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MIMIC-MultiView-Findings-Query_Optional

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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/p19599163/s50305803/8ae92b67-d1516655-d729075a-2b9152e8-c011d410.jpg	null	Ap upright portable chest radiograph obtained. Lungs are clear. Heart size is within normal limits. Mediastinal contour is unremarkable. No large pneumothorax or pleural effusion seen. Bony structures appear intact with mild arthropathy at the ac joints bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p18398420/s56545299/05709adc-f3615268-c8dbead2-ad2cff68-923632a9.jpg	null	Redemonstrated is a right-sided picc line, the tip which is seen at the level of cavoatrial junction. There has been interval placement of a nasogastric tube, seen coiling in the mid-to-distal esophagus. There are decreased lung volumes noted. Lungs are grossly clear without focal consolidation, pneumothorax, or pulmonary effusion identified. The heart size is normal. The mediastinal contours are normal.	worsening abdominal pain and fever, evaluate nasogastric tube positioning.
MIMIC-CXR-JPG/2.0.0/files/p10001401/s51065211/8061113f-c019f3ae-fd1b7c54-33e8690d-be838099.jpg	MIMIC-CXR-JPG/2.0.0/files/p10001401/s51065211/1af1b768-31250d78-0286cc9f-0950490e-f4103bcb.jpg	Pa and lateral views of the chest provided. Lung volumes are low with mild bibasilar atelectasis. No convincing signs of pneumonia or edema. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. There is no free air below the right hemidiaphragm. Fluid level is noted within the stomach.	<unk>f with abd distention // pna? free air
MIMIC-CXR-JPG/2.0.0/files/p14494263/s54767661/106ba581-e677aa3d-4496bebd-b9153561-d82a4ff1.jpg	null	As compared to the previous radiograph, the patient remains intubated, and the right chest tube and the nasogastric tube remain in place. The right lung base continues to show a relative area of basal opacity, likely postoperative atelectasis. However, no pneumothorax is seen. The minimal postoperative mediastinal enlargement on the right and the increased opacities at the left lung base have completely resolved. The size of the cardiac silhouette is normal.	respiratory failure, status post mini thoracotomy. evaluation.
MIMIC-CXR-JPG/2.0.0/files/p12220452/s58121636/a61f07d8-ce07c597-b6591675-c113e8e4-ad5df381.jpg	MIMIC-CXR-JPG/2.0.0/files/p12220452/s58121636/735aacab-248f0528-27b8c0bd-72602226-8f97a5e3.jpg	Cardiac silhouette is enlarged similar to prior. There is central pulmonary vascular engorgement and indistinct pulmonary vascular markings. There is no pleural effusion or focal consolidation. Degenerative changes partially visualized at the shoulders bilaterally. In addition, there is lumbar fixation hardware which is not fully evaluated and degenerative changes at the thoracolumbar junction as previously seen.	<unk>f with shortness of breath // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p12670557/s58617133/4b8d46af-cfc5aea9-ebb735db-8b5d2b50-fa6106b1.jpg	null	The cardiac, mediastinal and hilar contours appear stable. There is persistent mild relative elevation of the right hemidiaphragm. There are probably small bilateral pleural effusions. Minimal vague opacity projects over the right upper lung, similar to the prior appearance, although more generalized opacification was present on the prior examination. Compared to earlier radiographs, this area of opacity is similar and so may be a more chronic process. Lines, tubes and drains have been removed.	hypotension. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13007347/s58902028/dd7b192a-c67c31d9-ca6e55db-e62c71bb-4268161c.jpg	null	Endotracheal tube tip terminates roughly <num> cm cranial to the carina. Upper enteric tube terminates at roughly the level of the pylorus. Cardiomediastinal silhouette is unremarkable. Mild prominence of the central pulmonary vasculature without interstitial edema. No dense consolidation. The most lateral part of the left hemithorax is not imaged. No pneumothorax or obvious pleural effusion.	subarachnoid hemorrhage status post intubation. evaluate endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p17262795/s51782426/42c395ad-487f64cc-a117ba6b-05d3ac6f-2deeb11f.jpg	null	Comparison is made to prior radiographs from <unk>. No definite free air underneath the hemidiaphragms are seen. The study is very limited as the patient's head obscures much of the right lung. Allowing for this, i doubt interval change. There is again seen a right ij line with distal lead tip in the cavoatrial junction. Minimal prominence of pulmonary interstitial markings without overt pulmonary edema. Spinal hardware is present. The bowel gas pattern is relatively preserved with air in non-dilated loops of small bowel and colon.
MIMIC-CXR-JPG/2.0.0/files/p13855022/s54656762/99f8e2c4-a53017f4-686e5c73-f4502381-e72c493c.jpg	MIMIC-CXR-JPG/2.0.0/files/p13855022/s54656762/853f7081-b77d4ff5-0a72cf05-5f5969d2-49b74a62.jpg	No focal consolidation is seen. Posterior right lower lobe calcified granuloma is re- demonstrated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right upper quadrant surgical clips are noted.	history: <unk>f with chest pain // acute process?
MIMIC-CXR-JPG/2.0.0/files/p13799393/s56062731/7e2bf4db-e2bfcd79-892d2a34-22a148a4-37e01d1b.jpg	null	In comparison with study of <unk>, there again is extensive opacification in the right mid and lower zones, consistent with the clinical impression of lower lobe pneumonia with preservation of the right heart border. Mild indistinctness of pulmonary vessels could reflect some overhydration in a patient with some enlargement of the cardiac silhouette. Upper lungs are clear.	pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18702997/s52003098/7480fd4c-32907212-4814e1b1-906d67e3-532e7898.jpg	null	Portable upright frontal chest radiograph shows no free air under the diaphragm. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation. The cardiac and mediastinal contours are normal. There is mild vascular congestion without overt pulmonary edema.	abdominal pain. evaluate for free air.
MIMIC-CXR-JPG/2.0.0/files/p18938959/s59909117/89902935-db82d96b-f0ce8ed3-b3501301-f28ce607.jpg	null	As compared to the previous radiograph, the chest tube has been slightly pulled back. The tip now projects <num> cm above the carina. The left bronchial stent is in unchanged position. Unchanged right subclavian vein catheter. Unchanged nasogastric tube. Unchanged near complete left lower lobe atelectasis, the abnormal contour seen on the previous radiograph, located along the left heart border, is now barely visible. The presence of a minimal left pleural effusion cannot be excluded. Unchanged appearance of the right lung.	endotracheal tube placement, now repositioned. followup.
MIMIC-CXR-JPG/2.0.0/files/p16686840/s57445616/8e106157-f9135ae4-70c9414f-350bf1d5-0411c4c6.jpg	null	Since the prior exam, the right-sided chest tube has been removed. There is no right pneumothorax. A left-sided chest tube is in unchanged position with a persistent unchanged small left pneumothorax. A right internal jugular catheter ends with the tip in the low svc. An apparent kink at the skin entrance site is unchanged. Right basilar atelectasis is stable. There is no new airspace opacity. There is no right pleural effusion. A small left pleural effusion is unchanged. The cardiomediastinal silhouette has a normal post-operative appearance. The stomach is air-filled and distended.	status post chest tube removal. evaluate for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16376462/s57065121/69c0bfce-30d50f53-8a1b8f7b-416ebfca-4d044fff.jpg	MIMIC-CXR-JPG/2.0.0/files/p16376462/s57065121/fe3e4c8a-9410c721-93e309a1-1b4d2b81-520b638a.jpg	As on prior study, there are increased interstitial markings bilaterally, particularly at the periphery. This is not significantly changed since the ct of <unk>. Again there is chronic tenting of the right mediastinum. The heart is slightly enlarged. There is no frank pulmonary edema. There is no pleural effusion or pneumothorax.	elevated lactate. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19963038/s52987393/91185b01-7ec9c761-f54f8efe-11166808-019b0dbc.jpg	MIMIC-CXR-JPG/2.0.0/files/p19963038/s52987393/2fb9f299-02938f23-02d83cf3-e4d47ec6-a8ed16b9.jpg	Port-a-cath catheter tip is at the level of lower svc. Heart size and mediastinum are unchanged including cardiomegaly. Peripheral interstitial opacities have increased slightly on the right. The left peripheral interstitial opacities are stable. The lung volumes are stable and mildly reduced. The patient appears to be after transcatheter aortic valve replacement. No pleural effusions or pneumothorax.	<unk> year old woman with ongoing cough // ? pna
MIMIC-CXR-JPG/2.0.0/files/p13370871/s52671768/8101d6ca-68680194-9096ff85-b4475595-69800d1f.jpg	null	A new left internal jugular central venous catheter tip terminates in the mid svc. Endotracheal tube is in standard position. The enteric tube has been advanced with the side port now within the stomach. Heart size is normal. The aorta remains tortuous. Mild pulmonary edema persists. Diffuse alveolar opacities within the lung bases are not substantially changed in the interval, again concerning for infection or aspiration. No pneumothorax is identified.	history: <unk>m with pneumonia/ sepsis
MIMIC-CXR-JPG/2.0.0/files/p13738109/s54104718/2f41c626-b3bedede-4bf3b50a-9bef5f74-8606aeab.jpg	MIMIC-CXR-JPG/2.0.0/files/p13738109/s54104718/04ed4acf-84647df5-6d72cdd4-b6240602-58745028.jpg	Pa and lateral views of the chest provided. Lung volumes are somewhat low limiting assessment. However, allowing for this, 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>m with chest pain/sob // ? process
MIMIC-CXR-JPG/2.0.0/files/p12204179/s58116456/a5412be4-8495c5cb-c84a1c64-0febbdca-3b6115d4.jpg	MIMIC-CXR-JPG/2.0.0/files/p12204179/s58116456/30870819-1d6c31e5-3349018d-0ae8c5c2-24c5ec17.jpg	Pa and lateral chest radiograph demonstrates stable cardiomediastinal silhouette. When compared to prior study, multiple rib fractures are again seen. Previously seen opacification of the left lung base appears to project over tenth left lateral rib and which does not appear localized within the lung parenchyma. A right chest port is identified terminating in the mid svc. Re- demonstration of right prior clavicular fracture.	<unk> year old man with myeloma and known l chest mass, admit for auto sct with pa showing opacification of l base
MIMIC-CXR-JPG/2.0.0/files/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg	null	As compared to <unk>, a swan-ganz catheter has been removed, and a right internal jugular catheter terminates deep in the right atrium. Lung volumes are lower compared to prior study. Diffuse alveolar pulmonary edema has probably slightly worse in the interval, although lower lung volumes limit comparison.	<unk> year old woman with please evaluate for volume overload // volume overload
MIMIC-CXR-JPG/2.0.0/files/p14895934/s53077542/9b431956-c28bce4a-285ad6e9-2c7f195d-6dbe14d6.jpg	MIMIC-CXR-JPG/2.0.0/files/p14895934/s53077542/020605d3-3c8b090b-bcd4e7d8-c31cd400-e122f6b6.jpg	Previously noted right internal jugular line and left picc have been removed. Heart is normal size and cardiomediastinal contour is notable for a tortuous thoracic aorta, unchanged. Lungs are clear. There is no pleural effusion or pneumothorax.	<unk> year old man with mm s/p autolgous stem cell transplant, cough and low grade fevers // pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10257709/s54496232/221518e7-b217bcc9-bc9d1d77-19786d4d-ef0f8a64.jpg	null	In comparison with the study of <unk>, the right subclavian catheter has been removed and replaced with a left picc line that extends to the mid-to-lower portion of the svc. The patient has taken a better inspiration. Continued enlargement of the cardiac silhouette. The suggested area of increased opacification about the right paratracheal region is not appreciated at this time. No definite pneumonia or vascular congestion.	picc placement.
MIMIC-CXR-JPG/2.0.0/files/p12015517/s50334684/b7fc3517-dd72ab6b-fe8826e7-93b3186a-cbc6f8ec.jpg	null	As compared to prior chest radiograph from earlier today, there has been interval placement of a right-sided ij central venous catheter with its tip terminating in the distal svc. There is no definite pneumothorax. Otherwise, pulmonary findings are essentially unchanged.	right ij central line placement. confirm line placement.
MIMIC-CXR-JPG/2.0.0/files/p12043836/s58393523/f4809a3b-aaf4e173-181afde7-f7ace54e-33d7defb.jpg	MIMIC-CXR-JPG/2.0.0/files/p12043836/s58393523/0138d475-64c0f90c-9bf527aa-301404f8-e6938ef0.jpg	Consolidation and volume loss in the anterior segment of the right upper lobe which developed between <unk> and <unk> has not cleared. This is either an unresolving pneumonia or an indication of bronchial obstruction (impaction, mass, foreign body or stricture). If the abnormality does not clear with antibiotics and bronchodilators, as evaluated with conventional chest radiographs in two weeks, ct scanning is indicated. Since mediastinal caliber has not decreased, the extensive adenopathy seen on chest ct in <unk> is still present, probably increased in the right lower paratracheal station, and in the right hilus as well. The cardiac silhouette is severely enlarged, but stable compared to prior studies. Pulmonary artery dilatation and moderate peripheral vascular congestion are chronic. No pleural effusion or pneumothorax is detected. Elevation of the right hemidiaphragm is stable.	cough, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10441044/s56874452/21a94b96-9e7129b9-2bae3ef9-794c8e62-454db873.jpg	null	The et tube is located <num> cm above the carina. There is no pneumothorax or other complication. Lung volumes have improved. There is less vascular congestion than on previous exam. There are bibasilar opacities, likely representing the atelectasis seen on prior ct. The left lower lobe is better aerated. The right lower lobe and right upper lobe are collapsed. There is stable mediastinal widening, corresponding with lipomatosis seen on prior ct. A feeding tube passes along the expected path to the stomach and out of view.	<unk>-year-old male status post mvc with possible aspiration during intubation, bilateral frontal hematoma, and rib fractures, now requiring assessmenet of et tube position.
MIMIC-CXR-JPG/2.0.0/files/p14745006/s53791496/2c626b19-32d57e3e-06c5b415-b7985479-a043d548.jpg	MIMIC-CXR-JPG/2.0.0/files/p14745006/s53791496/5cd3a500-e0cd8a09-af4986a7-54c6ce61-e6e5c99a.jpg	In comparison with the study of <unk>, there again are vague areas of increased opacification at the bases and most likely reflect some atelectatic change. However, in the appropriate clinical setting, supervening pneumonia could be considered. No evidence of pulmonary vascular congestion. Of incidental note is an azygous fissure, of no clinical significance.	fever and chills with long smoking history.
MIMIC-CXR-JPG/2.0.0/files/p13026285/s58280645/4a32556e-2eee0e23-84050f5a-a6277b8a-2980516d.jpg	null	As compared to <unk>, support devices are stable and in good position. Increasing bibasal opacities are likely atelectasis, however in the appropriate clinical setting can be aspiration or pneumonia. No pulmonary edema, pleural effusions or pneumothorax.	<unk> year old man s/p esophagojej, febrile through case, rigors on wake // interval change
MIMIC-CXR-JPG/2.0.0/files/p11323183/s55903319/2719f2fa-5b0908ef-b2a39951-91f8041c-e0cccb0c.jpg	MIMIC-CXR-JPG/2.0.0/files/p11323183/s55903319/8c5934f2-48c5ec6c-a5a71fbb-b669e6f3-14e5ae63.jpg	Frontal and lateral chest radiographdemonstrates moderately well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. A radiopacity is seen projecting over the mid hemithorax on lateral view only and is likely external to the patient. Limited assessment of the upper abdomen is within normal limits.	cough. assess for acute process.
MIMIC-CXR-JPG/2.0.0/files/p11123456/s55843582/b1f58f9d-743cad0e-a7f10209-7109f26c-80a9a995.jpg	MIMIC-CXR-JPG/2.0.0/files/p11123456/s55843582/041dee6e-a8df008f-5b9c14c8-ba1c0854-53be5abb.jpg	Small right pleural effusion persists. There has been interval resolution of the left pleural effusion. The amount of air within the right apical postsurgical air-fluid collection has decreased. No focal consolidation is seen. The left lung is both compensatorily and pathologically hyperinflated. Heart and mediastinal contours are stable, with top normal heart size, aortic tortuosity and calcification. Mid thoracic vertebral body compression deformity appears unchanged since at least <unk>.	<unk>-year-old female status post vats right upper lobectomy.
MIMIC-CXR-JPG/2.0.0/files/p18549459/s54782014/e4b2a3b2-e578ff8b-023255c7-7393c09f-a8411a8f.jpg	null	The endotracheal tube tip is approximately <num> cm from the carina. A right large bore central line ends at the superior atriocaval junction. A left internal jugular central line ends in the low svc. Mild pulmonary edema is unchanged. Left mid lung linear atelectasis is stable. There is no new consolidation. There is no pneumothorax. Mild enlargement of the cardiomediastinal silhouette is unchanged. A small right pleural effusion is stable.	history of pulmonary edema. evaluate for change.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s56655147/2943a8c3-89793336-6786f538-11fe7337-cc6e4ecc.jpg	MIMIC-CXR-JPG/2.0.0/files/p10286521/s56655147/8b085e27-6b13c8fe-3b13f95d-2b22e43a-217ff997.jpg	The cardiomediastinal silhouette and pulmonary vasculature are unchanged and unremarkable. Endobronchial valves are again seen, projecting over the left hilar region. Again seen is left upper lobe atelectasis. No definite focal consolidation, pleural effusion, or pneumothorax is identified. Again noted is vertebral body height loss in the mid thoracic spine.	history: <unk>f with chest pain // eval for ptx, pna
MIMIC-CXR-JPG/2.0.0/files/p10565699/s53702438/ae5dead2-74fb8fd1-f8935933-eb9cd883-f67a7f85.jpg	MIMIC-CXR-JPG/2.0.0/files/p10565699/s53702438/4a9e623b-3a93f04a-2728cc61-46170edf-b0a2ea2c.jpg	The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is unchanged rightward deviation of the cervical trachea.	cough and fever. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12776606/s52849407/26de790a-ede8fb17-11bea924-7773acd3-f1c00487.jpg	MIMIC-CXR-JPG/2.0.0/files/p12776606/s52849407/a9c5cffc-6bade455-3bf76502-8428b378-ff360344.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. In particular, there is no displaced rib fracture identified. No free air below the right hemidiaphragm is seen.	<unk>f with trauma, left rib tenderness <unk>th ribs, bony tenderness to c-spine
MIMIC-CXR-JPG/2.0.0/files/p18732946/s57850851/eeafedea-9ec8e2db-e15ac913-2adde46f-3934d4f8.jpg	null	Again seen is a tracheostomy cannula, right picc with catheter terminating at the cavoatrial junction, and large bore right central venous catheter terminating in the right atrium. There has been advancement of the enteric tube, seen to the level of the mid to distal stomach. There is been interval improvement of previously seen perihilar and bibasilar airspace opacities, likely representing pulmonary edema. There is no focal consolidation. The cardiomediastinal and hilar silhouettes remain unchanged. There is no pneumothorax or pleural effusion. There is a chronic fracture of the right humeral neck.	<unk> year old woman with cardiac arrest admitted with hypoxemic respiratory failure, trach in place now with hemoptysis via trach. // new hemoptysis from trach; eval for intrapulm process.
MIMIC-CXR-JPG/2.0.0/files/p14355716/s59209760/20b7ce7c-7920f358-14da33d1-a20314b7-83d8197e.jpg	MIMIC-CXR-JPG/2.0.0/files/p14355716/s59209760/2004bc61-7ee52ba6-68895f8f-06a900d0-b77a761d.jpg	The lung volumes are normal. Normal size of cardiac silhouette. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours. Surgical clips in right upper quadrant consistent with prior cholecystectomy.	<unk> year old woman with arthralgias // ? hilar <unk> or infiltrate
MIMIC-CXR-JPG/2.0.0/files/p14280969/s55015969/2fdc1447-c3b8d4a5-1b3f6461-5fab1311-fbc7c93c.jpg	MIMIC-CXR-JPG/2.0.0/files/p14280969/s55015969/6ed7158c-ebd7a0c8-d8c2aace-a5dc2db6-61f7f669.jpg	In comparison with study of <unk>, there is little change in the substantial right pleural effusion with concomitant lower lobe collapse. Probably some much less prominent atelectatic changes with a possible pleural effusion on the left. Enlargement of the cardiac silhouette persists, enhanced by the low lung volumes. Dual-channel pacer device has leads extending to the right atrium and apex of the right ventricle. No definite pulmonary vascular congestion.	pleural effusion and collapse, to assess for change.
MIMIC-CXR-JPG/2.0.0/files/p19289869/s57043806/b6c8f2ff-3710b4ee-f9b95477-6844822e-6c915da9.jpg	MIMIC-CXR-JPG/2.0.0/files/p19289869/s57043806/6c4802ef-9588ac76-a77ede66-33348e42-03250781.jpg	Frontal and lateral views of the chest. No pleural effusion, pneumothorax, or focal airspace consolidation. Cardiac silhouette is normal in size, and unchanged accounting for technique. The lung volumes are low which results in crowding of the bronchovascular structures. Despite this, there is mild pulmonary edema with bronchial cuffing, indistinctness of the hilar borders and vascular redistribution. There is mild prominence of the right hilus, thought to reflect a dilated main pulmonary artery. There is no focal airspace consolidation worrisome for pneumonia.	cough and congestion. rule out an infectious process.
MIMIC-CXR-JPG/2.0.0/files/p18675363/s54595686/ad2ccee4-61fd3b02-d03ecc5d-cb2a84d2-25463b4b.jpg	MIMIC-CXR-JPG/2.0.0/files/p18675363/s54595686/9f9548b8-5f607610-c5a20e4d-e8d07970-fb4bb095.jpg	Frontal and lateral views of the chest were obtained. There is subtle opacity projecting over the left upper-to-mid lung at the level of the posterior left seventh rib, unclear whether artifactual or pulmonary or possibly due to external artifact. Correlate with any external artifact at this location. If none, consider oblique views or followup chest ct. The cardiac silhouette is mildly enlarged and likely in part distorted due to patient's thoracolumbar scoliosis. The aorta is tortuous and calcified with mediastinal contours relatively stable. No pleural effusion is seen. There is no evidence of pneumothorax. The bones are diffusely osteopenic, and again there is deformity of the proximal-to-mid right humerus, longstanding. There has been interval removal of a left-sided picc. There are multiple chronic right-sided rib deformities.
MIMIC-CXR-JPG/2.0.0/files/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg	MIMIC-CXR-JPG/2.0.0/files/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg	Ap and lateral chest radiographs demonstrate stable positioning of the right port-a-cath. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax. Left apical nodule is unchanged and has been further characterized on prior ct-torso. The cardiomediastinal silhouette is normal.	nausea and vomiting.
MIMIC-CXR-JPG/2.0.0/files/p16345822/s54066774/47fef29c-bf1dfb0b-ac9e20ab-d143cb99-7e3feb8b.jpg	MIMIC-CXR-JPG/2.0.0/files/p16345822/s54066774/595f57c6-dcd7ff86-dc2b1e99-cb4f38dc-3e3a954c.jpg	The lungs are mildly underinflated but appear clear. There is no focal airspace opacity to suggest pneumonia. The cardiomediastinal silhouette and hilar contours are stable. Heart size is somewhat exaggerated by low lung volumes and likely normal in size. There is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19514951/s56519741/c70a6332-c24e8d22-a14372fb-61f5b2dc-8866180e.jpg	MIMIC-CXR-JPG/2.0.0/files/p19514951/s56519741/09c2c23f-3dd88c76-9ca37e98-56c2787f-90e80ffa.jpg	Frontal and lateral radiographs of the chest demonstrate hyperexpanded and clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.	<unk>-year-old man with cough, coarse breath sounds, leukocytosis. evaluate for pneumonia.