkable. | <unk>-year-old female with chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10441332/s55138325/6060161c-5d3f3a20-b94d23bb-f4cb6819-07ea6381.jpg | pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the heart is mildly enlarged. the mediastinum is prominent likely due to prominent mediastinal fat as seen on prior ct. prominent fat pads abut the right and left heart border. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. no convincing evidence for a congestion or edema. the imaged bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with abdominal pain // pna?sbo? |
MIMIC-CXR-JPG/2.0.0/files/p19845120/s51775918/d975282d-71f14876-5a5c26ad-0f341ffc-313e3c4a.jpg | the ng tube extends to the level of the distal esophagus. right-sided pic line terminates in the mid svc. there is a right-sided ij which terminates in the upper svc. small-to-moderate left pleural effusion is unchanged. there is no evidence of pneumothorax. please note that the right lung is only partially evaluated as parts have been cut off from this film. | history of avm status post embolization complicated by ischemic colitis, now status post hemicolectomy persistent melena. please evaluate ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18157502/s54201694/0d8ac8d3-8166ea7b-5b7ad90f-8de38b7f-85510398.jpg | lung volumes are low, resulting in bronchovascular crowding. the heart remains enlarged. the aorta is tortuous. the patient is status post median sternotomy, with intact sternotomy wires. there is no pneumothorax, pleural effusion, or consolidation. calcified nodule in the right lower lobe is again noted. | history: <unk>m with generalized weakness, head strike, fall, on coumadin // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16070047/s51219842/eed17edc-a35f03d0-2977e2a6-9e2d0333-9dc57886.jpg | a portable frontal chest radiograph demonstrates a left picc with the tip in the mid to low svc and a nasoenteric tube that likely enters the small bowel. the cardiomediastinal silhouette is normal and the lungs are clear. there is no pleural effusion or pneumothorax. | chronic tpn requirements, admitted with picc line. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p16054505/s52231674/6213e5fd-386153aa-48727d6e-7e3d0e2a-5fb09249.jpg | mild to moderate cardiomegaly is unchanged. indistinctness of the pulmonary vessels has improved. mild pulmonary congestion is present, without pulmonary edema. streaky atelectasis of the right lower lobe is new. no effusions or focal consolidation concerning for pneumonia. | <unk> year old woman with cough x <num> week, bibasaliar rhonchi. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18831735/s50036713/a6546a37-7807945c-62937fb6-07c7f722-13c64491.jpg | pa and lateral views of the chest provided. there is worsening cardiomegaly. there is substantial bilateral pulmonary edema. there is mild pleural effusions and bibasilar atelectatic changes. | <unk> year old man with dyspnea for a few weeks, worse over the past week, and crackles in lungs |
MIMIC-CXR-JPG/2.0.0/files/p17353183/s58903534/75c3fba5-4f5fb183-6d1e08a4-84cf3041-5aed618d.jpg | lung volumes are lower than prior, with increased interstitial markings. cardiomegaly is unchanged. there is a focal area of opacification in the left lateral mid lung, seen previously. there is no pleural effusion or pneumothorax. pacing wires unchanged in position, median sternotomy wires are present. right shoulder deformity unchanged. t<num> compression fracture also stable. | <unk>-year-old male with shortness of breath, evaluate for pneumonia or heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p19840392/s58206247/c4c9cecc-671c33fb-217a8932-3c261d51-0d4c8edf.jpg | the heart size, mediastinal, and hilar contours are normal.the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.no pulmonary opacity to correlate with the finding from the prior left shoulder radiograph is identified. | <unk> year old woman with "non-specific density projecting inferior to the sixth rib is likely unchanged from <unk> and likely within the scapula. however, further evaluation with chest radiograph is recommended to exclude a pulmonary opacity" . exclude a pulmonary opacity. |
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