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MIMIC-CXR-JPG/2.0.0/files/p14464018/s58994248/28d2a008-e5ce2dab-e27c00f2-680e9b8b-7bcdfccb.jpg | MIMIC-CXR-JPG/2.0.0/files/p14464018/s58994248/6368ced3-604d6f8f-c76863ce-2e49c19c-e7302c0b.jpg | The left biventricular icd is in appropriate position with leads ending at the right atrium, right ventricle and left ventricle appropriately. Moderate cardiomegaly continues without pulmonary edema. Lungs are clear without pneumothorax, consolidation or pleural effusion. | <unk>-year-old man status post biventricular icd placement via left subclavian access. confirm lead placement. |
MIMIC-CXR-JPG/2.0.0/files/p13523180/s58778229/d78523ab-897a207d-9565b2b5-9d0cc4f5-ce3b6c26.jpg | MIMIC-CXR-JPG/2.0.0/files/p13523180/s58778229/8cfbe932-f3d93013-4c2993a7-1c7fddba-ce5fd90e.jpg | Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for this, the lungs are clear. Cardiomegaly is again seen. Mediastinal contour is normal. No large pneumothorax or effusion. The imaged bony structures appear grossly intact. No free air seen below the right hemidiaphragm. | <unk>m with ams and vomiting. |
MIMIC-CXR-JPG/2.0.0/files/p11967908/s50362398/361a3a69-031fdc3b-8773cb48-9f75a509-fcdf2397.jpg | MIMIC-CXR-JPG/2.0.0/files/p11967908/s50362398/3061e536-56a50e77-70420aa3-8643c761-29c563f5.jpg | Increased interstitial markings are seen throughout the lungs as on prior. Small bilateral pleural effusions persist. Scarring at the right lung apex is again noted. No focal consolidation. Calcifications again seen in the right chest wall in addition to multiple right axillary clips. Cardiomediastinal silhouette is stable. No acute osseous abnormality identified. | <unk>f with dyspnea, cough // any pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p15931785/s58686488/fc71b67a-55043add-a389ae93-d3a8f844-fb83463c.jpg | MIMIC-CXR-JPG/2.0.0/files/p15931785/s58686488/470c3c9f-f855a8e7-792a8cef-209ca7ae-f12d1124.jpg | The lungs are well-expanded. Opacity in the lingula suggests focal pneumonia. No edema, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality. | history: <unk>f with a week long history of cold with fevers and recent travel to <unk> presenting with continued sore throat and dypsnea // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12135609/s51124151/37ab3b1b-d0fed3d6-31a98343-bf133894-174deb5a.jpg | MIMIC-CXR-JPG/2.0.0/files/p12135609/s51124151/3dab467a-a8f2464f-737b72e1-716a599f-8865174e.jpg | There are subtle linear and nodular opacities in the right upper lobe and a single <num> mm nodule left upper lobe. The pleural surfaces and the cardiomediastinal are otherwise unremarkable. | <unk> year old man with h/o cirrhosis. pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. // pt is currently being evaluated for liver transplatn surgery. please eval for any cardiopulmonary abnomalities. pt is currently being evaluated for liver transplatn surgery |
MIMIC-CXR-JPG/2.0.0/files/p12669627/s58956634/debabd13-1b55b746-0896d076-f8a8b8ce-6a2b8325.jpg | MIMIC-CXR-JPG/2.0.0/files/p12669627/s58956634/43fde593-477d7803-56edc983-71af09ce-723fa35a.jpg | Pa and lateral views of the chest provided. Mild bibasilar atelectasis noted. 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 sickle cell, worsening dyspnea on exertion // r/o pna, acute chest |
MIMIC-CXR-JPG/2.0.0/files/p10172368/s56305932/8931b5ae-19d9ae56-312db3f2-2e9c4074-795cd3f8.jpg | MIMIC-CXR-JPG/2.0.0/files/p10172368/s56305932/d2a9d044-c8378176-8a7d24f9-bfb88739-619d11ac.jpg | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no definite pleural effusion or pneumothorax. There is a widespread but mild interstitial prominence, including cuffed airways bilaterally. No focal consolidation. Bony structures are unremarkable. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18458330/s53459158/fd200d04-418fca26-fc664349-a24225e3-712b7f40.jpg | MIMIC-CXR-JPG/2.0.0/files/p18458330/s53459158/d67b7071-47b4ffee-eb4f546b-8fda516b-1ba73630.jpg | The heart is not enlarged. The aorta is unfolded and slightly tortuous. There is possible background hyperinflation, with flattened diaphragms. No chf, focal infiltrate, or effusion is identified. No pneumothorax is detected. Surgical clips noted in the right upper quadrant. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p18498231/s56966400/6757b0ce-6cc91267-a08766c4-c3cd4934-6cd68fe7.jpg | MIMIC-CXR-JPG/2.0.0/files/p18498231/s56966400/01d302a5-1c7454eb-570f886d-3edfc5a1-b05059e5.jpg | There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy. | history: <unk>m with weakness and episode of low blood pressure. // eval for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p17774681/s50455995/f9f58eca-4093d9eb-a3c10edd-b88300cc-0e370d02.jpg | MIMIC-CXR-JPG/2.0.0/files/p17774681/s50455995/e08ed545-fa8f26d2-5f30fd9c-fe0b9437-aefd3d30.jpg | The lungs are hyperinflated. No consolidation. There is asymmetric right apical pleural nodular thickening which could be due to history of tb. The pulmonary vasculature and hila are normal. No pleural abnormalities or pneumothorax. The cardiomediastinal silhouette is normal. No fractures. | <unk> year old woman with h/o positive quant gold // evidence of active tb |
MIMIC-CXR-JPG/2.0.0/files/p18362524/s59122024/d8524e0d-435265f5-5b8ca0bf-ce543df3-fbc13864.jpg | MIMIC-CXR-JPG/2.0.0/files/p18362524/s59122024/d7c53951-f44127bf-45b55476-b4bff58d-8376661e.jpg | The lungs are hyperinflated. There is diffuse bronchiectasis with airway wall thickening. Diffuse parenchymal opacities are most pronounced at right upper lobe, and appears slightly worsened in the interval. The previously seen parenchymal opacities in the mid right lung field and left upper lung field have improved in the interval. Streaky bibasilar opacities are again seen and likely represent chronic changes. Persistent bilateral costophrenic angle blunting, similar to prior exam, could reflect chronic pleural thickening. There is no large pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable from prior exam. Cholecystectomy clips are noted right upper quadrant. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p11694913/s53757442/1e832d5f-4eb385b2-f561b951-9562daec-8010d1ca.jpg | MIMIC-CXR-JPG/2.0.0/files/p11694913/s53757442/97855274-11667ba9-0953d3c0-4b15dc9e-0bdfb2eb.jpg | The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No cardiomegaly. No pleural effusions. No pulmonary edema. No pneumonia. Moderate scoliosis of the thoracic spine might contribute to the patient's clinical presentation. | fever, back pain, evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p11967920/s53087656/1f5a80d6-7a8450ff-480d1e64-c8d2d5fa-a676e117.jpg | MIMIC-CXR-JPG/2.0.0/files/p11967920/s53087656/2a29df54-a362a70d-17191522-4584d554-03eb6652.jpg | Heart size is top normal. Mediastinal silhouette and hilar contours are normal. Bronchovascular crowding at the right lung base is unchanged. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. | asthma, now with productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p11778436/s57271503/b28cd50c-a3282e44-105880d4-5b2119ca-86c7a3d7.jpg | MIMIC-CXR-JPG/2.0.0/files/p11778436/s57271503/fa78c90c-8b7698e2-1b2e57f8-ea7405c5-3b41fe51.jpg | There is a background of severe emphysema. Right pigtail catheter pleural drain projects over the right base. There is increased subcutaneous gas along the right chest wall. There is no evidence of residual pneumothorax or pleural effusion. Heart size remains normal. | <unk> year old man with r ptx // check interval change with ct clamped |
MIMIC-CXR-JPG/2.0.0/files/p19495580/s50288604/80bf2225-58333409-45148291-661b6503-94d2dfe5.jpg | MIMIC-CXR-JPG/2.0.0/files/p19495580/s50288604/5f13a75c-a9591ee5-05276f8b-d5ec6dcf-10e2cda8.jpg | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | <unk>-year-old female with vomiting. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15080007/s55019289/994c7737-a53ac771-69bb39cb-eaf8adbd-df84d13c.jpg | MIMIC-CXR-JPG/2.0.0/files/p15080007/s55019289/3481c539-dc47512b-8bfa14a1-e22f1c96-cd8f54dd.jpg | The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | history: <unk>m with palps/cp // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p10728419/s55683963/e383181c-5688f342-a0b131e9-9a7e8e3a-e035ec5e.jpg | MIMIC-CXR-JPG/2.0.0/files/p10728419/s55683963/1e977c6f-51ab9d05-29e7dbfa-675db2c4-d729cb44.jpg | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. There has been interval removal of a right internal jugular catheter. Ventriculoperitoneal shunt catheter projects over the right medial hemithorax. | <unk>-year-old male with hyperglycemia and possible diabetic ketoacidosis. |
MIMIC-CXR-JPG/2.0.0/files/p15197566/s55541917/736d56cc-ef8db57a-dfe6cb10-924e2e3c-264cb2ce.jpg | MIMIC-CXR-JPG/2.0.0/files/p15197566/s55541917/51aad53a-ce3610d9-8ff31560-5481e85d-115d3d98.jpg | Mild cardiomegaly is again seen. Mediastinal and hilar contours are unremarkable. The lungs remain hyperinflated. There is a small consolidation in the basal right lower lobe. There is no evidence for pulmonary edema or pleural effusion. There are mild degenerative changes and mild levoconvex scoliosis in the thoracic spine. | cough for <num> days. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15411028/s50000800/daef2cbf-1c160f9c-6a833203-907f8c4b-91986deb.jpg | MIMIC-CXR-JPG/2.0.0/files/p15411028/s50000800/74970bb9-ba9bb197-b11dec83-f15a287b-14f15565.jpg | Compared to chest radiographs from <unk>, right lower lobe pneumonia has resolved. Left port-a-cath with tip terminating in the low svc. There is no pneumothorax. No pleural effusions. Mediastinal and hilar contours are normal. Moderate cardiomegaly is stable. | <unk> year old woman with met breast cancer with cough, sinus congestion. // r/o pna vs effusion |
MIMIC-CXR-JPG/2.0.0/files/p12627028/s57134892/f2437ef7-adc72ac3-30a20ac1-2e401c01-c677bab4.jpg | MIMIC-CXR-JPG/2.0.0/files/p12627028/s57134892/2375395e-3ae45537-5050da35-095fd568-9d870e68.jpg | The heart is top-normal in size but stable from the prior examination. Lung volumes are markedly low which accentuates bronchovascular markings. Subtle bibasilar opacities most likely reflect atelectasis. There is no pneumothorax or pleural effusion. | history: <unk>m with fever, uti, confusion and some mild sob. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p10266720/s59795461/1876659f-160fd854-59b3f34b-8bbb0489-a98e077f.jpg | MIMIC-CXR-JPG/2.0.0/files/p10266720/s59795461/3979a2e6-e0841b37-6577bffc-62add404-d5f3601a.jpg | There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. | history of smoking, now with intermittent shortness of breath and chest pressure for several months. |
MIMIC-CXR-JPG/2.0.0/files/p14093782/s58303572/36922e50-08ef3578-f3c2faed-ae9d6c6b-71910da2.jpg | MIMIC-CXR-JPG/2.0.0/files/p14093782/s58303572/7621ba9a-aa8f532e-4755987a-02e27fba-8b45edeb.jpg | Small pleural effusion increased since the prior. No pneumothorax. Minimal subsegmental atelectasis in the right upper lobe. Moderate cardiomegaly. Prior median sternotomy, avr and dual lead pacer in the right atrium and right ventricle. | <unk> year old woman s/p thoracentesis // ?ptx |
MIMIC-CXR-JPG/2.0.0/files/p11522912/s58082087/2e7c1057-a5adff17-2ae7ea09-71500b9a-af0d99cf.jpg | MIMIC-CXR-JPG/2.0.0/files/p11522912/s58082087/d4122760-555c6aa7-bcedd2a8-4b92cb21-e129506e.jpg | Evaluation on the lateral radiograph is extremely limited due to patient positioning. There is suboptimal positioning on the frontal view as well. Within these limitations, this difficult to exclude a left basilar consolidation. The right lung is relatively well aerated without pleural effusion. No pneumothorax is detected. The cardiac silhouette is enlarged but stable. The mediastinal contours are prominent in part related to poor patient positioning but likely within normal limits and unchanged. A small left-sided pleural effusion is suspected. | recent seizure activity, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12276520/s52950604/232aff81-bafba6f9-5fb54a08-96c3c962-1467944e.jpg | MIMIC-CXR-JPG/2.0.0/files/p12276520/s52950604/1ce82501-5ba0e931-6231f4d5-edb5ffaf-05c1db31.jpg | Ap and lateral radiographs of the chest demonstrate left basilar opacity, likely atelectasis, otherwise lungs are clear. Hilar and mediastinal contours are normal. The heart size is normal. No pleural abnormality is seen. Surgical clips are noted overlying the left axilla. | new onset afib, hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p18817644/s58244338/b7cc5512-a92fd887-6c786317-72cc71a9-abc27c0f.jpg | MIMIC-CXR-JPG/2.0.0/files/p18817644/s58244338/6ea1b7c3-b9d58a1f-baa96f82-2814fa2e-5552f5b6.jpg | Compared with most recent prior radiographs there is increased opacity at the right medial lung base seen on the lateral in the right middle lobe concerning for early pneumonia. Otherwise, no significant change from <unk> with no pleural effusion or pneumothorax, normal heart size, mediastinal and hilar contours. | hiv positive with persistent wheezing and cough despite treatment, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13403946/s56590131/abb53b03-3ca84a4f-b7e69044-1cfd5c8e-3c726bb1.jpg | MIMIC-CXR-JPG/2.0.0/files/p13403946/s56590131/6184c9f7-f6d61222-5bf001fe-ea8c27c9-04807240.jpg | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild hypertrophic changes are noted in the thoracic spine. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16605433/s59636070/540f812c-0566bfb4-e20cb892-098613f8-3cac2cac.jpg | MIMIC-CXR-JPG/2.0.0/files/p16605433/s59636070/92d0f539-c10e41b5-d2d20b59-0f5f3c4e-9b87ee90.jpg | Frontal and lateral views of the chest were obtained. The heart is of top normal size with unremarkable cardiomediastinal contours. There is left lung base scarring, better seen on the same-day chest ct. The lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign bodies. | <unk>-year-old female with left upper quadrant pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11549602/s51452951/1375c211-04a6cfb7-32a9c955-27de0643-ea93a71e.jpg | MIMIC-CXR-JPG/2.0.0/files/p11549602/s51452951/a27069f6-cf1e905d-8faa32e1-e0ac694c-2ae89726.jpg | In comparison with study of <unk>, there is little change in the appearance of the leads, which extends to the right atrium and apex of the right ventricle. Atelectatic changes are again seen above the markedly elevated right hemidiaphragmatic contour. No evidence of pneumothorax or vascular congestion. | implant, for lead position. |
MIMIC-CXR-JPG/2.0.0/files/p15606157/s57192266/281fbe20-081805db-3de5a803-225d1450-669af74b.jpg | MIMIC-CXR-JPG/2.0.0/files/p15606157/s57192266/d802dd17-c6911769-7ed0d7f3-12127bf8-86c3ff4d.jpg | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected. | history of liver transplant, now with cough. |
MIMIC-CXR-JPG/2.0.0/files/p16052230/s51063613/4883801b-26a7dadc-fa7a73a4-bc12ed2a-fddef7d3.jpg | MIMIC-CXR-JPG/2.0.0/files/p16052230/s51063613/c39f8546-ea36b641-674b9d8b-b3fc38c0-78cf7de9.jpg | Large right pleural effusion with overlying atelectasis has significantly increased compared the prior study. No left pleural effusion is seen. Patchy left base opacity could be due to pneumonia, aspiration, or atelectasis. No pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are unremarkable. | history: <unk>m with dyspnea on exertion // ? process |
MIMIC-CXR-JPG/2.0.0/files/p12013634/s53521728/baed2a20-749a991d-3e2b788b-9b1f2901-3eb2c67a.jpg | MIMIC-CXR-JPG/2.0.0/files/p12013634/s53521728/2f5807cd-04116387-ec4ac927-10d50d2b-1417bd9b.jpg | A left-sided pacemaker in unchanged position with its leads terminating in the right atrium and right ventricle in expected locations. An aortic valve replacement is noted. Sternal wires are intact. Lungs are hyperexpanded but otherwise are clear. Marked improvement of prior pulmonary congestion. No pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. | <unk>-year-old man with right lower lobe wedge resection for carcinoid in <unk>. evaluate lung expansion and masses. |
MIMIC-CXR-JPG/2.0.0/files/p10562894/s56352545/bd408615-a91183f6-f6b52e2d-b5a75ae5-7d73b060.jpg | MIMIC-CXR-JPG/2.0.0/files/p10562894/s56352545/6dc07fd9-d1ae317f-aed93849-89b79ca5-01c3e91b.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 fevers, cough // pna? |
MIMIC-CXR-JPG/2.0.0/files/p14758986/s57287915/b78cbb7e-76443efb-31f72980-4ef938a6-25511eae.jpg | MIMIC-CXR-JPG/2.0.0/files/p14758986/s57287915/d137b8ab-8dcf7e40-c6ba15eb-cb1bb8f9-7e0e80f3.jpg | Streaky right basilar opacity is likely due to atelectasis and is unchanged. There is no focal consolidation worrisome for infection or pleural effusion. Cardiomediastinal silhouette is stable. Dense atherosclerotic calcifications again noted in the thoracic aorta. No acute osseous abnormality. | <unk>f with chills // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13129329/s57281772/d4656df9-33952d6d-d8209338-305b23fe-7c4b27d2.jpg | MIMIC-CXR-JPG/2.0.0/files/p13129329/s57281772/b936ae43-2ea8289f-f299a147-1759b13e-6980ebd7.jpg | Lungs are clear of focal opacities. Cardiac silhouette is normal in size. No pleural effusion or pneumothorax. Platelike atelectasis again noted in the right lower lobe. Calcified right hilar and mediastinal nodes are again noted. | <unk>-year-old man with sickle cell and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19004160/s52311810/8234960f-10cf0f25-56f49ed5-22e7d301-d6f019b4.jpg | MIMIC-CXR-JPG/2.0.0/files/p19004160/s52311810/565b4a26-905b7ca8-6a3d9998-db8472bd-886f1e62.jpg | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No evidence of pneumomediastinum. No acute osseous abnormalities are identified. Lumbar spinal fusion hardware is partially imaged. | history: <unk>f with hematemesis // evidence of mass |
MIMIC-CXR-JPG/2.0.0/files/p14446014/s58080330/b75eadbd-6529de75-81a9c195-d40b2939-52b80174.jpg | MIMIC-CXR-JPG/2.0.0/files/p14446014/s58080330/0deaf3ef-0f1d5747-60dd841e-4bca518c-0b805baf.jpg | Compared to prior, the size of the moderate right-sided pleural effusion has increased. There is also a small left effusion. Cardiac silhouette is enlarged but stable in configuration. Left chest wall single lead pacing device is seen with lead tip at the right ventricular apex. There is new partially visualized cervicothoracic fixation hardware. No acute osseous abnormalities. Right picc is seen with catheter tip over the axillary region. | <unk>m with picc line and recent spinal surgery, eval picc placement // eval picc |
MIMIC-CXR-JPG/2.0.0/files/p14029888/s50893281/6ea38968-ab3fbfb5-e8da4504-cebb3817-af52585c.jpg | MIMIC-CXR-JPG/2.0.0/files/p14029888/s50893281/8eaa339a-b92dc800-02f1e06d-c026531c-267d76da.jpg | Left lower lung opacity which is a combination of small left pleural effusion and left lung base atelectasis is minimally worse since <unk>. Mild pulmonary vascular congestion has improved. Right lung base atelectasis has resolved. There are no lung opacities concerning for pneumonia. Top normal heart size, mediastinal and hilar contours are unremarkable. | query left lower lung consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p15011911/s52560611/c839dcd6-8b16c0fb-951bd4f9-e017d184-38060906.jpg | MIMIC-CXR-JPG/2.0.0/files/p15011911/s52560611/4215ec65-4938bddf-dcf9331d-b99701b7-a044d415.jpg | In comparison with the study of <unk>, the left chest tube has been removed. There is complete opacification of the left hemithorax with shift of the mediastinum to that side. Evidence of previous rib resection on the left. Right lung is hyperexpanded and clear. | complete pneumonectomy. |
MIMIC-CXR-JPG/2.0.0/files/p16924675/s54683290/90db6f9e-8cfe0b7f-b4de76ed-c1032512-84cc2f33.jpg | MIMIC-CXR-JPG/2.0.0/files/p16924675/s54683290/c869fa94-ab8e5d89-d79f7973-d5c9025d-2d6bf50e.jpg | There is a single-lead pacemaker device terminating in the right ventricle. The heart is mild-to-moderately enlarged, as before. There is central prominence of pulmonary and interstitial vascularity including indistinct pulmonary vascularity, suggesting mild pulmonary vascular congestion. The lateral view depicts a convex opacity associated with the right posterior hemithorax, which is the site where moderate pleural effusion was present in the fairly recent past as well as posterior consolidative opacity. This appearance may correspond to evolution of pulmonary infarction, as suspected previously, or a loculated pleural effusion. A trace pleural effusion of more free flowing character is suggested along the right costophrenic sulcus on the frontal view. Each major fissure is also slightly thickened, also suggesting fluid overload. The bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p10476390/s50913975/31e3b29d-0803051b-5ff5a168-b6fc21f7-79b9a005.jpg | MIMIC-CXR-JPG/2.0.0/files/p10476390/s50913975/f192e159-7f738810-78507328-9c777726-a98779c3.jpg | The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p17991156/s50345337/18986e10-63ba9e04-bc1c6f05-7927ff8a-f2c8f016.jpg | MIMIC-CXR-JPG/2.0.0/files/p17991156/s50345337/2fcd4fca-168a1fc0-61d0ab46-d8801cf9-b0cf744a.jpg | There is a new moderate-to-large pleural effusion on the right side which occupies much of the right chest with right upper and basilar lower lobe atelectasis. The right hilum is enlarged raising concern for malignant involvement. There is a small pleural effusion on the left. An irregular nodule is not very well visualized in the left upper lobe but corresponds to a vague left suprahilar opacity which is similar to the prior study. The bones appear demineralized. | worsening dyspnea on exertion. history lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p10146281/s52926365/9f1fb475-55864689-444396a2-92b2ccb0-f97b486f.jpg | MIMIC-CXR-JPG/2.0.0/files/p10146281/s52926365/668e0660-04893b2a-6f3e81cd-a0809a51-c8edb87e.jpg | There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. The cardiac, hilar, and mediastinal contours are unremarkable. | smoker with a remote history of sarcoidosis with worsening shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p12926306/s57241303/fb268bb9-480d810f-96e0e6b0-e0934624-64f963eb.jpg | MIMIC-CXR-JPG/2.0.0/files/p12926306/s57241303/4d4c90e3-ec827364-f90b32c7-8a12c865-e72aae13.jpg | Small bilateral pleural effusions, left greater than right, are not significantly changed compared to prior chest radiograph from <unk>. Bibasilar consolidative opacities are likely at least partially compressive atelectasis, although infection at either lung base is certainly possible. Linear opacities in the right mid to upper lung in the region of suture chain are unchanged, consistent with scarring. Nodular right mid lung opacities are not appreciably changed. Mild enlargement of the cardiac silhouette is not significantly changed. Multiple calcified hilar and mediastinal lymph nodes are again noted, in keeping with known sarcoidosis. | cough, concerning for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14886127/s56710424/53076f84-d627573f-028f7e8f-f1913176-d7fd4904.jpg | MIMIC-CXR-JPG/2.0.0/files/p14886127/s56710424/629a87c8-b564314a-c8ef5e0a-8f05213d-eeee8db9.jpg | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal scarring is again noted in the right middle lobe. Lungs are otherwise clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. An inferior vena cava filter is seen within the upper abdomen. No acute osseous abnormalities are detected. | history: <unk>m with all and fever |
MIMIC-CXR-JPG/2.0.0/files/p14538991/s56639241/ecc56b7f-03fe9b53-3820aafe-2acbd756-8feb12df.jpg | MIMIC-CXR-JPG/2.0.0/files/p14538991/s56639241/b340bda6-54115f3d-4f7ecea0-35a094ff-1a5f69ae.jpg | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected. | chest pain for <num> week. |
MIMIC-CXR-JPG/2.0.0/files/p11606670/s53522147/d95a199e-9f00bbbb-4f5f0e1b-012ea013-8765f5ec.jpg | MIMIC-CXR-JPG/2.0.0/files/p11606670/s53522147/c736a317-6cc80743-5bdb9a5c-7858d4f6-26e5ccf6.jpg | The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | cough for one month. evaluate for atypical pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19609862/s55173146/03b85bf6-35c27b86-b7cb5837-05d93ca4-b37c6f55.jpg | MIMIC-CXR-JPG/2.0.0/files/p19609862/s55173146/7e56e539-74242d8c-1206c73d-93891672-04333928.jpg | Low lung volumes cause bronchovascular crowding. Mildly increased interstitial markings at bilateral lung bases are unchanged from multiple prior studies and likely represent chronic interstitial lung disease. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. The descending aorta is partially calcified and tortuous. | <unk>m with fever and cough, evaluate for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p19839145/s58590216/1976912b-6c998e98-92cae787-7a8f32b4-27759f18.jpg | MIMIC-CXR-JPG/2.0.0/files/p19839145/s58590216/b55272f5-fe70a4ea-080b231b-79955688-6860efa0.jpg | As on yesterday's exam the patient is rotated but to a lesser degree. Lung volumes are increased and there is no mild hyperexpansion. There are no focal airspace opacities to suggest pneumonia. Mild cardiomegaly is unchanged. The mediastinum appears normal. Tortuosity of the aorta is re- demonstrated. There is no pneumothorax or pleural effusion. | hypoxia and decreased breath sounds on the left. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17810083/s53209781/f1e70e32-c25b0254-15c94212-504151fa-3816ac59.jpg | MIMIC-CXR-JPG/2.0.0/files/p17810083/s53209781/b46f37be-bbf1ea13-5e1cf856-03623a17-f192caa9.jpg | In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. The cardiac silhouette remains at the upper limits of normal in size. However, there is no acute pneumonia or evidence of old granulomatous disease. | positive ppd. |
MIMIC-CXR-JPG/2.0.0/files/p17997063/s56856397/216259f5-d62a8b7c-1eaff791-40751a6a-74292273.jpg | MIMIC-CXR-JPG/2.0.0/files/p17997063/s56856397/73a08f5a-864ecc18-97834689-c8aeee55-01280b99.jpg | Frontal and lateral chest radiographs demonstrate slightly lower lung volumes compared to the radiograph from <num> days prior, with increased prominence of the cardiac silhouette and bronchovascular crowding. There is mild cardiomegaly, although the cardiac silhouette is difficult to evaluate secondary to overlying soft tissue. Mild vascular congestion is similar to slightly increased compared to the prior radiograph. No focal consolidation is identified. There are trace bilateral pleural effusions. No pneumothorax is seen. | shortness of breath and lower extremity edema. evaluate for chf. |
MIMIC-CXR-JPG/2.0.0/files/p18513809/s56036553/810e0407-dcf945ee-fae6a6d9-1a50e5d9-dd13876e.jpg | MIMIC-CXR-JPG/2.0.0/files/p18513809/s56036553/933eec71-b7a1d2bb-1dac9789-36ce54a3-89ea3dcf.jpg | Pa and lateral chest radiographs were provided. There is no large focal consolidation, pleural effusion or pneumothorax. Overall there is unchanged appearance of the lungs compared to the most recent prior chest x-ray. The cardiomediastinal silhouette is stably enlarged. The bones are intact. The imaged upper abdomen is unremarkable. | <unk>-year-old female with general malaise. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19361392/s55365871/e4422779-9cb8d265-0b095513-d01ab3c2-0aedc328.jpg | MIMIC-CXR-JPG/2.0.0/files/p19361392/s55365871/27648909-9734d307-d89a4ffe-cfcaf0e6-caaa74a1.jpg | There is a new, ill-defined opacity in the right upper lung field. Differential includes small focus of pneumonia or less likely neoplasm. The ill-defined margins favor an infectious process, and it would be reasonable to treat for pneumonia with followup radiographs in <num> weeks to document resolution. If the opacity is still seen on followup radiographs, chest ct should be performed at that time. No other suspicious lesion is seen. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | <unk> year old woman with <num> weeks of cough, history of lung cancer and rhonchi on exam // please rule out penumonia or mass |
MIMIC-CXR-JPG/2.0.0/files/p13891491/s57966712/ecd4e159-19084a31-7dda578e-4c417f61-3d848abc.jpg | MIMIC-CXR-JPG/2.0.0/files/p13891491/s57966712/9f1f4aa0-ceee982e-657c9b95-2aed74a7-4bfc030b.jpg | Lung volumes are slightly low, resulting in bronchovascular crowding. The cardiac silhouette is unchanged. Hilar contours are mildly indistinct. No pneumothorax, pleural effusion, or consolidation. | history: <unk>f with chf, edema // eval for pulm edema |
MIMIC-CXR-JPG/2.0.0/files/p11522433/s50983372/dd69d233-33b48a98-0ba8372d-ba4df5ff-26eaca6f.jpg | MIMIC-CXR-JPG/2.0.0/files/p11522433/s50983372/e0684890-fbe3603c-1c0bfcb0-730b8b50-d0dafe0b.jpg | Pa and lateral views of the chest provided. The heart is mildly enlarged. There is no focal consolidation concerning for pneumonia. There is no large effusion or pneumothorax. Pulmonary vascular congestion is noted, mild without overt edema. Mediastinal contour appears normal. Bony structures are intact. No free air below the right hemidiaphragm. | <unk>f with <num> weeks of sob, abd pain |
MIMIC-CXR-JPG/2.0.0/files/p15232385/s52472759/4d1eff90-e764770f-5d1772df-e3157cb0-06c44587.jpg | MIMIC-CXR-JPG/2.0.0/files/p15232385/s52472759/ffa07e23-0d2dcc07-9ada5310-b20bca92-ff46abf4.jpg | Frontal and lateral views of the chest were obtained. Slightly low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Mild bibasilar atelectasis is seen. Heart size is normal. Mediastinal silhouette and hilar contours are normal with mild aortic tortuosity. Fiducials project over the upper abdomen and a common bile duct stent is in place. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p13557457/s57522058/4ed5475e-52ac60bb-8731d500-61378496-73d516dd.jpg | MIMIC-CXR-JPG/2.0.0/files/p13557457/s57522058/a84403f6-2ebbea15-82815459-ee1b1851-33d722f9.jpg | The patient is rotated on the pa view. Cardiomegaly with evidence of cabg and a right-sided pacemaker are again seen. The aorta is calcified. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Slightly increased density in the retro hilar/ retrocardiac region corresponds to ossification of the anterior longitudinal ligament of the thoracic spine. Surgical clips are seen in the upper abdomen on the lateral view. | history: <unk>m with cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18160222/s54513055/ca8cd678-64cc0df3-d19c59fe-1870e609-86c647cf.jpg | MIMIC-CXR-JPG/2.0.0/files/p18160222/s54513055/ac685d04-ee9ae1e5-a140a544-2960849d-496d85ec.jpg | Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Multiple known subcentimeter pulmonary nodules are better assessed on prior ct. Eventration of the left hemidiaphragm is similar to prior. | history: <unk>f with chest pain // any pneumonia, cardiomegaly? |
MIMIC-CXR-JPG/2.0.0/files/p13861246/s52665227/349db75a-9d968a17-ee824b86-043f9737-aef7ed0a.jpg | MIMIC-CXR-JPG/2.0.0/files/p13861246/s52665227/c2e19f26-5de1971c-96f8dea3-fb1b032d-e5f623ad.jpg | Compared to chest radiographs from <unk>, there is increased right pleural effusion with new right middle lobe collapse. Widening of the mediastinum has decreased and reflects expected postsurgical changes. Right apical pneumothorax, as well as left lower lobe atelectasis, have resolved. Cardiac size is difficult to assess in the presence of effusion, though likely mildly enlarged, stable. | <unk> year old woman s/p r vats rll // check interval change |
MIMIC-CXR-JPG/2.0.0/files/p10584015/s51640622/5d3881da-b4296996-d4dff295-8043358d-eec6c75e.jpg | MIMIC-CXR-JPG/2.0.0/files/p10584015/s51640622/c7df2d4a-3fcc9839-ab34feac-93dceed6-bb163efa.jpg | In comparison to the radiograph obtained <unk>, the right subclavian line has been discontinued. In the interim, there has been placement of a tunneled right subclavian central line whose distal tip projects over the mid svc. There is a significant kink in the catheter projecting just over the superior border of the right anterior second rib, which may be contributing to malfunctioning of the catheter ; however, this is not well visualized on the lateral projection which limits localization. There are no additional abnormalities noted in catheter. There is mild degenerative joint disease of the thoracic spine with multi-level osteophytes. The cardiomediastinal silhouettes are stable in appearance. The bilateral hila are normal. The previously seen left hemidiaphragm elevation is not seen on the current study. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion. | <unk> year old man with aml // unable to draw blood from central line. assess placement. |
MIMIC-CXR-JPG/2.0.0/files/p14121775/s58830232/10911886-27bcd183-7ea5ce49-5ee78882-470b105f.jpg | MIMIC-CXR-JPG/2.0.0/files/p14121775/s58830232/ec34265d-9e139000-bae59f5b-805c1923-96cd872d.jpg | Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Patient is known to have prominent epicardial fat pad which accounts for the subtle effacement of the heart borders inferiorly. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | <unk>f with cp // acute process |
MIMIC-CXR-JPG/2.0.0/files/p13902086/s55672517/3eb7e64b-7ac2e51f-befab62a-c039afa0-a4c9ac81.jpg | MIMIC-CXR-JPG/2.0.0/files/p13902086/s55672517/b7dcf8a5-748ba15d-11c6e491-7b40fa12-d399741d.jpg | The lung volumes are normal. Normal appearance of the hemidiaphragms, normal size and shape of the cardiac silhouette. Normal hilar and mediastinal contours. Normal transparency and structure of the lung parenchyma. No evidence of pneumonia or other acute lung parenchymal changes. No pneumothorax, no pleural effusions. | breast cancer, chemotherapy, questionable infection. |
MIMIC-CXR-JPG/2.0.0/files/p14679533/s57610575/c92afd1d-6572b0f7-a3305589-82bffd0f-55098914.jpg | MIMIC-CXR-JPG/2.0.0/files/p14679533/s57610575/7cf0984f-5217442a-13abcd12-232b4cae-01947eb1.jpg | The patient is status post median sternotomy and cabg. Dual lead left-sided pacemaker is again seen with lead extending to the expected positions of the right atrium and right ventricle. The cardiac silhouette is mildly enlarged. There is mild interstitial prominence consistent with fluid overload, minimally increased as compared to the prior study. No pleural effusion or evidence of pneumothorax is seen. No focal consolidation. The cardiac and mediastinal silhouettes are stable. | chf, worsening shortness of breath, and lower extremity edema. |
MIMIC-CXR-JPG/2.0.0/files/p15599772/s54117838/d5cc0ea9-73d816bc-1dd2dcf1-a0bf1f45-13bcab8d.jpg | MIMIC-CXR-JPG/2.0.0/files/p15599772/s54117838/03bca3b0-37b98117-2cedd0ce-c6e52440-ca8b9d70.jpg | As compared to the previous examination, the size of the cardiac silhouette has increased. The shape of the cardiac silhouette suggests the presence of a pericardial effusion. The suspicion should be excluded or confirmed by echocardiography. The preexisting pleural effusions have mildly increased on the right and are stable on the left. As a consequence of the effusions, areas of atelectasis are seen, but there is no evidence of fibrotic lung disease. The lung parenchyma looks unremarkable. Unremarkable hilar structures. | systemic lupus, chronic pleural effusion, evaluate for interstitial process. |
MIMIC-CXR-JPG/2.0.0/files/p18191686/s54775972/6a77dbdb-b814a6b1-1ce75e7b-5db3a4da-3769806b.jpg | MIMIC-CXR-JPG/2.0.0/files/p18191686/s54775972/0f4e8e60-257b10ca-908a0d2d-80cb5773-3ad87464.jpg | The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>f with sob // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17938197/s53585503/d70b0522-766e4c78-96873483-dc7df666-681971a5.jpg | MIMIC-CXR-JPG/2.0.0/files/p17938197/s53585503/9dfda373-f1fda3e5-27304d02-187c90dd-4d1b533a.jpg | As compared to the previous radiograph, the lung volumes have slightly decreased. As a consequence, areas of atelectasis are seen at the lung bases. No evidence of subdiaphragmatic air. Borderline size of the cardiac silhouette without pulmonary edema. No pneumothorax. | abdominal pain, endoscopy, questionable free air. |
MIMIC-CXR-JPG/2.0.0/files/p18217141/s50635836/374f91d7-1c1bc4ad-689c2b8e-95c0cd1c-adbd135b.jpg | MIMIC-CXR-JPG/2.0.0/files/p18217141/s50635836/012363e3-5d55d378-cab9f140-0f2aec59-1313fa5a.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>m left sided chest pain, please eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p12701737/s51787463/8109bf17-91100918-49dc86b2-389b37cd-4afcf33a.jpg | MIMIC-CXR-JPG/2.0.0/files/p12701737/s51787463/51be0723-bb82694f-c70c81f5-f8fcf63f-c9bf7dbb.jpg | Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | <unk>f with chest pain, epigastric pain // pna? ptx? |
MIMIC-CXR-JPG/2.0.0/files/p13111741/s52486226/fac47322-7c94a103-1b91ab96-523ce8e4-23d21e9a.jpg | MIMIC-CXR-JPG/2.0.0/files/p13111741/s52486226/a46f4829-2dc1819b-2f2e156f-63fe3bbc-11c946bf.jpg | Sternotomy wires are intact. Tiny left-sided pleural effusion is present, but was not visualized on the prior examination (frontal film). On the current frontal view, at the lower left lateral aspect there is an opacity which could represent a loculated pleural effusion or pleural thickening. Interval decreased mild right-sided pleural effusion. There has been complete resolution of pulmonary edema as seen on prior examination. Gastric pull-through may represent the right lateral aspect of the cardiomediastinal silhouette. | <unk> year old man status post minimally invasive esophagectomy per op note dated <unk> with pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p13588195/s59449832/cf926984-8eae3da1-55a73579-19a63719-b9fedb8c.jpg | MIMIC-CXR-JPG/2.0.0/files/p13588195/s59449832/b3512fae-7c5fab64-daef220b-9238d55c-c10e4416.jpg | Bilateral pulmonary opacities are somewhat improved since the prior study of <unk>. The cardiac silhouette is obscured by these opacities but is grossly normal. The mediastinum and hilar contours are stable. There is no pleural effusion or pneumothorax. Aorta is tortuous and calcified. | hypoxemia, status post diuresis and healthcare associated pneumonia coverage. now treating for cop with steroids. evaluate interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17373059/s50925932/82a718dc-cca0364e-f43f99d8-1a3e42d5-c70540f8.jpg | MIMIC-CXR-JPG/2.0.0/files/p17373059/s50925932/dc823cad-ced3e5b8-bfe07a50-36ec1f80-0cfb7ea4.jpg | Frontal and lateral chest radiographs demonstrate low lung volumes on pa view, resulting in exaggerates the cardiac size and bronchovascular crowding. Better inspiration is seen on lateral view. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable. | <unk>m with cough and fever // cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p16924642/s58980111/6f96eb18-17d1f88d-dcd8b388-f3a50d56-50708f0e.jpg | MIMIC-CXR-JPG/2.0.0/files/p16924642/s58980111/bc9ebe84-84013d43-5ab4e32d-ecfcd960-864f8602.jpg | Cardiomediastinal contours are unchanged with normal cardiac size and tortuous aorta. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine | <unk> year old man with myeloma. new cold symptoms and cough. please eval for infection // <unk> year old man with myeloma. new cold symptoms and cough. please eval for infection |
MIMIC-CXR-JPG/2.0.0/files/p10349803/s54029695/cd5ad579-2e3f4531-88538dd5-09ba8400-4794a4ff.jpg | MIMIC-CXR-JPG/2.0.0/files/p10349803/s54029695/25ad378a-396551b1-4039614a-e274dc2f-fe0acd5c.jpg | Pa and lateral images of the chest demonstrate well-expanded lungs, which are clear. There is no evidence of metastatic disease on this exam. There is no pneumothorax or pleural effusion. The aorta is slightly tortuous. Cardiomediastinal silhouette is otherwise unremarkable. Visualized osseous structures are unremarkable. | <unk>-year-old female with new diagnosis of melanoma, now requiring a baseline chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p10594290/s56608611/413d8c6e-270d0af8-96ae3812-cb4659fc-47c055ec.jpg | MIMIC-CXR-JPG/2.0.0/files/p10594290/s56608611/5841a79f-3f2196d6-bdb8d757-14b92162-86aaa1a8.jpg | Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Ring-like opacities are noted diffusely within the right upper and mid lung fields as well as within the left lung base likely reflective of diffuse bronchiectasis with airway wall thickening. Adjacent patchy opacities may reflect regions of infection. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | history: <unk>m with fevers, cough, and shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p12966418/s51763583/0bc71a6f-552dc8e7-7fd1f023-4494b37e-bcc54ea6.jpg | MIMIC-CXR-JPG/2.0.0/files/p12966418/s51763583/34e7a073-7da24f0f-03e92bf5-ed8f3f92-a6b81ff7.jpg | The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. There are mild degenerative changes of the thoracic spine. | history: <unk>m with syncope flu like symptoms // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p10002177/s50520012/2833b85f-3bb4273f-cffd3794-2bf2cd57-7ddb3f5f.jpg | MIMIC-CXR-JPG/2.0.0/files/p10002177/s50520012/7fdad032-90608fe2-c1f5a700-bf95f6f9-e9b0dbc7.jpg | The lungs are clear without focal consolidation,, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | <unk>f with cough // cough |
MIMIC-CXR-JPG/2.0.0/files/p18179556/s52240168/673d5ff7-12b3b344-7e442d74-7a5b3a73-7331dd1e.jpg | MIMIC-CXR-JPG/2.0.0/files/p18179556/s52240168/5ac66d2a-f417e17b-e6bd9518-1c43e931-cfa8e996.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There is no overt pulmonary edema. | fevers, anemia. |
MIMIC-CXR-JPG/2.0.0/files/p16159024/s51074540/7b3ade66-87925af2-640e8adc-87cf7fcc-8dd3b420.jpg | MIMIC-CXR-JPG/2.0.0/files/p16159024/s51074540/855baf51-17148540-81b5ba9f-95971757-6a1645fa.jpg | Lungs are hyperinflated. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | <unk>m with uri sxs, recent travel from <unk>, asymmetric wheezing // eval ? infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p14018137/s55436852/ef990533-8c0241cb-eb17da05-96611b69-0b5b5227.jpg | MIMIC-CXR-JPG/2.0.0/files/p14018137/s55436852/b47bd954-b329f347-27a686ea-08b78888-bd6ea575.jpg | Pa and lateral views of the chest were reviewed and compared to the most recent prior. The previously described findings of congestive heart failure including <unk>-<unk> haze, vascular redistribution and bilateral pleural effusions have resolved. The patient is status post coronary artery bypass and aortic valve replacement. The median sternotomy wires are intact and well aligned and a prosthetic aortic valve is seen in unchanged position. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are unchanged. | evaluation for pneumonia in a patient with worsening cough and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16662316/s57426310/c7fbdbb4-fedff828-69e54ca0-e0e018d9-2333124f.jpg | 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/p14865552/s53072948/45dfec45-685fb370-67c006b2-e6c0d370-b247e6bc.jpg | MIMIC-CXR-JPG/2.0.0/files/p14865552/s53072948/d2cea810-1aa0ab67-3e5a0e81-c98261df-b81577a5.jpg | Frontal and lateral views of the chest. Lower lung volumes are seen on the current exam with secondary crowding of the bronchovascular markings. The lungs remain clear of effusion, consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. | <unk>-year-old female with ascites and new onset of dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15456033/s51937974/ccbd2311-fc323e32-01acc861-6baf59d1-7fac2f5b.jpg | MIMIC-CXR-JPG/2.0.0/files/p15456033/s51937974/8219e4f1-2f72e956-229a4257-3824daa6-56b96e5d.jpg | Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are again noted in the imaged thoracic spine. | history: <unk>f with jaw pain, dyspnea, shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p11307149/s57776029/d10c066c-32f0db12-ee5b813c-9bf5feb8-a73b4e04.jpg | MIMIC-CXR-JPG/2.0.0/files/p11307149/s57776029/7d992ece-3a126351-ba86c20e-c798b79a-7aca7058.jpg | There are low lung volumes, which accentuate the bronchovascular markings and the cardiomediastinal silhouette. Given this, the cardiac silhouette is enlarged. There is blunting of the posterior costophrenic angles worrisome for small pleural effusions and/or basilar infiltrate. Moderate pulmonary edema is seen. The aortic knob is calcified and the aorta is likely tortuous. | history: <unk>f with hypoxia // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p17006856/s51801544/af4ce354-86b12438-7cde36cd-bf293ac0-c00a6e62.jpg | MIMIC-CXR-JPG/2.0.0/files/p17006856/s51801544/24dfb348-4c3840f4-67d56e9b-cfae761c-306e9a58.jpg | The heart size is at the upper limits of normal although likely exaggerated by ap projection. The mediastinal contours demonstrate a mildly tortuous aorta, but unchanged from prior study. The lungs are clear. There is no pleural effusion or pneumothorax. | <unk>-year-old female with liver failure. |
MIMIC-CXR-JPG/2.0.0/files/p13391297/s52397822/36bf074a-1efc5687-05413d6a-6794ef35-cac62765.jpg | MIMIC-CXR-JPG/2.0.0/files/p13391297/s52397822/c5f39cc6-e170038c-ec55fb24-abb14e92-e225e778.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low. Bibasilar patchy and linear opacities are similar to the prior and likely represent atelectasis or scarring. There is a subtle opacity adjacent to the minor fissure, not seen on the prior exam, which could represent atelectasis, aspiration or pneumonia. No pleural effusion or pneumothorax is seen. There is fusion hardware projected over the cervical spine. | <unk> year old man with chronic copd, worsening chronic cough, t <unk>.<num>, decreased oxygenation // please evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16921794/s50701870/e1bc0d2e-d86fd4d4-7dfd9c0b-8fabf8dc-3316016e.jpg | MIMIC-CXR-JPG/2.0.0/files/p16921794/s50701870/fa19e63b-a8da2091-d59dc913-1848749c-76f08919.jpg | The patient is status post median sternotomy. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a rounded, mediastinal opacity seen anterior to the heart, best seen on the lateral view, which was not seen on the prior examination. No pleural effusion or pneumothorax is seen. | <unk> year old man with <num> weeks of cough // cough, whezzing, rales throughout. eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14501138/s58004587/6652ab7d-9946694a-fd762658-db873361-5f5e7cf9.jpg | MIMIC-CXR-JPG/2.0.0/files/p14501138/s58004587/5a686868-d04f6aca-e10063c4-c52350dc-3bc6aa00.jpg | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Median sternotomy wires are noted. | <unk>m with generalized weakness x <num> day // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17589896/s54677955/61d9de07-ca1d8299-e47a8fe4-2f50dd0e-84f32150.jpg | MIMIC-CXR-JPG/2.0.0/files/p17589896/s54677955/2b9f0368-82ce3bcd-07759bfb-898bbb9a-4781b59b.jpg | Frontal and lateral views of the chest demonstrate low lung volumes, with perihilar bronchovascular crowding. No overt chf. There is a small focal opacity in the lower lobe posteriorly, probably on the right -- ? Atelectasis or a small amount of pleural fluid, but an early pneumonic infiltrate in this area cannot be excluded. There is no pneumothorax. | <unk>-year-old male with right-sided pleuritic chest pain. question pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15171885/s52006421/100dbf6d-592b6b1c-f02947b7-bbaf317a-e3765772.jpg | MIMIC-CXR-JPG/2.0.0/files/p15171885/s52006421/d1211cc8-fe3f887b-6f25fa14-c46a668d-db283255.jpg | The lungs are hyperinflated. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are normal. Calcifications are noted along the aortic arch. In the descending aorta, there is mild dilation, which is incompletely characterized. This is not significantly changed from the prior radiograph. The heart size is mildly enlarged. | crackles at the right base with diminished breath sounds. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16736889/s50301922/3e3fe1c2-9cb68874-56c3445f-00a501ac-67063006.jpg | MIMIC-CXR-JPG/2.0.0/files/p16736889/s50301922/b2bddea0-e5a7dc53-a6731986-4e2f5b30-3e19709c.jpg | When compared to prior, there has been no significant interval change. Blunting of the lateral costophrenic angles is likely due to pleural thickening in the setting of prior pleurodesis. Increased interstitial markings at the lung bases, right greater than right are also unchanged. Superiorly the lungs are clear. The cardiomediastinal silhouette is stable. No acute osseous abnormality. | <unk>m with hx hiv, latent tb and ks with cp // ? pna or tb |
MIMIC-CXR-JPG/2.0.0/files/p10574041/s51011226/8a6f841c-4f7fd22d-89a704ef-7349cedf-57f7e428.jpg | MIMIC-CXR-JPG/2.0.0/files/p10574041/s51011226/8db1b8a2-7ce10b52-aba36cd0-da54cbf3-51f1e337.jpg | Ap and lateral chest radiographs were obtained. The lung volumes are decreased. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The heart size is exagerrated by ap technique and low lung volumes. Cardiac and mediastinal contours are normal. | chest pain after ingesting marijuana cookies. |
MIMIC-CXR-JPG/2.0.0/files/p19346228/s59083726/21a8e1f9-c1b74b1c-db4f93ec-1b2548ea-a37988d1.jpg | MIMIC-CXR-JPG/2.0.0/files/p19346228/s59083726/840af790-a4a9a2bf-52c3be5f-7a90ddbc-763d4dc0.jpg | Pa and lateral views of the chest provided. Retrocardiac opacities compatible with known hiatal hernia. There is mild left basal atelectasis. Otherwise lungs are clear. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm. | <unk>f with cp and sob // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p12539692/s52042788/4886524a-1239c55b-bf8cbe83-6d0aee69-e2fa66e1.jpg | MIMIC-CXR-JPG/2.0.0/files/p12539692/s52042788/79ad1771-afe10974-fabd66eb-2322fadd-8fdbd68d.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 cardiomediastinal and hilar contours are within normal limits. Irregularity of the cortex in the left posterolateral <num>th rib may represent fracture. | dyspnea and wheezing. the patient is recently diagnosed with periampullary malignancy. |
MIMIC-CXR-JPG/2.0.0/files/p19923624/s58375569/ecec2e0a-754e22dd-9068cc3b-dadc85f4-1e9e20bb.jpg | MIMIC-CXR-JPG/2.0.0/files/p19923624/s58375569/06622c66-4bcaa486-62cd09d8-6bab9e89-0fe57b91.jpg | Known rib fractures, known lung contusion. The conclusion is less severe and extensive than on the previous image. The presence of a minimal right pleural effusion is better appreciated on the lateral than on the frontal view. The rib fractures are better visualized on the ct examination performed on <unk> | multiple rib fractures, evaluation for changes. |
MIMIC-CXR-JPG/2.0.0/files/p16124672/s51977120/80054a6f-9151cdf2-c8623b8d-12e5dda7-44f8ba19.jpg | MIMIC-CXR-JPG/2.0.0/files/p16124672/s51977120/04b7367d-763c40e0-b0a7e967-fc082f8a-4b161177.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>m with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16830149/s56583233/492acf34-edee4ae2-855b9638-4528825a-5a3aae32.jpg | MIMIC-CXR-JPG/2.0.0/files/p16830149/s56583233/32cf69a4-b132a19a-9802b919-8f85ed70-a25395fc.jpg | Heart size is normal. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Enlarged retrosternal space is noted. | history: <unk>m with unsteadiness // eval for cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p13999829/s58688452/152d0df5-df3b1f5a-ae416ab5-9aede14c-75aed4cb.jpg | MIMIC-CXR-JPG/2.0.0/files/p13999829/s58688452/c61a566b-99e82e18-6499a3e5-1d5dafc4-af93377b.jpg | A rounded mass at the right lung base laterally is again seen,, ? Slightly large, notwithstanding magnifiation compared to the prior film. It measures ~ <num> x <num> c, on this exam. The exrteme right costophrenic angle is excluded from the film. Ground-glass opacities in the right lower lobe are increased from <unk> but similar to the <unk> ct. In addition, the left lower lobe opacities in the mid-to-lower lung zones appear relatively stable. Smaller pulmonary nodules in the left mid lung zone are again noted, though are slightly blurred on this image. Cardiac size remains largely stable. No chf or pneumothorax detected. | dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p15726871/s52081028/29d457f8-a865c3ee-95d9f89f-5e42365c-1293bff1.jpg | MIMIC-CXR-JPG/2.0.0/files/p15726871/s52081028/5d18c31a-37875ba0-919c2e82-345ed656-df45802d.jpg | Lung volumes are low. There is minimal atelectasis in the right lung base but no other focal opacities. In the left lung base there is moderate to severe atelectasis of the left lower lobe with an associated small pleural effusion. The cardiac size cannot be adequately assessed due to obscuration of the left heart margin by a atelectatic left lower lobe. Aorta is tortuous. There is no pneumothorax. | <unk>f with new orthopnea, decreased breath sounds and occasional crackles at both bases. |
MIMIC-CXR-JPG/2.0.0/files/p18917761/s56121154/51c96ddc-999b4aba-9f7cc3cf-5da5505e-71e563d0.jpg | MIMIC-CXR-JPG/2.0.0/files/p18917761/s56121154/269ac56f-c8a9a47b-6c64e634-5c39ff9b-b7e1ea5a.jpg | Pa and lateral views of the chest provided. Lung volumes are low. Tips is noted projecting over the right upper quadrant. No focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact. No free air below the right hemidiaphragm. Air-filled mildly dilated loops of small bowel noted in the upper abdomen. | <unk>m with likely sepsis // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10476390/s53640004/cade2483-c43944b4-73bdac91-ce1be608-0b7b2fc4.jpg | MIMIC-CXR-JPG/2.0.0/files/p10476390/s53640004/604569e4-31591b29-55c22100-c080182c-394b3166.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/p13658702/s58870559/d445ae10-25302a9a-75804c0d-2c55026d-c0416d52.jpg | MIMIC-CXR-JPG/2.0.0/files/p13658702/s58870559/c73bce81-7dc95e10-54843968-447f4864-e688b06f.jpg | Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. | chest pain. |
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