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/p15920620/s58358531/76ac47b9-5a2e5b8e-ff0d39a3-519379b3-40c33cf9.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15920620/s58358531/0f3dd5f6-e7a105f7-4b8d43e6-987a58bd-2d1df8e6.jpg
|
The left hilum is enlarged with a somewhat nodular contour. Given recent pulmonary infection with asthmatic symptoms, this could represent postinfectious adenopathy, however, with a history of multiple episodes of hemoptysis, a central bronchial mass cannot be excluded and chest ct is recommended for further evaluation. The lungs are hyperinflated, suggesting small airways disease and air trapping, although this can be a normal finding in young patients with vigorous inspiratory effort. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac silhouette is within normal limits.
|
<unk> year old man with <num> day history of cough, <num> episodes of hemoptysis. described blood-tinged sputum and a very small amount <unk>. reported slightly larger amount on <unk> after forceful coughing episode. treated for fairly significant asthmatic bronchitis. // rule out pneumonia, versus other cause of hemoptysis.
|
MIMIC-CXR-JPG/2.0.0/files/p16683000/s51154684/b2c7b1f5-23c9703a-9d6d2fa5-72c1fdea-7ef7c573.jpg
| null |
Enteric tube tip the proximal stomach, side hole near the gastroesophageal junction, should be advanced. Normal heart size. Lungs are clear. Widening right ac joint, partially seen, stable since <unk> <time>.
|
<unk>m with cirrhosis and hepatic encephalopathy // evaluate for ngt placement
|
MIMIC-CXR-JPG/2.0.0/files/p15110016/s59441375/a8e0d396-b2e364af-f8a86fff-bf9f4eda-3aea0de6.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15110016/s59441375/f1b4a4f8-087ec578-e75305f0-55a79de3-37394369.jpg
|
Lung volumes are decreased compared to the prior exam. The heart size is mildly enlarged. The aorta is unfolded. Increased interstitial markings are seen diffusely, most pronounced within the lower lobes. Mild interstitial pulmonary edema, however, may be superimposed. No pleural effusion or pneumothorax is clearly noted. Old right-sided rib fracture is present. Sclerotic density projecting over the right lung apex could reflect a bone island within the right <num>st rib. No acute osseous abnormalities are otherwise demonstrated.
|
cough, wheezing.
|
MIMIC-CXR-JPG/2.0.0/files/p17603980/s53318872/1e8e451c-ff330d86-20d67cf0-43609755-0c6a8f0e.jpg
| null |
In comparison with study of <unk>, there has been placement of a dobbhoff tube with its tip in the mid to lower portion of the stomach. Opacification at the left base is consistent with pleural fluid and mild atelectatic changes. Less prominent changes are seen at the right base.
|
dobbhoff placement.
|
MIMIC-CXR-JPG/2.0.0/files/p19831176/s56219369/dfdb7cee-7b937a18-c238a4bf-98991ee2-aa6008d0.jpg
| null |
Ap portable upright view of the chest. The patient is intubated and the endotracheal tube tip resides <num> cm above the carina. Endogastric tube extends into the left upper abdomen though the tip is excluded from view. There is retrocardiac opacity which could represent atelectasis/aspiration, difficult to exclude pneumonia. Otherwise lungs are clear.
|
<unk>f with intubation // eval tube placement
|
MIMIC-CXR-JPG/2.0.0/files/p10104549/s58782592/fb8f8b01-40e15880-07f5df30-dee7200f-01066544.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10104549/s58782592/84031d83-dfcc1682-1ee7f39c-b88119d5-5a284e16.jpg
|
Pa and lateral views of the chest are provided. There is no definite sign of pneumonia or chf. Overall appearance of the chest is unchanged from prior exam. No effusion or pneumothorax. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta likely accounting for the retrocardiac density. The bony structures are intact.
| |
MIMIC-CXR-JPG/2.0.0/files/p15547096/s51912768/678c99f8-fbf376ae-067928b7-fd744e4f-c7e8858d.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15547096/s51912768/e52a91d9-0d1b71c6-d91dd0a7-2bcb3c2c-a7efa28e.jpg
|
There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
|
<unk> year old woman with two weeks of cough and fever, evaluate for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p18019825/s53233804/226eb3c0-23484b42-4fd596e6-2456cc0f-0938df85.jpg
| null |
As compared to <unk>, right-sided picc has been repositioned and is now ascending superiorly towards internal jugular vein. Nasogastric tube has been removed. Increasing right-sided pleural effusion and atelectasis. Moderate left pleural effusion and retrocardiac opacity are unchanged.
|
<unk> year old woman with picc // assess line position
|
MIMIC-CXR-JPG/2.0.0/files/p10396422/s54738660/cbdb62ed-66e60a8c-f18990b1-cbb19df9-ccebfb0f.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10396422/s54738660/ce3ad3c1-eebc0fec-d92d8f3b-d818b6ed-7e2e2758.jpg
|
Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
|
<unk> year old woman <unk> with ehlers danlos <num> days of cough and sob // please evaluate for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p17030818/s54878577/d8985be7-811f316d-8495e492-a1030b4f-d0cc9f97.jpg
| null |
Portable semi upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The patient is status post cabg with expected postoperative cardiac silhouette. There is bibasilar atelectasis, left greater than right, with small bilateral pleural effusions. There has been interval removal of the endotracheal tube and bilateral chest tubes. A right internal jugular central venous line is at the distal svc. There is no pneumothorax.
|
<unk> year old man with s/p cabg, cts d/c'd // evaluate for pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p15098455/s51837112/bd735d7f-84dab6d1-10ccc7b7-9d795573-7efd1b4c.jpg
| null |
There continues to be bibasilar opacities, right larger left, which are appear worse than the most recent radiograph. There are no new focal consolidations or pleural effusions. The heart size is within normal limits, and the mediastinal contours are normal.
|
<unk> year old man with saddle pulmonary embolism.
|
MIMIC-CXR-JPG/2.0.0/files/p11388341/s54671325/d9702565-69c06cc6-ddd23ead-75d9634d-a2408ff7.jpg
| null |
The patient is status post revision sternotomy. The tip of the endotracheal tube projects <num> cm from the carina. A gastric tube extends into the stomach. The tip of the left picc line likely extends to the cavoatrial junction. A left internal jugular sheath is in situ. Multiple mediastinal drains and chest tubes are present. The size the cardiac silhouette is enlarged but unchanged. There is a retrocardiac opacity which likely reflects a combination of pleural fluid and atelectasis. No discrete pneumothorax identified. The right lung is grossly clear.
|
<unk> year old woman s/p chest closure/pec flaps // post-op
|
MIMIC-CXR-JPG/2.0.0/files/p11148709/s55370820/0f532bd5-ae5bd855-8e087914-acf9e9e4-8cadfb03.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11148709/s55370820/2f5db104-9747f147-f5d0ca99-0165b879-a9277fdf.jpg
|
There is no new lung consolidation. Right upper lobe calcified nodule is consistent with prior granulomatous infection. Mild bronchiectasis with bronchiolar opacities seen on ct mostly compatible with atypical mycobacterium infection is not well assessed on this chest x-ray. Mediastinal and cardiac contours are normal. The lungs are hyperinflated. There is no pneumothorax or pleural effusion.
|
patient with cough, bronchiectasis, bronchoscopy <unk>, admitted for asthma exacerbation, evaluation for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11865423/s54833563/8a1861da-86433ef8-92478e51-6c65bfb1-9ec78dd6.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11865423/s54833563/fddd9db4-473cf7da-220d22c0-028e464b-3e6f808a.jpg
|
Pa and lateral views of the chest demonstrate stable mild cardiomegaly. Otherwise, the cardiomediastinal silhouette is unremarkable. The lungs are well expanded, and there is no evidence of pneumothorax, pleural effusion, or pulmonary edema. No focal consolidation concerning for pneumonia is identified.
|
<unk>-year-old female with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p11281568/s58800195/f32c39be-359e56c1-309dc19e-5c6da1f8-a0194124.jpg
| null |
Diffuse bilateral widespread parenchymal opacities is secondary to severe background interstitial lung disease. There is mild pulmonary vascular congestion as well as mild pulmonary edema. There is no evidence pneumothorax. The visualized osseous structures are unremarkable.
|
history: <unk>m with cough // evidence of pna
|
MIMIC-CXR-JPG/2.0.0/files/p18948084/s57023084/2490264d-6d4d9415-c827fc9d-1532fc62-c3012f6d.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18948084/s57023084/e10c7b92-bc04dc68-b7623b12-96c7224e-ec22f2bb.jpg
|
Pa and lateral views of the chest were provided. There is a small right pleural effusion with right basal atelectasis, not significantly changed from the prior exam. The heart is mildly enlarged and there is mild interstitial pulmonary edema. No pneumothorax is seen. Mediastinal contour is stable. Bony structures are intact.
| |
MIMIC-CXR-JPG/2.0.0/files/p12321393/s53633331/68ded712-f6834c46-c52cd529-a61eeec6-f3474006.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12321393/s53633331/2106267d-58456b7e-049e04a7-2a81c2af-645bd494.jpg
|
There are multifocal opacities seen in the right lung within the upper and lower lobes and likely within the middle lobe as well. There is also subtle opacity in the left mid lung. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Nipple rings are seen bilaterally. The soft tissues are otherwise unremarkable as are the osseous structures.
|
<unk>-year-old female with acute shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p16792622/s53330368/13dca44f-f495253f-0094f4e8-e11e6f5c-041c642a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p16792622/s53330368/c4b8c34c-a83cc2ad-c4d930a4-62bbb1a7-934184d3.jpg
|
Pa and lateral views of the chest provided. Left ij access central venous catheter is again seen with its tip in the low svc. Mild elevation of the right hemidiaphragm again noted. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
|
<unk>f with increased confusion for the past six months, increasing daily falls for the past <num> weeks, acutely delirious in the past two days. history ms. <unk> <unk> for <unk> change or head bleed
|
MIMIC-CXR-JPG/2.0.0/files/p11863815/s56905923/09b5a71a-d5d58465-1f2cceaf-3cd54e85-48109b46.jpg
| null |
Single supine view of the chest. The right costophrenic angle and the lateral chest wall is not included on this exam. Where seen, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No visualized displaced fractures identified. These findings are all within limitation of overlying trauma board.
|
<unk>-year-old male status post mvc.
|
MIMIC-CXR-JPG/2.0.0/files/p16133281/s54018016/fd32d596-0f56ed8d-425fdb32-28da3919-5a79dffc.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p16133281/s54018016/0afa11ba-5ecd5927-a0f41781-af541248-90c7198e.jpg
|
There is a faint rll opacity concerning for pneumonia. Otherwise, the lungs are without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal.
|
evaluation of patient with shortness of breath and fever.
|
MIMIC-CXR-JPG/2.0.0/files/p10180652/s58478780/441791ca-51a09036-2665c8c8-3b48fd64-23c1d0f1.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10180652/s58478780/dc70519c-46487029-a2b570f7-5ea185e6-94166b75.jpg
|
Frontal and lateral radiographs of the chest show no acute intrathoracic process. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pleural effusion or pneumothorax. The heart size is normal. A mediport is seen terminating in the distal svc. There are no suspicious osseous lesions. The patient is status post right arm amputation.
|
chest pain, evaluate for pneumothorax and pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p10640362/s53003263/84f2d6dc-cf42d187-ca3ea997-dc463265-e4bd1d9b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10640362/s53003263/45daff7a-a29a422d-2d274f2e-c794b85b-1edb9440.jpg
|
Pa and lateral views of the chest provided. Lungs are hyperinflated with upper lobe lucency compatible with known emphysema. No focal consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
|
<unk>m with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15656571/s59090376/9c0b246f-faddfc25-15b48642-d419305d-bbe34b82.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15656571/s59090376/5f9febfd-f433555f-7a4ca95b-958f5d0d-d3e5c827.jpg
|
There has been interval development of moderate interstitial pulmonary edema with small bilateral pleural effusions. Mild cardiomegaly is stable. Redemonstrated is a dual lead aicd with intact leads seen extending into the right atrium and right ventricle. No focal consolidation or pneumothorax is seen. No bony abnormality is detected.
|
congestive heart failure and shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p12766096/s57744854/7becf339-36b895b3-e90eec26-d22c36f0-a6609339.jpg
| null |
Single frontal view of the chest demonstrates et tube extending <num> cm above the carina. An enteric tube has tip in the stomach and side port just below the ge junction. Since preceding exam, there are new prominent bilateral infrahilar peribronchovascular opacities, given short interval, could represent aspiration pneumonitis versus pulmonary edema. Perihilar vascular markings are prominent, but azygous distention is less prominent on current radiograph as compared to the preceding exam. The upper lungs are well aerated. There is no pneumothorax. Dense left retrocardiac atelectasis is noted, likely atelectasis. A small effusion on the left cannot be excluded. Note is made of relatively increased lucency in the left costophrenic angle with inferior extension raising question of a basal pneumothorax versus summation artifact, which could be correlated with lateral view once able. The cardiac size is normal.
|
<unk>-year-old male with acute cocaine and narcotic intoxication and unresponsiveness, intubated at outside hospital. question edema or aspiration.
|
MIMIC-CXR-JPG/2.0.0/files/p10821954/s56109976/be541236-da6b6899-45e0a0a8-ec574c2d-b1ce4bf9.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10821954/s56109976/f0066e79-c48d58c8-13ea26b7-9f18f338-6caa340b.jpg
|
Patient's clinical condition required examination in sitting semi-upright position using ap frontal and left lateral views. There is marked cardiac enlargement seen involving the left heart. Thoracic aorta is generally widened and elongated, but no local contour abnormalities are identified. Pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of advanced interstitial or central alveolar edema. No evidence of acute pulmonary infiltrates are present. The lateral and posterior pleural sinuses are free from any fluid accumulation. No conclusive evidence of any acute rib fracture or pneumothorax, but report on right-sided unilateral rib examination will be issued separately. Our records do not include a preceding chest examination available for comparison.
|
<unk>-year-old female patient with atrial fibrillation, presenting with syncope, new fall at bedside, evaluate for pneumothorax or cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p12368086/s59939626/9a8a7f9d-53724715-3300fccc-1317eb07-d715568b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12368086/s59939626/17bfe17b-71720686-f8af063e-cc19ba4a-4a7efcb1.jpg
|
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
| |
MIMIC-CXR-JPG/2.0.0/files/p13571108/s58633058/e6cd2500-1899413e-d3de528f-a4281a95-460339bf.jpg
| null |
As compared to the previous radiograph, the lung volumes continue to be low. There is mild hyperexpansion of the stomach and a newly appeared retrocardiac atelectasis. No pleural effusions. No pulmonary edema. The cardiac silhouette continues to be at the upper range of normal.
|
cirrhosis, ascites, evaluation for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p13184298/s59987307/f4c893be-44710eae-505783c2-72f326d5-bd7114e9.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13184298/s59987307/8742acb3-e6118111-2faa216b-9f685bfb-6950374a.jpg
|
As compared to chest radiograph from the same day, no free intraperitoneal air on the chest radiograph. Lungs are unchanged. Right dialysis catheter in the right atrium. No other relevant change.
|
<unk> year old man with concern for free air. please call <unk> as soon as finished to notify. // free air? upright
|
MIMIC-CXR-JPG/2.0.0/files/p12743864/s50960376/d9d65ebc-77bce027-f3e9bfe8-1a69aa7e-0c1fa974.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12743864/s50960376/b4075b0f-a7fe3055-18c45df0-7feb52ff-96465559.jpg
|
Support devices: none. There are bilateral saline tissue expanders. There is a moderate right pleural effusion which is difficult to compared to the prior study given the different imaging modalities. Qualitatively however it appears larger. This is assocoated with is moderate right compressive atelectasis in the right lower lobe and small amount of linear atelectasis of the left lung base. Extensive metastatic disease to the bony skeleton agian noted. There is no pneumothorax and pulmonary vascularity normal.
|
<unk> year old woman with metastatic breast cancer now presenting with increasing shortness of breath. evaluate right pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p19557627/s59846687/d0d6eaa1-110180e1-4725cced-003b80cd-1bc9ca98.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19557627/s59846687/7e969568-e1b856a3-3e7383b8-cc3a03a5-881168a1.jpg
|
The heart is mildly enlarged. There is new moderate pulmonary edema. There is no appreciable large pleural effusion. There is no focal consolidation or pneumothorax. Patient is status post mitral valve repair. Sternal wires are intact.
|
history: <unk>f with sob // infiltrate?
|
MIMIC-CXR-JPG/2.0.0/files/p13349201/s52414097/8dbdb22d-59a09a49-2a5447ba-7106a0ac-990c7088.jpg
| null |
The new nasogastric tube terminates in the known moderately-sized hiatal hernia. Previous dobbhoff tube has been removed. Other support are lines and devices are unchanged in position. The bilateral lung opacities are not significantly changed since the prior cxr performed earlier this morning, except for possible worsening of bibasilar opacities. There is no pneumothorax. Stable cardiomediastinal silhouette.
|
<unk> year old woman with dchf pna, new ng tube // ngt placement
|
MIMIC-CXR-JPG/2.0.0/files/p17865089/s52898864/7b2d5dd8-ec542082-9dd3e57e-7b4fd924-711bc4da.jpg
| null |
The endotracheal tube tip ends approximately <num> cm from the carina. A left subclavian central line ends in the mid svc. A feeding tube is in the stomach with the tip out of the field of view. A moderate right pleural effusion is stable. A moderate left pleural effusion has increased in size since the prior radiograph. Left basilar atelectasis persists. There is no new consolidation. There is no pneumothorax. Mild enlargement of the cardiomediastinal silhouette is stable. Mild pulmonary vascular congestion is unchanged.
|
status post <unk> patch revision. now with presumed sepsis.
|
MIMIC-CXR-JPG/2.0.0/files/p19373873/s50225897/e0ccef99-d8dba812-8d6c2525-973cf1fa-118dc201.jpg
| null |
The patient is status post recent median sternotomy and cardiovascular surgery. Right chest tube and midline drain have been removed, with development of a probable tiny right apical pneumothorax. Cardiac silhouette remains enlarged, but previously reported pulmonary edema has resolved. Calcified lymph nodes and granulomas are unchanged. Improving bibasilar atelectasis and small effusions.
| |
MIMIC-CXR-JPG/2.0.0/files/p12999347/s54526097/9d7cf825-00a0ff8f-9e4cffc9-1076f4ea-84f99c65.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12999347/s54526097/520eb82c-585a7005-edbc60d4-ac077596-f3aa4377.jpg
|
Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There are small bilateral pleural effusions, greater on the right than left, with streaky opacitie suggesting associated minor atelectasis; otherwise the lungs appear clear. Bones appear demineralized.
|
status post fall with hip fracture. preoperative study.
|
MIMIC-CXR-JPG/2.0.0/files/p16751740/s52216630/97403195-9042f54a-cb5e15fa-cb6f97a8-a657fa3f.jpg
| null |
As compared to the previous radiograph, there is no relevant change. Mild cardiomegaly without evidence of pulmonary edema. Minimal atelectasis at the right lung bases. No pleural effusions. No pneumothorax.
|
previous pulmonary edema, evaluation.
|
MIMIC-CXR-JPG/2.0.0/files/p17745955/s54703086/f759ec8a-18f07196-f4bdf430-23c1be70-4f5a4498.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17745955/s54703086/2495a917-d70a8a40-fa145025-39755b20-2545db6f.jpg
|
Pa and lateral views of the chest were obtained. Dextroscoliosis is noted. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal contour is unremarkable. No free air below the right hemidiaphragm. Bony structures are intact.
| |
MIMIC-CXR-JPG/2.0.0/files/p19509569/s55279101/140b086c-6d130c33-5db326f2-412f5491-dfbff753.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19509569/s55279101/c1ab6a9b-0e72606f-fa1e9f79-2f93b1b0-ec95fa2e.jpg
|
Left-sided dual-chamber pacemaker device is re- demonstrated with leads terminating in the right atrium right ventricle. The patient is status post right upper lobectomy with expected fluid overlying the right apex. Cardiac, mediastinal and hilar contours are unchanged. Patchy opacities within the right perihilar region, right lung base, and left lung base are unchanged from the exam earlier today, but not clearly evident on the prior ct exam from <unk>. There is no pulmonary edema. Small bilateral pleural effusions are noted. No pneumothorax is identified.
|
history of lung cancer status post right upper lobectomy in <unk> with low ejection fraction now with cough and dyspnea.
|
MIMIC-CXR-JPG/2.0.0/files/p14349552/s55166492/0fd4cce4-68a02e27-35ed0ac9-41c03a4d-4f56782b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14349552/s55166492/ac566a56-547f7b34-7abac86e-a5825100-d367f7e5.jpg
|
There is no focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly is unchanged from multiple priors. There is no pulmonary vascular congestion.
|
dyspnea. concern for chf.
|
MIMIC-CXR-JPG/2.0.0/files/p19209496/s58024788/087e963e-5d981876-9409cc7b-f3a2eb47-d2549d06.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19209496/s58024788/4ddc43a6-fb4698fc-1ab4d9e0-9b4d33fb-0cc9655f.jpg
|
Cardiomediastinal contours are normal. The lungs are hyperinflated, patient has known emphysema. Ill-defined peribronchial opacities in the lower lobes and in the left mid lung likely represent multifocal pneumonia. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
|
<unk> year old woman with fever and sob. // please evaluate etiology of fever and sob.
|
MIMIC-CXR-JPG/2.0.0/files/p14217853/s50223701/e2acd162-7e90ba61-77016f77-ee22a6f6-93938df7.jpg
| null |
As compared to the previous radiograph, the right-sided chest tube has been removed. There currently is no evidence of pneumothorax. The lung volumes have slightly increased, likely reflecting improved ventilation. An area of atelectasis is seen at the right lung base, both laterally and medially. A similar area of atelectasis is visible projecting over the left costophrenic sinus. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
|
status post chest tube removal.
|
MIMIC-CXR-JPG/2.0.0/files/p14734824/s52207483/cf3d4051-36c9073d-ccecfbf3-643cff41-c10375d4.jpg
| null |
The left-sided port-a-cath with tip just at the midline has its tip pulled back slightly compared to the prior study. There is volume loss/early infiltrate in the right lower lobe. The remainder of the lungs are clear. Cardiac and mediastinal silhouettes are not significantly changed.
|
pancreatic adenocarcinoma, fever.
|
MIMIC-CXR-JPG/2.0.0/files/p19347015/s56055233/e49e7115-d5c0547a-1e4404f0-3689b543-10566a24.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19347015/s56055233/0d4634fe-f9a759c5-3d22d7a1-069c0115-e8e0c91e.jpg
|
Frontal and lateral views of the chest were obtained. Small right apical pneumothorax is new following removal of right pleural catheter. There is additionally small right chest wall subcutaneous emphysema. Catheter of the right chest wall port, which has been accessed, terminates in the lower svc. Several surgical clips overlie the left axilla. Right pleural effusion has increased and there is now collapse of the right middle and right lower lobes.
|
<unk>-year-old female with metastatic breast cancer presenting with shortness of breath, fever, and cough status post thoracentesis of right-sided pleural effusion.
|
MIMIC-CXR-JPG/2.0.0/files/p18215220/s52951107/725ed484-6ce5cc1a-9ae727d3-c9348d6f-c80fda53.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18215220/s52951107/b2fec0fc-f35a6138-017823e2-5c0a86c4-3851e8c4.jpg
|
The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. Mild compression deformity of a lower thoracic vertebral body is unchanged.
|
<unk>f with diaphoresis and syncope pls eval pnaq
|
MIMIC-CXR-JPG/2.0.0/files/p12990013/s59152910/935acc9f-6fc82714-458e2e73-b354ea7f-1314f748.jpg
| null |
Single portable radiograph is provided. The et tube is approximately <num> cm from the carina. Ng tube courses below the diaphragm. There is opacity at the right lung base, which likely represents atelectasis or pneumonia. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. The osseous structures are intact.
|
intubation, question tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p19129105/s54796274/d432110f-7ce2f8ee-8e1915ad-df62a183-09d48dad.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19129105/s54796274/3a87048b-24cc7b53-76a4ae73-62004f6d-1b6f6adc.jpg
|
Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
| |
MIMIC-CXR-JPG/2.0.0/files/p11129409/s59119297/29d8a804-8c84c617-502eecf8-d76a4cfc-993f86f6.jpg
| null |
Chain sutures are noted at the left lung apex and a left-sided chest tube is present. No well-defined pneumothorax is identified. The possibility of a tiny residual pneumothorax cannot be entirely excluded. Again seen is patchy opacity at the left lung base, consistent with collapse and/or consolidation. Probable slight improvement in the more nodular opacities seen at the left base laterally. Probable small left effusion, unchanged. Minimal atelectasis at the right lung base again noted. No new focal opacity detected. The right lung and costophrenic angle is otherwise grossly clear. Mild gastric distention again noted.
|
<unk> year old man s/p l vats blebectomy w/ pleurodesis, ct to suction // eval for ptx
|
MIMIC-CXR-JPG/2.0.0/files/p17489307/s50318072/07d9cfc7-21e6114a-ef8bbf92-cf7afc36-d24b1b4d.jpg
| null |
Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Resolution of previously reported interstitial edema. Left retrocardiac opacity has worsened and probably represents a combination of atelectasis and pleural effusion.
| |
MIMIC-CXR-JPG/2.0.0/files/p13573221/s57031584/58efc976-5ed644d7-cf30c9dd-e1a97791-c2cc26ed.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13573221/s57031584/e45aaf86-a3077e62-97749225-ec556ec3-31ad7581.jpg
|
There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact.
|
left arm pain and chest discomfort, question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p14684963/s54049511/db1c5ef8-23382812-05a8b251-491d7435-33bdd219.jpg
| null |
The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
|
new-onset svt, evaluate for acute pathology.
|
MIMIC-CXR-JPG/2.0.0/files/p12208085/s52412386/49ddaa39-7a0bfc51-23ec6418-2d182628-7b651694.jpg
| null |
The heart and great vessels are normal. The patient is rotated to the right. Increased fullness in the right superior paratracheal region from known superior mediastinal mass again seen, unchanged the lungs are clear of an active frozen well-expanded. There is no pleural effusion or pneumothorax. Since the previous exam the right picc line has been removed.
|
<unk> year old woman with hodkins and now neutropenic fever. // pna
|
MIMIC-CXR-JPG/2.0.0/files/p14552465/s51317126/64af4716-d3af7097-9bea4d54-f98a04f9-1c0ebf10.jpg
| null |
Single frontal view of the chest was obtained. Single lead left-sided pacemaker is again seen, with lead unchanged in position. There are relatively low lung volumes. Prominence of the central pulmonary vasculature may be due to mild pulmonary vascular engorgement. Cardiomegaly persists. The aorta is calcified and tortuous. There has been interval removal of a right-sided picc. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.
| |
MIMIC-CXR-JPG/2.0.0/files/p12047170/s55989905/02d22527-1b774892-e8416547-f818cb63-a2f6f6cf.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12047170/s55989905/9b174ee3-bb2226bc-bccf1edd-a990942e-b1fe2682.jpg
|
In the left lower lobe, there is a lobulated opacity measuring approximately <num> x <num> cm, possibly continuous with the left hilar structures. The right lung is grossly clear. No pleural effusion or pneumothorax is seen. The heart size is top-normal. The right hilar and mediastinal silhouette is otherwise unremarkable. Compression deformity of t<num> second seen.
|
<unk>f with fatigue. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11296936/s51256839/a7e2ef05-27fad6ee-03885b7a-13dca4af-4d28b779.jpg
| null |
Portable chest radiograph demonstrates a mildly improved lung volumes with redemonstration of diffuse bilateral opacifications most consistent with pulmonary edema and could well represent an element of multifocal pneumona. When compared to most recent radiograph, there has not been a substantial change in severeity of those bilateral opacifications or pulmonary edema. There is no pneumothorax. Heart size is stable.
|
<unk>-year-old male with end-stage renal disease on hemodialysis and new altered mental status. concern for worsening pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12655715/s50560487/25d19805-c9e30bfd-0c65394e-b59e8445-54793bfc.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12655715/s50560487/08c0d250-249b46b0-de75b474-62420b7a-17a7417a.jpg
|
Comparison is made to the prior study from <unk>. The heart size is within normal limits. There is a nodular density particularly over the right mid chest which likely represents a nipple shadow. Rest of the lung fields are clear. There is no focal consolidation, pleural effusions, or signs of pulmonary edema. Bony structures are intact.
| |
MIMIC-CXR-JPG/2.0.0/files/p16117096/s51004485/bbeccc5f-9d107ec6-5aa679d1-6099177f-c3ecbfb9.jpg
| null |
There is no consolidation, pleural effusion or pneumothorax. Incidental note is made of an azygos fissure. Cardiomediastinal silhouette is within normal limits.
|
<unk>-year-old male with intracranial hemorrhage after a fall
|
MIMIC-CXR-JPG/2.0.0/files/p10665897/s50196178/86f79923-f7cb3b44-666c7d7d-047dcd37-fff2fb04.jpg
| null |
Ap portable supine view of the chest. There is a dialysis catheter in place with its tip in the low svc. The lungs appear grossly clear. No supine evidence for effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
|
<unk>f with altered mental status
|
MIMIC-CXR-JPG/2.0.0/files/p11441519/s52352706/c5389f30-80271af4-5f066646-264fc786-ab4d9946.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11441519/s52352706/b50b4e69-adbf2580-f23b1147-74e0e68f-2926fd5e.jpg
|
Median sternotomy wires are intact and stable in appearance as well as prior cabg clips. Moderate right-sided pleural effusion, slightly increased since the prior with adjacent atelectasis. The left lung is clear. The cardiac silhouette is mildly enlarged. No pneumothorax.
|
<unk> year old man with hcv cirrhosis, multifocal hcc (s/p tace x<num> and s/p rfa x<num>, most recently <unk>), recently admitted for post-rfa syndrome with fevers, new right pleural effusion, and possible infiltrated. treated for community-acquired pneumonia. // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p15574665/s59278977/92ee4416-4c5991e4-38b73ac9-3fc4aecb-139b13ac.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15574665/s59278977/24189832-b82e0db1-f22bbf84-eee38683-8f7f7562.jpg
|
Pa and lateral views of the chest provided. Midline sternotomy wires and a prosthetic aortic valve are 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 double vision // thymus mass?
|
MIMIC-CXR-JPG/2.0.0/files/p12051380/s56335532/3873f7c3-cb616612-9c261f17-2ddf67ef-49fbccf7.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12051380/s56335532/61231c76-80cde0ee-b26911a5-a683d3a0-87dda5d8.jpg
|
Mild improvement in moderate right pleural effusion. Right basilar opacification likely atelectasis is stable. Left basilar atelectasis is unchanged. No significant change in the anterior right pneumothorax since <unk>. The cardiac and mediastinal silhouettes are unchanged.
|
<unk> year old man s/p r vats decortication // check interval change
|
MIMIC-CXR-JPG/2.0.0/files/p12333537/s52073740/178dd398-dfe35075-b9367dcc-ebef9b84-3ff652db.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12333537/s52073740/773dd81b-f4350dd8-a7f47ba4-d3b92b57-00c5433c.jpg
|
No focal consolidation, pleural effusion, pneumothorax or pulmonary edema. Heart and mediastinal contours are within normal limits. Deformity of the right acromioclavicular joint appears unchanged compared to <unk>, likely due to remote trauma.
|
<unk>-year-old male with diabetes and chest tightness.
|
MIMIC-CXR-JPG/2.0.0/files/p17006856/s55137955/5fe58909-277faf04-e45d97e4-d4d2dfd8-850f7dad.jpg
| null |
Semi-erect portable chest radiograph demonstrates low lung volumes with bibasilar streaky opacities consistent with atelectasis. No focal consolidations identified convincing for pneumonia. Cardiomediastinal silhouette is stable in appearance. There is no over pulmonary edema. There is no large pleural effusion. Air distended loop of bowel projects over the left upper quadrant as well as right hemi abdomen laterally. No air under the right hemidiaphragm is present. A right picc terminates within the low superior vena cava.
|
<unk>-year-old female with abdominal pain.
|
MIMIC-CXR-JPG/2.0.0/files/p13652979/s53553692/8f98be8e-ddae6f90-bb220df3-93ba3ffc-d6600c65.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13652979/s53553692/3900c664-755193a1-4ca42798-841cfc9f-d42d963b.jpg
|
Borderline enlargement of the cardiac silhouette is present. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy right basilar opacity is new in the interval. Left lung is clear. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are seen in the thoracic spine.
|
history: <unk>f with weakness, left chest rhonchus
|
MIMIC-CXR-JPG/2.0.0/files/p17601511/s52366433/629de963-d72c7d0e-35f3d6ca-71b80bc6-d56789fe.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17601511/s52366433/e2bdb26a-d1404e7d-b5db1e72-b03187ff-dfaf9ef9.jpg
|
The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Bony bridging seen between the second and third ribs on the right is unchanged from <unk> and may represent a developmental process.
|
history: <unk>f with chest pain // eval for acute process
|
MIMIC-CXR-JPG/2.0.0/files/p18284271/s58753567/ba0700a1-5be143ea-d797df97-1420d674-59ce82ec.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18284271/s58753567/1026fb31-00712ecf-0afa6e3c-ead8d560-dbaaf894.jpg
|
Left-sided pacer and dual leads in unchanged position. Sternotomy wires are unchanged. Cardiomediastinal and hilar contours are stable. Bibasilar opacities suggest atelectasis however infection should be considered. No pneumothorax or pleural effusion.
|
<unk>f w/chest pain, chills, please eval for occult pna // <unk>f w/chest pain, chills, please eval for occult pna
|
MIMIC-CXR-JPG/2.0.0/files/p12133655/s56129587/922fd5a7-92ffe5d5-e80cc13f-50fae4d7-43eab3fc.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12133655/s56129587/5285051f-f6cf5dae-eaae8f82-70f09c22-8095d4e2.jpg
|
The cardiomediastinal and hilar contours are normal with calcification of the aortic knob. There has been interval placement of a left pacemaker defibrillator with single lead terminating in the right ventricle. There is no pleural effusion or pneumothorax. Stable fibrotic changes at the left lung base are again present. There is no pulmonary edema or focal consolidation concerning for pneumonia. Cholecystectomy clips are seen in the right upper quadrant.
|
new single chamber icd placement.
|
MIMIC-CXR-JPG/2.0.0/files/p12606543/s59459281/75518b13-94cb35ae-993daec3-0210113b-166e358c.jpg
| null |
Single portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Moderate cardiomegaly is unchanged. There is mild pulmonary edema, slightly progressed since prior. No pleural effusion or pneumothorax is seen. Tracheostomy tube is in place.
|
cough.
|
MIMIC-CXR-JPG/2.0.0/files/p15289580/s56778535/0105fa40-f3f445df-3ddc88ce-2420c892-93312845.jpg
| null |
Ap view of the chest provided. Compared to prior study from <unk>, there is minimal improvement in the right lung base opacity. Degree of pulmonary edema is unchanged. There is no large amount of pleural effusion. Heart size is stably enlarged. Right-sided central line terminates in the low svc.
|
<unk> year old man with pneumonia, worsening hypoxemia
|
MIMIC-CXR-JPG/2.0.0/files/p18253016/s55863361/9486d42d-32db8771-2eca8a4f-fc5adb21-9724e5db.jpg
| null |
As compared to the previous radiograph, the patient has made a greater inspiratory effort. Nevertheless, minimal areas of parenchymal opacities persist at both lung bases. In the appropriate clinical setting, as noted in the previous report, these changes could be indicative of developing pneumonia. Continued followup is required. On occasion of a previous radiograph, the referring physician, <unk>. <unk> <unk> been paged for notification.
|
persistent post-operative fever, evaluation for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p12227694/s53898192/27bb2055-7678c851-07590641-fea883fa-7e23d3ac.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12227694/s53898192/da4b77d4-c2229d3f-e2d0c3ff-89ca99ed-c4d61f17.jpg
|
Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. No acute osseous abnormalities detected.
|
<unk>-year-old female with down's syndrome and known murmur presenting with possible syncopal episode.
|
MIMIC-CXR-JPG/2.0.0/files/p14388229/s50478137/a3dbc293-41e5515b-d3a1a19d-05365bda-4f4a6584.jpg
| null |
The endotracheal tube is within <num> cm of the carina. A nasogastric tube terminates outside the field of view. Bilateral parenchymal opacities with air bronchograms have improved from <unk> at <time>. There is an ill-defined opacity in the right upper lung. Cardiomediastinal silhouette is normal in size. There is no pleural effusion or pneumothorax.
|
cardiac arrest with pulmonary edema. evaluation for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p13193330/s58821570/09ffb05a-b53c56f1-0dd90646-5ef1b914-0bee2937.jpg
| null |
Since <unk>, postoperative changes following thymectomy are noted. Mild pulmonary edema is new. Bilateral chest tubes are noted. Widening of the cardiomediastinal silhouette may be expected postoperatively, however, close attention is recommended on follow up studies to monitor for possible hematoma. There is moderate bibasilar atelectasis and small bilateral pleural effusions. No pneumothorax. Median sternotomy wires are intact and aligned.
|
<unk> year old woman s/p thymectomy // lung reexpansion
|
MIMIC-CXR-JPG/2.0.0/files/p17755234/s57142539/b80a73a7-caea4dbd-9c4a2fab-b19a6289-791aaf97.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17755234/s57142539/e4147b66-5103dfad-c73fa044-444277a2-04bcf41d.jpg
|
Pa and lateral radiographs of the chest demonstrate bilateral perihilar opacities, consistent with mild pulmonary edema. This is coupled with pulmonary vascular engorgement in the upper lobes as well as blunting of the left costophrenic angle, consistent with small pleural effusion. However, the heart and mediastinum are not enlarged. Aside from bibasilar atelectasis, the lungs are clear. There is no pneumothorax.
|
fever and cough.
|
MIMIC-CXR-JPG/2.0.0/files/p15957987/s56694471/4e3ef702-d4d68153-3b777ca0-8007a5fb-0ced6c5f.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15957987/s56694471/27815ab5-4ab5ac07-faf5e35f-4d4b508f-696f97e8.jpg
|
As compared to the previous radiograph, pleural drain on the left is in unchanged position. The extent of the minimal effusion on the left is constant. Also constant is the extent of the retrocardiac atelectasis. On the right, the effusion has minimally decreased in extent, allowing for a better right basal ventilation. Esophageal stent and left cva line are in constant position. No pneumothorax.
|
pleural effusions, evaluation.
|
MIMIC-CXR-JPG/2.0.0/files/p15030244/s54849855/7ef3a293-bccc88c4-1c45d647-884002b8-f89ada35.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15030244/s54849855/6a345f25-9d4446b3-5abddfbd-1b8e0bf1-828feb21.jpg
|
There is a right lower lobe consolidation. There is no evidence for pulmonary edema or pleural effusion. Cardiac, mediastinal, and hilar contours are unremarkable. Mild anterior wedging of multiple mid thoracic vertebral bodies is again seen.
|
history: <unk>f with productive cough and fever x <num> days. . evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p15586265/s52808471/281bc171-ec2f4daa-ef8ba29b-ba1ca040-21e779b7.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15586265/s52808471/735b4dff-1c8d9a90-c276b820-e76bce46-b67ff984.jpg
|
Lungs are hyperinflated. Heart size is mildly enlarged. The aorta is diffusely calcified. Hilar and mediastinal contours are unremarkable. Pulmonary vasculature is not engorged. Blunting of the left costophrenic angle likely suggest the presence of a small pleural effusion. Patchy left basilar opacity could reflect atelectasis, but infection is not excluded. Scarring within the lung apices is symmetric. Mild diffuse interstitial opacities likely reflect chronic interstitial abnormality. There is diffuse demineralization of the osseous structures with loss of height of several thoracic vertebral bodies, of indeterminate age.
|
history: <unk>f with fall, tachycardia
|
MIMIC-CXR-JPG/2.0.0/files/p17116184/s58547911/a3e2f460-259507f6-1d6d019b-ee33613a-de502865.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17116184/s58547911/a4bdcafb-46351ee1-09d92973-ff47ef21-5592806a.jpg
|
The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
|
<unk>f with cardiac rfs and chest pain // eval for pna, pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p12213635/s56357339/9d586deb-ae5149b8-7d7d585e-a779b2b8-522b80fe.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12213635/s56357339/8e782b7e-cec31fb1-cf808ff4-f53b5d65-5c5c81d6.jpg
|
The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no lobar consolidation. There is a diffuse interstitial abnormality, with a reticular an nodular pattern, right greater than left. Views of the upper abdomen are unremarkable.
|
<unk>f with hypoxia at triage, evaluate for pneumonia..
|
MIMIC-CXR-JPG/2.0.0/files/p19550378/s51236191/2ef19415-df1c5a5e-882831b9-145b95f5-44c2fb59.jpg
| null |
Since the prior exam, new pulmonary vascular prominence is noted. There is no overt edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiac size is mildly enlarged, which is new from <unk>. The mediastinal contours are normal. A right internal jugular hemodialysis catheter ends in the low svc.
|
acute hypertensive episode with nausea and vomiting.
|
MIMIC-CXR-JPG/2.0.0/files/p19151600/s57410281/2d48cf30-3da408a6-29351725-cc42744b-08cc031c.jpg
| null |
Interval removal of the endotracheal tube as well as the left chest tube. A gastric tube still extends into the stomach. No discernible pneumothorax is identified. Unchanged opacity in the peripheral left midlung zone. No pleural effusion. The size the cardiac silhouette is unchanged. Interval decrease in the extent of the subcutaneous emphysema over the chest wall and neck.
|
<unk> year old woman with bilateral ptx; s/p left chest tube removal ?ptx?
|
MIMIC-CXR-JPG/2.0.0/files/p17208408/s58473843/7983e12c-0c0b29a2-e4257a93-1153f445-fadfb576.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17208408/s58473843/90b71ce1-a716ad98-8f7a6dfc-78125d03-1d907a3c.jpg
|
Frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. There is no evidence of emphysema or copd, so the presence of hyperinflation is not likely clinically significant. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
|
history: <unk>f with chest pain // eval for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p18128235/s58195290/5e961638-6ea61f54-de554a44-2b03517d-200747c6.jpg
| null |
Since the prior radiograph on <unk>, bilateral pigtail catheters have been placed resulting in interval resolution of pleural effusions. There is no pneumonia, pulmonary edema or pneumothorax. Of note, there are two vertical lines that mimic pneumothorax; however, the presence of lung markings lateral to these lines suggests that they are skin folds. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
|
<unk> year old man with large bilateral effusions s/p bilateral pigtails // ? ptx
|
MIMIC-CXR-JPG/2.0.0/files/p14494681/s59686573/eed47717-4d32e0ee-051daaa1-95bd7b5c-9dad8025.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14494681/s59686573/7da7e461-94325432-8d912088-08a0d8df-be221556.jpg
|
Pa and lateral views of the chest were reviewed and compared to the prior studies. Linear opacities in the left lower lung represent atelectasis; otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Aortic calcifications and mild cardiomegaly are unchanged. There are no concerning osseous or soft tissue lesions.
|
infectious workup in a patient developing diabetic ketoacidosis.
|
MIMIC-CXR-JPG/2.0.0/files/p19299811/s52659003/ab548c46-4496c2b8-3801ff11-d52c3228-ade154d1.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19299811/s52659003/e9b2dff2-00cafc04-24248adb-cda07220-038bb42b.jpg
|
The heart size is top normal. There is mild pulmonary vascular congestion as well as mild pulmonary edema. Opacities are seen at the lung bases bilaterally, increased compared to the prior exam. Small bilateral pleural effusions have also increased compared to the prior exam. There is no evidence of pneumothorax.
|
history of dyspnea. please evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13412512/s53312929/2ff52367-b6cd5735-b71fe63a-a7130c23-5afc4f1a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13412512/s53312929/4c7564ed-16acfad4-5d9b2917-cab5f9a9-6718b6ea.jpg
|
Small left hydro pneumothorax appears grossly stable in size, allowing for differences in technique. Cardiomediastinal hilar contours are stable. The aorta is tortuous. Bibasilar opacities appear unchanged, and again may reflect atelectasis or contusion. Nondisplaced fracture through the lateral left seventh rib.
|
history: <unk>m with ptx // eval changing pneumothorax
|
MIMIC-CXR-JPG/2.0.0/files/p13693875/s51560772/4d9ab7fb-1079a19a-951fcd12-53c9df57-d0f6cf66.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13693875/s51560772/e5d5117a-1b12332c-aae3ef6f-c73f5aa3-67a3e6ea.jpg
|
Ap upright and lateral views of the chest provided. Speckled calcific densities projecting over the upper lungs reflect the presence of numerous calcified granuloma seen on prior exam. There is also calcified pleural plaque seen on prior ct which likely accounts for subtle increased density projecting over the right lung apex. The remainder of both lungs appear clear. There is a ovoid density abutting the right heart border which reflects costochondral calcification. The heart is top-normal in size. The mediastinal contour is unremarkable aside from a mildly unfolded thoracic aorta. No pleural effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
|
<unk>f with dizziness, l hand and leg weakness. h/o stroke in past
|
MIMIC-CXR-JPG/2.0.0/files/p13690559/s59242257/fc9c867c-9f69908a-87fbf2f5-c0b6777d-bacf56c0.jpg
| null |
Compared to the prior study, moderate cardiomegaly is persistent with mild pulmonary vascular congestion and cephalization. No are pleural effusions, focal consolidation, or pneumothorax. Patient is post median sternotomy, with intact median sternotomy wires and unchanged positioning of multiple mediastinal surgical clips. Partial visualization of the irregularity of the left humeral head, similar in appearance since at least <unk>.
|
<unk> woman with <unk> swelling, new flutter, bibasilar crackles. evaluate for pulmonary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p13504255/s51574783/7aedefa1-29a1cffe-0db9e4a5-93b268a7-212b824b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13504255/s51574783/cab8a61c-6982b5d4-32802ff6-c4ce214d-5c488284.jpg
|
The known right rib fractures as well as a small right pleural effusion are not clearly seen on the radiograph and are better assessed on ct chest. There is mild bibasilar atelectasis. The cardiac silhouette is normal. A left chest pacemaker has leads terminating within the right ventricle and the right atrium. There is no pneumothorax.
|
status post fall with right axillary pain, evaluate for rib fractures.
|
MIMIC-CXR-JPG/2.0.0/files/p13300324/s58667789/13f8a513-4c4d536a-f0b13e9b-acdfa718-4dd79f2e.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13300324/s58667789/19c2e9bb-195d9fc1-a9a7022d-aa94a766-7c8ab42b.jpg
|
Ap and lateral views of the chest demonstrate that the lungs are slightly hyperinflated and there is bibasilar scarring, but otherwise they are clear of focal opacities concerning for pneumonia. Surgical clip is noted in the right upper lobe, perhaps from a prior surgical resection. There is no evidence of pulmonary edema. The mediastinum is normal in its size. Once again, there is lucency under the left hemidiaphragm which persists on the lateral view and is most likely due to a portion of colon. Although, if the patient's clinical exam dictates, a left lateral decubitus film would be helpful to definitively rule out free air. Minimal wedging of the mid thoracic vertebral bodies and a kyphosis is also noted.
|
altered mental status.
|
MIMIC-CXR-JPG/2.0.0/files/p11921191/s54291058/aed8a78d-4aaf4d19-a8d9cadb-ba3e4807-c5147dc2.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11921191/s54291058/3ecb27d4-9a504e1f-29b5b9d1-fba47197-6fe90e27.jpg
|
The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes affect the lower thoracic spine. Surgical clips project over the medial left epigastric region.
|
chest pain and shortness of breath.
|
MIMIC-CXR-JPG/2.0.0/files/p17872769/s52468820/491df579-77fc84a5-3b715239-d33f8bcd-dcf11d0a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17872769/s52468820/1c38c731-c11dfcf9-b8458ea5-ce41c98e-52243f4a.jpg
|
Again noted are bibasilar opacities, not significantly changed from the prior radiograph on <unk>. At the right lung base, this appears to be due to a moderately-sized pleural effusion with adjacent atelectasis as seen on the ct abdomen/pelvis. However, underlying infection is difficult to exclude. There is no pneumothorax. Heart size is moderately enlarged.
|
<unk>m with history of worsening shortness o fbreath, diarrhea, abdominal pain // please eval for pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p10958772/s56999877/3cb5dfeb-1d789e7f-4dafc240-2bb3ca6e-7abdb4a9.jpg
| null |
As compared to the previous radiograph, there is no relevant change. The multifocal bilateral parenchymal opacities are constant in extent and severity. Also constant are the pre-described pleural changes. Blunting of both costophrenic sinuses makes the presence of pleural effusions likely. Unchanged appearance of the cardiac silhouette. Lower lung volumes, caused by a lesser inspiratory effort, caused crowding of the vascular structures.
| |
MIMIC-CXR-JPG/2.0.0/files/p10119916/s59045523/998d2d7a-8683fea7-c5faf60d-bf3d912c-23daa54d.jpg
| null |
Since the prior chest radiograph, the dobhoff tube has been removed. Lung volumes are slightly lower, with exaggeration of bronchovascular markings. Diffuse reticular opacities including left lung base consolidation is unchanged, and reflective of underlying interstitial lung disease. No new consolidation. No sizeable pleural effusion or pneumothorax.
|
<unk> year old woman with hx copd, chf, dchf, interstitial lung disease now with worsening sob, crackles on exam // please eval for etiology of worsening sob, crackles on exam
|
MIMIC-CXR-JPG/2.0.0/files/p19088387/s54466702/97dbf971-8a01cc13-a1c4b642-a6f4fe05-1e43a10d.jpg
| null |
Stable, moderate cardiomegaly. Mediastinal and hilar contours are unchanged. Interval increase in bilateral interstitial markings and central ill-defined opacities, more pronounced on the right, suggests worsening, moderate to severe pulmonary edema. Increased, focal opacity in the right apex with silhouetting of the right paratracheal stripe may represent pneumonia or alveolar edema in the right upper lobe. Right upper lobe alveolar edema can be seen in severe mitral regurgitation. Consider echocardiographic evaluation if clinically indicated. New, small, bilateral pleural effusions with increasing atelectasis at the left base.
|
<unk>-year-old woman with a history of diabetes and heart failure, now with worsening hypoxia. evaluate for an acute pulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p16514111/s52518676/66a975bb-698b1bf4-ab336808-bb6046a6-7a8d93fc.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p16514111/s52518676/f1eaaef7-c5822357-789dc4d5-9b5a70e2-534cc0d1.jpg
|
Lung volumes are low. This causes accentuation of the cardiac silhouette size which is likely within normal limits. The aorta is mildly unfolded. Crowding of the bronchovascular structures is noted, but no overt pulmonary edema is seen. Patchy bibasilar airspace opacities could reflect atelectasis in the setting of low lung volumes, but infection cannot be excluded. No pleural effusion or pneumothorax is present. <unk> fudicial seeds are seen within the right upper quadrant of the abdomen, within the liver. Emphysematous changes are re- demonstrated.
|
difficulty walking, facial sensation changes, difficulty speaking.
|
MIMIC-CXR-JPG/2.0.0/files/p13439963/s50849031/66abbdc2-f3a96bbe-0b614f3c-a0ddc9c3-b188efeb.jpg
| null |
New opacification seen in the right middle lobe is consistent with pneumonia. The left lung is clear. The heart is somewhat obscured by new pneumonia but does not appear enlarged. No pneumothorax.
|
<unk> year old woman with fb lung biopsy // ptx?
|
MIMIC-CXR-JPG/2.0.0/files/p10882916/s53964879/0c8c4fb1-2e1936ef-b9d9cef5-e29d590f-92fa9267.jpg
| null |
As compared to the previous radiograph, the patient has received a right central venous stent. The lung volumes are low. The alignment of the sternal wires is unchanged. Both lungs show relatively extensive perihilar areas of atelectasis. These changes, however, do not fulfill the typical morphological criteria for pneumonia. Standing frontal and lateral chest radiographs would be helpful to further assess the lung parenchyma. Intestinal overdistention is visible.
|
questionable pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12666156/s57248089/156536d3-6aa9e40e-a2601e4e-a9fe7cc8-8f485467.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12666156/s57248089/22196cce-38df950d-4184edcd-33f71ec5-44e3d01e.jpg
|
The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. No acute, displaced rib fracture is identified.
|
history: <unk>f with l sided rib pain // l rib fx?
|
MIMIC-CXR-JPG/2.0.0/files/p19759447/s59635434/76b3d1dd-e493fdbf-ff7790af-2e14c250-dfe35b95.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19759447/s59635434/c9b3f039-aac4cc34-7b20a0ed-2fd10b34-fa862cdb.jpg
|
Compared to the prior radiograph, lung volumes are lower, causing bronchovascular crowding. There is left basilar atelectasis. Heart is mildly enlarged, unchanged. There is no new focal consolidation, pleural effusion, or pneumothorax.
|
<unk>f with altered mental status. evaluate for infection.
|
MIMIC-CXR-JPG/2.0.0/files/p13397616/s56066599/7662e244-ec6aae63-724ce217-b95238b8-176084c4.jpg
| null |
As compared to the previous radiograph, the pre-existing parenchymal opacities, accompanied by moderate pleural effusions, are bilaterally increasing in severity and extent. No new opacities. Unchanged retrocardiac atelectasis. Unchanged course of the right-sided picc line.
|
pulmonary fibrosis, chf. evaluation for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p15015358/s54653768/c9a90c2a-96994b48-87e5638c-479abbda-8bdaaa80.jpg
| null |
The patient has been intubated. An endotracheal tube terminates approximately <num> cm above the carina. A right internal central jugular venous catheter terminates in the lower superior vena cava. A feeding tube projects over the left upper quadrant, partly imaged. There is again leftward rotation of cardiomediastinal structures. The aortic arch is partly calcified. The heart borders are indistinct but there is a left ventricular configuration. Left basilar opacification and potentially a pleural effusion persist. Bilateral right mid lung opacities with a fairly peripheral distribution have worsened and raise concern for pneumonia. There is no pneumothorax.
|
hypoxia and tube placement.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.