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MIMIC-CXR-JPG/2.0.0/files/p15354831/s53127149/76b117b0-40b4e525-19be7163-8478a4a7-828a0926.jpg | null | The heart is moderately enlarged, and is slightly larger compared to prior. There is low lung volumes with volume loss at the bases. However the amount of opacity at the bases is worrisome for infiltrates there is mild pulmonary vascular redistribution | <unk> year old woman s/p lap ccy pod<num> w leukocytosis and mild confusion // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14550659/s50283356/681c1708-c0c9921e-71d4586a-5f86d904-7b952bb7.jpg | MIMIC-CXR-JPG/2.0.0/files/p14550659/s50283356/bab0cd0c-ce5d7747-12c19a07-69a89158-7b83ce3d.jpg | The lungs are well-expanded. On the lateral view, there appears to be slight increase in opacity projecting over the posterior lower lung, just superior to the level of the posterior left hemidiaphragm without clear correlate on the frontal view. Findings may be due to atelectasis, however early/developing infectious process is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. There is no pulmonary edema. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p19700882/s55403521/d9ad18f1-038aa4a8-e5728df9-10f5f380-6abe9b04.jpg | MIMIC-CXR-JPG/2.0.0/files/p19700882/s55403521/1582283f-324a23ae-f8a4ec44-70412fe2-09e315cf.jpg | Pa and lateral chest views were obtained with patient in upright position. The heart size is normal. No typical configuration abnormalities identified. Thoracic aorta of ordinary <unk> and no significant calcium deposits are seen in the wall. The pulmonary vasculature is not congested. No evidence of acute parenchymal infiltrates are present. There is mild blunting of the right lateral pleural sinus, but as the posterior pleural sinuses are free, there is no evidence of free pleural effusion. No acute infiltrates can be identified. Skeletal structures are well preserved, considering the patient's high age causing mild degree of vertebral body demyelinization is seen in the thoracic spine, which demonstrates a mildly accentuated kyphotic curvature. No evidence of vertebral body compression fractures is seen. | <unk>-year-old male patient with aortic stenosis, progression of dyspnea symptoms, status post cardiac catheterization today, plan for aortic valve replacement, pre-operative chest examination. |
MIMIC-CXR-JPG/2.0.0/files/p15633246/s57597071/3c709448-def92592-3c058b1e-9b4b8afa-027a2f04.jpg | null | Portable chest radiograph demonstrates low lung volumes with left basilar atelectatic changes and a possible small effusion. The heart size is normal. When compared to prior chest film <unk>, there is much improved pulmonary edema. No new focal consolidation. A right jugular line and is low in the superior vena cava. No pneumothorax. | <unk>-year-old female status post cabg. evaluate for effusions a pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16648847/s52680335/db9e39c1-064ab983-58fa69ce-116cafba-e23d0ad1.jpg | MIMIC-CXR-JPG/2.0.0/files/p16648847/s52680335/d8a91c1c-23f0f901-7469f81c-bc868475-086c31c7.jpg | Frontal and lateral views of the chest. Relatively low lung volumes seen on the frontal exam with secondary bibasilar atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Tortuous thoracic aorta is seen with atherosclerotic calcifications at the arch. No acute osseous abnormality is identified. | <unk>-year-old female with left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15841768/s58360851/ebea2af7-0cf632c4-2fb190ae-2eb62c3b-f18506ac.jpg | null | The lungs are clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The heart is top-normal in size, overall unchanged. | <unk> year old man with pe and subsequent hypoxia // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10997317/s52617978/00d57955-ccedf92b-590e73c3-a43908a0-80dce704.jpg | MIMIC-CXR-JPG/2.0.0/files/p10997317/s52617978/793f005b-3f28c1b1-fa2bbc78-5c0d00f9-2ee4fecc.jpg | Linear bibasilar opacities are likely atelectasis given lower lung volumes. Superiorly, the lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | <unk>f with chest pain // eval for pna, chf |
MIMIC-CXR-JPG/2.0.0/files/p10051990/s51068958/c3be88b4-a181c57a-713c47dc-224eed4e-ca2f9f0a.jpg | MIMIC-CXR-JPG/2.0.0/files/p10051990/s51068958/33d58ec3-6149bb3c-259cbce7-ca794841-9831e36d.jpg | The lungs are clear without focal consolidation. No pneumothorax is seen. Probable small pleural effusions bilaterally noted only on the lateral view. The cardiac and mediastinal silhouettes are unchanged. There is increased pulmonary vascularity bilateral but no evidence of pulmonary congestion or edema. | <unk> year old man with etoh abuse, sz disorder, cirrhosis with acute onset of fevers and r abd pain. now with worsening cough that "feels like previous pneumonia." // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13869899/s52007708/ef9b2fa9-d5d9891d-9757ebb6-80907fd6-71c209e9.jpg | null | Calcification demonstrated in the region of the aortic arch can be correlated to calcified lymph nodes on concurrent ct examinations, stable since <unk>. There is mild stable left apical scarring. There are no focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. There are findings compatible with diffuse idiopathic skeletal hyperostosis. | this is a <unk>-year-old male with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p10633573/s57055305/83062f26-d3329a04-3263b926-0b08fade-14a3e4d8.jpg | MIMIC-CXR-JPG/2.0.0/files/p10633573/s57055305/e49d4e84-ba4cc587-5b1653df-9559f241-d04127a4.jpg | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. No free intraperitoneal air detected. | <unk>-year-old female with epigastric pain radiating to the right shoulder. |
MIMIC-CXR-JPG/2.0.0/files/p15528228/s56507718/00399c81-12101064-ab432901-b922ea1d-82802507.jpg | MIMIC-CXR-JPG/2.0.0/files/p15528228/s56507718/194060f8-e8dcab66-72c28a65-53dd5caa-26116dcd.jpg | There is tortuosity of the ascending aorta. The cardiomediastinal and hilar contours are otherwise within normal limits. Lungs are hyperexpanded. There is no focal consolidation, pleural effusion or pneumothorax. | chest pain. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p12889151/s56344340/fce0d27e-aa0fd25d-70c76273-52a2ead4-b4390d71.jpg | null | Severe cardiomegaly remains unchanged. Lung volumes remain low accentuating the cardiomediastinal silhouette. Left-sided pacemaker remains in adequate position with leads terminating in the right atrium and right ventricle. As compared to prior chest radiograph from <unk>, interstitial pulmonary edema has slightly increased. The stomach is distended. There is no definite evidence of free air in this limited examination. For a complete evaluation of free air, however, upright radiographs or ct should be performed. Right ij central venous catheter terminates in the upper svc. | <unk>-year-old man with increasing abdominal distention. study requested for evaluation of free air, abdominal distention and/or fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p18592239/s52536524/68904be5-3ee41ec6-72742651-4abc667b-b7568b6d.jpg | MIMIC-CXR-JPG/2.0.0/files/p18592239/s52536524/210aec27-01c00d59-54529b5d-f0d776e9-d2898210.jpg | In comparison with study of <unk>, there is hyperexpansion of the lungs suggesting some underlying chronic pulmonary disease. The prominence of interstitial markings at the bases again raises the possibility of some atelectasis and scarring. Blunting of the left costophrenic angle persists. No evidence of acute focal pneumonia or vascular congestion. Of incidental note is a vascular shunt in the right upper zone. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13157308/s55560369/d76feb92-0649bfcb-c56f62e0-93e3f2c3-5311bbf2.jpg | null | Frontal view of the chest was obtained. Left mid lung opacity is seen worrisome for consolidation which could be due to infection or infarct depending on the clinical scenario. There are low lung volumes. There is persistent slight blunting of the right costophrenic angle which could be due to pleural effusion or pleural thickening. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | |
MIMIC-CXR-JPG/2.0.0/files/p17391981/s55094499/62d42f45-bc73ffd5-279c7427-97d3427a-5883c082.jpg | MIMIC-CXR-JPG/2.0.0/files/p17391981/s55094499/028926fe-66fc25ba-c5963159-fc10f22f-9b7471f9.jpg | Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is identified. Degenerative changes are noted at the thoracolumbar junction with mild focal kyphosis and slight loss of height of a vertebral body. | history: <unk>f with cough and fever |
MIMIC-CXR-JPG/2.0.0/files/p18730259/s54133786/e47cb0ec-9a77c0c4-0896f37a-d980e06d-b76ec759.jpg | MIMIC-CXR-JPG/2.0.0/files/p18730259/s54133786/03747fcc-550262cb-36381d20-751d9363-dc974c3c.jpg | Frontal and lateral views of the chest were obtained. There are slightly low lung volumes on the frontal view. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is eventration of the right hemidiaphragm with bowel seen beneath. Cardiac and mediastinal silhouettes are stable. There is compression of a vertebral body at the thoracolumbar junction, which is likely without significant interval change since the prior study. | |
MIMIC-CXR-JPG/2.0.0/files/p19062100/s58941778/a197de77-109ef640-7eeabe21-78026909-17276bbd.jpg | MIMIC-CXR-JPG/2.0.0/files/p19062100/s58941778/d7b82b9b-af1b743c-8e0650cb-e5bc705e-e763713a.jpg | The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | <unk>m with left sided cp // evidence of infiltrate or bony damage as a cause of left sided cp |
MIMIC-CXR-JPG/2.0.0/files/p15796335/s52978993/8aabeace-3946319d-cfcda7ab-8f362cfd-eb5a9910.jpg | null | Semi-upright portable chest radiograph was obtained portably. The tip of the endotracheal tube resides approximately <num> cm above the carina. The ng tube courses into the left upper abdomen, the tip not included in the field of view. Lungs are clear. Cardiomediastinal silhouette normal. Bony structures intact. | |
MIMIC-CXR-JPG/2.0.0/files/p17019564/s59239976/e17e0ac0-1803fa85-ffe5b722-ff80fad2-7ea9033a.jpg | null | A dobhoff type tube with radiopaque tip is present. The tube is coiled on itself. I suspect it is coiled in the stomach with the tip closer to the proximal stomach. The possibility that the tip extends through duodenum to lie near the ligament of treitz is possible, but considered less likely. Visualized portion of the lungs grossly clear. No left pleural effusion. In the partially visualized abdomen, no air-filled dilated loops of small bowel are identified. No free air seen beneath the diaphragm. Stool is noted in nondilated loops of colon. | <unk> year old woman with anorexia and dobhoff from outside hospital. // confirm dobhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p15149227/s55797509/57b40791-9c73d485-8759f539-d11aee7d-19596978.jpg | null | In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouette with low lung volumes and mild elevation of pulmonary venous pressure. Increasing opacification is seen in the right mid and upper lung zones, consistent with pneumonia. Patchy areas of opacification in the retrocardiac region and left upper zone could also possibly relate to an infectious process. | pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19297337/s59167593/0de31848-b4881664-4c3c00ac-dae6a64e-3b9ea075.jpg | MIMIC-CXR-JPG/2.0.0/files/p19297337/s59167593/492d9970-0d25c1de-74a7587f-1c3498e7-8fe78914.jpg | As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. The extent of the post-procedure pneumothorax at the right lung apex is minimally increased as compared to the previous images. The right lung is not fully expanded. There is no evidence of tension. The extent of the soft tissue air collection in the right chest wall is constant. | vats blebectomy, evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p12431768/s55944001/1789176a-4b78237f-c264f854-543973dd-1e430fa4.jpg | MIMIC-CXR-JPG/2.0.0/files/p12431768/s55944001/b4475b26-28cbacc1-ea0cc4a1-417e537f-25fdc5f7.jpg | Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality detected. | <unk>-year-old female with copd and abnormal lung sounds, cough. |
MIMIC-CXR-JPG/2.0.0/files/p18903858/s59693662/e8927108-c34a3c3c-5b42e7b4-6d29393c-cb651b35.jpg | MIMIC-CXR-JPG/2.0.0/files/p18903858/s59693662/501ddee0-62eb1093-fbac5005-fa251f40-9b3482c4.jpg | Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable. | <unk>-year-old female postop lap appy with fever and cough. |
MIMIC-CXR-JPG/2.0.0/files/p18101813/s59333885/77916a07-ea4cc1a8-a07975ae-2035916c-34794039.jpg | MIMIC-CXR-JPG/2.0.0/files/p18101813/s59333885/e6342c31-39b54d75-4e6c4ec0-49d8297e-f4911663.jpg | The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. | history: <unk>f with chest heaviness // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13505524/s55388837/755bf0b7-f4921588-37d75037-fc224643-f61d88d9.jpg | null | In comparison with study of <unk>, there is little change. No evidence of acute pneumonia, vascular congestion, or pleural effusion. Right ij catheter tip extends to lower portion of the svc. | leukemia with spiking temperatures. |
MIMIC-CXR-JPG/2.0.0/files/p11699353/s56857277/fef0fefc-18b5f2c6-5aec0a2a-483a83fc-73a0ea68.jpg | MIMIC-CXR-JPG/2.0.0/files/p11699353/s56857277/4418ff92-7ef4cad2-d34e64c6-2acaa581-a9564be7.jpg | Patient is post right breast surgery, with surgical clips identified overlying the right chest. Cardiomediastinal and hilar contours are normal. Lungs are clear without pleural effusion, pneumothorax, or focal consolidation. | <unk>f with dyspnea. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19398915/s56167890/1cd070e5-dcf5942b-ea63b153-ef6c49a1-6852dbcf.jpg | MIMIC-CXR-JPG/2.0.0/files/p19398915/s56167890/54633a13-0c303d19-eb9c115b-2a35af91-6c99bbae.jpg | Comparison is made to previous study from <unk> at <time> a.m. There has been continued reduction in the right-sided pleural effusion. There are again seen airspace opacities and areas of consolidation within the left lung. There is minimal improvement in the opacities. Large gastric air bubble is seen. There are no pneumothoraces. | |
MIMIC-CXR-JPG/2.0.0/files/p17652927/s59950004/2b0d7de8-686cbb85-6b586437-7cc9fe17-720e9dce.jpg | MIMIC-CXR-JPG/2.0.0/files/p17652927/s59950004/976527bb-f9c1adea-85ee5d78-4457fe87-1dedab36.jpg | Frontal and lateral views of the chest were obtained. Single lead left-sided aicd is again seen with leads extending to the expected position of the right ventricle. Moderate cardiomegaly persists. There is no overt pulmonary edema. Mediastinal and hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | |
MIMIC-CXR-JPG/2.0.0/files/p13303687/s58623900/5ce8b846-ef8b500f-1d89a622-340f5eb8-4c288310.jpg | null | Lung volumes are low. There is a minimal left pleural effusion with areas of atelectasis at the left lung bases. The mediastinum is not widened, the mediastinal stripes and reflections are all visible. No evidence of apical fluid collection. Borderline size of the cardiac silhouette. The retrocardiac opacities should be monitored to exclude the possibility for early pneumonia. | evaluation for wide mediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p18179663/s58666852/2f5ce17e-5b7bdb62-99acd1df-a73eb36e-3caf2dc5.jpg | MIMIC-CXR-JPG/2.0.0/files/p18179663/s58666852/45291b8a-878a0aaf-ca2eb0cc-344ab4fb-39035efb.jpg | Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion or pneumothorax. Cardiac and mediastinal contours are normal. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p18244851/s51655027/3b08b7c0-89e9bfe4-2428772a-f647186d-578ec1f6.jpg | MIMIC-CXR-JPG/2.0.0/files/p18244851/s51655027/1548ab8b-35436a8b-c594359c-e2d2af88-2411dad6.jpg | Pa and lateral views of the chest are obtained. Due to extreme kyphotic posture, evaluation through the lung bases is somewhat limited. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. There are bibasilar linear opacities, which appear stable from prior, may represent chronic scarring or atelectasis. Cardiomediastinal silhouette appears grossly stable with a slightly unfolded thoracic aorta. Bony structures are intact. There is no compression fracture seen. | |
MIMIC-CXR-JPG/2.0.0/files/p12379354/s50509495/8ae49222-9545324d-5d9f7256-02307bdc-daeb7d07.jpg | null | As compared to prior chest radiograph from <unk>, cardiac silhouette remains enlarged. Pulmonary edema remains unchanged. There are substantial bilateral pleural effusions with associated compressive atelectasis. No new focal consolidation. | <unk>-year-old male with past medical history of diabetes type <num>, hypertension, <num>-pack-year history of smoking and with questionable history of hyperlipidemia and previous mi who was transferred to <unk> from <unk> <unk>, found to have new onset chf and found to be bradycardic now status post pacer. question worsening pulmonary edema, consolidation. |
MIMIC-CXR-JPG/2.0.0/files/p17894379/s59807849/60676317-e6eea05c-a1c31e40-666cb657-6e0a8020.jpg | MIMIC-CXR-JPG/2.0.0/files/p17894379/s59807849/6422fb41-69f52433-c25c236a-12c8a43b-b6571c46.jpg | Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiac silhouette is enlarged but stable. Enlargement of the thoracic aorta is unchanged. Median sternotomy wires and mediastinal clips are again seen. | <unk>-year-old male with history of afib with recent episodes of rapid ventricular rate at dialysis. |
MIMIC-CXR-JPG/2.0.0/files/p18815345/s57164244/fe8c2ddf-60b9a8ff-bbdd9e53-b29ebe2a-50e55ddc.jpg | MIMIC-CXR-JPG/2.0.0/files/p18815345/s57164244/10f02ed9-4601f712-c90eb386-2b257c76-0969c85f.jpg | Heart size is normal. Stable postoperative mediastinal silhouette. Mild elevation of the right hemidiaphragm is unchanged. Median sternotomy wires are intact. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | hemoptysis. |
MIMIC-CXR-JPG/2.0.0/files/p18208545/s53993187/501e7e91-be0b3fce-242bc3d1-2f985455-aa9e4a8f.jpg | MIMIC-CXR-JPG/2.0.0/files/p18208545/s53993187/d34618d6-ab55f401-e47e46d6-f5c05259-487739de.jpg | Frontal and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Post-operative changes of cabg are noted with median sternotomy wires, mediastinal clips and mitral valve repair. No acute osseous abnormality is identified. | <unk>-year-old male with chest pain status post cabg. |
MIMIC-CXR-JPG/2.0.0/files/p12455543/s50681838/6f734c65-35a6d547-103bee62-73c0c5c0-5b702fe7.jpg | MIMIC-CXR-JPG/2.0.0/files/p12455543/s50681838/d0f9de24-e409d7da-af198b9a-80b0e9f6-4195290c.jpg | Moderate size right pneumothorax is again demonstrated, little changed from the previous radiograph obtained earlier today at <time>, with mild leftward shift of mediastinal structures, also unchanged. A small right pleural effusion is also again noted, not substantially changed in the interval. Heart size remains top-normal. Hilar contours are unremarkable. Atelectasis in the right lung is again noted, with diffusely increased interstitial opacities, most pronounced at the lung bases, compatible with a fibrosing chronic interstitial lung disease. Emphysema is again noted with bulla seen within the right lung base. Coarse calcifications was scarring in the upper lobes is re- demonstrated. Mild wedging of a mid thoracic vertebral body is unchanged. | history: <unk>f with shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p18693746/s59908528/630ba974-2e2dcb3c-c286ccf5-2dea38d4-a34bebcd.jpg | null | Cardiac silhouette remains enlarged. Confluent perihilar and basilar opacities are again demonstrated and have minimally progressed in the interval. These are likely due to pulmonary edema. However, more coarse underlying reticular opacities are demonstrated and likely correspond to chronic component of interstitial lung disease. A component of pulmonary ossification is also likely given the appearance on prior ct of <unk>. Bilateral pleural effusions are again demonstrated, right greater than left. | |
MIMIC-CXR-JPG/2.0.0/files/p12456824/s58745583/44f02ee0-614dcab6-1718229d-dd700c55-dd3f208f.jpg | null | The lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. There is moderate pulmonary edema, increased since the prior exam. There is increasing fluid along the right major fissure, causing hazy opacity over the right lower lobe. The cardiac silhouette is mildly enlarged. Moderate right and small left pleural effusions. No pneumothorax. | <unk> year old man with copd exacerbation and pulmonary edema // interval change, possible pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13613806/s55727973/d4089875-9dbea105-e2423a12-e157ae4b-639ca689.jpg | null | Sternotomy wires are intact. A right-sided port-a-cath tip terminates in the mid svc. The heart size is within normal limits. The heart size and mediastinal contours are within normal limits. The lungs demonstrate bibasilar atelectasis, more prominent on the right than the left. A small pleural fluid is seen tracking up along the lateral aspect of the chest wall. There is a tiny right apical pneumothorax present without evidence of tension. | <unk>-year-old female status post radical thymectomy with neoadjuvant chemo and radiation, now status post thoracoabdominal approach for chest wall/diaphragm resection for right-sided thoracic mass; the chest tube was then removed at <num> a.m. |
MIMIC-CXR-JPG/2.0.0/files/p11269805/s50552389/b9838f25-75b4e99f-5b7ce07a-0e65ee6a-74bfd1cd.jpg | null | Endotracheal tube terminates in standard position, approximately <num> cm from the carina. Right internal jugular central venous catheter tip terminates in the mid svc. An enteric tube and side port are within the stomach. Cardiac and mediastinal contours are within normal limits. Mild pulmonary vascular congestion is re- demonstrated. Focal opacities are seen within the retrocardiac region as well as ill-defined nodular opacities within the right mid lung field. These may reflect areas of developing infection. No large pleural effusion or pneumothorax is identified on this supine exam. | history: <unk>f with intubation |
MIMIC-CXR-JPG/2.0.0/files/p16012158/s52017273/c848fa5d-56a7b793-af059485-3893a291-2bc902a3.jpg | MIMIC-CXR-JPG/2.0.0/files/p16012158/s52017273/87b59529-52814488-fa29f690-9772b278-7b5a1a01.jpg | The lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease.minor basilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen. | history: <unk>f with chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16839550/s52907497/347ed23b-d745a739-425a0e0a-5b56d955-e8f9e37c.jpg | MIMIC-CXR-JPG/2.0.0/files/p16839550/s52907497/fa13075b-70cbcff3-420e1125-3030361c-6d13ec19.jpg | Pa and lateral views of the chest were obtained. An aicd again seen projecting over the left chest wall with lead tips in the expected location of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. When compared with a prior ct chest <unk> <unk> and multiple prior chest radiographs, the pattern of pleural thickening at the lung bases is unchanged accounting for the blunted cp angle. Overall, there is no significant change in the appearance of the lower lungs compared with prior ct and chest radiographs from <unk>. No definite sign of pneumonia or chf. Cardiomediastinal silhouette is stable. Bony structures are intact. | |
MIMIC-CXR-JPG/2.0.0/files/p12521687/s52338170/fb074e0f-b80b17ca-301a20f4-1d02c306-d06e6984.jpg | MIMIC-CXR-JPG/2.0.0/files/p12521687/s52338170/baed208a-8aa7c251-6e15bedf-710d0988-43d8e51d.jpg | There are stable areas of linear scarring in the mid and lower lungs bilaterally. No new consolidation, pleural effusion or pneumothorax is seen. There is no pulmonary edema. The heart and pulmonary arteries are enlarged. | <unk>-year-old female with cough, sputum production, left flank pain. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19522954/s55057926/f5f472c8-85f516f0-af24127c-b215b9f4-87c98d60.jpg | null | Interval decrease in size of small left apical pneumothorax with visceral pleural line now just below the third posterior left rib level. Slight worsening of left retrocardiac atelectasis with persistent adjacent small-to-moderate left pleural effusion. Right lung and pleural surfaces are clear. Post-operative changes are seen in the imaged portion of the upper abdomen. | |
MIMIC-CXR-JPG/2.0.0/files/p16750550/s50657543/bd162757-36e5fdf5-9a051e7d-e09ef76f-0510b9d8.jpg | null | Persistent marked cardiomegaly and pulmonary vascular engorgement accompanied by improving asymmetrical pulmonary edema and decreasing bilateral pleural effusions. | |
MIMIC-CXR-JPG/2.0.0/files/p16388191/s55877354/56a1d395-030c381b-63f1c694-90a42419-2765fb25.jpg | MIMIC-CXR-JPG/2.0.0/files/p16388191/s55877354/cabc4711-cdf7f8f2-ece2bec8-574f335f-74168cf8.jpg | Low lung volumes are noted with bibasilar opacities which are likely subsequent to atelectasis. Superiorly the lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | <unk>f with sob and flank <unk> // eval pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13294673/s54613599/254f736b-b3fd5659-84f7d252-6aeef1b9-2e84c229.jpg | MIMIC-CXR-JPG/2.0.0/files/p13294673/s54613599/beced1b2-f67348d7-c437ddbd-7a34f64c-42a87624.jpg | The patient is status post coronary artery bypass graft surgery. There is also a dual-lead pacemaker/icd device in place with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is no pleural effusion or pneumothorax. Calcified pleural plaques are again present bilaterally. The lungs appear clear. | shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14830342/s55245265/d7146c40-be5e915e-6ca75c1d-53a84645-d409b1b0.jpg | MIMIC-CXR-JPG/2.0.0/files/p14830342/s55245265/ec6d64e0-2baf422f-4ee53ded-b142e369-dd7d2102.jpg | Frontal and lateral chest radiographs demonstrate slightly lower lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Even allowing for this, the heart is likely mildly enlarged. There are diffusely increased interstitial markings, unchanged from prior. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | evaluate for pneumonia in a patient with cough and epigastric pain. |
MIMIC-CXR-JPG/2.0.0/files/p13276100/s54702806/c29dbeb3-2ac2d01c-a3f92e69-266dde5b-4e717b28.jpg | MIMIC-CXR-JPG/2.0.0/files/p13276100/s54702806/53b687ff-111548f9-2dbc93f5-235f420e-5d590438.jpg | Heart size is normal with mild unfolding of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | history of ckd. |
MIMIC-CXR-JPG/2.0.0/files/p15003296/s58126961/6f36486b-30b29c7e-f6dd1ace-13af1a6d-f8e0b6d1.jpg | MIMIC-CXR-JPG/2.0.0/files/p15003296/s58126961/f819fc33-a5743ad7-e188c8d7-71b4c464-4353d8dc.jpg | There are low lung volumes. There is stable appearance of the cardiomediastinal silhouettes, including mild cardiomegaly. There is pulmonary vascular congestion and possibly mild pulmonary interstitial edema. There is bibasilar atelectasis. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. | <unk>-year-old woman with a history of atrial fibrillation on coumadin with bilateral leg swelling, evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p17577668/s54947143/2ce8630b-439998f8-d7418fc4-2f316ea9-a2bad127.jpg | MIMIC-CXR-JPG/2.0.0/files/p17577668/s54947143/bb1018e0-4cc84597-eb527ab9-a5aed5f5-2be95b7e.jpg | Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | |
MIMIC-CXR-JPG/2.0.0/files/p11431685/s58091576/77e5a94a-b42b8a80-4fff21f7-ec6ed28c-0ac2be50.jpg | MIMIC-CXR-JPG/2.0.0/files/p11431685/s58091576/8ddc3694-948f55e4-4a04e6cd-3ea296bd-831e8e00.jpg | Ap upright and lateral views of the chest provided. Lungs are clear though volumes are low. Cardiomediastinal silhouette appears stable and normal. Multiple calcified mediastinal lymph nodes are noted. No large effusion or pneumothorax. No signs of congestion or edema. The aorta is slightly unfolded. Bony structures are intact. | <unk>f with sob // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p19946157/s55167039/925e3514-3e896e1c-390c9610-f2a2bf6f-d427024b.jpg | null | Normal no radiopaque density overlying the chest to suggest a tooth aspiration. Lung volumes are low. The heart is upper limits normal in size. There is mild pulmonary vascular congestion which is increased compared to the prior study. The picc line tip is at the junction of the right brachiocephalic vein and superior vena cava. Enteric tube has been removed. | pneumonia question aspiration of tooth. |
MIMIC-CXR-JPG/2.0.0/files/p14164141/s55240131/be50a614-c0247662-b8fb65b5-01e09d86-61f40c10.jpg | MIMIC-CXR-JPG/2.0.0/files/p14164141/s55240131/fb0da7de-5d6d5d29-0d7c910c-94cc0094-8ca66554.jpg | Frontal and lateral views of the chest re-demonstrate congenital dextrocardia. The descending aorta is normal in contour. The central airway is midline. Congenital or post-traumatic left upper anterior chest wall deformity is again seen. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old male with fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13953735/s51438570/29a48498-f3d43116-221e4e15-ac62ea40-129a0b03.jpg | null | There has been interval placement of a left-sided chest tube, which courses superior medially along the upper left hemithorax, projecting close to the superior mediastinum. There has been interval re-expansion of the left lung, with possible small pneumothorax remaining. There is a left pleural effusion and left base opacity which may represent combination of pleural fluid and atelectasis. There is persistent mild blunting of the right costophrenic angle and right base atelectasis. There is concern for nondisplaced fracture of the posterior left <num>th rib. Old posterior lateral right <num>rd rib fracture is again seen. | left pneumothorax status post chest tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13113404/s54652240/5ae5bd86-c7fe19c7-c99d0b40-11ca9157-106ffd91.jpg | MIMIC-CXR-JPG/2.0.0/files/p13113404/s54652240/29d2374a-c4538d88-2d1e79af-87ed06e1-b15d3421.jpg | In comparison with the study of <unk>, there is little change and no evidence of acute pneumonia. Cardiac silhouette remains at the upper limits of normal or slightly enlarged, but there is no evidence of vascular congestion or pleural effusion. Single-lead pacer device remains in place. | chronic cough. |
MIMIC-CXR-JPG/2.0.0/files/p19249586/s51327226/3492ca30-cc7a7d1d-da56622a-50b1c81c-97f5ef98.jpg | MIMIC-CXR-JPG/2.0.0/files/p19249586/s51327226/558e31fe-4006f718-68f4e9a2-550580a4-9f397731.jpg | As compared to prior chest radiograph from <unk>, left picc line tip is curving along the tracheobronchial angle and now terminates in the azygos vein. Right pigtail catheter is in unchanged position and dobhoff tube terminates in the stomach. There has been interval decrease of a small right apical pneumothorax. Moderate bilateral pleural effusions have increased, with a fissural component on the right and likely a loculated component on the left. There is bibasilar atelectasis, worse on the right. | <unk>-year-old male patient, status post kidney transplant. study requested for evaluation of interval change in pleural effusions and pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12525991/s50051964/b28dec68-28736e8d-d52d8990-a713b853-ac3f7512.jpg | MIMIC-CXR-JPG/2.0.0/files/p12525991/s50051964/0cd47ae1-f767221f-540dfb63-09b818cf-fb2c3648.jpg | Frontal and lateral views of the chest demonstrate prominent cardiac silhouette and unfolding of the thoracic aorta. A left pectoral cardiac pacer/aicd appears stable in location, with leads terminating in the right atrium and right ventricle. There is no radiographic abnormality about the pacer to account for pain. The mediastinal and hilar contours are unremarkable. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion, or large effusion. | <unk>-year-old male with pain around the pacemaker site. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10782214/s51856376/a1884972-e27a4270-2fdd1fc6-4f33dd0d-58ddf749.jpg | MIMIC-CXR-JPG/2.0.0/files/p10782214/s51856376/5983f3f1-493e905b-89786acd-30586da4-442bbe2b.jpg | The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. No displaced rib fractures are noted. There are no acute osseous abnormalities. Multi level degenerative changes are seen in the thoracic spine | chest pain over the left chest status post moderate speed motor vehicle collision. |
MIMIC-CXR-JPG/2.0.0/files/p15335912/s54808271/5736d64c-24746d03-818ec640-2afd6fe6-d8982814.jpg | null | Mild pulmonary vascular congestion has increased. Increasing opacity in the right upper lobe and right lower lobe can be asymmetric edema or infection. New small right-sided pleural effusion. Retrocardiac atelectasis has improved. Mild pulmonary vascular congestion with moderate cardiomegaly. No pneumothorax. | <unk> year old woman with new fevers // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13938622/s51872243/e901e1ed-cf321793-7a7eb5de-913111a1-1300e7ed.jpg | MIMIC-CXR-JPG/2.0.0/files/p13938622/s51872243/3fa0b9ec-f4c932ba-618fdd02-5b77f4b9-88c4a644.jpg | Increased opacity in the right upper lung with air bronchograms is concerning for pneumonia. The left lung is clear aside from left basilar atelecatsis. The known right upper lobe mass is again seen. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no free air under the diaphragm. Sternotomy wires and mediastinal clips are noted. Radioopaque foreign bodies project over the right mid lung. | <unk>-year-old man with lung cancer and failure to thrive with leukocytosis. |
MIMIC-CXR-JPG/2.0.0/files/p18026603/s53135248/892b36a3-6d0634f4-6609fa19-441af521-1359a99e.jpg | MIMIC-CXR-JPG/2.0.0/files/p18026603/s53135248/5eb70b16-eb65dcda-b8fff928-66a91177-b8284cb2.jpg | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without definite focal consolidation, pleural effusion, or pneumothorax. There is mild vascular congestion. The visualized upper abdomen is unremarkable. An apparent device projects in the left mid chest | evaluate for pneumonia in a patient with bright red blood per rectum and hematocrit drop. |
MIMIC-CXR-JPG/2.0.0/files/p10494497/s55048716/dbcc672a-c4be9e2c-9a0cd013-531aa428-6cc1f4cb.jpg | MIMIC-CXR-JPG/2.0.0/files/p10494497/s55048716/39c911a0-29dd48e1-725f4765-57f91bc9-6db48270.jpg | Pa and lateral chest radiograph demonstrates clear lungs bilaterally, though lung volumes are low. A left chest port is identified, its tip terminating in the distal superior vena cava. Cardiomediastinal and hilar contours are within normal limits. Heart is top normal in size. There is no pleural effusion or pneumothorax. An enteric tube traverses the thorax in an uncomplicated course its tip terminating in the right upper quadrant, most compatible with a post pyloric position. No air under the right hemidiaphragm is seen. | <unk>m with njt displacement, tachycardia |
MIMIC-CXR-JPG/2.0.0/files/p17692916/s58883368/b3810a26-aadbf37d-7613f41a-cdbf228a-e72adb6b.jpg | MIMIC-CXR-JPG/2.0.0/files/p17692916/s58883368/ad9d75e5-66f8f130-d5f2bfb9-4197b549-8716050c.jpg | There is slight elevation of the right hemidiaphragm. The lungs and pleural spaces are grossly clear without evidence of pneumothorax. Cardiomediastinal silhouette is within normal limits. There is no evidence of pneumoperitoneum. Osseous structures are unchanged. | |
MIMIC-CXR-JPG/2.0.0/files/p15992853/s55290109/14e6d2d8-5bcc9d0c-ce685d2e-43869b1a-fc3ef019.jpg | null | Multiple images were obtained. The initial radiograph demonstrates the newly placed dobbhoff tube entering into this right mainstem bronchus and into the right lower lung parenchyma. This was subsequently removed, and an ng tube was placed. Subsequent images demonstrate the newly placed ng tube traversing the diaphragm with its tip ending in the expected location of the stomach in the left upper quadrant, although it is unclear if the position of the side port is past the ge junction. No pneumoperitoneum or pneumothorax. From the most recently obtained repeat films, a new small-to-moderate left pleural effusion with adjacent atelectasis has developed since <unk>. Otherwise, no significant change since <unk>. Stable bilateral small lung volumes. Mild pulmonary vascular congestion. Stable moderate cardiomegaly. Increased retrocardiac opacity with air bronchograms and partial obscuration of the lateral aspect of the descending aorta, suggestive of atelectasis although a developing pneumonia cannot be excluded. The dual-lead cardiac pacemaker device appears unchanged in position, with one tip in the right atrium and the other in the right ventricle. Stable significant bilateral degenerative changes in the glenohumeral joints. | <unk> year old woman with obtundation, s/p dobhoff placement; evaluate for placement of tube in stomach. |
MIMIC-CXR-JPG/2.0.0/files/p19099761/s51878189/8e678ae7-8e4bd0e0-9e42ef0d-1f494b86-b67d3ac2.jpg | null | The temporary pacemaker wire has been removed. There is no pneumothorax. A right apical density could be an elongated calcified right brachiocephalic trunk, more prominently seen due to positioning. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The aorta is tortuous. There has been a total shoulder arthroplasty of the left, and severe degenerative changes are noted at the right glenohumeral joint. | <unk> year old man s/p temp wire removal. // assess for ptx |
MIMIC-CXR-JPG/2.0.0/files/p13202061/s51959693/58126ff1-8f5ca2b5-bed5dd6e-70a83423-fea83da3.jpg | MIMIC-CXR-JPG/2.0.0/files/p13202061/s51959693/0c07eb31-cdc57635-8737703b-472ca2db-55892b15.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with chest pain*** warning *** multiple patients with same last name! // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p19873090/s52509540/d54c4cdc-71f9885d-7f05336d-17581326-eabdb78a.jpg | MIMIC-CXR-JPG/2.0.0/files/p19873090/s52509540/ee165e64-d5ec0a1d-6559eb28-88f2964b-a724ee47.jpg | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | <unk>f with postop fever // question pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19408546/s50882710/143d1d23-f47984f9-d8a1add3-a6ce822c-89818c34.jpg | MIMIC-CXR-JPG/2.0.0/files/p19408546/s50882710/ddd1ccaa-8554948c-6ec41fdb-efc69ff8-8228868b.jpg | Pa and lateral views of the chest were obtained. No focal consolidation, large effusion, or pneumothorax is seen. Cardiomediastinal silhouette is normal. No gross bony deformities are seen. | |
MIMIC-CXR-JPG/2.0.0/files/p18908641/s55547345/06646eb2-7f4c71b5-864b7b86-f8aeed6b-e62c42ea.jpg | null | An endotracheal tube is in satisfactory position <num> cm from the carina. An orogastric tube courses below the diaphragm with the tip out of field of view. Since the prior exam, there is a new opacity at the right base with volume loss and elevation of the right hemidiaphragm, most consistent with new right lower lobe collapse. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. | endotracheal tube and orogastric tube. evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p13855022/s57090289/bce68080-cc1bc38d-af141131-3ffac837-78c30f3a.jpg | MIMIC-CXR-JPG/2.0.0/files/p13855022/s57090289/ce01e661-66994c1d-b3e60cbe-f594a729-30dc54cb.jpg | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. | shortness of breath and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15108590/s51672335/7fb75df9-6eebbab0-082a495a-5ccc96b3-83d6695e.jpg | MIMIC-CXR-JPG/2.0.0/files/p15108590/s51672335/0e18d0c1-8147664a-dba77119-e6077c14-fbc4711f.jpg | Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. | <unk> year old woman with hx of iddm and gastroparesis with concern for infectious source causing gastroparesis symptoms // any infection? |
MIMIC-CXR-JPG/2.0.0/files/p16764766/s53134360/ac3e02ff-971a59ae-8e3d288f-01786aed-9df70e8f.jpg | MIMIC-CXR-JPG/2.0.0/files/p16764766/s53134360/96dd4705-5dc1cd6d-5da58b01-6a18b041-a7ca55f6.jpg | The cardiomediastinal and hilar contours are within normal limits. The lungs are well-expanded and clear. There is no large pleural effusion or focal consolidation. The appearance of retrosternal region at the level of the manubrium on the lateral view would raise concern for pneumothorax, but there are no supportive findings on either the frontal cxr or the upper chest imaged on a cervical spine ct <num> minutes later, available at the time of this review. To confirm the absence of a pneumothorax a repeat upright cxr is recommended within twelve hours. | mechanical fall. evaluate for infiltrate, fractures. . |
MIMIC-CXR-JPG/2.0.0/files/p12278337/s57217276/b078628f-f464cf61-10e48e4b-4b1e3dc4-ea91fdd5.jpg | MIMIC-CXR-JPG/2.0.0/files/p12278337/s57217276/559fb55c-1088528a-79db712f-fe441bbf-bb9c5705.jpg | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. Calcifications are seen in the aortic arch. Hyperexpansion of lungs are redemonstrated, with persistent blunting of the left costophrenic angle and mild left hemidiaphragmatic elevation, which appear chronic. There is no pneumothorax or vascular congestion. A small left effusion is present. Note is made of a vague density over the left posterior <num>th rib, raising question of bony irregularity, which could be further assessed by oblique view and clinical correlation with focal tenderness. | <unk>-year-old female status post fall. question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19112346/s53512414/dcc1edf3-b7ff5a3d-1f9d7d04-06d0b147-c6b6a452.jpg | MIMIC-CXR-JPG/2.0.0/files/p19112346/s53512414/e21eb208-9e0c2b33-25aaf22f-336812a4-6255b4da.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. Moderate multilevel degenerative changes are noted in the thoracic spine. | history: <unk>m with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p17244595/s50621269/8367f554-5e2539cc-1c684cce-3bdfd14b-0b8be4bd.jpg | null | Left pneumonectomy. Tiny right apical pneumothorax, more apparent compared with the radiograph, similar compared with ct from this evening. More prominent interstitial pattern, suggestion of nodularity in the right costophrenic angle, and right apex, suggests inflammatory or infectious process. Single right chest tube. Improved subcutaneous emphysema. | <unk> year old man with severe copd and pneumothorax now with worsening sob // please assess for worsening pneumonia, pleural effusion, ptx |
MIMIC-CXR-JPG/2.0.0/files/p14513402/s57344046/5292ef75-962ec295-e1664c40-db44bbd8-30c11c44.jpg | null | Compared to the prior study from two days earlier, there is no significant change. Again seen is diffuse bilateral prominence of the pulmonary vasculature with cephalization and kerley lines consistent with mild pulmonary edema. The cardiomediastinal silhouette is unchanged. <unk> are seen across the right upper chest. There may be small bilateral pleural effusions. Osseous structures are unremarkable. | <unk>-year-old man with history of coronary artery disease, peripheral vascular disease, afib on coumadin and underwent te complicated by esophageal perforation, now with new oxygen requirement, question worsening pulmonary edema versus effusion versus infectious etiology. |
MIMIC-CXR-JPG/2.0.0/files/p12621249/s56250773/0bf62e49-aecdee07-4c066317-26b86a85-10e92615.jpg | MIMIC-CXR-JPG/2.0.0/files/p12621249/s56250773/0c478cfa-fc8748d0-f5eb8aa4-ceead3e6-17241a4e.jpg | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal in size. The aorta is somewhat tortuous. Surgical clips overlie the right lower hemi thorax. | history: <unk>f with l foot bimalleolar fracture. // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p11965661/s57347192/46096663-56ce54e4-a5d61ff8-1c3c623a-a5208703.jpg | null | Endotracheal tube, enteric tube, and right picc tube are appropriately positioned. A right pleural effusion is small and left lung base is incompletely imaged, although there is likely a small pleural effusion there is well. Heterogeneous opacities in the right upper and lower lung may indicate multifocal infection. No pneumothorax. | <unk> year old man with severe copd, parainfluenza <num>, intubated, now with fever // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p18043820/s59237341/41074160-b9b8ccfe-b7556b18-510d5fc6-e485a741.jpg | MIMIC-CXR-JPG/2.0.0/files/p18043820/s59237341/931f605f-6dc5207a-40d5f9df-c329c91d-d4237b5f.jpg | Ap and lateral views of the chest. The lungs are hyperexpanded but now clear of consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is unchanged. Aneurysmal enlargement of the descending thoracic aorta is again seen with stent graft, unchanged in appearance. No acute osseous abnormalities identified. | <unk>-year-old male with abdominal pain, history of tevar. |
MIMIC-CXR-JPG/2.0.0/files/p12404964/s53946520/39ae0aa6-83963ff9-1a958322-181e6cf0-c7e6a58d.jpg | MIMIC-CXR-JPG/2.0.0/files/p12404964/s53946520/14fb11b1-aba5db7f-7685556a-a1e06be3-96c30d5c.jpg | The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. The thoracic aorta is tortuous. The pulmonary artery is enlarged suggesting pulmonary hypertension. The lungs are hyperinflated consistent with emphysema. Opacities involving the bilateral lower lobes and within the right middle lobe could represents infection and are best appreciated on the lateral view. A focal rounded opacity in the left mid lung is seen. There is no pneumothorax or large pleural effusion. | history: <unk>f with sob, chest pain // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p13235045/s53079537/4cb4da74-34897a4d-8783797b-8bdea9fb-f021125f.jpg | null | The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Minimal streaky opacities are noted within the lung bases. This could reflect atelectasis. Prominent nipple shadow is seen on the left. No pleural effusion, focal consolidation or pneumothorax is identified. Clips are noted in the right upper quadrant of the abdomen denoting prior cholecystectomy. <num> additional clips are also seen projecting over the right inferior hemithorax. | found down. |
MIMIC-CXR-JPG/2.0.0/files/p11099437/s53448019/da2061a2-f8dadb0d-b0b1e9c4-8ceaa942-0de93113.jpg | MIMIC-CXR-JPG/2.0.0/files/p11099437/s53448019/78a27ced-72f4ac2f-522b83f3-3afa8dc0-2f2b216f.jpg | Frontal and lateral radiographs of the chest demonstrate hyperinflated lungs with flattening of the diaphragms, consistent with patient's history of copd. Otherwise, the lungs are clear with no focal opacity concerning for pneumonia. The cardiac and mediastinal contours are normal. No pleural effusion or pneumothorax is appreciated. Again seen is symmetric bilateral apical pleural thickening, unchanged. | moderate copd with recent cough and cold symptoms. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11144686/s58899816/9058d6ba-b98e4e26-7d005409-a7b981fa-5b396c6c.jpg | null | Following of vats lingulectomy, there are lower lung volumes. Chest tube is in place on the left with no pneumothorax. Vague opacification in the perihilar region most likely reflects sequela of the recent surgery. Right lung is clear. | postoperative, to assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p11766586/s50068720/d33f7529-567bcac4-50486c11-068dcaa2-ed94f705.jpg | MIMIC-CXR-JPG/2.0.0/files/p11766586/s50068720/f59d3721-21a73679-30ce4848-f8886d43-cb5943b6.jpg | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | history: <unk>m with dizziness // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10141364/s59076000/d30834fd-2e43960f-262e4a69-057f78fc-ab4c3031.jpg | null | In comparison with study of <unk>, the monitoring and support devices remain in place. The diffuse bilateral pulmonary opacities are decreasing, though a substantial residual persists. | multifocal pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17295976/s58108500/aca2644d-d144c9db-f015e3f6-73f7168d-554a5695.jpg | MIMIC-CXR-JPG/2.0.0/files/p17295976/s58108500/c4dfd326-e9da52d3-e71766dc-7309b847-df2a532b.jpg | The patient is status post median sternotomy. Midline tracheostomy is again seen. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | history: <unk>m with fever, cough // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17690782/s55426469/d3f8f9eb-49182e40-7bfa0f8e-05266e66-d938414f.jpg | MIMIC-CXR-JPG/2.0.0/files/p17690782/s55426469/ab25051b-921c0ed3-fedb0d90-9bfa41f6-3523db34.jpg | Elevation of right hemidiaphragm is similar to prior with a stable small to moderate right pleural effusion. Right base atelectasis is unchanged, but superimposed consolidation cannot be excluded. Chronic by apical and perihilar fibrotic disease is unchanged. No pneumothorax. Heart size and cardiomediastinal contours are stable. | history: <unk>f with sob fever // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p11811925/s58454922/477a7f66-5e3167d3-7d555506-2aa33c32-c9c33bcd.jpg | null | Since the radiograph obtained <num> hours prior, there is new, mild pulmonary vascular congestion. Pulmonary edema in the right lung is mild. The medial right upper lobe and right perihilar opacities are essentially unchanged, possibly reflecting a hematoma. <num> right-sided chest tubes and a left-sided port are unchanged and appropriately positioned. | <unk> year old woman with complaints of shortness of breath // please evaluate |
MIMIC-CXR-JPG/2.0.0/files/p11255345/s58987648/cb8ae15b-80b6ea38-7123c4ff-de4eeafd-a2bb5278.jpg | null | 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 seizure |
MIMIC-CXR-JPG/2.0.0/files/p12265294/s51949136/2e7a333a-16086ea6-d6ecbea6-13565e32-513b25d5.jpg | null | Lung volumes continue to be low with normal heart size and mild-to-moderate pulmonary edema. No appreciable pleural effusion, pneumothorax or focal consolidation is seen. Et tube <num> cm from the carina. Right central line is at cavoatrial junction, unchanged from prior. Transesophageal drainage to is in the stomach and out of view. Fixation hardware is in place and aligned. | <unk> year old man with ett/og. evaluate for line placement. |
MIMIC-CXR-JPG/2.0.0/files/p14788833/s57311579/a0e3370c-1087d51a-f6369321-dd9b6a69-951a053a.jpg | MIMIC-CXR-JPG/2.0.0/files/p14788833/s57311579/069a89ae-17237ad3-92233bfb-5afb1191-fb60e741.jpg | Permanent pacemaker is present with leads overlying the right atrium and right ventricle. The right ventricular lead has an unusual cephalad course of the distal tip. Cardiac silhouette is upper limits of normal in size, and pulmonary vascularity is normal. Moderate elevation of the right hemidiaphragm is unchanged since the prior study, and is associated with adjacent basilar atelectasis. Focal atelectasis is also present at the left lung base. Small right pleural effusion is present, and has also been documented on recent abdominal ct of <unk>. | |
MIMIC-CXR-JPG/2.0.0/files/p19957730/s53305232/474d7c84-51661cfa-760e0fa9-b3747454-a4fef425.jpg | MIMIC-CXR-JPG/2.0.0/files/p19957730/s53305232/3ad385a2-1029a002-26c1041b-9b9c24c6-942174da.jpg | Pa and lateral views of the chest. Left-sided aicd device is seen with leads in the expected position of the right atrium and right ventricle. There are bibasilar effusions, left greater than right, both of which have slightly increased in size compared to prior study. There is bibasilar atelectasis. The upper lung zones are clear. The cardiac, mediastinal and hilar contours are stable. | <unk>-year-old female with dyspnea and chf. question fluid overload or infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11533366/s59376254/cfd4f319-d2fc16ae-5fdf14b5-eb18b8a5-0d82c59d.jpg | MIMIC-CXR-JPG/2.0.0/files/p11533366/s59376254/05c411c1-e78f0013-f3df7602-056f107d-8b952f4d.jpg | The lung volumes are again low. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar moderate to severe relative elevation of the right hemidiaphragm compared to the left. Compared to the prior radiographs there is increased widespread opacification of the right upper lobe which is also more prominent than on the more recent of the two chest ct studies. This appearance is concerning for pneumonia superimposed on chronic scarring. There is no pleural effusion or pneumothorax. The patient is status post bilateral shoulder replacements. | malaise, wheezing and low-grade fever. |
MIMIC-CXR-JPG/2.0.0/files/p11871035/s57638692/81383c2c-20fb4de1-6bc02552-02405d77-37fcc3a3.jpg | null | Left subclavian vascular catheter remains in standard position, and cardiomediastinal contours are unchanged. A subtle confluent area of opacity has developed in the right infrahilar region, and is accompanied by a small right pleural effusion. Left lung and pleural surfaces are clear. | |
MIMIC-CXR-JPG/2.0.0/files/p16670508/s53918948/9668169f-cfa7764c-4a22dfcb-b0a80b95-2eff6451.jpg | null | No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are grossly unremarkable. No pulmonary edema is seen. Heterogeneity projecting over the upper image most likely relates to external artifact. | *** code cord *** history: <unk>m with pre op*** warning *** multiple patients with same last name! // pre-op |
MIMIC-CXR-JPG/2.0.0/files/p10224633/s55588134/cc59abe3-10148de0-ed7ab96c-924af9a3-1bffed45.jpg | MIMIC-CXR-JPG/2.0.0/files/p10224633/s55588134/87b44387-4514b0f1-7c0dc5cd-ecfdbd1a-effef6ae.jpg | Pa and lateral views of the chest provided. Lung volumes are low which somewhat limits the evaluation. Allowing for this, there is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | <unk>f with chest pain // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15474970/s54458186/e13d9469-8b40c78c-60305c86-5538a148-6a8963bd.jpg | MIMIC-CXR-JPG/2.0.0/files/p15474970/s54458186/bf5233c4-d8849a5a-54b4986d-f1bc6c34-ecd60572.jpg | No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema. | chemotherapy and respiratory symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p16989388/s50652095/59d458af-47db5e03-0c00e2eb-bd0790f2-0119c103.jpg | MIMIC-CXR-JPG/2.0.0/files/p16989388/s50652095/5d5c58e6-c3891f84-27b30e3b-02b6126a-31248d85.jpg | Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. Numerous pulmonary nodules measuring up to <num> cm are present. Small bilateral pleural effusions with adjacent atelectasis or new over the interval. The cardiomediastinal and hilar contours are unchanged. The heart is enlarged and the aorta is tortuous. There is no pneumothorax. | <unk> year old woman with likely colon ca and possible lung ca(biopsy not pursued for spiculated lesion given age an other known malignancy) // more sob. ?chf ?increased pulmonary nodules? |
MIMIC-CXR-JPG/2.0.0/files/p16578228/s53027553/97279364-b2d850fe-f36fbfbc-ba1a872a-2ace44ee.jpg | MIMIC-CXR-JPG/2.0.0/files/p16578228/s53027553/31c44d5a-2d55bdf4-664ef9f3-feff597c-b46ab866.jpg | Lungs are clear. Cardiac and mediastinal silhouettes remain stable with a top normal heart and heavy atherosclerotic calcifications throughout a tortuous aorta. There is no pleural effusion or pneumothorax. No acute fractures are identified | altered mental status. |
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