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MIMIC-CXR-JPG/2.0.0/files/p16764766/s53134360/96dd4705-5dc1cd6d-5da58b01-6a18b041-a7ca55f6.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are well-expanded and clear. there is no large pleural effusion or focal consolidation. the appearance of retrosternal region at the level of the manubrium on the lateral view would raise concern for pneumothorax, but there are no supportive findings on either the frontal cxr or the upper chest imaged on a cervical spine ct <num> minutes later, available at the time of this review. to confirm the absence of a pneumothorax a repeat upright cxr is recommended within twelve hours. | mechanical fall. evaluate for infiltrate, fractures. . |
MIMIC-CXR-JPG/2.0.0/files/p18106219/s57501985/22cb2bfe-3ab12184-05363522-4df558f4-c2340f8a.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with dyspnea // evqal for pna, other acute process |
MIMIC-CXR-JPG/2.0.0/files/p18244007/s52296971/02b8f9eb-17314570-7b990ef3-93150009-84cc844a.jpg | the heart is at the upper limits of normal size. the aortic arch is calcified. a convex contour to the right uppermost mediastinal contour is most commonly due to tortuosity of the great vessels. there is no pleural effusion or pneumothorax. the lungs appear clear. mid thoracic interspaces are mildly narrowed. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p17490145/s55463370/803fcbd8-2e38a5c7-cca96a50-ce5660cb-83ecc3a1.jpg | portable ap upright chest film <unk> <time> is submitted. | <unk> year old woman with decompensated heart failure. // ? interval change in pulm edema ? interval change in pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11820335/s51807924/61c9eeec-9d8c8210-f63c3033-6eca0dc3-a1b44f29.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. the patient is now postoperative for right-sided nephrectomy. since the next preceding chest examination of <unk>, a right-sided chest tube has been placed entering the right lower chest wall and reaching with the tip in the right apical area. no pneumothorax has developed. no new infiltrates are seen. heart size unchanged and within normal limits. an ng tube reaches well in to the gas-distended stomach pointing towards the pylorus. no evidence of previous left axillary surgery as before. new metallic surgical clips in right upper abdominal quadrant compatible with described nephrectomy. | <unk>-year-old female patient, status post right-sided thoracoabdominal incision for right radical nephrectomy, assess position of right-sided chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p14744455/s57899413/92c1a562-fd7e0a02-74a90761-ce70577e-cc758177.jpg | as before, a right picc ends in the upper-to-mid svc. the lung volumes are lower today; the right hemidiaphragm is at the level of the <unk> posterior rib, previously the <unk> posterior rib, but there is no discrete atelectasis. heart size, now borderline enlarged, is slightly larger. the lungs are clear. the mediastinal silhouette, hilar contours, and pleural spaces are normal. | apml, on atra, concern for differentiation syndrome, fluid overload? |
MIMIC-CXR-JPG/2.0.0/files/p19141970/s55874830/b42ecff8-b7580622-c02a702d-fca16966-9d398349.jpg | the cardiac, 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. | productive cough, thoracic pain, fevers, chills. |
MIMIC-CXR-JPG/2.0.0/files/p17564928/s59488782/99aec208-43c4037f-0c0d3184-814cf520-5ffeb365.jpg | the cardiomediastinal silhouette and pulmonary vasculature are unremarkable the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>f with chest pain and recent uri // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13049382/s50511649/16681d45-aaa0177e-025d3a69-3458a55d-93fab46f.jpg | the cardiac, mediastinal and hilar contours appear stable. the lung volumes are low. there is no pleural effusion or pneumothorax. left basilar opacity has largely cleared. elsewhere the lungs remain clear. | shortness of breath. history of copd. |
MIMIC-CXR-JPG/2.0.0/files/p13603228/s53322474/c1127d7a-6271396e-64692481-fb18223c-dfc4c904.jpg | chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax is evident. stable degenerative changes are identified within the thoracic spine. | recent bronchitis, history of dilatation of ascending aorta on prior cardiac shadow. please evaluate for aortic aneurysm or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p10478422/s55734566/f1ebf2bf-b1ed5ca5-5e086e40-662a6f5c-0207d659.jpg | pa and lateral images of the chest were obtained. the lungs are clear bilaterally with no focal consolidation or congestive heart failure. there is no pneumothorax or pleural effusions. the cardiac and mediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the right hemidiaphragm. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p18475256/s55764474/072792da-fdf49e9d-f7123664-0a6f0ca3-ba12abcf.jpg | chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident. | history of positive ppd status post inh, needs tb screen. |
MIMIC-CXR-JPG/2.0.0/files/p10762352/s55788196/7e10103e-c8da20a3-5cd77bc8-59302f8f-2bf6fb8b.jpg | single ap view of the chest provided. patient is status post median sternotomy. wires are intact and properly aligned. patient is status post aortic valve replacement. lungs are well inflated and grossly clear. no pneumothorax is definitively seen. a left pigtail catheter projects over the costophrenic angle. a minimal left pleural effusion is mildly improved. hilar and cardiomediastinal contours are normal. | <unk> year old man with s/p cardiac surgery- pig-tail placed for left effusion on <unk> // f/u left effusion |
MIMIC-CXR-JPG/2.0.0/files/p11797570/s52406795/23ed3348-da754876-d9689686-f15cc67e-fc899cca.jpg | ng tube in situ in the stomach. ecg leads chest. low lung volumes. interval progression of the bibasal airspace opacification (left more than right) with silhouetting of the left hemidiaphragm. small left-sided pleural effusion. | <unk> year old woman post op w/ fever tachy // atelectasis aspiration"? |
MIMIC-CXR-JPG/2.0.0/files/p14398566/s58524193/05519ee1-2ee3d11c-e86321f7-e4d8c0fb-5896d8fc.jpg | endotracheal tube in situ with the tip <num> mm proximal to the carina. feeding tube in situ with the tip in the proximal stomach. the side port is in close relation to the gastroesophageal junction and slight advancement is advised. the cardiomediastinal shadow is unchanged. the previously noted density (presumed atelectasis) shows interval improvement. no new areas of airspace consolidation. no pleural effusion. | <unk> year old man with sepsis s/p intubation. // please eval for interval change, specifically ?hcap or aspiration pna. |
MIMIC-CXR-JPG/2.0.0/files/p16221600/s53950256/b12e9fbf-b1596c0c-9f4c70c0-975fe41e-d4261009.jpg | pa and lateral chest radiographs are obtained. in comparison to the previous radiograph, there are no relevant changes. sternal wires and cardiac clips are unchanged. known right apical granuloma is unchanged in appearance. cardiomediastinal silhouette is stable. lungs are well expanded with no evidence of focal consolidation to suggest pneumonia. no pulmonary edema. no pleural effusions. | <unk>-year-old man with cough and right rhonchi. |
MIMIC-CXR-JPG/2.0.0/files/p16146910/s55474931/5ad72a98-51d853eb-4d5fc669-d6db6bc2-d4c91b06.jpg | compared to the prior study, no definite interval change. again seen is marked prominence of the cardiomediastinal silhouette, with sternotomy wires and additional radiopacity overlying the right cardiomediastinal silhouette, unchanged. although vessels and lung markings appear prominent, this is likely accentuated by overlying soft tissues and underpenetration. possible bibasilar atelectasis. no frank consolidation or gross effusion is identified. | <unk> year old man with heart transplant and hypoxia // evidence of improved pulmonary edema. evaluating utility of vq scan. |
MIMIC-CXR-JPG/2.0.0/files/p13140202/s53475006/1b499702-87664c3a-45315642-837e47d9-8afeb47c.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. no displaced fracture is identified. | chest pain, tachypnea. |
MIMIC-CXR-JPG/2.0.0/files/p10215095/s53589114/670cd16b-3276d2a0-70238252-4c4f2406-e1045954.jpg | sternotomy wires are intact. coronary artery bypass graft stent an several coronary artery stents are again noted. moderate enlarged cardiac contour is similar to before. there is no consolidation, pleural effusion, or pneumothorax. there is subsegmental atelectasis at the mid lung fields bilaterally. | history: <unk>m with fever, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13117706/s53681773/69e690e5-af81a5e7-7858047a-031595f1-49c0bb6f.jpg | compared with the prior radiograph, the degree of right pulmonary edema has decreased, and overlying surgical <unk> of been removed. severe atelectasis of the left lower lobe and left pleural effusion are unchanged. cardiomegaly is stable, as are intact median sternotomy wires and mediastinal clips. thoracostomy tube is unchanged. | <unk> year old man with s/p descending aorta repair. now hypoxic. evaluate for cause. |
MIMIC-CXR-JPG/2.0.0/files/p13058615/s55869735/5fa60e5c-0a4f4a8c-0456fa20-5b1e5783-93d1f820.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. lungs are mildly hyperinflated. there is no focal lung consolidation. | <unk>-year-old man with myasthenia <unk> and dysphagia, evaluate for acute process cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p16813817/s50385317/331d15f5-82db1da8-553ae58d-c992a4e3-32b365e7.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. | history: <unk>f with left sided chest pain // eval for chf/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11446337/s55670085/2cc2a913-5909c749-689180bd-92f83073-c58fce49.jpg | pa and lateral images of the chest. the lungs are well expanded and clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19553532/s55725036/0a9cd342-5b4ef4da-701fd8a1-4513139e-3e4565f7.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10327961/s55350942/756d277a-318c16ee-a87399f1-15736c3f-44506529.jpg | since the prior chest radiograph, there has been no significant change. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the cardiac size is at the upper limits of normal. a left-sided implantable cardiac device is present with the leads in the right atrium and right ventricle. | history of bronchiectasis and worsening dyspnea on exertion with increased sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p19017808/s51342325/a40700d6-e1c1c791-bcc6e371-b19719d8-2898e43e.jpg | the heart is mildly enlarged. the aortic arch is calcified. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p11607518/s55473478/717898c4-c1640db9-f713a5b8-c98bea7b-ad6fbef1.jpg | pa and lateral views of the chest. again seen is a region of consolidation in the left lower lobe compatible with pneumonia as previously described. there is no new region of consolidation nor effusion. cardiomediastinal silhouette is unchanged noting cardiac enlargement and a prosthetic mitral valve. no acute osseous abnormalities detected. | <unk>-year-old female with pneumonia now with continued fever cough and chills. |
MIMIC-CXR-JPG/2.0.0/files/p18487334/s53377112/1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is top normal. pacing leads appear to be similarly positioned compared to prior. there is no evidence for pulmonary edema. multiple prior right rib fractures are seen; the <num>th rib fracture demonstrates persist linear lucency, raising the possibility of incomplete healing. sternal wires appear intact. | <unk>-year-old male with substernal chest pain and history of coronary artery bypass grafting. |
MIMIC-CXR-JPG/2.0.0/files/p10996599/s50758376/1477f480-e2599fad-bb87466d-080690a0-132b233c.jpg | a very large right pleural effusion causes complete opacification of the mid and lower portions of the right hemithorax. the left lung appears normal. the pleural effusion causes significant compression atelectasis and only part of the right upper lobe is aerated. the right cardiac silhouette is obscured by the effusion however is the heart appears smaller compared to <unk>. the mediastinum is not widened. the left hilum is unremarkable and the right is mostly obscured by the effusion. there is no pneumothorax. median sternotomy wires are well-aligned. the patient is status post cabg. | shortness of breath. no cough. wheeze. dullness at the right base on exam. rule out lrti, consolidation, effusion. |
MIMIC-CXR-JPG/2.0.0/files/p13158236/s57645354/c291492d-2b498010-c4dcdfb3-70c86287-83318646.jpg | there has been a slight interval increase in interstitial opacities involving the lower lobes. upper lobe scarring with superior retraction of the hila are similar to prior. no new focal consolidation, pleural effusion, pneumothorax. the heart size and cardiomediastinal contours are stable. | <unk>f with chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p14554807/s53629101/4b6d863b-893e847b-4d673942-d252388d-4c108f33.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old male, hiv positive with fever. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18006228/s54994878/fc2fc56a-ef4f1615-622a3ca5-7f15a2a2-75facf0e.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 cp intermittently x several days |
MIMIC-CXR-JPG/2.0.0/files/p13326903/s54544807/e97e0147-70441114-348fde8d-c1dedf7d-7ee8ca8b.jpg | ap and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. previously seen streaky focal lucency in the right lower lobe is not seen on the current study. there is no consolidation concerning for pneumonia. | dizziness, angina, slight shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16132288/s55570362/526965d0-8aae33ee-ad551af0-73df3648-75dafd4a.jpg | normal cardiomediastinal and hilar contours. rounded left upper lobe opacity containing focal lucencies may reflect a fat-containing pulmonary nodule, possibly a hamartoma. normal pleural surfaces. | <unk>-year-old woman with paresthesias and clinical concern for sarcoidosis. evaluate for hilar lymphadenopathy. |
MIMIC-CXR-JPG/2.0.0/files/p12060779/s50876348/685d18f3-8fd29ba5-724b1b76-4281441a-f8d3833b.jpg | the lungs are well expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no fractures are identified. | <unk>-year-old male with pleuritic chest pain. evaluate for evidence of pneumothorax or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p15772864/s59149803/6a0e2a8d-190b3f9d-72e14d52-0ae30e4f-f860ccbf.jpg | the lungs are clear focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with cp // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p13793576/s57266510/bada27e9-f2c0a5cc-08546102-d28d2deb-814bc3ed.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable. | <unk>f with episodic chest pain, shortness of breath and reproducible pain on palpation of her lower ribs bilaterally in the mid axillary line. // evidence of fracture or other intrathoracic process? |
MIMIC-CXR-JPG/2.0.0/files/p11364497/s52513653/0d7fa7b5-7c7c5f4f-41eb23dd-8073446b-3bfce9da.jpg | heart size is normal. mediastinal and hilar contours are unremarkable. lobulated contour of the right cardiophrenic angle likely reflects an epicardial fat pad, and was reported on the previous exam. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | visual disturbance, palpitations. |
MIMIC-CXR-JPG/2.0.0/files/p16889934/s54228104/19570d44-a8284ade-0ca48689-92f2c851-101e8492.jpg | there is no evidence of intrathoracic metastatic disease or change from recent prior radiograph. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. there are no acute skeletal abnormalities. | <unk>-year-old man with history of melanoma. please evaluate disease status. |
MIMIC-CXR-JPG/2.0.0/files/p17860352/s56498945/c1a7e2d2-1b10c588-284f870f-3eb4cc38-d69289a7.jpg | new right basilar infiltrate. left lung clear. shallow inspiration. borderline heart size, pulmonary vascularity, similar. | <unk> year old woman with tachypnea, diaphoresis // pneumonia, effusion? |
MIMIC-CXR-JPG/2.0.0/files/p10280803/s51363746/8dabcb46-d76dad74-a8082d96-c469dc13-c2c564f9.jpg | cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax. bones and the upper abdomen are grossly unremarkable. | <unk> year old man with left neck and shoulder pain // is there a lesion in the left apex |
MIMIC-CXR-JPG/2.0.0/files/p11250458/s56530883/483fa151-7d816435-01d93811-915148ec-48e3d31c.jpg | the heart size is normal. the hilar and mediastinal contours are unremarkable. the lung volumes are low. note is made of bibasilar atelectasis. no focal consolidations concerning for infection is identified. there are no pleural effusions or pneumothoraces. the visualized osseous structures are unremarkable. | history of syncopal episode. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12882898/s51524540/e7f90ab6-dad5bba2-c8db5d8d-8618efd1-58e5b043.jpg | slight blunting of the posterior costophrenic sulcus may represent atelectasis or small effusion. there is no focal consolidation, pulmonary edema, or pneumothorax. a left pigtail oral dual-chamber pacemaker and its leads project in unchanged location. mild to moderate cardiomegaly is slightly progressed compared with <unk>. mild scoliosis is unchanged. | <unk>f with head strike, evaluate for consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p13806328/s57652713/eb6524e8-8c780ef4-df54aac6-e117afa1-f6d03853.jpg | frontal and lateral views of the chest were obtained. subtle increased haziness at the left base is seen, which may be due to atelectasis although early consolidation is not excluded in the appropriate clinical setting. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. old fracture deformities of the posterior right <unk> through <num>th ribs are stable. | previous brain met resection with left arm tingling. |
MIMIC-CXR-JPG/2.0.0/files/p13479418/s56146397/90e622b3-be8f0161-4f93a78f-c80099ac-10e72177.jpg | since same day chest radiograph, acutely increased opacities in the region of rfa in the left lower lung may represent hemorrhage. again, the known left pulmonary nodules are not well seen on this exam, and better assessed on recent ct chest. the right lung is clear. the heart size is normal. no pneumothorax or pulmonary edema. | <unk> year old man status post lll rf ablation, please obtain upright chest xray at <num>pm // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13473495/s50319774/2626edcd-3f9f9f05-089bb9fa-c8ba4148-efad5e91.jpg | severe cardiomegaly persists. a left subclavian vascular stent is re- demonstrated. mediastinal contours are unchanged. there is pulmonary vascular congestion,slightly worse in the interval. a small amount of fluid is noted within the minor fissure. no focal consolidation, pleural effusion or pneumothorax is demonstrated. | body pain and feeling hot. |
MIMIC-CXR-JPG/2.0.0/files/p11166715/s54706117/b3eadc56-ba2ecd36-7b10aa31-c50d6f19-44e1a596.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable except for tortuous aorta. | history: <unk>f with dizziness // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15245907/s52119471/3297383d-e4f16ffd-8290df3a-3fcf3a58-c8b59690.jpg | the tip of the et tube terminates in the mid trachea <num> cm above the carina. a left ij central venous catheter terminates in the mid svc. asymmetric pulmonary edema is stable and more pronounced on the right. atelectasis is noted at the lung bases. the cardiac silhouette is unchanged. bilateral pleural effusions are presumed but not large and no bigger than previous studies. there is no pneumothorax. visualized upper abdomen is unremarkable. surgical clips project over the thoracolumbar spine. | <unk> year old woman with intubation, sedation, evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10914703/s56348856/559452c4-fc698097-06d0ed79-3e0e3f05-6f15a607.jpg | again seen is a consolidation in the right middle lobe, unchanged since the most recent examination, consistent with right middle lobe pneumonia. no other focal consolidation is identified. there is no pleural effusion or pneumothorax. | <unk>f w/recent ct c/f malignancy, recent cxr w/opacity, returning for worsening chest pain, please eval for change in opacity // <unk>f w/recent ct c/f malignancy, recent cxr w/opacity, returning for worsening chest pain, please eval for change in opacity |
MIMIC-CXR-JPG/2.0.0/files/p15108002/s51794333/34e4bf26-f0e2a21c-1dac383b-99e9ae31-c86fff2c.jpg | pa and lateral chest radiographs were provided. the previously noted lung nodule on the lateral view overlying the thoracic aorta is not visualized. there are no concerning lung nodules or masses. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the bones are intact. | <unk>-year-old woman with diabetes, recent ed visit for chest pain with a possible pulmonary nodule on x-ray on <unk>. recommended four-week followup. |
MIMIC-CXR-JPG/2.0.0/files/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg | moderate to severe cardiomegaly is stable. pacer leads are in standard position. et tube is in standard position. left ij catheter tip is in the mid svc . right picc is in unchanged position. ng tube tip is out of view below the diaphragm. vascular congestion has improved. bibasilar atelectasis have improved. bilateral effusions right greater than left are unchanged | <unk> year old woman with open abdomen // interval progression |
MIMIC-CXR-JPG/2.0.0/files/p14586885/s55025068/e64d1d8f-9d860543-41840bd3-7caf5a32-f6db7448.jpg | a tracheostomy tube is unchanged in position. the lung volumes remain low. mild pulmonary edema has improved from <unk>. opacification at the right lung base is unchanged, most likely atelectasis. a small-to-moderate right pleural effusion and small layering left pleural effusion are similar to the prior exam. no appreciable pneumothorax is seen on this supine view. moderate enlargement of the cardiomediastinal silhouette is unchanged. | acute respiratory distress. |
MIMIC-CXR-JPG/2.0.0/files/p18215955/s54182233/c2034fca-2e032371-a844da01-27c625b8-7c956651.jpg | the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | <unk>m with fever. eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17222442/s58094243/30719968-6cac2e92-0b170331-de4bc87d-8a0ff66e.jpg | small right-sided pleural effusion with fluid along <num> minor for sure is stable in appearance. no interstitial pulmonary edema. known left-sided effusion. the heart is mildly enlarged. | <unk> year old man with pleural effusion // eval |
MIMIC-CXR-JPG/2.0.0/files/p11875773/s58660310/95d7d668-da98869e-54866981-ba46dec3-a478f04c.jpg | again seen is mild pulmonary edema and trace bilateral pleural effusions, similar to prior. cardiomegaly is stable. there is no focal consolidation. no pneumothorax. | <unk>m with chest pain // acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p11595140/s50657541/ff69bc08-5229e58b-5bb985cb-a3e741a1-989a4c96.jpg | known mediastinal lymphadenopathy is better delineated on chest ct. otherwise, the lungs are without a focal consolidation. minimal scarring at the left base and apices is unchanged. cardiac and mediastinal contours are stable. a right-sided port is noted with the tip terminating in the lower svc. | metastatic neuroendocrine cancer with fever. |
MIMIC-CXR-JPG/2.0.0/files/p17295976/s58108500/aca2644d-d144c9db-f015e3f6-73f7168d-554a5695.jpg | the patient is status post median sternotomy. midline tracheostomy is again seen. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with fever, cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14479881/s59804803/1e780cd4-a8462933-72408037-a798fa09-1f35f0ff.jpg | frontal and lateral chest radiographs demonstrate well expanded and clear lungs bilaterally. visualized osseous structures unremarkable without evidence of acute fracture. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female status post fall on ice with point tenderness on the lateral aspect of the left posterior <num>th rib. |
MIMIC-CXR-JPG/2.0.0/files/p10117273/s58453362/440839c2-b40d0272-e81d7e33-30270013-bdbdaf55.jpg | et tube terminates <num> cm above the carina. coalescent, bilateral, perihilar opacities reflect alveolar edema. linear densities in the right mid and lower lung may reflect atelectasis. blunting of the costophrenic angles suggests small, bilateral pleural effusions. | <unk>-year-old man with a history of cirrhosis, now with gi bleed status post intubation. evaluate endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p14483422/s50545335/f08f2c9e-7a4fef65-bf1e1cc4-36302d69-04870df2.jpg | frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. left ij central catheter terminates in the mid svc. ng tube is coiled in the stomach. left upper paramediastinal opacity is similar to prior. no large pleural effusion or pneumothorax. cardiomediastinal contours are stable. | <unk>-year-old female with non-small cell lung cancer status post ex lap, small bowel resection for mass. evaluate line placement. |
MIMIC-CXR-JPG/2.0.0/files/p16476036/s51877745/57779c33-63939252-271efd85-737ac2c7-c58d29c2.jpg | ap portable upright view of the chest. numerous pulmonary nodules are better assessed on recent ct of the chest. no superimposed consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is stable. no acute bony injuries. | <unk>m with ams s/p mvc // ams, mvc, |
MIMIC-CXR-JPG/2.0.0/files/p10476869/s57997921/fbf03b4c-96912174-3ce5f166-c90e45b7-416eb242.jpg | sutures in the left apex are unchanged with expected left upper lobectomy changes. moderate left pleural effusion and atelectasis are overall unchanged or minimally increased. the heart is top-normal in size, slightly increased from the prior exam. no pulmonary edema or focal consolidation to suggest pneumonia. small right pleural effusion is new. no pneumothorax. mediastinum and hila are unchanged. | <unk> year old man with lymphoma and history left upper lobectomy and history of effusions, now presenting with increasing shortness of breath; assess for changes. |
MIMIC-CXR-JPG/2.0.0/files/p12809280/s52266219/e4bcd84c-7f8f3b2f-27bcbc8f-93cc1024-882be961.jpg | there is a left subclavian approach port-a-cath or tunneled line with internal <num> way valve with tip terminating at the distal svc unchanged from prior study. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. the pleural surfaces are clear without effusion or pneumothorax. | positive blood cultures. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14246614/s55066462/8099c559-7473e4a6-fbc2cf16-0902e203-8bcb586e.jpg | endotracheal tube is <num> cm above the carina. there continues to be dense retrocardiac opacity consistent volume loss/infiltrate/effusion. there is also hazy right lower lobe infiltrate. there is mild pulmonary vascular redistribution and moderate cardiomegaly. compared to the study from <num> hours previous, the aeration in both lungs is slightly improved. | positive ppd; respiratory failure. |
MIMIC-CXR-JPG/2.0.0/files/p19522954/s59144713/73007e38-815351c6-33369645-0c4fa89c-702919db.jpg | ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. position of previously described right-sided subclavian central venous line and left-sided picc is unchanged. as before, there is mediastinal shift towards the left hemithorax which now is completely opacified, demonstrating complete loss of aeration of the left lung. this finding occurring in combination with left-sided mediastinal shift is highly suggestive of central airway obstruction which is probably accomplished by mucus plugs. there is no evidence of new pulmonary infiltrates in the right lung; however, the vascular pattern suggests some degree of congestion with possible mild increase of pleural effusion, now partially obliterating the diaphragmatic contours. | <unk>-year-old female patient with shortness of breath, evaluate for worsening effusions or flash pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12703255/s59312786/211e2d7c-b189740f-6bfc7a3c-4882b787-a54a2ebb.jpg | frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13640656/s58384978/d3435e5e-4992f24f-51c7b174-f65ecff2-f072f5cb.jpg | again seen are bilateral small gauge chest tubes. the chest tube on the left appears in good location. the chest tube on the right is very peripheral with the tip projecting over the right lateral ribs. this is likely in the chest wall and not in the pleural space.. there are small bilateral pleural effusions that have increased compared to the prior exam. there is volume loss at both bases. there is new infiltrate in both lower lobes as well. there is a possible right lateral pneumothorax. | advanced hepatocellular carcinoma and malignant pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p15677928/s56288388/742948c8-08974817-f711331d-e4f69ab7-2ef56fce.jpg | lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. right neck iv is identified with adjacent subcutaneous air. | <unk>f with fever body aches // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p17598702/s58710393/0f2b6483-8258c574-d26a6a76-5be8dd2e-986bed51.jpg | the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. moderate to severe cardiomegaly is stable. mitral annulus calcifications are noted. calcifications also noted of the aortic knob. | <unk>f with fatigue // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12966187/s53076257/b4a19812-aea0e89d-5cba9a33-a28cb533-5231fd1a.jpg | the lungs are well expanded. faint opacity in the right lower lung may project over spine on lateral view. mediastinal contour hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. | <unk>f with chest pain // evaluate for acs |
MIMIC-CXR-JPG/2.0.0/files/p13651103/s59453328/924d6aa6-ed6eab23-fc8cda0b-d84327aa-caf1e014.jpg | single frontal chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. the aorta is somewhat tortuous. there is bronchial cuffing noted suggesting small airways disease. no focal opacification concerning for pneumonia identified. stable dense opacification in the left upper and left lower lobes is consistent with granuloma. no pleural effusion or pneumothorax evident. | fevers, hypertension, cough, on chemotherapy, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15543836/s59574781/d9ae896c-180abce0-6d9228b9-d46dc994-58098ac3.jpg | an endotracheal tube terminates <num> cm above the carina. a nasogastric tube is coiled within the stomach. lung volumes are low leading to crowding of the bronchovascular structures. bibasilar atelectasis is noted. there is no lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is slightly larger compared to the prior study and there is pulmonary vascular redistribution. | history: <unk>m with ett // placement? |
MIMIC-CXR-JPG/2.0.0/files/p13312252/s50891249/a817f8e4-cb9834b1-66b610fd-9aeae9b6-0b5e7cde.jpg | interval retraction of the endotracheal tube which now projects <num> cm from the carina. the tip of the right subclavian central line projects over the mid to distal svc and the left internal jugular pa catheter tip extends to the right atrium. there has been no significant interval change in a small left pleural effusion with subjacent atelectasis. no new focal consolidation or pneumothorax. the cardiomediastinal silhouette is enlarged but unchanged. again noted is extensive vascular calcification. | <unk> year old woman with ett placement // reeval ett positioning |
MIMIC-CXR-JPG/2.0.0/files/p16925527/s51558993/dbe4200a-668c436f-c33ce196-aca57a4f-f70c0f55.jpg | <num>mm right lung pulmonary nodule has been stable since at least <unk>. however the is suggestion of <num> x <num>mm right suprahilar lung nodule, a new <num>mm nodule projecting over the right third rib, and new right hilar lobulation and soft fullness in the right tracheobronchial angle suggesting hilar and mediastinal lymphadenopathy respectively. there is no focal airspace opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. heart size is normal. indentation of the right cervical trache reflects the right thyroid mass present since <unk> previously biopsied in <unk>. | tachycardia, abdominal pain. evaluate for evidence of effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14873487/s54078494/226d325f-ec543178-9cfeed44-61bcd595-46cb98c0.jpg | frontal and lateral chest radiographs demonstrate slightly low lung volumes with exaggeration of the cardiac silhouette. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for acute cardiopulmonary process in a patient with dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p17744443/s53758345/cb9626de-e8dfab8e-ea95e3e3-e98b016a-4f0bfda5.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 seen. | history: <unk>m with chest pain // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p12622624/s52671149/172e1471-420bb723-2ce32d99-6471b661-fa2a7c6b.jpg | compared with the prior study, a small right-sided subpulmonic pleural effusion is unchanged. interval removal of the right-sided picc. heart size top-normal. left lung is clear. no pneumothorax or focal consolidation. unchanged clustered calcifications projecting in the left upper lobe, seen on prior ct | <unk> year old man with stage iia melanoma. evaluate for malignancy. |
MIMIC-CXR-JPG/2.0.0/files/p19567567/s57017786/6f3aa2be-a3d2fe9e-a8a366e2-1f1c5abe-a3a257b1.jpg | pa and lateral views of the chest demonstrate well-expanded clear lungs. the heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion and no pneumothorax. | <unk>-year-old with chest pain, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13866940/s52775752/91aa37d1-c2d7d819-bea91a37-602f27c2-ab6984ae.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. posterior right seventh rib fracture is incompletely evaluated due to overlying anterior rib. | <unk>-year-old female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p11978716/s56813981/0dde0d3d-ab8ffd62-7f5a8504-deb68435-fb71224e.jpg | heart size is normal. coronary artery stent is noted. mediastinal and hilar contours are normal and the lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. | nausea, vomiting, diarrhea, history of myocardial infarction. |
MIMIC-CXR-JPG/2.0.0/files/p17884118/s51707688/3a127ccd-79c29d73-cb110920-3821a0e9-1bbd0411.jpg | ap upright and lateral views of the chest provided. lung volumes are low which limits assessment. an area of scarring on ct c-spine in the left upper lung is not clearly visualized. pulmonary hilar prominence may reflect mild hilar congestion. there is no overt pulmonary edema or large consolidation, effusion or pneumothorax. the heart size appears grossly stable. mediastinal contour is unchanged. bony structures appear intact. no acute displaced rib fractures seen. | <unk>f with falls, weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16001653/s58351126/6a4ef3c9-8fb3b90c-27254f0f-7995c1be-174bf3d5.jpg | no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. the heart size is top normal. the patient is status post median sternotomy and cabg with previously noted fracture of the two superior-most sternal wires. surgical clips project over the right upper quadrant. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p13478814/s56866134/dd6f5f62-289d1273-13b642e0-bfa6eee8-e7274217.jpg | the lungs are slightly low. there is no focal airspace opacity on this single projection to suggest pneumonia. mild cardiomegaly is unchanged. the mediastinal and hilar contours are unchanged. previous pattern of mild pulmonary vascular congestion appears slightly improved. multiple surgical clips project over the mediastinum. multiple median sternotomy wires are in place. left picc terminates in the mid svc. | history: <unk>f with seizure today, altered mental status here, looking for potential focus. |
MIMIC-CXR-JPG/2.0.0/files/p19601036/s54292351/4c973f8c-66ceac3d-79fb87e8-fe9792ed-8ebffdad.jpg | portable frontal ap chest film of <unk> at <time> is submitted. | <unk> year old woman with left lung collapse // eval lung expansion after bronchoscopy eval lung expansion after bronchoscopy |
MIMIC-CXR-JPG/2.0.0/files/p18664844/s50854868/c2efa841-af8fe675-fae13ad4-38ff3dd0-15058344.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. lung volumes are somewhat low. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. left humeral head prosthesis again noted. no free air below the right hemidiaphragm is seen. | <unk>f with dizziness // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p14756130/s54957554/798d273f-63b78eae-7ae15583-c62042d1-44dfbec5.jpg | stable tracheostomy tube in standard position. significant interval improvement of the multifocal airspace opacities, which for more pronounced throughout the left lung. there is residual airspace opacity in the left lower lobe. stable appearance of postsurgical and volume loss in the right lung, with small effusion. | <unk>m h/o myotonic dystrophy and t<num>a lung carcinoma s/p rul lobectomy (<unk>) with post-op respiratory failure (failed extubation x<num>) // interval cxr |
MIMIC-CXR-JPG/2.0.0/files/p19670384/s51945842/77421692-4bfd6527-8fc329d8-8f91f708-4b0bd946.jpg | the heart is top-normal in size. there is no focal consolidation. there is no pneumothorax or pleural effusion. bilateral shoulder prostheses are present. | <unk>-year-old woman with fever for <num> days, s/p renal xplant <unk> on immunosuppressants, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12465184/s53566879/e804ec18-b835c292-da2b2d0a-43f04fa1-90f4d362.jpg | right-sided port-a-cath tip terminates in the mid svc. heart size is mildly enlarged. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are essentially clear without focal consolidation. there is minimal atelectasis in the right lung base. no large pleural effusion or pneumothorax is identified however the extreme right costophrenic angle is excluded from the field of view. the osseous structures are diffusely demineralized. | history: <unk>f with si and tachycardia |
MIMIC-CXR-JPG/2.0.0/files/p16694056/s52908757/8d73a7d8-c7800f0a-c9e5ab3c-c765a820-6f52d694.jpg | cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable | <unk> year old man with weight loss. // chest disease? |
MIMIC-CXR-JPG/2.0.0/files/p13530640/s54650016/83ef9c9f-4cb69347-04abaea9-c746397e-3a0b3d0c.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with abdominal pain s/p lap appy last <unk> // eval free air under diaphragm |
MIMIC-CXR-JPG/2.0.0/files/p15913671/s50936474/85d05ae7-755a0405-72924fa4-bdf492d3-cbf34b41.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. | chest pain |
MIMIC-CXR-JPG/2.0.0/files/p10014967/s52591138/42dfb715-a9b0fd73-4a94ee27-e71cc19f-4dd29e93.jpg | ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. calcified granuloma projects over the left mid lung unchanged. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. a surgical anchor projects over the right humeral head. no free air below the right hemidiaphragm is seen. | history: <unk>f with fevers and chills // infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16027768/s56785257/c7648618-71f7b9a4-b516a275-dee380f2-47e53a56.jpg | the cardiac silhouette size is normal. the aorta remains tortuous calcified. mediastinal contours are unchanged. rounded opacities posteriorly along the diaphragmatic contours are unchanged, likely bochdalek hernias. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. remote left <unk> posterior rib fracture is again noted. | cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p13683830/s51186077/56d78917-e783edb1-3eac3a34-c4d67a25-1f0488eb.jpg | the heart size is normal. the aorta is mildly unfolded with minimal atherosclerotic calcifications noted at the aortic knob. biapical scarring is re- demonstrated. the lungs are otherwise clear and the pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is visualized. there are no acute osseous abnormalities. | productive cough for <num> week. |
MIMIC-CXR-JPG/2.0.0/files/p15534164/s54561092/fe2c7b4e-9a3c26ce-4a5e57b5-48140057-4c6bddb3.jpg | again seen is atelectasis in the right middle lobe and left lower lobe, with chronic elevation of the left hemidiaphragm. no new focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with ili, hx bmt // pneumonia or other acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17848200/s57669317/dfbbcfc4-679a1869-7cdc8b20-41a9bb23-3eb2a29f.jpg | the lungs are well expanded. there is moderate pulmonary edema. the cardiac silhouette is mild to moderately enlarged.there is a possible small pericardial effusion. no pleural effusion or pneumothorax is seen. | history: <unk>m with chf and cardiomyopathy, b/l crackles at lung bases // concern for chf exacerbation, ?pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p15385040/s51354777/d19ae437-4ccc7415-2b49ec2c-01fc8286-48bedd3f.jpg | lung volumes have decreased but allowing for that, there has not necessarily been any real change in persistent opacification of the left mid to lower lung suggesting pneumonia. a coinciding pleural effusion is possible but not well demonstrated. there is vague but focal new right mid lung opacification. there is no pleural effusion on the right. background bullous changes are suggested at the lung apices. | mrsa and esbl pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17919758/s54354991/076aeee5-7f6c389e-54f1c08b-25d68ba2-408035f6.jpg | there are relatively low lung volumes. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal and hilar contours are unremarkable. there is gaseous distention of the partially imaged colon in the left upper quadrant. | fever, sweats. |
MIMIC-CXR-JPG/2.0.0/files/p11580826/s56558521/c14b3d3a-0b4c52d2-6a35c6be-62c7313c-c6475c8b.jpg | cardiomediastinal contours are stable. left lower lobe opacities have improved consistent with improving atelectasis and presumed small pleural effusion. there is a tiny right apical pneumothorax. right lower lobe opacities likely atelectasis. skin <unk> are present in the left supraclavicular region. right port a cath tip is in the lower svc | <unk> y.o. m w/ esophagogastric carcinoma s/p neoadjuvant chemotherapy now s/p mie // assess for abnormalities s/p chest tube pull |
MIMIC-CXR-JPG/2.0.0/files/p14738661/s53346425/4c213d73-0b8b84b7-e09dbf8c-e9eb1442-1129e09d.jpg | the lungs are well inflated and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are noted. | <unk>-year-old male status post motor vehicle accident. evaluate for evidence of pneumothorax or any other acute cardiopulmonary process. |
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