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MIMIC-CXR-JPG/2.0.0/files/p12122058/s57208082/92cfafae-2c985552-dcce1b9f-b0ec8600-56cfb904.jpg | the lungs are normally expanded except for some mild streaky opacities at the lung bases, possibly areas of chronic atelectasis or scarring. no focal airspace opacity concerning for pneumonia is detected. the heart is not enlarged. the mediastinum and hilar contours are normal. there is no pleural effusion or pneumothorax. | several weeks of cough, congestion, fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13908077/s51810464/74b4fe93-586bfceb-f5f20295-18ff754b-c3b5d2c7.jpg | a port-a-cath terminates at the cavoatrial junction. the heart is normal in size. the mediastinal and hilar contours appear unchanged. the aortic arch is calcified. the lung volumes are low. the lungs appear clear. there are no pleural effusions or pneumothorax. exaggerated kyphotic curvature centered along the mid thoracic spine appears unchanged, including suspected bony demineralization. | nausea, vomiting and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p11996157/s54968421/31c32ffd-aac9a015-868cb1e2-86f5a335-ac3d672f.jpg | there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | <unk>m with chest pain, evaluate for edema or cardiomegaly. |
MIMIC-CXR-JPG/2.0.0/files/p17266202/s51842304/1b93aba5-39747c2c-48782100-7ef54966-010e17a2.jpg | the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there are new but probably subacute or older nondisplaced fractures involving several right lateral ribs, noting callus; these are difficult to visualize in detail but probably involve the seventh through ninth ribs. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg | the heart is normal in size. the mediastinal contours appear stable. again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest ct. there is a small persistent left-sided pleural effusion, but substantially decreased. a moderate right-sided pleural effusion has also decreased in size and is now small to moderate. there is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the ct study. patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions. | cough and chest pain. previous diagnosis of pneumonia. the patient also presents with new epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p11640228/s59936306/f0c1d8c2-075a9eac-a99ad0a7-bbb52f21-3d1f5a5a.jpg | lung volumes are low. no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. low lung volumes accentuate the heart size which is probably normal. the osseous structures appear intact. | chest pain and cough. |
MIMIC-CXR-JPG/2.0.0/files/p16785443/s59922454/a8a2f028-68dc6f1b-67908ddb-491a8a8e-c2df7830.jpg | heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are stable. the lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | aggravation, dementia. |
MIMIC-CXR-JPG/2.0.0/files/p18843143/s55537911/9251e594-4feabb2e-6ab915dc-916c3987-08aa344f.jpg | ap portable upright view of the chest. left chest wall pacer device is again seen with leads extending into the region of the right atrium and right ventricle. overlying ekg leads are present. the heart is mildly enlarged. hila appear slightly congested. there is mild cephalization likely indicating mild interstitial edema. no large effusion or pneumothorax is seen. bony structures are intact. | <unk>f with iph // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13467916/s57868873/ac8820d3-97ddb50b-790e253a-4790e341-20a00333.jpg | the small right apical pneumothorax is unchanged after removal of the chest tube. there is volume loss in the right lung, compatible with right lower lobe segmentectomy. opacification of the medial right lung base likely represents atelectasis or collapse of the remaining right middle lobe. there may be a small right pleural effusion. the left lung is clear. there is no pulmonary edema. | <unk> year old woman s/p rll seg // r/o ptx post ct removal r/o ptx post ct removal |
MIMIC-CXR-JPG/2.0.0/files/p17300816/s55767652/ddcb004e-5f9398b5-fa8c795d-3b1085d4-eb5763bc.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | history: <unk>f with sore throat, runny nose, cough, fever to <num> // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p18766606/s59151994/f9b8a6af-d63b8483-9dec5aaf-bc979201-5780cc15.jpg | the lung volumes are normal. there is a lateral ill-defined opacity in right mid lung projecting over the seventh posterior rib which not does correspond to any lesions on prior ct. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. the right port-a-cath terminates in the right atrium. | <unk> year old man with gastric cancer on chemotherapy. fever earlier in week, cough, and chest pain rll with sob. // r/o infection. please wet read and <unk> <unk> <unk> |
MIMIC-CXR-JPG/2.0.0/files/p17206933/s57571408/42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b.jpg | since <unk>, there has been continued progressive consolidation involving the left lung with asymmetric opacification distributed throughout the right hemithorax most compatible with multifocal pneumonia. there are superimposed areas of bibasilar atelectasis. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable, with the heart borderline enlarged. there is tortuosity and atherosclerotic calcification within the thoracic aorta. | <unk>-year-old male with altered mental status and history of chf with concern for pneumonia. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17533485/s57166491/2fd3c9cc-b33fa852-75faef45-82518631-c1c35653.jpg | pa and lateral chest radiographs were provided. median sternotomy wires are intact. a tiny right apical pneumothorax has nearly resolved. a tiny left apical pneumothorax has in retrospect become smaller than the prior study. lung volumes are slightly low with multifocal linear atelectasis which has improved since the prior exam. there is no focal consolidation or pleural effusion. the heart remains mildly enlarged. imaged upper abdomen is unremarkable. | <unk>-year-old man status post cabg, evaluate for pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p15130584/s51060880/76ff1fcf-e5600af5-b4a88c3f-bd4d601d-5f8466ac.jpg | there is hazy opacity at the bases bilaterally, possibly due to superimposition of soft tissues of the chest wall. the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. mildly elevated left hemidiaphragm. | <unk>m with diffuse ><unk>% erthema migrans / purpura fulminans type rash. evaluate for atypical pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16289050/s56637298/10590d69-51c23475-279bd446-a4ac04ea-1bd267cc.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. no large effusion or pneumothorax. no acute bony abnormality. no free air below the right hemidiaphragm. | <unk>f s/p fall eval for cardiopulm change |
MIMIC-CXR-JPG/2.0.0/files/p13912960/s51911151/56bfea72-8f06064d-2655f434-3d93351e-6f272bfe.jpg | cardiomediastinal contours are stable. linear bibasilar atelectasis and or scarring is noted, more prominent at the right base than the left. no definite areas of consolidation are identified to suggest the presence of pneumonia, and there are no pleural effusions. right internal jugular porta catheter remains in place within the lower superior vena cava, and note is again made of a moderate hiatal hernia. | <unk> year old woman with cough, // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16460117/s57088293/6d8b86aa-12efe6b4-4377fec2-eb0de021-db50ba34.jpg | cardiac silhouette size is normal. the aorta is mildly tortuous but unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is normal. minimal patchy opacity in the left lung base with peribronchial cuffing could reflect atelectasis, though infection is not completely excluded. no focal consolidation, pleural effusion or pneumothorax is visualized. there are multilevel degenerative changes are seen in the imaged thoracolumbar spine. s-shaped scoliosis of the thoracolumbar spine is also demonstrated. | history: <unk>f with new onset atrial fibrillation |
MIMIC-CXR-JPG/2.0.0/files/p19448472/s52176885/7ec49b21-c3b33eea-4a172182-aaa32e8c-8bc7aa60.jpg | pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. | <unk>-year-old male with chest pain and heroin use. |
MIMIC-CXR-JPG/2.0.0/files/p14289751/s52482642/e7b9faae-837c7755-93da0a49-e44129ab-d49579ae.jpg | the heart is normal in size. the cardiomediastinal and hilar contours are within normal limits and stable. the pulmonary vasculature is normal. there has been interval removal of a right-sided pigtail catheter. there is a small right pleural effusion and adjacent right basal atelectasis. the left lung is clear. there is no evidence of pneumothorax. the vp shunt is seen unchanged in position. | <unk> year old woman with right thoracentesis // s/p right <unk> |
MIMIC-CXR-JPG/2.0.0/files/p19296173/s54092537/91b14024-ed12c56c-a79eb2e9-614feafe-a0b58d2d.jpg | known spiculated opacity with fiducial marker projects over the right hilum is not clearly delineated on today's exam. the lungs are otherwise grossly clear. the cardiomediastinal silhouette is stable. atherosclerotic calcifications are seen at the aortic arch. | <unk>f with nsclc with sob needing nrb, cough, subjective fever. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p15195362/s57490810/b5960645-6527ee10-8a76e624-3a4e87cf-f79b5926.jpg | compared to the study from the prior day there is no significant interval change. | mediastinal mass. |
MIMIC-CXR-JPG/2.0.0/files/p18336730/s52076263/d671bf15-1451e0ea-ad6a0770-cf06fa1e-33c0bd3b.jpg | there is bilateral lower lobe atelectasis and the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | a <unk>-year-old man with altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15872837/s59560569/8a6cb030-29ac9498-0b4d25f7-b41836eb-048e9db9.jpg | the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. | <unk>f with cp // evidence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15104748/s54204819/6234229c-b6400923-b7e2f8c3-c6786205-76005695.jpg | pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. there is biapical scarring, unchanged from the prior exam. the cardiomediastinal silhouette is normal. | new atrial fibrillation and increased fatigue. |
MIMIC-CXR-JPG/2.0.0/files/p15960313/s55809494/e3d14083-42975855-84e283c8-9962ddbc-ef65ea57.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk>-year-old woman with recent icu admission for decompensated cirrhosis, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17021161/s57264489/7775ae20-fc9d293c-19368071-003bd7bd-ec640057.jpg | compared to the prior chest radiograph <unk> there is no significant change in a small left retrocardiac opacity which most likely represents atelectasis. no new opacity, pleural effusion and pneumothorax. mild cardiomegaly is stable. the mediastinal silhouette is stable. | <unk>-year-old woman with clotted av graft. preoperative chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p11200955/s59417241/b05a9b0f-22529b25-d745a49b-2e1e3588-d712809d.jpg | ap portable upright view of the chest. right ij access dialysis catheter seen with its tip in the low svc near the cavoatrial junction. the lung volumes are low. there is mild left basal atelectasis. the heart size appears mildly enlarged. there is no pneumothorax. | <unk> year old man with high dose steroids, rising wbc. // r/o new infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p11456260/s51900292/f1927a52-01556f9e-f0951d83-79ba459b-aa641f25.jpg | frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion, or pneumothorax. the pulmonary vasculature is normal. the cardiac silhouette is normal in size. the mediastinal contours are normal. | <unk>-year-old male complaining of chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17172316/s59455646/8399ed8f-1f856426-6e7b1780-5d8c4bea-29b637c8.jpg | et tube terminates <num> mm above the carina. a dobhoff tube terminates near the ge junction. right internal jugular venous catheter terminates in mid svc. prosthetic aortic and mitral valves are noted. large loculated pleural effusions and moderate pulmonary edema are similar to <num> hr prior. | <unk> year old man with hypoxia, reintubated // assess et placement |
MIMIC-CXR-JPG/2.0.0/files/p14936639/s50435301/de56c852-86c957b7-6e9707a1-27b49b73-0019fdde.jpg | the cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | atypical chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14931360/s55160055/01ad03cb-51e0fcbf-4f1a16e2-c5c6d033-3329794c.jpg | new left upper lobe opacity is suspicious for pneumonia. right hemithorax volume loss and increased density in the right peritracheal region is stable in may be related to prior infection or radiation treatment. at chest tube is noted at the right lung base. stent is noted in the descending thoracic aorta and abdominal aorta. bilateral pleural effusions are small. mildly enlarged cardiac silhouette is stable. | history: <unk>f with chest pain // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17219004/s59296643/0fdb0e5a-53742be6-25ef69a4-6cc70b99-49c19ed7.jpg | heart size remains mildly enlarged. the aorta is diffusely calcified. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. no focal consolidation, large pleural effusion or pneumothorax is seen. marked degenerative changes involving both glenohumeral joints are re- demonstrated. | history: <unk>f with weakness |
MIMIC-CXR-JPG/2.0.0/files/p19271147/s51390565/c69312e2-2e838f66-727f34d6-642a8cf5-f8a8fb51.jpg | a dobhoff tube is present. on view <num>., the tip overlies the distal mediastinum, possibly reaching the ge junction. on view <num>., the tip is not visualized and presumably extends beneath the ge junction. based on this common additional view to include the abdomen would be required to see the radiopaque tip. compared with the prior film, cardiomediastinal silhouette is grossly unchanged. however, there is increased vascular engorgement and mild vascular blurring at the bases, consistent with chf. the possibility of small effusions cannot be excluded. picc line again noted in the mid to distal svc. | <unk> year old woman with new dobhoff, eval position // eval position of dobhoff |
MIMIC-CXR-JPG/2.0.0/files/p15115014/s51367766/78cb4f3e-8f48ad1d-7c3ed65f-9d38f547-68f119dd.jpg | frontal and lateral radiographs of the chest demonstrate well expanded, grossly grossly clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax, or focal consolidation. visualized bony structures are within normal limits. residual oral contrast is incidentally noted in the splenic flexure | history: <unk>f with new dx of possible ovarian cancer, hx of cough // eval for mass |
MIMIC-CXR-JPG/2.0.0/files/p11763591/s52646745/29c524c4-b7d651fe-23099d49-2c363ab2-d9a92542.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. | <unk>m with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19048729/s54502198/2fa3400f-cc96f8f4-3f454ad1-bb2cb3e9-61c19051.jpg | a portable semi upright frontal chest radiograph again demonstrates an endotracheal tube terminating in mid thoracic trachea and an enteric tube terminating within the stomach. bilateral pulmonary opacities continue to increase. there is a new small to moderate right pleural effusion and possible trace left pleural effusion. there is no pneumothorax. the visualized upper abdomen is unremarkable. | <unk> year old man with new ngt. // ? ngt placement, ? worsening ards |
MIMIC-CXR-JPG/2.0.0/files/p16744975/s55654616/b10e1b03-6dcd075f-95635329-1498a395-947281e5.jpg | the endotracheal tube tip remains low lying, terminating approximately <num> cm from the carina. an enteric tube remains in unchanged position. left sided chest tube remains with associated subcutaneous emphysema in the left lateral chest wall, with previously noted kinking of the distal aspect of the tube now resolved. known small left pneumothorax appears grossly unchanged. aeration of the left lung base also appears slightly improved reflecting day combination of atelectasis and pleural effusion. multiple left-sided rib fractures are again noted. remainder of the examination is otherwise unchanged. there is no rightward shift of mediastinal structures. | history: <unk>f with hypotension, trauma |
MIMIC-CXR-JPG/2.0.0/files/p13120246/s53601144/93e2a0ce-745584e8-d7956043-a4f8aac0-d94c8979.jpg | moderate cardiomegaly is re- demonstrated. the aortic knob is calcified. the hila are enlarged bilaterally compatible with history of pulmonary arterial hypertension. there is mild pulmonary edema, new in the interval, with small bilateral pleural effusions. bibasilar patchy opacities likely reflect atelectasis. no pneumothorax is detected. there are no acute osseous abnormalities. | history: <unk>f history of pulmonary hypertension, chf presents with dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p14350618/s58331025/37df25d8-8fc42054-f346971a-485e7700-d1b12906.jpg | et tube is <num> cm above level of the carina. right central venous catheter sheath is at distal right brachiocephalic which is pinched and appears unchanged. tip of left arterial subclavian is in the aortic arch. ng tube extends into stomach and out of view. left apical chest tube appears unchanged and is in correct position. interval removal of right chest tube and placement of right pigtail catheter is in correct position. increased heterogeneous opacification in the right lung, unclear if there is a right pleural effusion. stable mild right mediastinal shift. interval decrease in right pneumothorax. anterior pneumothorax on the left appears mildly increased with increase in subcutaneous emphysema. increased left mid lung opacity. | male with bilateral chest tube status post replacement. |
MIMIC-CXR-JPG/2.0.0/files/p11130447/s56267236/07486017-07f7ff36-cddb3f72-a02da7f3-edabb3ff.jpg | pa and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there is new patchy opacity identified at the right lung base medially within the right lower lobe. elsewhere, the lungs remain clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. | <unk>-year-old female with myalgias, chills, headache, and cough. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16531604/s59875656/9de58b2c-3628002f-975dbbe0-0f3e230f-9bf6ca8e.jpg | pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | <unk>-year-old woman with left upper quadrant abdominal pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16876797/s51919716/0ada2d00-1df89514-c5842400-b7002035-ab810e19.jpg | heart is mildly enlarged. no overt pulmonary edema is seen. a focal bandlike right basilar opacity is present and could represent atelectasis. there is no pneumothorax or pleural effusion. | <unk>-year-old man with chf and weakness, evaluate for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p15114126/s52129565/f99c1f55-34a467c4-f7fa066b-5e178a13-283fc171.jpg | cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. | <unk> year old man with ivdu, septic arthritis, and new pleuritic chest pain // chest pain; ? septic embolis |
MIMIC-CXR-JPG/2.0.0/files/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg | the appearance of the lungs is stable. there is diffuse increase in interstitial markings bilaterally, similar to prior, consistent with chronic lung disease. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with cad and esrd on hd, now with increasing intermittent chest pain at rest // assess for acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p13975799/s55181490/40bec8bc-2084ec91-16654eef-e3706b3c-fb0078b6.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. again noted is dextroscoliosis of the thoracic spine. | tachycardia and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg | moderate pulmonary edema has worsened and mild-to-moderate bilateral pleural effusions have increased sincen <unk>. bilateral lower lung opacities is combination of effusion, atelectasis and pulmonary edema. heart size is normal. bilateral hila are prominent due to an engorged pulmonary vasculature, however, mediastinum is unremarkable. | <unk>-year-old woman with history of hypertension, congestive heart failure and ckd on dialysis with flash edema in the setting of receiving blood. |
MIMIC-CXR-JPG/2.0.0/files/p19284781/s52126301/fdffffc3-15c7bab7-47a61d7a-ed206dfe-564e6e01.jpg | lines and tubes: again visualized are <num> left-sided chest tubes in unchanged position. the laterally located chest tube has a side hole projecting in the subcutaneous tissues of the lateral chest wall, as before. lungs: there is persistent near complete opacification of the left hemi thorax, likely a combination of known hematoma/pleural effusion and postsurgical changes including atelectasis. right lung is clear. no right pleural effusion present pleura: known left hematoma, status post vats for evacuation. no right pleural effusion or pneumothorax. mediastinum: mild cardiomegaly with shift of mediastinum to the left side. bony thorax: no significant interval change. | <unk>m s/p l vats hematoma evacuation lul hematoma and mediastinoscopy ln sampling <unk> // interval cxr |
MIMIC-CXR-JPG/2.0.0/files/p10930322/s55982634/b2936ed2-c485b43e-1a92d332-45f46287-72268162.jpg | frontal and lateral chest radiographs were obtained. compared to study from <unk>, there has been interval improvement in the large bilateral pleural effusions. however, moderate effusions are still present with compressive atelectasis. previous interstitial edema has resolved. no pneumothorax is seen. the cardiomediastinal silhouette and hilar contours are stable. | patient with dyspnea on exertion, follow up pneumonia and effusions. |
MIMIC-CXR-JPG/2.0.0/files/p18350596/s50152962/e15ab743-7c97ca17-d0dbdbae-70dd2030-aa32190b.jpg | in comparison to the radiograph from approximately <num> day prior, there has been no appreciable change in mild pulmonary edema. small bilateral pleural effusions have developed. the swan-ganz catheter remains at the level of the valve, and could be advanced by at least <num>-<num> cm to position its tip in the proximal right pulmonary artery. no other relevant change. | <unk> year old woman with s/p mvr/tvr/lv repair // eval infiltrates/opacity |
MIMIC-CXR-JPG/2.0.0/files/p12671581/s54092180/c5732079-3ea958c1-3f00f8e2-c7ae2fe7-5c3b5cad.jpg | the patient's chin obscures evaluation of the medial lung apices. lung volumes are low. mild to moderate cardiomegaly is re- demonstrated, with mild tortuosity of the thoracic aorta. diffuse aortic calcifications are again noted. the pulmonary vascularity is not engorged, and hilar contours are stable. hyperinflation along with flattening of the diaphragms is re- demonstrated suggestive of underlying copd. blunting of the costophrenic angles posteriorly on the lateral view may suggest pleural thickening or trace bilateral pleural effusions. except for minimal bibasilar atelectasis, there is no focal consolidation. no pneumothorax is detected. multilevel degenerative changes are seen in the thoracic spine. | possible fall with neck pain, headache, shortness of breath and feeling of weakness. |
MIMIC-CXR-JPG/2.0.0/files/p15368003/s54355604/83c6e93b-ad656e5d-5fa4ff44-8fe0ab5a-4e553e5a.jpg | endotracheal tube tip terminates approximately <num> cm from the carina. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. there is minimal atelectasis within the lung bases. no focal consolidation, pleural effusion or pneumothorax is seen. a clip projects over the left upper quadrant of the abdomen. | overdose, now intubated. |
MIMIC-CXR-JPG/2.0.0/files/p11119242/s54267369/a8346f44-63ef0725-eec2bbfc-a531ec9b-c87655fb.jpg | bibasilar opacities likely reflect atelectasis, and the heart size is unchanged in size. a port-a-cath terminates within the right atrium. known pulmonary metastases are better evaluated on the prior ct. no focal consolidation is seen. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12298456/s52191179/a8199565-e60d6e6b-21ca68cf-0e19cf10-569e0095.jpg | linear atelectasis or scarring is again seen at the left lung base. the lungs remain relatively hyper expanded with relative paucity of vascular structures particularly in the right upper lung raising the possibility of underlying emphysema. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance. | history: <unk>m with left sided chest pain // eval for chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17442380/s56605766/5942b3ac-37ada096-a46ce379-29f73d2e-b5133d11.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. the lungs are clear. no pleural effusion or pneumothorax. | chest pain, question pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10673457/s55580376/79d44272-8e3fd9ef-0ea8345d-bbb9bdd5-f449129d.jpg | the lung volumes are low. there is no consolidation, edema, pleural effusion, or pneumothorax. the aorta is tortuous. the mediastinal contours are otherwise normal. the heart size is at the upper limits of normal. old healed left rib deformities are present in the upper chest. no acute fracture is identified. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12302912/s54110665/0e9e0490-bf5676e1-9f78ac8a-30fed29d-c5b7c888.jpg | the lung volumes are low. streaky opacification in the right mid and lower lung zones is likely atelectasis. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no pneumomediastinum. no free air is identified below the hemidiaphragms. a right-sided port-a-cath is present with the tip in the low svc. | epigastric pain with history of an esophageal tear. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p15629227/s51948296/52432b2b-7781b70b-0a16cc6a-38dd30fc-927f5e5d.jpg | ap portable upright view of the chest. left chest wall pacer device is seen with pacer leads extending to the right atrium, right ventricle and coronaries sinus as on prior. previously noted effusions have resolved in the interval. a rounded density projecting over the left lung base is likely a nipple shadow. mild blunting persists at the right lung base likely representing residual tiny effusion. no convincing evidence for pneumonia or edema. no pneumothorax is seen. bony structures are intact. | <unk>m with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p19094356/s50905630/1e78b730-177d1d05-ddb4314d-1df15d73-e0c951e0.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. surgical clips seen in in the upper abdomen. | <unk>f with acute onset doe and tachycardia. // evidence of acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p18425206/s53402325/f78423f9-bf5dafae-909303c4-ccc5cc92-ab7a9748.jpg | right chest wall port catheter terminates in the upper svc.there is no focal consolidation identified. hazy bibasilar opacities likely represent atelectasis but could represent developing infection. no pleural effusion or pneumothorax. | history: <unk>m with lymphoma, fever, chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11461163/s57991169/fbac9e17-ed6aac1a-95109de0-9b541aeb-9102cc42.jpg | frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. | generalized weakness and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg | relatively low lung volumes are seen. that said, there has been interval resolution of the previously seen right-sided pneumonia. the lungs are now clear. there is no effusion and no evidence of pulmonary edema. median sternotomy wires and coronary artery stents are identified. degree of cardiomegaly is unchanged. no acute osseous abnormalities. | <unk>-year-old male with shortness of breath and hypoglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p16000035/s53468612/679b9927-b56733e3-728e7193-f0c03761-3c70d19d.jpg | pa and lateral views of the chest <unk> at <time> are submitted. | <unk>f smoker with recent seizures who has new cough and decreased breath sounds at left base. // eval for left lower lung infiltrate eval for left lower lung infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19576216/s54564985/e95b87b5-27916846-c27caa10-b71f065c-ee224b19.jpg | ap upright and lateral views of the chest provided. cardiomegaly is again noted with a unfolded thoracic aorta. airspace consolidation within the right mid to lower lung is concerning for pneumonia likely residing in the right lower lobe. there may be a small right pleural effusion. the left lung is clear. no pneumothorax is seen. degenerative changes of the shoulders is again noted. | <unk>m with fever, coarse breath sounds // pna? |
MIMIC-CXR-JPG/2.0.0/files/p11885023/s56419826/8f27cdb5-93fe3492-7350ae51-b18f8274-c058c2da.jpg | lungs are fully expanded, clear and pleural surfaces are normal. heart is top normal with stable mildly enlarged left ventricle. normal mediastinal and hilar contours. | <unk>-year-old male with shortness of breath, cough, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17957742/s57732607/ad33bba2-62d3ed6f-a5491ca6-2fa9946f-91a5c7bb.jpg | portable supine chest radiograph <unk> at <time> is submitted. | <unk> year old man with mods // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p17725086/s53293925/d2d946f9-ec7097a8-28f38dd8-fc0979a0-96edf011.jpg | the lungs are normally expanded and clear. the heart is not enlarged. apparent widening of the mediastinum is likely projectional. the hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. | fever. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19703655/s51456234/1c9443c9-a90101cb-845cf3b2-9b86a840-d663787f.jpg | a three-lead pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. suture anchors are present in the right humeral head. surgical clips project over the right upper quadrant. | weakness and hyponatremia. |
MIMIC-CXR-JPG/2.0.0/files/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg | lung volumes are low. extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease. there is possibly increased opacification of the right lower lung, which may represent mild edema. hilar and cardiomediastinal contours are unchanged. calcification of the aortic arch is noted. there is no pneumothorax. there is no pleural effusion. | <unk>-year-old woman with interstitial lung disease presenting with respiratory distress. evaluate for congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p11579438/s54618396/089c6c01-259d04e7-6c0cb9c8-b64445ea-f92c8099.jpg | bilateral lower lung opacities are seen, as seen on concomitant ct abdomen. lung volumes are low. heart size is mildly enlarged. there may be trace right pleural effusion. | <unk>-year-old male with hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p10366318/s54781952/34bf54ba-73cc6263-d2eba44f-ededac28-bde43bc1.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>m with <num> week history of chest discomfort radiating down arm, neck, back, associated with headache. |
MIMIC-CXR-JPG/2.0.0/files/p14201479/s55621617/4024b3c3-686a109a-c6cdeb93-7d03b9d9-94444307.jpg | the lungs are hyperinflated. coarse interstitial markings, particularly at the bases bilaterally, likely due to interstitial lung disease. no focal consolidations. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax. no acute osseous abnormality visualized. | history: <unk>f from osh with report of femur fracture, transferred for management of stroke // preop cxr |
MIMIC-CXR-JPG/2.0.0/files/p12291187/s50271307/81a0e4cb-699f1e6a-11567568-0e7b0731-ce78f27f.jpg | an endotracheal tube is seen with tip approximately <num> cm from the carina. left picc is seen with tip in the lower svc. nasogastric tube seen passing below the inferior field of view. there are hazy bibasilar opacities compatible with pleural effusions and adjacent atelectasis. additional rounded focal consolidation seen in the left mid lung laterally. cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is detected. | <unk>-year-old female with recent pulmonary embolism and stroke. |
MIMIC-CXR-JPG/2.0.0/files/p15082258/s51039466/16a6e2f0-0827051b-61341ae8-f6db8cc9-4c70d9ea.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is focal lung consolidation. a compression fracture of t<num> is unchanged. | <unk> year old woman with profound diarrhea, pre-syncopal episode, leukocytosis, evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17282643/s51058977/7f5403d4-19b419ea-2917ae84-b7ebc151-90df2ca0.jpg | pneumomediastinum persists in similar distribution to the prior examination. subcutaneous gas is seen within soft tissues the neck as before. no significant change from the prior. | history: <unk>m with pneumomediastinum, need repeat cxr to evaluate if stable per thoracic surgery // eval for change in pneumomediastinum |
MIMIC-CXR-JPG/2.0.0/files/p17833769/s59731067/e1e88cad-9f9a51f7-5cc4579c-07b4aac0-292bbd34.jpg | lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. dense aortic arch calcifications are noted. | <unk> year old woman with h/o mm s/p auto transplant w/ new cough // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p11037978/s54586490/88ec4bf6-fb85e9fa-ce617d6c-9f004e12-1693d760.jpg | the cardiac silhouette remains enlarged. the aorta calcified and tortuous. no pleural effusion or pneumothorax is seen. no overt pulmonary edema is. patchy right base opacity most likely represents overlap of vascular structures although early pneumonia is not excluded in the appropriate clinical setting. | history: <unk>m with chest tightness // eval for pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p16731888/s55587970/767569a0-6a0539c8-ba4f9463-96666fac-84b3223c.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with severe persistent cough // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10613328/s51722612/c3f05531-5d7b573f-3286a3c9-eb416ffe-56ef52b7.jpg | compared to prior radiograph lung volumes are lower with interval increase in bilateral scattered parenchymal alveolar and interstitial opacities with visualization of air bronchograms. cardiomediastinal silhouette and hilar contours are unchanged but difficult to evaluate in the background of scattered opacities. there is no large effusion or pneumothorax. | history of pleural effusions with new onset respiratory distress. |
MIMIC-CXR-JPG/2.0.0/files/p18877812/s54418764/ff3bdddf-a6a2031f-9ea145ef-35796b90-22aa0407.jpg | endotracheal tube is seen with tip approximately <num> cm from the chronic. enteric tube tip in the region of the ge junction and should be advanced. there are bibasilar opacities suggestive of effusions, left larger than right. mild pulmonary edema is noted. cardiac silhouette is slightly enlarged. median sternotomy wires are identified. right shoulder arthroplasty and mediastinal clips are seen. | <unk>m with sepsis, intubated // eval for ett placement |
MIMIC-CXR-JPG/2.0.0/files/p11106524/s59744695/3931cda9-40e5ef1f-9f53bf3a-10a56431-8790031d.jpg | curvilinear lucency below the right hemidiaphragm is concerning for free intraperitoneal air with communication detailed in the wet reading report. interval improved aeration at both lung bases as well as decrease in size of a right pleural effusion. no other relevant changes since the recent study. | <unk> year old man with sepsis, pleural effusion // evaluate for interval change of pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p15745670/s58403642/e5a5bfe4-cc5cfb5b-a0963ebe-36e4d785-b77f96cd.jpg | cardiomediastinal contours are within normal limits without change. lung volumes are low, but lungs are grossly clear except for minimal linear atelectasis of the left lung base. there are no pleural effusions. left hemidiaphragm remains minimally elevated | <unk> year old man with fevers and fatigue // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18951073/s50753231/37344635-d1881328-f09095dc-ad94fac7-49cf9fa5.jpg | the cardiomediastinal and hilar contours are within normal limits. the aorta is minimally unfolded. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no subdiaphragmatic free air seen this ap view. | history: <unk>f with acute epigastric pain, black stool // evaluate for abdominal free air, acute process |
MIMIC-CXR-JPG/2.0.0/files/p17904482/s54703335/0b2df260-187b6902-4e0510bf-9673d41b-4775766b.jpg | the heart size is mildly enlarged. the aorta remains tortuous. the mediastinal and hilar contours are stable. the pulmonary vascularity is not engorged. there is no focal consolidation, pleural effusion or pneumothorax. atelectatic changes are noted at the lung bases. multilevel moderate to severe degenerative changes are noted within the thoracolumbar spine. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p18749775/s50822168/fb6b4ef0-1495654f-b1f0bca8-031a62f3-6a5f7df2.jpg | stable cardiomegaly. central pulmonary edema is improved compared to previous radiographs done between <unk> and <unk>. left lower lobe atelectasis also improved no airspace consolidation. no pneumothorax. presumed small pleural effusions. | <unk> year old man with shortness of breath // pna? vs. edema |
MIMIC-CXR-JPG/2.0.0/files/p19892763/s57144351/a2729ad3-2c4af76a-3a961c46-3a73a300-934b4c9a.jpg | cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. | <unk> year old man lives in shelters, uncontrolled diabetes. chest x-ray to assess for tb // tb rule out |
MIMIC-CXR-JPG/2.0.0/files/p12017586/s54261645/0e8a55d8-c2153c52-bfe2b114-07ea375d-fbd8c868.jpg | portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. the patient is slightly rotated. the right internal jugular central venous line ends in the mid svc. the cardiac silhouette is unchanged. no pneumothorax. | <unk>f with cvl pulled back // cvl placement |
MIMIC-CXR-JPG/2.0.0/files/p10719869/s54739739/a1f1cb6e-736b08bf-7a425245-c446030d-57bd6566.jpg | the lungs are clear and lung volumes are normal. no pleural effusion, pneumothorax or focal airspace consolidation. the mediastinal and hilar structures are unremarkable. heart size is normal. subtle irregularity of the lateral left <num>th rib may relate to prior trauma. | dyspnea and chest pain, evaluate for pneumonia or a mass. |
MIMIC-CXR-JPG/2.0.0/files/p17370015/s50785393/df4a182e-7458f922-bb22a5c1-2d9f1f32-eee8f5a6.jpg | pa and lateral views of the chest provided. there is minimal left mid lung platelike atelectasis. otherwise the lungs are clear. there is no pleural effusion or pneumothorax. no signs of edema or pneumonia. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15057255/s55438767/d22969c4-664b729d-d5698d1a-aafce9d9-d888ccb8.jpg | the cardiac, mediastinal and hilar contours appear stable allowing for differences in technique. there is again moderate to large hiatal hernia. there is possibly a trace pleural effusion on the right. the lungs appear clear. | status post fall with left hip pain. |
MIMIC-CXR-JPG/2.0.0/files/p19845120/s58775223/fb7665f7-03bac0a9-2afef7f5-3be7505f-1033bbb8.jpg | the lungs are hyperinflated. enlarged cardiomediastinal silhouette is grossly stable. there is bibasilar atelectasis without definite focal consolidation. no large pleural effusion. no evidence of pneumothorax. no overt pulmonary edema. no gross evidence of free air beneath the diaphragms. | history: <unk>m with s/p colonoscopy, found to have atrial tachycardia -> afib, protuberant abdomen // eval ? atelectesis, free air, effusion |
MIMIC-CXR-JPG/2.0.0/files/p15499838/s54251915/04ccc990-f5319750-4c88df3c-fd5a0f06-6fc4342d.jpg | tip of the dobbhoff tube is in the body of the stomach. right nephrostomy and ivc filter are grossly unchanged in position. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. bibasilar atelectasis is improved. no focal consolidation, pleural effusion, or pneumothorax. | <unk> year old woman with new dobhoff replacement // eval dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p14303271/s51597439/15c43d53-d3623f4a-13872bc5-8203a11a-8172ce7f.jpg | increased interstitial markings are seen suggesting pulmonary edema. there is no confluent consolidation. degree of cardiomegaly is unchanged. small bilateral pleural effusions are noted. no acute osseous abnormalities identified. | <unk>m with chest pressure, exertion dyspnea // evaluate for fluid overload, consolidation, acute process |
MIMIC-CXR-JPG/2.0.0/files/p16167288/s56446392/981f0ab6-8aea0f1d-1041ce4b-2d14acac-be76f41b.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. | <unk>f with intermittent shortness of breath // eval for chf/pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14412499/s59203778/79003155-fb943736-de8595ba-27ecd736-be381db7.jpg | cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable. ] | chills and general malaise status post liver transplant. |
MIMIC-CXR-JPG/2.0.0/files/p19453522/s55383623/c2aa63c5-d401a009-46ce1be1-2ff21685-1608ce7c.jpg | no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. | history: <unk>m with sob, fever // chf? pna? |
MIMIC-CXR-JPG/2.0.0/files/p19210871/s55169494/f17136e7-2771db30-2b703eaf-32b00a41-c7f5f128.jpg | pa and lateral views of the chest provided. left upper extremity picc line is seen with its tip terminating in the low svc. bilateral pulmonary opacities, many containing calcification, are overall unchanged in this patient with known cowdens disease, these represent numerous pulmonary hamartomas. given the extensive background opacity, difficult to exclude a superimposed subtle pneumonia though none is clearly identified. no large effusion or pneumothorax. heart size appears grossly stable. mediastinal contour is similarly unchanged. no acute bony abnormality. no free air below the right hemidiaphragm. | <unk>m with chest pain, history of cowden disease |
MIMIC-CXR-JPG/2.0.0/files/p17717605/s56944344/4b2cd77d-ec360e64-251d1fbf-c301174d-de52c500.jpg | there are low lung volumes. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. | history: <unk>m with chest pain // ? acute cardiopulm abnormality |
MIMIC-CXR-JPG/2.0.0/files/p16519859/s51718746/40b15967-b4289248-ac9b21d7-a85666cf-50861ecb.jpg | the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen demonstrates a gastric lap band in place with connective tubing and a partially imaged port in the anterior abdomen. | headache, fever and neck stiffness, here to evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p13299285/s58633146/a276f476-547e6837-c221c357-85b6e0a7-cdf163a6.jpg | sternotomy wires are unchanged. a left-sided picc tip terminates at the lower svc. the course of the picc projects over the aortic knob and has a slightly atypical course as it extends more centrally. otherwise, the heart size is normal. the lungs are clear of consolidation. the previously described pulmonary edema has improved. there is no large pleural effusion or pneumothorax detected. | <unk>-year-old male status post right-sided thoracentesis. |
MIMIC-CXR-JPG/2.0.0/files/p18313642/s51627739/970f55ce-e2765899-60fcf103-5cd78ef8-95a04741.jpg | ap and lateral views of the chest. there are indistinct pulmonary vascular markings bilaterally. more conspicuous right basilar opacity has slightly progressed since prior. there are bilateral effusions, larger on the right than on the left. cardiac silhouette is enlarged but unchanged. no acute osseous abnormality is identified. | <unk>-year-old female with shortness of breath and confusion with lower extremity edema. |
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