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MIMIC-CXR-JPG/2.0.0/files/p16956482/s57233448/735b49df-56593b6f-99bfd5b4-367ca3b2-4a474289.jpg | MIMIC-CXR-JPG/2.0.0/files/p16956482/s57233448/f94543c9-e8836a86-126aea0b-a5e38952-9dfde401.jpg | There is right-sided pigtail chest tube in unchanged position from prior exam. A right middle lobe and right lower lobe consolidation is again seen, similar to prior and likely representing atelectasis. An area of linear opacity is seen in the left lung base, likely representing atelectasis. There is a moderate right pleural effusion, which has increased from prior exam and appears to be loculated. There may be a small left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. | <unk> m s/p liver transplant <unk> for etoh cirrhosis admitted with acute moderate rejection and hepatic artery anastamotic stenosis now s/p stent on plavix/asa which led to ischemic cholangiopathy s/p cbd stenting x<num>. course complicated by low level cmv viremia on valganciclovir as well as recurrence of large right pleural effusion s/p chest tube, <unk>, and ?aspiration pna. // please eval effusion |
MIMIC-CXR-JPG/2.0.0/files/p16881590/s57705002/5c0f89b8-62b9d918-18714ba2-63ad7aaa-0d5c4999.jpg | MIMIC-CXR-JPG/2.0.0/files/p16881590/s57705002/66b7eb49-8f3d570f-d054a691-d5d1809c-19238497.jpg | Pa and lateral chest radiographs demonstrate mild cardiomegaly, unchanged from <unk>. There is no pulmonary vascular congestion, pleural effusion, or dilation of the azygos. There is no focal consolidation or pneumothorax. An old right posterior rib fracture is stable from <unk>. | dry cough for several months. |
MIMIC-CXR-JPG/2.0.0/files/p14328075/s58345728/65ad2868-f30207c0-15ad4b87-fd080bfd-b964af31.jpg | MIMIC-CXR-JPG/2.0.0/files/p14328075/s58345728/d66d3898-9420f9ae-5cc3a085-119c2307-f7f152d9.jpg | Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. A gastric band is noted in the left upper quadrant of the abdomen. | history: <unk>f with dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p10995687/s56935682/dce0373b-5eca774f-29f2c87a-cc6d080d-0afe34d1.jpg | MIMIC-CXR-JPG/2.0.0/files/p10995687/s56935682/ebe8fb47-4b85229c-73e704fc-528bfd92-acebb598.jpg | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | history: <unk>m with chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16058813/s54613711/cf767dd0-e2f51112-d45feb27-080ba68f-d56755d9.jpg | MIMIC-CXR-JPG/2.0.0/files/p16058813/s54613711/da203d4c-560e28c7-4158c02d-396d703d-b1aa3ab7.jpg | Frontal and lateral views of the chest were obtained. The heart is of normal size. An ill-defined opacity is present in the right upper lobe laterally. Bilateral hila appear slightly enlarged. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body. | dizziness and gait imbalance. |
MIMIC-CXR-JPG/2.0.0/files/p19942382/s59212744/e9a7e0bf-220a9ed8-59fba63b-85c25b7b-66ccddc4.jpg | MIMIC-CXR-JPG/2.0.0/files/p19942382/s59212744/b81f0203-8db53546-c141ca7d-266384ee-a616aa7f.jpg | Pa and lateral views of the chest. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. | cough and fever, history of positive ppd. |
MIMIC-CXR-JPG/2.0.0/files/p17698363/s53147181/78f3f7a3-1c8d482c-7db08029-7dedbaea-0ae69111.jpg | null | As compared to the previous radiograph, the nasogastric tube has been removed. Unchanged severe cardiomegaly with bilateral areas of atelectasis, relatively large hilar structures and signs of mild fluid overload. No pleural effusions. No evidence of pneumonia. | occipital fracture, frontal contusion, evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18388859/s55054221/a0ed5e0c-f7cfb809-5df34ff3-aed7c8ae-0630f173.jpg | null | As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Mild cardiomegaly without overt pulmonary edema. Left lower lobe atelectasis. No new parenchymal opacities. No pneumothorax. | status post liver transplant, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18482774/s52138925/7ad8c7b8-900e0da9-6bfdf34a-59ea3272-2d0579a7.jpg | MIMIC-CXR-JPG/2.0.0/files/p18482774/s52138925/5a3f00f8-e16f9540-08bd4480-f65ce422-13f6ad92.jpg | The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pulmonary edema or evidence of pneumonia. Hilar contours are normal. | shortness of breath |
MIMIC-CXR-JPG/2.0.0/files/p17682100/s53227489/b0b628d0-4f1bf8a9-fdca5c08-54385bf5-62778192.jpg | null | Ap portable view of the chest demonstrates the hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are present. Moderate cardiomegaly and mild pulmonary edema are new. Minor fissure thickening reflects edema. There is no pneumoperitoneum dialysis catheter tip projects over cavoatrial junction, unchanged. Nasogastric tube has been removed. | bradycardia. |
MIMIC-CXR-JPG/2.0.0/files/p15142292/s55379321/3fe190a8-ef019ddb-1d484d76-f87e45d0-258853c3.jpg | MIMIC-CXR-JPG/2.0.0/files/p15142292/s55379321/2f83bdbc-1ab581f0-6e58a562-e593fc91-535f60f1.jpg | The cardiomediastinal silhouettes are normal. There is tortuosity of the descending thoracic aorta. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pneumothorax or effusion. | a <unk>-year-old man with a fever and cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10641787/s54891738/7f1ebb01-b209f13d-5247d9a9-09b50a2a-88c75892.jpg | MIMIC-CXR-JPG/2.0.0/files/p10641787/s54891738/7537fc51-e55d3b83-b4777634-7a6f360a-fc4b6b91.jpg | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | history: <unk>m with sob, pls eval for pna // history: <unk>m with sob, pls eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14480391/s51743332/3dfee34d-43174553-ce2d00c1-f4e894ac-4162d7b0.jpg | MIMIC-CXR-JPG/2.0.0/files/p14480391/s51743332/767ca756-7d50dd37-baeb90f2-0acfbb7b-4118e23c.jpg | As compared to the previous radiograph, there is no relevant change. Extensive right lower lobe opacity, associated with a small-to-moderate pleural effusion, likely caused by an infection. On today's radiograph, the left upper lung region has also become slightly denser than on the previous image, but without definite signs of infection. No left pleural effusion. Normal appearance of the right lung apex. | fevers, evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10287919/s52403093/d5ec4eae-1238c570-fabb241d-bc4c43b3-96fd9796.jpg | null | Compared to <unk> portable chest radiograph, there are no significant changes noted. The cardiomediastinal contour and diffuse metastatic lung nodules are unchanged from prior study. There is a residual small right pleural effusion unchanged from prior study. No left pleural effusion seen. Mild right-sided subcutaneous emphysema at the site of chest tube entry is unchanged from prior study. Bilateral pleural drains are in stable position. Pacer wires follow their expected courses to the right atrium and right ventricle from the left pectoral generator. | <unk> year old man with b/l cts // evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p14260897/s51401318/32cf69ed-532b3ba5-2ff98aba-781db2ce-a078defd.jpg | MIMIC-CXR-JPG/2.0.0/files/p14260897/s51401318/e5b7f4d3-48d0125f-bc25c10b-82e53d83-ca15b7ae.jpg | Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. | recent pneumonia, treated at outside hospital, now with upper respiratory infection, please evaluate for pneumonia and confirm no infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p17229811/s53770777/17b02ea7-01c14d99-e4a5eb63-1c149650-cde03fe5.jpg | MIMIC-CXR-JPG/2.0.0/files/p17229811/s53770777/b9eb9cfa-872d2f6e-98eb9750-6ed867de-319dae14.jpg | Previous large scale consolidation has cleared entirely. Predominantly in the left lower lobe and to a lesser degree in the right middle lobe is a new abnormality consisting of fine linear opacities and, best appreciated on the lateral view, bronchial wall thickening. This is more likely to be an atypical infection, due to a virus or mycoplasma (or given the appropriate clinical circumstances, pneumocystis), than bacterial pneumonia. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | <unk> year old man with hiv, cvid with cough x <unk> weeks // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p14673561/s57128818/63aabb31-09d53ae1-70d7be33-a94d9c30-64258a1d.jpg | MIMIC-CXR-JPG/2.0.0/files/p14673561/s57128818/651060fb-a4469648-eeb2ece0-31caed4a-d6c7d019.jpg | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Lung volumes are low, but no focal consolidation is seen. Low lung volumes account for bronchovascular crowding. There is no acute osseous abnormality. | <unk>m with dizziness, leukocytosis, evaluate for pneumonia.. |
MIMIC-CXR-JPG/2.0.0/files/p17591565/s59274322/75875270-32b5dbb7-28ec8012-a150db5a-6b2bf67f.jpg | MIMIC-CXR-JPG/2.0.0/files/p17591565/s59274322/e2e29577-a48447a6-d018e179-b6b71cfe-e804e0cd.jpg | Pa and lateral views of the chest provided. Pectus excavatum deformity accounts for opacity obscuring the right heart border. Lungs are clear without signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable in overall size and configuration. Bony structures are intact. | <unk>m with hx of diffuse esophageal spasm here with difficulty swallowing, substernal chest pain, and mild doe |
MIMIC-CXR-JPG/2.0.0/files/p15347749/s56765456/1940c96b-669d2591-b0d71299-9eb1822a-fb4baebf.jpg | null | The lung volumes are small. Mild pulmonary edema. Blunting of the left costophrenic sinus, potentially reflecting a small left pleural effusion. No evidence of pneumonia. No pneumothorax. Borderline size of the cardiac silhouette. | preoperative chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p12520640/s56863289/2632ea9d-36c00a9b-ee86b596-096cdeaa-d2fcc3aa.jpg | null | Status post removal of two pleural catheters with a small right basilar hydropneumothorax and small loculated right apical hydropneumothorax. Intrafissural fluid in region of minor fissure has decreased. Postoperative and post-radiation changes are again demonstrated in the right hemithorax. Overall improvement in right middle and right lower lobe opacities, and near resolution of previously described interstitial edema. Otherwise, no relevant short-interval changes. | |
MIMIC-CXR-JPG/2.0.0/files/p18573535/s52690620/15cc739c-7dff213b-8c0af2cb-e6d4ce35-9910d2e3.jpg | MIMIC-CXR-JPG/2.0.0/files/p18573535/s52690620/69be5046-149f2360-9a4703d6-6f3d0f52-c7d9f00c.jpg | Compared with <unk>, there is increased opacity in the right middle <unk>, <unk> represent atelectasis, however pneumonia cannot be excluded. There is platelike atelectasis in the left lower lung, similar to prior. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Spinal hardware is again seen overlying the thoracic lumbar spine. Surgical <unk> overlie the posterior soft tissue. | history: <unk>f with possible op w/ortho // eval for pre-op |
MIMIC-CXR-JPG/2.0.0/files/p16337817/s50877278/036c7c68-86223032-edfc6343-136e5d6b-eef75af0.jpg | null | As compared to the previous radiograph, the right chest tube has been removed. There is no evidence of pneumothorax. Otherwise unchanged radiograph with unchanged monitoring and support devices. | chest tube removal, evaluation for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p15082258/s56647686/5f84e754-2a5dd7ed-42223037-a9cac9ae-b013fd7c.jpg | MIMIC-CXR-JPG/2.0.0/files/p15082258/s56647686/313cffce-df80075c-b994e19f-f5c28230-ed70cb71.jpg | Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. | right lower extremity pain over the femur. |
MIMIC-CXR-JPG/2.0.0/files/p12622826/s54475766/982007c6-613e0147-5ff7dfe0-971bd489-2474fa3c.jpg | null | Mild pulmonary edema, cardiomegaly, and small bilateral pleural effusions are increased from <unk>. Bibasilar atelectasis is unchanged. No pneumothorax. | <unk> year old woman with left iph // interval change |
MIMIC-CXR-JPG/2.0.0/files/p10139117/s58892350/21216190-4f695cb6-c106bb53-41ddb287-712592cb.jpg | MIMIC-CXR-JPG/2.0.0/files/p10139117/s58892350/fe23b811-40944bbf-b00511e4-c3616748-780a3276.jpg | Pa and lateral view of the chest compared to prior chest x-ray from <unk> and chest ct from <unk>. Postoperative changes of left upper lobectomy are seen with left hemithorax volume loss and elevation of the hemidiaphragm as well as surgical chain sutures in the suprahilar region. There is increased nodular opacity in the postoperative bed, which was more clearly delineated by recent ct as suspicious for recurrent disease. The lungs are otherwise clear. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable. | <unk>-year-old male with syncopal episode, history of lung cancer with recent lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p18265471/s58762754/6b1e5f4c-e955359b-30bb122c-368cc2f9-3a3fa05d.jpg | null | Comparison is made to the prior radiographs from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina. This could be pulled back <num>-<num> cm for more optimal placement. There is a feeding tube whose distal tip and side port are in the fundus of the stomach. Cardiac silhouette is upper limits of normal. There is a left retrocardiac opacity. There is some blurring at the lung bases due to motion artifact; however, they are likely small bilateral pleural effusions. There is no overt pulmonary edema. Several healed rib fractures are seen on the left side. | |
MIMIC-CXR-JPG/2.0.0/files/p18244848/s57431275/3fe73e08-bb68ff0c-7c9eaf45-e4093b45-21052c53.jpg | null | The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. | <unk>m with dyspnea. assess for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11033072/s51838569/1dbeb725-223ec54c-20774587-23ba66a4-e522d4d9.jpg | null | As compared to the previous radiograph, there is unchanged evidence of non-characteristic apical scarring as well as of moderate overinflation. Moderate cardiomegaly persists, and areas of atelectasis and bronchiectasis are seen in the lower lungs. There is no convincing evidence of a new parenchymal opacity, but the pre-existing right lower lobe opacity is slightly larger than on the previous image, raising concern for developing pneumonia, as previously noted. No pneumothorax. | copd, hypoxia, evaluation for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p16659675/s56624410/4d4dff46-61a7317f-291630a2-cb2f593f-564b5c91.jpg | MIMIC-CXR-JPG/2.0.0/files/p16659675/s56624410/6cb7935e-2faa8173-f13d4230-54f43077-53c3bf9b.jpg | Left cardiac device is unchanged in position, and the tip ends at the right atrium, right ventricle and left ventricle. Right ventricle seems to be more proximal than normal position. Previous right pleural effusion has resolved. No focal consolidation, pleural effusion or pulmonary edema is seen. No pneumothorax is seen, and the cardiac and mediastinal contours are normal. | <unk>-year-old woman status post biventricular icd cardiac replacement. evaluate lead position and to rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p12489389/s53715327/10c90fee-573d2388-ff28a468-90ce3bfa-69fc2d31.jpg | MIMIC-CXR-JPG/2.0.0/files/p12489389/s53715327/912bdfbe-fb72278b-e40c84ae-9109cfe7-21e74608.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>m status post motor vehicle collision with mediastinal blood noted on ct chest from last night // any evidence of widening mediastinum or other acute abnormality? |
MIMIC-CXR-JPG/2.0.0/files/p14856688/s51605845/b91c64e8-d08b4693-e7358aea-71b77a2c-cba7e16a.jpg | MIMIC-CXR-JPG/2.0.0/files/p14856688/s51605845/8ee34f3a-d41ceddd-61754778-41bbae76-40c0a0bf.jpg | Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Bilateral low lung volumes causing vascular crowding. Otherwise, lungs are clear. No pleural effusion or pneumothorax evident. | encephalopathy. please evaluate for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p10855190/s51043653/0b4ba97b-feddc6b8-a55f692b-8265bb7b-412ab406.jpg | MIMIC-CXR-JPG/2.0.0/files/p10855190/s51043653/5e3a68e0-184cf7e9-4df8a4f8-6029a97d-1dde3268.jpg | There is persistent left hemidiaphragm elevation, with resulting left basilar atelectasis. However, superimposed infection would be difficult to exclude in the appropriate clinical setting. Prominent interstitial markings are unchanged across multiple prior examinations, and suggests underlying chronic lung disease. Right lung is otherwise essentially clear. No effusion or pneumothorax. Heart is normal in size. Right shoulder arthroplasty is noted. Significant wedge compression of the lower thoracic spine with resulting kyphosis is unchanged. | history: <unk>f with productive cough // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13069267/s56777534/269de9d1-47b7d034-a64c1a73-18af919a-750d584b.jpg | MIMIC-CXR-JPG/2.0.0/files/p13069267/s56777534/590dff94-83809016-06147451-4886888d-b347aa01.jpg | The left chest wall pacemaker and right ventricular leads are stable. Heart size and mediastinal contours are stable. No pneumothorax or pleural effusion. | <unk> year old woman s/p pacemaker // confirm lead placement |
MIMIC-CXR-JPG/2.0.0/files/p10924501/s53664645/4a1e6a75-fbf2ef42-9e256c13-77ccac2f-577c80e9.jpg | null | As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There are small new pleural effusions with subsequent areas of basal atelectasis. The size of the cardiac silhouette is unchanged. No indication for pulmonary edema or interval recurrence of pneumonia. No pneumothorax. | status epilepticus, tachypnea, hypotension, evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18321272/s52707357/c36b72c5-13c15428-0ca98364-0f938153-303c486a.jpg | null | In comparison with the study of <unk>, the patient has taken a somewhat larger inspiration. The right upper to mid lung nodule is essentially unchanged. No definite vascular congestion at this time. Specifically, no evidence of post-procedure pneumothorax. | lymph node biopsy. |
MIMIC-CXR-JPG/2.0.0/files/p19580789/s54896273/3c46dc4f-b658b25f-8697ada5-6ef38005-825d9235.jpg | MIMIC-CXR-JPG/2.0.0/files/p19580789/s54896273/5200e5f8-3431aa0b-4687f1fc-8dfbaa5d-7e230488.jpg | Moderate cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs are hyperinflated. Mild degenerative changes are noted in the thoracic spine. | history: <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p15928453/s51060137/e25866e4-48a2dee6-2181bf44-fb7cc3ce-3ea6967f.jpg | null | Portable ap upright chest radiograph provided. There has been interval placement of a right chest tube with its tip directed at the right lung apex, with interval re-expansion of the right lung and only trace residual pneumothorax identified. Otherwise, no change. An ivc filter and clips are again noted in the upper abdomen. | <unk>-year-old with right pneumothorax status post chest tube insertion, assess residual pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19635953/s51644418/b1f108d5-2edf5916-3d15e60a-609b2738-12acced4.jpg | MIMIC-CXR-JPG/2.0.0/files/p19635953/s51644418/97c72ab6-eaf24e8d-e537b244-dd6708e1-6af64545.jpg | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is mild elevation of the right hemidiaphragm. Evidence of the central vasculature may relate to low lung volumes although there may be a component of central vascular engorgement. No focal consolidation or pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top normal to mildly enlarged. Mediastinum is unremarkable. | |
MIMIC-CXR-JPG/2.0.0/files/p16225498/s50012045/9a6ea62b-ac88421e-bad6b193-523a2a91-34e9e3bf.jpg | null | In comparison with the study of <unk>, the monitoring and support devices remain in place. The feeding tube passes below the diaphragm, though the tip and side port are not clearly visualized. The tube adjacent and to the right of the feeding tube is likely external to the patient. In the right lung, there has been decrease in the area of consolidation or possible loculated effusion. Little change in the multiple nodules. | og placement. |
MIMIC-CXR-JPG/2.0.0/files/p16023485/s55996974/6761652b-89da033a-b8e7a696-9fcef341-f10df8f1.jpg | null | A left chest tube ends in the upper lungs. Lung volumes are low. There is no pneumothorax. Increased opacification at the right lung apex is noted with mild elevation of the right hemidiaphragm. | <unk> year old woman with lll pulm nodule now s/p vats wedge resection, ct x<num>, evaluate post-op baseline, obtain in pacu |
MIMIC-CXR-JPG/2.0.0/files/p11952144/s54145484/e5df2d55-0afc42f5-845340b0-ba0536ba-993a5c9a.jpg | MIMIC-CXR-JPG/2.0.0/files/p11952144/s54145484/f3515bac-f2af65b2-b48891b3-3c662662-de1dc14c.jpg | Pa and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. An old fracture of the right clavicle was noted. | history of seizures, leukocytosis, question presence of infiltrate. |
MIMIC-CXR-JPG/2.0.0/files/p11245423/s57210186/3adf668a-1b2e08dd-a447c50b-d7d4be47-9f9ed1ae.jpg | MIMIC-CXR-JPG/2.0.0/files/p11245423/s57210186/a59cba65-a75996e2-ff323193-c8cdfb04-18e7c5e3.jpg | Frontal and lateral views of the chest demonstrate top normal heart size. The mediastinal and hilar contours are within normal limits. The lungs are clear with the exception of likely right greater than left basilar subsegmental volume loss. There is no large effusion, vascular congestion, or pneumothorax. Displaced distal right clavicular injury is likely chronic, with evidence of healing. | <unk>-year-old female with neck pain and history of clavicle pathology. question acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p15715111/s50049872/60a7c48c-0cdcdc1c-0b6eb5fa-a48354ac-88d4e28f.jpg | MIMIC-CXR-JPG/2.0.0/files/p15715111/s50049872/0ade84a9-c079aaa6-218f3ff2-50478b5a-a61e1dce.jpg | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is identified. | |
MIMIC-CXR-JPG/2.0.0/files/p11385948/s56120124/3c212840-2a6cb7c9-e749d3fd-b8b9f678-b5578729.jpg | MIMIC-CXR-JPG/2.0.0/files/p11385948/s56120124/4f649011-2558809e-e55d04fc-208c326e-9aa0966e.jpg | Heart is upper limits of normal in size, and the aorta is tortuous and calcified, both unchanged. Asymmetrical right apical thickening appears similar since <unk>, and multifocal areas of apparent parenchymal scarring in the right middle lobe and lingula with associated bronchiectasis, likely reflecting scarring or atypical mycobacterial infection. A new confluent area of opacity has developed in the right upper lobe posteriorly, best visualized on the lateral radiograph superior and posterior to the aortic arch. Lungs remain hyperinflated. No pleural effusion. Bones are diffusely demineralized, and note is made of mild scoliosis. | |
MIMIC-CXR-JPG/2.0.0/files/p10253919/s51992810/61639162-28e32421-415983a7-c5d6e54f-85a4e39a.jpg | MIMIC-CXR-JPG/2.0.0/files/p10253919/s51992810/c2c5e98d-41b6bbc2-0773741d-78313bcb-f8b359a9.jpg | Pa and lateral views of the chest. Transvenous right atrial and right ventricular pacer leads are in standard placement. The right internal jugular line tip projects over the mid svc. Lungs are grossly clear. There are small bilateral pleural effusions. No pulmonary edema. The cardiac, mediastinal, and hilar contours are normal. | shortness of breath and worsening wheezing, assess for worsening pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p11663663/s58302703/40e0b02a-3b86099b-e2acbf78-0eee4a42-24ca7dc2.jpg | MIMIC-CXR-JPG/2.0.0/files/p11663663/s58302703/beccef81-aff4d92c-a6ac851f-80d1db5a-6364f5d9.jpg | Small to moderate right pleural effusion has minimally decreased compared to prior. There is somewhat improved aeration at the right lung base with persistent right lower lobe opacity. No new consolidation, left pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. | <unk>-year-old male with schizoaffective disorder and recent pneumonia and pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p17400716/s56304526/0b9ca3e6-a8fe1e91-caf80901-44eb9c17-3d5bd9c9.jpg | MIMIC-CXR-JPG/2.0.0/files/p17400716/s56304526/295eef74-25fc4069-dc416864-cd234158-01f04ad6.jpg | Moderate-to-severe pulmonary edema has substantially increased compared to the prior radiograph from <unk>. There is subsegmental bibasilar atelectasis, left greater than right. Moderate cardiomegaly has not significantly changed. Bulging of the azygos contour is slightly increased. Aortic calcifications are noted. There are no definite pleural effusions. No pneumothorax is seen. | altered mental status and shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12713061/s52140378/2c8131b7-1c7bd1a0-53c94beb-33af79f2-340de1dc.jpg | MIMIC-CXR-JPG/2.0.0/files/p12713061/s52140378/b7aee58a-3b0e95ba-886c9d48-ac6cb80d-b250e164.jpg | The heart size is normal. The hilar and mediastinal contours are normal. Mild bibasilar atelectasis is persistent. Small bilateral pleural effusions, larger on the right, are similar to the prior exam from <unk>. There is no evidence of pneumothorax. Chronic deformity of the proximal right humerus, is unchanged compared to exams dated back to <unk>. There is no pulmonary edema. No focal consolidations concerning for pneumonia identified. Tips is identified. | <unk>m with dyspnea. please evaluate for effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14799773/s54563250/60f370db-2b9c550f-f7eba129-0b4be061-0d59bfb1.jpg | MIMIC-CXR-JPG/2.0.0/files/p14799773/s54563250/10ba9dc7-2f633642-e9448ef8-dde3520d-20da3a3d.jpg | In comparison with the earlier study of this date, the patient has taken a much better degree of inspiration. The apparent increased opacification at the bases, more prominent on the right, most likely represented crowding of interstitial markings. No evidence of acute focal pneumonia at this time. The left mid lung opacification appears stable. | possible new opacities on portable chest. |
MIMIC-CXR-JPG/2.0.0/files/p11213607/s55308374/9a9ef7c3-7df8487a-7bf42ab2-8e1c86e5-e0c824f2.jpg | null | As compared to the previous radiograph, the previously positioned left internal jugular vein catheter has been substantially pulled back. Catheter tip is now positioned in the left cervical region. The catheter needs to be repositioned. No evidence of complications. Otherwise, unchanged radiograph. The endotracheal tube and nasogastric tube are constant. | dislodged central line. |
MIMIC-CXR-JPG/2.0.0/files/p15385889/s53935960/1b936075-133cefe2-3fcb5609-cb45de5f-85fe1428.jpg | null | In comparison with the study of <unk>, there is little overall change. Again there are areas of increased opacification bilaterally consistent with pulmonary vascular congestion and diffuse airspace opacities. In the appropriate clinical setting, supervening pneumonia would have to be seriously considered. There are bilateral pleural effusions with volume loss in the region of the left lower lobe. | septic shock and worsening pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10661934/s52654465/3eff7e4a-2803f22f-39321c55-fa4e1ad7-21ffbb2e.jpg | null | In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Left ij catheter extends to the lower portion of the svc or cavoatrial junction. | fever, to assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19615440/s54065874/542b602b-e8233235-2c7b20f5-f2bff06b-f741ebcd.jpg | null | As compared to the previous radiograph, the effusion on the right has mildly decreased. The bilateral areas of parenchymal opacities, predominating at the lung base and in the left hilar region, are unchanged. The right internal jugular vein catheter has been removed. Sternal wires are in unchanged alignment. No new parenchymal changes. | right effusion, rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p19423670/s58358550/66715acf-b54b4039-ab1e34c9-3f349312-a2a865f1.jpg | null | A series of portable radiographs were obtained to document placement of a feeding tube. The third and final radiograph of the series demonstrates the tip of the nasogastric tube in the proximal stomach, but side port is above the gastroesophageal junction location. Tip of endotracheal tube terminates <num> cm above the carina, and a dialysis catheter terminates at the cavoatrial junction. Heart is upper limits of normal in size. Mild pulmonary vascular congestion is accompanied by minimal interstitial edema. Widespread calcifications in the mid and lower portions of the chest are probably predominantly pleural in location, suggesting prior asbestos exposure. Moderate loculated left and small loculated right pleural effusions are present with or without component of pleural thickening. Associated bibasilar lung opacities (left greater than right), may reflect atelectasis and/or infectious consolidation. Note is made of apparent wall thickening of the right main bronchus, difficult to assess radiographically. | |
MIMIC-CXR-JPG/2.0.0/files/p17636548/s54076783/40fd43d9-c4dc8194-949b572f-48d58adc-9da1d892.jpg | MIMIC-CXR-JPG/2.0.0/files/p17636548/s54076783/78ad01e8-112aede4-9ac7c64c-b1e7a5e0-0f98106e.jpg | Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. | |
MIMIC-CXR-JPG/2.0.0/files/p12256722/s56827665/ef515788-e9f46269-8901c8e6-d832fb65-c83126ca.jpg | null | There has been interval placement of a right internal jugular central venous catheter with tip in the mid svc. No large pneumothorax is identified on this supine exam. Endotracheal tube and enteric tubes are in unchanged positions. Worsening pulmonary opacities in the perihilar regions and upper lung fields bilaterally may reflect a combination of worsening mild pulmonary edema and atelectasis. Heart size remains mildly enlarged. Superior mediastinal widening may be due to low lung volumes and supine ap positioning. Catheter terminating in the region of the t<num> vertebral body again is unchanged, possibly a temperature probe, with cervical spinal hardware partially imaged. | history: <unk>m with right internal jugular central venous catheter |
MIMIC-CXR-JPG/2.0.0/files/p15764062/s54021651/0d36f0ca-0eaad772-85362367-36f3f687-f19d03a7.jpg | MIMIC-CXR-JPG/2.0.0/files/p15764062/s54021651/54f52d7f-375d6a23-394864b8-db153899-7caa8c93.jpg | The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | <unk>f with sob/fevers // acute process |
MIMIC-CXR-JPG/2.0.0/files/p15719070/s58260763/e53bb1cd-f53fa400-a826599d-e4579b9e-f1e9848f.jpg | MIMIC-CXR-JPG/2.0.0/files/p15719070/s58260763/5004717b-b2ee497f-d5468fc4-a883a644-53191c3b.jpg | In comparison with study of <unk>, there is little overall change. There is some enlargement of the cardiac silhouette with tortuosity of the aorta without definite vascular congestion, pleural effusion, or acute focal pneumonia. Minimal atelectatic or fibrotic streaks bilaterally. | left lower lung crackles. |
MIMIC-CXR-JPG/2.0.0/files/p18362456/s58992538/4f5b8291-c12103c1-372cab24-3db79f35-b51c412a.jpg | MIMIC-CXR-JPG/2.0.0/files/p18362456/s58992538/0c76546a-f7ae6787-64e9632f-a21c4a32-cbf278f0.jpg | Upright ap and lateral views of the chest provided. Aicd unchanged in position. Lung volumes low. 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 syncope // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p15847566/s56721634/97bca5e3-a6beda8e-a6eb81a2-e0c1bc51-1b6219bc.jpg | null | The tip of the nasogastric tube projects over the mid upper abdomen likely within the body of the stomach. Lungs are clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Diffuse gaseous distension of loops of small bowel is unchanged. | <unk> year old woman with ngt placement, evaluate for ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p11547326/s52729688/b9f0bd7e-1388d142-d995aa8d-3a9c0c45-47a7e980.jpg | MIMIC-CXR-JPG/2.0.0/files/p11547326/s52729688/a8eaa20e-043cb753-cb81dbab-4b1e3dd7-05cb8368.jpg | Heart size is borderline enlarged. Mediastinal hilar contours are unremarkable. Pulmonary vasculature is normal. There is minimal atelectasis in the left lower lobe. Right lung is clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. | history: <unk>f with constant dizziness since awaking this am |
MIMIC-CXR-JPG/2.0.0/files/p18625840/s59931063/33ef6747-455d3ee9-c1ca042c-9545d240-d62e6546.jpg | null | A new lucent seen below the right hemidiaphragm is highly concerning for free intraperitoneal gas. However, as the patient has a eventrated right hemidiaphragm on prior radiographs, a left lateral decubitus abdominal radiograph or ct may be helpful to confirm suspected free intraperitoneal air if warranted clinically. Exam is otherwise remarkable for bibasilar atelectasis, small right pleural effusion, and marked gastric distension. | <unk> year old woman with gib, cdiff, recent tips, now with new onset shortness of breath // ?acute process, pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17571227/s56323734/b3509e69-615f015a-d7e80490-9072daae-c6ce6ad0.jpg | MIMIC-CXR-JPG/2.0.0/files/p17571227/s56323734/cba5509f-b0ac4b59-3781b7c4-fe1712b7-234daf82.jpg | No previous images. There is increased opacification at the right base posteriorly. Although much of this has a linear quality, consistent with bands of atelectasis, in the appropriate clinical setting, supervening pneumonia would have to be considered. Remainder of the study is within normal limits and there is evidence of prior cervical fusion. | elevated white count, to assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10019568/s56124175/c96ddc88-a67be295-1f46fde1-bd2b2596-f3600914.jpg | null | Upright ap chest radiograph. The tip of the left chest tube is slightly different in position, now lying along the inner surface of the left chest wall, near the site of chest rib fractures. The small focus of atelectasis in left mid lung persists, slightly more linear at this time. No definite pneumothorax is identified. Minimal atelectasis in the left costophrenic angle is new. There is probably also mild atelectasis at the right base accounting for a faint opacity there. No chf or frank consolidation. No right effusion. The cardiomediastinal silhouette is unchanged, allowing for differences in positioning. Multiple rib fractures are again noted, best depicted on the <unk> ct scan. Incidental note made of an old healed right proximal humeral fracture, with soft tissue fixation anchor over the right humeral head. | <unk>f s/p fall with multiple left rib fractures, hemo-pneumothorax s/p pigtail. assess interval change // <unk>f s/p fall with multiple left rib fractures, hemo-pneumothorax s/p pigtail. assess interval change |
MIMIC-CXR-JPG/2.0.0/files/p12385889/s53897380/5b3b951c-68a52a47-ff882ba2-7332aba9-5be0cb49.jpg | MIMIC-CXR-JPG/2.0.0/files/p12385889/s53897380/800d8b66-4949e73a-bc01e194-e2f94c39-4af9fd9a.jpg | Bilateral lower lobe hazy opacities, left slightly obscuring the left hemidiaphragm, are most likely atelectasis. However, in the appropriate clinical setting, pneumonia is on the differential. The lungs are otherwise clear. No pleural effusions or pneumothorax. The cardiac silhouette is slightly enlarged compared to prior. The right port-a-cath terminates in cavoatrial junction. | <unk> year old woman with hx of all, on immunosuppression for ghvd. dyspnea. please further evaluate. // <unk> year old woman with hx of all, on immunosuppression for ghvd. dyspnea. please further evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p11579438/s51870020/b5771f72-a3f41aad-46e47382-134640d1-62ac6595.jpg | null | There has been interval progression of previously visualized retrocardiac opacity which silhouettes the left hemidiaphragm and may be suggestive of pneumonia in this region. Furthermore, there is now a new opacity silhouetting the right heart border suggestive of right middle lobe pneumonia. Otherwise, there is no evidence of pneumothorax. While evaluation of the cardiomediastinal silhouette is limited due to silhouetting by opacities, the visualized cardiomediastinal silhouette appears stable. There is no evidence of pneumothorax. | evaluation of patient with hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13609618/s58172370/98c97f57-06404ad2-3371d428-c9a78ef2-d182fc23.jpg | null | Increased interstitial markings are seen throughout the lungs bilaterally but appear most severe overlying the upper lobes. Lung volumes are relatively low. There is no definite superimposed focal consolidation and the pattern appears grossly similar compared to prior. Cardiomediastinal silhouette is unchanged. Known adenopathy is better seen on prior ct scan. Posterior left rib fractures are noted. Left breast prosthesis is visualized. | <unk>f with hypoxia, exertional chest pain, exertional hypoxia, rle pain + swelling // evaluate for pe, acute process |
MIMIC-CXR-JPG/2.0.0/files/p18494866/s58729495/cd49798d-c7c288ac-b5cf25d9-4cc0798f-1e263450.jpg | null | Aside from right midlung linear atelectasis, the lungs are clear. There is no pneumothorax. The aorta is tortuous. The heart and mediastinum are magnified by the projection. The bones are osteopenic. | <unk> year old woman with pna // eval for interval changes |
MIMIC-CXR-JPG/2.0.0/files/p14293022/s52439578/b25c25bb-8a87d19e-831750de-c5836f41-5f9dfe8c.jpg | null | Portable semi-upright radiograph of the chest demonstrates low lung volumes with results in bronchovascular crowding. There has been interval development of a small left-sided pleural effusion with significant adjacent atelectasis. There is increased right basilar atelectasis as well. The cardiomediastinal and hilar contours are unchanged. Chest tubes project over the bilateral hemithoraces. No pneumothorax. | <unk> year old man with hypoxia w x<num> chest tubes // presence of re-accumulating ptx |
MIMIC-CXR-JPG/2.0.0/files/p19642954/s57020006/1076bff5-ba7807bf-dfde93ca-8ea6429f-108df1ed.jpg | null | Comparison is made to previous study from <unk>. The endotracheal tube and feeding tube have been removed. There is a right ij central line with the distal lead tip at the cavoatrial junction. There is again seen a left retrocardiac opacity which may be due to atelectasis or underlying pneumonia. Bilateral pleural effusions are seen at the lung bases. There is some prominence of the pulmonary interstitial markings, which has developed since the previous study. Degenerative changes of the bilateral shoulders are present. Surgical clips are seen overlying the left axilla. | |
MIMIC-CXR-JPG/2.0.0/files/p13480812/s50935553/453450f1-299c4eaf-0664014e-3781529e-1aa48974.jpg | MIMIC-CXR-JPG/2.0.0/files/p13480812/s50935553/cf975f6d-537c4a5a-a6bd0ea6-bf8fb234-7813d30a.jpg | Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No pneumothorax, pneumomediastinum, or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign body. | <unk>-year-old male with hiv, presenting with dysphagia for solids and liquids. evaluate for pneumomediastinum or other acute chest pathology. |
MIMIC-CXR-JPG/2.0.0/files/p11063824/s59478129/cb2304a9-a4fcc4c8-69818227-c80d750d-1f2513a2.jpg | null | Portable frontal radiograph of the chest demonstrates right basilar atelectasis with small right pleural effusion and no pneumothorax. At the right lower lateral aspect of the thoracic cage, there is a subtle change in contour of the rib, possibly indicating the reported rib fracture, although oblique views are recommended for further characterization if rib fractures, if clinically indicated. Cardiomediastinal contours are unchanged. | shortness of breath with rib fractures of the right <num>th rib. |
MIMIC-CXR-JPG/2.0.0/files/p15761419/s56022008/86c312dd-7fb989b8-81fb6c4e-054c9baa-4a59b78f.jpg | MIMIC-CXR-JPG/2.0.0/files/p15761419/s56022008/e903bb5c-1089dd04-7c642ae2-804a4213-51e5a38a.jpg | Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. | <unk>-year-old male with chest heaviness. |
MIMIC-CXR-JPG/2.0.0/files/p16782585/s50271883/958029b7-d38dc87e-9f4c8cf6-bcbbeb62-776bfe31.jpg | null | In comparison with the study of <unk>, the nasogastric tube extends to the lower body or antrum of the stomach. Diffuse bilateral pulmonary opacifications persist. There is dilatation of gas-filled loops of bowel, though an abdominal series would be necessary to properly assess adynamic ileus versus obstruction. | decompensated cirrhosis, now with ng tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13257606/s56350572/b29d9bb7-09e24bf8-700048dc-ab6ce845-dd9fc15d.jpg | MIMIC-CXR-JPG/2.0.0/files/p13257606/s56350572/e019aa28-37328a34-d7c1aa22-20308100-b1e53898.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The mediastinal and hilar contours are unremarkable. | hyperglycemia. |
MIMIC-CXR-JPG/2.0.0/files/p16692460/s58272233/e1687578-0034df68-c9ec913e-0340d6d3-f915d424.jpg | MIMIC-CXR-JPG/2.0.0/files/p16692460/s58272233/9b441cdc-803c415a-ecf3379c-65580604-c8f36a89.jpg | Triple lead left-sided pacer device is again seen with we stable in position. Since the prior study there has been development of right lower lung opacity worrisome for pleural effusion and overlying atelectasis as well as possible consolidation due to pneumonia. The posterior left costophrenic angle is also blunted, possibly due to a small pleural effusion. There is mild to moderate pulmonary vascular congestion. The cardiac silhouette remains mildly enlarged. The aorta is calcified as was seen previously. | history: <unk>f with worseing sob and <unk> edema, b/l crackles r>l on exam // eval for effusion, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13899061/s50171247/8c166a76-2301a21e-7b1c1e0b-7b83a1b1-c4e67685.jpg | null | In comparison with the study of <unk>, there has been placement of a dobbhoff tube that extends to the lower body of the stomach before curling on itself for a few centimeters. Little overall change, with continued bibasilar opacities consistent with pleural effusion and adjacent atelectasis. Left hemidiaphragm remains obscured consistent with substantial volume loss in the left lower lobe. | dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p14539710/s57349291/13678800-19dde7b5-1e9c53c3-df309bb0-f395d59d.jpg | null | Lordotic positioning. Again seen is a left chest tube and left-sided pigtail catheter, similar in configuration. Also again seen is considerable left-sided subcutaneous emphysema. No gross left-sided pneumothorax is detected. However, linear air is seen in close proximity there the aorta and cardiac border raising the question of a small amount of pneumothorax air along the medial side of the lung versus a small pneumomediastinum. The cardiac silhouette itself is grossly unchanged. <num> small metallic densities overlie the cardiac silhouette -- these appear to correspond to endobronchial valves seen in left lower lobe bronchi on the ct from <unk>. Minimal increased retrocardiac density could reflect atelectasis. No gross left effusion. Again seen is relative lucency at the right lung base, which likely reflects emphysematous change. No convincing right-sided pneumothorax. Minimal platelike atelectasis again seen in the right mid zone, but no frank infiltrate. No right-sided effusion. Upper zone redistribution, without overt chf. | <unk> year old man with pneumothoax // ?interval |
MIMIC-CXR-JPG/2.0.0/files/p12262788/s52574159/06f44d57-4d4b11f2-9337ae3a-6f37e2d7-636b63d8.jpg | MIMIC-CXR-JPG/2.0.0/files/p12262788/s52574159/271364f6-88108810-3e4d447b-20c464e5-dc3d02a6.jpg | Frontal and lateral views of the chest were obtained. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal to mildly enlarged. The previously seen picc is no longer seen. There is partially imaged hardware in the right humerus, not well evaluated; however, there may be lucency around the proximal portion. Findings could be due to hardware loosening, infection not excluded. | |
MIMIC-CXR-JPG/2.0.0/files/p15069428/s54672369/fc33e086-2507e71f-33a49442-13702ef9-efaa100d.jpg | MIMIC-CXR-JPG/2.0.0/files/p15069428/s54672369/064417d9-0f040cf8-c55f221a-01ce8a5b-9fccd99f.jpg | Lung volumes are somewhat low leading to mild pole crowding of the pulmonary vasculature. The trachea is central. The cardiomediastinal contour is normal. The heart does not appear to be enlarged. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance. | <unk> year old man with supraclavicular swelling/fullness // mass |
MIMIC-CXR-JPG/2.0.0/files/p18486555/s54340670/e0ef7e0e-54c06a63-ffa1bc9e-eee7697b-0bf38549.jpg | null | Right internal jugular swan-ganz catheter remains coiled within the right ventricle with the tip continuing on and terminating in the main pulmonary artery. Lung volumes are low. There is mild persistent pulmonary edema. Left retrocardiac opacity persists. There is no pneumothorax. Cardiomediastinal silhouette is grossly stable. | <unk> year old man with swan catheter coiled in rv, now repositioned. // evaluate swan catheter placement |
MIMIC-CXR-JPG/2.0.0/files/p15826218/s56625816/c3b1aa81-95fe3cbf-3a193a41-73e27678-75ae7d99.jpg | null | In comparison with the study of <unk>, there is little overall change. Continued enlargement of the cardiac silhouette with mild-to-moderate pulmonary edema. No evidence of supervening pneumonia. | chf with possible aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p19437821/s58535331/c3ef55c3-9bfb4564-12ff7ef8-61337467-e3b7ac57.jpg | MIMIC-CXR-JPG/2.0.0/files/p19437821/s58535331/24642791-09653282-4f5de42c-9029a7ff-5351edad.jpg | Chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. There is slight increase in a small right-sided pleural effusion but without evidence of overt pulmonary edema. Faint opacification noted within the medial aspect of the right upper lobe as well as in the lateral aspect of the left upper lobe, correlate with patient's known pulmonary masses. No focal opacification concerning for pneumonia identified. There is a right-sided port-a-cath with tip terminating at the cavoatrial junction and a newly evident pigtail drain in the right upper abdominal quadrant. Sternotomy sutures are midline and intact. | metastatic non-small cell lung cancer, on chemotherapy, with subjective dyspnea and weakness, question reaccumulation of pleural fluid, cardiomegaly, evidence of volume overload. |
MIMIC-CXR-JPG/2.0.0/files/p14798598/s52112755/b5d54c2b-3c976d41-4cfaf756-3aa4c341-fee6e69a.jpg | null | Moderate cardiomegaly is a stable. Large right pleural effusion is stable. There is no evident pneumothorax. There is probably small left effusion. Vascular congestion has resolved. | <unk> year old man with dyspnea, volum eoverload // interval resolution |
MIMIC-CXR-JPG/2.0.0/files/p11693022/s54359954/63b2e1b0-fbbd33b8-76f57714-ddda80be-51b912b7.jpg | null | Right-sided port-a-cath tip terminates in the low svc. Heart size is normal. Mediastinal and hilar contours are unremarkable, and known left hilar lesion is not well assessed on the current exam. Pulmonary vasculature is not engorged. Patchy ill-defined retrocardiac opacity persists. Minimal atelectasis is seen in the right lung base. No large pleural effusion or pneumothorax is demonstrated. There are moderate degenerative changes identified within the thoracic spine. | history: <unk>f with fever, on chemotherapy. |
MIMIC-CXR-JPG/2.0.0/files/p16658805/s59984745/ea0e8ec6-33a2828d-b703d950-240ff005-732bb32e.jpg | null | Frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. Lungs are clear. No substantial pleural effusion or pneumothorax. Dobbhoff is coiled in the stomach. Median sternotomy wires are intact. Metallic clips overlie the left hemidiaphragm. | <unk>-year-old male with tachycardia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11265076/s51501052/e89bbea4-db3e7093-2e3fa3a0-0f345f4a-48438737.jpg | MIMIC-CXR-JPG/2.0.0/files/p11265076/s51501052/c4c2538f-7c7bf854-ba35f789-6bd55722-5cb9826d.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>f with cough and chest pain |
MIMIC-CXR-JPG/2.0.0/files/p19543748/s51790607/50a445e2-6da6a897-c1e02fdc-07019105-917a7b0e.jpg | MIMIC-CXR-JPG/2.0.0/files/p19543748/s51790607/04e91587-fcc0b307-1e063946-09617a53-252fccd5.jpg | New large right pleural effusion. Multiple spiculated nodules are again appreciated in the right upper, left upper and left mid lungs. The heart is at the upper limit of normal in terms of size. | <unk> year old man with renal cell cancer, progressive sob and wheezing over past few days, r/o new lesions/infiltrates // , r/o new lesions/infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p12131616/s51797521/cbfa84fb-60c1cfb8-15e6e877-e75285a8-5daeeee5.jpg | null | The endotracheal tube tip terminates <num> cm above the carina. The right ij central line terminates at the cavoatrial junction, which could be positional in nature. No change the positioning of the left ij dialysis line. Interval placement of bilateral chest tubes. New orogastric tube courses below the left hemidiaphragm and out of view. Persistent small left pleural effusion. Mild pulmonary edema. Cardiomediastinal silhouette is unchanged, though prominent. Left hemidiaphragm tenting and left lower lobe consolidation is also grossly unchanged since the earlier study. Median sternotomy wires have been removed no evidence of pneumothorax. | <unk> year old man s/p sternal washout. evaluate for pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p16095960/s53121256/b7df758e-802aa063-a2e4895f-fc52ed02-72d81a7a.jpg | MIMIC-CXR-JPG/2.0.0/files/p16095960/s53121256/2c858efe-b6da8261-ae631538-cb4088c5-5619e76d.jpg | Pa and lateral views of the chest provided. There is subtle opacity in the right upper lobe abutting the fissure concerning for an early pneumonia. Otherwise the lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | <unk>f s/p fall and concerned for infection. |
MIMIC-CXR-JPG/2.0.0/files/p18767618/s57263975/831224bb-46ac1712-6eb63eeb-42968f60-7ab9aa43.jpg | MIMIC-CXR-JPG/2.0.0/files/p18767618/s57263975/ce9901e5-5d19c9a2-48485854-7ad4a860-d5a0b49e.jpg | Heart size is normal. Coronary artery stent is re- demonstrated. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Mild biapical scarring is similar and symmetric. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Hypertrophic degenerative changes are again noted within the upper thoracic spine. | history: <unk>m with chest pain // ? infectious process, effusion |
MIMIC-CXR-JPG/2.0.0/files/p17043794/s51533008/5531ecf1-512d7aa9-da75f8b3-4a434635-49fb7b0b.jpg | MIMIC-CXR-JPG/2.0.0/files/p17043794/s51533008/8784a107-e08d5b94-b8f265c6-243d0087-0e18b36f.jpg | Hyperinflated lungs noted. The lungs are otherwise clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pulmonary edema, pleural effusion, or pneumothorax. No focal consolidations are seen. | history: <unk>m with ankle fracture // pre-op cxr |
MIMIC-CXR-JPG/2.0.0/files/p17228108/s51001722/87b27957-d0707889-1f6c12fe-f6c41581-fb81f3be.jpg | null | One ap portable upright view of the chest. A left picc ends in the mid-to-low svc. The cardiomediastinal and hilar structures are normal. There is no pleural effusion or pneumothorax or focal consolidation. | picc placement. |
MIMIC-CXR-JPG/2.0.0/files/p18021108/s57979085/0ee32ded-04f19c9b-88fb3e1d-d69276dd-f5ce48ce.jpg | null | Ap upright portable views of the chest were obtained. Deviation of the trachea with adjacent left paratracheal opacity is unchanged secondary to reported known goiter. No pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. | |
MIMIC-CXR-JPG/2.0.0/files/p10191971/s50967429/1d8953e6-efa024fc-b415d939-f69d881e-8336d18d.jpg | null | As compared to the previous radiograph, the lung volumes have decreased. In addition, however, there are signs of increasing interstitial thickening, mainly related to the peribronchovascular interstitium. This might be the expression of interstitial pulmonary edema. No focal parenchymal opacities. Borderline size of the cardiac silhouette. No larger pleural effusions. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. | hypoxia, dyspnea, evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10677944/s59371676/435218a2-b519217f-8a4f7d5e-320b6679-431ae029.jpg | MIMIC-CXR-JPG/2.0.0/files/p10677944/s59371676/26ae90b8-608bac72-85cfcd3b-2d43a254-fe6dc335.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. Partially imaged fusion hardware at the thoracolumbar junction noted. | <unk>m with s/p fall // fracture? |
MIMIC-CXR-JPG/2.0.0/files/p19975898/s59799105/6a6ca935-3c29788b-629432d2-84c6f8f2-93694d2e.jpg | null | Comparison is made to previous study from <unk> at <time> a.m. There is a feeding tube whose distal tip within the body of the stomach. The heart size is upper limits of normal. There is a persistent left retrocardiac opacity and left-sided pleural effusion. There is mild prominence of the pulmonary interstitial markings without overt pulmonary edema. There are no pneumothoraces. | |
MIMIC-CXR-JPG/2.0.0/files/p14109193/s58628445/2995dfbf-ab2127ab-c391c345-b55f641a-4e3e9149.jpg | null | A mediastinal drain is noted. Assessment of the cardiac silhouette size cannot be performed given extensive opacification of the left lung base due to a loculated pleural effusion and peribronchial consolidation, which appears worsened compared to prior. Opacity at the left apex is accounted for by loculated pleural effusion and known mass. There is no right pleural effusion. There is no pneumothorax. The right lung is well aerated with increased interstitial markings, and small nodules better seen on ct. The upper abdomen is unremarkable. | <unk>f s/p pericardial drain placement // r/o interval change, ptx |
MIMIC-CXR-JPG/2.0.0/files/p19774163/s55769028/19d4e2e6-23d59133-04dd909a-4c52e766-0d97e458.jpg | MIMIC-CXR-JPG/2.0.0/files/p19774163/s55769028/ded4c720-695a3260-48a9e0b4-653bb01f-f868564c.jpg | Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. No overt pulmonary edema is present. There is persistent small right pleural effusion with associated right basilar atelectasis. Left lung is clear. No pneumothorax is present. No acute osseous abnormalities demonstrated. | history: <unk>m with hep c cirrhosis, <num> weeks of dyspnea on exertion, history of pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14754077/s54692652/960ce9c2-bc082703-57eaef51-c97f6beb-86d5d33b.jpg | MIMIC-CXR-JPG/2.0.0/files/p14754077/s54692652/198996e3-9b212c70-fb402da5-feca7c69-9510f6eb.jpg | The lung volumes are low. There is mild bilateral bronchiectasis with associated bronchial wall thickening, not significantly changed from the prior exam. No focal airspace opacity is identified. There is no pleural effusion or pneumothorax. There is moderate cardiomegaly, which is stable. No radiopaque foreign body is identified. The esophagus is significantly dilated with an air-fluid level at the level of the thoracic inlet. This unchanged from the prior exam. | history of a prior esophageal food impaction, presenting with similar symptoms. evaluate for radiopaque foreign body. |
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