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MIMIC-CXR-JPG/2.0.0/files/p15494627/s59875429/8c242877-632bbed2-d24f2124-479f6e0d-f3d61308.jpg | again noted is the persistent left basilar opacity likely representing atelectasis/scarring. otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. | evaluation of the patient with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11801239/s58110204/58358345-b502cf2f-f55cc1af-32c5d518-f54b3c0f.jpg | a previously seen right-sided chest tube has been pulled back. there is no evidence of pneumothorax or pleural effusion. the visualized lungs appear clear. the osseous structures are unremarkable. | <unk> year old man s/p stab wound with r-hemothorax now s/p ct placement // evaluate interval change in hemothorax. standing films |
MIMIC-CXR-JPG/2.0.0/files/p16953986/s50104247/0550139b-e1c489a5-7be6dcf0-4ebb1363-91443a72.jpg | pa and lateral views of the chest. the lungs are clear. the cardiac, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. mild degenerative disease is seen along the spine. | <unk>-year-old male with right upper back since <num> a.m., question acute chest process. |
MIMIC-CXR-JPG/2.0.0/files/p16985891/s58727824/0ea3367b-d56f5a7c-2ecd7a48-33224a38-ff9a521b.jpg | heart size is top normal. the aorta is tortuous. the mediastinal contours are unremarkable. there is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion without frank pulmonary edema. streaky bibasilar airspace opacities could reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate degenerative changes in the thoracic spine. | history: <unk>f with fever // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11560443/s50782568/8cdc7889-78a41e16-a5bde716-178bf3e6-41072888.jpg | there has been interval removal of a right pigtail catheter and placement of a right pleural tube, ending near the right lung apex. a previously seen moderate to large lateral and inferior right pneumothorax has resolved. there is minimal bibasilar atelectasis, as before. mild enlargement of the cardiac silhouette is not significantly changed. mediastinal contours are normal. there is biapical, right greater than left, pleuroparenchymal thickening/scarring. no definite pleural effusion. | persistent pneumothorax, status post chest tube placement in place of a pigtail catheter. evaluate for re-expansion of the lung. |
MIMIC-CXR-JPG/2.0.0/files/p14982221/s52479585/51e7ef48-b41470dc-918d7fda-d2bd105f-e6d35395.jpg | ap upright and lateral views of the chest provided. lungs are clear. slight differences in appearance of the chest, when compared with prior, likely attributable to ap technique. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. no free air below the right hemidiaphragm. | <unk>m with fever, tachycardia, l knee tkr pain |
MIMIC-CXR-JPG/2.0.0/files/p18273682/s53020750/c0c8c9aa-31bb9817-068403c4-b560ca16-e87b44e6.jpg | there is a new small apical pneumothorax on the left measuring <num>-<num> cm with no evidence of tension. right internal jugular central venous line with tip at cavoatrial junction is unchanged. chest drains are unchanged. the heart and mediastinal contours are stable. | status post cabg question pneumothorax, waterseal clamped chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p18296375/s50413764/d5824935-0c01a2c9-e75bdee7-1d4f3764-5350fbfa.jpg | pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with right-sided aortic arch redemonstrated. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. | <unk>m with fevers, mild sob |
MIMIC-CXR-JPG/2.0.0/files/p19631540/s58226453/5269f36f-c5d777dc-f27cf39a-05aa1e9d-a0e8131e.jpg | the lungs are moderately well inflated. no pulmonary edema. left basilar opacity is new. stable trace right pleural effusion with interval increase in small left pleural effusion. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. intact median sternotomy wires are noted. | <unk>m with chf symptoms. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10977880/s54710807/a3abe919-cf7aa093-85ce8997-13ad47b0-c31afaab.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chest pain // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p18028277/s53137170/f9c6623d-9a2e2472-c74b40fb-52c9d866-0a4ca3e0.jpg | lung volumes are low which leads to bronchovascular crowding. there are bibasilar opacities with air bronchograms concerning for pneumonia. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. | <unk>-year-old man with altered mental status and bloody sputum, evaluate for tb |
MIMIC-CXR-JPG/2.0.0/files/p10143711/s57365865/a5458693-2eebe075-0c33f943-7a169700-58347707.jpg | frontal and lateral radiographs of the chest were acquired. moderate cardiomegaly is not significantly changed compared to the most recent study from <unk>, allowing for differences in technique. there has been interval removal of the previously seen left picc. there is chronic vascular congestion and minimal right lower lung atelectasis. changes compatible with emphysema are seen within the upper aspects of both lungs, right greater than left. the descending thoracic aorta is slightly tortuous, not significantly changed. the mediastinal contours are otherwise unremarkable. there are no pleural effusions. no pneumothorax is seen. | confusion. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14592818/s56338087/c49b9108-b09930b3-e4c6082e-97ae8bec-335cafdc.jpg | single portable chest radiograph is provided. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. mutliple calcified nodules are likely sequela of prior granulomatous infection. the cardiomediastinal silhouette is normal. there are no displaced fractures. | <unk>-year-old female with mvc, question injuries. |
MIMIC-CXR-JPG/2.0.0/files/p10766641/s55573119/abbfc4d2-4c08ecd5-95216c83-f9e7e8d4-f0e03a44.jpg | single view of the chest was obtained. overlying trauma board obscures detailed evaluation. lung volumes are extremely low, causing bronchovascular crowding. no focal consolidation or pleural effusion. the heart size and cardiomediastinal contours are normal. no displaced rib fracture is visualized. | <unk>-year-old male with assault to face. rule out traumatic injury. |
MIMIC-CXR-JPG/2.0.0/files/p16482395/s59410975/9af331a4-600fed73-c78b4082-30d78743-fe6c7d25.jpg | a picc line has been removed. the cardiac, mediastinal and hilar contours appear stable. subpleural scarring at each lung apex appears unchanged. the chest is hyperinflated. there is no pleural effusion or pneumothorax. an opacity in the right middle lobe persists and appears chronic. | cough and hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p14037506/s56412174/0d50f07e-6d9c1966-a37d4961-4d667bf0-556179d9.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk> year old woman with asthma, c/o sob // ? ild |
MIMIC-CXR-JPG/2.0.0/files/p16013752/s52088979/c68c2f73-92877210-2cd133b8-ad6fa3b5-de353514.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f femur fx preop |
MIMIC-CXR-JPG/2.0.0/files/p17033530/s53804304/d37a1c74-22168ca4-69a1f2a8-9dade060-eb27058a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with chest pain and palps post ablation // ? pna, effusion |
MIMIC-CXR-JPG/2.0.0/files/p11612731/s55275605/4899f4d2-650a1d98-186a80a7-442c7690-385f2163.jpg | left-sided pacemaker is again noted with leads terminating in the expected positions. there is no pneumothorax. there are small bilateral pleural effusions. the lungs are clear. the cardiac, mediastinal, and hilar contours remain normal. | <unk>-year-old status post pacemaker placement. |
MIMIC-CXR-JPG/2.0.0/files/p12476737/s52082912/4f268012-3f438075-823f2879-6b4c9d91-013a35f7.jpg | platelike atelectasis seen in the right lung base, no other consolidations. the cardiomediastinal silhouettes are without abnormality. there are no pleural effusions. the patient has mild right convex scoliosis. | <unk> year old woman with severe asthma, recent pneumonia with cold like symptoms // evaluate for infiltrate/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11105059/s53658443/d7d62dc0-33f567b1-82aefbca-65d8080f-81e78555.jpg | compared with the prior study, lung volumes are lower, with a stable cardiomediastinal silhouette. no focal consolidation, pleural effusion, or pneumothorax detected. there may be mild bibasilar atelectasis. | <unk>-year-old man with chest pain. evaluate for focal consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p12210632/s56592428/4466bf3b-29871bfa-0af4cb1d-a2833832-9c14f979.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced fracture is seen. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19004953/s58596385/50099e46-f4e09650-c591ea16-03e2d6eb-4776777c.jpg | pa and lateral views of the chest provided. low lung volumes. 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> year old man with chest pain, cough |
MIMIC-CXR-JPG/2.0.0/files/p10216153/s58064169/40e2e30b-4687b869-08d9ddd1-c6bd6711-c5602331.jpg | the lungs are well expanded. persistent opacity of the right heart border is most likely accounted for by known internal mammary necrotic lymph nodes and appears slightly larger. left lower lobe parenchymal opacity is unchanged. there is no new pulmonary opacity. thickening of the left paratracheal stripe with narrowing and rightward deviation of the trachea is unchanged. left hilar lymphadenopathy appears grossly stable. there is no pleural effusion or pneumothorax. heart size is normal. | <unk> year old woman with cough and recent chest x-ray <unk> with haziness around the right heart border, known metastatic breast cancer. evaluate for worsening or resolution of rt heart border haziness |
MIMIC-CXR-JPG/2.0.0/files/p17966879/s58246375/b71d3a8c-798ea6ca-2586b120-26606b83-3217f31f.jpg | again noted is a large hiatal hernia. the cardiac, mediastinal and hilar contours appear unchanged. streaky opacifications in the left inferior hilar region were present before to some extent and can be expected as chronic atelectasis is often seen in association with a large hiatal hernia. however, it appears more prominent than before and the possibility of superimposed pneumonia could be considered. there is probably a trace pleural effusion on the left. a very small pleural effusion is difficult to exclude on the right. | hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13964864/s53906320/85ceed43-50662209-0737b846-da999042-a735267e.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with malaise, cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15278572/s50705213/d1d4c3b8-79f91c5a-3b0aa2ea-64fb7a7b-1fffa97e.jpg | the lungs remain hyperinflated. a poorly defined peripheral opacity measuring <num> cm in diameter persists in the periphery of the left mid lung, corresponding to the site of the patient's treated lung cancer in this region with adjacent fiducial seeds. adjacent rib abnormalities are similar to prior radiographs. no new areas of consolidation are identified within the lungs, and there are no definite pleural effusions. cardiomediastinal contours are stable. | <unk> y/o female with severe copd, s/p lung ca recently s/p recent hospitalization <unk> for pna at <unk> // f/u pna |
MIMIC-CXR-JPG/2.0.0/files/p14607991/s56715933/5132122f-85627fc6-a4a83b01-184b4b54-98c74c8c.jpg | the lung fields are clear without focal consolidation. there small bilateral pleural effusions. there is no pneumothorax. the cardiac silhouette appears stably enlarged. | <unk>f with shortness of breath. evaluate for pneumonia or pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p19401346/s55439807/81dc3c81-968e5da0-ad7faa38-c74df88d-0b59e723.jpg | a dual lead pacemaker/icd device appears unchanged with leads terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal, and hilar contours appear stable. the extreme right costophrenic sulcus is partly excluded, but there is no evidence for pleural effusion or pneumothorax. streaky opacity in the left lower lung suggests minor atelectasis, probably unchanged. otherwise, the lungs appear clear. | altered mental status and lethargy. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16514153/s59691909/19b34046-75dcedf4-6a8aee54-360c40d7-a890cbfa.jpg | the lungs are clear without focal consolidation, large effusion or evidence of pulmonary edema. there cardiomediastinal silhouette is stable. prosthetic valve, presumably mitral and aortic core valve device are again noted. median sternotomy wires are intact. no acute osseous abnormalities. | <unk>f with son // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p17396168/s50261625/e5d76feb-f6f3a718-956b16e6-f3b7c69a-f0951631.jpg | the cardiomediastinal and hilar contours are within normal limits. the aorta is tortuous and calcified. bilateral interstitial opacities are suggestive of an atypical infection or potentially related to fluid overload. a calcified <num> mm nodule projected over the right mid lung is consistent with a granuloma. multiple compression deformities are seen throughout the thoracic spine of unknown chronicity. | history: <unk>f with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p16632916/s56100020/10f598f6-f4680e37-05b5522e-76143f95-1adbba62.jpg | pa 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 female with fever. |
MIMIC-CXR-JPG/2.0.0/files/p12401831/s58805214/39842cb4-5b88922a-b5371395-b15671b8-de9925ac.jpg | there are streaky bibasilar opacities which are confirmed on the lateral view. superiorly the lungs are clear. cardiomediastinal silhouette is normal. lower thoracic dextroscoliosis again noted. radiopaque substances projects in the left upper quadrant, potentially within the stomach. | <unk>-year-old female with altered mental status, found down with vomitus. question aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13405853/s57869013/186987ac-b6893af8-8e68c84a-383051e5-9474e233.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. pulmonary vasculature is unremarkable. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body. | <unk>-year-old male with near syncope. rule out cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p14478032/s50516482/7b7195f2-6b5a4413-5aa6086a-8d59103b-15b2a435.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is top-normal. no pulmonary edema is seen. | <unk>-year-old male with progressive chest pain with exertion. please evaluate for cardiomegaly, congestive heart failure, pleural effusion or wedge defect. |
MIMIC-CXR-JPG/2.0.0/files/p15069428/s58919166/388d25c7-0c249b78-a2b267f1-fd3c5458-3e1af343.jpg | streaky left basilar opacity at the cardiophrenic angle is thought to be be due to overlying pectoral soft tissues and epicardial fat pad as there is no clear correlate on the lateral view. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>m s/p fall, septic x<num> days, looking for infectious workup on chest // <unk>m s/p fall, septic x<num> days, looking for infectious workup on chest |
MIMIC-CXR-JPG/2.0.0/files/p14508231/s51101379/1284240f-2dcc232e-e2583203-c75b132d-02277e2f.jpg | frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or large pleural effusion. limited view of the left shoulder does not demonstrate gross abnormality. patient is status post c<num>-<num> anterior cervical fusion. | <unk>-year-old female with chest pain and left shoulder pain. question cardiopulmonary pathology. |
MIMIC-CXR-JPG/2.0.0/files/p14997870/s57580739/84526164-7462bc3a-4766894d-491babce-776669c3.jpg | single lead left-sided aicd is stable in position. the patient is status post median sternotomy.blunting of the left costophrenic angle is re- demonstrated, may be due to pleural thickening and/ or pleural effusion. no new focal consolidation is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with copd, wheezing, chills // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13312184/s56509504/fb40f6fe-d550ab64-75b06ff1-b3451f7d-d91a5fa9.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 s/p treatment for adem p/w new-onset neuro deficits // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p11405912/s52611196/8c6612ae-b055aaa1-13ac6003-9b41e5f1-7b3f7e41.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no pulmonary edema is seen. | history: <unk>f with cp // pna? |
MIMIC-CXR-JPG/2.0.0/files/p16381668/s53991448/9a9a139d-fcf9ad8b-ab3202b2-b5908da3-6dce4c7e.jpg | there has been interval intubation with endotracheal tube tip projecting approximately <num> cm above the carina. an esophageal catheter courses below the diaphragm with tip projecting over the left upper quadrant, likely within the stomach. there is a large left pleural effusion and small right pleural effusion, as seen previously, with underlying left lower lung consolidation. no pneumothorax is detected on this single supine view. pulmonary vascular prominence persists without radiographic evidence for overt pulmonary edema. heart size is difficult to evaluate in the setting of overlying pleural effusion. | <unk>-year-old male status post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p11400517/s56135726/830365fc-05d53b7a-5fbcae4d-c9e6d21f-88dd6b90.jpg | the patient is slightly rotated. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits. the upper abdomen is unremarkable. there is no acute osseous abnormality. | <unk>f with pleuritic chest pain // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p12406265/s51245790/ec55a19f-45097f35-e3713db2-14ddd856-c880ca74.jpg | there is hazy opacity in the right upper lobe seen best on the frontal view lateral to the right hilum consistent with pneumonia. heart size and mediastinal contour are normal. no suspicious bone findings. | history: <unk>f with cough, fever, chills // eval for pneumonia, other acute process |
MIMIC-CXR-JPG/2.0.0/files/p14067967/s56995217/e16b8766-3dad10c9-b0b8ea6d-de70768c-5d54b32f.jpg | ap portable upright view of the chest. a right ij catheter, endotracheal tube, left-sided pacemaker, and orogastric tube are unchanged in position since the <unk> radiograph. the heart is mildly enlarged. a tiny left pleural effusion remains stable. there is no pneumothorax or focal consolidation. | <unk> year old man intubated with concern for multifocal pneumonia // compare to prior |
MIMIC-CXR-JPG/2.0.0/files/p15906880/s53507013/e6276c61-6540462f-1d9f181d-b4a72cd6-26fb821d.jpg | <num> views of the chest demonstrate a left chest wall aicd/pacemaker with right atrial and ventricular leads. bibasilar opacities are likely atelectasis. no focal consolidation. heart size is stable. hilar and mediastinal contours are normal. no pleural effusion or pneumothorax. the osseous structures are demineralized. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18655830/s54259086/f9d4077f-56e3624c-10dde087-545d9c6f-851a7b84.jpg | again seen is a small right pleural effusion, slightly increased since the previous exam appear. there is no increasing opacity in the right lower lobe as well as persistent opacity in the right middle lobe obscuring the lower margin of the right heart border concerning for worsening infectious process. linear opacities in the right mid lung are likely atelectasis. there is persistent cardiomegaly. median sternotomy wires are intact. the imaged upper abdomen is unremarkable. | history: <unk>f with cp and ap and vomitng // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17932059/s56639483/0af1d634-735a600c-f9a59aec-8c3fbe09-1c4f91e2.jpg | portable single frontal chest radiograph was obtained with the patient in upright position. the dobbhoff tube appears to have migrated into the mid to distal esophagus. there is an increase opacification at the right lung base. left lung is clear. there is no pleural effusion or pneumothorax. heart size is normal. mediastinal contours are normal | for possibly pulled out feeding tube, eval for location. |
MIMIC-CXR-JPG/2.0.0/files/p18088200/s57801123/49c67d34-b57aa84d-37146bc3-a1b0773c-ef5be03c.jpg | the patient is status post sternotomy and probably coronary artery bypass graft surgery. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad. the lung volumes are low. streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged. minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion. there has been no significant change. | hyperglycemia and abdominal pain. history of renal transplant. |
MIMIC-CXR-JPG/2.0.0/files/p18131108/s52861227/bfd11e76-52ae7a10-31e03fa1-698ffb01-392d91e9.jpg | there are persistent small bilateral pleural effusions. retrocardiac opacity could be secondary to atelectasis. the lungs are otherwise clear. there is no edema. mild cardiac enlargement is accentuated by low lung volumes but similar to prior. no acute osseous abnormalities. | <unk>m with fevers and pos bcx // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19748852/s53965970/122af8fc-1d53a7ae-a044ca6c-5567bbdb-7680b936.jpg | pa and lateral views of the chest provided. airspace consolidation within the right lower lobe is consistent with pneumonia. there is mild left basal atelectasis. otherwise the lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with fever, cough |
MIMIC-CXR-JPG/2.0.0/files/p16929758/s50626202/e564fa66-477427ab-e6d04423-c4e7802a-9eab8a7a.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with h/o pericarditis, c/o fullness/cp // eval acute process |
MIMIC-CXR-JPG/2.0.0/files/p11216230/s57239326/ded930f3-a5938b06-618826ab-3d33015c-0825424e.jpg | no focal consolidation, pleural effusion or pneumothorax is seen. prominent bilateral interstitial markings are stable from prior exam. the cardiac silhouette is normal in size. multiple bilateral rib deformities reflect prior fractures. | <unk>-year-old female with vomiting. evaluate for acute process such as pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19995127/s57654229/7355ebed-252d9d22-6b82aa83-ac876637-db31f15e.jpg | heart size is mildly enlarged. the aorta remains unfolded. there is perihilar haziness and vascular indistinctness compatible with moderate interstitial pulmonary edema. additionally, more focal opacity within the right upper lung field, likely within the posterior aspect of the right upper lobe, is concerning for pneumonia. small bilateral pleural effusions are present. known left upper and lower lobe mass is unchanged resulting in prominence of the left hilar region. no pneumothorax is identified. lungs remain hyperinflated compatible with underlying emphysema. calcified pleural plaques are again demonstrated bilaterally. | chemotherapy with pancytopenia, diffuse crackles, bilateral lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p16972833/s58650748/34712668-edd72082-46a80b7a-9b6638fe-e960aa98.jpg | pa and lateral views of the chest are reviewed and compared to the prior study. the lungs are hyperexpanded and there is prominent interstitial markings and left lower lobe opacification. there is a large pleural bleb in the right mid lung. there is an old right third callus rib fracture and an elliptical opacification overlying the inner lower border of the scapula that is most likely due to prior trauma. the cardiac contour is prominent and there are aortic calcifications. | evaluation for a lung mass in a patient with history of tobacco use and recent brain bleed. |
MIMIC-CXR-JPG/2.0.0/files/p13592605/s59016252/ea544d16-41e31268-ff2ea7a1-8b95d66a-1806dca1.jpg | frontal and lateral views of the chest demonstrate prominent cardiac silhouette. the mediastinal and hilar contours are unremarkable. the lungs are clear with the exception of trace streaky atelectasis in the left base. there is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old male with renal failure. question congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p16907530/s53960253/9b182548-ffd74de3-8a2c0020-289eaaf5-fa2e1b0b.jpg | the heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. no displaced fracture is seen. | right lower chest/right upper quadrant pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10476390/s53640004/8add27f6-2fed41e1-6ae37220-b2108713-eaf60c5c.jpg | ap and lateral views of the chest are compared to previous exam from <unk>. there is increased opacity over the spine and lateral view and obscuration of the descending thoracic aorta on the frontal view, compatible with a left lower lobe infiltrate. elsewhere, the lungs remain clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with cough. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13248858/s50023842/d28ce2e6-f8adb86a-bb360e4e-efc62f79-1c1e97ee.jpg | pa and lateral views of the chest. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. | alcoholic hepatitis, rising white blood cell count, on steroids, evaluate for infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p12885815/s57483685/0f845c67-10bd778e-72fc6200-c4177c06-a96cb8e6.jpg | lung volumes are somewhat low. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with hemoptysis // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p16662316/s57426310/208ad8c0-39ff6fd9-7a057bd6-ccbc708e-5ce4b33e.jpg | frontal and lateral views of the chest demonstrate hyperexpanded lungs, which signify underlying emphysema. no pleural effusion, focal consolidation or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. healed right ninth posterior rib fracture is demonstrated. | patient with history of copd and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16562665/s58481038/979bd32f-fd46fd4e-2f857cfc-b075c84a-cd7cf89a.jpg | the right pneumothorax has slightly increased apically with a new lateral component. the right pigtail pleural catheter is unchanged in position. linear basilar atelectasis is stable on the right. there is extensive subcutaneous emphysema in the right lateral chest wall extending into the right side of the neck. no other changes compared to prior. | <unk> year old man s/p r vats pleurodesis // check interval change with ct on waterseal, please do around noon |
MIMIC-CXR-JPG/2.0.0/files/p13758211/s54639728/269e3561-75607723-d13029cc-6b2de438-7f8110c5.jpg | there is bibasilar bronchiectasis and fibrosis, more so on the left than the right, which is better characterized on the recent ct, and consistent with post-radiation changes. at least one of the known pulmonary nodules is identified on the left measuring <num> mm. the other small pulmonary nodules are difficult to evaluate. there is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous destruction and the soft tissue metastasis in t<num> and t<num> are unchanged. an expansile lucent lesion in the left sixth rib is unchanged. no new osseous lesions are identified. | renal cell carcinoma. |
MIMIC-CXR-JPG/2.0.0/files/p10287750/s56408122/8fb6a7ea-d1d365ed-af6c4a4d-fe61b589-e669834f.jpg | the cardiomediastinal and hilar contours are normal. the lungs are clear. there appears to have been resolution of the previously described left apical pneumothorax. there is no pleural effusion. again are noted fractures of the lateral aspects of the left ribs <num> through <num>. additionally, on the lateral view, there is a comminuted fracture of the left humerus with a butterfly fragment and angulation of the major fracture fragments which is currently sitting within a cast. | <unk>-year-old male with left rib fractures from mvc. |
MIMIC-CXR-JPG/2.0.0/files/p10298072/s59973654/0b28ca17-f5d36287-5c90646e-eafe38dd-e449558a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. <num> mm nodular density projects over the left upper lobe, at the intersection of the first anterior rib and clavicle. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with exertional chest pain x <unk> weeks |
MIMIC-CXR-JPG/2.0.0/files/p19765086/s53413814/cbff19ca-931dbc8d-f61df474-760aa234-2b8951c5.jpg | portable supine chest film <unk> at <time> is submitted. | <unk> year old man with cardiac effusion s/p cardiac drainage of <num>cc today. // eval interval change after cardiac effusion removal, now w increasing tachy eval interval change after cardiac effusion removal, now w i |
MIMIC-CXR-JPG/2.0.0/files/p14459053/s54702808/c0f0d948-b86b88c4-e4008c21-4728d2c7-6fff9e99.jpg | the heart size is mildly enlarged. the lung volumes are low resulting in crowding of the perihilar vascular structures. there is mild bibasilar atelectasis. there is a right-sided ij which appears to terminate in the right axillary vein, and is malposition. note is made of a vp shunt catheter. there is no large pleural effusion or pneumothorax. | history of central venous line placement at an outside hospital. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p12586066/s51492757/9a6e8659-f02e58a3-20fbdde9-c65f01ba-34843709.jpg | there is a new consolidative right upper lobe opacity containing air bronchograms, abutting the superior margin of the major fissure, compatible with infection. the remainder of the lungs are otherwise clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. | cough and fever for the past week. evaluate for infection. |
MIMIC-CXR-JPG/2.0.0/files/p11811925/s59170152/a55147fa-1fa07bab-764762a5-232b11d6-1972dc62.jpg | since <num> day prior, medial right upper lung and perihilar opacity is essentially unchanged. <num> right-sided chest tubes remain in place. no pleural effusions. the left lung is clear. heart size and mediastinal widening are unchanged. no pulmonary vascular congestion or pulmonary edema. a left-sided port/central venous catheter is unchanged and appropriately positioned. | <unk> year old woman s/p open rul lobectomy // am rounds pod<num> |
MIMIC-CXR-JPG/2.0.0/files/p14065959/s55715929/2b3b6c95-2bf41c65-0f3df4c3-5a078675-640a554a.jpg | in comparison to the chest radiograph obtained <num> days prior, there is increased, severe pulmonary edema and unchanged severe cardiomegaly. lung volumes appear lower, but otherwise without focal consolidation. pleural effusions are small if any. no pneumothorax | <unk> year old man with schf and pulm htn // chest x-ray as required prior to v/q scan |
MIMIC-CXR-JPG/2.0.0/files/p14767827/s57368980/3c66d1c3-4f3dc476-7dab1846-77bd5b7a-568a1f1c.jpg | pa and lateral views of chest. cardiac size is again mildly enlarged. there is no pneumothorax or evidence of pneumonia. chronic cephalization of the pulmonary markings is seen, but no overt pulmonary edema is present. hilar contours are within normal limits. small bilateral pleural effusions are noted. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14677614/s50978036/df49ee45-832227d4-225a1e9f-a1c316eb-f8c518e7.jpg | there has been interval removal of a left basilar chest tube. increased opacification of left lower lung seen suggestive of fluid reaccumulation. no pneumothorax is seen. the right lung is clear. interval placement of a right picc is seen with the catheter tip terminating at the distal svc. | <unk> year old man s/p l vats decortication and picc line placement // check picc line placement, right brachial <num> cm, also r/o ptx post ct removal |
MIMIC-CXR-JPG/2.0.0/files/p10999737/s56958909/c921bc73-7fac822a-33a41260-505973ab-4786b9ae.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 unremarkable. no free air below the right hemidiaphragm is seen. | <unk>m with cough productive of brown sputum, mild dyspnea for <num> days // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11982468/s57817305/50ad9507-66c20796-02f2111f-d18dc4c8-8865a285.jpg | a left thoracostomy tube is unchanged in position. no pneumothorax is detected. again seen are mildly displaced left rib fractures, better visualized on the radiographs from <unk>. the lung volumes are low. the heart size is top normal. the hilar and mediastinal contours are unchanged. there is central pulmonary vascular engorgement without overt edema. a small left pleural effusion is unchanged. | left chest tube, to water seal. |
MIMIC-CXR-JPG/2.0.0/files/p17135977/s56896469/7db0a2a1-97b55715-4c542084-0eb0d4f0-371b4c92.jpg | the lungs are well-expanded and clear. no pleural abnormalities are seen. the cardiac and mediastinal silhouettes are unremarkable. rounded metallic object is external to the patient. no pneumonia, pleural effusion or pulmonary edema is seen. | <unk> year old woman with aml pending transplant. needs cxr for tbi planning // cxr for tbi planning |
MIMIC-CXR-JPG/2.0.0/files/p19015429/s55216032/315b6f3a-f5bb74ac-029a775b-91625f61-98854a68.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. left humeral head replacement noted. no free air below the right hemidiaphragm is seen. | <unk>m with large lower back abscess after l<num>-l<num> lami // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p12047060/s59853727/d829b480-f7ccde1d-3c8a5b73-1cc3dfa4-15056c5c.jpg | the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pneumothorax, pleural effusions, or pneumonia. | <unk> year old man with cough for <num> weeks, immunosuppressed (hx of kidney transplant.) no fevers or sob, overall low energy // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13475682/s56794428/5f1feec0-3c0b1d42-3b0caeaa-97acc2ba-b8002002.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with s/p fall l ankle deformity. pre-op cxr as well. // fx, pre-op |
MIMIC-CXR-JPG/2.0.0/files/p19947284/s59760906/8c370aa6-3252d19e-cec4d069-d931ac47-ee38f1b0.jpg | ap upright and lateral views the chest provided. midline sternotomy wires and mediastinal clips are again noted. there is persists and atelectasis in the left lower lung. no convincing signs of pneumonia. no pleural effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact. | <unk>-year-old male with confusion. |
MIMIC-CXR-JPG/2.0.0/files/p17142269/s51623501/4411351e-33882f43-35999543-c619b4c3-67a56ca6.jpg | pa and lateral views of the chest provided. lungs are hyperinflated though appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with cp // ro pna, effusions |
MIMIC-CXR-JPG/2.0.0/files/p13026285/s55352613/90159c35-0c23bc61-0af89859-47d2219b-361ddb70.jpg | there is postoperative pneumoperitoneum and a mild left pneumothorax with ipsilateral subcutaneous emphysema. an enteric tube terminates in the distal neo esophagus. a chest tube projects over the lateral left lung. apparent cardiac silhouette enlargement is likely exaggerated by ap projection and is probably normal. cardiomediastinal and hilar silhouettes are unremarkable. | <unk> year old man sp esophagectomy // sp esophagectomy |
MIMIC-CXR-JPG/2.0.0/files/p10108709/s50669229/eb5a3ac2-3e452656-fe461074-def148b3-721e8b83.jpg | cardiac size is normal. the lungs are grossly clear. there is no pneumothorax or pleural effusion. postoperative changes are noted in the right upper lobe. right chest tube is in place | <unk> year old man s/p vats rul wedge resection // r/a in pacu |
MIMIC-CXR-JPG/2.0.0/files/p12965924/s50057091/bb7f3404-6f431cbb-d365fa9a-80871ae4-cd435509.jpg | pa and lateral upright views of the chest were obtained. the lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no bony abnormalities. there is no free air below the diaphragm. | evaluation for pneumonia in a <unk>-year-old female with dyspnea and cough. |
MIMIC-CXR-JPG/2.0.0/files/p17772326/s57881897/a4cb23f1-23c6d878-6c24a785-77dbd65b-9d94036c.jpg | frontal and lateral radiographs of the chest. there is an opacity at the right middle lobe silhouetting the right heart border suspicious for pneumonia. an additional opacity in the left upper lung on the frontal view could also represent infection. normal heart size. no pleural effusion or pneumothorax. | wheeze and recent uri, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15246600/s54973074/d4e9e727-91d8ac3c-b8491b7e-1d5c06ac-389a59f0.jpg | the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. there is persistent elevation of the right hemidiaphragm with interposition of the colon superior to the liver. the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. | <unk>m with hypotension and sob // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10509294/s57797924/03d9c1c6-eca059c3-1ca67069-8d32b717-22b78d16.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with c/o cp // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p16993562/s59985003/8ccba45c-1da9d23a-90227746-9b21afe9-3f759b63.jpg | the previously seen small right pneumothorax cannot be identified anymore on this radiograph. again seen is a feeding tube coiled in the stomach and a dialysis catheter within the right atrium. there is no significant change from the prior study. no new pulmonary infiltrates or pleural effusion. | <unk>-year-old female status post liver transplant three months ago with thoracentesis and small pneumothorax, now in dialysis, now with decreased breath sounds and hypotension. assess for a pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p18690165/s55052976/a5756f52-aa3f3b1d-30ec6203-5b9ad7f5-52f48a20.jpg | once again, there is a globular shaped heart that is enlarged, slightly more so than in <unk>, but stable from <num> days prior. there has been a redistrubtion of the right pleural effusion on this upright radiograph. additional opacities in the right lower lobe are likely adjacent atelectasis. calcified plaque is noted in multiple areas including the left lower lobe as well as the pleural surfaces overlying the right middle lobes. | <unk>-year-old male with dry cough and history of pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p15891300/s59945706/54b03cf3-78feba44-d83985fb-bdedd764-ad895e5b.jpg | mild enlargement of the cardiac silhouette is present. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation or pleural effusion is demonstrated. mild degenerative changes are noted involving the right glenohumeral joint. | history: <unk>m with cough // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17546051/s59762769/14652753-f211ad3a-c44bbd0a-aefcee6c-f6e4911e.jpg | heart size is top normal. the mediastinal contours are normal. the pulmonary vasculature is congested with mild interstitial edema. no focal consolidation, pleural effusion, or pneumothorax. | mr. <unk> is a <unk> m w/ chf, cirrhosis of unclear etiology and dm ii who presented to <unk> with subjective fevers, abdominal pain, vomiting with <unk> and incarcerated hernia prompting transfer to <unk> then hernia subsequently reduced in ed and diagnostic para showing sbp prompting admission to medicine. // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p16870822/s53522670/455df280-990072f4-1081f9cb-612d5d00-fc35addc.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation. again, there are trace bilateral effusions. cardiomediastinal silhouette is within normal limits. oblong lucent structure at and below the carina, likely due to slightly dilated air-filled esophagus. cardiomediastinal silhouette is otherwise notable for atherosclerotic calcifications at the arch. osseous and soft tissue structures are unchanged, noting mild compression deformities of the mid thoracic spine. | <unk>-year-old female with three weeks of fatigue and productive cough with altered mental status for two days. |
MIMIC-CXR-JPG/2.0.0/files/p16788491/s59834221/8cbfc99c-cef99da0-24694168-83326bc9-8a2d8222.jpg | frontal and lateral radiographs of the chest demonstrate hyperinflated lungs. a right pleural effusion is small in size. prominent central pulmonary vasculature, without pulmonary edema. the cardiomediastinal and hilar contours are on change. note is made of calcifications of aortic valve. there is no pneumothorax orconsolidation. | history: <unk>m with progressive dyspnea // ? chf or acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p18482392/s50821720/8da86c02-0a82f6d0-24518b4d-d59ccb2a-b24d22b9.jpg | since the prior cxr performed yesterday afternoon, one of the left chest tubes has been removed and there is now one remaining. worsening opacification of the left hemithorax that partially spares the left apex, likely from a moderate/severe pleural effusion with adjacent atelectasis. there is also right lung base atelectasis. no pneumothorax. the pneumopericardium has resolved. however, the cardiac silhouette is noticeably larger than yesterday; this may be due to rightward mediastinal shift from the left pleural effusion, or worsening pericardial effusion. unchanged appearance of subcutaneous emphysema in the left lateral chest wall. surgical clips are noted in the left upper quadrant. | <unk> year old woman s/p l vats talc pleurodesis, pericardial window // check interval change |
MIMIC-CXR-JPG/2.0.0/files/p19706109/s53154510/755cb1b9-2fb16f46-5f62e078-04377e79-1045e337.jpg | single portable view of the chest is compared to previous exam from <unk>. exam is limited secondary to patient positioning and poor inspiratory effort. within this, there is no definite large confluent consolidation. cardiac silhouette is grossly unchanged. metallic device projecting over the left upper quadrant, although lead is not clearly delineated. osseous and soft tissue structures are unremarkable, noting surgical clips in the right upper quadrant. | <unk>-year-old female with hypothermia and rhonchi at the left base. |
MIMIC-CXR-JPG/2.0.0/files/p10518869/s51056934/d800a4c5-f98021ba-4def7f07-25e6eb81-259abbab.jpg | ap upright and lateral views the chest. overlying ekg leads are present. lungs are clear. heart size is normal. mediastinal and hilar contours are normal. bony structures are intact. no free air below the right hemidiaphragm. | <unk>f with substance abuse.,ams |
MIMIC-CXR-JPG/2.0.0/files/p13552871/s59672415/e0656c73-9d972a61-17d10b1e-a60f6c23-4f3a4990.jpg | the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>m with nausea and feeling unwell for past <num> days. wbc elevated from yesterday // pna eval |
MIMIC-CXR-JPG/2.0.0/files/p17478604/s55609718/9dfd0335-8e0d443c-882ff35d-e92b73f0-592f9c5e.jpg | the degree of the right pneumothorax has decreased since the <unk> at <time>. the right chest tube is not seen. the lungs are otherwise clear, and the cardiomediastinal contours are stable. | <unk> year old man with s/p mvr. evaluate for right pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10832658/s55535504/ed89c607-afc49c61-ff21dc5c-9cc351f3-f2c95528.jpg | the heart size is normal. the mediastinal and hilar contours are normal. the lungs are clear without evidence of consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. | <unk>-year-old male with hypertensive emergency. |
MIMIC-CXR-JPG/2.0.0/files/p17016647/s57037213/9a1f3dc9-d8a6d53f-52527175-034208f7-fd6717fd.jpg | no focal pneumonia, frank pulmonary edema, pleural effusion, or pneumothorax. the heart is enlarged. the thoracic aorta is very tortuous and/or ectatic. there is probably calcification of the anterior longitudinal ligament. | <unk>-year-old man with fevers/chills, uri sx, abd pain. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12057859/s58550927/fb1b860d-0c8d6889-1ee64338-9568e4fd-3cfef009.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there is moderate cardiomegaly. the cardiac and mediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with ams |
MIMIC-CXR-JPG/2.0.0/files/p10141577/s59164443/162561c5-f631d080-afb72ad1-3013cca1-7ef9ca57.jpg | sternotomy wires are intact. right swan-ganz catheter is close to pulmonic valve. mitral valve replacement is in correct position. mild interval increase in retrocardiac opacity from moderate atelectasis and left pleural effusion. no pneumothorax and right lung is clear. heart is mildly enlarged and there is a post op appearance to mediastinam. hila are normal. no bony abnormality. | female status post mitral valve replacement. chest tubes discontinued. assess for pneumothorax. |
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