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/p10514375/s50440981/42a59b2b-f048249f-1beab462-e5e57341-ec7639b4.jpg
null
As compared to the previous radiograph, the left-sided chest tube is in unchanged position. The extent of the pre-existing pleural effusion has slightly increased. As a consequence, there is increased atelectasis at the left lung base. Unchanged appearance of the right hilus. No newly appeared parenchymal opacities suggesting pneumonia.
lung cancer, pleurx catheter, chest tube placement.
MIMIC-CXR-JPG/2.0.0/files/p11319259/s53475120/95957450-98c31a55-f0dc46ad-af0e9308-9c2ab189.jpg
null
Lung volumes are low with increased density at the lung bases, left greater than right, which could represent atelectasis, but infiltrate cannot be excluded. Mild interstitial prominence is noted. No pleural effusion or pneumothorax is detected. Curvilinear density projecting over the left lung field does not follow an anatomic course and therefore is most likely external to the patient. Heart and mediastinal contours are within normal limits
<unk>-year-old female with history of asthma, now with productive cough.
MIMIC-CXR-JPG/2.0.0/files/p14171574/s53173646/62f5ccde-21c7bef1-484dc6a9-6a6d2e63-6ce9e79a.jpg
MIMIC-CXR-JPG/2.0.0/files/p14171574/s53173646/a345ea60-de730b93-e630d419-cda53673-5b1d7172.jpg
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
<unk>m with ili with cough.
MIMIC-CXR-JPG/2.0.0/files/p13738693/s52360433/a59858df-de554454-cb81ae77-002cfe9e-35a82033.jpg
MIMIC-CXR-JPG/2.0.0/files/p13738693/s52360433/b3cbb41f-11f07857-06e44f0c-92dcae9e-b3c3d515.jpg
Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. Curvilinear lucency within the left subdiaphragmatic region could potentially reflect a tiny amount of pneumoperitoneum.
chest pain after vomiting.
MIMIC-CXR-JPG/2.0.0/files/p14781359/s54908829/98e4e4f5-93c5f773-21502dfa-94e7cffd-c235b9b2.jpg
MIMIC-CXR-JPG/2.0.0/files/p14781359/s54908829/601f7505-037a2058-b78cee02-a5adf4d5-540caa7d.jpg
The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are hyperinflated, as on prior. Lungs are otherwise clear without focal consolidation. There is no evidence of pulmonary vascular congestion. Right apical pleural parenchymal scarring is noted, unchanged. A mid thoracic vertebral body compression deformity is unchanged. There is no pneumothorax or pleural effusion.
<unk>f with cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10624765/s55872845/120afee0-4d27e38c-7fc88f01-87d98809-41c87f1b.jpg
MIMIC-CXR-JPG/2.0.0/files/p10624765/s55872845/094b1920-5ebfce2c-d7119849-6d1de19a-db04d2a5.jpg
Frontal and lateral views of the chest were obtained. Wide ap chest diameter is again seen. There are scattered areas of atelectasis/scarring, particularly in the mid-to-lower lung fields. The hilar contours are stable. Cardiac and mediastinal silhouettes are also stable. Degenerative changes are seen along the spine. There is no focal consolidation, pleural effusion, or evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13031024/s59596599/33eed8ee-7e74b8f0-8b703b90-d3d46004-897da399.jpg
MIMIC-CXR-JPG/2.0.0/files/p13031024/s59596599/dd442700-378c2bc0-51f5c77a-a8a31e61-b284e159.jpg
The lungs are well expanded and clear. There has been significant improvement in vascular congestion and mild interstitial pulmonary edema compared with the previous exam. The heart is mildly enlarged, unchanged from prior. Cardiomediastinal and hilar contours are otherwise unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with multiple comorbidities and chest pain for <num> day and cough for several weeks.
MIMIC-CXR-JPG/2.0.0/files/p19607507/s53991469/1c404597-aeb3c3e0-e06b1efc-a67d1cdc-870e4439.jpg
null
Right internal jugular dialysis catheter is unchanged in position in the mid superior vena cava, and right picc is also unchanged in position in the mid-to-lower superior vena cava. Overall appearance of the chest is unchanged since recent study from a few hours earlier.
MIMIC-CXR-JPG/2.0.0/files/p14774414/s53741096/8f83d094-06537ab1-cd948388-cb1917d9-1a3d1a24.jpg
null
In comparison to the prior study, there are minimally increased bibasilar interstitial opacities likely reflecting atelectasis. Otherwise, little interval change. There is upper zone redistribution, unchanged, but no overt chf. No focal consolidation or effusion identified. Triple-lead icd device again noted. (inferior extent of heart and inferior most lead excluded from this film.) there is mild to moderate cardiomegaly, with an unfolded aorta. Calcifications projecting over the left ventricle are suggestive of prior infarction. There is prominence of the pulmonary hila, with a tapered configuration, probably unchanged, which may reflect pumonary hypertension.
congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p15808118/s50527797/de3b7b12-a2288052-09e76dfd-f5621052-e775ec5d.jpg
MIMIC-CXR-JPG/2.0.0/files/p15808118/s50527797/ecd0a7b7-8d2e832b-38a1466a-5c5c6440-6bb259d5.jpg
The lungs are clear. The cardiac silhouette is normal in size. Aorta is tortuous. No pleural effusion or pneumothorax. Spinal rods in unchanged position.
history: <unk>m with severe upper back pain and sob // eval for pna, ptx, widened mediastinum
MIMIC-CXR-JPG/2.0.0/files/p13299965/s52804736/bc3c796e-6d0d50cb-bbda3fad-e5317feb-9129e16e.jpg
MIMIC-CXR-JPG/2.0.0/files/p13299965/s52804736/424512f8-2a1c31d2-9ba3a1a4-63c2f669-1232ca66.jpg
Single ap upright portable view of the chest was obtained. There is bibasilar atelectasis without definite focal consolidation. Right paratracheal opacity likely relates to prominent vascular structures and has been stable as compared to <unk>. The cardiac and mediastinal silhouettes are stable also compared to <unk>. No overt pulmonary edema is seen. No definite fracture is identified.
MIMIC-CXR-JPG/2.0.0/files/p17574863/s56832944/a430c381-0ddee972-26d62f6c-a1dc0a2e-c0b6f3f0.jpg
null
No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.
for liver transplant workup.
MIMIC-CXR-JPG/2.0.0/files/p14094086/s53366259/2f3f0937-d29d350b-242549bf-ad42bb31-0d5f4a4f.jpg
MIMIC-CXR-JPG/2.0.0/files/p14094086/s53366259/9efc5786-813df626-27c0b85a-966ff79b-5a051f09.jpg
Frontal and lateral radiographs of the chest were acquired. A coned-in view of the left lower hemithorax was also acquired, with a radiopaque skin marker in place. Lung volumes are low. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. No displaced rib fractures are identified.
status post mvc with right lower rib pain. assess for fracture. after discussion with the patient, the technologist determined that the patient's rib pain was on the left side and a skin marker was placed at the site of maximal discomfort.
MIMIC-CXR-JPG/2.0.0/files/p14858200/s57356531/6a3e52b2-7a8d9720-09865f76-ed2d8390-2bc9811b.jpg
null
Ap upright portable chest radiograph is obtained. As seen on prior ct, patient is known to have interstitial fibrosis with subpleural fibrosis likely accounting for the increased reticular opacities seen peripherally on the chest radiograph. There is atelectasis versus scarring at the left lung base which appears stable from prior exam. There is no definite sign of a superimposed pneumonia. No pleural effusion is seen. No pneumothorax. Cardiomediastinum appears stable. Bony structures appear intact. Relative deformity of the right distal clavicle likely reflects an old injury.
MIMIC-CXR-JPG/2.0.0/files/p11970980/s54122380/85e65aa4-f96e29e7-3883ea4a-65096104-6f291df4.jpg
null
The overall size of a moderate right-sided pneumothorax appears fairly similar to the recent prior examination, but there is apparent new mild shift of mediastinal structures toward the left. Although this may be an artifact associated with slight differences in orientation of the chest with respect to the film, the appearance raises concern early developing tension pneumothorax. Otherwise, there has been no significant change. Findings discussed at the time of interpretation with ms. <unk> at <time> p.m. By telephone; by that time a chest tube insertion had already been performed to treat the pneumothorax.
status post vsd repair.
MIMIC-CXR-JPG/2.0.0/files/p16571922/s57181400/ea63a9f1-8dff8e66-febac33b-cc677882-d2a59d69.jpg
null
Two frontal images of the chest demonstrate interval removal of the left-sided picc line. There is no pneumothorax or other complication seen. The left ij central catheter remains in unchanged position. There is significant volume loss on the left side again noted. A significant right-sided pleural effusion is again seen, unchanged from previous imaging. A left-sided pleural effusion may also be present. Cardiomediastinal silhouette is obscured by the pleural effusion and lung volume loss.
<unk>-year-old male with pleural effusion and gram-negative rod sepsis.
MIMIC-CXR-JPG/2.0.0/files/p12706984/s54561293/86a893f4-a3c086cf-c5136df2-262748f2-60d34cd7.jpg
null
Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette and pulmonary vasculature. Lung volumes are low. No definite focal consolidation, pleural effusion, or pneumothorax is seen.
history: <unk>m with hypoxia // eval for pna, pulm edema
MIMIC-CXR-JPG/2.0.0/files/p17229045/s55107647/1ae02b37-1c8a013e-3d135b64-70db3080-ed576fb6.jpg
MIMIC-CXR-JPG/2.0.0/files/p17229045/s55107647/a26c8477-03e0fa1f-0d60fd58-fe1068dd-1b1ff05a.jpg
Pa and lateral views of the chest. The previously seen retrocardiac opacity is no longer visualized. The left lung is now clear. Right basilar pleural effusion with underlying atelectasis is unchanged. The cardiomediastinal silhouette is unchanged. The known mediastinal and right hilar adenopathy are not well visualized. No acute osseous abnormalities.
<unk>-year-old female with lung cancer and new fever on chemotherapy.
MIMIC-CXR-JPG/2.0.0/files/p13888167/s59783086/9f1a637e-0c4f7ff6-fb0b3363-55207035-7abfb62d.jpg
null
In comparison with the earlier study of this date, there is little change in the small residual right apical pneumothorax. Otherwise, no change in the appearance of the heart and lungs.
rfa right lung, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18481645/s56984155/5b67969f-b4dffc7d-9f1be571-a3db65fd-875f6ec9.jpg
MIMIC-CXR-JPG/2.0.0/files/p18481645/s56984155/bf1541dd-f757e26e-d3ba4009-0980bd71-2afe3172.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with epigastric chest pain, hx of gastric band who p/w n/v, weakness // eval for effusion, gastric distesnsion
MIMIC-CXR-JPG/2.0.0/files/p13471464/s52360473/bfdf6c1e-02d46c85-b025a6d2-0f0de5de-1c530362.jpg
null
In comparison with the earlier study of this date, the degree of pneumothorax is probably unchanged, considering the differences in patient position. Remainder of the study is also unchanged.
to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10624765/s55097095/defc6d13-e4cd6d3b-d2f1493b-9678c063-319ecb8a.jpg
MIMIC-CXR-JPG/2.0.0/files/p10624765/s55097095/e96c5dcf-c3d50159-63c0f3bd-096331de-ff72feb1.jpg
There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with cough, hemoptysis, asthma // r/o underlying lung pathology
MIMIC-CXR-JPG/2.0.0/files/p13871390/s52410153/d5702d72-0fd24e0c-cec10827-a4020ecc-cf99fe95.jpg
null
Again seen is the small to moderate pneumothorax surrounding the right upper lobe, overall similar in configuration to the prior study. The densely opacified rind of right lung apex is now better aerated. Again seen are intra bronchial valves, right mid lung chain sutures, and a right-sided chest tube. Also again seen is the right perihilar opacity and triangular right infrahilar opacity as well as blunting of the right costophrenic angle. Background parenchymal and bullous changes noted. The mediastinum were remains relatively midline. On the left, the appearance is overall similar, with extensive apical bullous change and parenchymal opacities and probable slight superior hilar retraction. There is a focal irregular opacity measuring approximately <unk> x <num> mm. Although this was less apparent on the prior cxr, it has a corresponding abnormality on the <unk> chest ct. There is slight blunting of left costophrenic angle which appears new. Minimal atelectasis/ scarring at the left lung base and no gross left pleural effusion.
<unk> year old man with pneumothorax // ?follow pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p10598267/s54076445/6fcb89e0-b0cf13f4-0befbbee-0a6fc4a2-15e73dc1.jpg
MIMIC-CXR-JPG/2.0.0/files/p10598267/s54076445/db3e14df-641b38e4-c995291a-3550c9cb-959d6a36.jpg
Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again seen with a left chest wall aicd with leads extending to the region the right atrium and right ventricle. Overall the appearance of the chest is unchanged with severe pulmonary a edema, small bilateral pleural effusions. No pneumothorax. Bony structures intact. Cardiomediastinal silhouette unchanged.
<unk>m with cp // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p16316828/s58642086/c25f3b0b-830439d4-f8d05ece-49faa849-3749d98c.jpg
MIMIC-CXR-JPG/2.0.0/files/p16316828/s58642086/b00ba405-f8466a5a-e10d9ca9-9b78f505-c5641f61.jpg
As compared to the previous radiograph, there is no relevant change. Status post sternotomy. Severe cardiomegaly with fluid overload and right pleural effusion as well as subsequent atelectasis. The rounded opacity described on the previous chest x-ray is still visible, projecting over the ventral parts of the fifth right rib. The opacity is constant in size and morphology. The constant projection over the rib suggests a bony island of the rib. To exclude that the lesion corresponds to the nipple, a repeat radiograph with nipple marker should be performed. No pneumonia, no pneumothorax.
hemodialysis, incidental nodule on chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p12645992/s54300494/c2e81034-89175728-85aeeae0-23d24a50-b0587921.jpg
null
A left pectoral pacemaker with <num> leads terminating in the right atrium and right ventricle is unchanged. A right pleural pigtail catheter is unchanged in position between the right lateral <unk> and <num>th ribs. There is improved aeration of the right lung base and improved inspiratory effort compared to the most recent prior study. No residual right pleural fluid is noted. There is persistent blunting of the left costophrenic angle compatible with small left pleural effusion. No definitive evidence of pneumothorax is seen. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardio mediastinal silhouette is incompletely evaluate. The mediastinal and hilar contours are within normal limits with unchanged rightward deviation and kinking of the trachea in the upper mediastinum.
history of chf status post right thoracentesis with pleural pigtail catheter in place, here to evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p10858046/s53845605/28d8198c-170064e2-6f800c96-3055ff40-0d441ca1.jpg
MIMIC-CXR-JPG/2.0.0/files/p10858046/s53845605/5e47d8bd-1624ac81-22bc728e-f2955ce8-f5008c01.jpg
The cardiomediastinal and hilar contours are within normal limits. Lung volumes are slightly low. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Fusion hardware projects over the cervical spine.
history: <unk>m with diverticulitis, worsening pain // evaluate for abdominal free air
MIMIC-CXR-JPG/2.0.0/files/p17652927/s51677653/ead356c5-7ee4682e-1052e926-6ce45b12-360feba1.jpg
MIMIC-CXR-JPG/2.0.0/files/p17652927/s51677653/a6d3878e-b51e7c80-2b13e02a-82455473-dadf610e.jpg
There is moderate cardiomegaly, mild vascular congestion, but no pulmonary edema,, increased since <unk>. An icd pacemaker lead ends in the right ventricle. The right picc line ends at the cavoatrial junction.
<unk>-year-old patient in severe chf.
MIMIC-CXR-JPG/2.0.0/files/p19769905/s59767776/3e8163d6-6ab1a900-b0fa14fd-c06db6bc-034f0da3.jpg
null
A nasogastric tube is seen extending below the diaphragm positioned appropriately within the stomach. The stomach demonstrates significant distention, consistent with patient's known small bowel obstruction. Heterogeneous opacities at the right lung base and more confluent left basilar opacification is likely secondary to atelectasis, and overall similar to the prior exam. There is no large pleural effusion. There is no evidence of pneumothorax. Cardiomediastinal contours are stable compared to exams dated back to at least <unk>.
history of ng tube placement. please evaluate ng tube position.
MIMIC-CXR-JPG/2.0.0/files/p17394909/s50717825/4d2f6ea1-23b28d89-f27f37db-6f484247-b423e1a5.jpg
MIMIC-CXR-JPG/2.0.0/files/p17394909/s50717825/baa7d780-d0232670-7fc7763d-5ada686b-655f6bdb.jpg
Lungs are hyperinflated. The heart size is normal. The thoracic aorta is diffusely calcified but not dilated. New ill-defined opacity within the left upper lung field is concerning for pneumonia. Minimal linear and patchy opacity in the right lung base may reflect scarring. There is no pulmonary vascular congestion or pleural effusion. No pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine with s-shaped scoliosis of the thoracolumbar spine. Partially imaged is cervical spinal fusion hardware.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p12240747/s56441141/31ee7bed-c98bf180-8f8e26d7-47bf6676-31d2a2d5.jpg
null
Cardiomediastinal contours are stable in appearance with persistent marked widening of the azygos contour. Persistent pulmonary vascular congestion and peribronchial cuffing accompanied by slightly improving perihilar edema. Large right and small to moderate left pleural effusions may also be slightly improved. Diffuse haziness in the upper abdomen suggestive of ascites, and note is also made of moderate gastric distention.
MIMIC-CXR-JPG/2.0.0/files/p15696627/s54805250/03be8a7e-420d2da9-6e8437bf-0919d929-8bd2f18c.jpg
MIMIC-CXR-JPG/2.0.0/files/p15696627/s54805250/c4450a48-e8359540-6a504919-0377aeb1-ac53c140.jpg
As compared to the previous radiograph, the pre-existing pleural effusions have completely resolved. No pleural effusions on today's radiograph. Minimal scars at the left lung bases but otherwise normal chest radiograph without evidence of pneumothorax or acute lung changes. Normal size of the cardiac silhouette.
status post left lower lobe wedge resection, followup.
MIMIC-CXR-JPG/2.0.0/files/p19419083/s56242540/e56dbfcf-3eb84505-7766edca-eddee5ba-4af73a66.jpg
MIMIC-CXR-JPG/2.0.0/files/p19419083/s56242540/b5c913e8-e2990586-cb3a49b9-ab9f596a-92a7a83f.jpg
Since the chest radiographs obtained <unk>, the small left pleural effusion has decreased in size. Tiny right pleural effusion small if any. Moderate to severe cardiomegaly is unchanged without pulmonary vascular congestion or pulmonary edema. Lungs are fully expanded and clear without consolidations. Aortic knob is heavily calcified. Cardiomediastinal and hilar silhouettes are otherwise normal.
<unk> year old woman with copd, afib, dementia with worsening cough // ? pna
MIMIC-CXR-JPG/2.0.0/files/p16609565/s55622678/e9018a5b-613ec9fc-9228fb05-047935bb-dc33c771.jpg
MIMIC-CXR-JPG/2.0.0/files/p16609565/s55622678/c1bc669b-90e93e06-6a62b04a-ffcdff3f-c871d3c4.jpg
Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. Linear opacities at the left lung base likely represent plate-like atelectasis. There is no pulmonary edema. Hilar and mediastinal silhouettes are unchanged. The heart size is top normal. Partially imaged upper abdomen is unremarkable.
patient with confusion, hepatic encephalopathy.
MIMIC-CXR-JPG/2.0.0/files/p11419994/s55107471/662b337f-d8247278-ecfbdb38-debb18c7-422056b5.jpg
null
There is increase in the amount of linear atelectasis in both lower lungs. No new infiltrate is seen. There is no effusion.
<unk> year old man with <unk> y/o male s/p left temp meningioma resection in <unk>, s/p xrt, c/b seizure disorder presents for crani for invasive monitoring implants // fever <num>
MIMIC-CXR-JPG/2.0.0/files/p10263569/s55275753/843fdf35-52ff3129-441383c8-71560863-70daba27.jpg
null
As compared to the previous radiograph, the tip of the picc line now projects over the mid-to-lower svc. There is no evidence of complications, notably no pneumothorax. The transparency of the lungs at the level of the left lung base has substantially improved.
picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p10355745/s59165782/9747139b-50b6066e-e85768ba-80fb0d03-33cec2c9.jpg
null
Lungs are fully expanded and clear. Heart size top normal. No pleural abnormality. Tracheostomy tube is midline. As reported on <unk> for the tracheostomy cuff distends the trachea, and warrants clinical evaluation.
<unk>-year-old female with polymyositis, ventilator dependent, for a muscle biopsy.
MIMIC-CXR-JPG/2.0.0/files/p18862842/s57474818/1247e159-f1e6af07-fde99679-74cca62c-0d085b91.jpg
null
As compared to the previous radiograph, the endotracheal tube was advanced. The tip now projects <num> cm from the carina. Endograft in the proximal descending aorta. Mild cardiomegaly, mild fluid overload. Small bilateral pleural effusions with subsequent atelectasis of the basal lung areas.
type b aortic dissection, evaluation for endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p10803413/s53408340/b3f53d08-d36517a9-f5594486-ae2a6d72-cc179bf9.jpg
null
An indwelling catheter is present, with tip over proximal/mid svc. There are low inspiratory volumes. There are diffuse increased interstitial markings in both lungs. There are some more patchy confluent areas at the right and left bases medially. Probable air bronchograms at the left base. There is possible trace pleural fluid at the right costophrenic angle and a small left costophrenic effusion. The cardiac silhouette is obscured by the surrounding opacities, but is likely not enlarged. Possible prominence of the left hilum.
short of breath, question pneumonia. chest, single ap portable view.
MIMIC-CXR-JPG/2.0.0/files/p16907098/s58206505/719efac7-1f6c0f65-f0b98110-2812a566-1a914f71.jpg
null
In comparison with the study of <unk>, the monitoring and support devices remain in place, as do the leads of a dual-channel pacer device. Low lung volumes are again seen, accentuating the enlargement of the cardiac silhouette. The degree of perihilar opacification has decreased, consistent with some improvement in the elevated pulmonary venous pressure. Retrocardiac opacification could well represent atelectasis, but in view of apparent air-bronchograms, superimposed infection should be seriously considered in the appropriate clinical setting. On the ct subsequently performed, hilar adenopathy was demonstrated.
hemoptysis with intubation for airway protection.
MIMIC-CXR-JPG/2.0.0/files/p11344441/s52585525/589df93a-57b6e051-4cec8a03-54ca5edf-bbb51980.jpg
MIMIC-CXR-JPG/2.0.0/files/p11344441/s52585525/6f74fbb6-10d4bd17-e5048180-6919605a-defe779f.jpg
Pa and lateral chest radiographs were obtained. Moderate bilateral pleural effusions are similar in size since <unk>. Moderate to severe cardiomegaly is unchanged. Extensive mitral annular calcifications and aortic arch calcifications are unchanged. A partially fluid-filled hiatal hernia is stable.
cough and wheezing.
MIMIC-CXR-JPG/2.0.0/files/p11970980/s50035315/8d1142c6-07bbdfff-a88e0c6e-922d374d-0bd37e7e.jpg
null
In comparison with the earlier study of this date, the right picc line now terminates in the mid-to-lower portion of the svc. Otherwise, little change.
picc line pulled back.
MIMIC-CXR-JPG/2.0.0/files/p18341342/s53622955/1ff6485f-55f21492-ef2ca05d-e88c7300-691f0afc.jpg
null
Following recent right thoracentesis, a right pleural effusion has decreased in size, with residual moderate right pleural effusion, which appears partially loculated. A small lucency within the area of pleural fluid may reflect a small loculated hydropneumothorax, but there is no substantial apical pneumothorax. Cardiomediastinal contours are within normal limits. Bibasilar areas of atelectasis have slightly improved since the previous study. Small left pleural effusion is also demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p16381749/s55657306/897fadae-710c278d-4aae3fab-4d1c7d77-bdc9ef19.jpg
MIMIC-CXR-JPG/2.0.0/files/p16381749/s55657306/14f33097-a26c1caf-d63f002a-9134fa85-e1ae7601.jpg
Mild left lower lobe opacity is suspicious for pneumonia. There is no pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with chest pain, hemoptysis*** warning *** multiple patients with same last name! // please eval for infiltrates
MIMIC-CXR-JPG/2.0.0/files/p19454724/s55478971/117b3b47-facd2caf-7820bf0b-57edf768-b44518b4.jpg
null
Bilateral chest tubes are directed superiorly. An endotracheal tube is <num> cm above the carina and should be advanced for proper positioning. Enteric tube terminates within the stomach. A right subclavian catheter terminates in the upper svc. There is a small right apical pneumothorax and probable small left pneumothorax. There is no pleural effusion. There is collapse of the left lower lobe. Capping of the left apex may represent pleural fluid or extrapleural hematoma. Multiple right rib fractures and bilateral scapular fractures are better seen on the trauma ct torso.
evaluate for change in pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10923152/s52078849/70e76f9a-83b24388-094157a6-24de53f1-dc56bb64.jpg
null
In comparison with the study of <unk>, the endotracheal tube has been removed. There remain diffuse bilateral pulmonary opacifications consistent with severe pulmonary edema. Obscuration of the hemidiaphragms, especially on the left, is consistent with layering effusions and compressive atelectasis at the bases.
shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13294014/s54817918/81efac28-4ff97e26-e3b232ed-39495687-8988bf7e.jpg
null
The aorta is calcified and unfolded. Prominence of the ascending aorta is seen and underlying aortic aneurysm is not excluded. Findings could be further assessed chest ct. No priors available for comparison. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged.
history: <unk>m with fatigue // pna?
MIMIC-CXR-JPG/2.0.0/files/p14877188/s53674880/ef2a238b-65e4d493-55c90292-eb23517a-3337c936.jpg
MIMIC-CXR-JPG/2.0.0/files/p14877188/s53674880/358d6671-b9167ff9-65e3408d-8ed95819-59cb98b5.jpg
There has been no significant interval change from the prior study. There is mild enlargement of cardiac silhouette which is stable. The mediastinal and hilar contours are unchanged, with tortuosity and calcifications of the thoracic aorta again noted. Fullness of the right paratracheal stripe is also unchanged, and compatible with tortuous vessels and mediastinal lipomatosis as demonstrated on prior chest ct from <unk>. There are persistent bibasilar airspace opacities. Lateral pleural thickening at the lung bases is unchanged. There is no pulmonary edema, pleural effusion or pneumothorax. Degenerative changes in the thoracic spine are again noted.
subjective fevers, shortness of breath, crackles at the bases.
MIMIC-CXR-JPG/2.0.0/files/p17250375/s51602363/9335cb35-84f02e8c-bcdb84dc-5dbf35da-ea80e68f.jpg
null
Since prior, right pleural effusion is less prominent. Improved right basilar opacity. Improved left lower lobe consolidation. Heart size, pulmonary vascularity has improved. No pneumothorax.
<unk> year old man with hx of aspiration pna now desating into <num>s // ?aspiration, mucus plugging
MIMIC-CXR-JPG/2.0.0/files/p10678758/s53196762/9221a25e-61f9c38e-c10cad01-dd3d67c3-faeb3a6a.jpg
null
The tip of the right subclavian picc line appears to be in the right atrium. Mediastinal drains or possibly chest tubes are seen bilaterally, though there is no evidence of pneumothorax. Lower lung volumes are associated with mild atelectatic changes at the left base.
post-operative picc line.
MIMIC-CXR-JPG/2.0.0/files/p19729398/s58647499/0c828b43-9cd27c98-a1031a7f-555a519c-8b451d10.jpg
MIMIC-CXR-JPG/2.0.0/files/p19729398/s58647499/f30551c0-c5c0e42d-a54b637b-73e0cbf9-4c325a30.jpg
Frontal and lateral views of the chest were obtained. Elevation of the minor fissure indicating volume loss, may be slightly increased. Right upper lung opacity is again seen, although slightly less confluent as compared to the prior study. Known right upper lobe mass widenes the mediastinum, although to a lesser extent. There is a small-to-moderate right pleural effusion and a small possible trace left pleural effusions with overlying bibasilar atelectasis. The patient is status post median sternotomy and cardiac valve replacement. Left base opacity has also decreased in the interval. Cardiac silhouette remains mildly enlarged. No overt pulmonary edema is seen.
MIMIC-CXR-JPG/2.0.0/files/p17938416/s57910699/3b951c1b-e34314b7-163ecd87-7dc40a3e-451cc02e.jpg
MIMIC-CXR-JPG/2.0.0/files/p17938416/s57910699/70b6ecab-39f19a90-fc08394d-b872a8f5-c2099e9f.jpg
Compared to the prior study there has been some interval partial re-expansion of the left lower lobe. However there continue to be multiple areas of subsegmental atelectasis in the left lower lobe the right lung is clear. Picc line tip is in the distal svc.
<unk> year old man with ?esophageal perf // ?pneumomediastinum
MIMIC-CXR-JPG/2.0.0/files/p17437969/s58297118/2cadf9bf-62a8948b-184949bf-c37fab93-9f1f7742.jpg
MIMIC-CXR-JPG/2.0.0/files/p17437969/s58297118/11d9cf25-cc8d0215-431a2675-33424e73-9f6ac7f5.jpg
The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p13208527/s56807739/21b89ee7-a1603490-f3ad88b9-44f749db-262c396b.jpg
MIMIC-CXR-JPG/2.0.0/files/p13208527/s56807739/7748bfe4-0f2144e6-48481815-5ca3121c-3ca0eeee.jpg
The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18783312/s59548801/a0c2420a-571093bf-85ce8c6d-1ebe20e9-2b517e99.jpg
MIMIC-CXR-JPG/2.0.0/files/p18783312/s59548801/9fe5f50c-b3b846a6-da116496-969d70d0-69dcc9dd.jpg
Ap upright and lateral views of the chest provided. The patient's chin obscures the apices and superior mediastinum somewhat. Allowing for this, the lungs appear clear. No large effusion or pneumothorax. The cardiomediastinal silhouette appears grossly within normal limits. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>m with confusion, general weakness, liver pt
MIMIC-CXR-JPG/2.0.0/files/p15833413/s58405419/7597c267-dc1f0ec1-4fd0d887-ce88254d-a6a8b079.jpg
MIMIC-CXR-JPG/2.0.0/files/p15833413/s58405419/efdfd1e5-921da5dc-57c510ab-157af5e3-3901bf06.jpg
Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Just superior to the right minor fissure is a focal opacity, likely within the anterior segment of the right upper lobe. There is also a focal opacity overlying the left heart border, likely within the lingula. There may also be more diffuse reticular opacities throughout the lungs. There is no pleural effusion or pneumothorax. A wedge compression deformity of the l<num> vertebral body is unchanged.
cough x<num> month. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13190842/s51836490/58969388-b8a1d9c8-8a05f7f5-2929bf95-6ca82715.jpg
MIMIC-CXR-JPG/2.0.0/files/p13190842/s51836490/45cf7e62-5252fd0e-674b3730-6ce88435-05846ed9.jpg
Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Subsegmental atelectasis is noted in the right lower lobe. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with dyspnea, cough
MIMIC-CXR-JPG/2.0.0/files/p14988548/s55840185/0dd576e2-b79d1cf7-4627f156-7d868e80-366afe9e.jpg
MIMIC-CXR-JPG/2.0.0/files/p14988548/s55840185/61e4cdbe-8a42bdea-f41fbfc2-cace3e33-6d1ba258.jpg
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11043060/s50050166/7bff0236-ac6d1134-cb0c2368-a3a3bd01-8e1a6347.jpg
MIMIC-CXR-JPG/2.0.0/files/p11043060/s50050166/2acefca8-23ecd1d4-081bf2f5-c638eae8-7db6c2b0.jpg
Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
cough and fever.
MIMIC-CXR-JPG/2.0.0/files/p18280519/s59261138/06a2276a-86c7c7cc-a2dc85c4-455831f7-f4cef26f.jpg
MIMIC-CXR-JPG/2.0.0/files/p18280519/s59261138/8a2a1ece-44419b4a-f03a85a0-5b62275e-d270a9e3.jpg
Patient's condition required examination in sitting position using ap frontal and left lateral views. Analysis performed in direct comparison with the next preceding portable chest examination of <unk>. During the interval, the previously present right-sided pleural chest tube has been removed. Can now identify thickened pleural space along the right lateral chest wall extending into the apical area. A pneumothorax cannot be identified. There is no evidence of mediastinal shift. Left-sided port-a-cath system and evidence of orthopedic stabilization device in lower cervical spine as before. The lateral view is markedly underexposed but it can exclude any massive pleural effusion collecting in the posterior pleural sinuses.
<unk>-year-old female patient status post tracheoplasty, check interval change.
MIMIC-CXR-JPG/2.0.0/files/p14824046/s54155128/879bcb49-1e9850b5-66594f30-6d4ae3f1-73ac0fb8.jpg
MIMIC-CXR-JPG/2.0.0/files/p14824046/s54155128/36de7b25-ef3c51c0-99f159dc-0e45d0ae-0dae4939.jpg
Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16934248/s51600604/50cd3b70-9f5deacb-e3599d61-9f5d2926-dcb9b28c.jpg
MIMIC-CXR-JPG/2.0.0/files/p16934248/s51600604/7a64b775-21e8d72a-c99ea93c-56b785f4-58b7729b.jpg
The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. Moderate unfolding of the thoracic aorta appears similar. The mediastinal and hilar contours appear unchanged. Right-sided rib deformities appear stable. Patchy left basilar opacities are compatible with minor atelectasis or scarring with no evidence for superimposed acute disease. There is no pleural effusion or pneumothorax. Small-to-moderate osteophytes are similar along the mid-to-lower thoracic spine.
MIMIC-CXR-JPG/2.0.0/files/p12717357/s55342779/6d38cfcc-0b2ab376-526da941-26b16516-7fad1386.jpg
MIMIC-CXR-JPG/2.0.0/files/p12717357/s55342779/bdb019ec-f4096de5-d9981261-b54222e7-70b75b55.jpg
The lungs are well expanded. There is a retrocardiac opacity which can be confirmed with a spinal sign in the lateral view and is obscuring the posterior margin of the left hemidiaphragm. No other focal opacities are noted. Heart size cannot be accurately assessed in this ap view, but the heart appears mildly enlarged. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10541652/s59187821/bca18d8c-e9e0f505-eb75503a-c006dc28-1df5206d.jpg
MIMIC-CXR-JPG/2.0.0/files/p10541652/s59187821/c98be3bf-a1cc3f36-0c178319-e965a0fe-18c95c4b.jpg
Pa and lateral views of the chest. Since prior there has been resolution of the right anterior pleural-based density which was likely a hematoma. Biapical scarring right greater than left is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is unchanged. Osseous structures demonstrate no acute abnormality. Presumed coils seen in the anterior chest wall.
<unk>-year-old male confusion.
MIMIC-CXR-JPG/2.0.0/files/p17912822/s57450017/e8178dbf-1836e0c8-f4af10ed-f5aacfd2-797c436f.jpg
null
All the monitoring devices are unchanged, in particular right subclavian picc ends in atriocaval junction. Et tube ends at <num> cm from carina and should be pushed down <num>-<num> cm. Ng and dobhoff tube ends in mid gastric cavity, the tip of the dobhoff tube is not visualized. Lungs are moderately inflated, with no focal consolidation, except for a small bibasilar linear opacity likely for minimal atelectasis, especially to left. There is increased vascular congestion, which is small. Cardiac size is normal. There is no pleural effusion or pneumothorax.
<unk> years old man with subdural hematoma, herniation, intubated, evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11526341/s51415666/4aee798a-f8177eb7-12fb78da-4a1b6ce9-e68be504.jpg
null
No previous images. Apparent enlargement of the cardiac silhouette most likely reflects a combination of supine portable and lordotic position. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
alcohol intoxication.
MIMIC-CXR-JPG/2.0.0/files/p16654740/s56559447/1ff25c48-403a97b2-75959d4b-9a3a0a70-2ee70e03.jpg
null
Single frontal view of the chest demonstrates the et tube <num> cm above the carina. An enteric tube extends inferiorly into stomach and out of view. Cardiomegaly is redemonstrated. Pulmonary edema is worse. There is now increased right pleural effusion, which may obscure underlying consolidations. Again seen is a lentiform opacity in the left base which could be in part due to prominent pericardial fat pad, but could be further assessed with dedicated pa and lateral radiograph as previously recommended once patient is able.
<unk>-year-old male with intubation.
MIMIC-CXR-JPG/2.0.0/files/p14399852/s58848550/d4c6eab5-f85f0fb5-d39ea13f-357f67da-266eff0e.jpg
null
Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding ap and lateral chest examination <unk> <unk>. Comparison of the frontal images demonstrates significant reduction of the right-sided basal density indicative of some successful thoracocentesis. There is no evidence of any pneumothorax in the apical area. There is also some evidence of blunting of the left lateral pleural sinus. The absence of a lateral view makes it difficult to assess the amount of pleural effusion. With the exception of a linear plate density on the right base suggestive of a plate atelectasis, there are no new pulmonary abnormalities.
<unk>-year-old male patient with right-sided effusion and right-sided pneumonia, status post pleural effusion, evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19615131/s50604404/6e431965-e3fa1314-dedcfb3c-bb6b580e-351e80e0.jpg
MIMIC-CXR-JPG/2.0.0/files/p19615131/s50604404/7fc2b313-fe6b3278-11a49397-d5a18c0c-694c6bbf.jpg
Pa and lateral chest radiographs demonstrate retrocardiac opacity which corresponds to opacities projecting over the lower lumbar spine on the lateral view worrisome for airspace disease and infectious process. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Eventration of the right hemidiaphragm is noted.
history: <unk>m with cough, congestion, chills, malaise for <num> weeks. crackles left base worse than right // consolidation
MIMIC-CXR-JPG/2.0.0/files/p11044484/s51963119/8d31c7ed-32257762-ad346c86-1fe823f2-50c4fe11.jpg
null
The ett terminates <num> cm above the carina. Sternotomy wires are intact and appropriately aligned. The patient is status post aortic valve replacement and mitral valve clipping. There is a ng tube, which courses below the diaphragm, although the tip is not visualized on these images. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with mitraclip procedure today now intubated for lv air retention post-procedure. please confirm ett placement. // eval ett placement -- patient must stay flat
MIMIC-CXR-JPG/2.0.0/files/p18754894/s55165208/5751439a-1e52adb7-8e59d7cb-b85ea688-93de8b6d.jpg
MIMIC-CXR-JPG/2.0.0/files/p18754894/s55165208/ddd1bcb2-6d945187-a0e50eb9-333eb473-8eb352f2.jpg
Frontal and lateral views of the chest are obtained. There is a subtle ill-defined area of linear opacity at the lingula, also seen on the prior study, likely corresponds to atelectasis/scarring also seen on chest ct <unk> <unk>. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Multiple old left-sided rib deformities are again seen.
MIMIC-CXR-JPG/2.0.0/files/p15328565/s54911978/076985ac-5ddb715c-ab31ace5-44a84261-4088ce1b.jpg
MIMIC-CXR-JPG/2.0.0/files/p15328565/s54911978/31db8d45-1865de7a-200c2142-4ca97c14-95c5fc69.jpg
Ap upright and lateral views of the chest provided. Patient is status post right lower lobectomy with associated volume loss in the right lower lung. The lungs appear clear without focal consolidation, large effusion or pneumothorax. Overall, the cardiomediastinal silhouette appears unchanged though effacement a right heart border somewhat limits assessment. Bony structures are intact. No free air below the right hemidiaphragm. Previously noted subcutaneous emphysema along the right lower lateral chest wall has resolved in the interval.
<unk>m with rll lobectomy <unk> with right lower chest pain, failure to thrive.
MIMIC-CXR-JPG/2.0.0/files/p15825343/s53418427/a2c90096-6cba92d9-37aa7da2-5bda366f-dce3c987.jpg
MIMIC-CXR-JPG/2.0.0/files/p15825343/s53418427/55995b0c-77511c1c-12fb244c-b5967d5f-186b6258.jpg
Frontal and lateral views of chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Lower thoracic and upper lumbar spinal fusion construct with pedicle screws and vertical fusion rods is incompletely imaged but in similar position to <unk> without evidence of hardware complication. A mid thoracic vertebral body wedge compression deformity is similar to prior. Chronic left rib deformities are also similar to prior.
mechanical fall. evaluate for fracture.
MIMIC-CXR-JPG/2.0.0/files/p16314105/s59288541/6823b33a-f66e77e5-2176d088-6bb5fb8b-62585956.jpg
MIMIC-CXR-JPG/2.0.0/files/p16314105/s59288541/d8b1e6dd-91d95645-28e8bc0a-ff28259a-dc40e147.jpg
The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Calcific density projects over the right lateral second rib compatible with a bone island.
<unk>f with syncope // acute process?
MIMIC-CXR-JPG/2.0.0/files/p12279260/s59317536/78fc8daa-f14c1614-3f3f64d5-e2a21f9a-87c3030a.jpg
MIMIC-CXR-JPG/2.0.0/files/p12279260/s59317536/0e04a54d-db88d811-802f5d64-26157b8e-5d345145.jpg
Heart size is normal. Calcified left hilar lymph node and calcified nodule in the left mid lung field are unchanged, compatible with prior granulomatous disease. Aortic knob calcifications are present. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Right basilar and left lateral pleural calcifications are present suggestive of prior asbestos exposure. No focal consolidation, pleural effusion or pneumothorax is seen. Patchy opacities in the lung bases likely reflect atelectasis. There are mild degenerative changes in the thoracic spine.
history: <unk>m with weakness, fever // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p15026553/s53389485/00ae944c-cf3a8fef-10443372-1cc00d3b-295a9771.jpg
MIMIC-CXR-JPG/2.0.0/files/p15026553/s53389485/6cf71656-042a5a90-2bc628d5-acafba36-c4eb1e5a.jpg
Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.
abdominal pain
MIMIC-CXR-JPG/2.0.0/files/p12469262/s53404360/c9705d65-a56f446d-75ad552b-e44fcba6-3bbaa0b5.jpg
null
Portable ap semi-erect view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends <num> cm above the carina. A dobbhoff tube ends in the stomach. A right internal jugular line ends in the upper to mid superior vena cava and a large bore tunneled right internal jugular central venous catheter ends in the low superior vena cava. Lung volumes have improved and left lower lung parenchymal opacities have decreased. The right lung is clear. Normal heart, pleural and mediastinal surfaces.
evaluation for interval change in a patient with respiratory failure.
MIMIC-CXR-JPG/2.0.0/files/p19562787/s53965233/972ed529-a32ad388-b0f9c959-41bcc0ac-70abb1e5.jpg
null
Again seen is a large left upper lobe mass abutting the mediastinal border measuring approximately <num> cm in the cc direction, perhaps slightly increased since the prior studies. There are no pleural effusions or pneumothorax. The right lung is predominantly clear. The cardiomediastinal silhouette is unchanged. Imaged upper abdomen is unremarkable. There is stable elevation of the left hemidiaphragm. Multiple old healed rib fractures are again noted.
<unk>-year-old male with dyspnea and lung cancer.
MIMIC-CXR-JPG/2.0.0/files/p14004638/s55611156/c174862c-456d0b72-eabd4310-31a25960-2ef8ea2a.jpg
null
The ett terminates <num> cm above the carina. The ng tube curls in the stomach. Low lung volumes. There is bibasilar atelectasis, left worse than right. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with question seizures intubated for airway protection // interval change
MIMIC-CXR-JPG/2.0.0/files/p11158097/s58807920/9fedfb60-18a9e8f6-8bb5182d-6593eb29-9c553fce.jpg
MIMIC-CXR-JPG/2.0.0/files/p11158097/s58807920/14b24284-d16f66a1-19822894-75ff564f-f9b83a39.jpg
Lateral left basilar opacity is stable from the least <unk>, likely atelectasis/ scarring. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are stable.
history: <unk>m with weakness // evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p15877362/s53799068/0ad76605-dfadc127-f2c085db-d84ed5e7-caa5d496.jpg
MIMIC-CXR-JPG/2.0.0/files/p15877362/s53799068/bb00dc62-62894783-c1881f47-826e93ed-1b0b3077.jpg
Heart size is normal. There is calcification of the aorta, indicating atherosclerosis. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. There may be slight blunting of the costophrenic angles. No pneumothorax is seen. There are no acute osseous abnormalities. Again seen is a partially visualized sclerotic, nonaggressive appearing lesion in the right proximal humerus, likely representing an enchondroma with bone infarct considered less likely. Degenerative changes of the visualized thoracolumbar spine.
history: <unk>f with cough. evaluate for pna
MIMIC-CXR-JPG/2.0.0/files/p16796985/s50653444/bd921be2-35df373d-d01deb6c-beae0d71-30cbe9a2.jpg
null
Patient is status post recent median sternotomy, coronary artery bypass surgery, and aortic valve replacement. Stable post-operative appearance of cardiomediastinal structures. Improving multifocal atelectasis in the perihilar and basilar regions. Persistent small left pleural effusion. No visible pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14538785/s55677545/cf32edb8-231046fa-d9ae75e9-fb2d44a2-af30e96a.jpg
MIMIC-CXR-JPG/2.0.0/files/p14538785/s55677545/4586a8b2-9cbd3b60-aca81059-a86d0949-b85169b6.jpg
Cardiac borders are partly obscured by a moderate sized left-sided pleural effusion with suspicion for substantial associated atelectasis involving the inferior part of the lingula and basilar segments of the left lower lobe. There is no net shift of midline structures. Aorta appears mildly tortuous. Right lung appears clear, without pleural effusion.
left-sided pleuritic chest pain and calf tenderness.
MIMIC-CXR-JPG/2.0.0/files/p12426008/s54109006/6e8fc681-712ac939-7a34d882-7196961f-41814efd.jpg
MIMIC-CXR-JPG/2.0.0/files/p12426008/s54109006/90fa9217-bcac7676-b8bc8544-ee2db373-fb08953b.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with difficulty breathing // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p11930305/s54900508/197aa4d2-9df86838-2563dcb0-095e1d7c-06003a51.jpg
MIMIC-CXR-JPG/2.0.0/files/p11930305/s54900508/48fa68b5-df00743d-3bef0bc3-1310653e-95330e1e.jpg
Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with sob // infiltrate
MIMIC-CXR-JPG/2.0.0/files/p18529406/s54541647/c2e8d935-74906073-c8df2af1-88d1cd03-2c3b40be.jpg
MIMIC-CXR-JPG/2.0.0/files/p18529406/s54541647/8f9f4da7-43178b30-91da16cb-ba616108-093099e1.jpg
Frontal and lateral views of the chest are compared to previous exam from <unk>. There is apparent right basilar scarring, unchanged from prior. The lungs are clear of consolidation or effusion. Calcified node projects over the region in the ap window, unchanged. Cardiomediastinal silhouette is unchanged. Prior healed clavicular and upper thoracic compression fractures are again seen.
<unk>-year-old female with shortness of breath and cough. history of asthma.
MIMIC-CXR-JPG/2.0.0/files/p11648038/s55630025/e7699d0f-e57f09fa-84f7c0c9-406e0cef-7fb6c68f.jpg
null
Single semi-erect ap portable view of the chest was obtained. There are low lung volumes. Previously seen right picc is no longer identified. There is also removal of a previously seen nasogastric tube. There are likely bilateral pleural effusions, left greater than right, with overlying atelectasis, there is also perihilar vascular prominence, more so on the left than the right, raising concern for asymmetric pulmonary edema. The cardiac silhouette is difficult to assess due to the bibasilar opacities. Mediastinal contours are slightly less prominent as compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p10687348/s57726722/cbc94687-6a56ac97-fed0d9bd-928db9dd-733cdb72.jpg
null
There is an opacity at the right lung base, likely representing platelike atelectasis. There are no other areas of focal consolidation. No substantial pleural effusions are identified. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.
history: <unk>m with fall and sdh // eval for fx
MIMIC-CXR-JPG/2.0.0/files/p12470349/s57363708/0c5084f1-ce55b84d-8a09cf61-0d7decd9-e4fe31ec.jpg
null
Single frontal view of the chest. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema. Evidence of an old left-sided rib fracture, left seventh rib fracture is again seen.
MIMIC-CXR-JPG/2.0.0/files/p11694393/s51526942/4c78119f-6183efed-f2559eb6-08571ecf-9df03a89.jpg
MIMIC-CXR-JPG/2.0.0/files/p11694393/s51526942/a721c693-9be18c3e-2b677baa-7de94663-10444e08.jpg
Ap and lateral views of the chest: the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. Atelectsis is noted at the left lung base. A left-sided mediport terminates in the right atrium. The heart size is normal. The mediastinal contours are unremarkable. Old fractures of the right <num>th rib and left clavicle are unchanged.
dyspnea and presyncope, evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p10027602/s51645407/65a94834-b32aeba0-74ceb3f5-09168007-cc353cda.jpg
null
Endotracheal tube terminates approximately <num> cm above the level of the carina. An enteric tube courses below the level the diaphragm, inferior aspect not included on this study, but likely courses at least into the stomach. The lungs are clear without focal consolidation. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ich, intubated // eval ett
MIMIC-CXR-JPG/2.0.0/files/p18036188/s55110454/fd64b254-17285b69-75167993-cf2aae44-390df82b.jpg
null
Comparison is made to previous study from <unk> at <time> a.m. Endotracheal tube, feeding tube, swan-ganz catheter, mediastinal drains are unchanged in position. There is again seen cardiomegaly, a left retrocardiac opacity and bilateral large pleural effusions. Overall, these findings appear stable. No pneumothoraces are identified.
MIMIC-CXR-JPG/2.0.0/files/p18026405/s55053791/644a679c-4bb4fab7-70af507b-9a525f3f-869566f9.jpg
MIMIC-CXR-JPG/2.0.0/files/p18026405/s55053791/a5d11bfc-07fa283a-548db9c6-d8dad7ab-41fd5837.jpg
The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. There is no focal consolidation. Degenerative changes of bilateral shoulders are identified.
<unk>m with <unk>'s disease, dementia, ams // infiltrate?
MIMIC-CXR-JPG/2.0.0/files/p14479847/s55843096/e380ed4a-9540d587-07f67932-a67624f0-3734ae4c.jpg
null
The dobbhoff is in the right mainstem bronchus with the tip distal in the lung parenchyma. No evidence of an opacity around the tip. After discovery of the findings and communication, the dobbhoff had already been removed. The endotracheal tube is no longer visualized; other tubes and lines are unchanged. Minimally improved aeration of the left lower lobe.
recent dobbhoff placement.
MIMIC-CXR-JPG/2.0.0/files/p18282952/s59309025/2ffa626f-4b0b340f-2eee3783-f3572bf3-00d96f1a.jpg
null
Ap single view of the chest shows improvement of the right base opacification, now minimal,likely for improved ventilation and reduced atelectasis. Chronic right base pleural effusion is unchanged. New left base linear opacity is due to atelectasis. There are no signs of pneumonia or pulmonary edema. Heart size is normal. Aorta is elongated. There is no pneumothorax. Ng tube has been removed.
MIMIC-CXR-JPG/2.0.0/files/p11739489/s50149033/0a2dcaf1-15fa2a3d-e1d369e6-1a835f09-46b474f5.jpg
MIMIC-CXR-JPG/2.0.0/files/p11739489/s50149033/8134eb75-48a5e0c8-4d5b2a88-bd7add6a-b0c0a9e5.jpg
Since the prior radiograph, there has been no interval change in the position of the pacemaker leads, which terminate in the right atrium and right ventricle. No evidence of lead fracture. Within the lungs, there are no pleural effusions or pneumothorax. Unchanged retrocardiac opacity likely represents atelectasis. Heart size is within upper limits of normal. Mediastinal and hilar contours are within normal limits. No acute osseous abnormalities.
<unk> year old man with pacemaker and brain tumor // check leads to pacemaker
MIMIC-CXR-JPG/2.0.0/files/p10596759/s50907128/e6f5abd3-c7fd0aa4-3a08119c-de5fc78d-6491740d.jpg
null
Persistent cardiomegaly, accompanied by pulmonary vascular congestion and worsening pulmonary edema which is basilar predominant. The possibility of pulmonary edema accompanied by bibasilar aspiration is an additional consideration in the appropriate clinical setting. Small bilateral pleural effusions are also noted, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p11232789/s50317834/5597c0f2-a27a1ce5-1ce12bb4-d90d0ab4-92e932ff.jpg
MIMIC-CXR-JPG/2.0.0/files/p11232789/s50317834/feb16a2f-a82b0e34-a43aedf7-63d84bd2-d81f0f43.jpg
Pa and lateral views of the chest provided. There is mild bibasilar atelectasis. 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> y.o f with dyspnea on exertion, healthy, recently on dapsone
MIMIC-CXR-JPG/2.0.0/files/p12911846/s55689741/90c021c5-f8fdea64-88a47dd2-ccadbed5-8920596e.jpg
null
The lungs are clear of airspace or interstitial opacity. Double density suggestive of left atrial enlargement without cardiac enlargement. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with nash cirrhosis here with volume overload and intermittent confusion // acute intrathoracic process?
MIMIC-CXR-JPG/2.0.0/files/p13983282/s56563861/4a759ec0-ae66f773-3b9afe21-2acb1408-982889dc.jpg
null
The swan-ganz catheter has been removed. The nasogastric tube extends into the stomach, distal tip not visualized. A right-sided picc line extends into the low right atrium. Retraction by <num>-<num> cm would position its tip in the low svc. There is no pneumothorax. Retrocardiac airspace opacification has decreased, likely due to resolved atelectasis. The lungs are otherwise clear. Heart size is smaller, but magnified by the projection. A moderate hiatal hernia is unchanged.
<unk> yr. old woman with pmh of htn, cad s/p mi <unk>, ischemic cardiomyopathy, systolic chf (ef <unk>%), dmii (dx <unk>, c/b neuropathy, retinopathy, nephropathy, gastroparesis), ckd stage iii s/p cardiogenic shock c/b by shock liver and likely atn, now on the floor, undergoing diuresis. // please assess for interval change, evidence of volume overload.