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/p11754067/s52454723/769b5b72-3b105723-5828f1d6-fd776998-894d0c9d.jpg
null
There has been interval placement of a nasogastric tube which appears to course below the diaphragm with the tip out of view of this film, however with the sideport in the body of the stomach. The lungs are mildly hyperinflated. Streaky left basilar opacity is unchanged compared to the prior exam and likely secondary to atelectasis. The cardiomediastinal contours are normal. Atherosclerotic calcifications are noted at the aortic arch. Lower thoracic upper lumbar vertebral hardware is unchanged in position.
history of ng tube placement. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p14829634/s58573523/71c48ea3-49defa4e-36a814d6-4c088c68-ef8c152a.jpg
MIMIC-CXR-JPG/2.0.0/files/p14829634/s58573523/eb4d0218-53a7449f-aaff597b-9070093b-41888c41.jpg
The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16260522/s52744251/7d5e5c62-4c58df08-a254271b-41c976fd-cdbf6e58.jpg
null
The lower most left chest and left costophrenic angle are excluded from the film. The patient is imaged with his left arm raised. The lungs are moderately well inflated. The heart may be slightly enlarged, but the cardiomediastinal silhouette unchanged, with minimal unfolding of the aorta and aortic calcification noted. No chf, focal infiltrate, right pleural effusion, or gross left pleural effusion is identified. No pneumothorax detected. Linear hyper density projecting over the lingula is not significantly changed dating back to <unk>. Limited assessment of the upper abdomen shows residual contrast in the colon. Equivocal hyperlucency could be an artifact due to overlapping loops of bowel. No free air seen beneath the diaphragm.
<unk>m with cough. assess for acute process.
MIMIC-CXR-JPG/2.0.0/files/p11785297/s58192452/467fb87a-303a7f24-63b42656-8901c986-aa219e62.jpg
null
A frontal chest radiograph demonstrates a nasoenteric to extending below the diaphragm and off the inferior edge of the image, as well as a right approach pigtail catheter overlying the right upper quadrant, presumably within the hepatic abscess. A moderate right pleural effusion, which extends over the right lung apex, is decreased compared to the prior chest radiograph. No obvious focal consolidation or pneumothorax is identified.
evaluate for pneumothorax in a patient status post right ptbd internalization, right thoracentesis, and repositioning of a pigtail within a liver abscess.
MIMIC-CXR-JPG/2.0.0/files/p16946732/s51068284/eba80e71-8d8622a5-ffb42444-a3e06b94-c617250d.jpg
null
Indwelling supportive and monitoring devices are unchanged and in appropriate position. Lung volumes are low with new patchy bibasilar opacities. Mediastinal contours, hila, cardiac silhouette is unchanged from <unk>. No pleural effusion or pneumothorax. Right axillary surgical clips and diffuse sclerotic skeletal metastatic disease are unchanged.
<unk> year old woman with vent dependence // interval change
MIMIC-CXR-JPG/2.0.0/files/p11937809/s55466432/a481425f-1428bf1d-73849346-e0ed9ce0-2f4875a4.jpg
null
Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained three hours earlier during the same day. The position of the ett has been adjusted and is now seen to terminate <num> cm above the level of the carina. The patient has also undergone bronchoscopic evaluation during the interval, but no new pulmonary parenchymal abnormalities can be identified. Previously identified bilateral basal pigtail drainage catheter is unchanged. No pneumothorax seen. Referring physician, <unk>. <unk> was contacted by telephone and the case was discussed.
<unk>-year-old female patient with renal carcinoma and metastases, now intubated, status post bronchoscopy, evaluate for change and adjustment of ett position.
MIMIC-CXR-JPG/2.0.0/files/p14331729/s50734002/6f53c8a2-8619af8d-58d404c9-15c11720-6e85e20d.jpg
null
As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable, the tube tip projects over the mid parts of the stomach, the sidehole is located at the gastroesophageal junction. The lung volumes remain unchanged. There is borderline size of the cardiac silhouette without overt pulmonary edema. The double-lumen right-sided venous catheter is unchanged. No overt pulmonary edema. No larger pleural effusions.
endotracheal tube and nasogastric tube.
MIMIC-CXR-JPG/2.0.0/files/p15013421/s55275022/8d65d15a-127ff0c3-5cf63c3c-a125e250-4d536263.jpg
null
As compared to the previous radiograph, the right pleural effusion has decreased but is still visible. On the left, there is no larger pleural effusion. The lung volumes have improved, likely reflecting slightly improved ventilation. Moderate postoperative cardiomegaly without evidence of overt pulmonary edema. The monitoring and support devices are constant.
cabg, followup of pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18711155/s59431836/d6ee999b-8c479b3d-f43dfa44-1d38353e-6302b815.jpg
MIMIC-CXR-JPG/2.0.0/files/p18711155/s59431836/f4808c5f-5dc0f272-cdf16151-c7865da9-7f1dab8a.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 cp and sob // ?cpd
MIMIC-CXR-JPG/2.0.0/files/p18042237/s50834495/3be31dec-aeccb7ff-9b05f53c-8cac3417-625554a5.jpg
null
Endotracheal tube terminates <num> cm above the carina. An enteric tube courses into the stomach. The lung volumes are low. Worsening right paratracheal opacity may reflect atelectasis. No pleural effusion pneumothorax. Heart is normal size. Mediastinal hilar contours are unremarkable.
hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p17843033/s54388216/0b401794-81abcc4c-8f513e8a-caf99904-99002db9.jpg
null
The small bilateral pleural effusions have increased slightly in the interim and mild pulmonary edema is worse. The right base consolidation has increased from prior. The cardiac silhouette is moderately enlarged but unchanged. The mediastinal contours are normal. A hiatal hernia is again noted.
acute respiratory distress. evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p19448760/s50142045/f82fb4f0-ff71076c-ae973d9a-c627dfb8-b9a3f7c8.jpg
null
Of the is post median sternotomy and cabg. Dense mitral annular calcifications are again noted. Mild cardiomegaly with the left ventricular predominance is re- demonstrated. The aorta is unfolded with atherosclerotic calcifications noted at the aortic knob. Pulmonary vasculature is mildly engorged, but improved compared to the previous radiograph. No focal consolidation, pleural effusion or pneumothorax is seen. The lungs are hyperinflated. Dense vascular calcifications are noted within the left upper quadrant of the abdomen. Extensive degenerative changes are noted involving both shoulders.
history: <unk>f with tachypnea, history of congestive heart failure
MIMIC-CXR-JPG/2.0.0/files/p14773318/s52515545/1440a068-2f1eb6d9-5be97e0e-339b6e46-627e694b.jpg
null
Partial collapse of the right middle lobe and right lower lobe with air bronchograms may represent mild re-expansion alveolar edema versus right basilar pneumonia. Small right pleural effusion may have slightly improved. Opacification of the left lung has increased consistent with worsening left pleural effusion. The status of the underlying left lower lung is difficult to assess in the setting of an obscured cardiomediastinal silhouette as mediastinal shift is also difficult to assess. Left sided picc terminates in the mid svc. The tip of the enteric tube is not clearly identified. Spinal fusion hardware and median sternotomy wires are again noted.
<unk> y/o f with sdh, w/ tachypnea, labored breathing // interval change
MIMIC-CXR-JPG/2.0.0/files/p14010624/s52093421/2182ce0e-e82fcf04-47933b71-efe6ef18-ec4bf4a5.jpg
MIMIC-CXR-JPG/2.0.0/files/p14010624/s52093421/78e4c04f-90a966dd-3a1e6c09-9b37e3f2-f0449832.jpg
The cardiac, mediastinal, and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Surgical clips project over the right upper quadrant. The bony structures are unremarkable. There has been no significant change.
cough.
MIMIC-CXR-JPG/2.0.0/files/p13869491/s57703923/12a12883-afb012cb-04337aeb-ff7aa72e-a787e8f4.jpg
null
The cardiac, mediastinal and hilar contours appear stable. There is similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. Streaky opacity in the left lower lung is most consistent with minor atelectasis. Otherwise the lungs appear clear.
hypotension.
MIMIC-CXR-JPG/2.0.0/files/p12909080/s54023517/28c99c58-f336298b-3f177293-f3a76ebb-8ed6ccb0.jpg
MIMIC-CXR-JPG/2.0.0/files/p12909080/s54023517/24904c37-29bce9ca-e114e657-70481b90-cd21b0a7.jpg
No previous images. The heart is at the upper limits of normal in size and there is mild tortuosity of the aorta. Lungs are clear without evidence of vascular congestion. Blunting of the right costophrenic angle could represent pleural fluid or scarring.
seizures and nonproductive cough, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14650506/s51331801/27dd5951-e3db7f0d-0db19105-9f3985c9-ae3f0e2c.jpg
MIMIC-CXR-JPG/2.0.0/files/p14650506/s51331801/72a83920-a375f583-c115abb7-38c7d696-cf94cf49.jpg
The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Prominence of the aortopulmonary window is again noted and likely representative of enlargement of the main pulmonary artery. The cardiomediastinal silhouette is stable with lead aicd in place. Degenerative changes are again visualized involving the thoracic spine.
evaluation of patient with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p19972786/s53916983/48f48f8d-2b281729-709f39de-986c2788-02ca3b76.jpg
MIMIC-CXR-JPG/2.0.0/files/p19972786/s53916983/29508be0-4a30fdb9-a18a216b-66f07906-230e2b04.jpg
Patient is status post median sternotomy and cabg. Cardiac silhouette size remains moderately enlarged but unchanged. The aorta remains tortuous. Pulmonary vasculature is mildly engorged. Linear and patchy bibasilar opacities likely reflect areas of atelectasis. Small left pleural effusion appears relatively unchanged compared to the previous study. No pneumothorax is identified. There are no acute osseous abnormalities. Degenerative changes are seen within the thoracic spine.
history: <unk>m with weakness, fatigue
MIMIC-CXR-JPG/2.0.0/files/p18122436/s55278930/b8f1d41c-c9b9af87-3a40d9e7-d1ae8aa9-358c1ae5.jpg
MIMIC-CXR-JPG/2.0.0/files/p18122436/s55278930/6d74ef92-5da4b125-8f08c4ec-2ac5c3fc-41c28276.jpg
Cardiomediastinal silhouette and hilar contours are normal. Heterogeneous, peribronchial densities are present in the right upper lung of unclear chronicity. There are multiple, scattered, calcified appearing nodules bilaterally as well as multiple areas of scarring. There is no pleural effusion or pneumothorax.
recent right upper lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18862717/s51652899/6bb2280e-596083eb-ad0aaa9a-24cc6c7b-fd9a13c4.jpg
MIMIC-CXR-JPG/2.0.0/files/p18862717/s51652899/8672b031-bf6e7aca-0e6311a3-29310353-b224c2be.jpg
Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. The cardiac silhouette is slightly larger since prior study <unk> years ago. There is also new mild rightward deviation of the lower trachea, which could be due to deviation of the aorta. There are no pleural effusions.
<unk> year old woman with former smoking history, now with chronic cough.
MIMIC-CXR-JPG/2.0.0/files/p17983533/s54911865/2351ef36-440170ba-2637d302-54d07955-c769ec9c.jpg
null
Cardiac silhouette is upper limits of normal. There is atelectasis versus scarring at the lung bases, right side worse than left. Median sternotomy wires are present. Aortic valve replacement is also identified. There are no pneumothoraces. There are no signs for overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12990153/s50962116/41bcdafb-baa6df18-b43d6127-e377ecce-b9a35248.jpg
MIMIC-CXR-JPG/2.0.0/files/p12990153/s50962116/efd41ad7-59954da3-7ba0e978-cf834b27-3b7c5c25.jpg
Ap upright and lateral views of the chest provided. Left chest wall pacer device and right ij access port-a-cath appear unchanged. A right chest tube remains in place. There are persistent bilateral pleural effusions, slightly decreased on the right and slightly increased on the left. Associated with the pleural effusions as compressive lower lobe atelectasis, difficult to exclude a superimposed pneumonia. The upper lungs appear well aerated. Heart size cannot be assessed. Mediastinal contour is unchanged.
<unk>f with metastatic breast ca to lungs c/b malignant b/l pleural effusions, increased sob, eval for increase in pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p18951962/s56453331/12a0da29-218e1d50-8e206068-e35f8eb4-6551fad2.jpg
null
The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project along the lower mediastinum to the left of midline near the gastroesophageal junction. Clips also project over the lateral right chest, possibly within the right axilla or breast.
new facial droop.
MIMIC-CXR-JPG/2.0.0/files/p14210409/s55434846/cad51a03-89ce0acd-68a42b50-f3d739b6-b7145c87.jpg
MIMIC-CXR-JPG/2.0.0/files/p14210409/s55434846/fee54f5a-2a02731d-c0ea6d58-6d6052d5-6aad6334.jpg
In comparison the prior study there is slight enlargement of the left pleural effusion. There is also a small right pleural effusion, slightly larger. The lungs appear clear. The cardiac size is stable. There is no pulmonary edema. There is no pneumothorax.
evaluate for acute process
MIMIC-CXR-JPG/2.0.0/files/p16002592/s57801793/67843e28-0241022e-ee2a0777-f22d7979-b83866e9.jpg
MIMIC-CXR-JPG/2.0.0/files/p16002592/s57801793/c336589a-d017a8f1-ae475d48-548d8181-2f290f16.jpg
Patient is status post cabg, with intact median sternotomy wires.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
history: <unk>m with chest pain // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p18411832/s58734747/bab0ce22-c71273ea-0e773940-b25b1813-f27b95a5.jpg
null
Subcutaneous emphysema continues to decrease. Positioning of right-sided thoracic catheter is unchanged with tip at the right apex. No pneumothorax is visible. Lower border of pneumatocele on the right is visible and linear subsegmental atelectasis at the left base and right perihilar regions persist. The patient has bilateral <unk> rods in place.
<unk> year old man s/p right chest wall repair // r/a pod#<num>
MIMIC-CXR-JPG/2.0.0/files/p17025404/s56559847/1fa5db7a-f0f025a5-1cefeb6d-4288c882-fb343e32.jpg
null
A small left apical pneumothorax persists and is non increased despite interval removal of the chest tube. No evidence of tension. No pleural effusion. Lung volumes remain low. Unchanged bibasilar atelectasis. Stable postoperative appearance of the cardiomediastinal silhouette with mild enlargement of the heart. Median sternotomy wires and the replaced mitral valve appear intact and unchanged in position.
<unk> year old man with s/p mv repair pfo and cabg // s/p ct removal
MIMIC-CXR-JPG/2.0.0/files/p14281506/s56210079/3a7f2c6a-a4212810-299a322b-812f01a4-8927a143.jpg
MIMIC-CXR-JPG/2.0.0/files/p14281506/s56210079/66e48871-bba2417a-8869ba0d-318f362e-3d796ad1.jpg
The patient is status post median sternotomy. Coronary stenting is also noted. There is a small left pleural effusion. No right pleural effusion is seen. Subtle left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation is difficult to exclude. There is no pneumothorax. Cardiac silhouette is top-normal. Mediastinal contours are stable to slightly less prominent as compared to the prior study. No pulmonary edema is seen.
history: <unk>f with s/p cabg <unk> with pleuritic r sided lower chest pain, shortness of breath // rule out pneumonia, pleural effusion, pulmonary edema, acute processes
MIMIC-CXR-JPG/2.0.0/files/p13721087/s58737060/d366fae4-ef5c6ae3-d787e922-7caf60bd-debb3d92.jpg
null
In comparison with study of <unk> from an outside facility, there is again huge enlargement of the cardiac silhouette with marked tortuosity of the aorta. Relatively normal pulmonary vessels are seen, with the discordancy raising the possibility of cardiomyopathy or pericardial effusion. The possibility of a supervening pneumonia is impossible to assess in the absence of a lateral view.
volume overload or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10070735/s55120856/e1ed9bb0-786497b9-90a74d94-e4a72cd1-38a1a30b.jpg
MIMIC-CXR-JPG/2.0.0/files/p10070735/s55120856/e838990c-05ca6425-81a34cad-42bdf3d5-3cc8d91b.jpg
Lung volumes are slightly low. There is no focal consolidation, effusion, or edema. Cardiac silhouette is enlarged but stable given differences in inspiratory effort. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.
<unk>f with cough // ?pna
MIMIC-CXR-JPG/2.0.0/files/p17008218/s56823389/a0406bdc-2c912b7b-3fe2df6b-413e373e-db468a74.jpg
MIMIC-CXR-JPG/2.0.0/files/p17008218/s56823389/c93abb3b-96832df5-1858f1fd-43e9761a-e846fe07.jpg
The lungs well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with near syncope, recent illness, sob // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p19614574/s54035781/f76222ec-cc2ae424-09f48f61-acfa788c-3d9301f3.jpg
MIMIC-CXR-JPG/2.0.0/files/p19614574/s54035781/4c0a6b53-e30c5d5e-995119ce-f6d23c6d-01aa5e5c.jpg
Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.
history: <unk>f with chest pain
MIMIC-CXR-JPG/2.0.0/files/p13030331/s59260263/e292ac89-16419b66-58902d76-7b01c4ae-03f314ae.jpg
MIMIC-CXR-JPG/2.0.0/files/p13030331/s59260263/ae4f9f6c-2ad88ab3-49a89a43-f2e17074-7a0aecde.jpg
Frontal and lateral views of the chest were obtained. The findings are without significant interval change since the prior study. The aorta is tortuous and dilated(ascending aorta), unchanged. Right paratracheal opacity is stable, representing combination of osteophytes and vascular structures, as seen on chest ct from <unk>. The cardiac silhouette is top normal to mildly enlarged, stable. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Hilar contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p12514413/s57320898/9d794b41-2e3ec530-32ddda85-7bfe8c7c-2d7e6ef2.jpg
MIMIC-CXR-JPG/2.0.0/files/p12514413/s57320898/b4ab019b-343a7e3b-fb0e79ef-60189cdb-bde78c21.jpg
Ap upright and lateral views of the chest were obtained. Dual-lead pacer is unchanged. The heart size is top normal in size. There is no definite sign of pneumonia or chf. No pleural effusion or pneumothorax. Bony structures are intact. Cardiomediastinal silhouette is stable. Atherosclerotic calcification along the aortic knob noted.
MIMIC-CXR-JPG/2.0.0/files/p11797455/s53788632/076d0d5a-c1c3db12-0b2ceed9-5d5284b1-bdf56ce4.jpg
MIMIC-CXR-JPG/2.0.0/files/p11797455/s53788632/d6d2c47c-7fe04d6b-5259bc6b-421960ca-d9455544.jpg
The lungs are clear without focal consolidation or edema. There is blunting of the posterior costophrenic angles, potentially small effusions or atelectasis. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>f with cough, fever // pna?
MIMIC-CXR-JPG/2.0.0/files/p11367185/s50988299/6b879b14-462bb016-35edfb48-6cb6464a-f4f3f05b.jpg
null
Right pigtail pleural catheter has changed in orientation, but there has not been a substantial change in a small-to-moderate right pleural effusion. Curvilinear interface in periphery of right hemithorax favors a skinfold over pneumothorax, and similar-appearing skin fold is noted on the left as well. Cardiomediastinal contours are stable. Improving atelectasis at right lung base, slight worsening of atelectasis at left lung base with persistent adjacent small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17878731/s59059547/865a1d24-f7dc931e-fc769fed-0e80b841-280cd2d4.jpg
null
The right ij line tip is in the right atrium. The left ij line is been removed. There is platelike atelectasis in the left mid lung. There is no new infiltrate or effusion
<unk> year old man pod <unk> s/p exlap small bowel resection for bowel perf // self-dc'ed cvl
MIMIC-CXR-JPG/2.0.0/files/p13092414/s53988616/04a9db3c-dc3c69e4-ab5b4137-aab9de8e-79ab5c15.jpg
MIMIC-CXR-JPG/2.0.0/files/p13092414/s53988616/7055c781-330fdb07-a76f5e37-70a583d4-8c51f8c9.jpg
Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. There is no acute osseous abnormality identified. No free air is seen under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p17329106/s51565696/97e8b6de-ef44237f-dce77322-d0c78212-e724c496.jpg
MIMIC-CXR-JPG/2.0.0/files/p17329106/s51565696/198c762f-8fa670c2-d8a86bbc-86e6e1fd-7dfb8bbf.jpg
Left picc tip terminates in the upper svc. Lung volumes are slightly low. Heart size remains mildly enlarged. Mediastinal contours are unchanged. No pulmonary edema is demonstrated. Linear and patchy opacities within the lung bases, as well as along the fissure in the right upper lobe, are minimally worse in the interval. No pleural effusion or pneumothorax is seen, however the right lung apex is obscured due to the patient's neck and chin projecting over this region. Mild multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with cough x<num> weeks and left picc line.
MIMIC-CXR-JPG/2.0.0/files/p15201324/s58658188/748c8607-138f2c24-1fab03c6-4164f62a-c7d07fa1.jpg
MIMIC-CXR-JPG/2.0.0/files/p15201324/s58658188/150d6328-a684b5a4-6ab216e7-c61c4696-051135f2.jpg
Heart size is upper limits of normal. The mediastinal and hilar contours are normal, with no evidence of lymphadenopathy to suggest sarcoidosis. 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 peripheral inflammatory arthritis // r/o bilateral hilar lymphadenopathy associated with sarcoid
MIMIC-CXR-JPG/2.0.0/files/p15838270/s52641058/d00c116d-cbf24140-c56f3fe4-f4bb85b1-9b3fe5b2.jpg
MIMIC-CXR-JPG/2.0.0/files/p15838270/s52641058/97e2e313-67f91212-7a166843-ef9bff29-87284fb0.jpg
The lungs are well inflated and clear. Blunting of the right costophrenic angle is consistent with a small effusion. There may be a small effusion or atelectasis at the left costophrenic angle as well. The cardiac and mediastinal contours are normal.
<unk>-year-old male with pleuritic right-sided chest pain, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p11468736/s53383877/dbf645db-c7bda086-56a78809-6e826989-07571aa5.jpg
null
Single frontal view of the chest. Low lung volumes and portable technique exaggerate heart size. Cardiac and mediastinal contours are stable. Pulmonary vascular congestion has worsened since <unk>. Right middle lobe and retrocardiac opacities are nonspecific and may represent atelectasis and dependent edema, but pneumonia precipitating edema is a possibility. No large pleural effusion or pneumothorax.
altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p16410756/s59150389/e4ba83b2-703d7401-67058356-ca94acd7-58e84b12.jpg
null
The left chest tube has been removed with small residual apical pneumothorax. A left pleurx catheter remains. Loculated left pleural effusion, low lung volumes, and bibasilar opacities consistent with atelectasis are unchanged. Heart size and mediastinal contour is stable. A large hiatal hernia is noted.
<unk> year old woman with removal of ct x <num>, wheezing throughout, increased o<num> // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p11048381/s57254801/720699e5-1cbad353-08e65743-889c43b8-92d3217e.jpg
null
Et tube terminates <num> cm above the carina with the chin in neutral or elevated positioning. Right ij terminates at the origin of the right brachiocephalic vein. Left picc terminates in the low svc. Ngt coursing below the diaphragm, however the tip is not seen. Bilateral diffuse airspace opacities. Mild enlargement of the cardiomediastinal silhouette. No large pleural effusions. No pneumothorax is seen.
<unk> year old woman transfer from osh with respiratory failure and shock // eval cvl, ett
MIMIC-CXR-JPG/2.0.0/files/p17433873/s58100228/b04b3fb8-d14e9691-79102ff7-d83220bb-0577b7d8.jpg
MIMIC-CXR-JPG/2.0.0/files/p17433873/s58100228/059ce8af-64d4f468-1a4e81b7-6d1494f6-131c9b37.jpg
Ap and lateral views of the chest. There are bibasilar moderate right greater than left pleural effusions not definitely changed given differences in positioning and technique compared to prior. Superiorly the lungs are clear. Cardiomediastinal silhouette is difficult to assess given effusions. No acute osseous abnormality detected.
<unk>-year-old female with weakness and shortness of breath for several days.
MIMIC-CXR-JPG/2.0.0/files/p13536330/s56243600/60dc37e2-314af8cd-795b568f-f76bf599-c3437645.jpg
MIMIC-CXR-JPG/2.0.0/files/p13536330/s56243600/dded7067-930e5ec3-640c0c4f-f30fa9b1-05c3c428.jpg
Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study <unk> <unk>. The heart size remains within normal limits. No typical configurational abnormalities identified. The thoracic aorta is generally widened to a moderate degree and shows some calcium deposits in the wall at the level of the arch, but there is no evidence of any local contour abnormality. The pulmonary vasculature is not congested. Similar as on the previous examination, the central pulmonary vessels are rather prominent and widened, a finding which may be related to chronic pulmonary hypertension. There is no evidence of any acute pulmonary infiltrate. Similar as on the preceding examination, a permanent pacer (<unk>) is identified in left anterior axillary position, seen to connect to a single intracavitary electrode, the tip of which reaches into the area of the apical portion of the right ventricle. Skeletal structures demonstrate mild-to-moderate degenerative changes mostly in the mid portion of the thoracic spine, but no other gross skeletal abnormalities are identified.
<unk>-year-old male patient with pacemaker, clearance for mri.
MIMIC-CXR-JPG/2.0.0/files/p10506944/s54529467/a15f4eb9-b949e105-d2f6fed2-c446e096-028f84bf.jpg
MIMIC-CXR-JPG/2.0.0/files/p10506944/s54529467/adc2da54-f0c0cdcc-e7ab0fda-77c91253-18172301.jpg
Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. Anterior osteophyte formation noted in the midthoracic spine. No compression deformities evident.
history of mi in <unk>, presenting with shortness of breath and chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14311260/s56667940/a2df9695-96cf76db-77eaf49b-c63502a7-dfa2168e.jpg
MIMIC-CXR-JPG/2.0.0/files/p14311260/s56667940/a35cd87d-47742855-048ca007-e765ffe1-078c1702.jpg
Two views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Again seen is a left retrocardiac rounded opacity, which corresponds to bochdalek hernia as seen on multiple priors, including ct from <unk>.
MIMIC-CXR-JPG/2.0.0/files/p17182700/s50868481/dc665f69-abeb7c55-174f05bc-5504596f-3bfda72c.jpg
MIMIC-CXR-JPG/2.0.0/files/p17182700/s50868481/d253a1a6-6e1786da-7b134dff-2267ca0f-6c36b23c.jpg
Pa and lateral chest radiographs were obtained. A large left pleural effusion has reaccumulated since <unk>. Right lower lobe opacity consistent with post-radiation change is stable. Surgical clips overlying the right hilus chest wall, posterior left upper abdomen are unchanged. A right-sided chest wall port tip terminates at the cavoatrial junction.
<unk>-year-old woman with ovarian cancer, cough, question fluid accumulation.
MIMIC-CXR-JPG/2.0.0/files/p18938292/s55109989/a8f1b40e-18eb5ef2-c89418e5-f0699187-339a5075.jpg
MIMIC-CXR-JPG/2.0.0/files/p18938292/s55109989/b10cf7a0-530d3f72-fe635ffe-ddf7d7bb-518c633e.jpg
In comparison with study of <unk>, the patient has taken a better inspiration. There are mild streaks at the left base most likely representing atelectasis or fibrosis. No convincing evidence of acute pneumonia or vascular congestion. Mild blunting of the left costophrenic angle is again seen.
prior kidney transplant, now with cough and fever, to assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15942934/s52773901/561a2476-10f181a4-18ca4e1b-e8231573-22f3e46e.jpg
MIMIC-CXR-JPG/2.0.0/files/p15942934/s52773901/5d448152-248501d3-a53e926d-1a40cb77-e199a4a8.jpg
The heart size is normal. The hilar and mediastinal contours are normal. A right central venous line tip is at the level of the mid svc, overall unchanged in position compared to the prior exam. Redemonstrated is right breast prosthesis with capsular calcification and mild scarring at the right lateral costal pleural surface, similar to the prior exam. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion. Vertebral plana of the lower thoracic vertebral body is overall similar to exams dated back to at least <unk>.
history of cardiomyopathy, cervical cancer. please evaluate for cause of chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14789720/s58802538/1ebea477-5ae641b0-10a4b05b-a053b064-19b51393.jpg
MIMIC-CXR-JPG/2.0.0/files/p14789720/s58802538/514dd406-cd58cd6b-bedd45c9-c98af324-915e1e64.jpg
Compared to prior study there is no significant interval change. There is no focal infiltrate or effusion.
fever.
MIMIC-CXR-JPG/2.0.0/files/p18400980/s54345943/c5c28e8b-4299dfde-ffe6fda7-d6216f4a-6d0f1c46.jpg
null
Portable semi-upright radiograph of the chest demonstrates interval decrease in size of the still large right-sided pleural effusion with persistent collapse of the right lower lobe and persistent shift of the mediastinum to the right. Again seen are stable-appearing diffuse interstitial opacities consistent with mild pulmonary edema or lymphangitic spread of cancer. There is a stable-appearing small left-sided pleural effusion. Multiple nodules are seen in the left lung field. A right vp shunt catheter is seen coursing along the right chest and into the right upper quadrant of the abdomen. A right-sided pigtail catheter projects over the right hemithorax. There is a tiny right-sided apical pneumothorax.
<unk>-year-old female status post thoracentesis. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15107848/s55224103/6667f2c7-c64bb5e2-47ee522d-3eb383b0-46270e5d.jpg
null
There is been placement of a right internal jugular central line that terminates in the right atrium. Endotracheal tube, a nasogastric tube are unchanged and appropriately positioned. Compared to the prior study there is improved aeration and improvement in bilateral pulmonary opacities.
confirm line placement.
MIMIC-CXR-JPG/2.0.0/files/p11969967/s50644538/6e074c2d-002a5f20-ae941b0d-f609fde2-9c65ebee.jpg
MIMIC-CXR-JPG/2.0.0/files/p11969967/s50644538/d26bb57b-766a014e-2df34124-9a1da48b-9a4e906b.jpg
There is minimal left base atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable. There is mild anterior wedging of a lower thoracic vertebral body, grossly stable.
palpitations, dizziness.
MIMIC-CXR-JPG/2.0.0/files/p17905335/s52110062/887cdbd7-62ed334e-068e6351-51c5eaa3-7d6c9947.jpg
MIMIC-CXR-JPG/2.0.0/files/p17905335/s52110062/e26f97bf-f6bad6ed-bf173c8b-0acce80c-444d9f2f.jpg
Ap and lateral chest radiographs. There is a large bullae in the left lower lobe that has enlarged from prior and causes adjacent atelectasis. Subsegmental atelectasis also involves the right lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
cough and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p18055073/s54980100/d92083f1-79a81a48-9783be5a-2d15372e-16ff6fcc.jpg
null
Supine portable view of the chest demonstrates low lung volumes. No pleural effusion or focal consolidation. Hilar and mediastinal silhouettes are unchanged. Calcifications of the aortic arch are again noted. The descending aorta appears tortuous. Heart size is normal. Mild interstitial pulmonary edema is noted. There is no pneumothorax. Partially imaged upper abdomen is unremarkable.
altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p14084611/s53027558/2c9ec782-1be6ae60-774ad406-ed529051-87546f80.jpg
MIMIC-CXR-JPG/2.0.0/files/p14084611/s53027558/d1b7635a-cfb7588c-01a02577-107243f2-781575fd.jpg
There is a very large right-sided pleural effusion including leftward shift of mediastinal structures to a mild-to-moderate degree. There is also probably extensive associated right lung atelectasis. The left lung appears clear without pleural effusion. There is no pneumothorax. Bony structures are unremarkable.
known pleural effusion and history of breast cancer, presenting with worsening shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p10157256/s59241498/177d03f8-c6b24515-76b200c6-9fabbba8-607f8802.jpg
MIMIC-CXR-JPG/2.0.0/files/p10157256/s59241498/b482464b-d489a3c9-bf67467d-052906cd-f1f6cc80.jpg
The patient is status post sternotomy and aortic valve replacement. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Left-sided pleural effusion has probably resolved or is at least not visible, while a small right-sided pleural effusion persists. The lungs appear clear. Widespread sclerotic bony metastases are present.
weakness and history of prostate cancer.
MIMIC-CXR-JPG/2.0.0/files/p13496539/s56437686/85bc23f3-0eda12d2-ed4cfcf0-c074dc29-93d9d71f.jpg
null
As compared to the previous radiograph, there is a substantial increase in severity of the known right pneumothorax. Although no signs of tension are currently present, a drainage should be strongly considered. No change in appearance of the left lung (a post-interventional radiograph acquired at <unk> shows a right pleural drain in situ).
known right pneumothorax after pacemaker placement.
MIMIC-CXR-JPG/2.0.0/files/p14598714/s54806344/61f4bb5d-630de812-2d6f48a3-38a2e24d-30d0ed96.jpg
MIMIC-CXR-JPG/2.0.0/files/p14598714/s54806344/785a6cc0-1da9afaa-e9a0a34d-d58299c4-885261af.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 pmh of grave's presents with chest pain and doe
MIMIC-CXR-JPG/2.0.0/files/p13285177/s52730664/2858332f-6aa82978-a1195b74-548920b4-63e2c52b.jpg
MIMIC-CXR-JPG/2.0.0/files/p13285177/s52730664/f6c8ae0c-53a67383-618a1de8-06b88d96-f7f3edb9.jpg
Frontal and lateral views of the chest. Since prior, there has been interval improvement in the appearance of the lungs with nearly resolved interstitial edema. There is blunting of posterior costophrenic angles potentially due to trace effusions versus atelectasis. There is no confluent consolidation. Streaking midlung opacities may be due to atelectasis. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are noted. No acute osseous abnormalities detected.
<unk>-year-old female with dyspnea, <unk>% on room air.
MIMIC-CXR-JPG/2.0.0/files/p18088542/s56169518/86669209-7fd56084-414ca251-3049df08-1e16e858.jpg
MIMIC-CXR-JPG/2.0.0/files/p18088542/s56169518/681bb33e-87350402-d605ee44-629a11e7-27541558.jpg
Heart size is normal. Aorta is mildly tortuous. Lungs are well-expanded and clear, there is no evidence of pleural effusion. Mild scoliosis is noted.
<unk> year old woman with cough, malaise and cp // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p19530208/s51548783/5816e3a4-bdda9ff6-ec64604c-c9724762-94f5e3d7.jpg
null
As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. Otherwise, the radiograph is unchanged, without evidence of acute changes.
evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18413600/s57027677/8898a726-e79743ab-9998b687-904992e8-460e13bb.jpg
MIMIC-CXR-JPG/2.0.0/files/p18413600/s57027677/0700c222-7451e142-36c5aa0f-c6bfdd08-2a1309d1.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp // r/o acute process
MIMIC-CXR-JPG/2.0.0/files/p11029640/s55281265/db837833-a4a77523-24a7aeff-88bd71c1-5182d5f4.jpg
MIMIC-CXR-JPG/2.0.0/files/p11029640/s55281265/3b553051-9d375723-6b1c22a7-b551cc2b-c1405933.jpg
The previously described pneumonia at the right base has effectively cleared with some residual fibrous stranding.
resolving pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10165555/s56087827/f211ba5b-b882682c-72abc06a-d69693d9-1055786f.jpg
null
In comparison to prior study, diffuse bilateral pulmonary opacifications persist and worsened. An et tube is seen terminating approximately <num> cm from the carina. Opacities could again reflect a pulmonary infection or hemorrhage. No pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14459612/s53053144/37ae3286-6a63d1df-4ec1aafb-10ef2397-ce4631d0.jpg
MIMIC-CXR-JPG/2.0.0/files/p14459612/s53053144/80345a38-0837ab3a-11337722-65bf7fc1-00b1595d.jpg
Pa and lateral views of the chest were obtained. Kerley b lines are noted compatible with mild fluid overload or congestive heart failure. No large pleural effusions are seen. No definite sign of pneumonia. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.
MIMIC-CXR-JPG/2.0.0/files/p19236871/s51355669/aec3471f-404698ed-bfed88fc-72a6c1cb-9a9d5c56.jpg
MIMIC-CXR-JPG/2.0.0/files/p19236871/s51355669/c72e903f-9d788b96-fcbf80f0-f83b85e2-36b9f670.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with diffuse purpura, immunosuppressed // infiltrate?
MIMIC-CXR-JPG/2.0.0/files/p16702712/s55929595/d4e3ce96-8adf91b6-fa9c62c2-5c83c869-05ff5bbd.jpg
null
Compared the previous exam there is further a a clearance of the pulmonary opacities and the pulmonary edema changes. Cardiomegaly remains.
<unk> year old woman with high aspiration risk // please eval pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13934827/s52035548/a80caed7-7727ccd6-f8a90275-c19e21c6-2b67db3a.jpg
null
Extensive subcutaneous emphysema is stable. There are <num> left chest tubes in place. No definite pneumothorax. Postoperative changes cervical spine. Endotracheal tube tip <num> cm above carina. Enteric tube tip probably below diaphragm, not included on the radiograph. Percutaneous gastrostomy tube. Central line tip in the upper svc, similar. Mildly improved right basilar consolidation. Stable left basilar consolidation. Shallow inspiration accentuates heart size, pulmonary vascularity. Prominent bilateral hila are are stable.
<unk>m w/ worsening hypoxia, <num> chest tubes, eval for ptx or cardiopulm change // <unk>m w/ worsening hypoxia, <num> chest tubes, eval for ptx or cardiopulm change
MIMIC-CXR-JPG/2.0.0/files/p15203792/s50087780/b4a6627d-386575d4-64a339a7-859ee99c-b198b398.jpg
null
In comparison with the study of <unk>, there is little overall change in the appearance of the heart and lungs. Continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. Very layering effusion on the left with basilar atelectasis. The dobbhoff tube appears to have been replaced by a nasogastric tube, which extends to the upper stomach.
persistent leukocytosis, for followup.
MIMIC-CXR-JPG/2.0.0/files/p18230098/s56477168/519d9d09-fa7046ad-3d6e924d-94f05f91-070aeb13.jpg
MIMIC-CXR-JPG/2.0.0/files/p18230098/s56477168/e5de3ff8-15bfc9d8-f96a9824-adde401f-e0265003.jpg
Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. There is persistent cardiac enlargement, already identified on previous chest examinations and ct scan of <unk>. Previous pa and lateral chest examination of the same date confirmed the extensive calcifications in the aortic arch and descending aorta as well as coronary arterial calcifications close to the root of the aortic valve. Evidence of pericardial effusion could not be established on the plain chest examination. The pulmonary vasculature showed an upper zone redistribution pattern, but no evidence of interstitial or alveolar edema. On the present examination, the cardiac enlargement is similar. There is a slight increase of pulmonary congestion in the form of mild blunting of the pleural sinuses laterally and posteriorly, the upper zone redistribution pattern persists, but there is no evidence of advanced interstitial or alveolar edema and no new acute pulmonary infiltrates can be identified. Findings indicate mild degree of chronic chf resulting in some small amounts of pleural effusions. Consider dehydration therapy unless patient has acute cardiac symptoms.
<unk>-year-old female patient with asthma and a month long cough. is there pneumonia or evidence of pulmonary edema?
MIMIC-CXR-JPG/2.0.0/files/p11420353/s52143094/327bd458-e782f058-8486cc32-1f29d41d-a7ec9a40.jpg
MIMIC-CXR-JPG/2.0.0/files/p11420353/s52143094/1f3f235f-147b64f2-71a7b79c-a5f53166-008e5024.jpg
Right-sided picc is again seen, terminating at the cavoatrial junction. There is persistent elevation of the right hemidiaphragm. There is a small-to-moderate right pleural effusion. Trace left pleural effusion is seen with overlying atelectasis. On the lateral view, there is question of small lucencies underneath the right hemidiaphragm. Query whether this could relate to pneumoperitoneum. Discussed with dr. <unk> at <time> p.m. On <unk>. Cardiac and mediastinal silhouettes are stable and unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11565587/s52532612/3dcac4b3-5e8ab7fd-605ce672-cbbd1772-6a89eda5.jpg
MIMIC-CXR-JPG/2.0.0/files/p11565587/s52532612/875bc183-60192c03-33371f7a-af83f26f-e10f709e.jpg
Moderate enlargement of cardiac silhouette is re- demonstrated. The aorta remains mildly tortuous. There is mild pulmonary edema with patchy opacities in the lung bases likely reflective of atelectasis. No pleural effusion or pneumothorax is seen. Multilevel moderate degenerative changes are noted in the thoracic spine. Clips from prior cholecystectomy are seen within the upper abdomen.
nausea, vomiting, infection.
MIMIC-CXR-JPG/2.0.0/files/p18179556/s52240168/673d5ff7-12b3b344-7e442d74-7a5b3a73-7331dd1e.jpg
MIMIC-CXR-JPG/2.0.0/files/p18179556/s52240168/5ac66d2a-f417e17b-e6bd9518-1c43e931-cfa8e996.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There is no overt pulmonary edema.
fevers, anemia.
MIMIC-CXR-JPG/2.0.0/files/p12176298/s56111195/4b4b9dd1-34c50906-443b0b57-b4ff0006-d3556a59.jpg
null
As compared to the previous radiograph, the tip of the endotracheal tube projects <num> cm above the carina. The extent of the post-surgical right pneumothorax and the location of the two right chest tubes is constant. However, there is a minimal increase in radiodensity of the left lung. The increase in diameter of the vascular structures suggests potential mild pulmonary edema. Unchanged size of the cardiac silhouette. Unchanged moderate retrocardiac atelectasis.
interval change
MIMIC-CXR-JPG/2.0.0/files/p18533644/s55057423/d3c92148-eb196c30-bb78b817-b3f1ecf0-225b8d05.jpg
MIMIC-CXR-JPG/2.0.0/files/p18533644/s55057423/3de74887-21acc33e-1374f485-02722818-3e0e374f.jpg
A pacer unit projects over the left chest with a lead in the coronary sinus. Severe cardiomegaly persists. Small bilateral pleural effusions are present with underlying atelectasis. There is no pneumothorax. Pulmonary edema is slightly worse.
an <unk>-year-old female with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p15326209/s56694882/8038f455-325deb13-7da24987-399523eb-0556e38f.jpg
null
As compared to the previous radiograph, the patient has been extubated and the nasogastric tube is removed. The swan-ganz catheter and the pleural and mediastinal drains are also removed. Only a right internal jugular introduction sheath and a left chest tube persist. There is a minimal right pleural effusion. Currently, there is no indication for existence of a pneumothorax. Post-operative appearance of the cardiac silhouette. Unchanged normal alignment of the sternal wires and fixations. No pulmonary edema.
status post cabg, evaluation for pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11522912/s58083606/3ed76d30-e69a9cac-d26cca2a-6e1bed67-3193830c.jpg
null
In comparison with the study of <unk>, the monitoring and support devices remain in satisfactory position. Stable enlargement of the cardiac silhouette, in part due to prominent pericardial fat pad seen on prior ct of <unk>. There is evidence of elevated pulmonary venous pressure. Increased opacification at the right base is consistent with pleural effusion and volume loss in the adjacent lower lung. Less prominent similar changes are seen on the left. In the appropriate clinical setting, supervening pneumonia would have to be considered. Marked gastric distention is again noted in the upper abdomen, as on the previous study.
tracheostomy with new infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p14078931/s56366547/9c2acdae-34cda1f7-b6e8bf98-adbd3b17-16c14099.jpg
MIMIC-CXR-JPG/2.0.0/files/p14078931/s56366547/5c5dc4e7-63d317d3-9feb8b7a-20e5be6d-a8afb2cc.jpg
The lungs are hyperinflated. The cardiomediastinal and hilar contours are within normal limits. Biapical scarring is unchanged, otherwise the lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with ams // pneumonia?
MIMIC-CXR-JPG/2.0.0/files/p17138221/s55025381/65dbb616-0fbe4806-74de1751-f6ea218f-d4126439.jpg
MIMIC-CXR-JPG/2.0.0/files/p17138221/s55025381/6d85dfeb-7c8dade1-ce0b85fa-7d1c27ad-22e38972.jpg
Ap upright and lateral views of the chest were provided. Multiple linear densities project over the chest most notable on the lateral projection, likely external. Minimal linear density on the frontal projection in the left midlung and right lower lung could represent focal areas of platelike atelectasis. There is no definite consolidation, effusion, or pneumothorax. The aorta is tortuous and atherosclerotic calcifications are present. The heart size appears within normal limits. No bony abnormalities are detected.
nonproductive cough, altered mental status, question acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15319814/s53587949/f2a77f79-c42e70df-40bfbf5f-5e933a2c-c92fe8b9.jpg
null
The right ij line has been removed. Lung volumes are slightly low. There is mild cardiomegaly and mild pulmonary vascular redistribution. There is volume loss at both bases, but no definite infiltrate.
worsening aaa gradient and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11123456/s56132771/6b4f6c91-a0b3cf7d-11d7bcb8-5d1c338e-8c5e2817.jpg
MIMIC-CXR-JPG/2.0.0/files/p11123456/s56132771/1c279180-9535b9ac-297858fd-9c1e924a-ce603d3b.jpg
Frontal and lateral views of the chest. Postoperative changes of right upper lobectomy are again seen. The lungs are hyperinflated but clear of consolidation. The appearance of the cardiomediastinal silhouette is unchanged with fullness in the suprahilar region on the right as previously seen. No acute osseous abnormality is identified. Compression deformities in the upper lumbar spine are as previously seen.
<unk>-year-old female with past medical history of lung cancer, currently on xrt, with increased shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13709012/s59279618/7edbbe5a-01511613-5e2585b3-a98c1d99-b7ab52cd.jpg
MIMIC-CXR-JPG/2.0.0/files/p13709012/s59279618/ec5bf86b-2d2118aa-e8155629-4ece8da2-86ad7201.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pain in throat and emesis after swallowing chicken bone, also with ruq pain and tenderness on exam. // assess for evidence of foreign body, free air, acute process.
MIMIC-CXR-JPG/2.0.0/files/p17969446/s59599879/ffc578f5-d868dc95-68b8ff90-7cf35080-ae412b31.jpg
MIMIC-CXR-JPG/2.0.0/files/p17969446/s59599879/0ffd5fd5-b8071f7d-f60b51b9-00cf6057-b17d9a6e.jpg
There is possible minimal vascular congestion without overt pulmonary edema. There is no focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is within normal limits.
<unk>m with altered mental status, evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p18597814/s54929435/2d1858b6-3f9be06e-4653da51-389219e2-6d087cf6.jpg
MIMIC-CXR-JPG/2.0.0/files/p18597814/s54929435/70e60563-797b9ae1-9de63f72-46ca9916-0a61c270.jpg
The lungs are clear without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours, hila, and pleura are unremarkable. Mildly tortuous descending aorta. Mild degenerative changes involving the thoracic spine.
<unk>-year-old woman with <num> weeks of cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10117474/s57267592/8c049309-87c55310-b964c6b1-cced40da-6d26e372.jpg
MIMIC-CXR-JPG/2.0.0/files/p10117474/s57267592/4fe67ac7-1182f6da-34e5bdf7-98a8593b-db010ecc.jpg
Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema. There is no pleural effusion or pneumothorax. Osseous structures demonstrates no acute abnormality.
<unk>m presenting with lt facial weakness.
MIMIC-CXR-JPG/2.0.0/files/p14092853/s57176448/1360dee3-1a40d0ad-ec6dfdb6-8a4cd9b5-84204f5d.jpg
MIMIC-CXR-JPG/2.0.0/files/p14092853/s57176448/dc470503-8d2e4fcf-9865b4e8-05ec86a4-53f0bf36.jpg
Cardiomediastinal contours are stable. Right lower lobe opacity is persistent most likely represent a large area of atelectases. Increasing opacities in the left mid hemi thorax are likely atelectasis. Retrocardiac opacities have minimally increase could represent atelectasis or pneumonia. . There is no pneumothorax or pleural effusion. Degenerative changes in the thoracic spine and wedge-shaped deformities in the lower thoracic vertebral bodies are again noted.
<unk> year old man with <unk>m w hx recurrent vte, stage iiib rectal adenoca s/p neoadjuvant chemoxrt now s/p laparoscopic lar w diverting loop ileostomy // please eval for pneumonia, looking for source of wbc
MIMIC-CXR-JPG/2.0.0/files/p19845085/s53914973/ef3c2ca5-a96dffac-90450275-92ea2591-1c66779f.jpg
null
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The patient has also received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not included on the image. There is no evidence of complications, notably no pneumothorax. The lung volumes remain low, there is minimal fluid overload and moderate cardiomegaly. Atelectases are seen in the retrocardiac lung areas and at the left lung bases. No evidence of pneumonia.
hip repair, orogastric tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17886951/s55037262/08deb8bb-d0c73a15-6417e447-4aac577e-eefb22f5.jpg
null
Cardiomediastinal contours are normal. Lungs are grossly clear, and there are no pleural effusions or pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14387612/s58054918/4781fd1e-73bcb35d-ce2f071b-8f709e26-fb570199.jpg
MIMIC-CXR-JPG/2.0.0/files/p14387612/s58054918/57f4b96b-d610e2cd-881e8532-3c3db481-89e0c52d.jpg
The patient is status post median sternotomy and aortic valve replacement. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present. Mild elevation of the left hemidiaphragm appears to be chronic. No acute osseous abnormalities detected.
history: <unk>m with progressive dyspnea
MIMIC-CXR-JPG/2.0.0/files/p17246353/s54300420/21aed19d-3a8c9085-f52195d9-fd4cd20e-f2ef6ead.jpg
MIMIC-CXR-JPG/2.0.0/files/p17246353/s54300420/185b8a6e-1edb07cf-f0cafec8-c9bcc4f3-739d8d90.jpg
Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Chronic right-sided rib deformities are present with a convexity of the lateral right second rib and widening of the anterior right fourth rib.
history: <unk>f with chest pressure, central back pain, bradycardia and bp <unk>s. // r/o mediastinal widening re: cardiac or aortic pathology
MIMIC-CXR-JPG/2.0.0/files/p13719437/s55704295/32f220ee-5fe3eb83-dde72039-250811e2-b6ea8780.jpg
null
In comparison with study of <unk>, there may be some decrease in the extensive and severe bilateral bronchiectasis. Slightly lower lung volumes but no evidence of acute change. No pneumothorax.
bronchiectasis with bronchoscopy, to assess for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15410407/s53066792/53e9a1f6-927a9dbb-8c80ad42-1ccb0133-75b82340.jpg
MIMIC-CXR-JPG/2.0.0/files/p15410407/s53066792/2c0a7144-0a69b21f-ce146eef-fbaa86df-fb19f823.jpg
Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. The cardiac silhouette remains top normal to mildly enlarged. The mediastinal contours are stable. There is blunting of bilateral posterior costophrenic angles suggesting small bilateral pleural effusions. No pneumothorax is seen. The aorta remains calcified and tortuous.
MIMIC-CXR-JPG/2.0.0/files/p11325169/s50558254/93a0a0b8-ed00a44b-115c0171-d7110d42-3d3395c0.jpg
MIMIC-CXR-JPG/2.0.0/files/p11325169/s50558254/6c9daaa6-318889bb-2a944a5b-a50ca767-3fe3aad8.jpg
Pa and lateral views of the chest provided. Dialysis catheter is unchanged in position as is a single lead aicd. Cardiomegaly persists though in the interval there is development of mild pulmonary vascular congestion. Bilateral pleural effusions have mostly resolved in the interval. No pneumothorax. Bony structures are intact.
<unk>f with history of chf and increased sob
MIMIC-CXR-JPG/2.0.0/files/p13658097/s50778464/ef54bce3-6cbab733-b106450b-dd17061e-c7a3da86.jpg
MIMIC-CXR-JPG/2.0.0/files/p13658097/s50778464/320bb3be-6923bbd4-1fe7bd7b-b54ca4ce-446cc884.jpg
Chest, pa and lateral. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There are surgical clips in the gastroesophageal junction, as well as a hiatal hernia. Biliary stents are partially imaged.
chest pain. evaluate aortic contour and for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14719866/s52233655/af89f05c-ab7bff29-ba31a9bd-b0259018-2994e510.jpg
MIMIC-CXR-JPG/2.0.0/files/p14719866/s52233655/1fc80c96-a92b2bf9-1135c3b3-c64072eb-572eb4e2.jpg
The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen. There is no focal consolidation or pleural effusion. Overall, there has been no significant interval change.
aortic stenosis and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12562031/s55314217/b78584ec-0153f46b-87ad8239-bbc048a7-92db02a7.jpg
null
A single portable frontal chest radiograph was obtained. A left-sided chest tube has been inserted into the left lateral <num>th rib interspace. The pigtail is not coiled. The left pneumothorax remains large. Rightward mediastinal shift is unchanged. Small pneumomediastinum is stable.
pneumothorax status post chest tube placement.
MIMIC-CXR-JPG/2.0.0/files/p19919570/s54946330/46ba3249-b62516b4-c10f6087-8635d558-4ff1bbc2.jpg
MIMIC-CXR-JPG/2.0.0/files/p19919570/s54946330/56b82bd4-75bc615d-35822d9d-077ad8b7-eb713690.jpg
Right-sided port-a-cath terminates in the proximal right atrium without evidence of pneumothorax. Patient is status post median sternotomy and cardiac valve replacement. Minimal left base atelectasis/scarring is seen.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology // <unk>m with astrocytoma and known seizure disorder presenting with seizure. ?cardiopulmonary etiology