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MIMIC-CXR-JPG/2.0.0/files/p11345788/s59015479/8cf00dc9-eab71beb-027e6642-bc3972d5-0b3cefd3.jpg | frontal and lateral views of the chest. lungs remain clear. there is no effusion, pneumothorax or pulmonary vascular congestion. the cardiomediastinal silhouette is stable, noting a tortuous thoracic aorta. no acute osseous abnormality is identified. | <unk>-year-old male with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p16299161/s53662884/94da8a1d-ba31fc64-a128ed38-dc660579-bcff9760.jpg | the cardiac, mediastinal and hilar contours are unremarkable except for aortic knob calcifications. heart size is normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are demonstrated. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17051517/s53294283/0ce5cb24-2c5faa7d-11ffd4cf-20baaef5-78cd2846.jpg | the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>f with sob // r/o chf |
MIMIC-CXR-JPG/2.0.0/files/p19157548/s54015404/bec04b4e-22a149e7-ccc8a18e-2066349b-67bd6ce0.jpg | ng tube has been repositioned and its distal portion no projection the stomach. otherwise stable appearance of the chest | <unk> year old man with ngt // ngt |
MIMIC-CXR-JPG/2.0.0/files/p17921262/s56279827/7aa60ba7-53c30547-6a026c68-30904431-71b55628.jpg | compared to the prior chest radiograph of <unk> the lung volumes have decreased. bibasilar atelectasis with presumed bronchovascular crowding noted. there is no pneumothorax or pleural effusion. the mediastinal and cardiac silhouettes are stable. a calcified right hilar lymph node and right lower lobe calcified nodule are compatible with prior granulomatous disease. there are degenerative changes throughout the lower thoracic spine. | history: <unk>m with cp // r/o pna or pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10090257/s55957078/0aa2492a-b93c7b79-62e12cbc-bff7d2a9-faa6c173.jpg | pa and lateral chest radiographs. the lungs are well expanded. peribronchial opacification in the left lower lobe is more likely due to bronchial inflammation than pneumonia. mild cardiomegaly and mediastinal and pulmonary vascular engorgement are unchanged. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p14434354/s50092101/e07a88de-58beb454-286a18d6-86bb8a0b-c7fccb6c.jpg | chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. low lung volumes causing mild vascular crowding at the lung bases, otherwise, lungs are clear. rounded opacification with air-fluid in retrocardiac space likely corresponds with moderate-to-large hiatal hernia present on the <unk> abdominal ct. | productive cough for seven weeks, no fever, positive for wheezing, please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16893819/s57311105/c890159e-ed6bcea2-d351d9e6-3db6e50d-0cbca035.jpg | re-identified is a right chest port-a-cath with distal tip overlying the low svc, as on prior. the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. the lungs are clear without evidence of focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. | <unk>f with fatigue and metastatic cancer, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15855449/s56285745/91b99d01-d20ed6c7-f199a337-a4e5bb2a-d86be79d.jpg | the cardiomediastinal and hilar contours are stable. there has been interval slight decrease in the now small right pleural effusion, and the left pleural effusion has remained stable. the bilateral perihilar pulmonary consolidations are improved, but not resolved on the current study. atelectatic changes at both lung bases are also present. | anca vasculitis with bilateral pulmonary infiltrates, assess interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10497215/s59685881/d27ab14c-21313c3a-fc010e53-caa14d51-07f5b066.jpg | the heart is top normal in size. there is tortousity of the aorta. there is a large heterogeneous opacity at the right lower lung laced with air bronchograms and partially obscuring the diaphragmatic interface. can not rule out an associated pleural effusion. apical thickening of the pleural margins is worse on the right and could be residual of prior infection. the upper lobes are otherwise essentially clear. | <unk>-year-old female patient with cough. study requested to rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18654049/s53060964/4a8ba731-88cbcd06-f6acb533-7159c274-e228d7c3.jpg | upright ap and lateral views of the chest provided. lower lung opacities on the frontal projection in the setting of markedly low lung volumes most likely represents bronchovascular crowding. no convincing sign of pneumonia, effusion or pneumothorax. heart size cannot be assessed. mediastinal contour appears grossly unremarkable. bony structures are intact. | <unk>f with dyspnea, myalgias // evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16969063/s55029920/b66b5839-6f488567-35496bbc-b81ce5dc-e94c223d.jpg | supine portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. endotracheal tube terminates <num> cm above the carina. the nasogastric tube is positioned within the stomach. mild elevation of the right hemidiaphragm. no pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. the heart size is top normal. bibasilar opacities most likely represent atelectasis. no pulmonary edema is seen. | patient with respiratory failure. assess for et tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11901535/s58174535/e0769823-0fb52f92-a963261f-5e1df2e3-e52569e3.jpg | there is opacification within the lower lung field visualized on the lateral, representing a lower lobe pneumonia. pulmonary vasculature is normal. the heart is top-normal in size. no pleural effusion. no pneumothorax. | <unk> year old woman with ili with spo<num> <unk>% ra // evaluate for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13154176/s53562145/9eee3cf0-a9c70f1f-fd9281fd-e56d1a00-b2e562e4.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with ams and pna // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10269246/s52739827/b3482555-108ccee6-5ede222f-6897bbfd-30391481.jpg | cardiomediastinal contours are normal. the lungs demonstrate a small infiltrate in the right lower lung that is new compared to the study from <unk> years ago. | <unk> year old man with hiv, well controlled, admitted with rle cellulitis, but with persistent fever despite iv antibiotics, w/u of elevated lft's reveals right pleural effusion. has chronic non-productive cough x <num> months. // eval right pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p13242049/s51509703/889e558e-68069362-cb8aef9b-5db79165-32678fd8.jpg | the lungs are clear. there is stable mammilation of the right hemidiaphragm. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable. | <unk> year old man with hx stage iiib melanoma, now <unk> mos after surgery // rule out metastatic. |
MIMIC-CXR-JPG/2.0.0/files/p17989571/s54247613/3fd2ea76-1de94445-2e8a5056-7c5dd0a3-5e426993.jpg | the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f s/p seizure // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15677375/s50487438/9d831d0f-e6ff6c8f-5ff9c67a-6c829e58-42ed192a.jpg | interval removal of previously seen right central venous catheter. moderate to large left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. interval decrease in right pleural effusion with minimal to no right pleural effusion seen currently. bilateral perihilar and right basilar opacities could be due to fluid overload although atypical infection is not excluded. | history: <unk>f with hypotension and cough // pna? cough |
MIMIC-CXR-JPG/2.0.0/files/p14291247/s53432620/013e27f6-290ac899-d190a3ae-a9013fdc-9bef0968.jpg | low lung volumes continue to accentuate the mediastinal and hilar contours. prominence of the bilateral hila could represent underlying adenopathy as also mentioned on the prior study, although may be slightly less prominent on this study than on the prior. there is no evidence of pulmonary edema, pleural effusion, pneumothorax or focal consolidation. the heart and mediastinal contours are normal. | repeat presentation to the emergency department with new chest pain, shortness of breath, unable to take full breath. evaluate for acute process including pneumothorax or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15783046/s51654476/8bbbfe0e-ee4e0e6f-4bf4771c-1a201d34-066c0408.jpg | supine portable chest radiograph was obtained. endotracheal tube is in satisfactory position in the mid trachea. nasogastric tube courses into the stomach and out of view. lungs are low in volumes with resultant bronchovascular crowding; however, more increased opacification in the left base could reflect aspiration. no pneumothorax or pleural effusion is seen. cardiomediastinal silhouette is unremarkable. | <unk>-year-old male with intoxication, providing intubation, assess ett placement. |
MIMIC-CXR-JPG/2.0.0/files/p10598108/s50274302/dd1dc49b-2a9f75fb-664b5743-9f3c5a21-40caac2d.jpg | single frontal view of the chest. endotracheal tube terminates <num> cm above the carina. ill-defined left lower lung opacity may represent aspiration or asymmetric edema. the right lung is clear. no pneumothorax or substantial pleural effusion. heart size and cardiomediastinal contours are normal. | intubation status post cardiac arrest. |
MIMIC-CXR-JPG/2.0.0/files/p18786508/s50627653/1d195e50-a3bb386d-a560ada7-cf848d9d-9acb2ab0.jpg | lung volumes are low. no focal consolidation, pleural effusion, pneumothorax. however, there is increased vague opacification at the lung bases. there is minimal perihilar atelectasis. heart and mediastinal contours are within normal limits. | <unk>-year-old male with chest pain and history of liver transplant. |
MIMIC-CXR-JPG/2.0.0/files/p13217033/s53243227/2a4dcdb3-fce548e5-916c73ae-04dff57a-6ebb3d02.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 are hyperinflated. the lungs appear clear. mild degenerative changes are similar along the mid thoracic spine. | epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p16750854/s57090220/ffb7edd6-036f8288-e480a27c-9b1c913c-a72a5f86.jpg | patient is status post median sternotomy, ascending aortic graft repair, and aortic valve replacement. heart size is normal. mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities are demonstrated. | history: <unk>f with <num> months abdominal pain, now with recent acute onset chest discomfort |
MIMIC-CXR-JPG/2.0.0/files/p18209624/s51152348/2e8d3bbc-75e90a23-82fe866f-690db79b-f9ab5858.jpg | the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with cough fever, unable tolerate po // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19160742/s56651863/83b5ffc4-49d15dac-7d1a0781-0749a853-86f188c8.jpg | the lungs are well inflated and clear. heart size mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | history: <unk>m with chest pain // pna? |
MIMIC-CXR-JPG/2.0.0/files/p15848257/s50087324/0a325830-33f45754-e9b478f1-c6a24019-273688c4.jpg | there is no focal consolidation, pleural effusion or pneumothorax. heart size is top normal, otherwise, the cardiomediastinal and hilar contours are normal. | history: <unk>f with h/o ms, optic neuriis, ? flare / precipitant // ? acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p11554445/s56509929/98be5493-ed9ba639-9a47cd5a-09724001-726bf14b.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with presyncope // eval for widened mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p15019868/s55533863/4fd792e4-c56bb8b0-bd817326-beab606c-3b243057.jpg | the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. | paresthesias and cough. |
MIMIC-CXR-JPG/2.0.0/files/p19571384/s52541110/40184355-b0f34288-b482d68d-2d2a2ff2-5223fb67.jpg | mild to moderate cardiomegaly is present. diffuse atherosclerotic calcifications are seen within the thoracic aorta. the mediastinal and hilar contours are unremarkable. mild upper zone vascular redistribution is present along with mild pulmonary vascular engorgement. no focal consolidation, pleural effusion, or pneumothorax is present. no acute osseous abnormality is clearly identified. | history: <unk>f with chf exacerbation and cough |
MIMIC-CXR-JPG/2.0.0/files/p18307935/s56353354/dc1f9f94-d1c49555-8ad8bafc-bb4e7970-442da7cd.jpg | an ng tube extends into the body of the stomach and folds back on itself with the tip pointing cranially. right-sided subclavian central catheter terminates in the right atrium. defibrillator devices are in unchanged positions. external lead wires and tubes overlying the patient limit evaluation. lung volumes are low. there is no new pulmonary opacity. pulmonary markings accentuated by the low lung volumes. | <unk>-year-old man with congenital interstitial pseudoobstruction status post resection, failed intestinal transplant, now tpn dependent s/p ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11745865/s58348917/fc786e78-44d7d9df-bb7bfe01-3c0f02be-32135a5f.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs, unchanged compared to prior exams. there is no focal consolidation, pleural effusion, or pneumothorax. mild calcification of the aortic knob is noted and unchanged. the visualized upper abdomen is unremarkable. | shortness of breath. evaluate for pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16878016/s51678542/e8e708bc-292c7987-4c3527f8-e507fc90-f4d9f52a.jpg | no significant change from the prior exam other than slight blunting of the left costophrenic angle on the prior exam that is not appreciated on today's exam. the lungs are clear, without focal consolidation or pulmonary edema. stable bilateral lung volumes. no pleural effusion or pneumothorax. the heart size is normal. cardiac and mediastinal contours and hila are unchanged. incidental old left clavicular fracture. | <unk>-year-old man presenting with wheezing. evaluate for pulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p19252302/s56568469/abc555c5-91e661e6-2cadb575-4889b417-fa44284d.jpg | the exam is limited by patient body habitus. there is no focal consolidation, pleural effusion or overt pulmonary edema. there is no pneumothorax. the heart is normal in size. | <unk>-year-old male with shortness of breath. evaluate for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p16634427/s55651085/be440933-60488054-4d2c737a-20120576-aeed1941.jpg | previously seen pulmonary edema has significantly improved, but is not completely resolved. there is minimal bibasilar atelectasis. mild cardiomegaly is decreased compared to <unk>. there are no pleural effusions. no pneumothorax is seen. the mediastinal contours are normal. | status post surgery of the right rotator cuff one week ago, now with shortness of breath and right-sided chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11873714/s52969196/5fed0e11-f109f332-c5de9fbd-fa3e6820-4ba00ad0.jpg | the heart is mildly enlarged with a left ventricular configuration. there is mild unfolding around the thoracic aorta. there is perihilar fullness and haziness with predominantly perihilar opacification and upper zone redistribution of pulmonary vascularity suggesting mild-to-moderate pulmonary edema. there is no pleural effusion or pneumothorax. | dyspnea. question congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p13382892/s51722041/3de8126c-85599150-e12551f1-e4eb7e9d-87cce7ba.jpg | when compared to prior, there has been interval progression the degree of pulmonary vascular congestion. there is blunting of the posterior costophrenic angles suggesting small effusions. enlarged cardiac silhouette is similar to prior | <unk>m with hypoxia // pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p19001252/s54022064/c695b416-3b914902-47374f65-848da5ed-e2be6d6b.jpg | cardiomediastinal and hilar contours are stable. there has been interval removal of a right internal jugular catheter. no new focal lung opacities are identified. there is no pleural effusion or pneumothorax. blunting of the left costophrenic angle is again seen. pulmonary vasculature is within normal limits. | fever, acute mental status change, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19864406/s56876827/01c11899-f13ce79f-df01518e-01f2feed-5f7f2f39.jpg | ap and lateral radiographs of the chest provided. the lungs are clear. the hilar cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. | a <unk>-year-old man with history of burkitt's lymphoma status post chemotherapy in <unk>. the patient presents with fever to <num> degrees and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18583455/s50780339/bc3ca844-0ecf310f-51446433-ca8e8650-03ef38ff.jpg | the lung volumes are slightly low. the lungs are clear. the heart is top normal in size. there are no pleural effusions. no pneumothorax is seen. the esophagus is air-filled and dilated at the level of the thoracic inlet. there is a spinal stimulator device projecting along the posterior aspect of the thoracic spine. cholecystectomy clips are noted. | cough and midepigastric pain. recent surgery. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg | left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. the heart remains moderately enlarged. dense atherosclerotic calcifications are present at the aortic knob. mediastinal and hilar contours are unchanged. rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to <num> cm. minimal patchy opacities are noted within the lung bases. no pleural effusion or pneumothorax is identified. multiple <unk> are demonstrated within the right upper quadrant of the abdomen. | shortness of breath, wheezing. |
MIMIC-CXR-JPG/2.0.0/files/p15985339/s57256039/f2b2e7fe-0562d5f8-55949267-27054098-403659bf.jpg | right-sided pleural effusion is slightly increased in size. suspected right posterior basal atelectasis. no pneumothorax. no cardiomegaly. left lung is clear. no left-sided pleural effusion. | <unk> year old man with pleural effusion after r stab wound // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p13510975/s50847194/232bf8d1-d68e938f-dfeb6429-e7af9001-19183def.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. a right internal jugular central venous catheter tip terminates in the svc. the cardiac, mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. | hypotension after code. |
MIMIC-CXR-JPG/2.0.0/files/p15070070/s58402260/4f91b106-f3f48703-81f58753-6fe5c442-d897c575.jpg | lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk> year old man with left scapula area pain worse with breathing // effusion? |
MIMIC-CXR-JPG/2.0.0/files/p12402539/s51713048/8c198361-a8afff7f-6856665d-f947003e-fced15df.jpg | there has been interval removal of the right-sided central venous catheter with repositioning of the right-sided picc line, which now terminates in the distal svc. no pneumothorax identified. there has been interval improvement in the bibasilar opacifications thought to represent a combination of atelectasis and pneumonia with overall improved aeration of the upper lungs. the cardiomediastinal and hilar contours are unremarkable. no osseous abnormality is evident. | left chest wall axillary pain, now status post left axillary wall debridement. assess picc line position. |
MIMIC-CXR-JPG/2.0.0/files/p14405225/s52276202/c18072fd-8fc55091-46439133-820eabbe-f8e1a74f.jpg | the lungs are hyperinflated. patchy bibasilar airspace opacities are noted. cardiomediastinal and hilar contours are unremarkable with mild calcification noted at the aortic knob. there is no pleural effusion or pneumothorax. | patient with cough and shortness of breath. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p16301157/s53147645/0be784f0-852ec383-8b36df82-b99115be-4de02756.jpg | <num> views of the chest demonstrates clear lungs. the hilar, mediastinal, and cardiac contours are normal. no pleural abnormality is seen. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16518377/s59700117/fc0357b0-4d3737fa-935e5edf-da9528fe-16fc366b.jpg | since <unk> the right peritracheal upper mediastinal extension of the very large goiter has not changed detectably, nor is there appreciable tracheal embarrasment. the thoracic aorta is tortuous, the heart size is top normal. there is no pulmonary vascular congestion, no edema, nor effusions nor pneumothorax. the lungs are normal volume and clear. | <unk> year old woman with chronic cough // eval for hyperinflation |
MIMIC-CXR-JPG/2.0.0/files/p13127341/s53006035/41652a46-ccbd4616-54c2cefc-c5756036-6700ae3e.jpg | cardiac silhouette size is normal. extensive in aneurysmally dilated coronary artery calcifications are re- demonstrated, compatible with a history of kawasaki disease. the aorta is tortuous, as seen previously. mediastinal and hilar contours are similar and there is no pulmonary vascular engorgement. lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities detected. | history: <unk>f with chest pain // cardiac workup |
MIMIC-CXR-JPG/2.0.0/files/p17127527/s58867698/c07ff212-e4d91538-6a329abf-ed2c868a-34d63109.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild bibasilar atelectasis is noted. the cardiomediastinal silhouette is within normal limits. | <unk>f with cp // r/o pna, effusion ptx |
MIMIC-CXR-JPG/2.0.0/files/p16852221/s51380512/9bc8c15e-3c6cc87c-6869d09e-f2a818ae-ba786cb6.jpg | there is mild interstitial pulmonary edema, which has improved slightly since yesterday evening. bilateral moderate pleural effusions with adjacent atelectasis are also slightly decreased in size. no pneumothorax. stable cardiomediastinal silhouette. the endotracheal tube, enteric tube, right pectoral pacemaker and left ij catheter are unchanged in position. | <unk> year old man with pulmonary edema // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p18859270/s53256064/50888b2a-6c882ba6-30f47417-5e70149d-e64f4490.jpg | pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. the configuration suggests a prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests the possibility of systemic hypertension. there is, however, no evidence of significant left atrial enlargement and the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly within normal limits. mildly accentuated kyphotic curvature in the thoracic spine and mild degenerative changes are noted, but no vertebral body compression is seen. there exists no prior chest examination or records available for comparison. | prolonged cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p11395424/s57354717/d3d96837-f2dd74ff-f3f14d1d-280950eb-cf006f06.jpg | semi-upright portable view of the chest demonstrates interval placement of the dobbhoff tube, which terminates in the stomach. right pic catheter tip now projects over mid svc. low lung volumes accentuate bronchovascular markings. there is perihilar vascular congestion. no appreciable pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is top normal. | altered mental status, status post dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p16557454/s51140648/2936c9b0-f5cb4d25-83b384c6-627e8cc4-b528ed15.jpg | heart size is top normal. mediastinal and hilar contours are unremarkable. new ill-defined opacities are noted within the both lower lobes and right upper lung field, likely within the superior segment of the right lower lobe. no pulmonary vascular engorgement, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10511944/s59735855/56be37bc-885d7997-1fe67fa0-b1786f46-cc154849.jpg | pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending to the level of the mid svc. midline sternotomy wires are again noted the lower most of these appears fragmented unchanged. multiple surgical clips in the mediastinum are noted. there is a nodular opacity projecting over the right lower lobe as seen on prior chest ct measuring approximately <num> x <num> cm. there is mild blunting of the cp angles on the lateral projection indicative of small pleural effusions. vague opacity in the left lower lung may represent minimal atelectasis versus pneumonia. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with cp and sob, metastatic pancreatic cancer. |
MIMIC-CXR-JPG/2.0.0/files/p12523529/s54619662/e5c1c62e-86b6ca0e-cfa9723a-7f48ea71-ed35a383.jpg | the lungs are clear without consolidation or edema. again, there is a linear opacity in the right lower lung zone, which is similar to the prior exam, and most consistent with atelectasis. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no pneumomediastinum. | anterior chest discomfort and cough, not improved with asthma inhalers. evaluate for mediastinal or hilar masses. |
MIMIC-CXR-JPG/2.0.0/files/p16603653/s54086082/f9a9714b-2ca35e1d-c32c21ee-d6f5b26f-84213801.jpg | there are somewhat low lung volumes, but the lungs are clear. there is no pleural effusion or pneumothorax. a large hiatal hernia is noted, similar to prior exams. the cardiomediastinal silhouette is mildly enlarged, similar to prior exam. | history: <unk>f with coffee ground emesis // eval for change in hernia |
MIMIC-CXR-JPG/2.0.0/files/p19005336/s50055946/4292b7fc-ac53552e-39adcf21-9a949abc-ffcb2f30.jpg | single portable view of the chest. the lungs are clear where not obscured by overlying cardiac leads and wires. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with palpitations and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16115439/s56802360/3d8f0780-70b973e4-979bce36-418a96d2-25110caf.jpg | frontal and lateral radiographs of the chest demonstrate low lung volumes. heart size is top normal with normal mediastinal and hilar contours. no pleural effusion or pneumothorax. allowing for low lung volumes, the lungs are clear. | dvt and chest pain question infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p18336565/s56519862/a7c83eaf-58e222fe-a4915350-998b5c8f-669cf68b.jpg | streaky left basilar opacity is most suggestive of atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. vertebroplasty changes in the lumbar spine are partially visualized. | <unk>m with seizure // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19118830/s53330605/dd1372f4-08dd912d-06cc6925-400d0914-ba0ac067.jpg | axial. history hypoxia. | worsening hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p18698782/s56499027/cfe3abbd-4f5626ed-68bb9520-6dac37b7-b078cc60.jpg | pa and lateral views of the chest provided. subtle lower lung opacities are suggested in the left lung base on the lateral view which could represent a very early pneumonia. otherwise the lungs are clear. no effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. | <unk>f with cp and sob // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p15214825/s56789170/b00f3704-4f9b066f-0082e94d-572afeaa-b2e7dbf0.jpg | the tip of the endotracheal tube projects over the mid thoracic trachea. a feeding tube extends below the level the diaphragms but beyond the field of view of this radiograph. there is unchanged pulmonary edema. the size the cardiac silhouette is enlarged but unchanged. | <unk> year old man s/p intubation // ett placement |
MIMIC-CXR-JPG/2.0.0/files/p14834029/s57551040/a40271d0-4a4d03df-a6bd0640-78bb7efe-43223b55.jpg | ap portable upright view of the chest. aortic valve replacement, midline sternotomy wires, and dual lead pacer appear unchanged. right hemidiaphragmatic elevation is again noted. curvilinear coarse calcifications projecting over the heart likely correspond with mitral annular calcification. the heart appears at least mildly enlarged. there is hilar congestion with probable mild interstitial pulmonary edema. no large effusion is seen. there is no pneumothorax. the imaged bony structures appear intact. | <unk>f with dyspnea and cardiac hx. |
MIMIC-CXR-JPG/2.0.0/files/p14798772/s53022212/0e96485f-97a719f3-60bc7f9c-32ade586-c086c6aa.jpg | dual-chamber pacemaker is unchanged in location. heart size is stable. lungs are relatively well aerated with no focal consolidation or pleural effusion. there are hazy interstitial markings bilaterally, which likely represent chronic scarring. no pleural effusion or pneumothorax. | <unk>m with cough and chills // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p14954732/s53597344/a45898be-7a277064-b3338345-c2044677-1b9cffa4.jpg | cardiac silhouette size is top normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. moderate size right pleural effusion is new from the previous radiograph with associated right basilar atelectasis. left lung is clear. no pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>m with shortness of breath, history of fluid // eval for fluid |
MIMIC-CXR-JPG/2.0.0/files/p12429112/s54904043/0491b20c-e69b0593-a3667493-9d0d282b-c6a379bc.jpg | frontal and lateral chest radiographs demonstrate bulky mediastinal and hilar lymph node enlargement, consistent with known metastatic lesions. a poorly defined mass in the left lower lung is also compatible with known metastatic lesion. no new focal consolidation to suggest pneumonia is identified. there is no appreciable flow pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for infiltrate in a patient with rcc metastatic to the lungs, presenting with hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p12671379/s52003151/5c79f7e7-42215546-1add0a54-234f2d16-f8751881.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 chest pain // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13789678/s51401858/552a0c78-de4f4aa9-7ef4c6a6-4ead717d-f143231f.jpg | single frontal view of the chest demonstrates the et tube ending <num> cm above the carina. a left internal jugular approach central venous catheter has tip along the mid brachiocephalic vein. the heart is top normal in size. perihilar vascular markings are prominent, suggestive of mild edema. there is retrocardiac opacity which may represent a small pleural effusion with associated atelectasis, although supervening infection cannot be excluded. there is trace atelectasis in the right base. | <unk>-year-old male presents with tachycardia and sepsis. question et tube positioning. |
MIMIC-CXR-JPG/2.0.0/files/p16086890/s58340634/5337df84-63332046-78a39d27-9decc205-64b3861e.jpg | <num> views were obtained of the chest. the lungs remain low in volume with resultant bronchovascular crowding. no focal consolidation, pleural effusion or pneumothorax is seen. mild cardiomegaly is unchanged. mediastinal width and mild aortic tortuosity are stable since <unk>. | chest pain, assess for widened mediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p11254232/s59323725/3d8a0d59-fd9c7804-f6d1cb2b-7240c85d-b49b4c9b.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no radiopaque foreign body seen. | history: <unk>f swallowed a metal pin, feels it in her throat // determine position of foreign body |
MIMIC-CXR-JPG/2.0.0/files/p12338859/s50238415/32890347-2e423663-dd6b1064-23b6507f-d433bf9a.jpg | pa and lateral chest radiograph demonstrates clear lungs bilaterally. patient is status post median sternotomy, the wires appear intact. cardiomediastinal contour is within normal limits. there is no focal opacity convincing for pneumonia. eventration of the right hemidiaphragm is noted. there is no pleural effusion or pneumothorax. note is made of significant degenerative changes without bilateral acromioclavicular joints. no acute osseous abnormality is detected. | <unk>-year-old male with dizziness. |
MIMIC-CXR-JPG/2.0.0/files/p11399502/s53680368/c20beaad-96915e62-dce4134b-01865403-c72ae869.jpg | frontal and lateral views of the chest demonstrate slightly low lung volumes accentuating bronchovascular crowding and a prominent cardiac silhouette. the mediastinal and hilar contours are within normal limits. there is no pneumothorax, vascular congestion, or large effusion. multilevel moderate thoracic spondylosis is present. | <unk>-year-old male with right rib pain. question effusion. |
MIMIC-CXR-JPG/2.0.0/files/p12614981/s57459597/45d1a0b4-fff1d259-71bf22a0-8702ed44-591fa0bb.jpg | focal opacities are seen in the right middle lobe, concerning for pneumonia. the left lung is clear. the cardiac size is normal. no pulmonary edema, pleural effusion, or pneumothorax. | <unk> year old man with cyclical fever and sweats. ct abdomen with ggo in the right lung. // r/o pna vs tb |
MIMIC-CXR-JPG/2.0.0/files/p12819022/s57484563/570fec35-aec1a281-4f5dae29-18366a3c-df0bea27.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 pain // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15854157/s54975503/08699bb2-bcbcac9f-5abfdc5f-29bd9f63-008662c8.jpg | dobbhoff tube has been repositioned, now extending below the diaphragm. the right internal jugular catheter is in unchanged position. no change in bilateral pleural effusions with associated atelectasis. there is stable cardiomegaly. no pneumothorax is present. | prolonged intubation, dobbhoff placement, evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p11150876/s50643466/fed92cfd-c387424c-f4360534-97d66b4f-2e87e3f9.jpg | there is subtle increased opacity projecting over the left lung apex overlying the clavicle and posterior left sixth rib, as on prior. there is blunting of the left lateral costophrenic angle raising possibility of small underlying effusion. retrocardiac opacity may also be due to atelectasis or infection. there is moderate cardiomegaly, unchanged. median sternotomy wires and left chest wall single lead pacing device is again noted. | <unk>f with tachy cardia // ?edema |
MIMIC-CXR-JPG/2.0.0/files/p16090831/s55315914/af978235-a3b2d9ad-16f7021b-04743d3a-24efeb98.jpg | ap portable semi upright view of the chest. an endotracheal tube is seen terminating approximately <num> cm above the carina. advancement is recommended by at least <num>-<num> cm. ng tube courses into the left upper quadrant. heart size is normal. the mediastinal contour appears slightly prominent, likely related to portable semi supine technique. lungs appear clear aside from mild lower lung atelectasis. no acute fracture. | <unk>m with head bleed, intubated at osh |
MIMIC-CXR-JPG/2.0.0/files/p15149341/s56827510/ddcb1166-f487c05c-f20beb8d-0647c19a-2092d59a.jpg | single upright view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. there is a significant amount of free air below the right hemidiaphragm as well as in the left upper abdomen. | history: <unk>f with free fluid // r/o free air |
MIMIC-CXR-JPG/2.0.0/files/p13368680/s55417038/94e95555-3e9558ec-219b52ce-30642391-e213d892.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>m with left shoulder pain // eval for injury |
MIMIC-CXR-JPG/2.0.0/files/p12018901/s55834401/35a85536-5533d1dc-f80cc836-1258eae3-248e3bb3.jpg | lines, tubes and drains have been removed. the heart is moderate-to-severely enlarged. the cardiac, mediastinal and hilar contours appear stable. diffuse opacification of each lung is most suggestive of pulmonary edema. opacification is relatively confluent at the right lung base obscuring the right hemidiaphragm, not necessarily a different process, but could be reconsidered in short-term followp-up if coinciding more focal pneumonia is a potential clinical concern. subpulmonic pleural effusions are difficult to exclude. there is no pneumothorax. | shortness of breath, confusion, congestive heart failure and end-stage renal disease. |
MIMIC-CXR-JPG/2.0.0/files/p10612095/s51868882/e315be08-4fd05a85-31e53bfb-06037396-200b9016.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable. multilevel degenerative changes are again seen in the thoracic spine without acute osseous abnormality. | <unk>m with cough // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p19901341/s57792046/8ee9829e-381f8571-ddcd17bb-b63f8364-5c3bce17.jpg | new small bilateral pleural effusions with new nodular opacity in the right lower lobe. heart size is normal. there is no pneumothorax. cholecystectomy close project in the right upper quadrant. there is no subdiaphragmatic free air. | <unk> year old woman with anorexia // eating do protocol |
MIMIC-CXR-JPG/2.0.0/files/p13971019/s51557799/5723fe2c-214c0566-5aa7128f-3d3d9c1d-678722c0.jpg | frontal and lateral chest radiographs were obtained. there is a nodule in the superior portion of the left lower lobe that is new compared to study from <unk>. no other focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. the mediastinal and hilar contours are normal. no bony abnormality is detected. | patient with questionable lymphadenopathy or lung lesion. |
MIMIC-CXR-JPG/2.0.0/files/p14421126/s51059200/314596e6-abead247-19ba35c4-c825ef7b-aeaa4cf4.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated but clear. there are small bilateral pleural effusions, which are decreased in size from the prior study on <unk> and definitely not increased in size since <unk>. there is no pneumothorax. | <unk> year old woman with effusion // effusion f/u |
MIMIC-CXR-JPG/2.0.0/files/p17182534/s54014440/22d647b3-f0d99a02-c9cf5de0-b6f0ed99-22e33612.jpg | ap upright 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 head trauma s/p fall, headache, acute lumbar pain // please eval for intraparenchymal bleed, subdural hematoma |
MIMIC-CXR-JPG/2.0.0/files/p10225793/s58951288/d5942766-637793c8-f8b8de7d-2c30943c-e17fae15.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f fatigue x<num> days please evaluate for cardiopulmonary change // <unk>f fatigue x<num> days please evaluate for cardiopulmonary change |
MIMIC-CXR-JPG/2.0.0/files/p18202111/s53357978/b0220913-eaa63ce8-e0a2eb66-709b7a39-47420274.jpg | a right upper extremity picc courses into the mid svc. small left pleural effusion is slightly larger. there is no right pleural effusion. no pneumothorax or focal airspace consolidation worrisome for pneumonia. the known pulmonary nodules, thought to be rheumatoid in nature, are partially visualized. the largest is seen in the left lobe lung and measures <num> x <num> cm, unchanged accounting for differences in technique. the known necrotic left lower lobe nodule is partially visualized through the left hemidiaphragm. there is an <num> mm nodular opacity seen in the right upper lung and a smaller, vague opacity in the left mid lung, which were not visualized on the chest ct from <unk>. the mediastinal and hilar structures are unremarkable. heart size is normal. no pulmonary edema. | anemia, chronic kidney disease and right-sided pleuritic chest pain with hypertension. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12975896/s59489916/1dc26949-7ba51841-67dc1fc9-562aaad3-659fbc76.jpg | the cardiomediastinal and hilar contours are stable. the lungs are hyperinflated, but no consolidation or pulmonary edema seen. stable bi-apical pleural parenchymal scarring is noted. there are no pleural effusions or pneumothorax. compression fractures of two lower thoracic vertebral bodies are stable. | <unk>-year-old woman with elevated inr presents with dry heave and emesis. |
MIMIC-CXR-JPG/2.0.0/files/p15244599/s57060964/a2ffa806-b647c924-f351a35b-deb41fc2-23bd50db.jpg | ap portable view of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | history of gastric bypass in <unk>. worsening volume overload. evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11496131/s53552314/35306eb4-b6ac326e-7c63522c-6b765c87-dfe885f0.jpg | the cardiomediastinal silhouette is at the upper limits of normal. pulmonary vascular congestion is prsent as well as asymmetrical perihilar opacities, right greater than left, with confluent adjacent infrahilar opacity on the right. left retrocardiac region is densely opacified. moderate left and small right pleural effusions. endotracheal tube is in the mid trachea. enteric tube with the tip in the stomach. two-lead pacemaker appears in place. mitral valve prosthesis and sternotomy wires are noted. | evaluation of patient with sepsis, status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p18007190/s57320874/567ecbbd-33b5f30f-24745f09-22b8a92c-c29296f9.jpg | the cardiomediastinal shadow is normal. no pleuropulmonary disease. no sinister bony lesions. | <unk> year old woman with fever, cough, shortness of breath // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14546527/s54961194/18439838-d406b533-8f6a576b-7e6ad05c-48ff395f.jpg | the patient is status post sternotomy, with mild cardiomegaly, without significant change. there is mild upper zone redistribution and very slight vascular plethora, not significantly changed compared with <unk>. as before, the right hemidiaphragm is elevated left hemidiaphragm is lateralized, with patchy atelectasis in the right cardiophrenic region (slightly increased) and minimal blunting of left costophrenic angle. no new or increased pleural effusion is detected. again seen is a right-sided picc line with tip overlying svc/ra junction. | <unk>m esrd/dm<num> (hd since <unk>)s/p dd renal txp p/w oliguria and cr <num> found to have hydroneprhosis of tx kidney on u/s // eval for fluid overload |
MIMIC-CXR-JPG/2.0.0/files/p12022236/s59063736/9c99d5e2-ee6cef46-8b565531-e2beaa02-7ba267af.jpg | there is a moderate left-sided pneumothorax. there is flattening of the left hemidiaphragm, bb possible subtle widening of the left rib interspaces and slight mediastinal shift to the right, raising concern for tension. there may be small amount of left pleural fluid. evidence of pneumomediastinum as also seen. subtle patchy right base opacity may be due to atelectasis. the aorta is calcified and tortuous. the cardiac silhouette is top-normal. | history: <unk>m with doe // sob |
MIMIC-CXR-JPG/2.0.0/files/p11619714/s51343572/f80e0f15-16eec6b1-0ff03cb0-cfd706bd-de977d22.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>m with cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. compared to prior, there has been no significant interval change. there is no evidence of focal consolidation. increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents. | <unk>-year-old male with cough and history of hiv. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10229029/s59143734/8cad82aa-4a626708-df109272-dab55c6c-52a8f11e.jpg | pa and lateral chest views have been obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. there is mild-to-moderate cardiac enlargement with a left ventricular contour prominence. the thoracic aorta is moderately widened and markedly elongated with some calcium deposits in the wall, but no signs of any local contour abnormality. within the heart shadow, the typical semi-lunar calcification in the mitral valve area indicative of annulus calcification. no evidence of new acute discrete pulmonary parenchymal infiltrates are seen that would suggest a pneumonia. on the other hand, there is now a mild degree of blunting of the lateral and posterior pleural sinuses as well as a more accentuated density of the major interlobar fissures suggestive of some mild degree of chronic pulmonary congestion. no evidence of pneumothorax is seen in the apical area. skeletal structures are unchanged and include an accentuated kyphotic curvature in the thoracic spine with increased depth diameter of the chest, but no conclusive evidence of any vertebral body compression fracture. | <unk>-year-old female patient with increased shortness of breath, known copd, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17832311/s53064503/15a3762d-05a5f827-298718bf-823f9979-6c149178.jpg | single portable view of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. | <unk>-year-old female with shortness of breath and cough. |
MIMIC-CXR-JPG/2.0.0/files/p19599163/s50001319/774b3e6c-107b42f2-931d33f6-14b10762-5708c6d8.jpg | pa and lateral views of the chest provided. the heart is mildly enlarged. the lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of edema or congestion. mediastinal contour is normal. bony structures are intact. | <unk>m with sob // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15859458/s54457459/eba6b830-20863ac1-a68b40e2-6c28a534-56427d84.jpg | portable frontal view of the chest demonstrates normal lung volumes. moderate cardiomegaly is noted. pulmonary vascular congestion is noted without frank pulmonary edema. no focal consolidation is seen. there is no pleural effusion or pneumothorax. partially imaged upper abdomen is unremarkable. | patient with complex tachycardia, status post cardioversion. |
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