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MIMIC-CXR-JPG/2.0.0/files/p19815454/s52507950/5f20c181-f9ff0c17-b05aa348-d69b44b8-a63122b4.jpg | the patient is rotated somewhat to the right.mild lateral left atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. loss of height of the l<num> vertebral body is again seen, query slightly progressed compared to the prior study. | history: <unk>m with fall, needs infectious workup // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11490478/s50358187/121124d1-5abfb753-481e48f4-b2912425-96bc3d4f.jpg | lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. an old healed rib fracture is again seen on the left. no pneumothorax, pulmonary edema, or pleural effusion. no focal consolidations are seen. | history: <unk>f with right hand pain, elbow pain and rib pain // r/o acute injury s/p fall |
MIMIC-CXR-JPG/2.0.0/files/p16581981/s54690700/36fccfec-b3d644c4-6484a1ac-2c1902da-fe6ea60a.jpg | pa and lateral views of the chest provided. there are <num> discrete subtle nodular opacities projecting over the right lower lung on the frontal view which are indeterminate. no signs of pneumonia or edema. hila appear slightly congested. heart and mediastinal contours appear normal. no large effusion or pneumothorax. imaged bony structures are intact. | <unk>m with dyspnea // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p18443821/s52135718/e1f5f01d-ec724915-e12803be-ad2de3ab-67665bce.jpg | the lungs show no focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. minimal pulmonary vascular congestion may be present. | history: <unk>m with chf w/ increased doe, chest pain // eval for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p16018927/s54665486/79d0161b-8bd2e121-fbe3b087-f35f0ae7-31804b86.jpg | there is cardiomegaly. there are streaky opacities at the lung bases which may be due to atelectasis or early infiltrate. there is also prominence of the bronchovascular markings suggestive of mild pulmonary edema. there is a small right-sided pleural effusion. | <unk> year old man with nstemi // ?acute pathology, stability; <unk> <unk> subtle ?lll infiltrate on osh film, better seen on lateral |
MIMIC-CXR-JPG/2.0.0/files/p11369104/s58795001/a8e81bf8-d63fa0a1-a4918139-fe2232ae-cade50da.jpg | the cardiac, mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. hazy ill-defined opacity in the left lung base may reflect pneumonia. persistent branching opacity within the right upper lobe again may reflect bronchiectasis. there is no pleural effusion or pneumothorax. no acute osseous abnormality is identified. | copd, fever, myalgia, cough, abnormal lung sounds. |
MIMIC-CXR-JPG/2.0.0/files/p12138569/s58731102/575bfe39-564eb6fa-34bb666d-4b41b46c-53c55bcf.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax. prior right-sided rib fractures appear unchanged without displacement. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15214385/s51092532/858422fe-23a83b6c-95a8471c-d0247eca-7137ed13.jpg | there are stable low lung volumes bilaterally. there is some interval resolution of the right lung atelectasis previously seen. the left lower lobe is now clear. cardiomediastinal silhouette is stable. pleural surfaces are unremarkable. fractured rib is not appreciated on this radiograph and falls outside the field of view. | <unk>-year-old male with recent right eleventh rib fracture, now with tachycardia and increase in wbc count. |
MIMIC-CXR-JPG/2.0.0/files/p14650506/s56163435/3ee983b2-5a9c6cb9-d2279e6c-6ae9130f-f4520c0b.jpg | there is a dual-lead pacemaker/icd device whose leads terminate in the right atrium and ventricle, respectively. the heart is normal in size. the main pulmonary artery contour is again enlarged. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax. small osteophytes are similar along the thoracic spine. | left arm numbness. |
MIMIC-CXR-JPG/2.0.0/files/p13279939/s51536461/6bee7581-8e2a6375-3151b954-2f7e16c9-491e4dac.jpg | the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are identified. no focal lytic or sclerotic osseous abnormalities are clearly noted. | atraumatic pain along the shoulders, clavicle, cervical spine and mid clavicular region. |
MIMIC-CXR-JPG/2.0.0/files/p12485775/s51872216/a6074bf5-e30abd6e-d8b0b4a6-63b58e82-90d3d0d1.jpg | pa and lateral views of the chest <unk> labeled <time> are submitted. however, the time stamp is incorrect as this study is being dictated at <time>. | <unk> year old woman with pancreatic cancer likely metastatic to liver now short of breath after <num>lns // rue out metastases, pna, pulmonary edema rue out metastases, pna, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p13227028/s56582010/94f27a0f-46cb4dc0-54ba6d1b-f0bef184-52ea082c.jpg | pa and lateral views of the chest were reviewed and compared to the prior studies. focal opacities over the right posterior third rib are consistent with bone islands and were present since <unk>. hyperlucency of the apices with attenuation of the vessels is suggestive of emphysema. left lower lobe atelectasis is unchanged; otherwise, the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the aorta is tortuous and contains calcifications. heart size is normal. bilateral humeral head prostheses are unchanged. | pleuritic chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16913603/s51577243/f94dad38-18712378-edba1877-c0187685-a94f7ccb.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the cardiac silhouette is not enlarged. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15510911/s55203083/ba5578d5-1a0d8a94-964d7b24-ae262823-0d881b53.jpg | enteric tube seen to the level of distal stomach, tip not included on the radiograph, it has been repositioned since yesterday. tracheostomy. stable left basilar opacity. stable mid right clavicular fracture. | <unk> year old woman poly trauma // placement of nj tube |
MIMIC-CXR-JPG/2.0.0/files/p15483051/s55178923/ca9f3de0-1f633196-49ce17b7-d9a1eeaf-09c59ceb.jpg | rounded densities projecting over the lung bases likely represent nipple shadows. the lung fields are otherwise clear. cardiomediastinal silhouette is unremarkable. | history: <unk>m with meth ingestion, some cp // acute intrathoracic process? |
MIMIC-CXR-JPG/2.0.0/files/p10955706/s58832988/bc4a9bee-cacebe5e-8a259e18-bc8ac32a-16b60494.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk> year old man with pna, pe, // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p18216216/s57673129/919bbf25-3908f4dc-33fa5f97-b8e6df39-766c50cd.jpg | mild elevation of the left hemidiaphragm limits evaluation of the cardiac silhouette; however, heart size appears normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. multiple healed rib fractures appear chronic. | hepatic encephalopathy. |
MIMIC-CXR-JPG/2.0.0/files/p19557250/s53227013/30c4e996-2d8c445f-e0ff3f72-83fb7efc-abe65724.jpg | the patient is status post tracheostomy with the tube projecting over the trachea. an enteric tube courses below the level of the diaphragm and coils in the stomach. the cardiomediastinal and hilar contours are within normal limits. atelectasis is noted at the left lung base, otherwise the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. | history: <unk>m with trach, acute desat // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p16164188/s55507520/64c32e7a-6b733b7c-dc08e0d6-192122db-8190da77.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 chest pain, lh, weakness, diarrhea |
MIMIC-CXR-JPG/2.0.0/files/p12767234/s51772524/e2dc6b80-6d85afb0-d1fe4883-24612679-1926b3bd.jpg | patient is slightly rotated. new pneumomediastinum is present with extensive subcutaneous emphysema tracking into the neck and chest wall bilaterally. assessment for pneumothorax is somewhat limited given the presence of extensive subcutaneous emphysema, though no large pneumothorax is detected. lung volumes remain low with coarse interstitial opacities noted diffusely compatible with history of severe fibrosing chronic lung disease. heart size remains mildly enlarged with a small hiatal hernia again noted. mediastinal and hilar contours are unchanged with crowding of bronchovascular structures and increased interstitial opacities compared to the previous chest radiograph suggestive of mild pulmonary vascular congestion. there is no shift of mediastinal structures. increased airspace opacities within the lung bases may reflect areas of atelectasis. retained barium is noted within multiple diverticula in the left upper quadrant of the abdomen. | history: <unk>f with ipf, <num>lpm nc at home with increasing dyspnea, sat <unk>% on <num>lpm nrb // eval ? pneumothorax, infiltrate, worsening fibrosis |
MIMIC-CXR-JPG/2.0.0/files/p14588689/s54829719/48fd6b6c-34f27ad8-01441568-c059ab08-cd5c379d.jpg | the lungs are clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>m with hyperglycemia // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15052507/s53547765/8c586135-ae35e7ec-83e8af10-f40c5eda-3930bd95.jpg | left pleural drain has been removed. bilateral pleural effusions, right greater than left, are unchanged with associated compressive atelectasis. there is likely consolidation at the right base. mild cardiomegaly is unchanged. apparent prominence of the pulmonary artery may be projectional or reflect pulmonary hypertension. there is no pneumothorax. | <unk> year old woman with pleural effusion // effusion f/u |
MIMIC-CXR-JPG/2.0.0/files/p15150849/s50350279/89034a90-e242b5f7-876795d3-4e87b9ae-b9e763c3.jpg | pa and lateral views of the chest provided. platelike atelectasis is noted at the left lung base. otherwise lungs are clear. 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 ruq pain // ruq pain |
MIMIC-CXR-JPG/2.0.0/files/p12248037/s57341145/076b5c87-d8065cf0-dcdddfa5-b1c9887a-9994d93a.jpg | pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18732946/s57321054/6f0205ab-1109ff7f-7a3a5084-8d8e3853-db5f6fd3.jpg | moderate to cardiomegaly is stable when compared <unk> study. left lower lobe collapse is seen likely secondary to airway obstruction (mucous plugging). the mediastinal silhouette is unchanged. mild pulmonary edema persists. no pleural effusions or pneumothorax are seen. support devices remain stable in position. | <unk> year old woman with active hemoptysis // ? acute cardiopulmonary change |
MIMIC-CXR-JPG/2.0.0/files/p13993838/s50537332/d72226bf-cb48b2a3-0c695378-22b29f44-e5ce3c87.jpg | cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. focal consolidative opacity seen within the lingula concerning for pneumonia. the right lung is clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | history: <unk>m with cough, fever |
MIMIC-CXR-JPG/2.0.0/files/p14247006/s53089556/fe1d74e3-cc00a106-50b467a0-807d9e2c-2a11b072.jpg | there has been interval placement of an endotracheal tube with its tip residing approximately <num> cm above the carina. the ng tube is coiled in the distal esophagus with its tip in extending superiorly not within the imaged field. repositioning is advised. aicd unchanged. lung volumes are low though overall unchanged from prior. | status post intubation and endotracheal tube placement, assess line position. |
MIMIC-CXR-JPG/2.0.0/files/p14953471/s53615795/750005c0-4fbf8c82-20f87376-17c3a709-c9ad0f1b.jpg | pa frontal and lateral chest radiograph demonstrates well expanded and clear lungs. there is no focal consolidation, pleural effusion or pneumothorax. there has been interval removal of right central venous line. there is no pneumothorax. heart size is normal. the mediastinal and hilar contours are within normal limits and unchanged. mild scoliosis. | <unk>-year-old female with cough. |
MIMIC-CXR-JPG/2.0.0/files/p14559879/s56730333/bfead079-b8541726-5a95b0e6-de74046a-982ad6de.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild platelike atelectasis is noted in the lower lungs. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with hx cad s/p stenting p/w substernal chest discomfort // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14513621/s55166075/4cbbc186-27ad5d18-c5082c2a-ca5a1e16-01d77d1a.jpg | there is an ill-defined opacity in the lingula and left upper lobe in a paramediastinal location which obscures the left heart border and is significantly worsened compared to <unk>. another fusiform opacity in the right mid lung with a surgical clip projecting over the opacity which corresponds to a known lesion along the minor fissure seen in previous cts. there is no pleural effusion or pneumothorax. cardiac size is normal. | <unk>-year-old male with cough and pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12976207/s53179951/a479cd73-b38c9a59-2c6d4a2d-578f9964-094bc764.jpg | a nasogastric tube terminates in the proximal stomach. normal mediastinal and hilar contours. new, right basilar ring shadow may reflect focal infection. recommend obtaining conventional pa and lateral chest radiographs when possible for further evaluation. interval improvement in retrocardiac opacity suggests improving left basilar atelectasis. interval resolution of small left pleural effusion. | <unk>-year-old man with a subarachnoid hemorrhage. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p13538543/s52454888/97fc6f19-affb4038-c8ef7300-7d2d2d0c-27e6b629.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with ams, found down // cxr- pna?ct head- bleed |
MIMIC-CXR-JPG/2.0.0/files/p12927984/s51220684/e393f46f-1282351c-aa71f57f-a120d87b-5cdab2b1.jpg | since earlier same day chest radiograph, bilateral perihilar opacities are increased, concerning for pulmonary edema or pneumonia. the small to moderate bilateral pleural effusions, and left basilar and retrocardiac atelectasis are mildly worse. severe cardiomegaly is unchanged. the tip of a right picc line terminates in the right atrium. no pneumothorax. multiple bilateral pleural plaques are again seen. postoperative enlargement of the cardiomediastinal silhouette is expected. either a possible pneumoperitoneum or right basilar pneumothorax is seen and difficult to evaluate on this portable exam. (upon discussion with <unk> resident, patient had a peg placed, which may account for this finding.) | <unk> year old man with increased o<num> requirement after intubation for procedure // eval for evidence of aspiration |
MIMIC-CXR-JPG/2.0.0/files/p17732793/s56721564/5afc83cb-1e12cf5d-956704ed-297f4de8-170328a3.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | nausea, vomiting and pleuritic chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13190904/s53286878/281cdf35-e1eefa52-33dceda6-a389065a-0f28a750.jpg | the heart is moderately enlarged. the mediastinal and hilar contours are within normal limits. again seen is a retrocardiac opacity, consistent with known large hiatal hernia. lungs are hyperinflated, in keeping with known diagnosis of copd. there is no large pleural effusion or pulmonary edema. no focal consolidation concerning for pneumonia. | history: <unk>f with generalized weakness // r/o pneumonia r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13339327/s56749419/b3687d4f-a24312ef-b2cb0609-c0064308-90b88935.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. there is no evidence of free air beneath the diaphragms. a small amount of intraluminal air in the stomach is seen in the left upper quadrant. | epigastric pain for <num> days, question free air. |
MIMIC-CXR-JPG/2.0.0/files/p12351481/s50778974/638925c3-265a0896-ba7179c2-3a98c92d-504574e7.jpg | frontal and lateral radiographs of the chest demonstrate stable moderate right and small left pleural effusions with increased adjacent atelectasis. there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged, stable. no pneumothorax. . | <unk> year old man who presents with sob and peripheral edema and low oxygen saturation than baseline // evaluate for pneumonia or worsening chf |
MIMIC-CXR-JPG/2.0.0/files/p19838667/s55638312/4f99df95-a709e073-5eb21e3b-389e718c-6b411cec.jpg | the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. an azygos lobe is re- demonstrated.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with epigastric pain, r/o mi // any consolidation |
MIMIC-CXR-JPG/2.0.0/files/p16231443/s58299585/a4254c4c-d6061bbe-c359ab6f-d168f665-6def2e5f.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact. | history: <unk>f with tachycardia // eval cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p10846551/s57678827/faa4ef1e-34176218-d0785167-73b110f6-699d1219.jpg | single frontal view of the chest demonstrates normal cardiomediastinal silhouette. the lung volumes are slightly low. there is a patchy opacity in the left lung base, probably representing atelectasis, although early infection cannot be excluded in the appropriate clinical setting. | <unk>-year-old male with syncope. question consolidation or effusion. |
MIMIC-CXR-JPG/2.0.0/files/p12828163/s59882981/3e282b43-9f492a40-4d53b819-70873aa4-6a33f70a.jpg | the heart size remains mildly enlarged. a large hiatal hernia is again demonstrated. an aortic valve graft prosthesis is again seen. the mediastinal and hilar contours are unchanged. the lungs are hyperinflated. no pulmonary vascular congestion is noted. streaky left basilar opacity appears worse compared to the prior exam, and could either reflect atelectasis adjacent to the hiatal hernia or aspiration. no pleural effusion or pneumothorax is clearly evident. there are mild degenerative changes in the thoracic spine. | diarrhea for <num> days. |
MIMIC-CXR-JPG/2.0.0/files/p16346470/s50782811/0aae64dc-0b0ab31f-43a49f56-8015f81f-4392f895.jpg | there is suggestion of a large hiatal hernia and likely diaphragmatic eventration or morgagni hernia, evidenced by bowel projecting over the low anterior chest on lateral view; this limits evaluation at the lung bases. within this limitation, no pleural effusion, pneumothorax, or pulmonary edema is detected. mild interstitial change in the left upper lung and minimal opacification of the posterior lung base on lateral view are non-specific; chronicity cannot be determined in the absence of prior imaging. heart size is difficult to evaluate in this setting. the aorta is tortuous and calcified. prominence of the ascending aorta may be due to patient position, but ascending aortic aneurysm cannot be excluded. loss of vertebral body height in the thoracic spine with thoracic kyphosis is age indeterminate. | <unk>-year-old female with cough. |
MIMIC-CXR-JPG/2.0.0/files/p18860215/s52529506/cd2582ed-f1437fba-dd3cb021-30d16f22-69b65fab.jpg | there is an opacity at the right lung base seen on the frontal view, which is not confirmed on the lateral view and is similar to prior radiograph in <unk>. there is no pleural effusion or pneumothorax. there is borderline cardiomegaly, stable from prior. | <unk> year old man with pmhx type <num> dm; reports <num> weeks of "congestion", with persistent cough // please assess cardiopulmonary architecture |
MIMIC-CXR-JPG/2.0.0/files/p12221629/s50698594/d362c4c8-b0f89ec8-569a35d0-95f47e58-02a7c8ba.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with pleural effusion, pneumonia // interval eval of pleural effusion and pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13601383/s53925204/dead72ac-ae6a19f8-892653a4-08395740-9588e6cd.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/cough |
MIMIC-CXR-JPG/2.0.0/files/p17424385/s56898693/de833cf7-0428505d-8bbd4b7b-0f6c6c0c-0b77c782.jpg | lungs are well-expanded and clear. stable chronic right mediastinal shift and right lower lobe volume loss. mild cardiomegaly is unchanged. the aorta is tortuous. the hila and cardiac borders are stable. | <unk> year old woman with asthma presents with cough and wheeze and sob // is there pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18778960/s53229050/0f307ee8-219ed0a5-0583b9c5-82a509d5-522d2422.jpg | the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. | <unk>-year-old with cough. |
MIMIC-CXR-JPG/2.0.0/files/p18644892/s51458634/d83503ae-6ff189f8-dabc4c4a-bb19ad0a-99f18d2b.jpg | there are bibasilar opacity silhouetting the hemidiaphragm is bilaterally. there is also hazy opacity over the periphery of the right lung and superiorly. this could be due to layering or loculated effusion. elsewhere the lungs are clear. cardiac silhouette is enlarged at least moderately. atherosclerotic calcifications noted at the aortic arch. degenerative changes noted in the spine. | <unk>f with abdominal pain, ams // eval for free air |
MIMIC-CXR-JPG/2.0.0/files/p15460343/s59325009/bf1d08f1-f17b229e-b6b7a5a6-c4e54fd9-783519e1.jpg | moderate to severe cardiomegaly is stable. the pulmonary arteries appear enlarged. the the aorta is tortuous. the lungs are hyperinflated. bilateral pleural effusions are small unchanged. faint opacities previously seen in the right mid lung are less conspicuous than before. minimal opacities in the lower lobes are likely atelectasis. there is no pneumothorax. wedge-shaped deformities of several mid thoracic vertebral bodies are unchanged | history: <unk>m with cough // pna |
MIMIC-CXR-JPG/2.0.0/files/p13706429/s59126184/6cbfd682-e93e2080-7c4a0da7-00a7d0f5-2c68e2d3.jpg | in comparison with a study obtained <num> hours prior, there is no significant change in the appearance of the pacer device and leads, which terminates in the expected location. heart size appear slightly enlarged, likely exaggerated by lower lung volume.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. | <unk> year old man with<unk> year old man with wct s/p dual chamber icd via l axillary vein. evaluate for lead position, pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p18123897/s57009517/a37c0464-5901eadd-b508b804-a01e3bd6-7d677b69.jpg | there is increase in the size of the cardiac silhouette, the this may be due to positioning of the patient. there are bilateral pleural effusions with pulmonary vascular congestion. there is no pneumothorax. at the level of the cervicothoracic junction, there is no evidence of an endotracheal tube. | <unk> year old woman with ventilator, rll effusion // interval scan |
MIMIC-CXR-JPG/2.0.0/files/p12429546/s57638385/cef7c219-6531ed11-3f34a70f-5ff34809-d993a4e5.jpg | there is persistent right middle lobe airspace opacity concerning for infection. prominence of the bilateral hila is again noted with increased opacity adjacent to the right hilum, this is similar in appearance when compared to the prior study and the prior ct. left lower lobe atelectasis in the left pleural effusion are similar in appearance when compared to the prior study. probable small right pleural effusion. no pneumothorax seen. | <unk> year old woman with progressive respiratory distress // interval change |
MIMIC-CXR-JPG/2.0.0/files/p12343156/s51345959/4da86cc8-18e33384-92c28026-1a3900ad-aa88a85d.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. cardiac silhouette is stable. atherosclerotic calcification is again noted at the aortic arch. no acute osseous abnormality is detected. | <unk>-year-old female with acute onset of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17436646/s53213195/aa2e4766-ee93578c-5f13eb4d-cbc35680-4009e0a2.jpg | ap and lateral radiographs of the chest were acquired. an <unk>-mm right lower lobe pulmonary nodule was better assessed on prior chest ct from <unk>; please see the prior ct report for associated follow-up recommendations. the lungs are otherwise clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | dizziness for the past several hours, acute in onset with vertigo. reports pleuritic chest pain and minimal shortness of breath. nonproductive cough. evaluate for acute intrathoracic process. |
MIMIC-CXR-JPG/2.0.0/files/p18769510/s53022202/bb3db51f-662e3132-6e32132b-eda0267e-ea4c3e7d.jpg | et tube and right large-bore catheter are unchanged. feeding tube tip is off the film, at least in the stomach. there are small bilateral pleural effusions, decreased in size compared to prior. there is pulmonary vascular re-distribution but the alveolar infiltrates have improved compared to the study from the prior day. the heart size continues to be mildly enlarged. | respiratory failure. |
MIMIC-CXR-JPG/2.0.0/files/p11030190/s58611711/f876a696-ed90f7cf-cd8c7bce-0fd59713-c6851c94.jpg | the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is enlarged. retrocardiac opacity on the frontal and lateral view is presumably a moderate to large hiatal hernia. aortic knob calcifications are mild. the descending thoracic aorta tortuous. bilateral degenerative changes in the acromioclavicular joints are mild-to-moderate. there is no free intraperitoneal air. | <unk>-year-old woman with right upper quadrant pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18853185/s58207529/1777d696-bcfa89ad-463c6790-8881ef5f-a9ac0a1e.jpg | since the chest radiograph obtained <num> day prior, there has been substantial worsening of bilateral pulmonary vascular congestion and pulmonary edema. there are probably at least small bilateral pleural effusions. cardiomegaly is grossly unchanged. an et tube terminates <num> cm above the carina. an enteric tube passes subdiaphragmatically, but terminates outside the field of view. a right ij central venous catheter terminates at the expected location of the superior cavoatrial junction. all but the superior <num> median sternotomy wires are fractured and malaligned, but unchanged appearance since <num> day prior. | <unk> year old woman with ischemic cardiomyopathy s/p v-tach arrest // please eval ett placement; acute pulm process |
MIMIC-CXR-JPG/2.0.0/files/p18444475/s57976280/6eb33d15-20448989-aa603d1e-c931d9f3-5d477449.jpg | the lungs are clear and the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion and the pulmonary vascularity is normal. | right upper lobe rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p14700306/s53593714/e94f0c5d-eafd33c1-de121fae-9c5cd05b-a79c322e.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man s/p cabg // eval for pneumo eval for pneumo |
MIMIC-CXR-JPG/2.0.0/files/p13323674/s55646676/432d999b-dcaf0fe7-ef912784-8298c46d-fe0b42a2.jpg | the lungs are clear without pulmonary edema, pleural lesion or pneumothorax. heart size is top-normal. the mediastinal contours are normal. | <unk>-year-old man with dyspnea. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10129052/s59496121/82fa95cc-f3ad7848-083ba015-71250281-043d5ee4.jpg | the cardiomediastinal and hilar contours are stable. the aorta is tortuous and there are calcifications at the aortic knob. there is no focal consolidation, pleural effusion or pneumothorax. | lightheadedness. elevated white blood cell count. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19898065/s55566269/dca6c764-5f11a9b8-db721b98-dd5f7dfd-f179bfc7.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. very minor atelectasis/scarring is seen at the lingula. the cardiomediastinal and hilar contours are normal. | chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p11592086/s51368886/150bff70-0349e99a-d9fb1da1-4098a66d-a9ae34fa.jpg | the lungs are well expanded, without focal opacities. there might be mild bilateral hilar vascular engorgement but no focal opacities. cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified. | <unk>-year-old male with epigastric pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17291608/s59154658/d6783413-96c52e09-7d5df5b2-c2274778-44edb5d7.jpg | the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen. | cough and fevers. |
MIMIC-CXR-JPG/2.0.0/files/p17994012/s55955657/d8eff3a9-42c7aa88-a85e1447-bacca79e-02e0204a.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. mild dextroscoliosis of the t-spine is unchanged. no free air below the right hemidiaphragm is seen. | history: <unk>f with chest pain // ?pleural effusion, cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p15945459/s58646647/f4024214-1a487653-cb1815d4-8a075e17-045c345f.jpg | ap upright and lateral views of the chest provided. lungs are clear. heart is mildly enlarged. aorta is markedly unfolded. degenerative changes at the shoulders and lower thoracic spine noted. | <unk>f with concern for stroke vs tia |
MIMIC-CXR-JPG/2.0.0/files/p18649052/s57959004/c31df0dd-41839d45-25b4009e-4c89dc7f-40b52050.jpg | normal heart, lungs, pleural and mediastinal surfaces. no free intraperitoneal air. | <unk>-year-old male with vomiting. evaluation for free intraperitoneal air. |
MIMIC-CXR-JPG/2.0.0/files/p17050913/s57691381/f7a0b56b-3e4cc24c-33ae7f9d-fc50c566-c5093fb1.jpg | a left pleural effusion is again seen, slightly larger in comparison to the prior study. a small right pleural effusion is also slightly increased. a left sided port-a-cath is new since the prior study, terminating in the low svc. a right chest wall pulse generator with dual lead pacemaker terminating in the right atrium and right ventricle is unchanged. there is no pneumothorax or pneumonia. the heart size is stable. | history: <unk>f with hip fracture, needs pre-op cxr per othopedics // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p13864291/s54529741/df8cf0e5-9795b837-b75679fc-d22aff6b-b780b8f8.jpg | streaky retrocardiac opacity is most compatible with scarring versus atelectasis. streaky right basilar atelectasis is also noted. azygos fissure again seen. the lungs are clear of consolidation, effusion or consolidation. cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>f with chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p18694309/s57367343/02fc2097-01a9c4d9-755458ce-a3032d65-f77f2005.jpg | there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>f with nonproductive cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17325614/s59007861/d5fd6af6-ce161f3a-98be006b-f8f28b9a-ff92d3af.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with l-sided chest pain // chest pain eval |
MIMIC-CXR-JPG/2.0.0/files/p12028465/s59728794/953f5249-2384b615-5a9652eb-b20b6619-80cca793.jpg | moderate cardiomegaly and mild to moderate pulmonary edema have progressed since <unk>. there is a small left pleural effusion. there is no pneumothorax, and no focal lung consolidation. | <unk>-year-old with dyspnea. please assess for pulmonary edema or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13804301/s54847728/4c4b0bdf-74dc97a4-420903eb-9eb6164d-5b4d5f46.jpg | the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with stabbing chest pain worse with inspiration // pulm cause for insp chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19935359/s53980032/0c6e26bd-c7f0e30d-496260ff-ea15a7cc-10f0a39a.jpg | there has been interval removal of a right port-a-cath from <unk>. the lungs are clear of focal consolidation, pleural fusion pneumothorax. there is no overt pulmonary edema. the heart size is normal, and the mediastinal and hilar contours are within normal limits. | <unk>-year-old female with shortness or breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11885477/s52548436/ecaac6f5-801bef3d-24bb7b6d-82e01683-536e788f.jpg | heart size is moderately enlarged. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear. there is no evidence of pulmonary edema. no pleural effusion or pneumothorax is seen. | <unk> year old man with a hisotry of mm now with productive cough. please evaluate for pna // <unk> year old man with a hisotry of mm now with productive cough. please evaluate for pna |
MIMIC-CXR-JPG/2.0.0/files/p10027100/s59896865/b7e18bba-011dab56-27b6648a-a35c2810-31089eb3.jpg | chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with chest pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11785856/s59169386/2a9cb524-c9f97945-5100ed3a-2fc6f80d-9d831382.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. | <unk> year old man with alcoholic hepatitis, coming in with gi bleeding |
MIMIC-CXR-JPG/2.0.0/files/p11667361/s57713496/723e460e-59bf7ec9-d875b945-d729fef4-e48ebed3.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the left-sided picc line has been pulled in the interval and now ends in the mid svc. | <unk>-year-old female with re-positioning of a picc line. please evaluate for position of the picc. |
MIMIC-CXR-JPG/2.0.0/files/p13209752/s59858139/7e635df0-cb6ffd04-c5c46d42-f374fbaf-ae8225c0.jpg | tracheostomy tube, right ij catheter, gastrojejunostomy tube, and median sternotomy wires and surgical clips are unchanged in appearance. the lungs are clear with the exception of minimal left basal atelectasis. no effusion is seen. top normal heart size. | <unk>-year-old woman with cabg. assess for effusions or chf. |
MIMIC-CXR-JPG/2.0.0/files/p12407889/s59684253/08e9ad07-9685dd7b-e3ab4bac-c5882b63-5def0a91.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. unchanged symmetric thickening of the apical pleural margins is again noted, and again likely due to fat deposition. there are no acute osseous abnormalities. | type <num> diabetes mellitus. persistent hypoglycemia despite decreased insulin |
MIMIC-CXR-JPG/2.0.0/files/p10401098/s55170084/586e40e3-9ac29848-18511832-9090be4d-27032277.jpg | a single-lead pacemaker device terminates in the right ventricle. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. a patchy opacity in the lingula suggests pneumonia, not extensive but seen in two views. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p14709865/s55454631/caa5b887-2de28183-83362aaa-1609cbdd-6cc1e385.jpg | the lungs are well expanded without evidence focal consolidation. left midlung density is unchanged. mediastinal contours, cardiac borders, and hila are normal. no pleural effusions. | <unk> year old woman with cough, chest congestion, recent hospitalization at bi // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12612379/s51917341/5d082fae-1e971f77-e7080d22-3ec7aefd-0092cde3.jpg | there is a new small-to-moderate right pleural effusion. there is no focal consolidation or pneumothorax. bibasilar atelectasis and scarring in the right middle lobe from prior rfa are unchanged. coarse right breast calcifications are unchanged. lungs remain hyperinflated. cardiomediastinal silhouette is unchanged. osseous structures are unremarkable except for degenerative changes in the thoracic spine. | history of copd and one week of shortness of breath, cough, fever, left base crackles, worse than right. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15263884/s55998885/032459b3-8573817b-3e444d2f-345709bc-3f4de962.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with hypoxic respiratory failure, ? mucus plugging // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg | following pigtail catheter placement in the right lower chest, moderate right pleural effusion has near completely resolved. moderate-to-large left pleural effusion associated with left lower lung atelectasis and mediastinal shift to the right side is unchanged. there is no pneumothorax. obscured left mediastinal and the heart borders by pleural effusion limited assessment of the cardiomediastinal silhouette. | status post thoracocentesis and pigtail catheter placement, to rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13920236/s53049445/be956e57-9915133f-7f13652c-c27fd73b-4ee0e961.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | left rib pain after trauma during hockey game. |
MIMIC-CXR-JPG/2.0.0/files/p14522379/s59053886/f3f2fc8c-da0921e6-39f36600-c9b666e6-c833489e.jpg | the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. there is mild dextroscoliosis. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14451001/s59413182/c9828e04-2a324b11-f6d42a6e-0f00f7f8-5c4441bd.jpg | fracture of the inferior most median sternotomy wires again seen. the cardiomediastinal silhouette is unchanged. there is a stable small left pleural effusion. there is no pneumothorax. there is no focal lung consolidation. | <unk> year old man with cirrhosis and sob, evaluate for acute process |
MIMIC-CXR-JPG/2.0.0/files/p15110112/s51124102/c24d3646-f78df07d-16d0c592-0b2f6f97-0d2de62c.jpg | lung volumes are lower compared to the previous exam. this accentuates the size of the cardiac silhouette which is mildly enlarged. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures. patchy opacities within the lung bases may reflect areas of atelectasis though infection cannot be excluded. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p18445428/s59085290/f95ff955-6adf3a85-97c54b2d-48f85f80-596aea04.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. there is scoliosis of the thoracic spine. | hiv positive with worsening cough, fevers. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19291122/s58487257/f5d93ecf-caa7fe7f-dcd9e615-d57eee6d-98c8a1a0.jpg | there is mild interstitial pulmonary edema but no focal opacity suggestive of pneumonia. apparent opacity in the right cardiophrenic angle is felt to represent summation of bronchovascular bundles with the posterior ribs. moderate cardiomegaly is present. there is no pleural effusion or pneumothorax. extensive atherosclerotic calcifications of the aorta are seen. bony callus from old right clavicular fracture is also noted. | <unk>-year-old female with weakness. |
MIMIC-CXR-JPG/2.0.0/files/p12017586/s51787295/2c8e601e-a9c8ac2e-977d028b-ddcafcdb-1516d94e.jpg | portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. there has been interval removal of the endotracheal tube, nasogastric tube, two mediastinal drainage catheters, and epicardial pacing wires. the cardiac portion of the mediastinum is moderately larger and a much larger triangular gas and debris collection projecting over the left lower lobe bronchus could be in the stomach, esophagus, mediastinum or pericardium. . the left hemidiaphragm is asymmetrically elevated. there is some left lower lobe atelectasis. no pneumothorax. | <unk> year old woman s/p mvr // eval for pneumo s/p ct removal |
MIMIC-CXR-JPG/2.0.0/files/p14696276/s57223681/df42284e-d569cbb3-fea135c5-71fe3757-49a167ae.jpg | pa and lateral views of the chest. again seen is a streaky retrocardiac linear density corresponding to area of bronchiectasis on prior ct scans, unchanged, this is also unchanged from chest radiograph on <unk>. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal. | fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p13939712/s56825590/2f6032b4-96d29c48-a6bf71f7-007e1e91-8f244150.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 mechanical fall hitting her left side. |
MIMIC-CXR-JPG/2.0.0/files/p11305073/s55931378/e5c1ddb2-74308b37-dfe280db-f4d80583-161df1ff.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. | history: <unk>f with diverticulitis, sudden onset pain hours ago // ? free air under diaphragm |
MIMIC-CXR-JPG/2.0.0/files/p12725946/s58137029/70b340f2-8134e03b-1c41fb94-6acd6f31-1eb8b217.jpg | pa and lateral views the chest provided. midline sternotomy wires and prosthetic cardiac valve again noted. airspace consolidation is noted within the right lower lobe concerning for pneumonia. additionally, there is hilar congestion and mild interstitial pulmonary edema. cardiomegaly is again noted. mediastinal contour unremarkable. bony structures intact. tiny bilateral pleural effusions present. | <unk>m with shortness of breath, h/o heart failure. assess for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p19157548/s58462131/0d98e6ef-d53d2f77-3a19d69b-918d6059-db41d359.jpg | the tip of the right picc line projects over the superior cavoatrial junction. no significant interval change in the the bilateral diffuse and confluent air space opacities. the size of the cardiac silhouette is within normal limits. no pleural effusion or pneumothorax identified. | <unk> year old man with hypoxic respiratory failure // interval change |
MIMIC-CXR-JPG/2.0.0/files/p18138794/s55877390/2cb05479-6e0e99f0-5c5b0125-129caaa6-430cdeb6.jpg | there are mildly displaced fractures of the left lateral fourth and seventh ribs with subtle non-displaced fractures of the left lateral sixth rib and left posterior <unk> and <num>th ribs. there is no definitive evidence of pneumothorax. a focal airspace opacity in the left mid lung zone is compatible with pulmonary contusion. there is a small amount of pleural fluid tracking towards the left lung apex. the cardiomediastinal and hilar contours are within normal limits. | status post trauma with chest pain, here to evaluate for rib fractures or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11619103/s58202489/af230c2c-b03a27b4-fd061cc5-3be1dd3f-4bcafd5e.jpg | pa and lateral views of the chest. the lung volumes are low resulting in crowding of bronchovascular structures, particularly on the right. no pleural effusion, pneumothorax or focal airspace consolidation. cardiac size is mildy enlarged. hilar structures and mediastinal contours are unremarkable. pulmonary vascularity is unremarkable. | chest pain. evaluate for infiltrate or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p17669985/s58253574/2b42d741-83052d87-c4c4070b-ec9cd252-9af340a0.jpg | lung volumes are low, but the lungs are grossly clear. there is no pneumothorax or pleural effusion. low lung volumes accentuate cardiac silhouette, which is mildly enlarged. | <unk>m with l flank pain, evaluate for ptx, pleural effusion . |
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