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MIMIC-CXR-JPG/2.0.0/files/p16607081/s54511773/5d8eb0e6-bb98d714-05c50fa9-03858863-93718bac.jpg | a small-moderate size right apical pneumothorax is again noted. no associated mediastinal shift is seen. the lungs are clear without focal consolidation or pleural effusion. the heart size is normal. a spinal stimulator device is noted. | <unk>-year-old female with right pneumothorax. evaluate size of pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14670853/s55085078/e4390555-aad279b5-22a78e56-f4a5e437-7a8db00f.jpg | patient is status post median sternotomy and mitral valve replacement. heart size remains mildly enlarged, but decreased compared to the previous study. the aorta is mildly tortuous and diffusely calcified. pulmonary vasculature is not engorged. hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities detected. | history: <unk>f with chest pain // ? infectious process, effusions |
MIMIC-CXR-JPG/2.0.0/files/p10763573/s50964437/472719b1-62e1509d-e7dc3d9b-18bc0ea0-a6e8883d.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | right upper quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p12209340/s56570011/8c239572-58e4c763-e85ed78d-e6d2ff6d-40fb5b03.jpg | pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is normal. no free intraperitoneal air identified. | <unk>-year-old female with fever and chest pain, left flank pain and pain and tenderness over transplanted kidney. |
MIMIC-CXR-JPG/2.0.0/files/p19509694/s50272962/d352c33e-87407f98-63936ce5-170ae16f-7c847b2c.jpg | the et tube ends <num> cm from the carina. the right internal jugular central venous catheter ends in the mid-to-low svc. ng tube is out of view. compared to chest radiograph from <unk>, the diffuse bilateral parenchymal opacities have worsened. there are now increased opacities at the right upper lung and more opacities including the right mid lung. compared to radiograph from <unk>, there is no significant change. the cardiac, mediastinal, and hilar contours are stable. no large pleural effusion. no pneumothorax. | pneumonia and sepsis, now intubated, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16538728/s55109613/bc3a9a2c-45d9629e-473c533e-9c64746a-e667c3f7.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. bilateral nipple shadows are visualized but the lung fields appear otherwise clear. there are no pleural effusions or pneumothorax. the stomach is mildly distended. there is no free air. bony structures are unremarkable. | abdominal pain. question obstruction. |
MIMIC-CXR-JPG/2.0.0/files/p15881375/s54987720/24db77f9-fbb59ede-846dda5a-2008ab3e-b2ebd5be.jpg | frontal and lateral views of the chest are compared to previous exam from <unk>. as on prior, extremely low lung volumes are seen. there is secondary crowding of the bronchovascular markings. there is no confluent consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. | <unk>-year-old female with tremors. |
MIMIC-CXR-JPG/2.0.0/files/p17125667/s55889784/ac0a8a54-77af947a-f858933a-560d5602-a9561011.jpg | bibasilar predominantly linear opacities favor atelectasis over infectious pneumonia. there is suggestion of mild pulmonary vascular congestion, without overt pulmonary edema. heart size is mildly enlarged. | history: <unk>f with hyperglycemia // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p16078289/s55163054/4dedbf22-146323eb-34b9dd46-87d6d391-e7dfaa27.jpg | single portable view of the chest. the lungs are clear of focal consolidation, large effusion or overt pulmonary edema. the cardiomediastinal silhouette is unchanged. atherosclerotic calcifications seen at the aortic arch. median sternotomy wires again seen. surgical clips projected over the right upper lung, new from prior. | <unk>-year-old female with history of coronary artery disease with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16824843/s55174780/e8e2d2f5-d82763e2-f50741d5-db94ed46-718022b2.jpg | a left picc is in place, with the tip terminating in the mid svc. the inspiratory lung volumes are decreased. there is no focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. | status post allogenic transplant with rsv pneumonia, here to evaluate for new infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p13638752/s51427196/7939436a-ed6adbb2-f60f5710-73aabec6-7688223e.jpg | single portable chest radiograph was provided. there are prominent interstitial markings, upper zone re-distribution, as well as central vascular engorgement, consistent with pulmonary edema. indistinctness at the left base may represent a layering effusion. the heart is enlarged. there is no pneumothorax or focal consolidation. | history of postop hypoxia. evaluate aspiration versus chf. |
MIMIC-CXR-JPG/2.0.0/files/p14511655/s52122209/b1940c86-e1bbd2d9-1c9d6ab6-e9ad1743-e9acc2b1.jpg | ap portable upright view of the chest. low lung volumes limits assessment. the lungs appear clear. no large effusion or pneumothorax. cardiomediastinal silhouette appears prominent likely in part secondary to technique. no discrete fracture identified. | <unk>f with seizure history presents after seizure at pain management |
MIMIC-CXR-JPG/2.0.0/files/p14064075/s59007882/b90b1964-b0101f28-d037ddd8-1bf302ae-3fcb53a0.jpg | pa and lateral views of chest demonstrate clear lungs. heart size is normal. aorta is slightly tortuous. there is no pulmonary edema, pneumothorax or pleural effusion. anterior flowing osteophytes are noted along the thoracic spine. | cough |
MIMIC-CXR-JPG/2.0.0/files/p14551851/s54605313/6736266f-dca436e6-63abee2b-2585c271-1c3599b9.jpg | lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13195517/s51295272/34f5d630-85aea6fd-ac85f30b-88243204-3156c4c0.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. small-to-moderate anterior osteophytes are noted anteriorly along the mid-to-lower thoracic spine. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10146033/s51778770/11ff0a1f-fbdc0dcd-69a29726-efb86389-e6ef8988.jpg | allowing for ap technique, the cardiac, mediastinal and hilar contours appear unchanged including mild unfolding of the thoracic aorta. the heart is normal in size. the lungs appear clear. there are no pleural effusions or pneumothorax. the lateral view is somewhat limited, particularly with respect to visualization of more anterior structures, because the arms are down. the osseous structures are unremarkable. | question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19577877/s55389904/42c2663e-bdcd6859-4c3b0f6b-fafbe1ff-fcf51c05.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.the patient is status post posterior spinal fusion. | history: <unk>m s/p assault with chest. // rib fractures? |
MIMIC-CXR-JPG/2.0.0/files/p16233087/s50439661/d5516c5f-5a5b7e6f-fbb73c5a-6b70eeae-de9e0c47.jpg | compared to <unk> at <num> <num>, the tip of the swan-<unk> catheter lies slightly more distal in relation to the right pulmonary artery -- clinical correlation is requested regarding positioning. otherwise, i doubt significant interval change. the et tube tip lies at the level of the mid clavicular heads. | <unk> yo male s/p mvr <unk> mm epic tissue <unk> // eval for fluid overload, hypoxic |
MIMIC-CXR-JPG/2.0.0/files/p16323000/s50919165/b9224f9e-d75cb36b-549db4aa-95e0f96a-7b04820b.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with <num> episode of near syncope this morning, another earlier this week, no cp, sob |
MIMIC-CXR-JPG/2.0.0/files/p13188963/s58859870/6331692b-6ac61731-48f5e06c-f5abc066-27ee5019.jpg | ap upright and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted. lung volumes are low. cardiomegaly is again noted. bilateral pleural effusions are noted, right greater than left. hilar congestion and mild edema is noted. there is also left perihilar and right lower lobe opacity which is slightly asymmetric which could represent a superimposed pneumonia. no pneumothorax. mediastinal contour is unchanged. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with h/o right pleural effusion p/w dyspnea // ?pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p12165269/s50739798/13baa689-8b945f4a-f1b30a71-f7a368cb-234b3b37.jpg | the patient is status post sternotomy and cabg. the sternotomy wires are intact. the cardiomediastinal silhouette is normal. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the osseous structures are unremarkable. there is no evidence of free air beneath the hemidiaphragms. atherosclerotic calcifications are noted in the aorta. | nausea and vomiting. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11480283/s58770653/fdf0095f-32812abe-686508b4-3bcc6c6d-4be38212.jpg | ap view of the chest provided. endotracheal tube terminates approximately <num> cm above the carina. compared to prior study, lungs are better aerated. moderate bibasilar atelectasis is slightly improved. there is no pneumothorax. cardiomediastinal and hilar contours are normal. nasogastric tube terminates in the stomach. | <unk> year old man s/p exlap for closed loop obstruction, dead bowel // eval ett placement |
MIMIC-CXR-JPG/2.0.0/files/p11214611/s53908103/745c9657-27b0a756-56c78b0c-0b728c39-3c1b0581.jpg | the tip of the right chest wall power injectable port-a-cath projects over the cavoatrial junction. a tracheostomy tube is present. there is a layering left pleural effusion with subjacent atelectasis. patchy airspace opacities throughout both lungs are unchanged. no pneumothorax is identified. the size appearance of the cardiac silhouette is unchanged. | <unk> year old man with te fistula, trach in place. // evidence of aspiration or focal consolidation? |
MIMIC-CXR-JPG/2.0.0/files/p12185775/s57024984/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg | right upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. however, concurrent pneumonia cannot be excluded, in the correct clinical setting. the right picc line terminates in the lower svc, and the et tube terminates <num> cm above the carina. unchanged calcified pulmonary granulomas in the left lung. no pneumothorax. stable cardiomediastinal borders. | <unk>f h/o ckd <unk> diabetic nephropathy s/p ddrt in <unk> p/w abdominal pain x<num>d, n/v, ct concerning for r-sided ?ischemic colitis vs. typhlitis now desating/sob. assess for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12462977/s58751513/a339963d-590a01d8-2e0c961c-f843941e-2a852568.jpg | when compared to recent exam, there has been mild interval clearance of the right middle lobe consolidation and increased opacity in the right hilum are again noted. the left lung is clear. cardiac silhouette is enlarged but stable. prosthetic aortic valve is again noted. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities. | <unk>m with recent dx of right sided pna // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p19565020/s53373091/90714bc4-2c61c40e-9b156f3c-66ad6140-cc0565e5.jpg | lungs are clear without any consolidation, pleural effusion or thickening, pulmonary edema or masses. the cardiac, mediastinal and hilar contours are normal without any lymphadenopathy. | <unk>-year-old man with right axillary swelling. |
MIMIC-CXR-JPG/2.0.0/files/p17331107/s51632013/927ec1ad-48ce66a0-ab3d69cd-1f1049d7-1fc9ebbd.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>f with cough, immunosuppresion // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11077309/s54243447/173d3379-6079eb3f-0846b9ab-7b34694b-f8241af8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with new a fib // acute procerss |
MIMIC-CXR-JPG/2.0.0/files/p13823173/s57288001/c8f392ae-1f30c55e-60007fd1-400cfa92-f2366724.jpg | there is a granuloma projecting over the heart on the left. otherwise the lungs are well expanded and clear. no pleural abnormality is seen. the mediastinum and hilar contours are normal. heavily calcified thyroid nodule is again seen, unchanged from prior. cardiomegaly appear stable. | <unk> year old woman with positive ppd/tst and hx cough // any sign of active or latent tb? |
MIMIC-CXR-JPG/2.0.0/files/p10240923/s51063909/69bb94b7-1e13323b-781e8c18-49bf9c49-7fd66540.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with renal cell carcinoma and malignant effusions s/p removal of a chest tube // please eval for pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p15959458/s57182358/f2b93f5f-e2091beb-adb92de4-ac556360-4d8f6bef.jpg | an endotracheal tube terminates approximately <num> cm above the carina, in appropriate location. the cardiomediastinal silhouettes are stable. the bilateral hila are obscured. diffuse opacification of the bilateral lungs is consistent with bilateral layering pleural effusions, better assessed on prior same-day ct chest. diffuse interstitial prominence with a central prominence is compatible with at least mild pulmonary edema. no focal lung consolidation is appreciated. there is no pneumothorax. | <unk>-year-old woman status post intubation, evaluate for tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p12608642/s57503001/ef3a83bd-7e4de2bf-4fb37ddd-e022e004-a4ea8c5f.jpg | large left pleural effusion is increased compared to before. right pleural effusion is small. cardiomediastinal silhouette is obscured by pleural effusion. there is almost complete collapse of the left lung, sparing left lung apex. mild pulmonary edema is noted in the right lung. massive dilated esophagus is unchanged. left upper abdomen catheter is in unchanged position. left main stem bronchus is patent but distal branches are not visualized, which may reflect bronchial impaction, possibly due to mucous. lucency under the right hemidiaphragm likely reflect a loop of colon as seen on prior ct. | <unk> year old woman with increased wbc and altered mental status episodes // ? pulmonary infection |
MIMIC-CXR-JPG/2.0.0/files/p19643415/s51104327/0a3e80cf-d9d43dd0-2a4a5d24-8eb4712a-a1b9fe39.jpg | chronic appearing right rib deformity or pleural thickening is unchanged from prior studies. a left pectoral port catheter tip terminates in the mid svc. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>m with sob, wheezing, fever on chemo, please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18870437/s56587774/96176f4b-e362cf18-aade062d-26b245fb-30050949.jpg | since prior, there has been removal of a left basilar chest tube and an endotracheal tube. there is a tiny left apical pneumothorax. lung volumes remain low which accentuates the cardiomediastinal silhouette. left basilar atelectasis has increased. right ij central catheter ends in the mid svc. | <unk> year old man post cabg with chest tube removal, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13525358/s59934369/bdb2077a-36ddcf00-fd0d2436-5c8dee4d-52fa3b78.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with numbness // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19576807/s58663276/7457575f-c689235c-3d745f91-d31998ed-2f8b5b8a.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube tip courses below the left hemidiaphragm, into the stomach, with tip projecting off the inferior borders of the film. the heart size is normal. the mediastinal and hilar contours are unremarkable. a deep left sulcus is noted concerning for a pneumothorax. no mediastinal shift is evident. the pulmonary vascularity is not engorged. streaky bibasilar airspace opacities likely reflect atelectasis. no large pleural effusion is identified. there are no acute osseous abnormalities. | intubated. |
MIMIC-CXR-JPG/2.0.0/files/p15532986/s53196313/684e0e26-e07579f2-678f9faa-1f60c2b5-af26aa1a.jpg | cardiac silhouette size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. clips in right upper quadrant indicate prior cholecystectomy. left neck clips indicate prior parathyroid surgery. | history: <unk>f with <num>-day history of cough // rule out pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18050451/s50297385/edd40ba4-9850b73e-0a73d1d9-7b5b4e94-ca4b5438.jpg | postoperative changes are again seen in the right hemi thorax with volume loss superior retraction of the hilum and surgical chain sutures. known necrotic mass in the right paramediastinal region was better assessed by recent ct scan as was the spiculated opacity at the right lung base with a fiducial marker. the left lung remains clear. no acute osseous abnormalities. surgical clips are again noted. | <unk>f with metastatic lung cancer here w/ nausea // pna? |
MIMIC-CXR-JPG/2.0.0/files/p17970081/s55641625/55f91266-5116c21b-dc91a138-8b9a285b-28531f1f.jpg | pa and lateral views of the chest demonstrate persistent slight apical pleural thickening bilaterally. otherwise, the lungs are grossly clear with no evidence of focal consolidation, no pleural effusion and no evidence of pneumothorax. the cardiomediastinal silhouette is normal. | <unk>-year-old female with left shoulder/left chest pain. evaluation for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10088198/s59707692/3f0b2fca-4067e134-7f5a98e5-1a7c7575-48d136e4.jpg | single portable ap chest radiograph was provided. there is prominence of the upper zone vessels, compatible with pulmonary congestion, increased since the recent prior exam. again seen are layering moderate-sized bilateral pleural effusions with associated compressive atelectasis. nodular opacities in the right apex are unchanged. median sternotomy wires are intact. | history of cabg with acute onset shortness of breath and hypoxia. evaluate for infiltrate, edema or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13210276/s59463639/9cfa3e43-5a1ef9e9-1df030cd-bc293909-de810894.jpg | lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f w/ chest pain and upper back pain. eval for cardiopulm change |
MIMIC-CXR-JPG/2.0.0/files/p13275939/s51576583/560e120d-cf201826-b62a7106-04502ed7-90470119.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. a small nodule projects over anterior left fourth rib, potentially calcified nodule versus bone island within the rib and is unchanged from prior. extreme lung apices are excluded from the field of view. there is no effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with palpitations and left-sided headache. |
MIMIC-CXR-JPG/2.0.0/files/p10224486/s59970716/7b6e2260-30f4f9c2-48afd1ff-735cf1f9-39c0cb24.jpg | there mild bibasilar opacities. superiorly, the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. | <unk>m with ha // ich, cva |
MIMIC-CXR-JPG/2.0.0/files/p11818101/s59867848/fc060031-0e42990b-e1dd51a2-091a3066-fa73dfcd.jpg | pacemaker leads are in expected position in the right atrium and right ventricle. the lungs are normally. there is scarring or atelectasis at the left costophrenic sulcus. the heart is mildly enlarged, unchanged. there is no pleural effusion or pneumothorax. | history: <unk>m with chest pain and cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13935961/s52776733/22d50f32-20963dd1-c3097ae0-137e9512-cd7a7963.jpg | <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p14376423/s59374113/d6fa6b1b-8051a1aa-6a990e9e-c5738a99-03ce23cd.jpg | the lungs are clear; the previous pulmonary edema has resolved. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | <unk> year old woman with morgagni hernia, s/p lap diaphragmatic repair // eval for post-op changes |
MIMIC-CXR-JPG/2.0.0/files/p18313404/s59397093/67c40c38-e6ca5840-49300023-f9274b1c-eb1b7b87.jpg | the lungs appear somewhat better aerated, particularly the lingula. otherwise, there has been no significant change. | new wheezing while receiving blood transfusion. |
MIMIC-CXR-JPG/2.0.0/files/p17163650/s57707384/8e386374-248984b8-a9aded37-d4c85238-d7baea40.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear. there is no pleural effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. | <unk>-year-old female with chest pain. question chf. |
MIMIC-CXR-JPG/2.0.0/files/p16403658/s58951552/56c2c642-1c4700c0-af561a22-591f08f7-517ee447.jpg | the lung volumes are low. there are new or enlarging bilateral small layering pleural effusions. diffuse mild prominence of interstitial markings compatible with mild interstitial edema. mild cardiomegaly. right-sided chest tube is in unchanged position. enteric tube traverses below the diaphragm with the distal tip terminating in the proximal stomach. an epidural catheter projects over the midline thoracic spine. subcutaneous emphysema is again noted in the right neck. | <unk>f w/ h/o esophagectomy <unk> c/b esophagogastric anastomotic stricture now s/p anastomosis revision // interval change. complete <unk> at <num> am |
MIMIC-CXR-JPG/2.0.0/files/p12576401/s51830569/830bd9dd-50be81f3-fb1fe1de-2601ada7-0ed83b75.jpg | the lungs are well expanded, without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. interval removal of right sided picc. known esophageal stent barely seen. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14892584/s52667526/2a843eee-fb0fdbc3-f7d369cb-18fc2845-cd725f5a.jpg | pa and lateral views of the chest. the lungs are essentially clear. nodular opacities projecting over the lower lungs bilaterally on the frontal view are most suggestive of nipple shadows. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. minor atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormality detected. | <unk>-year-old female with copd with worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p11657251/s51508920/52f000cb-6490ad5d-dfa2e234-d1a34105-1ff09ddb.jpg | portable ap view of the chest. sternotomy wires and mediastinal clips are seen. enteric tube ends off the inferior portion of the image. a right internal jugular central venous line ends in the mid svc. right lower lung opacity with air bronchograms consistent with pneumonia is again seen and unchanged. patchy opacities in the left lower lung also likely represent infection or aspiration. the endotracheal tube ends <num> cm from the carina. no pneumothorax. the lungs are hyperexpanded which may indicate emphysema. | pneumonia and sepsis. |
MIMIC-CXR-JPG/2.0.0/files/p10507090/s54259659/0c823e53-e95b49e9-e8146e7b-146c8fed-408d556a.jpg | pa and lateral views of the chest. there is a large right-sided pneumothorax with essentially complete collapse of the right lung. there is hyperexpansion of the right thoracic cavity with increased intercostal distance and leftward shift of the mediastinum. the left lung is clear. no acute osseous abnormality detected. | <unk>-year-old male with a pneumothorax at outside hospital. |
MIMIC-CXR-JPG/2.0.0/files/p12128863/s53923692/d848ceda-2821fe30-8c50c889-bdbc998a-c6dc321b.jpg | a portable semi-upright ap chest radiograph excludes the lung apices. all lobes remain aerated, with some left retrocardiac consolidation persisting. the tip of the intra-aortic balloon pump projects slightly higher than seen on the study from an hour and a half earlier, now approximately <num> cm below the aortic arch. swan-ganz catheter tip extending from right internal jugular vein is directed towards the right main pulmonary outflow tract. the tip of the nasogastric tube is only just below the gastroesophageal junction and could be advanced. chest tubes appear in unchanged position. the tip of what appears to be an endotracheal tube is just included in the view of the film and also appears unchanged compared to the earlier study. | <unk>-year-old man status post cabg with intra-aortic balloon pump placement. |
MIMIC-CXR-JPG/2.0.0/files/p19621765/s50588811/8b891db9-df843e2c-42a7d776-907ce41a-6d829f15.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. atherosclerotic calcifications are noted along the aortic arch. the cardiac silhouette is normal. there is no free air below the hemidiaphragms. | pain after a colonoscopy. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p19149202/s53153550/4db9255c-28fc8ed4-1ecef7b5-0f8aad79-72f12afe.jpg | bilateral lower lobe right greater than left hazy opacities are visualize that are similar in extent compared to the ct from the prior day that showed ground-glass opacities in these regions. the upper lungs are relatively clear. there is no pleural effusion or pneumothorax | <unk> year old man with inc o<num> requirement // inc o<num> requirement |
MIMIC-CXR-JPG/2.0.0/files/p13950979/s52785678/c83ce34a-75091fd3-eb2d52b4-05327e34-d0ece6bf.jpg | the patient is status post median sternotomy and mitral valve replacement. stable cardiomegaly and tortuosity of the thoracic aorta. pacing leads are unchanged in position. lungs are hyperinflated but grossly clear except for an unchanged calcified granuloma in the right mid lung. multiple bilateral healed rib fractures with adjacent pleural thickening appears similar to the prior radiograph. | <unk> year old man with h/o copd, chf // recent copd flare and now with feeling that breathing is difficult |
MIMIC-CXR-JPG/2.0.0/files/p16268506/s52005976/4757c626-e14712fc-4ae4e1dc-96b9c573-f24a740a.jpg | this study is limited due to patient positioning. an endotracheal tube is noted in the lower trachea. a left internal jugular central venous catheter is noted with the tip at the mid svc. an enteric tube traverses with the side-hole at the gastroesophageal junction. evaluation of lung parenchyma and mediastinum is limited due to patient positioning. the right mediastinum and paramediastinal area are abnormal with increased opacities of unknown chronicity. additionally, there is evidence of mild pulmonary edema. no acute fractures are identified. | intubated at outside hospital with stroke. |
MIMIC-CXR-JPG/2.0.0/files/p18139850/s51518018/0861b548-bce55306-48dedaa5-77a3b194-4ba4a2ca.jpg | a pacer unit projects in the left upper chest with leads in the right atrium and right ventricle. post-cabg changes are present. the cardiomediastinal contours are unchanged compared to prior exam. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16086282/s57686155/a0937bef-91661da9-2a295f62-a94357ee-0478769d.jpg | pa and lateral views of the chest provided. as compared with the prior ct exam, there is little interval change. there is elevation of the left hemidiaphragm with near complete opacification of the left hemi thorax compatible. right lung remains clear. bony structures appear intact. clips noted in the right upper quadrant. | <unk>m with non small cell lung ca, now herpes zoster and fever // eval for acute process, progression of lung ca |
MIMIC-CXR-JPG/2.0.0/files/p18383611/s55034767/58238258-1f58deb4-b62ef188-40c378a1-94b0ead9.jpg | the patient is status post sternotomy. a three-lead pacemaker/icd device is in place with leads terminating in the right atrium, right ventricle and coronary sinus, respectively. the main pulmonary artery contour is mild-to-moderately enlarged. calcifications are noted along the aortic arch. moderate relative elevation of the right hemidiaphragm is present. there are streaky linear opacities in the left lower lobe, which are not entirely specific, but could be seen with atelectasis. patchy medial right basilar opacity in association with elevation of the right hemidiaphragm is suggestive of atelectasis. a few probably colonic air-fluid levels are noted in the upper abdomen. | dyspnea. history of elevated hemidiaphragm and recent aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17277522/s55448283/e89a96ba-8b68405f-341db680-5b55f501-4c18a25c.jpg | the lungs are well expanded. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are identified. | history: <unk>m with fever // please eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13325402/s50902602/3988426e-01e27ae1-137dbce7-454a9e42-b800a938.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with dyspnea // pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p14161696/s56330465/286238f6-82ddcfd2-edb6eb40-505407a9-c57c1f49.jpg | previously identified well-circumscribed opacity at the right lung base medially is partially obscured by the heart but still visualized. lower lung volumes are identified on the current exam. increased opacity projects over the left hemi thorax potentially due to parenchymal opacities, potentially in part atelectasis given lower lung volumes. right upper lung opacity is also new since prior. there are old healed right lateral rib fractures. increased opacity projecting along the right lateral chest and right lung base could due to pleural thickening and/or effusion. cardiac silhouette is difficult to assess. and accentuated by low lung volumes. | <unk>f with cough // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10384987/s53741303/51d36fce-5cdd84ed-cd717473-a6e22585-f6c43ae6.jpg | compared with the prior film, no obvious change is detected involving the right lung. again seen is a right chest tube, with some stable blunting of the right costophrenic angle and overall decreased size of the right chest, with multiple rib fractures again noted. no obvious pneumothorax is identified. markings in the right chest are similar to the prior film, without frank, focal consolidation. there is a small left effusion, which is slight increased compared with the prior film, and minimal atelectasis at the left lung base, similar to the prior film. the cardiomediastinal silhouette is slightly enlarged, but appears slightly decreased in size compared to the prior film. it remains midline. tortuous aorta is unchanged. azygos vein is probably decreased in size. apparent interval removal of an epidural catheter. the current film includes the ac joint, which is clearly separated, with elevation of the distal clavicle with respect to the acromion and associated widening of the ac joint and coracoclavicular interval. | <unk> year old man <unk> with poly trauma, rib fractures, hemopneumothorax, // assess for hemopneumothorax since chest tube to water seal |
MIMIC-CXR-JPG/2.0.0/files/p12938515/s54396974/b2cbe67e-3ac21c55-8b99df7d-d48b3052-4ecec0ba.jpg | portable semi-upright radiograph of the chest demonstrates persistent opacification at the right lung base, likely a combination of pleural effusion and pulmonary edema. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. right-sided internal jugular central venous line ends at the upper svc. a large bore left internal jugular central venous line ends in the distal svc. | <unk>-year-old man with alcoholic hepatitis, renal failure. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18778581/s56785521/13792d3a-6f665f32-795b34ab-4f4f7a50-8a258cd8.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. an aortic stent is seen. | history: <unk>f with weakness and fever // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p18345803/s59549104/ae96d8f3-b4af1054-a50654ca-7bc1c685-bc8b2c87.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips seen in the mid upper abdomen. | <unk>m with chest pain // r/o pna or chf |
MIMIC-CXR-JPG/2.0.0/files/p10766043/s57834677/853cee45-9d01df1f-7e628a4c-38fa44ba-74926b9f.jpg | pa and lateral views of the chest were obtained. the heart is top normal in size and cardiomediastinal contour is stable. lungs are clear. there is no edema. there is no pleural effusion or pneumothorax. prominent anterior osteophytes are noted along the spine. | <unk>-year-old man with history of hypertension, pe, presenting with chest pain. evaluate for pneumonia, edema or atelectasis. |
MIMIC-CXR-JPG/2.0.0/files/p18651563/s54984767/3946317d-1ef1851f-a509a0be-703ddf61-d3c6ee1c.jpg | there is mild cardiomegaly and prominence of the interstitial lung markings which are stable from <unk>. lung volumes are low and there is significant bibasilar atelectasis. there is no pneumothorax. there is no focal consolidation. levoscoliosis of the lumbar spine is re- demonstrated. there is moderate degenerative change at the glenohumeral joints bilaterally. | <unk>f with cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16714479/s50899506/e1518f3a-73749302-947f0a9d-5e535009-b7e0528c.jpg | small bilateral pleural effusions with overlying atelectasis. mild pulmonary vascular congestion without frank pulmonary edema. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged. | <unk> year old man with shortness of breath // r/o pneumonia, volume overload |
MIMIC-CXR-JPG/2.0.0/files/p17843367/s56322102/0027b4f6-0d6f6b5a-4b96810d-599be490-e500aa5f.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | history: <unk>m with hx of bladder ca s/p chemo and cyberknife p/w malaise // assess for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13324998/s52130779/707fa3ab-951d85a1-d1dd9c66-a6a6b8f4-a59ea57e.jpg | pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12406461/s59189562/26935ce6-3ac80474-c93c3eb5-9abd0233-af1476d2.jpg | pa and lateral views of the chest provided. right-sided dual lumen central venous catheter tip terminates at the low svc. 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 tachycardia, central line erythema // please evaluate for acute abnormality |
MIMIC-CXR-JPG/2.0.0/files/p11798595/s56453306/865ef556-78069598-31457c37-f4d0d1ea-e922406e.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion, no pneumothorax. | <unk>-year-old with fever. |
MIMIC-CXR-JPG/2.0.0/files/p14818024/s53182031/ecf0647a-51b0244d-e4abb8a9-8adb1d72-0d966cf3.jpg | the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal. degenerative changes, and probable dish, is identified in the thoracic spine. | chest pain. evaluate for acute cardiopulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p10130348/s57511959/c23640ba-9a3fc83e-df6f06f2-9244d819-275ef0b3.jpg | the lungs are clear without consolidation or edema. there is no pneumothorax of pleural effusion. the previously seen lingular pneumonia has resolved. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable. | chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19213219/s57651580/05ba791a-3b789e77-50082212-db925913-2e7a0ebc.jpg | the heart is moderately enlarged, especially the left atrium. a moderate interstitial abnormality suggest congestive heart failure. there is a pleural effusion on the left, probably small to moderate in size, and a small right-sided pleural effusion. fissures appear thickened. there is no pneumothorax. interstitial type opacification is most confluent in the posterior right lower lobe, although suspicion is that this is also edema. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14150037/s56961032/b711a465-7b1a63c8-196cab87-b765ea4d-bc52b144.jpg | compared to the prior study, lung volumes are lower accentuating heart size and pulmonary vascularity. moderate to severe enlargement of the cardiac silhouette appears slightly increased from prior. the left chest wall pacemaker is in unchanged position with the lead terminating in the right ventricle. there is mild pulmonary edema which appears new from prior. | history: <unk>m with hx chf, p/w dyspnea // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p13265615/s50032636/86e592ec-6acf1f67-454ee7b8-cfc51285-bc49af13.jpg | lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. visualized osseous structures are notable for minimal levoscoliosis centered at t<num>. no displaced rib fracture. | <unk>f with left rib pain. assess for fracture or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19942660/s56770396/98b865ec-6b8d6ea4-ab022a01-f4a48460-cca2add3.jpg | ap and lateral views of the chest. the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. there is no effusion or pneumothorax. no displaced fractures identified. | <unk>-year-old male status post pedestrian struck with pain. |
MIMIC-CXR-JPG/2.0.0/files/p10238336/s51236165/f4426907-96129bb4-45d7bc44-0bf052b6-beb1b537.jpg | the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk>m with ? pna from osh but pt very well appearing and suspect atelectasis at osh |
MIMIC-CXR-JPG/2.0.0/files/p11294748/s58378277/ac21da14-c3d22cf0-ac792ff1-1824ec21-d78bb119.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are demonstrated. | neck pain, left arm weakness after involvement in motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p12070314/s54485791/2c416eba-74c4561f-1d472e36-ed21b407-496963b5.jpg | lungs: the lungs are hyper inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none | history: <unk>f with cp, hx of chf // eval for chf |
MIMIC-CXR-JPG/2.0.0/files/p13380337/s50215986/475dc56e-7c0693b9-fb79bcee-d9e613be-3f6e90e2.jpg | ap and lateral views of the chest. given differences in positioning and technique, there has been no significant interval change. the lungs remain clear without effusion, consolidation, or pulmonary vascular congestion. cardiomediastinal silhouette is grossly unchanged, noting some rotation to the right, limiting evaluation. no acute osseous abnormalities detected. | <unk>-year-old female with gi bleed. question aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p14753577/s57141944/4da677e9-3a73cbf8-6d6defe7-7cf2a89e-dad543e3.jpg | there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable. | history: <unk>m with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p11791817/s57635892/e8060729-d59ca4ed-efea6eff-32408285-ecb48e9a.jpg | frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for infiltrate in a <unk>-year-old man with a smoking history and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14988548/s52807573/93ff2a61-2b999978-3565c6d2-e8ae407b-04b98b1c.jpg | heart size is normal. mild unfolding of the thoracic aortic arch is unchanged. hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18001923/s59779880/69e3151a-161a857e-a91f4c40-7e99da24-91be51d1.jpg | the lungs are mildly hyperinflated with flattening of diaphragms. there is vascular congestion with cephalization. right lower lobe opacity is noted. interval increase in small bilateral pleural effusions. no pneumothorax. heart is top-normal in size. mediastinal contour, and hila are unremarkable. | <unk>m with fever and cp. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11406274/s53000734/bc27b5f1-d597220e-520523fe-05daa78e-0cba91ae.jpg | there are peripheral opacities in bilateral lungs, which could be pneumonia. the pattern of opacification is not typical for pulmonary edema. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size. | <unk> year old woman with persistant asthma, steroid dependent, recently in icu for asthma exacerbation, now with recurrent hypoxia, please assess for pulmonary edema // ? pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p15818671/s57371469/7193b299-1dd057cc-51bc28cc-778a7746-310993d4.jpg | there has been interval placement of a nasogastric tube with the tip not visualized beyond the upper esophagus on the frontal view. while the lateral view demonstrates a catheter which courses in the expected region of the esophagus and into the upper abdomen, this cannot be confirmed on the frontal view. the heart size is mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is detected. streaky atelectasis is noted in the lung bases. compression fracture of a vertebral body at the thoracolumbar junction is noted, of indeterminate age. no subdiaphragmatic free air is present. | history: <unk>m with emesis, maroon positive, // please eval for obstruction and ng tube placement |
MIMIC-CXR-JPG/2.0.0/files/p11809167/s58495140/5c3faaf9-2fd55feb-53017b7b-fc8e2939-a196c7fa.jpg | pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. also there is a soft tissue calcification in the left axilla, possibly representing a calcified node. extensive vascular calcifications are also seen. the cardiac, hilar, and mediastinal contours are normal. the aorta is tortuous. | cough and vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p17656649/s57237634/3add34b5-9aa5c14a-ed9df6ab-fe123f6f-1056337d.jpg | the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk> year old man with history of latent tb, treated. evaluate for lung lesions consistent with tb. |
MIMIC-CXR-JPG/2.0.0/files/p19076508/s54021689/aaa82822-7cb139e3-e00532b3-0a14e1fd-18c84f9f.jpg | frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are hyperinflated, similar to prior, suggestive of copd. no focal consolidation, pleural effusion, or pneumothorax. wedging of three mid-thoracic vertebral bodies are new since <unk>. | <unk>-year-old male with thoracolumbar spine pain. |
MIMIC-CXR-JPG/2.0.0/files/p13871390/s51802759/fb8b2832-dbdb5b15-6bafaf9f-5f10fa11-b0530b55.jpg | interval placement of a left picc in the upper svc. otherwise, no significant change. right apical fluid plus/minus air, sutures, and endobronchial valves are unchanged. small dependent right pleural effusion is unchanged. heart size is normal. cardiomediastinal and hilar silhouettes are unchanged. | <unk> year old man with picc // picc position after power flush |
MIMIC-CXR-JPG/2.0.0/files/p14266940/s51468959/a179f2aa-35e591f7-59a54902-575cde47-30ed2fa2.jpg | there are relatively low lung volumes. the full right costophrenic angle is not included on the frontal image. given the above, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10884125/s55008149/eb50f7ff-8d570cae-bc473306-3474a845-cfafe138.jpg | there are persistent bibasilar opacities, which are now worse on the left than on the right, previously worse on the right than on the left. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with hypoxia // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17131436/s59362267/1ede7bfc-3cb46f47-319ac2d6-04a9ecab-4330efd6.jpg | patient's condition does not permit examination in upright position and ap frontal view with patient sitting in wheelchair was used with additional left lateral view. comparison is made with two preceding chest examinations from <unk> dated <unk>. a wide-bore double-lumen catheter is present, apparently introduced via the right internal jugular approach and is seen to terminate in the lower svc and right atrium apparently in unchanged location comparison with yesterday's examination (<unk>). there is moderate elevation of the left-sided diaphragm and the lateral pleural sinus is blunted, indicative of some pleural reaction. when compared with the next preceding examination one day earlier, the diaphragmatic elevation is very similar in appearance. the previously identified local parenchymal density interpreted as representing an acute infiltrate has regressed and with the exception of some linear densities suggestive of some atelectasis in the left lower lobe area, no evidence of pulmonary parenchymal abnormalities can be identified. observe that the diagnosis of an acute infiltrate was made on chest examination of <unk> based on changes when comparing it with the previous chest examination of <unk>. the new changes have regressed and indicate that they represented temporary fleeting process of the parenchyma superimposed on chronic elevation of the diaphragm, local pleural reaction and partial atelectasis in the left lower lobe. there is no evidence of pneumothorax. | <unk>-year-old female patient noted to have questionable pneumonia at <unk>, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11442840/s54937499/32344db3-4bedf50c-08683ace-a5f63baa-8990cd7a.jpg | the monitoring and support devices are stable. the cardiomediastinal and hilar silhouettes are stable. the bilateral pulmonary opacifications are improved. there remains elevation of the left hemidiaphragm which is stable. there is no pneumothorax. | <unk>-year-old male status post liver retransplantation. |
MIMIC-CXR-JPG/2.0.0/files/p11770498/s56582035/fdb38eec-e7ad1a0b-3e5478ae-2076756e-8a75f133.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with fever // eval for infection |
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