Datasets:

ChayanM
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MIMIC-MultiView-Findings-Query_Optional

Frontal_Image_Path stringlengths 94 94	Lateral_Image_Path stringlengths 94 94 ⌀	Findings stringlengths 76 2.06k	Query stringlengths 1 630
MIMIC-CXR-JPG/2.0.0/files/p15868448/s51194167/b0f8a340-169e6077-25d0a388-283ef076-31e010d1.jpg	null	Comparison is made to previous study from <unk>. The endotracheal tube, bilateral central venous catheters, and feeding tube are again seen. There is a single loop in the feeding tube distally; however, the tip and side port are still in the fundus of the stomach. There are low lung volumes. There is atelectasis at the lung bases, left side worse than right. There are no pneumothoraces. Overall, these findings appear stable.
MIMIC-CXR-JPG/2.0.0/files/p11976099/s54253407/ad3ff1ef-a696b581-24d8237b-983e503b-18b10509.jpg	MIMIC-CXR-JPG/2.0.0/files/p11976099/s54253407/aaa5c0fb-1be24913-9c3de469-f06e30f8-73c90aec.jpg	Ap upright and lateral views of the chest provided.cardiomegaly is mild to moderate. There is hilar congestion with mild interstitial edema. Small bilateral pleural effusions are present. Basal atelectasis is noted without convincing evidence for pneumonia. No definite pneumothorax. Bony structures intact.	<unk>f with dyspnea, hx of chf // eval for edema, effusion
MIMIC-CXR-JPG/2.0.0/files/p19950259/s50370837/4692597f-f7ddf82b-c78b10c2-ff0f9d66-f7b40c0c.jpg	MIMIC-CXR-JPG/2.0.0/files/p19950259/s50370837/bd2d4703-e74b0c28-4e902d38-f15858ac-f81584ac.jpg	Pa and lateral chest radiographs were provided. Multiple dense opacities throughout the lungs correspond to known pleural plaques. However compared to prior studies there appear to be more discrete opacities, particularly in the right lung. This may represent worsening of metastatic disease or infection. The bones are sclerotic compatible with known metastases. Sclerosis in the right humerus is again noted. The cardiomediastinal silhouette is normal. Wedging of multiple thoracic vertebral bodies may have progressed from the prior exam, although visualization is obscured by overlying opacities. There is no pneumothorax or pleural effusion.	history of metastatic prostate cancer with generalized weakness. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15149227/s52164538/7c9fd43b-6c421764-93b61a16-9f8c29ef-7f9e4c40.jpg	null	Semi erect portable chest radiograph demonstrates low lung volumes with no clear focal consolidation. Patient is status post trach and taking. There is a right picc which terminates at the level of the mid superior vena cava. There is no large pleural effusion or pneumothorax.	<unk>-year-old female with encephalitis. now with elevated white count.
MIMIC-CXR-JPG/2.0.0/files/p17183632/s51777541/f0eec508-4ea82777-52df7965-1c9aac24-90c2a30c.jpg	null	As compared to the previous radiograph, there is an unchanged right-sided picc line. The line shows a normal course, the tip of the line projects over the mid svc. There is no evidence of complications, notably no pneumothorax. The lung volumes continue to be high, at the edge of overinflation. Unchanged small bilateral pleural effusions. Normal size of the cardiac silhouette.	picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p19001252/s53703554/f241e129-778577fb-6a5cf4da-50f7da68-b35e5ddb.jpg	null	There has been interval placement of an endotracheal tube, terminating at the carina. Recommend withdrawal by approximately <num> cm for more optimal positioning. A nasogastric tube has also been placed in the interval with distal tip at the ge junction, side port within the distal esophagus. Recommend advancement by approximately <num> cm so that it is well within the stomach. Subtle patchy left mid lung opacity is seen which may represent overlap of vascular structures however small focus of infection may be present. Minimal right costophrenic angle atelectasis is seen. There is no large pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.	fever, unresponsive, intubated.
MIMIC-CXR-JPG/2.0.0/files/p16681064/s56785973/05babb99-1acac707-f952de59-037b8c2b-43502ebb.jpg	MIMIC-CXR-JPG/2.0.0/files/p16681064/s56785973/6a633c4f-0041b256-34a0ffc7-bc91246e-50a2ccd9.jpg	There is persistent mild elevation of the right hemidiaphragm. Bilateral perihilar opacities are seen which could relate to fluid overload, however, multifocal infection may be present in the appropriate clinical setting. The cardiac silhouette is top-normal to mildly enlarged. Aortic knob calcification is seen. There is no pleural effusion or pneumothorax.	history: <unk>f with cough, fever // assess pna
MIMIC-CXR-JPG/2.0.0/files/p18539099/s54549731/63cf8df6-63e0c553-15344f95-d5d7f32f-97f89b09.jpg	MIMIC-CXR-JPG/2.0.0/files/p18539099/s54549731/f89e7832-9e5f7993-d42c1c60-d34b6959-6817f1a5.jpg	In the left lower lung, there is a patchy consolidation causing silhouetting of the left heart border. Findings are concerning for pneumonia or aspirated blood related to recent hematemesis. Streaky opacity in the right lung base may be atelectasis. No large pleural effusions or pneumothorax identified. Mediastinal and hilar silhouettes are unremarkable. Streaks of high density within the esophagus are related <num> contrast from the earlier upper gi study.	<unk>m with ? esophageal tear, new lll found on scout image. assess lll consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15341255/s56093611/1452af15-8c063fbe-eac0e24b-5be48cc7-7fa1860e.jpg	null	Compared with the prior film from <num> day earlier, the right ij central line has been removed. Of note, the carina is not well delineated making it difficult to assess the position of the et -tube with respect to the carina. Based on prior studies, it may lie approximately <num> cm above the carina. An ng tube is present, and this as before, this cannot be traced beyond the level of the midesophagus, making did it difficult to determine its actual position. No pneumothorax is detected. Cardiomediastinal silhouette and the opacities in the right mid and lower zones and left base are similar to the prior film.	<unk> year old man with legionella pna, intubated // pna, atelectasis
MIMIC-CXR-JPG/2.0.0/files/p12113521/s53869707/53eaa831-980cc1d1-5dfd6f61-f2b91ba5-60ab0683.jpg	MIMIC-CXR-JPG/2.0.0/files/p12113521/s53869707/27553790-4d294e22-07e2f068-7777bf4b-3e5557a3.jpg	The heart is mildly enlarged. There is pulmonary vascular redistribution with patchy hazy alveolar infiltrate right greater than left. There small bilateral effusions.	<unk> year old woman with suspected ild/uip, crackles, leukocytosis, fall // ? pna
MIMIC-CXR-JPG/2.0.0/files/p16938559/s53616552/d4f16f34-b8da9414-f560eefd-50cbb15f-430aef06.jpg	null	Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. The pulmonary vasculature appears engorged. Bibasilar atelectasis is greater on the right . Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.	history: <unk>m with dyspnea // acute process
MIMIC-CXR-JPG/2.0.0/files/p16080613/s54890408/1dcaef07-a5ec7f97-6bd19fdd-0a6a0072-2ca2927b.jpg	MIMIC-CXR-JPG/2.0.0/files/p16080613/s54890408/c91ede9f-e97e4c04-13a7b6f8-8c80e15b-b572cee4.jpg	Pa and lateral views of chest demonstrate clear lungs. No pneumothorax. Minimal streaky atelectasis in the left midlung is unchanged. No pleural effusion. Picc has been removed.	<unk>-year-old male with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18775105/s52720387/ad4469e4-f0002581-aee619c7-ad14a7f5-aa1d2d6f.jpg	null	Left-sided double lumen central venous catheter, dialysis catheter is again seen, unchanged in position, terminating cavoatrial junction/ right atrium. Vascular stent is again seen projecting over the right upper mediastinum. The patient is status post median sternotomy. Cardiac and mediastinal silhouettes are stable. Again, there are increased interstitial markings bilaterally which may be due to chronic lung disease, however, a component of mild interstitial edema may be present. No focal consolidation is seen. No large pleural effusion or pneumothorax is seen.	history: <unk>f with sob // ? pna
MIMIC-CXR-JPG/2.0.0/files/p15109938/s55667174/e114689a-0e7cee4f-c64a958e-077809db-4be34c03.jpg	MIMIC-CXR-JPG/2.0.0/files/p15109938/s55667174/d75bbb2f-bf1c93de-5e72f03d-68a5e50c-2a55a4f9.jpg	Compared to the previous radiograph, there is no relevant change. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. No evidence of pleural effusions, no pneumonia, no pulmonary edema. No evidence of active or non-active tb.	evaluation for tb.
MIMIC-CXR-JPG/2.0.0/files/p11070318/s55522391/dd700ee4-7b7e3b6b-fb942f5b-a3365fa4-d5ccf363.jpg	MIMIC-CXR-JPG/2.0.0/files/p11070318/s55522391/f8492a35-88a96471-a73dc644-53748b5c-0e619d3c.jpg	Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. The bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16132910/s57907715/4afd7bb8-e1b6c40e-c8049f3c-b4b305e2-72d2dd83.jpg	MIMIC-CXR-JPG/2.0.0/files/p16132910/s57907715/d146fc4f-58412941-bfce07cb-42bd6f73-2f5448c2.jpg	Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Heart size is unchanged. Moderate widening and elongation of the thoracic aorta as before. No local contour abnormalities. The pulmonary vasculature is not congested. The previously identified post-interventional parenchymal density in the left lower lobe posterior area has now regressed and the density assumed the size of the previously identified suspicious lesion. No remaining pneumothorax or new pleural effusion is identified.	<unk>-year-old female patient with left lower lobe mass, status post ct-guided biopsy performed on <unk>, assess for interval change.
MIMIC-CXR-JPG/2.0.0/files/p18896198/s58702968/f8f790d6-a623794a-61d263db-c848a5c5-3a62f4e3.jpg	MIMIC-CXR-JPG/2.0.0/files/p18896198/s58702968/b22042c4-fb3cd4ec-108371d6-3db77ee0-51e475ad.jpg	Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable. No free air below the diaphragm.	<unk>-year-male with abdominal and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18279119/s54821618/8e474d35-cbd33923-5abbd3fb-cdd7be0e-c4f56f43.jpg	MIMIC-CXR-JPG/2.0.0/files/p18279119/s54821618/184edef0-0260137f-a46c2d8f-554f4ac9-53ec68f8.jpg	Pa and lateral views of the chest demonstrate prominent pulmonary vasculature, with no evidence of overt pulmonary edema or pleural effusion. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. The cardiomediastinal silhouette is stable in appearance. Multiple wedge deformities of the thoracic spine are unchanged.	chest pain and left chest pressure.
MIMIC-CXR-JPG/2.0.0/files/p13895169/s51658506/c6521fc7-48706935-58a1902d-3d01e5d8-b30aac6f.jpg	MIMIC-CXR-JPG/2.0.0/files/p13895169/s51658506/e8175a72-476fcdeb-ad00387e-356133bb-307b61af.jpg	The lung bases are relatively underpenetrated presumed due to overlying soft tissue. Bibasilar atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.	history: <unk>f with head strike //
MIMIC-CXR-JPG/2.0.0/files/p12043836/s56735832/3bb4eab9-b5093167-cde5ee75-821dba33-ba3f3c50.jpg	null	Since <unk>, the large right loculated pleural effusion, moderate right basilar atelectasis, and mild pulmonary edema are all increased. Severe cardiomegaly is unchanged. The left port-a-cath tip is again seen in the right atrium. No pneumothorax. Median sternotomy wires are intact and well aligned.	<unk> year old man s/p egd with cauterization with painful pleuritic pain centered around left port-a-cath // evaluation of left port migration, evidence of perforation post procedure
MIMIC-CXR-JPG/2.0.0/files/p14283409/s54471938/2ffd9705-c5d395af-9f5d196c-b89f78ad-8d2a819e.jpg	null	Ap portable upright view of the chest. A nasogastric tube initially terminates within the left main bronchus, however, subsequent radiographs demonstrate repositioning with termination within the stomach. The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.	<unk> year old man with encephalopathy // placement of ng tube
MIMIC-CXR-JPG/2.0.0/files/p17156298/s50429722/127024db-ae01d4e3-32137196-d23373c7-c9c7796c.jpg	null	There is chronic cardiomegaly with a dual lead pacemaker, mediastinal surgical clips, and artificial aortic valve. There is a retrocardiac opacity. There is chronic elevation of the right hemidiaphragm with normal colonic gas projecting under the right hemidiaphragm. There is no pneumothorax. There is no large pleural effusion. Pulmonary vascularity is normal. No clavicular fracture is noted.	<unk>-year-old woman with dyspnea and altered mental status, with history of clavicle fracture.
MIMIC-CXR-JPG/2.0.0/files/p10203235/s58794419/32b99644-727466d9-39f06e69-12edef4c-b39d2f1c.jpg	MIMIC-CXR-JPG/2.0.0/files/p10203235/s58794419/cd1052b7-bf53b2de-f3f38d3f-545bb97f-8b48d2a0.jpg	Frontal and lateral chest radiographs demonstrate intact sternal wires. There is mild cardiomegaly. The lungs are fairly well-expanded, with bilateral pulmonary opacities consistent with moderate pulmonary edema. There is no focal consolidation, appreciable pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.	evaluate for pneumothorax or pneumonia in a patient with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14829828/s57134089/6d1c703e-22d1f045-dd5ecd2f-c7835456-0cd391b5.jpg	MIMIC-CXR-JPG/2.0.0/files/p14829828/s57134089/4d6355c5-a9bf1308-1d9ce584-d9b434c0-21fa474a.jpg	Pa and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. Significant interval change has occurred in as much as the patient now has a permanent pacer in left anterior axillary position connected to two intracavitary electrodes terminating in right atrial appendage and right ventricular apical position correspondingly. The heart size is probably unchanged; however, significant amount of pleural densities on the left base obscures the cardiac border. There is also evidence of right-sided pleural effusion, albeit to a lesser degree. In comparison with the previous chest examination of <unk>, there are now also some right-sided basal parenchymal densities which cannot be assessed in detail. There is no evidence of pneumothorax in the apical area and the right upper lobe area is completely unchanged in comparison with our previous study. Thus, we have no explanation for the suspected right upper lobe pneumonia diagnosed at an outside hospital. Depending on patient's clinical findings, evaluation of the suspected pulmonary abnormalities could benefit from a chest ct.	<unk>-year-old male patient with questionable right upper lobe opacity on chest examination performed at outside hospital. questionable pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11406274/s53149267/1fe4e808-cfe063a6-489a2e86-06b74b92-23a3c909.jpg	null	In comparison with the study of <unk>, there is little overall change. Continued enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications.	asthma exacerbation.
MIMIC-CXR-JPG/2.0.0/files/p12804003/s51682259/d0403618-32af8318-a13a50a5-2d3948c2-721bb6fb.jpg	MIMIC-CXR-JPG/2.0.0/files/p12804003/s51682259/b9735f6b-bb478db2-b2cdb7a4-127c0d94-13a9ca1e.jpg	The heart size is normal. The aorta is tortuous. The pulmonary vascularity is normal. The hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	repeated exposure to tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p17945455/s58091296/cb39cf1d-5a61d856-1df581a7-3e19cb2f-b40d4756.jpg	null	Initial radiographs demonstrate a right mainstem intubation with subsequent images demonstrating an endotracheal tube terminating <num> cm from the carina. An enteric tube and its side port course below the diaphragm and terminate within the stomach. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation. The cardiomediastinal silhouette is within normal limits. There is no displaced rib fracture.	<unk>f with found down, intubated, evaluate for lines tubes.
MIMIC-CXR-JPG/2.0.0/files/p19689477/s59674943/241f98c5-ffd5be62-71da7285-1dbfb1ef-acf1a305.jpg	MIMIC-CXR-JPG/2.0.0/files/p19689477/s59674943/36af4ad5-8fcb2de3-631e1d9c-cab63cb4-fe5bd6fb.jpg	Moderate to severe enlargement of the heart is present. The aorta is unfolded and demonstrates mild diffuse calcifications. The hilar contours are unremarkable. There is mild upper zone vascular redistribution without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p18818535/s51194301/5f87f469-17d05771-ffa6302f-128fd0b1-d62568fb.jpg	null	There has been interval placement of a right internal jugular approach central venous catheter, which terminates in the right atrium, and could be retracted approximately <num> to <num> cm for positioning just above the cavoatrial junction. Otherwise, the lung volumes are slightly low, but clear, with no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity. The cardiomediastinal silhouette is unremarkable.	<unk>f with rij // cvl check
MIMIC-CXR-JPG/2.0.0/files/p14544869/s54559955/421d919a-ca44b413-f244c37d-73509a92-41dd2887.jpg	MIMIC-CXR-JPG/2.0.0/files/p14544869/s54559955/38dd94df-50db9bdc-b973aeb0-b228aa68-223649f4.jpg	The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. The aorta is mildly tortuous. The patient is noted to be status post cholecystectomy. An anterior wedge compression of a single lower thoracic vertebral body is again noted, largely unchanged since the prior study.	<unk>f with hx asthma // r/o pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15460231/s55735857/f72446ff-742a22c6-367cea2e-ce706aa6-b99e1d1d.jpg	null	Lung volumes are low, likely secondary to lack of full inspiration. No pneumothorax. Mild pulmonary vascular congestion without frank pulmonary edema, and may be secondary to lack of full inspiration. Bibasilar atelectasis. No pleural effusion. No focal consolidation to suggest pneumonia. The heart size is prominent.	<unk> year old man with pleuritic chest pain in left upper chest, s/p left supraclavicular brachial plexus block evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10270108/s52116901/1aec1b8e-ae3fcda6-a6698d72-1406ed0e-1840adec.jpg	null	In comparison with study of <unk>, the tip of the picc line is probably at the level of the cavoatrial junction. The other monitoring and support devices have been removed. Continued enlargement of the cardiac silhouette with some engorgement of ill-defined vessels consistent with elevated pulmonary venous pressure. Probable mild atelectatic change at the left base in the retrocardiac area.	picc placement.
MIMIC-CXR-JPG/2.0.0/files/p10611307/s54443212/bc586aba-9f4447ed-8e00ef35-c55fe367-6727ddb6.jpg	MIMIC-CXR-JPG/2.0.0/files/p10611307/s54443212/3fd91925-e752e8c7-e58e55ae-4fb71c57-1e5c950c.jpg	The lungs are hyperinflated. There is mild bibasilar atelectatic changes are visualized but the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. A density projecting over the left lung base appears stable and likely representative of either a calcified granuloma or a sclerotic rib lesion. Degenerative changes are visualized throughout the thoracic spine. No acute fractures are noted.	evaluation of patient with hypoxia and dizziness.
MIMIC-CXR-JPG/2.0.0/files/p16520925/s58229116/dcceb546-e7a0cdf6-98d1676f-932a07c2-0a4f3490.jpg	null	Single portable view of the chest is compared to previous exam from <unk>. Surgical chain sutures seen along the right thorax laterally. There is elevation of the left hemidiaphragm. Left lung base is partially obscured due to overlying chest wall pacing device. Linear opacity in the left mid lung suggestive of atelectasis versus scarring. Elsewhere, the lungs are clear. Cardiomediastinal silhouette is within normal limits and unchanged. Osseous structures are unremarkable.	<unk>-year-old male with dry cough and dehydration. question infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p17647154/s52922403/15742b9d-fdce65a3-9ce27709-e16a3dcc-74e5d69a.jpg	MIMIC-CXR-JPG/2.0.0/files/p17647154/s52922403/89e28c8e-07ca56e0-245d901a-ae01656b-6a3f1571.jpg	In comparison with the study of <unk>, there is little change in the appearance of the small-to-moderate apical pneumothorax on the right. Bilateral pleural effusions are more prominent on the left. Continued evidence of chronic pulmonary disease without definite acute pneumonia.	right pneumothorax, to assess for change.
MIMIC-CXR-JPG/2.0.0/files/p10235789/s51864460/c0f7a890-63093d2b-90a5f909-2d9a5569-5f4eec53.jpg	null	Lung volumes are low. The right hemidiaphragm is elevated and there is interposition of the colon between the diaphragm and the liver. The heart size is normal. The aorta is mildly unfolded. The pulmonary vasculature is not engorged. Minimal streaky opacity in the left retrocardiac region and likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Nondisplaced fractures of the right <unk> and <unk> lateral ribs appear to be present.	fall with subdural hematoma.
MIMIC-CXR-JPG/2.0.0/files/p11020545/s50113336/9e3bcf0d-257b65ea-748f894d-8e73ced0-3c7a0be8.jpg	MIMIC-CXR-JPG/2.0.0/files/p11020545/s50113336/c98c9a7f-669da6cc-2c421e88-138e4229-c10ae629.jpg	Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable left-sided picc line with tip in the distal svc is again visualized. Free air is visualized under the left hemidiaphragm compatible with recent abdominal surgery	<unk> year old man with fever overnight // fever source
MIMIC-CXR-JPG/2.0.0/files/p15627650/s57180998/04d62718-e87516b1-c3183fec-252d920a-649268b5.jpg	MIMIC-CXR-JPG/2.0.0/files/p15627650/s57180998/fd2db7f8-25dac830-3d6cbe04-59a1ddcc-f09c9987.jpg	The lungs are clear. The cardiomediastinal silhouette is within normal limits. Prosthetic tricuspid valve is identified. No acute osseous abnormalities.	history: <unk>m with l sided weakness, awoke with symptoms at <num>a. // eval for stroke, eval for pna
MIMIC-CXR-JPG/2.0.0/files/p15477736/s57276209/bc8030fd-be27bbb5-48ef4663-de4e5a64-a6dd14f5.jpg	MIMIC-CXR-JPG/2.0.0/files/p15477736/s57276209/14d0f24a-b2771c5b-c1f2ee8f-311c96ce-090c81c7.jpg	The lung volumes are low resulting in mild bibasilar atelectasis. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures, aside from moderate degenerative changes within the thoracic spine, are unremarkable.	history of chest pain and cough. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p13415723/s50353171/5619ddd5-28149215-8450320c-87820637-8118d944.jpg	MIMIC-CXR-JPG/2.0.0/files/p13415723/s50353171/185cedff-a9dc402d-b87ba2e1-f5b74b26-b1b13225.jpg	Cardiac silhouette is mildly enlarged but has decreased in size compared to the prior study. Pulmonary vascular congestion has also improved, along with rapidly improving right upper juxtahilar opacity, with some residual predominantly linear opacities remaining in this region. Minimal linear areas of atelectasis are demonstrated in the lingula and left lower lobe, and note is also made of small bilateral pleural effusions. Permanent pacemaker remains in standard position with leads in right atrium and right ventricle.