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MIMIC-CXR-JPG/2.0.0/files/p13318093/s58546743/73ee1b95-dd93033e-63152b1f-b104b1fe-f6f44e37.jpg | single ap view of the chest provided. interval placement of a nasogastric tube extending below the diaphragm, however the distal tip is not visualized. a right picc line is unchanged. lung volumes are low. right mild pleural effusion and volume loss is unchanged. moderate cardiomegaly is unchanged. no pneumothorax. hiatal hernia is unchanged. | <unk> year old woman with etoh cirrhosis with distended abdomen, s/p colonoscopy, concern for partial obstruction // eval for ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p19740765/s50421468/0306ac7c-c253bdc2-6369216c-a70bb275-41d6509c.jpg | there is silhouetting of the left heart border which may reflect consolidation in the lingula. there is no pleural effusion, pneumothorax or no pulmonary edema. the heart size is normal. | <unk>-year-old male with fever, rigors and chills. evaluate for bronchitis. |
MIMIC-CXR-JPG/2.0.0/files/p14838477/s59633061/b9842d2a-c8427fd3-05218687-a95076f3-7241881d.jpg | the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. no focal consolidation is seen. | <unk>m with cough and sob // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p14260773/s55903210/dec07e5f-99fda707-11722aa5-ab33c359-cbe05204.jpg | previously described right lower lobe opacity is redemonstrated, more conspicuous than <unk> but less conspicuous than <unk> likely due to diuresis. residual opacity remains concerning for pneumonia. left pleural effusion has decreased from the prior study. the heart is normal in size with normal cardiomediastinal silhouette. | new right lower lobe opacity on last chest x-ray status post diuresis, assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15541773/s57619787/b8708d18-0ba6648b-c30c1717-a091b051-0b60e2ff.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 shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p13192224/s58300460/e8ee4e62-f76b09df-0160fd75-53ed5477-6f905458.jpg | frontal view of the chest demonstrates low lung volumes. the mediastinal, pleural and pulmonary structures are unchanged. there is no consolidation, pneumothorax or definite pleural effusion. again noted is interposition of the colon between the right hemidiaphragm and liver. | mental status changes, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19768190/s57642313/173de469-7f41ce5c-48af6e8e-86d959d5-8abdc9c7.jpg | the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips are noted in the left chest wall from a prior breast surgery. | chest pain and shortness of breath. evaluate for pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10295447/s53751990/64acc796-7c4da260-e3a35bff-be581d76-c3122744.jpg | mild cardiomegaly is stable. diffuse lung opacities have markedly improved residual peripheral opacities are seen in the left lower lobe. there is no pneumothorax or pleural effusion | <unk> year old woman with esrd on transplant listing s/p kidney transplant // please repeat cxr, last cxr showed multifocal alveolar and interstitial opacities in association with small bilateral pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p11312914/s56400917/beb05c22-d3ae4c7c-62ebbbfa-c3651dd7-a34b7f28.jpg | there is no consolidation, pleural effusion, vascular congestion or pneumothorax. there is mild cardiomegaly and the aorta is tortuous, unchanged. | two-three-week history of cough and inspiratory crackles at the left base, treated with antibiotics. |
MIMIC-CXR-JPG/2.0.0/files/p11673931/s58069609/646aab71-e86329f1-625b46d7-d714dd63-e5102859.jpg | prior median sternotomy and mvr. right-sided picc in the upper atrium. moderate left pleural effusion has minimally increased. very small right-sided pleural effusion. increasing mild pulmonary edema. significant retrocardiac opacity has not changed. minimal right basilar opacity also unchanged. | <unk> year old woman with s/p cabg, mvr // follow-up effusions |
MIMIC-CXR-JPG/2.0.0/files/p11637705/s51458458/dcdbaa63-ace7a7ec-8e731fe9-5ab9ab72-07f3d7ea.jpg | portable semi-upright radiograph of the chest demonstrates normal cardiomediastinal silhouette and pulmonary vasculature. the lungs are clear and mildly hyperinflated. there is no pleural effusion or pneumothorax. no definite free infradiaphragmatic air is noted. | <unk>f with tachycardia, sob, severe abd pain // eval for free air. |
MIMIC-CXR-JPG/2.0.0/files/p12305811/s53979129/39d48822-d76ca96b-3cc907f3-db9df928-a7a09d57.jpg | frontal and lateral views of the chest demonstrate low lung volumes. mild interstitial pulmonary edema is present. costophrenic angles appear blunted, suggestive of small pleural effusions. hilar and mediastinal silhouettes are unremarkable. moderate cardiomegaly appears progressed from prior study. bibasilar opacities likely represent atelectasis. degenerative joint changes involving bilateral acromioclavicular joints, right greater than left, are noted with subchondral sclerosis and heterotopic bone formation. | patient with weakness. |
MIMIC-CXR-JPG/2.0.0/files/p18839020/s51757872/596a09a9-52fa0be7-dfec8100-d072fdce-582a3c65.jpg | the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. | <unk>-year-old woman with cerebral palsy and palpitations. evaluate for pneumothorax or other chest pathology. |
MIMIC-CXR-JPG/2.0.0/files/p18014061/s54484960/0382db00-4da80d6c-0dae2310-996b11b9-eeecd275.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected. | <unk> year old man with kidney transplant here for pancreas transplant today // please assess for cardiopulmonary processes surg: <unk> (pancreas transplant) |
MIMIC-CXR-JPG/2.0.0/files/p14948329/s55960013/3886b2a7-20497134-4da91839-4ef24ae4-8948e9f5.jpg | severe consolidation right lower lobe, and extensive central adenopathy are shown to better advantage on subsequent chest cta available the time of this review. heart is normal size. | history: <unk>f with cough // evidence of pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12532271/s50115109/84c45380-6d310e94-d43124b0-554068d4-bc74c012.jpg | the heart appears mild to moderately enlarged. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. | code stroke. question aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16115563/s51715622/ecd37894-ab275417-5cdb5c22-37788679-c1966a8b.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>m with psychosis // ?cpd, ?bleed or fx |
MIMIC-CXR-JPG/2.0.0/files/p15403852/s56325006/4c9601ea-77686e0b-8b01b4a6-1bf2b055-8e0ee02c.jpg | ap portable upright view of the chest. dialysis catheter and tracheostomy tube again noted. lung volumes are low limiting assessment. there are small bilateral effusions with bibasilar opacities likely representing atelectasis. mild edema is likely present. there is no pneumothorax. overall cardiomediastinal silhouette appears grossly stable. the imaged bony structures appear intact. | <unk>m with fever // fever |
MIMIC-CXR-JPG/2.0.0/files/p18724450/s56024646/76510cbe-ad95b34d-f178a6f7-fbfbc592-6071469a.jpg | lung volumes are slightly low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormalities seen. contrast from recent ct angiogram exam is seen within the collecting systems bilaterally. | history: <unk>f with right sided weakness, being admitted for stroke workup // ? infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17546242/s59973396/3c39950b-30be2849-5c5513cf-aaf75eed-8d089893.jpg | frontal and lateral radiographs of the chest demonstrate clear lungs. no calcified granulomas or calcified lymph nodes are seen. the cardiac and mediastinal contours are normal. no pleural abnormality is seen. | positive ppd. evaluate for active disease. |
MIMIC-CXR-JPG/2.0.0/files/p18036964/s58955010/e7d08f3e-879ffce4-766383d2-7bf95464-70e5cf04.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube tip courses below the left hemidiaphragm, into the stomach, and off the inferior borders of the film. left-sided port-a-cath tip terminates in the mid svc, unchanged. mild enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. patchy opacity within the right mid lung field persists. no large pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. | history: <unk>f with post endotracheal tube placement |
MIMIC-CXR-JPG/2.0.0/files/p14356236/s56203212/0f2120fc-efe98c1d-ecf62ed4-46a46766-7dedc56f.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>f with l sided chest pain intermittently x <num> days // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p18530425/s50076727/beabde64-e9e920d1-3564e6a1-7be8a83a-375b215a.jpg | heart size is stably enlarged. the mediastinal and hilar contours are normal. there is mild fullness of the hilum with increased reticular opacities, likely due to increased pulmonary pressure. no large effusions are seen. there is no pneumothorax. a calcified nodule projects over the left lung apex, unchanged from prior exams. there are no acute osseous abnormalities. sternotomy wires and mediastinal clips are again noted. vascular calcifications are seen. | <unk>f with acute dyspnea. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17269688/s56943903/e3970678-df6f8dbc-1e5b96e5-5c059195-8b86f3e0.jpg | heart size and mediastinal contours are within normal limits. there is ill-defined predominately peribronchovascular opacity at the right lung base. left lung appears clear. no pleural effusion or pneumothorax. osseous structures appear unremarkable. | history: <unk>m with cough // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p15985181/s54370661/203da2c3-61dc66d5-0e52bd47-8b2fce56-19177b00.jpg | single frontal view of the chest demonstrates a right internal jugular approach central venous catheter with tip extending to the cavo-brachiocephalic junction. an enteric tube is in place, extending inferiorly out of view. since two days ago, there has been significant improvement of pulmonary edema, with interval decrease of pleural effusions. there is, however, persistent severe cardiomegaly. there is persistent consolidation in the left lower lobe and confluent opacity in the right upper lung, at least in part due to known underlying apical mass lesion with calcifications as correlated with prior ct. there is no pneumothorax. patient is turned slightly to the right. there is no new acute process. | <unk>-year-old male with atrial fibrillation found to have multifocal pneumonia complicated by pulmonary edema. question interval change in pulmonary edema and lung opacities. |
MIMIC-CXR-JPG/2.0.0/files/p16885312/s51540534/cf43eed5-2069bb35-5c49e7dd-be34be47-af564e69.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 woman with uncontrolled cough. // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16574411/s52081670/3bbcd9e1-eae9f546-6b7bafc4-0d5acedf-e6ed6429.jpg | compared with prior radiographs on <unk>, there has been interval improvement in opacity at the right lung base, and in aeration in left lung. there is persistent opacity in the right upper lung zone, likely reflecting pneumonia. there is no pneumothorax. cardiomediastinal silhouette is unchanged. et tube terminates <num> cm above the carina. right ij catheter and ng tube are stable in position. | <unk> year old woman with sepsis intubated, diuresing on lasix ggt // please assess for interval change |
MIMIC-CXR-JPG/2.0.0/files/p15263190/s51057077/897dda68-c75ff4b1-d4292521-236344c1-e92a5e7a.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is present. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p17869062/s53831344/abcddcaa-98a45dcc-b5e4bf12-ec5838e2-a587a4e8.jpg | the right picc line appears now to enter the right internal jugular vein and trend up into the neck where it loops on itself and turns back around, coming down to the level of the clavicle. this line is not properly placed and needs to be repositioned. ng tube is again noted but tip is not visualized. cardiomediastinal contours are stable. lung fields are clear. no significant pleural effusions and no pneumothorax. | <unk>-year-old woman with no past medical history, admitted with painless jaundice, altered mental status, evidence of infection? |
MIMIC-CXR-JPG/2.0.0/files/p16896839/s59707725/5fe20d73-a9bb40a6-51c73d7b-020dc477-ec1077e0.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | history: <unk>f with visual aura and dizziness // ? lung pathology |
MIMIC-CXR-JPG/2.0.0/files/p14187001/s59117974/7c5c8c72-2541ffc4-8233ad76-e4d555fd-fec255a9.jpg | ap portable upright view of the chest. a tracheostomy tube is appropriately positioned. a known right hilar mass is unchanged in configuration. there is no superimposed pneumothorax or focal consolidation. a small right pleural effusion is unchanged. a right-sided thoracostomy tube is unchanged in position. | <unk> year old man with lung carcionma, pna, pleural eff // monitor pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p11679259/s55236169/a2f58704-4edf6b21-eff6f84e-8935d709-fea59dc6.jpg | the lungs are hyperinflated, unchanged. no focal consolidation, pleural effusion, or pneumothorax identified. heart size is within normal limits. aortic arch calcifications and intact median sternotomy wires with mediastinal clips are unchanged. | <unk>f with hypoxia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16521649/s50383284/10dca822-bf0a509c-a2ef7b9e-31359c39-ecb1b88d.jpg | prior right picc is no longer visualized. there is no overt pulmonary edema nor large effusion, noting respiratory motion degrading the lateral view. cardiomediastinal silhouette is stable. enlarged pulmonary arteries are unchanged. no acute osseous abnormalities. surgical clips project at the thoracic inlet. | <unk>f with sob, hypoxia // pulmonary edema, pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p10827966/s57418708/b81217fa-1efc5045-0740a76a-1d7f2b1e-b9a1789a.jpg | moderate-to-severe cardiomegaly is unchanged. hilar engorgement is indicative of fluid overload along with patchy scattered increased reticulation compatible with moderate pulmonary edema. linear retrocardiac densities are similar to prior exam. there is no pleural effusion or pneumothorax. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p16022440/s57168202/4df40a8e-b9af93d4-d09e367f-0c0db335-6a3e5b78.jpg | portable upright frontal view of the chest demonstrates clear, well-expanded lungs. pleural surfaces, and mediastinal contours are normal. cardiac silhouette is mildly enlarged, although is unchanged from <unk>. pulmonary vasculature is normal. | <unk>-year-old female with chest pain and dyspnea on exertion. |
MIMIC-CXR-JPG/2.0.0/files/p14428363/s52244278/28aa0ed6-303d39f5-363ae93f-ead26003-b2145e0b.jpg | ap portable upright view of the chest. as seen on recent ct chest, there is a moderate right pleural effusion with associated compressive atelectasis of the right lower lobe. left lung remains clear. scarring in the right upper lung is unchanged. overall cardiomediastinal silhouette appears stable. chronic right and left rib cage deformities are again noted. | <unk>f with shortness of breath, hx ca and large pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14007762/s57561338/e2ceddcf-55a93736-282b3cdd-da1e3620-b9392e93.jpg | the lungs are clear. the cardiomediastinal silhouette is stable. median sternotomy wires are again noted. no acute osseous abnormalities. | <unk>m with trauma s/p fall // eval for rib fx, ptx |
MIMIC-CXR-JPG/2.0.0/files/p16449176/s53323724/db65a793-090fbabb-8fec7f1d-b771741f-2b164c67.jpg | status post sternotomy. cardiomediastinal silhouette is probably unchanged allowing for differences in technique. small left and question small right effusion, with patchy opacities at both bases, similar to the prior film. upper zone redistribution and mild vascular blurring, which may be very slightly more pronounced. no evidence of pneumothorax or air in the mediastinum. | <unk> year old man pod<num> aortic exploration // evaluate effusion |
MIMIC-CXR-JPG/2.0.0/files/p14617263/s53961208/86f76c99-40085083-41251cbb-c9372fba-840f8c28.jpg | the lungs are slightly low in volume with subtle bilateral lower lobe hazy opacities compatible with bibasilar atelectasis or early pneumonia. there is no pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is unremarkable. | history: <unk>m with cp/cough // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10220107/s54105393/2ce66017-3a418b82-c673d143-c17f9967-6ba67a1d.jpg | pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted. the heart is moderately enlarged. there is a retrocardiac opacity which is concerning for pneumonia in the left lower lobe. small bilateral pleural effusions are likely present. left mid lung linear density likely represents atelectasis. mild hilar congestion is likely present. no pneumothorax. bony structures are intact. mediastinal contour is normal. | <unk>m with sob, h/o chf |
MIMIC-CXR-JPG/2.0.0/files/p17029854/s57547451/d25377ce-a0ed896a-1849fb63-95e10381-b0f91e66.jpg | lung volumes are low which leads to bronchovascular crowding. the heart is severely enlarged without overt edema. replaced mitral valve appears in unchanged position. there is no pneumothorax. trace bilateral pleural effusions are noted. median sternotomy wires are present. | <unk>m with dyspnea, weakness, rule out acute process. |
MIMIC-CXR-JPG/2.0.0/files/p16127152/s53919055/07951be8-e90e6432-e7cb237b-03b8eb87-77b94252.jpg | frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is slightly indistinct with perihilar fullness, suggesting pulmonary vascular congestion without overt pulmonary edema. cardiac and mediastinal silhouettes are unchanged. | history of diastolic dysfunction and cad, presenting with dyspnea and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11888000/s53677067/97420eaf-c09d5a96-a1c01adf-06193c14-59d97f8a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with fever, weakness // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19966568/s58183440/7e07263e-2a2c6143-eaf95c33-4037f47f-41a5fce4.jpg | patient is status post median sternotomy. the cardiac and mediastinal silhouettes are stable with prominence of the mediastinum stable. there may be a trace left pleural effusion, but no large pleural effusion is seen. there is been improved aeration of the left lower lobe. no pneumothorax is seen. | history: <unk>m with ef <unk>%, recent pna chest pain, difficulty taking deep breath // eval for pna vs pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p12604466/s52452792/192d10ec-53acc3c5-61ac9361-4fe6e8c3-a711f83d.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. | <unk>m with pleuritic chest pain // acute process |
MIMIC-CXR-JPG/2.0.0/files/p19547030/s55353464/9b5e4998-2d854eb5-9497cc6e-f510bb5f-8d53d9d4.jpg | severe cardiomegaly is re- demonstrated along with marked tortuosity of the thoracic aorta. the mediastinal and hilar contours are unchanged and the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19746603/s56321909/df683bc9-9268195e-310c89fc-f8892086-3823f026.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. mild degenerative changes are noted in the lower thoracic spine. | history: <unk>f with pain to the right upper extremity after fall |
MIMIC-CXR-JPG/2.0.0/files/p16090439/s51356956/87da4dcb-191d7141-28d55ce7-649da6bf-4fb9c3e2.jpg | opacification of the right mid to lower hemi thorax is likely secondary to pleural effusion with compressive atelectasis. difficult to exclude underlying pneumonia or mass. followup to resolution advised. left lung is clear. heart size difficult to assess. mediastinal contour grossly unremarkable. bony structures intact. | <unk>-year-old man presenting with shortness of breath; evaluate for right pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p13189376/s51723344/9741af0a-be113111-852597dd-a9501b91-d5d39be9.jpg | pa and lateral views of the chest provided. cardiomegaly is mild. hila appear congested and there is mild interstitial edema. no focal consolidation concerning for pneumonia. no pneumothorax. bony structures appear intact. no free air below the right hemidiaphragm. | <unk>m with cough, sob. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17610236/s59768037/b896645b-8bac5c4e-a28cfa19-899b9e11-727b901a.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. patient is status post gastric lap band which appears in unchanged position. | history: <unk>f with epigastric burning and history of severe gastritis |
MIMIC-CXR-JPG/2.0.0/files/p19259650/s50635279/c3a144e4-3c504f30-e85a6972-6f851f25-1141fed9.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable. | <unk>f with <num> week cough, dyspnea // please evaluate for acute cp process |
MIMIC-CXR-JPG/2.0.0/files/p13328229/s54621628/549e183e-9342dfdd-bd33ae15-6cc11395-b84f2a4b.jpg | right lung base coalescing consolidation could represent early pneumonia. no pleural effusions or pneumothorax. the hila and pulmonary vasculature are normal. mild cardiomegaly is unchanged. mediastinal silhouette is unchanged. the thoracic spine stimulator is again seen with no complications. | <unk>-y/o female with copd and poorly-characterized respiratory disease presenting with acute on chronic dyspnea and chest pain with negative stress test and relative hypotension. // pre-vq scan |
MIMIC-CXR-JPG/2.0.0/files/p10639500/s56822969/facfe39c-b9a37254-894d4bdf-01c13301-31e1d7dd.jpg | a single lead aicd is present as is a left ventricular assist device. the tip of a right picc line projects over the mid svc and appears unchanged since the prior study. unchanged enlargement of the cardiac silhouette and dense retrocardiac opacity. no findings to suggest pulmonary edema. | <unk> year old man with picc, ports not drawing/flushing // picc placement |
MIMIC-CXR-JPG/2.0.0/files/p18828819/s53609993/46606ca4-2d78342a-201c56d3-71b905c0-e8e8ae11.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. | <unk>m with dyspnea // r/o infection r/o infection |
MIMIC-CXR-JPG/2.0.0/files/p17004281/s55348504/09dbddaa-208cf6fc-0c43d0f5-79b47062-56307539.jpg | cardiac silhouette size is borderline enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized. | history: <unk>m with tachycardia, satting mid-<unk>'s. |
MIMIC-CXR-JPG/2.0.0/files/p12665122/s56648605/16671671-b62f770e-6f6f9fcf-2bfca97f-4c05b877.jpg | lung volumes are slightly decreased since <unk>. the lungs are clear. there is no focal consolidation, effusion or pneumothorax. cardiac size is top-normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16180527/s52628363/7d039972-04a5a55c-2aaab8f5-d9f89b56-c1103680.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. there is no pneumothorax. cardiac silhouette is enlarged but stable in configuration. cardiomediastinal silhouette is otherwise unremarkable. coronary artery stent and is best seen on the lateral view. no acute osseous abnormalities detected. | <unk>-year-old female with chest pain radiating to the back status post mi <num> days ago. |
MIMIC-CXR-JPG/2.0.0/files/p18859129/s50797983/a112fece-f37b5121-0db23792-9de75b23-65f1bcea.jpg | the cardiomediastinal silhouette is stable with moderate cardiomegaly. mild to moderate pulmonary edema is seen. left subclavian central venous catheter is seen with tip projecting at the mid svc and unchanged in position. an ett is seen with the tip projecting approximately <num> cm superior to the carina. pulmonary vascular prominence is seen without evidence of pulmonary edema. no focal consolidations, pneumothorax, or pleural effusions are seen. | <unk> year old woman with sah, intubated // ? ett placement |
MIMIC-CXR-JPG/2.0.0/files/p12798053/s53694182/e0b34a9b-12238722-23b359b5-47a5b19f-17ac9eef.jpg | the patient is status post prior median sternotomy and aortic valve replacement. there has been interval removal of the right internal jugular sheath. small bilateral pleural effusions are present with subjacent atelectasis. no pneumothorax or evidence of pulmonary edema are identified. the size of the cardiac silhouette is enlarged but unchanged. | <unk> year old man s/p avr // eval for effusion |
MIMIC-CXR-JPG/2.0.0/files/p12575337/s55894188/c6611aca-da961b5e-39142676-a6e976e0-45dafdff.jpg | chronic elevation of the left hemidiaphragm is unchanged from <unk>. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unremarkable. the hilar structures are normal. a <num> mm calcified bone island of the posterior <num>th rib is unchanged. | cough and rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p15476968/s55033033/b8912f90-bee90100-8d11f2f6-6563da02-5b515d32.jpg | pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. | <unk>-year-old female with cough, fevers and chills. |
MIMIC-CXR-JPG/2.0.0/files/p19086156/s51439675/ac258852-a387ae15-ed4b6056-11bcd5f8-0a661c4e.jpg | one portable ap view of the chest. the patient is status post median sternotomy and cabg. the enlarged cardiac silhouette is stable. right perihilar/hilar opacity is unchanged since <unk>. moderate pulmonary vascular congestion is unchanged. no large pleural effusion. no pneumothorax. the right internal jugular central venous line ends in the distal svc. | right ij line placement. |
MIMIC-CXR-JPG/2.0.0/files/p18691929/s51875180/39cfd035-eaa686ae-ad6d530a-88ed80a5-b2718316.jpg | ap portable upright view of the chest. a left chest wall port-a-cath is seen with catheter tip in the region of the lower svc. there are nodular opacities in the right lung which may represent metastatic disease though clinical correlation is advised. there is suture material projecting over the left lung base and mild left basal atelectasis. there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. the cardiomediastinal silhouette appears within normal limits there is atherosclerotic calcification at the aortic knob. the imaged bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with dyspnea // acute process |
MIMIC-CXR-JPG/2.0.0/files/p12832992/s53455066/edba7a62-34996855-e546bccc-efdb714e-c9087426.jpg | the heart size is top normal. the hilar and mediastinal contours remain within normal limits. there is central vascular engorgement, without overt edema. since <unk> there is slight left volume loss with increased left retrocardiac opacity, likely reflecting atelectasis, though small consolidation at the left base cannot be excluded. moderate calcifications are again seen throughout the aortic arch. there is no pneumothorax or focal consolidation. a trace left pleural effusion is unchanged. | rising white blood count. |
MIMIC-CXR-JPG/2.0.0/files/p10449408/s50064452/21d0d71a-fef25d64-a8de279f-d69c7243-f4bb35df.jpg | portable ap chest radiograph. left picc tip and post-pyloric feeding tube are in stable position. mild interstitial edema has redistributed due to change in patient position. right hilar enlargement is unchanged from multiple priors, but concerning for lymphadenopathy. there is no pneumothorax. the heart remains mildly enlarged. | hypoxia after blood transfusion. evaluation of pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p18719369/s54007487/a8cd8798-d08a66a0-97b85311-9fd02829-89a16f70.jpg | the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with right neck mass // evaluate for infiltrate vs mass |
MIMIC-CXR-JPG/2.0.0/files/p16969063/s50020401/ab5cfe9c-f193ef66-5ab5cb58-2dab8688-211b0b44.jpg | single frontal view of the chest. lung volumes are low, exaggerating heart size, which is top normal. cardiomediastinal contours are unremarkable. undulating contours of aortic calcifications could represent an ectatic aorta. retrocardiac and right lung base linear opacities are compatible with atelectasis. indistinct appearance of the left costophrenic angle suggests a small pleural effusion. no pneumothorax. no radiopaque foreign body. | <unk>-year-old male with fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18619672/s50605041/c502fad6-5a1460c0-33a61be8-895f2500-fe404a52.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, pneumothorax. cardiac and mediastinal contours are normal. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18630754/s58828371/8ccdd220-51cd2e87-a8e11c1a-3651c562-bc95a604.jpg | rotated positioning. the patient has a large hiatal hernia and paraesophageal hernia containing stomach, colon, and peritoneal fat. this likely accounts for the opacity seen in the right mid and lower zones. the right paratracheal opacity is likely accounted for by a large right thyroid nodule. allowing for these opacities on the right, no definite superimposed infiltrate is identified. possible minimal blunting of the right costophrenic angle. no focal infiltrate or effusion detected in the left lung. there is probable background hyperinflation/copd. there is cardiomegaly. there is upper zone redistribution and very mild vascular plethora which could either relate to copd for represent early chf. | <unk> year old woman with femur fracture and new hypoxia // r/o pna, source of hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p15081052/s54062997/762c91f1-1f97a6f8-7da35f62-a8911be0-fcf8b4b8.jpg | lung volumes are reduced compared to the previous exam. the heart size is mildly enlarged, but accentuated due to the presence of low lung volumes. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures, and possible mild pulmonary vascular congestion may be present. there is no focal consolidation, pleural effusion or pneumothorax identified. patchy opacities in the lung bases are likely reflective of atelectasis. diffuse demineralization of the osseous structures is again noted. | chest pressure. |
MIMIC-CXR-JPG/2.0.0/files/p13092520/s57181194/4dc1c085-6d1d0589-09972678-2ba6d671-e396606e.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. several right-sided chronic-appearing rib fractures are noted. osseous structures are otherwise unremarkable. fusion hardware in the cervical spine is noted. | <unk>-year-old male status post cervical discectomy, presenting with bilateral lower extremity cellulitis. rule out effusion and consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p14115800/s52234010/388b8454-fc5b8067-e6f135c7-a48586c3-4af300df.jpg | clear lungs bilaterally without pleural effusion, pneumothorax. the heart size, mediastinal contour and hila are normal. no bony abnormality. | <unk>-year-old male with persistent cough, fever and chest congestion. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10765644/s54126624/e20d3b92-54c2f11b-bf51177a-0c89c975-6b646c31.jpg | left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. moderate cardiomegaly persists. right picc tip terminates within the svc. mild interstitial pulmonary edema is noted, not significantly changed from the prior exam, with continued small bilateral pleural effusions, right greater than left. no pneumothorax is identified, and no new areas of focal consolidation are demonstrated. several compression deformities within the thoracic spine are unchanged. | congestive heart failure with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11585755/s52082727/0e23343d-510d5aff-1f0b8861-e055f4bd-c559d893.jpg | postoperative changes. sternotomy, avr, tv repair. right ij catheter projected over right ventricle. chest tubes, mediastinal drains. endotracheal tube tip <num> cm above carina. enteric tube tip in the mid stomach. shallow inspiration. stable bilateral perihilar, bibasilar mild opacities. wiring projected over upper abdomen, lower chest. | <unk> year old woman s/p avr/tvrepair // eval for swan position |
MIMIC-CXR-JPG/2.0.0/files/p12688660/s51682637/66aed1a6-d6a70970-bcc23940-1ee3cc69-4d5dd3c4.jpg | the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar pleural surfaces are normal. bilateral nipple piercings are noted. | <unk>f with ms and sx concerning for acute cord compression. cxr to r/o possible infectious cause of possible ms <unk> |
MIMIC-CXR-JPG/2.0.0/files/p14494417/s59389164/4e58cb98-1bee7448-e94e171c-f7166d91-04ae7f08.jpg | frontal and lateral chest radiographs demonstrate hyperinflated lungs. heart is normal in size. tortuous aorta and calcifications along the aortic arch are relatively unchanged compared to the prior examination. mediastinal and hilar contours are otherwise unremarkable. no focal areas of consolidation. there is no pleural effusion and no pneumothorax. | <unk> year old woman with new crackles right lower side // ? fluid |
MIMIC-CXR-JPG/2.0.0/files/p13689390/s53738041/f32e79e5-5af4a999-dadfcbaa-7fcfc30f-59b3a941.jpg | lung volumes are low and exaggerate the pulmonary vascular markings. cardiomediastinal silhouette is exaggerated, but likely at the upper limits of normal. the lungs are without focal consolidation or pneumothorax. old left rib fractures are noted with no acute fractures identified. | evaluation of patient status post fall, found down. |
MIMIC-CXR-JPG/2.0.0/files/p19310285/s55960628/85d747b1-c06851c9-46da50fd-b5ffcac8-0874e5ec.jpg | the lungs are clear without focal consolidation or pleural effusion. a tiny right apical pneumothorax has decreased since <unk>. small linear atelectasis in the right mid lung. cardiac and mediastinal silhouettes and hilar contours are stable. | small right apical pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19516555/s56915887/b6137df7-f1d705b9-47aa694e-7dc777ec-1ef1852f.jpg | the lung volumes are low, accentuating the bronchovascular structures. there is vascular congestion and mild pulmonary edema, slightly worse than in the prior exam. bibasilar consolidations are not significantly changed from the prior exam, and likely represent atelectasis. the mediastinal and hilar contours are widened. the cardiac silhouette is enlarged. this is stable from prior exams. | bilateral lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p16625317/s58962153/35bd59b4-a0ed8d74-b7b24cca-7029c25f-1bcf3a1b.jpg | the inspiratory lung volumes are appropriate. the cardiac silhouette is mildly enlarged but stable. the mediastinal contours are unchanged area no infiltrate, effusion, or pneumothorax is identified. | history: <unk>f with seizure activity, r/o infection // eval for pna eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12427999/s53862346/efb08c84-67f35513-eafd8cce-0f2d0c8e-af80a619.jpg | heart size is top-normal. mediastinal contour for is unremarkable. lung volumes are low with more focal increased opacity at the right lung base. there is background of mild vascular congestion. there is no pneumothorax or large pleural effusion. | <unk>-year-old man with shortness of breath evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14811844/s52632701/83220f45-b884f663-22ebc9b0-174297a5-9f462e37.jpg | the heart appears mildly enlarged, even accounting for technique. increased opacities at the right lung base could reflect atelectasis, however in the appropriate clinical setting an early infectious process or aspiration cannot be entirely excluded. there is mild pulmonary vascular congestion. no pneumothorax is identified. | mi. evaluate for pleural effusions, pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14198487/s54120904/43a663d6-04455b31-10d2acce-403d83b8-7dec6b0a.jpg | in comparison to the chest radiograph obtained <num> hours prior, no significant changes are appreciated. an ng tube passes into the stomach and outside the field of view. previously identified mid left lung opacity is better appreciated. retrocardiac and right lower lung opacities are essentially unchanged. support lines and tubes are otherwise unchanged in position, with a right-sided picc that terminates more proximally than is standard practice near the confluence of the right subclavian and right brachiocephalic veins. | <unk> yo, intubated and sedated. septic // assess ngt placement |
MIMIC-CXR-JPG/2.0.0/files/p16538483/s55774962/b853f136-dfd5057f-f8c37739-8c4c3f45-8a88519c.jpg | the lungs are clear. there is no effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. | <unk>-year-old male with fever, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14195296/s56226236/741c9ebb-c55fcac8-79cae2ea-5b179c28-783f089e.jpg | patient is status post bilateral breast expander placement. small amount of subcutaneous emphysema is seen in the right lateral chest wall. there is a new left lower lobe infiltrate that obscures the left cardiac border. no pleural effusions or pneumothorax. the hila and mediastinum are within normal limits. no acute osseous abnormalities. | <unk> year old woman with post anesthesia exacerbation of asthma. wheezy and bringing up lots of sputum // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12976207/s53150132/ba555329-b54d8947-29b9853c-d7f90816-e8515819.jpg | a new nasogastric tube ends in the stomach. compared to the prior radiographs, performed the same day pulmonary edema has progressed from the interstitial phase to the alveolar phase. otherwise, there is no significant change in the pleural, mediastinal and cardiac structures. | <unk> year old man presents for assessment of nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p17910433/s57021156/d0867949-6afdb979-1da89188-4cd8c1cf-301b00fa.jpg | iabp terminates <num> cm below superior margin of aortic arch, has been repositioned. less apparent right pleural effusion with adjacent atelectasis. left lung is clear. otherwise no change | <unk> year old man with stemi awaiting cabg, now with new productive cough // eval for pneumonia vs pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p10373824/s50677473/7ffbd52c-3fa30212-c8c92934-508542b8-4fdf55e7.jpg | irregular thickening of the right apical pleural margin stable since at least <unk>, is of no active clinical concern. the lung volumes are large, compatible air-trapping in this patient with a known history of asthma. there is no focal consolidation,pleural effusion,pneumothorax,or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is dextroscoliosis of the thoracic spine, with moderate to severe degenerative changes normal particularly at the thoracolumbar junction. there are well healed rib fractures of the left eighth rib and the right tenth rib. | <unk> year old woman with cough, asthma exacerbation // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p15414155/s54424874/26692028-ae4ba85d-5339c3a4-9b91134d-4a2e0132.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with suicidal ideation and needs medical clearance for psych placement // please evaluate for any evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p14895934/s53077542/f15cc9a8-7698c996-f88b9dc0-b76acb0f-56c33b9a.jpg | previously noted right internal jugular line and left picc have been removed. heart is normal size and cardiomediastinal contour is notable for a tortuous thoracic aorta, unchanged. lungs are clear. there is no pleural effusion or pneumothorax. | <unk> year old man with mm s/p autolgous stem cell transplant, cough and low grade fevers // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14883021/s51096487/ee153096-5e138a44-e159239c-6ac566a2-08a63f37.jpg | an endotracheal tube is in place with the tip terminating just below the thoracic inlet, <num> cm above the carina. a left pectoral pacemaker is unchanged with a single lead terminating right ventricular apex. a small to moderate left apical pneumothorax is unchanged from the outside chest radiograph and appears opacified by apical fluid on the most recent prior study. there is interval increased opacification of the bilateral lung bases on the left greater than the right. the left lingular and basilar opacification appears complex, corresponding to complex loculated penumathoraces and adjacent parenchymal opacities better seen on the outside ct. right basilar opacification likely reflects a combination of layering pleural fluid and underlying atelectasis. the right border of the cardiac silhouette is normal in appearance. the mediastinal contours are within normal limits and unchanged. | status post left femoral embolectomy, here to evaluate for pulmonary consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg | the patient is status post mitral valve replacement and probably coronary artery bypass graft surgery. the heart is mildly enlarged. there is patchy basilar opacification suggesting a combination of atelectasis and pleural effusion. streaky left upper lobe opacity suggests minor atelectasis or scarring which is unchanged. there is no pneumothorax. no free air is demonstrated. | hypotension and dark fluid from peritoneal catheter. |
MIMIC-CXR-JPG/2.0.0/files/p10783140/s58867317/6a521f56-09315ece-b2615f12-ca2e4ff4-abace130.jpg | the lungs are clear of focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with cp, dyspnea // evidence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12345756/s51344949/27628768-d7a3abe2-49e7260d-4e3ece11-24838042.jpg | port-a-cath in place. additional tubing, catheters projected over chest. surgical clips upper abdomen. new left lower lobe consolidation, with mild left pleural effusion. new small right pleural effusion. mild interstitial prominence at the lower lungs, more apparent, likely edema. borderline heart size, more prominent, and increased since prior. mildly more prominent pulmonary vascularity. no pneumothorax. | <unk> year old woman s/p aborted distal pan with increasing o<num> requirement, productive cough // please assess for atelectasis vs consolidation |
MIMIC-CXR-JPG/2.0.0/files/p13518071/s56070634/8f88e683-f782a3c8-e97694c3-a4310553-011f1b78.jpg | dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the cardiomediastinal silhouette is stable with the cardiac silhouette mildly enlarged and the aortic calcified and tortuous. there is blunting of the bilateral costophrenic angles concerning for small bilateral pleural effusions. perihilar opacities have slightly decreased in the interval with mild residual remaining which may be due to mild edema, underlying infection not excluded. no evidence of pneumothorax is seen. | to <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p10918870/s53496889/c2bb5abd-8f320baf-4840ac9d-978eb872-77966351.jpg | no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion. | atypical chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11551769/s52246077/3bcbdd38-62d30a9d-ae077048-276b07b1-7bb39fe8.jpg | interval improvement in bilateral opacities involving the right upper lobe and left lower lobe with stable small right pleural effusion. interval removal of picc. no pneumothorax or pulmonary edema. heart size and mediastinal contour are normal. no bony abnormality. | neutropenic male with known fungal pneumonia and end-stage aml, presents with altered mental status. please assess for pneumonia progression. |
MIMIC-CXR-JPG/2.0.0/files/p18485280/s51173687/a5504be4-884b75c5-fd981821-3b10548a-dc69a416.jpg | the aorta is tortuous, similar to the prior chest radiograph. bilateral lower lobe opacities represent atelectasis. otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. multiple mediastinal clips are median sternotomy wires are related to prior cabg. | <unk>-year-old man with atrial flutter. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p11484195/s54587371/7ea3fcc5-67f441d0-1a20b032-c24d763c-e2aa2d85.jpg | ap and lateral views of the chest. the lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12949902/s51491804/7511c427-06643ab9-d3a887ff-c364ab53-ec4e71a8.jpg | the heart is borderline in size. the aorta is moderately tortuous. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. embolization coils project over the mid epigastrium. | productive cough and right basilar crackles. |
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