File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p13165314/s53548604/9ca88027-5732e527-aa2deb8f-ec6825d8-625cc7f0.jpg
pa and lateral views of the chest provided. severe dextroscoliosis is again seen. there is no focal consolidation to suggest pneumonia. left lung base opacity is unchanged. small amount of pleural effusion is seen bilaterally. right-sided central catheter terminates in the cavoatrial junction, position unchanged.
<unk> year old man with lung ca with coughtproductive of yellow brown secretions, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11182021/s58532102/0d9b9b6e-ef07f8e8-a1865496-8e4f41ce-9a46ca3f.jpg
a new bulge projecting over the right cardiophrenic angle is suggestive of a hiatus hernia. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with sensation of lump in chest // ? infectious process
MIMIC-CXR-JPG/2.0.0/files/p11593651/s57152207/8a23663d-bdbda33c-5cd95d23-21011f20-6e888869.jpg
pa and lateral views of the chest were provided. suture are again noted in the right lower lung compatible with prior right middle lobectomy. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>f with dyspnea, history of prior right middle lobectomy.
MIMIC-CXR-JPG/2.0.0/files/p19708139/s51566941/db63921a-820e1857-6edf2543-bb0c0f9c-3106a903.jpg
pa and lateral views of the chest provided. the left apical granuloma is unchanged from <unk>. there is no focal consolidation, effusion, or pneumothorax. mild cardiomegaly, minimally increased from <unk>. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman with hx sarcoidosis presents with <num> days of cough, sob // ?infiltrate
MIMIC-CXR-JPG/2.0.0/files/p17633349/s51607622/32dc5026-f6cedbf9-14311150-7f65c5c6-682652a8.jpg
ap upright and lateral chest radiographs were obtained, though the left hemidiaphragm and costophrenic sulcus are excluded from view. the heart remains markedly enlarged with interval increase in mild pulmonary vascular congestion and perhaps trace new pulmonary edema. small right and likely small left pleural effusions are seen without focal consolidation on the imaged portions of the chest. there is no pneumothorax. dual lead pacemaker device is noted.
weakness and fever.
MIMIC-CXR-JPG/2.0.0/files/p14546218/s58276817/6e67b52b-14c258d6-17b1f306-6daf2f4a-85a65100.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 cough, hemoptysis // ? acute process
MIMIC-CXR-JPG/2.0.0/files/p10056223/s50510907/c9d29e21-f4b76a19-4334037c-b058b154-0f0298b6.jpg
all the monitoring devices are unchanged and in standard position. lung volumes persist, low, now with new opacification of the right lung for increased pleural fluid. there is no pleural effusion on the left lung. heart size is mildly enlarged.
<unk> years old man status post olt. interval change.
MIMIC-CXR-JPG/2.0.0/files/p18103016/s55463903/abd5e193-794690c8-f0aeadfe-a54473cf-5b46a191.jpg
pa and lateral views of the chest provided. midline sternotomy wires and prosthetic cardiac valve again seen. the lungs are clear. no focal consolidation, effusion or pneumothorax. minimal basal atelectasis noted on the left. heart and mediastinal contours appear normal and unchanged. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with dyspnea // r/o chf
MIMIC-CXR-JPG/2.0.0/files/p11460066/s57044350/3da78539-843989ed-837ed18d-d9d15176-11fa69a0.jpg
the right pleural effusion has reaccumulated. there is likely also small left pleural effusion. a presumed pericardial drain has now been removed. the cardiomediastinal contour is unchanged compared to the prior study. persistent bilateral lower lobe atelectasis. no pneumothorax seen. unchanged nodular opacity in the left mid lung. small bowel loops in the left upper quadrant are less distended than on prior studies.
<unk> year old woman s/p pericardial window // follow up mediastinum s/p pericardial drain removal
MIMIC-CXR-JPG/2.0.0/files/p19700047/s51764563/1355dfcf-573a42a2-d993785b-905b89a5-61e842e0.jpg
a chronic right lateral rib fracture with adjacent atelectasis is again noted. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. left-sided picc terminates in the mid svc.
<unk> year old woman with h/o aml with neutropenic fever // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p14117974/s53494926/3ccdeb9d-0f8c7c61-864b9163-d5738601-91b5b75f.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. no effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain. question pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17680375/s51139214/866c1d34-14cac42c-0aa25863-21db9115-906ca111.jpg
the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.
<unk> year old woman with several days of productive cough // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p10597642/s52839371/c1a382c7-6e5aa866-33fd14e7-adecc5ec-247a158c.jpg
left-sided port-a-cath is seen terminating in the mid to low svc without evidence of pneumothorax. the lungs are clear without focal consolidation. no pleural effusion is seen. the aorta is tortuous. the cardiac silhouette is top-normal. the mediastinum is not widened and appears similar to slightly less prominent as compared to the prior study. surgical clips are noted in the left upper quadrant.
chest pain, evaluate for widened mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p16548419/s55534929/bd04fbc5-700e63c9-c659ef68-ba447202-a15461c4.jpg
ap portable view of the chest. retrocardiac opacity may indicate infection or atelectasis. there is atelectasis at the left lung base. no focal consolidation to suggest pneumonia. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
fever.
MIMIC-CXR-JPG/2.0.0/files/p17799242/s53286189/e7fde8d8-314567cc-465e4a76-3b824c6f-4866d9bd.jpg
endotracheal tube now ends <num> cm above the carina. ng tube extends into the stomach. right ij terminates at the cavoatrial junction. marked thoracic scoliosis. stable opacification at the right base reflects an unchanged right pleural effusion with atelectasis. stable opacification at the left base reflects an unchanged, small left pleural effusion.
<unk>-year-old woman status post endotracheal tube replacement.
MIMIC-CXR-JPG/2.0.0/files/p16350247/s50880520/1dd8dfa9-7b0c0a64-4da89eb6-b017cc67-ffd8105a.jpg
there is bibasilar atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old woman with cough and weakness // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p17696123/s59443293/dfc9f397-cdc97986-15642bf6-0ab42ad7-1b3db300.jpg
the cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. remote bilateral rib fractures are noted.
diabetic ketoacidosis and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12732467/s56271473/ba502a5b-b0b841a1-fd134923-e324842b-f5a1a10d.jpg
pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with facial and arms numbness // r/p pna
MIMIC-CXR-JPG/2.0.0/files/p10471463/s52106755/8db88014-a76bb44f-e34b96f5-5ab5b752-104e9d7f.jpg
the cardiomediastinal silhouette is normal. the lungs are mildly hyperinflated. there is no focal consolidation. there is no pneumothorax or pleural effusion.
<unk>f with chest tightness, dyspnea, palpitations, evaluate for acute cardiopulmonary process .
MIMIC-CXR-JPG/2.0.0/files/p18556017/s58709120/a74543cb-fff688f8-1ef405ae-ea6f08ab-70666d33.jpg
the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.subtle distortion of the left perihilar markings on the frontal radiograph reflect radiation related changes better assessed on prior ct and unchanged in appearance. bony structures appear intact.
<unk>f hx kidney transplants on immune suppression; elevated wbc, malaise. evaluate for infection or other acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16760139/s59140735/991289ca-db0219e0-97e57709-b51d701c-806fa8b9.jpg
there is elevation of the left hemidiaphragm. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal contours are unremarkable. surgical clips are noted in the superior mediastinum.
history: <unk>f with right sided weakness. // eval for ich, pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10444484/s58962431/86528fdc-a6991a44-02688583-fb279d66-af647c25.jpg
lung volumes are low which leads to bronchovascular crowding. there is bibasilar atelectasis. the cardiomediastinal silhouette is unchanged. there is no large pleural effusion or pneumothorax. right shoulder hardware is again noted.
<unk>m with diffuse abd pain, luq and llq, evaluate for acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p19207884/s50822205/f65267d9-5cddbca4-7b44709d-617535ff-d8d4af8e.jpg
frontal and lateral views of the chest were performed and demonstrate clear lungs. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is no evidence of aspiration. the cardiac, hilar and mediastinal contours are normal. there are no acute osseous abnormalities appreciated. the imaged upper abdomen is unremarkable.
history of ostomy placement, now with decreased output and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p11648387/s51287797/b7958ef6-cf7f16cb-feae3ac8-0b8d398f-e8c3b577.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>m with chest pain // chest pain, pna>?
MIMIC-CXR-JPG/2.0.0/files/p15284921/s52289388/d250b764-d8186cf1-3b5a12ff-07887aba-ed8781c4.jpg
the lungs are fully expanded and clear. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
<unk> year old man with cough, evaluate for infection.
MIMIC-CXR-JPG/2.0.0/files/p10850692/s57192969/4272eb09-45c663d2-5ce1717b-aa01eb49-32e3e00b.jpg
a single portable ap chest radiograph was obtained. the lungs are well expanded and clear. there is no effusion, pneumothorax or consolidation. an extra linear contour at the ap window is attributable to mediastinal fat. cardiac and mediastinal contours are otherwise normal.
chest pain and syncope.
MIMIC-CXR-JPG/2.0.0/files/p19566772/s59935370/e0a464d4-a4997ae4-22825605-3dd54a23-563ff1e1.jpg
single portable view of the chest. endotracheal tube is approximately <num> cm from the carina. enteric tube passes below the inferior field of view, tip not clearly identified. relatively low lung volumes are noted with crowding of the bronchovascular markings. lungs are grossly clear. the cardiac silhouette appears enlarged but this is likely accentuated due to technique and low inspiratory effort.
<unk>-year-old male intubated, transfer.
MIMIC-CXR-JPG/2.0.0/files/p15024914/s50559082/593dcdc0-f62a9a79-661a32fe-1c105727-e26b9d7f.jpg
the lungs are well expanded. atelectasis or scarring is seen in the left lung base. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
dizziness.
MIMIC-CXR-JPG/2.0.0/files/p14215764/s59909875/00a8ca73-333d403c-8a0592de-65b4c066-45571256.jpg
cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. scarring within the lung apices is re- demonstrated. there are no pleural effusions or pneumothoraces. no acute osseous abnormality is identified.
history: <unk>f with recurrent small bowel obstruction, intermittent abdominal pain
MIMIC-CXR-JPG/2.0.0/files/p15649581/s59065046/53ecc3f0-fdc3eddc-0487393b-b4ce8998-a2e3f9f6.jpg
ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cp
MIMIC-CXR-JPG/2.0.0/files/p14339523/s59751855/a7fc4a17-c2420b0b-f7ec58cd-43570529-b0c7c912.jpg
because of changes in the patient's body habitus since <unk>, we obtained confirmation of the correct identification of the patient in this study. small to moderate right and tiny left pleural effusions are new. interval enlargement of the cardiac silhouette could be due to cardiomegaly or a pericardial effusion. pulmonary and mediastinal vasculature are normal and the lungs are clear.
<unk> year old woman on immunosuppressants admitted for fever of unk origin workup, now with substernal pleuritic cp, cough // ?pna ?pna
MIMIC-CXR-JPG/2.0.0/files/p16966553/s51546958/abaa7539-a16aa9fd-9dab157b-5b350399-c5999d09.jpg
lungs are hyperinflated. there is no focal consolidation, effusion or pneumothorax. there is no pulmonary vascular congestion or pulmonary edema. scarring in the left base is seen. heart is somewhat obscured by overlying breast tissue. within this limitation, mild cardiomegaly is unchanged. there is significant left convex scoliosis centered at the upper thoracic spine.
<unk> year old woman with htn, cough // r/o pna. ?chf
MIMIC-CXR-JPG/2.0.0/files/p18139850/s53558157/ac48d905-30920af2-245fe7aa-5963ac6e-0fdc786c.jpg
the patient is status post cabg with intact sternotomy wires. the orientation of the left chest wall pacer is inverted compared to the prior exam, but leads are in stable position. minimal cardiomegaly is similar to prior. the cardiomediastinal contours are otherwise unremarkable. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with weakness // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p10019568/s58665413/f65079fb-305241a8-925228bb-362f53da-20cf92e1.jpg
compared with the prior chest x-ray, the left pigtail catheter is no longer visualized. no convincing pneumothorax is identified. again seen are fractures along the left chest wall. linear opacity seen adjacent to the left chest wall in left mid lung, related to the original site of the catheter, is again noted. there is faint, somewhat rounded opacity in this area which is new and could reflect some local contusion or hemorrhage, measuring roughly <unk>.<num> mm in diameter. bibasilar atelectasis is again noted. the hazy component previously seen at the right base is less pronounced. no chf or frank consolidation is identified. minimal blunting of both costophrenic angles, without gross effusion. probable background copd. the cardiomediastinal silhouette is unchanged. new linear wirelike density likely represents an epidural catheter.
<unk> year old woman w hemopneumothorax, pigtal fell out when sitting up // ? pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p17420936/s50061455/1517bad9-30c9c238-7c55400d-24885f53-24adf7de.jpg
new from prior is hazy left mid lung opacity laterally. this is not clearly identified on the frontal view. elsewhere the lungs are clear. enteric tube passes below the field of view. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m s/p liver tranplant in <unk> on immunosupression here with fever. // evaluate for possible aspiration pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16592280/s50435620/53d21324-a83f01e9-6595757f-cd3b28e9-6b955257.jpg
cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are again noted in the thoracic spine. vp shunt catheter is seen within the right anterior chest wall.
weakness.
MIMIC-CXR-JPG/2.0.0/files/p12274432/s50738936/9e0f61d6-8d331470-af05495c-ada1fd9b-768a7e3e.jpg
an endotracheal tube terminates about <num> cm above the carina. an orogastric tube courses into the stomach, extending beyond the inferior margin of the field of view. the heart appears normal in size. the mediastinal and hilar contours appear within normal limits. the chest is hyperinflated. there is no pleural effusion or pneumothorax. degenerative changes appear substantial along each glenohumeral joint and several calcifications project along the left axillary pouch suggesting loose bodies on the left side.
status post endotracheal intubation.
MIMIC-CXR-JPG/2.0.0/files/p13950795/s51413921/2797f15b-2fa44f7a-5ff718a7-cc54deda-b05ac328.jpg
focal opacity at the left cardiophrenic angle is compatible with a fat pad. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. extensive hypertrophic changes are noted in the thoracic spine. surgical clips noted in the upper abdomen.
<unk>f with cough // pna?
MIMIC-CXR-JPG/2.0.0/files/p19023232/s58521800/8ced1095-b7b1064e-2805f953-6f79e085-929f3a1d.jpg
there is persistent large right pleural effusion with overlying atelectasis. minimal to no left pleural effusion is seen. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there <unk> be minimal central pulmonary vascular congestion.
history: <unk>f with dyspnea // eval for pulm edema, pna
MIMIC-CXR-JPG/2.0.0/files/p11484862/s58393202/ec57071a-16bdfeda-93ad78d4-5a9a3731-24e6175d.jpg
heart size is normal. apparent rightward shift of the trachea is likely secondary to positioning. hilar contours are normal. there has been interval resolution of pulmonary edema. lungs are clear. normal pleural surfaces.
<unk>-year-old man with a new oxygen requirement and leukocytosis. evaluate for consolidation or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16293500/s59806761/74575540-df9c7d8a-179e4105-d4b4ea00-58ab89eb.jpg
frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation, pleural effusion, or pneumothorax. there is no pulmonary edema. cardiomediastinal and hilar contours are within normal limits. visualized osseous structures are unremarkable.
<unk>-year-old female with malaise and pleurisy. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10958551/s59823537/e00e7a11-10564ebd-b3c68e88-27f40c5c-ceac81af.jpg
the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions. no evidence of pulmonary tuberculosis.
<unk> year old man with h/o uc who is going to be started on tnf-alpha inhibitor, no known prior pulmonary pathology // evidence of pulmonary disease
MIMIC-CXR-JPG/2.0.0/files/p16130748/s53655708/402c2abc-38ca7ca3-26c91a09-213b9a26-378ef584.jpg
lung volumes are slightly low which leads to bronchovascular crowding. no focal consolidation is seen. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>m with left sided chest pain, rule out acute process.
MIMIC-CXR-JPG/2.0.0/files/p13050816/s50114935/db72cfbd-4546d69a-f42276ec-bf0a8bb9-333c293c.jpg
pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged, noting prior right lateral rib fractures.
<unk>-year-old male with low back pain and near syncope.
MIMIC-CXR-JPG/2.0.0/files/p11963546/s55257874/0a4a81ca-afa36180-f0de4d0b-1d81310b-0749bba7.jpg
since the prior radiograph, there has been interval placement of a endotracheal tube that terminates <num> cm above the carina. enteric tube has been removed. aortic stent is unchanged in position. there is the right lung base opacity, which may be due to pleural effusion and/or atelectasis, but pneumonia should be considered in the appropriate clinical setting. curvilinear opacity along the medial aspect of the right upper hemithorax represents wall of the persistently dilated esophagus. left lung is essentially clear. no pneumothorax. stable mild cardiomegaly.
<unk> year old woman with gib // new ett -- assess position
MIMIC-CXR-JPG/2.0.0/files/p17975752/s50113085/a9e1a107-a644a93f-ff94e9bf-381409b2-094dfa2c.jpg
normal heart size and mediastinal contours. small bilateral pleural effusions with associated bibasilar atelectasis. the lungs are otherwise clear. no pneumothorax or pulmonary edema.
history: <unk>f with hypoxia // assess for infiltrate, effusion
MIMIC-CXR-JPG/2.0.0/files/p10094121/s50182616/20630ce7-fc041684-32205783-4b9657e8-af6e4935.jpg
the lungs are well-expanded and clear. no focal consolidation, pleural effusion, for evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are normal. no displaced fracture is seen.
low speed mvc, complaining of left-sided chest wall pain.
MIMIC-CXR-JPG/2.0.0/files/p19133405/s55135487/76d746b4-532b1853-64898507-b95be835-c2445c3d.jpg
pa and lateral chest radiographs were provided. tracheostomy tube is appropriately positioned, unchanged. the left chest wall port catheter tip terminates at the cavoatrial junction. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history of tracheobronchitis with increased sputum production.
MIMIC-CXR-JPG/2.0.0/files/p10665449/s56592290/4a7affce-12c2738b-cdefb36c-b7713461-8d0f5074.jpg
tip of the endotracheal tube is approximately <num> cm from the carina. the enteric tube courses below the diaphragm. the right internal jugular central venous line tip is in the mid svc. heart size is enlarged but stable. new consolidation in the right retrocardiac region, with air bronchograms, is likely to represent atelectasis. no pleural effusion or pneumothorax.
<unk> year old woman s/p exploratory laparotomy, lysis of adhesions, with temporary closure.
MIMIC-CXR-JPG/2.0.0/files/p13074187/s53154387/dfcf808f-5fafd884-ddf21339-e5aa71e4-32006582.jpg
the lungs are grossly clear. there is no large effusion or pneumothorax based on a supine film. moderate cardiomegaly is noted. mediastinum is within normal limits. incompletely evaluated but chronic appearing distal left clavicular fracture is noted.
<unk>m with mvc // r/o injuries
MIMIC-CXR-JPG/2.0.0/files/p17767787/s55506504/0dbe2100-00057c9d-b2d06fe1-e0d323d0-06100523.jpg
left-sided central venous catheter has been removed. moderate cardiomegaly is similar to the previous study. mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is improved compared to the previous examination. no focal consolidation, pleural effusion or pneumothorax is identified.
history: <unk>m with diarrhea, loose stools, history of congestive heart failure
MIMIC-CXR-JPG/2.0.0/files/p11020388/s51375593/b90cd021-63a924f0-cedb1ef6-ccefc6de-1d313ccd.jpg
the endotracheal tube terminates <num> cm above the carinal. a new nasogastric tube extends well into the stomach, with the tip excluded on this radiograph. the heart size is normal. the hilar and mediastinal contours remain within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
ng tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14653003/s50823359/d6010c65-b870c64b-5eb921a0-ffe1d696-e1338a0c.jpg
heart size is normal. small to moderate-sized hiatal hernia is re- demonstrated. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. remote right-sided rib fractures are again noted. there mild degenerative changes noted in the thoracic spine.
history: <unk>f with recurrent abdominal, chest pain, recent discharge for pancreatitis
MIMIC-CXR-JPG/2.0.0/files/p13596164/s50985096/d3814e55-e1512ddb-dfee6830-65c0629a-65807a1b.jpg
heart size is normal with mild unfolding of the thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. cervical fixation hardware is noted on the frontal view.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13060436/s50864870/86909360-19f1cbfb-d76a2aa2-3edb2ce2-3b6f11b7.jpg
the heart is mildly enlarged. the central pulmonary vasculature is minimally prominent which may suggest fluid overload, but without frank congestive heart failure. a more focal opacity is present in the right lower lung, probably in the right lower lobe. in the setting of low clinical concern for pneumonia, this appearance can probably be attributed to atelectasis but is not specific. minimal blunting is noted along each costophrenic sulcus; since these do not appear sharp, there may be very small pleural effusions. there is no pneumothorax.
edema and dyspnea on exertion.
MIMIC-CXR-JPG/2.0.0/files/p14318651/s57829532/62a002ed-d5244c11-cf25f58c-bad9df14-d33ea8ee.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. no fracture is identified.
chest wall tenderness after assault.
MIMIC-CXR-JPG/2.0.0/files/p11292496/s53875708/d4e68896-e27d8d00-d254df18-ea66a0c9-ce9e5f22.jpg
previously described right upper lobe opacity has resolved. lungs are clear except for a small calcified granuloma in the right upper lobe. cardiomediastinal contours are unchanged. persistent prominence of main pulmonary artery contour. lung volumes are increased with flattening of hemidiaphragms suggestive of copd. there are no pleural effusions or acute skeletal findings.
<unk> year old man with sputum and left sided crackles, hx ? opacity, pneumonia <unk> // evaluate lungs
MIMIC-CXR-JPG/2.0.0/files/p17277688/s56925568/33ccd5e2-26b49ac3-ba7d00f0-6370d87b-2370d7b3.jpg
lvad in place. sternotomy. enteric tube tip well below diaphragm. central line tip in the mid svc. right ij swan-ganz catheter projected over right hilum. improved lung aeration compared the prior exam. stable left retrocardiac opacity, likely atelectasis. no definite pleural effusion.
<unk> year old man s/p lvad with new bloody secretions // eval for hemothorax/ collapse
MIMIC-CXR-JPG/2.0.0/files/p13919141/s51232433/426fd800-5c6e9467-ee46c932-5fc55793-10cb0469.jpg
the cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. the lungs are clear.
history: <unk>f with concern for sepsis // evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16393314/s50786797/2b185b05-e3db51e4-f9b5dd24-9d30feea-59259b15.jpg
the lungs are mildly hyperinflated but clear. no consolidation. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old woman with spine film showing left and question right lung bases // eval for lung base infiltrates
MIMIC-CXR-JPG/2.0.0/files/p15400169/s52273341/7bb10996-dee6de08-9d90d8b7-2b0eb3a1-d9f265b3.jpg
the lungs are clear without focal consolidation. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is within normal limits. the hilar contours are unremarkable.
<unk>f with atypical chest pain. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17867382/s58399035/e678a2fe-c9e8fdec-a3ee4aa0-cf562cf0-f64fe60f.jpg
lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. a curvilinear opacity projecting over the left heart on the ap view is not visualized on the lateral projection. this is likely either within a rib or on the patient's skin.
history: <unk>f with diploplia // eval for chf/pneumonia, carotid dissection/aneurysm
MIMIC-CXR-JPG/2.0.0/files/p11323846/s56691511/7a2f3e9b-80c2f6e5-001517e4-3aadd403-e8ad9181.jpg
no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.
fevers, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13875890/s59527485/8c9e327a-a3f8f564-abbb1a27-dbc78e0f-227cb43a.jpg
the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. mild degenerative changes are noted throughout the thoracolumbar spine. otherwise, no acute fractures are identified.
history of remove lymphoma with fever and cough.
MIMIC-CXR-JPG/2.0.0/files/p17353457/s57528300/017da473-4ab00e25-5c16ebab-37436537-73cf1eda.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 dyspnea
MIMIC-CXR-JPG/2.0.0/files/p12233133/s57155097/2de33af9-4871d2a1-ca0864e1-0a8d7253-126af31c.jpg
the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube terminates in the stomach. the patient is status post incompletely characterized upper thoracic spinal fusion. the lungs appear clear. there are no pleural effusions or pneumothorax. the cardiac, mediastinal and hilar contours appear within normal limits. the heart is normal in size. there has been no significant change.
altered mental status with leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p15566987/s59099888/4ad0863b-74bc09b2-68995f9c-1b875e93-0200ce77.jpg
dobbhoff tube enters the stomach, courses towards the right then coils back to near ge junction. bibasilar atelectasis is unchanged. cardiomediastinal silhouette is normal size.
<unk> year old man with feeding tube placement // positive of feeding tube
MIMIC-CXR-JPG/2.0.0/files/p18494147/s56799051/26904b3d-ba0fe56e-cfc612b6-8ddeebb7-81f4a308.jpg
the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. hypertrophic changes are seen in the spine.
<unk>f with swelling and pain in lower extrem with cp // eval for cause of cp, eval for dvt in both legs
MIMIC-CXR-JPG/2.0.0/files/p16361542/s57227326/d0fe934a-976ffe94-b70eb561-2b21163a-c4ab876e.jpg
right-sided port-a-cath tip sits at the lower svc. the heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. the lungs are clear of consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough as well as a history of ovarian cancer, currently on chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p11706906/s50078109/de976e6a-8c72260e-ad52cbd9-738497c9-c57f5d7a.jpg
the cardiac silhouette appears mildly enlarged. there is calcification of the aortic knob. pulmonary vascular congestion is accompanied by interstitial edema. more confluent opacities at the lung bases are also demonstrated, right greater than left. no large pleural effusion or pneumothorax identified on this portable radiograph.
history: <unk>f with afib, rvr, worsening bp, ? incr pulm edema // eval ? worsening pulm edema eval ? worsening pulm edema
MIMIC-CXR-JPG/2.0.0/files/p15242729/s55246285/e90d81ba-07460e14-170439c6-e089aa3a-04ba1fa4.jpg
there is mild to moderate cardiomegaly, with a unfolding of the aorta. there is mild vascular plethora, consistent with mild chf. faint increased opacity at the left lung base could reflect presence of left lower lobe collapse and/or consolidation. the appearance is similar to <unk>, although slightly improved. linear atelectasis at the left base is also noted. there is minimal subsegmental atelectasis the right base. no gross effusion seen on either side, though the costophrenic angles are not sharply defined.
<unk> year old woman with bipolar d/o and ckd, intermittently febrile, chest pain // ? pneumonia, infection
MIMIC-CXR-JPG/2.0.0/files/p15230748/s56654299/56d67811-dbc0c1b6-c6fa36cf-5223a301-d0de10b6.jpg
when compared to the prior studies the lungs appear hyperinflated with flattening of the diaphragm bilaterally consistent with patient's known history of copd. there are no focal opacifications. the cardiomediastinal silhouette is stable. the hila and pleura are unremarkable.
hx of myeloma, copd, and new cough. please r/o pna. // hx of myeloma, copd, and new cough. please r/o pna.
MIMIC-CXR-JPG/2.0.0/files/p16285590/s56837470/8c234b9e-0b49983c-0ce691a8-1d17ebec-946a38f4.jpg
postradiation changes along the aortic arch are not appreciably changed. loculated left pleural effusion is bigger. right upper lobe and right lower lobe consolidations appear to be improving. the cardiac silhouette, although partially obscured by the left pleural effusion, does not appear to be significantly changed. the mediastinal silhouette is similarly stable. there is no pneumothorax.
status post talc pleurodesis for recurrent left chylothorax. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p18092465/s53572427/66bcdcb1-a00b0727-7b336f4d-7662b15d-cb8594c9.jpg
there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.
history: <unk>f with chest pain // eval for acute process
MIMIC-CXR-JPG/2.0.0/files/p18174990/s54740103/b791ac9b-7e5c4afb-92800f6e-836bb1e0-72215d49.jpg
there are bilateral interstitial opacities with a basilar predominance and pulmonary vascular engorgement. near-complete opacification at the left lung base silhouetting the left hemidiaphragm and left heart border compatible with focal consolidation. a small left pleural effusion cannot be excluded. no pneumothorax is detected. the cardiac silhouette is incompletely evaluated but likely remains mildly enlarged. the mediastinal contours are prominent but stable with mild tortuosity of the aorta and calcification of the aortic knob.
sudden onset dyspnea, here to evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11831046/s57866684/8c4c9962-83e52bc1-2ddd61a9-0134b9b2-1c5c468f.jpg
frontal and lateral views of the chest were obtained. the heart is of top normal size with normal cardiomediastinal contours. the aorta is mildly tortuous, similar to <unk>. bibasilar atelectasis is again seen, unchanged since the most recent prior exam. no new pulmonary consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old male with cough. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p10236661/s51025114/13c1c198-f709cb3b-2693b8b5-7573a1e9-9f1d7a2d.jpg
dual lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the cardiac and mediastinal silhouettes are stable. increased perihilar interstitial opacities bilaterally consistent with mild to moderate pulmonary edema. no pleural effusion or pneumothorax is seen. there is a partially imaged left humeral prosthesis. chronic deformity of the right shoulder with absence of the humeral head and cerclage wire is again seen.
history: <unk>f with h/o htn, chf, afib on coumadin, sick sinus syndrome s/p pacer p/w left chest pain // eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17015547/s50773058/a036f3f6-a4983463-557e744c-e436d673-9a749700.jpg
the lungs are well expanded and clear. the cardiomediastinal and hilar contours are unremarkable. no penumothorax or pleural effusion.
<unk>-year-old male with cough, wheezing, rhonchi in the left base. evaluate for evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13589183/s53813626/0a2f4071-1db1e8b4-3bab1763-09feb47b-9f5252be.jpg
a right picc terminates in the lower svc. very low lung volumes. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>-year-old man with picc line. evaluate position.
MIMIC-CXR-JPG/2.0.0/files/p15974128/s55035507/c9603a5e-b11f6995-0a858e5a-3d6776a8-d7c8cd1b.jpg
the heart is moderately enlarged and there is pulmonary vascular redistribution there is subsegmental atelectasis at both bases. there probable small bilateral pleural effusions
<unk> year old woman with chf, now with sudden onset dyspnea and lightheadedness. // evaluate for pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p16023100/s55731346/ce631f1b-3154e0d1-bc6a80dd-ae28966d-be1d7e68.jpg
ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. nipple jewelry present bilaterally.
<unk>f with persistent fevers. // assess for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17214442/s55757300/11f94b39-fd11e652-b93aa61b-e866cf3f-65b36352.jpg
a right chest wall port-a-cath terminates in unchanged position at the cavoatrial junction. there is minimal left basilar atelectasis. otherwise no significant change from prior.
<unk> year old man with lymphoma // assess for port placement.
MIMIC-CXR-JPG/2.0.0/files/p16461238/s59284645/15ee1f87-c62942fe-339a7b60-88f3d7c0-c80ebaa4.jpg
heart size is normal. thoracic aortic arch is tortuous with mild atherosclerotic calcifications. hilar contours are unremarkable. mildly increased interstitial markings are chronic. lungs are otherwise clear. the pleural surfaces are clear without effusion or pneumothorax. no overt traumatic findings.
status post fall.
MIMIC-CXR-JPG/2.0.0/files/p11724477/s52539820/5b560f51-f7949a0a-a0e03020-b4c1bbcf-75f83c71.jpg
the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size is top-normal, unchanged since prior examination. mediastinal contour and hila are unremarkable. limited assessment of the osseous structures demonstrates chronic posterior third and fourth right rib fractures. clips are noted within the upper abdomen, unchanged prior examination.
<unk>f with seizures. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17311874/s57668377/47d29357-bbc9a0b3-e8c68e26-f73a9a74-ab0c3a5c.jpg
postoperative changes right thoracic inlet. surgical <unk>, drain in place. no pneumothorax. lungs are clear. normal heart size, pulmonary vascularity.
<unk> year old man with r venous tos; now s/p resection of r <num>st rib // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p17533771/s56679657/135f75db-12a94b0c-6c6aab28-36eee09d-648f5827.jpg
one portable ap upright view of the chest. low lung volumes. mild left basilar atelectasis. right lung is clear. no vascular congestion or pulmonary edema. no pneumothorax. moderate cardiomegaly. no evidence of pneumonia. no pleural effusion.
evaluate for extent of atelectasis versus fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg
single portable view of the chest is compared to previous exam from <unk>. the lungs are clear of confluent consolidation. cardiac silhouette is enlarged but stable. hypertrophic change is seen in the spine. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with arrhythmia, question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13368590/s55808775/a75c8fc1-be9b6298-9ea5ef40-dd49c2ab-fb427de4.jpg
no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there has been interval removal of the left-sided hemodialysis catheter.
<unk>-year-old female with hyperglycemia and clinical concern for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17868461/s59114193/e2962358-dfdc61fe-d5df8c28-a67e7623-2ba48e8d.jpg
heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. a small left pleural effusion appears similar in size compared to the previous chest radiograph. associated patchy left lower lobe opacity could reflect compressive atelectasis, though infection is difficult to exclude. minimal atelectasis is noted in the right lung base. no pneumothorax is identified. no acute osseous abnormalities detected.
history: <unk>m with abdominal distention // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16113482/s57459737/0c63b9e7-b6a72ae7-3843cef6-657708de-8ccee739.jpg
no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. there is no evidence for pulmonary edema.
<unk>-year-old female with chest pain and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19482931/s54298317/9454d5bf-9bfab9f3-3de7cfd7-6d9accb7-1d4e7d41.jpg
lung volumes are low. there is minimal bibasilar atelectasis and/or scarring. widening of the mediastinum is not significantly changed, nor is fullness of the right hilum. the heart size is normal. there are no pleural effusions. no pneumothorax is seen.
dementia and delirium, presenting with leukocytosis, elevated lactate, and c diff colitis. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18597419/s56342198/6afafd33-96d8bc3c-8b0451d9-d7deb1d5-481eb2b2.jpg
the patient is status post median sternotomy and cabg. a left-sided subcutaneous icd is again noted with lead overlying the right ventricle. moderate cardiomegaly is unchanged, in the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities identified.
history: <unk>m with chest pain
MIMIC-CXR-JPG/2.0.0/files/p16476444/s53340089/b04fc040-9a78d909-4e349c47-c9776a00-88f34e3c.jpg
there is no focal consolidation, effusion, or pneumothorax. heart size is top-normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. left chest cardiac device and lead tip in the right ventricle are similar to prior.
history: <unk>m with cough // eval infiltrate
MIMIC-CXR-JPG/2.0.0/files/p17094830/s59773292/ddf57991-82569e72-0e578083-52e550f0-79971684.jpg
there are ill-defined bibasilar patchy opacities, which have progressed compared to the prior radiograph, and may represent atelectasis, however an underlying pneumonia cannot be excluded. the previously visualized nodule is not definitively seen on this examination. the pulmonary vasculature is normal. the cardiomediastinal silhouette is stable. there is no pleural effusion. there is no pneumothorax.
<unk> year old woman with nodular opacity on pre-op chest x-ray // assess nodular opacity seen on pre-op chest x-ray
MIMIC-CXR-JPG/2.0.0/files/p19637571/s52369286/51cfa336-d3c79891-4481c68b-b753116a-c4bbeafb.jpg
again seen is a diffuse nodular pattern, worse on the right with peribronchial thickening , patient has known bronchiectasis. compared to the most recent prior radiograph there has been no signficant change. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal
<unk>-year-old woman with bronchiectasis and recent symptom flare, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15220389/s57949823/04fea467-efabd320-a146f681-5169b76a-6cfda749.jpg
a port-a-cath terminates in the upper superior vena cava. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the patient is status post orif of the right humerus, which is incompletely assessed.
metastatic osteosarcoma, fever, and chills.
MIMIC-CXR-JPG/2.0.0/files/p14065824/s57363768/ab7ad1d7-c660bd10-3aea240c-e583840b-f3d0c07f.jpg
cardiac silhouette size is normal. the aorta is mildly tortuous, unchanged. tortuous right brachiocephalic artery with peripheral calcification is re- demonstrated. known left hilar mass is not well visualized on the current exam. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. patient is status post left shoulder arthroplasty.
history: <unk>f with hiv, altered mental status, falling, cough
MIMIC-CXR-JPG/2.0.0/files/p17963584/s57508097/ac1a9bbb-a39c2645-ec192887-638db4e9-ebf4e47a.jpg
there is linear atelectasis at the left lung base. no focal consolidation is seen. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough. evaluate pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11020816/s54128850/7dbefadd-93241514-46079008-c38ed33d-500702e6.jpg
frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. mild right basilar atelectasis is unchanged. the previously seen left lower lung opacity is not with well visualized. heart size is normal. mediastinal silhouette and hilar contours are normal.
confusion. evaluate for interval progression of opacities.
MIMIC-CXR-JPG/2.0.0/files/p19356128/s59890748/ebcb6999-6020e338-8f568db7-da996bcb-80ccf3d3.jpg
nasogastric tube courses into the stomach. endotracheal tube terminates <num> cm above the carina. increased interstitial markings bilaterally could reflect mild pulmonary edema. no focal consolidation, pneumothorax or pleural effusion is seen. heart is normal in size with normal cardiomediastinal contours.
intubated status post transfer, assess for tube positions.