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MIMIC-CXR-JPG/2.0.0/files/p18652320/s57828591/a1030f13-afc2d3d2-f194ebd1-e5a24299-0e09321f.jpg | MIMIC-CXR-JPG/2.0.0/files/p18652320/s57828591/3c14bebc-190286e6-7d35da6b-cdd8e998-a3e85ccc.jpg | The lungs are clear. There is no effusion, pneumothorax or consolidation. The cardiomediastinal silhouette is normal, no evidence of pneumomediastinum. No acute osseous abnormalities. | <unk>m with r sided cp, sob. // ptx? |
MIMIC-CXR-JPG/2.0.0/files/p17174750/s52331437/c0604c3d-8f7ee4c5-1d68aa42-a49438f1-c65ead27.jpg | MIMIC-CXR-JPG/2.0.0/files/p17174750/s52331437/7d66ff2c-1ec97016-3d63b51f-ecff5579-6782ecf2.jpg | Pa and lateral views of the chest provided. Multiple small surgical clips are noted projecting over the bilateral breast and axillary region. Lungs are clear bilaterally. 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 // evidence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p11590181/s54999639/c00f60e8-228f121b-a9cd9859-07425278-db43a246.jpg | MIMIC-CXR-JPG/2.0.0/files/p11590181/s54999639/91b4d7b8-7a94dd2c-24c836c1-588e2903-ff39c95f.jpg | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bones are intact. | new onset partial seizures, evaluate for admission. |
MIMIC-CXR-JPG/2.0.0/files/p17472053/s55360762/0a6432b2-94123382-1bddda33-92a7315f-f8f8a9e4.jpg | MIMIC-CXR-JPG/2.0.0/files/p17472053/s55360762/190be2f5-46c4c493-ae40bfdf-a7aaf24c-b5f6c7f6.jpg | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture or definite sternal injury is identified. | history: <unk>m with mild sternal discomfort after mvc, with some seat belt-related ecchymosis // eval for sternal injury |
MIMIC-CXR-JPG/2.0.0/files/p15672470/s58355770/23003480-67a3f7ce-6bdfbf43-ee767d2a-14913c9f.jpg | MIMIC-CXR-JPG/2.0.0/files/p15672470/s58355770/f4411e1e-b3094326-928df080-14336720-570b6497.jpg | The lungs are hyperinflated, but show no new focal consolidation. There may be subtle small nodular opacities in the left upper lung. Slight prominence of the right hilum is stable. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with h/o cll, hypogammaglobulinemia p/w bacteremia in the settin gof fever x <num>d w/facial erythema edema // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p16380234/s58594883/c3f09a40-d0d579b9-4c512840-1ab60238-b8ad8a49.jpg | MIMIC-CXR-JPG/2.0.0/files/p16380234/s58594883/cc8e31b3-7f1945b5-6d9d6e6c-5e19dd77-5e590843.jpg | There has been interval placement of a left chest tube with pigtail projecting over the left apex. Previously demonstrated large left-sided pneumothorax has resolved. There is a small left pleural effusion. Previously noted rightward shift of mediastinal structures has also resolved. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is seen in the left lung base. Right lung is clear. There are no acute osseous abnormalities. Minimal amount of subcutaneous emphysema is seen along the left lateral chest wall. | history: <unk>f with pneumothorax status post pigtail catheter on the left |
MIMIC-CXR-JPG/2.0.0/files/p15978672/s50303740/2e68a82d-006c751e-64930e90-caee20af-01fe9d20.jpg | null | Interval placement of permanent pacemaker with leads terminating in the right atrium and right ventricle, with no evidence of pneumothorax. Standard pa and lateral chest radiograph may be helpful to confirm lead position when the patient's condition permits. Previous pacemaking device has been removed. Cardiomediastinal contours are unchanged with left ventricular configuration of the heart. Lungs are clear except for a small calcified granuloma in the right mid lung region. | |
MIMIC-CXR-JPG/2.0.0/files/p12644949/s54283268/9823ea97-c13842a2-0775c461-6c739bee-3f6bee7c.jpg | MIMIC-CXR-JPG/2.0.0/files/p12644949/s54283268/fe2ca640-154177ec-aca73179-0c2c09ed-e745f4ae.jpg | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Aside from streaky left basilar opacities most suggestive of minor atelectasis, the lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are noted along the lower thoracic spine. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p13351112/s51909984/9bd8dea5-dc5926f9-8ce1c75f-e49f75fe-c920c888.jpg | MIMIC-CXR-JPG/2.0.0/files/p13351112/s51909984/3247282b-e946709d-9d3520b7-0d575db1-b8e56b36.jpg | Low lung volumes are again noted. Patient is rotated to the left. Relative elevation of the left hemidiaphragm is again noted. There is blunting of the left posterior costophrenic angle suggestive of a small effusion. There is possible adjacent atelectasis given retrocardiac opacity noting infection is not excluded. Compression deformities in the lower thoracic spine are only partially visualized. | <unk>m with weakness, chest tightness // eval for cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p13969962/s57898768/8a44a897-74c91871-97248635-83210f35-d93613e9.jpg | MIMIC-CXR-JPG/2.0.0/files/p13969962/s57898768/41d2ce3a-1aaf7c73-3bc2afd6-a28e12ae-b3d2d514.jpg | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. Previously seen left lower lobe pneumonia has significantly improved since preceding exam. There is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old male with cough and fever as well as nausea. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12564876/s50502301/a6d520da-d52b60a9-a1c1040e-86da6fc1-e1b6bdfb.jpg | MIMIC-CXR-JPG/2.0.0/files/p12564876/s50502301/768c8d22-d8d9b294-31aae0ec-6ab1ea2d-222adfd2.jpg | The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Post cholecystectomy clips are seen in the right upper quadrant. | history: <unk>f with sob, chest pain // please eval for any infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p17589211/s59268909/9b7b772c-a13ad64b-0c69fc28-55acf9d3-872aa6ae.jpg | null | There are no significant interval changes since the prior radiograph performed yesterday. There are no focal consolidations, pleural effusions or pneumothorax. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Right picc line and enteric tube are unchanged in position. | <unk> year old woman with sepsis // .?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16464450/s53768585/cac5f081-6e04c26b-e34af211-67f04157-f15c65f4.jpg | null | As compared to the previous radiograph, the nasogastric tube has been advanced. It now projects with its tip over the middle parts of the stomach. No complications. No pneumothorax. Otherwise, unchanged and normal chest radiograph. | severe nutrition, evaluation for nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p10425278/s56572628/b25f9727-498d0d13-3bbe13a4-faa6d3ef-397320da.jpg | MIMIC-CXR-JPG/2.0.0/files/p10425278/s56572628/de271042-b1818d79-72736a97-afeed86c-e9ccb751.jpg | Frontal and lateral radiographs of the chest demonstrate postsurgical changes in the right lower lobe with opacification at the right base proven to represent effusion in the resection cavity on the ct with elevation of the right hemidiaphragm. The left lung is clear. No left pleural effusion. No pneumothorax. Normal heart size. Stable mediastinal and hilar contours. The overall appearance of the chest is not significantly changed from <unk>. | post lobectomy with chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11819377/s53886973/01c91a38-34bab24d-33854dd0-2323e52c-b33e7550.jpg | null | The radiographic technique is slightly apical lordotic. Crescentic lucency under the left and right hemidiaphragms are consistent with peumoperitoneum, which appears new since the prior exam. Stable bilateral low lung volumes and bibasilar atelectasis. Significant interval improvement in the bilateral pleural effusions with the probably only minimal left pleural effusion remaining. Right apical pleural scarring, stable. Diffuse nonspecific bilateral patchy opacities are unchanged and likely correspond to the ground-glass opacities seen on recent ct which may be from infection. No overt pulmonary edema. No pneumothorax. Stable substantial cardiomegaly. Mediastinal contours are unchanged. Stable slight rightward deviation of the trachea without tracheal lumen narrowing at the level of the clavicles is likely secondary to the left thyroid, as suggested by the recent ct. | <unk>-year-old man with pleural effusions and edema. evaluate the evolution of the effusions. |
MIMIC-CXR-JPG/2.0.0/files/p15470171/s58506691/6c22576f-b31d907b-4290b290-9fbb1f76-7e9ef61c.jpg | null | Ap supine portable view of the chest provided. There has been interval placement of an ng tube with its tip well positioned in the left upper abdomen. Otherwise, no change. | |
MIMIC-CXR-JPG/2.0.0/files/p11168569/s50497838/49d62b0f-ec455836-a7b0b8aa-7897d9f6-1a59615b.jpg | MIMIC-CXR-JPG/2.0.0/files/p11168569/s50497838/d2848456-5eb55465-d554abd7-0535dc15-0d311fb5.jpg | There is better aeration of lung fields compared to previous chest radiograph. Previous minimal fluid overload has resolved. The left cardiac device is unchanged in position, and the wires end at the right atrium, right ventricle and left ventricle. No pneumothorax is seen, and the cardiac and mediastinal contours are normal. | <unk>-year-old male with coronary artery disease and cardiomyopathy status post biventricular icd placement. rule out pneumothorax, evaluate placement. |
MIMIC-CXR-JPG/2.0.0/files/p17228108/s52690254/04af4f3b-f1880642-e5ab6cea-84a22e1b-79fbdb2f.jpg | null | The endogastric tube courses inferiorly out of the field of view. The endotracheal tube sits <num> cm above the carina. The heart size is at the upper limits of normal. The mediastinal contours are not widened. Worsening right-sided airspace opacity is present. There is no large pleural effusion or pneumothorax. | <unk>-year-old male with pneumonia, now requiring intubation for respiratory distress. |
MIMIC-CXR-JPG/2.0.0/files/p15910090/s58338293/c2d35c5f-cc0244d1-b16adca1-3bd2eb65-2ea96edb.jpg | MIMIC-CXR-JPG/2.0.0/files/p15910090/s58338293/5a7cd6a2-3d91245a-e32761e6-3d26ac84-389973a5.jpg | In comparison with the study of <unk>, there is mild increase in opacification at the left base, consistent with small pleural effusion and atelectatic change. Streak of atelectasis or fibrosis is seen in the left mid zone. The right lung is clear, and there is no evidence of vascular congestion or acute focal pneumonia. | pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p16471016/s58407691/2699ecda-4aa99d9c-e65d3efc-a10b04b2-97e8f8f7.jpg | MIMIC-CXR-JPG/2.0.0/files/p16471016/s58407691/90a5e7c2-5d4a5c70-0069a016-cfb2b990-8cba83db.jpg | Frontal and lateral chest radiograph demonstrates moderately well inflated lungs. Right lower lobe opacity is present. The right hilar is prominent. Left lung is clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The aorta is tortuous. Limited assessment of the upper abdomen is within normal limits. | fever, shortness of breath, right upper back pain. assess for infection. |
MIMIC-CXR-JPG/2.0.0/files/p19865976/s52698522/6efba042-120f6000-880baccb-99a41aab-badca36e.jpg | MIMIC-CXR-JPG/2.0.0/files/p19865976/s52698522/ed0ef24e-6ac517e2-53d0ca46-8a6555f3-a085a414.jpg | Interval removal of right ij central venous catheter. The lungs are well expanded and clear. The hila and pulmonary vasculature are normal. Left pleural effusion is mild. No right-sided pleural effusion. No pneumothorax. The cardiomediastinal silhouette is stable. | <unk> year old man with s/p cabg // eval effusion or infiltrate - please do in afternoon <unk> thank you |
MIMIC-CXR-JPG/2.0.0/files/p11157850/s51470074/4212e4ac-0a9db624-b84bc52e-c0ee1074-14d3f22a.jpg | null | As compared to the previous radiograph, the atelectatic changes at the lung bases are constant. However, on the left, there is a new linear perihilar and lateral component of the opacity that was not seen on the previous image. This area could be reflecting pneumonia in the appropriate clinical setting. At time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification. Unchanged appearance of the cardiac silhouette. Unchanged position of the endotracheal tube and of the nasogastric tube. | worsening respiratory function, evaluation for atelectasis or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11567158/s53704859/136cedaa-37aded3d-8921ee1a-afa7619b-25a55236.jpg | MIMIC-CXR-JPG/2.0.0/files/p11567158/s53704859/e7d973be-4f9486cb-b4c198df-32ecdd17-d0f666bb.jpg | The lungs are clear without consolidation or edema. New opacity in the right mid lung is unchanged, and likely represents scarring or chronic atelectasis. There is new blunting of the bilateral costophrenic angles, which on the lateral view is consistent with a new right pleural effusion, as well as a possible very small left-sided pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. | pleuritic chest pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18994929/s51361415/74ce00eb-de408936-fe56eb36-a844fc1a-250d755b.jpg | null | Two right apical chest tubes remain in place. The et tube is unchanged in position, terminating at the level of the clavicles. The abnormal contour of the right mediastinum is due to a gastric pull-through in this patient who is status post esophagectomy. Bilateral airspace opacities are unchanged. The heart and mediastinum are magnified by the projection. There is no obvious pneumothorax. | <unk> year old woman status post esophagectomy small bilateral pleural effusions are unchanged. with resp failure requiring intubation, fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p15970954/s59322109/4ea2d317-7722d9c4-8451cde3-fb73a29a-2b3bbe94.jpg | null | In comparison with the study of <unk>, there are substantially lower lung volumes. Although there are multiple bony structures overlying the right apex, no definite pneumothorax is appreciated. Extensive subcutaneous gas is again seen along the right side from the mid abdomen into the mid neck. Streak of atelectasis has developed in the left mid zone. | multiple rib fractures and pneumothorax, prior to pulling chest tube. |
MIMIC-CXR-JPG/2.0.0/files/p16662316/s50074184/49d47140-69d47642-b0184b0e-7faf527c-d9edb9ef.jpg | MIMIC-CXR-JPG/2.0.0/files/p16662316/s50074184/4500bdbf-c37c38f4-4ef880bb-41c2039c-d9faf4ab.jpg | The lungs are hyperexpanded, compatible with copd and emphysema. No pleural effusion or pneumothorax. Stable lucency of the right lower lung. New opacity is noted obscuring the left heart border. Chronic right middle lobe collapse noted. Heart, mediastinal contour, and hila are otherwise unremarkable. Old right lateral rib fracture. Stable mild compression deformity of a lower thoracic vertebral body. Limited assessment of upper abdomen is unremarkable. | <unk>m with chest pain. assess heart and lung. |
MIMIC-CXR-JPG/2.0.0/files/p16367769/s57833331/c1587318-a9515856-4a842f85-a7e49478-f2416696.jpg | null | The tip of the endotracheal tube is at the level of the clavicles, <num> cm above the carina. There is a feeding tube whose distal side port is at the ge junction. This could be advanced <num>-<num> cm for more optimal placement. There is some atelectasis and developing infiltrate at the right base with likely a right-sided pleural effusion. There are no signs of overt pulmonary edema or focal pneumothoraces. | |
MIMIC-CXR-JPG/2.0.0/files/p14398954/s50598519/f201269a-845098dd-9efbc9cc-42a2e297-4701a333.jpg | null | Mediastinal and right hilar lymphadenopathy are again demonstrated as well as a right lower lobe mass, consistent with the patient's history of neoplasm. There may be an adjacent area of airspace consolidation next to the right lower lobe mass, which could be confirmed or excluded by a standard lateral chest x-ray when the patient's condition permits. Also demonstrated is worsening left retrocardiac opacity which could reflect atelectasis or pneumonia. Bilateral pleural effusions are present, moderate on the left and small on the right. | |
MIMIC-CXR-JPG/2.0.0/files/p19246081/s58373837/3e91aa53-49d91777-c4fb9447-848404fe-06a21f5e.jpg | MIMIC-CXR-JPG/2.0.0/files/p19246081/s58373837/b58addc7-c37680c5-0774a942-33c49a5e-4ae93dac.jpg | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | history: <unk>m <unk> injured while working in <unk>, l shoulder pain, l lower back pain. also with shortness of breaeth // eval for trauma, inhalational injury |
MIMIC-CXR-JPG/2.0.0/files/p13545353/s56106617/3f5030dd-f4ef1872-14568b71-5e186471-0625181b.jpg | null | Low lung volumes are present. Mild enlargement of the cardiac silhouette with a left ventricular predominance is unchanged. The mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Retrocardiac opacification is not substantially changed in the interval, and could reflect atelectasis, but infection is not completely excluded. No large pleural effusion or pneumothorax is detected. Remote right-sided rib fractures are again noted. Diffuse gaseous distention of bowel loops within the upper abdomen are similar to the previous study. | history: <unk>m with likely aspiration pneumonia, hypoxia // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18449910/s55745914/90e336c1-e2cbe86f-6dac59dd-f79e9e6f-6ec224a7.jpg | null | In comparison with the study of <unk>, there is little change. Tracheostomy is in place and there is no evidence of complications of pneumothorax or pneumomediastinum. Continued enlargement of the cardiac silhouette with left effusion and compressive atelectasis. | tracheostomy exchange. |
MIMIC-CXR-JPG/2.0.0/files/p15279385/s57984209/25d8122e-db273bc4-af1e7782-78589d0c-aa7069ca.jpg | MIMIC-CXR-JPG/2.0.0/files/p15279385/s57984209/9b3d374b-31f7e7b6-321a6a67-b87b1d18-f00f9cf4.jpg | Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms and increased ap diameter, suggesting chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are similar as compared to the prior study is, particularly <unk>. There may be very minimal vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. | presyncope, heavy smoker, hypoxic at <num>. |
MIMIC-CXR-JPG/2.0.0/files/p16747090/s53114258/84ea0a4f-04ee087d-5bb8478b-4362e3ea-13c24f55.jpg | MIMIC-CXR-JPG/2.0.0/files/p16747090/s53114258/b9550cf2-980b1f97-cba1de68-97635b85-ec1911f7.jpg | Small-to-moderate bilateral pleural effusions persist. There is persistent bibasilar atelectasis, left greater than right. Heart size is enlarged. No pneumothorax is detected. Sternal wires and mediastinal clips are again noted. | <unk>-year-old male with pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p19260928/s59900859/78c16462-a50f1367-37f11f15-b51eb858-e76bbfa2.jpg | MIMIC-CXR-JPG/2.0.0/files/p19260928/s59900859/86c33c2c-fd91ca76-58ce238b-5a7c3bf6-b017a047.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 mild elevation of the right hemidiaphragm. | <unk> year old woman with cough, wheezing, and pain with deep breathing // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p14958402/s56335054/522422a2-063ccc1f-e874c7fb-907b421a-aaf6ecaf.jpg | null | Vagal nerve stimulator device noted overlying the left hemithorax. There is retrocardiac/left lower lobe hazy opacity which may represent pneumonia or atelectasis. Minimal patchy opacity also seen at the right lung base, but the assessment is limited due to relative <unk>/technique. | assess for pneumonia, cough. |
MIMIC-CXR-JPG/2.0.0/files/p14408087/s51218620/9f7a3903-332c21bd-199a9fec-52d83e83-ef33b217.jpg | MIMIC-CXR-JPG/2.0.0/files/p14408087/s51218620/541dbbfe-248f7054-ef47e1c4-5652fe22-54902fb0.jpg | Pa and lateral chest radiographs are markedly limited by the patient's body habitus. Linear opacities projecting over the lungs are most likely attributable to soft tissue. Bibasilar atelectasis is mild. The hila are well defined. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. Ill-defined rounded opacities along the right anterolateral ribs may represent callous from prior fractures. | <unk>-year-old woman with shortness of breath, question pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p10863438/s54603281/ddfd5ad5-e817c9e9-386f01f1-767d1dda-6f55755a.jpg | null | A right internal jugular central line terminates in the right atrium and should be retracted for more optimal positioning. Lung volumes are low. There is abnormally widened appearance of the mediastinum which could reflect suboptimal imaging technique. There are no pleural effusions or pneumothorax. Heart size is unchanged. The imaged upper abdomen is unremarkable. | <unk>f with rij cvl // placement |
MIMIC-CXR-JPG/2.0.0/files/p15548965/s58649542/1698e3e6-401ec39f-e18a9e5e-bba74b01-ea5d240b.jpg | MIMIC-CXR-JPG/2.0.0/files/p15548965/s58649542/c0eae4cd-8bcc753a-204d9122-084c76e3-8f0c5519.jpg | There are multiple rounded opacities which are unchanged from the prior ct and likely secondary to metastatic disease. The lungs are otherwise clear. There is no pneumothorax pleural effusion. Minimal cardiomegaly is chronic. Pulmonary vascularity is normal. Surgical clips in the left upper thorax are unchanged. | history: <unk>m with weakness and cough. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15166831/s55390911/4ae56553-4211118a-80e86706-1cf70a8c-c142b7e6.jpg | MIMIC-CXR-JPG/2.0.0/files/p15166831/s55390911/0d97cc3a-9bca1194-648f0214-7828dca7-6cc2b5bc.jpg | As compared to the previous radiograph, the pre-existing opacities in the right lung, both at the level of the right hilus and at the lung bases on the right have almost completely cleared. The current image shows no newly appeared parenchymal opacities. Elevation of the left hemidiaphragm persists. Contrast in the stomach and intestine in the left upper quadrant. | known copd, frequent pneumonia, fevers, and decreased breath sounds. |
MIMIC-CXR-JPG/2.0.0/files/p15838993/s50347616/95a841a4-3973fdcb-458d0732-2a93540e-f80c29d3.jpg | MIMIC-CXR-JPG/2.0.0/files/p15838993/s50347616/1f26af5b-452c1ae5-744fd2a4-b508ca05-29ef191e.jpg | Pa and lateral views of the chest. No prior. The lungs are clear. The costophrenic angles are sharp where seen. However, the right posterior costophrenic angle is not included in the field of view. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for degenerative changes of the right acromioclavicular joint and hypertrophic changes in the spine. | <unk>-year-old male with new onset of confusion. |
MIMIC-CXR-JPG/2.0.0/files/p18572264/s53426240/cdd37e3e-e71e3a64-1cb9402e-fb496fb8-f8b7fb3d.jpg | MIMIC-CXR-JPG/2.0.0/files/p18572264/s53426240/b77a1749-fab9c7fc-f4517749-5c6e746e-b5cc1d3c.jpg | Pa and lateral chest radiographs demonstrate clear lungs bilaterally. There is no focal consolidation identified. The heart size is normal. Redemonstration of tortuous or dilated descending aorta, stable since prior examination. The hilar and mediastinal contours are otherwise unremarkable. No evidence of pulmonary edema or pleural effusion. There is no pneumothorax. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14019847/s53691339/a54f0262-689150e6-1812d5d0-adc3292a-3beb44dd.jpg | null | The lungs are better inflated on today's study with a more optimal inspiratory effort. The trachea is central. The cardiomediastinal contour is notable for enlargement of the right hilum, this is likely vascular as there is evidence of pulmonary vascular congestion on the prior study however continued attention on followup is recommended. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance. | <unk> year old man with new rising leukocytosis and febrile // please eval for pna, acute process |
MIMIC-CXR-JPG/2.0.0/files/p14787420/s50903194/31635123-ea820e05-16c56a4b-e9c904c3-b40d6a35.jpg | MIMIC-CXR-JPG/2.0.0/files/p14787420/s50903194/3b461447-5738ebd7-6fb26001-a5a9dd43-c7c1b500.jpg | The lungs are symmetrically well-expanded and well-aerated. Increased density projecting over the right lung base most likely represents superimposition of normal structures including an anterior rib, a posterior rib, and the right nipple. No focal consolidation concerning for pneumonia is detected. There is no significant pleural effusion or pneumothorax. Mild biapical pleural thickening is noted. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Bilateral pectoral deep brain stimulator devices are in place. No displaced rib are identified. Mild to moderate multilevel degenerative changes of the thoracic spine are re- demonstrated. | status post fall with left flank pain, here to evaluate for rib fractures. |
MIMIC-CXR-JPG/2.0.0/files/p11798500/s50842629/1e9fd992-99dd4d82-96dd02fd-517ff9a7-cbcc4288.jpg | null | A left picc terminating at the cavoatrial junction and an endotracheal tube terminating <num> cm above the carina are unchanged in position. A right pigtail thoracostomy tube is again demonstrated. Small bilateral pleural effusions and widespread bilateral pulmonary opacities are minimally changed since <unk>. Again seen is extensive subcutaneous emphysema overlying the neck and upper thorax. | respiratory failure. |
MIMIC-CXR-JPG/2.0.0/files/p18548867/s59605502/10dccb87-01fcf870-5e6d0b23-0daee0fc-159eb25c.jpg | MIMIC-CXR-JPG/2.0.0/files/p18548867/s59605502/3cf50a23-95aae263-70dd2c7f-0061ea4b-3a64c80a.jpg | Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm. | |
MIMIC-CXR-JPG/2.0.0/files/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg | null | A left-sided picc line has been removed. The cardiac, mediastinal, and hilar contours appear unchanged. Aside from streaky left basilar opacity suggesting minor atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. A partly imaged catheter projects over the left upper quadrant of the abdomen, compatible with a gastrostomy tube. | question free air. |
MIMIC-CXR-JPG/2.0.0/files/p15965724/s54222080/caf6177e-477dfb23-3d523307-69cf938b-72469638.jpg | null | Cardiomediastinal contours are stable in appearance. Multifocal areas of consolidation involving the right upper lobe and throughout the left lung have worsened in the interval. At least one of these opacities located within the lingula has a distinctly nodular configuration. The nodules are presumably due to known metastatic melanoma. Consolidative changes could be due to multifocal infection or hemorrhage. Moderate-to-large layering left pleural effusion has increased in size since the prior radiograph. | |
MIMIC-CXR-JPG/2.0.0/files/p15798014/s57735019/511d9e71-c8a557f2-c1ee37ee-04dd0acd-246ef71d.jpg | null | In comparison with the study of <unk>, there is little change in the appearance of the pulmonary mass in the right upper to mid zone. Striking elevation of the right hemidiaphragmatic contour is associated with atelectatic or fibrotic changes at the right base and pleural fluid. In the appropriate clinical setting, supervening pneumonia would have to be considered. Left lung is clear. | lung cancer with delirium and crackles at right base suggesting pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11341770/s56230486/0f174855-17331042-3e4e2648-4d833441-d5673b2d.jpg | MIMIC-CXR-JPG/2.0.0/files/p11341770/s56230486/54abcbc2-d2f542a6-7eeb21b3-a6fb2aa6-a6b45bcd.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. Prominent mid thoracic anterior spurs are present. No free air below the right hemidiaphragm is seen. | <unk>f with sob on exertion pls eval effusion vs edema |
MIMIC-CXR-JPG/2.0.0/files/p17459878/s51387486/63daf3b2-ee397d38-8de314e7-6776eb34-2e0dab5b.jpg | null | Et tube terminates <num> cm above carina. Low lung volumes with bibasilar atelectasis. No focal consolidation or pneumothorax. | <unk> yo man h/o htn/hld, dm<num> c/b neuropathy (daily dose of insulin <unk> <num>u bid), pvd, depression, ckd admitted to <unk> on <unk> for worsening dysphagia <unk> to large esophageal mass s/p hypoxia during egd on <unk> // eval ett |
MIMIC-CXR-JPG/2.0.0/files/p17251996/s52493500/ceade354-8750ff65-9e386c68-ab9b7af7-cef62317.jpg | null | Generalized improvement still severely global consolidation could be a function of more favorable positive pressure ventilation, or renal improvement. Heart size normal. Mediastinal drains are not distended. New right internal jugular dialysis catheter and slow in the svc, just beyond the left picc line. Feeding tube looped in the stomach and passes out of view. Et tube in standard placement. | <unk>-year-old with worsening respiratory status and hypotension. intubated overnight. hemodialysis line placed. |
MIMIC-CXR-JPG/2.0.0/files/p14937610/s59508504/016d3fbc-02257a1e-704c109d-d9c6bb2d-5036df88.jpg | MIMIC-CXR-JPG/2.0.0/files/p14937610/s59508504/8a76bf72-366eedb8-4fed61a8-9c1b337e-25fcc109.jpg | Prior left picc is no longer visualized. The lungs are clear of consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is stable. Old healed left posterior ninth rib fracture is again identified. Hypertrophic changes are noted in the spine. | <unk>m with fever // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p13031024/s58353220/958e6022-81c96751-8f7dab13-e5f2ff22-ab33628c.jpg | null | Given limitation of portable technique and overlying soft tissues, the lungs are clear. There is no large consolidation or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits. | <unk>f with hf and cpo pls <unk> <unk> // |
MIMIC-CXR-JPG/2.0.0/files/p14691717/s54563501/9dc2ffb3-fba9bedb-6099691e-66f581f4-3056c19a.jpg | null | The lung volumes are low. The cardiac silhouette size is mild to moderately enlarged. Mild prominence of the hila may be related to low inspiratory volumes. Lugns are clear. There is no pulmonary vascular congestion, pleural effusion, pneumothorax, or focal consolidation. No acute osseous abnormalities are seen. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p15712408/s50452053/d9c1e4d0-ed87286b-edcbaaed-34f9abd5-07a9aca4.jpg | MIMIC-CXR-JPG/2.0.0/files/p15712408/s50452053/7fa1e516-140099f5-4659334b-01b81017-3a37355e.jpg | Cardiac, mediastinal, and hilar contours are within normal limits. There is no pulmonary vascular congestion. Worsening linear opacities are noted within both lung bases, compatible with worsening atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities. | recent pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14536880/s51202219/f18eb1f7-15d43cf5-a24168b0-85d178a3-6b37ed72.jpg | MIMIC-CXR-JPG/2.0.0/files/p14536880/s51202219/100585e9-89193437-8d71a2d6-f65e100f-742b2eb3.jpg | Left picc appears similarly positioned with tip projecting over the mid superior vena cava. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Multiple mild mid and lower thoracic mild anterior wedge vertebral body deformities are seen, age indeterminate. | <unk>-year-old male with fever and neutropenia. |
MIMIC-CXR-JPG/2.0.0/files/p11953959/s51301571/e3906e07-cbb23069-4771c4aa-61560260-4b5946cc.jpg | null | A right pigtail catheter again projects over the right hemithorax. Extensive subcutaneous emphysema projects over the right chest. Nonetheless there is a moderate to large right pneumothorax. There are grossly unchanged bilateral pleural effusions with adjacent atelectasis given differences in technique. The size of the cardiac silhouette is within normal limits. | <unk> year old woman with r pigtail catheter in place // this is exam is urgent due to its need for specific timingplease perform exam at <num>:<unk>pm please eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p16697006/s53446555/d2fc7622-0a0dad29-90e9236a-e79b76b8-25a5f085.jpg | MIMIC-CXR-JPG/2.0.0/files/p16697006/s53446555/eb89c376-fcee150d-c076d8ff-1ce0071c-865c62f6.jpg | Cardiomediastinal contours are normal. Lungs are hyperexpanded but clear. There are no pleural effusions. Bilateral calcified breast implants are noted. | <unk> year old woman smoker with cough // eval for parenchymal disease |
MIMIC-CXR-JPG/2.0.0/files/p11872769/s57941869/d11afc31-897099c0-0a7fff16-86b7aca2-7a6792d4.jpg | MIMIC-CXR-JPG/2.0.0/files/p11872769/s57941869/24928e50-22cbc7ea-e1718a01-8738e55f-98f48be7.jpg | Heart size remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Minimal blunting of the costophrenic angles posteriorly on the lateral view suggests trace bilateral pleural effusions. No focal consolidation or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>m with lower extremity swelling |
MIMIC-CXR-JPG/2.0.0/files/p19663512/s51258750/0ed58f20-3a31ed64-66a18b19-ba8c635d-4917bd7f.jpg | MIMIC-CXR-JPG/2.0.0/files/p19663512/s51258750/6c1c5e0c-eeb9089b-3fc6ecdd-9c9fa915-1369337f.jpg | An icd device is noted over the left anterior chest. Lead positions remain unchanged from the prior study. Heart is normal in size and configuration. Cardiomediastinal contours are unremarkable. Lungs are clear with no evidence of focal infiltrates. No pleural effusion and no pneumothorax. | <unk>-year-old lady with history of idiopathic dilated cardiomyopathy, heart failure, status post biventricular icd in <unk>, rule out lead dislodgement. |
MIMIC-CXR-JPG/2.0.0/files/p17710225/s52079422/1aa5ab8a-148f90ce-ab9ee49d-1814147e-8bdd4284.jpg | MIMIC-CXR-JPG/2.0.0/files/p17710225/s52079422/c8c987fc-8172dd88-9456874a-577e6691-ef0048b7.jpg | The cardiac, mediastinal and hilar contours are normal. Tracheostomy tube has been removed. The pulmonary vasculature is normal. There is minimal streaky atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Mild degenerative changes are noted in the thoracic spine. | history: <unk>f with cough, mild dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p18438381/s59969983/4416282e-44ad2cb6-d432ac46-56639d21-e40d8985.jpg | MIMIC-CXR-JPG/2.0.0/files/p18438381/s59969983/e4dcac67-c3a20ad4-93e93afc-e9fa449f-4a85f1f8.jpg | There are bilateral opacities, projecting over the right infrahilar border and left lung base. Evaluation on the lateral view is slightly limited due to dense sclerotic bones. There are trace bilateral pleural effusions. No pneumothorax. Cardiomediastinal contours are within normal limits. Osseous structures are diffusely mottled and sclerotic, consistent with known metastases. | history: <unk>m with prostate cancer currently undergoing xrt who presents to the ed with dyspnea on exertion // eval for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p13478814/s56402165/bd486609-c2bd48b2-e8a80d49-042896ec-1a5544f6.jpg | MIMIC-CXR-JPG/2.0.0/files/p13478814/s56402165/82564c14-3f6c0bd1-bbb03e86-3c0f01c8-166fae4f.jpg | The lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities. | <unk>f with pmh pancreas and kidney transplant p/w weakness // ?pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17426023/s53624561/ffba2791-ef3634fc-c80feb0b-672d75c6-bdc754b7.jpg | MIMIC-CXR-JPG/2.0.0/files/p17426023/s53624561/b66063ee-96ba11f1-eae715bb-dad96331-2ae65dee.jpg | The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Posterior spinal fusion from t<num> through l<num> with bilateral pedicle screws and interlocking rods. Compression deformities of t<num> and l<num> are better evaluated on prior lumbar spine radiographs. | <unk> year old woman with multiple myeloma // pre bmt eval |
MIMIC-CXR-JPG/2.0.0/files/p18871802/s56655227/0bc885f0-994a6c26-79e26d98-e7fe0214-622dd074.jpg | null | Three ap images through the chest were provided. The lungs are clear bilaterally. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion. No evidence of pneumothorax. Pulmonary vasculature is within normal limits. Osseous structures are without acute abnormality. | <unk>-year-old male with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14185117/s58840095/263d49a9-5ede0621-f3ea102d-c4652a87-d2622412.jpg | MIMIC-CXR-JPG/2.0.0/files/p14185117/s58840095/2007524a-4a362443-364406b6-d402b3f6-b62ea383.jpg | No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart, mediastinal, and pleural surface contours are normal. | cough and tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p18527164/s55514209/0dc8d93d-d4217a29-a9b3842e-49be44d3-99de6741.jpg | null | As compared to the previous radiograph, there is increasing evidence of a right upper lobe opacity that was not present on the previous film. The opacity could be part of the generalized edematous process but could also represent infection. The patient should be closely monitored. The extent of the relatively large left pleural effusion is overall unchanged, only the distribution is slightly different than on the previous film. Small right pleural effusion with subsequent areas of atelectasis is unchanged. Status post aortic valve replacement. Sternal wires are in situ. Moderate pericardial effusion cannot be excluded. | copd, chronic heart failure, evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p18730522/s54857600/7a80c620-bd3c5809-dc87bd50-eba29836-686dd2c3.jpg | null | The endotracheal tube has been advanced, now projecting <num> cm from the carina. The nasogastric tube extends below the level the diaphragms but beyond the field of view of this radiograph. The tip of a right internal jugular central venous catheter projects over the distal svc. Mild bibasilar opacities. No pleural effusion or pneumothorax identified. | <unk> year old man with hypoxic resp failure // ett position |
MIMIC-CXR-JPG/2.0.0/files/p14987846/s58771304/6feff327-adb427c2-33fb0b37-2c895fe5-16d4e2bf.jpg | MIMIC-CXR-JPG/2.0.0/files/p14987846/s58771304/34a85e44-3ca9720d-74925a83-a2c90415-cfe479ba.jpg | Pa and lateral views of the chest. No prior. Linear opacity in the left mid lung likely due to atelectasis versus scarring. There is also blunting of the lateral costophrenic angle on the left, potentially due to scar. The lungs are otherwise clear. There are tiny metallic densities which project over the left hilum, not clearly seen on the lateral view but potentially in the posteriorly. There is a moderate lower thoracic dextroscoliosis. The cardiomediastinal contour which is grossly within normal limits. Osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old male with altered mental status. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12655902/s53340912/c380e2ec-5a98ffc0-0c2dfae9-6269b3d9-f5d0668c.jpg | MIMIC-CXR-JPG/2.0.0/files/p12655902/s53340912/a3bb6438-642a775d-a0098e49-f1ec2915-e83d8251.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 sob, cough, wheezing // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p16586450/s54756769/75362e22-114cdfe4-733a29b6-c9883e0d-5fe14677.jpg | MIMIC-CXR-JPG/2.0.0/files/p16586450/s54756769/1b1d52c8-2f263ee8-6fed3591-93ff8db9-06a719cd.jpg | The lungs are clear. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal contours are unremarkable. No osseous abnormalities appreciated. | history: <unk>m with hx coronary thombosisx<num> with mild right sided dull chest pain, diaphoresis. // evaluate for cardiopulm process, rib fracture |
MIMIC-CXR-JPG/2.0.0/files/p14014948/s52383713/8647082c-3d4810f5-f3f3cd16-e0793032-d928d905.jpg | null | An endotracheal tube terminating <num> cm above the carina, left subclavian central venous catheter terminating at the cavoatrial junction, and orogastric tube terminating within the stomach are unchanged in position. There is a new right upper lobe collapse with associated elevation of the right hemidiaphragm and a mild rightward mediastinal shift. There is no pneumothorax. | post intubation. |
MIMIC-CXR-JPG/2.0.0/files/p12827897/s54202964/5f8c4ce0-c5ff27f2-487858f4-b3a54e5f-17dbdcf2.jpg | MIMIC-CXR-JPG/2.0.0/files/p12827897/s54202964/12845db8-28cf00ee-13b9b470-b2502eb6-bc64c5e0.jpg | Frontal and lateral chest radiograph demonstrates clear lungs. No pleural effusion or pneumothorax evident. Cardiomediastinal and hilar contours are unremarkable. No osseous abnormality evident. | three weeks of cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16086306/s58932526/c462db41-90e7be2d-36f5bb3a-123a2232-edd450fe.jpg | MIMIC-CXR-JPG/2.0.0/files/p16086306/s58932526/9a25bf96-9278e8f0-536040c1-9eaf1beb-a5f7f1d7.jpg | In comparison with study of <unk>, there is little change in the degree of right pleural effusion with continued smaller effusion on the left. No evidence of acute pneumonia or vascular congestion in this patient with midline sternal wires following cardiac surgery. Substantial prominence of the descending aorta persists. | recurrent right effusion. |
MIMIC-CXR-JPG/2.0.0/files/p18734362/s53526160/49d9f30b-df87a713-a867f5f2-04c31d37-30e3ff81.jpg | null | In comparison with the study of earlier in this date, the endotracheal tube is difficult to see. The tip of the tube appears to be about <num> cm above the carina. Nasogastric tube is lost within the mediastinum and cannot be followed into the stomach. Continued hyperexpansion of the lungs with hazy opacification at the bases consistent with pleural effusions and compressive atelectasis. Again, the possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. | aspiration pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12910776/s56496299/7f0e3ac7-5c1686fe-efcb4a34-c00de1e8-82741a6b.jpg | MIMIC-CXR-JPG/2.0.0/files/p12910776/s56496299/29c5a3d7-dc355df3-a108861d-d279bba4-cd1682cb.jpg | The cardiac, mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. There is an increasing posterior basilar opacity, probably on the left and suggesting a consolidation with a pleural effusion, perhaps loculated. Although a diffuse generalized interstitial abnormality appears similar to slightly increased suggesting mild-to-moderate pulmonary vascular congestion, a more focal new left infrahilar opacity is concerning for pneumonia. There is no free air. The bones appear demineralized. | cough, fever, and abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p16476444/s58977239/a6bb393d-2ea69e1f-16492194-2c3c61b7-0c6b78f3.jpg | MIMIC-CXR-JPG/2.0.0/files/p16476444/s58977239/2cc10edf-650673b5-a8faeda6-a5045e9e-1dbec141.jpg | Left chest wall defibrillator has a single lead terminating in the right ventricle. The lungs are normally expanded despite a mild generalized interstitial abnormality. Peribronchial opacification in the right infrahilar lung could be pneumonia or the first expression of edema. The heart is mildly enlarged. The mediastinal and hilar contours are normal. Eversion of the diaphragmatic pleural surfaces is due to small effusions or pleural scarring. Pleural thickening or scarring at the right lung apex is mild. | dyspnea and hypoxia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17739770/s57980012/40650a9c-92c55408-af7f542b-cc60b764-c26c0095.jpg | null | A newly placed feeding tube tip ends just below the gastroesophageal junction. Consider advancing the tube by additional <num>-<num> cm which will position the distal end into the stomach. Right subclavian line tip is at mid svc. Bilateral pleural effusions, moderate right and minimal left accompanying adjacent lower lung atelectasis are stable since <unk>. Heart size is normal, mediastinal and hilar contours are unremarkable. Dr. <unk> <unk> communicated the findings regarding the feeding tube to <unk> (rn) on <unk> between <time> and <time> pm. | to evaluate for nasogastric tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p18715578/s51412375/f377cb30-bc93db4f-7e7b2806-e5b1592b-c742f69f.jpg | MIMIC-CXR-JPG/2.0.0/files/p18715578/s51412375/88462efb-ee9d03a5-a356fe6c-44e4e212-d2733b48.jpg | Bibasal left mid lung linear atelectasis/scarring is re- demonstrated. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. | history: <unk>f with confusion // pna |
MIMIC-CXR-JPG/2.0.0/files/p13573314/s59449583/164c1efe-600d4ad8-256047ea-d3f45099-3aba5ba5.jpg | null | There has been interval removal of an enteric tube. Low lung volumes and bibasilar airspace opacities are unchanged, likely representing a combination of pleural effusions and atelectasis. A superimposed infectious process is difficult to exclude. Pulmonary vascular congestion and mild pulmonary edema having improved. There is persistent moderate dextroscoliosis of the upper thoracic spine. The cardiomediastinal silhouette is largely obscured by the bibasilar airspace opacities. | <unk> year old woman with acute pancreatitis, concern for seizure, now with increasing o<num> requirement, evaluate for pulmonary edema, evidence of atelectasis vs effusion or pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10205565/s53630956/c08d6169-c33a2d4e-5914ab6a-15199fa9-29df747f.jpg | MIMIC-CXR-JPG/2.0.0/files/p10205565/s53630956/fb881ad3-2f3b1c23-084c6f40-5e9a09da-28fb9cd7.jpg | Dilated ascending aorta is unchanged from <unk>. Right upper lobe granuloma is unchanged in appearance of size from <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and structures. . No pneumonia, no pulmonary edema. No pleural effusions. | <unk> year old woman with severe allergic rhinitis and now with cough // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17846379/s50274769/daf9ac33-9aedd927-f921c4fb-0fb4bf90-26fb9b42.jpg | null | As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. There might be an interval increase in extent of the pre-existing left pleural effusion, the right pleural effusion is unchanged. Unchanged relatively extensive areas of bilateral basal atelectasis. No evidence of pneumonia. Unchanged mild pulmonary edema. | worsening rhonchi, evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17801849/s55276673/dc25cd9a-70571f25-2caf60cb-6f408a40-5ce66c6f.jpg | MIMIC-CXR-JPG/2.0.0/files/p17801849/s55276673/f1ef34c5-0e8da70e-16437e75-4023e178-c7ec35b2.jpg | The heart size is normal. The hilar and mediastinal contours are normal. The lungs are slightly hyperinflated, overall similar to the prior exam. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. | history of renal transplant with increased fatigue and lethargy. please evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17521365/s55818531/0543cb86-0c1cb319-180d6b74-badc138d-0a1b6274.jpg | null | Et tube tip is in the mid thoracic trachea. Enteric tube tip is in the stomach with the side port near the ge junction. Low lung volumes again cause accentuation of the cardiac silhouette as well as bronchovascular crowding. Pulmonary vascular congestion and right basilar atelectasis are mild, similar to prior. Retrocardiac opacity appears minimally worse compared to prior. Pleural effusions are small if any. There is no pneumothorax. Imaged osseous structures are intact. | <unk> year old man with ett tube, likely developing pneumonia // ett tube interval change; pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p14320848/s54899318/fa2afdb8-d6d82ff3-5fd5b085-c9e841e7-d7c9bbbe.jpg | null | Ap view of the chest provided. Compared to prior study, there is little change. Left lung consolidation continues to clear. Right hemidiaphragm is again elevated and obscured. Bilateral ij line and in the mid to distal svc, endotracheal tube is in appropriate position, approximately <num> cm above the carina. | <unk> year old man with pneumonia, respiratory failure intubated, evaluate for interval change |
MIMIC-CXR-JPG/2.0.0/files/p14536465/s56642115/3ae122d7-6aacb946-2028935e-5a7159be-ee6df8c3.jpg | null | In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. However, the cardiac silhouette remains moderately enlarged, and there is increased engorgement of ill-defined pulmonary vessels, consistent with worsening pulmonary edema. Opacification at the right base with poor definition of the hemidiaphragm is consistent with atelectasis and effusion. Mild basilar atelectasis is seen on the left. | respiratory distress and delirium, to assess for pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12808803/s58065797/61c8b203-00c6746d-bb98d236-482ffcf6-9042ca6b.jpg | null | The left pigtail chest tube is in unchanged position. There is no evidence of pneumothorax. The previously identified reexpansion pulmonary edema has improved. No definite pleural effusion is present. The right lung is essentially clear. There is no consolidation. The cardiomediastinal silhouette is normal. The endotracheal tube is <num> cm from the carina. A dobbhoff tube courses below the diaphragm with a portion of the tube out of the field of view. The tip appears to be in the post-pyloric position. | respiratory failure status post left pigtail drain for pleural effusion. evaluate for change. |
MIMIC-CXR-JPG/2.0.0/files/p12433158/s59113950/46382fde-d5c1c365-9821da20-373eb9ba-f506d49e.jpg | MIMIC-CXR-JPG/2.0.0/files/p12433158/s59113950/7bff898b-50b68c07-a15203fd-415adf47-0f66096e.jpg | Moderate cardiomegaly is unchanged. Pacemaker leads are stable in position. Calcifications are present in the aortic arch as before. The lungs are notable for nonspecific streaky bibasilar opacities, new compared to the prior examination. There is no pleural effusion or pneumothorax. | history: <unk>f with extensive cardiac history now w new dyspnea on exertion x<num>d // new dyspnea on exertion x<num>d, concern for cardiopulmonary change |
MIMIC-CXR-JPG/2.0.0/files/p19855099/s53932703/488f764b-14555876-853de5d7-df09392a-5029f9fb.jpg | null | Status post dobbhoff placement. Series of images document device placement. Image #<num>, acquired <time>, shows the device positioned in the stomach, with the tip in the middle aspect of the stomach. | dobbhoff placement. |
MIMIC-CXR-JPG/2.0.0/files/p10152121/s56980423/367ad6f2-96bdbc3d-0f6e96f3-478c53c7-b4dd1baf.jpg | null | Since <unk>, the right lung appears better aerated with residual bibasilar atelectasis. The left lung is clear. The heart size is unchanged. No pneumothorax or pulmonary edema. No subcutaneous emphysema is seen. | <unk> year old man sp egd dilation // ? subcutaneous emphysema |
MIMIC-CXR-JPG/2.0.0/files/p19975898/s58261128/024066d1-74b6711c-f141980c-3b1bdace-e53718c6.jpg | null | In comparison with the study of <unk>, there is again bibasilar opacification, possibly increasing on the left, consistent with moderate layering pleural effusions and underlying compressive atelectasis. As previously, in the appropriate clinical setting, supervening pneumonia could not be excluded. | cirrhosis with effusions. |
MIMIC-CXR-JPG/2.0.0/files/p14648341/s51123595/8def487e-c1821638-a65034c2-b4e1b20c-4c559650.jpg | null | No previous images. The heart is normal in size and there is no evidence of vascular congestion. Bibasilar opacifications most likely reflect a combination of atelectasis and pleural effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. | post-surgical fever. |
MIMIC-CXR-JPG/2.0.0/files/p14947107/s52015077/5ec7d199-5f0f1d86-396fa10d-e1d2dbdb-a6b5b3ff.jpg | null | There has been interval removal of the chest tubes. Lung volumes remain low with bilateral lower lobe atelectasis and small bilateral pleural effusions. A swan-ganz catheter is unchanged in appearance. No pneumothorax seen. | <unk> year old man with s/p cardiac surgery // evaluate for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p17385589/s58007512/b131f8a9-bee5d9d0-d39b3c08-b91c30b0-0a9da70e.jpg | null | The radiograph is somewhat degraded by motion. The lung volumes are low. There is faint opacity at the left base which may reflect atelectasis or pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax. | history of seizures with new seizure. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16416205/s50391826/8a105229-78880cf0-92f4dd6e-71f9172e-1cd17ffc.jpg | null | Mild enlargement of the heart is demonstrated. Minimal atherosclerotic calcifications are noted at the aortic knob. Mild pulmonary edema is demonstrated without pleural effusion. No pneumothorax is identified. Minimal atelectasis is seen in the lung bases, without focal consolidation. Degenerative changes are noted in the thoracic spine. | history: <unk>m with bradycardia |
MIMIC-CXR-JPG/2.0.0/files/p18699864/s53890711/7d9bf1c6-fd83ac96-aff4a21e-bef0f1a6-c35f5c60.jpg | MIMIC-CXR-JPG/2.0.0/files/p18699864/s53890711/e72713bb-142ffb32-37ad87a9-bfc72584-a9356635.jpg | Pa and lateral views of the chest provided. There is a right sided pigtail chest tube in place. There is no residual pneumothorax. No pleural effusion. No focal consolidation. Cardiomediastinal silhouette is normal. Bony structures are intact. Minimal subcutaneous emphysema in the right chest wall at the chest tube insertion site. | <unk>m with movement of chest tube // chest tube eval |
MIMIC-CXR-JPG/2.0.0/files/p10900387/s59094325/19a8a59c-abb12e07-e0551a2d-0301b201-13fca2b2.jpg | MIMIC-CXR-JPG/2.0.0/files/p10900387/s59094325/6ff37e04-0aaa29e4-2c500f8f-b139029e-7b60e20a.jpg | Frontal and lateral views of the chest. Moderate cardiomegaly is stable. Right lower lobe opacity has been present over multiple prior examinations and likely represents overlying soft tissue. No new opacity concerning for pneumonia is seen. No pleural effusion or pneumothorax is identified. The mediastinal contours are normal. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p18498231/s56966400/6757b0ce-6cc91267-a08766c4-c3cd4934-6cd68fe7.jpg | MIMIC-CXR-JPG/2.0.0/files/p18498231/s56966400/01d302a5-1c7454eb-570f886d-3edfc5a1-b05059e5.jpg | There is mild bibasilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy. | history: <unk>m with weakness and episode of low blood pressure. // eval for infectious process |
MIMIC-CXR-JPG/2.0.0/files/p16747345/s59026058/1cb54e32-de45d1a3-7d305d92-92c4be07-ee0b8c1b.jpg | null | Single ap portable radiograph demonstrates increased opacity at the right lung base and in the retrocardiac region, which may represent atelectasis from underinflation or aspiration given the patient's recent history. The heart size, hilar and mediastinal contours are normal. No pleural abnormality is seen. | cough, recent pneumonia, with facial droop and stroke today. |
MIMIC-CXR-JPG/2.0.0/files/p12122013/s53940704/d265db9a-8d013c13-927baa21-3573bc5d-3b4e8f87.jpg | MIMIC-CXR-JPG/2.0.0/files/p12122013/s53940704/de804a0c-92e7f273-63f645e0-a193146e-99bff376.jpg | Pa and lateral views of the chest were obtained. There is mild elevation of the left hemidiaphragm which likely reflects the presence of scarring as seen along the periphery of the left mid and lower lung. Aside from this, the lungs appear clear and there are no signs of pneumonia, chf, pleural effusion, or pneumothorax. Overall heart size appears within normal limits. The mediastinal contour is normal. No free air below the right hemidiaphragm. Bony structures appear intact. There are clips in the right upper quadrant noted from prior cholecystectomy. |
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