Frontal_Image_Path
stringlengths
94
94
Lateral_Image_Path
stringlengths
94
94
Findings
stringlengths
76
2.06k
Query
stringlengths
1
630
MIMIC-CXR-JPG/2.0.0/files/p17743829/s58592129/9352aee2-286b66bc-e76596e8-9317a06c-32dfd7be.jpg
MIMIC-CXR-JPG/2.0.0/files/p17743829/s58592129/06b5dd99-f5ea3dff-202fa40f-cd3450ed-6c72802d.jpg
Heart size, mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Healed right clavicular fracture incidentally noted.
MIMIC-CXR-JPG/2.0.0/files/p17207751/s50610941/4626bfd8-8af04a03-f8d80fe6-56df499a-5f46f068.jpg
MIMIC-CXR-JPG/2.0.0/files/p17207751/s50610941/e74eef39-bcd8f22d-130d584f-2a935e1e-9b034ca5.jpg
Mild enlargement of the cardiac silhouette is unchanged. Lung volumes are slightly low. Mild bibasilar atelectasis and scarring is similar to the prior examination. There is no focal consolidation, pleural effusion, or pneumothorax. There is pulmonary venous engorgement but no pulmonary edema.
history: <unk>f with pa-fib, dchf, htn, hld presents with ongoing productive cough and dyspnea // acute pna or pulm edema
MIMIC-CXR-JPG/2.0.0/files/p12707289/s53352416/62661bf5-c8435548-bf17c0fd-fa7ee0d9-6d97612a.jpg
MIMIC-CXR-JPG/2.0.0/files/p12707289/s53352416/adf13b27-80273212-873bee44-f0ffe9f4-70858ebf.jpg
Frontal and lateral views of the chest were obtained. Subtle retrocardiac opacity is felt to most likely represent combination of vessels and atelectasis, less likely consolidation. No pleural effusion or pneumothorax is seen. No overt pulmonary edema. Cardiac and mediastinal silhouettes are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11016268/s51682267/1b8ec8fb-7814bea3-49910f83-d56d3de9-cdb37616.jpg
null
New et tube ends <num> cm above the carina. There is no pulmonary edema. The heart is mildly enlarged but this is stable. Bibasilar atelectasis is unchanged. There is no pleural effusion or pneumothorax.
patient intubated, acetabulum fracture. rule out fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p15117669/s57995891/09525bce-2288844d-4bba3dd4-72ffdbe8-b11028ba.jpg
null
Single frontal view of the chest. Bilateral pleural pigtail drains and <num> leads of a left chest wall pacer are in stable position. Mild interstitial edema persists with a new elliptical opacity in the right mid lung region, possibly represent a new area of loculated fluid given its incomplete margins. Right effusion is otherwise unchanged. Left-sided pleural effusion has slightly enlarged with increased retrocardiac opacity consistent with atelectasis. No pneumothorax. Heart size and cardiomediastinal contours are stable
bilateral chest tubes for empyema complaining of worsening left-sided chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18016603/s52191794/3dbd28b8-7a9c64c9-21a4aabc-9484e301-907759e4.jpg
null
The cardiac, mediastinal and hilar contours appear unchanged, including calcification of the aortic arch and slightly prominent heart size, although probably overall within normal limits, but with a left ventricular configuration. There is no clear evidence for pleural effusion or pneumothorax. There are patchy opacities in the left lower lobe, not present on earlier radiographs from <unk> and increased from <unk>, superimposed on streaky lingular atelectasis. However, there are no findings suggestive of pulmonary edema.
non-st elevation myocardial infarction. question pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10296197/s58593118/b65fb638-109bc85b-7ae96fc4-3f20c705-a5641479.jpg
MIMIC-CXR-JPG/2.0.0/files/p10296197/s58593118/e967b191-ba8a9678-39087fcf-f8316249-df4acb6b.jpg
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. Left chest cardiac device and lead tips in the right atrium and right ventricle are not significantly changed since prior.
history: <unk>m with pacemaker malfunction // placement leads
MIMIC-CXR-JPG/2.0.0/files/p14101206/s54958271/3ee4c4fa-7e9571c0-c82d7915-a6c59e0b-6cb01768.jpg
MIMIC-CXR-JPG/2.0.0/files/p14101206/s54958271/b64c2fa0-48c4da37-029dc49a-011468a6-c4172999.jpg
Cardiac silhouette size is normal. The mediastinal contours are unremarkable. There is mild fullness of the right hilum. Patchy bibasilar airspace opacities may reflect areas of atelectasis but infection is not excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with nausea, lightheadedness with troponin of <num>.<unk>
MIMIC-CXR-JPG/2.0.0/files/p14679502/s55695107/58a4ed01-acfe6065-4d1c64b1-082867e4-f85e1932.jpg
MIMIC-CXR-JPG/2.0.0/files/p14679502/s55695107/1b278e13-199bb722-67c088d9-863111ec-fb70e151.jpg
Low lung volumes. The bilateral hemidiaphragms, cardiac borders, and mediastinal silhouettes are normal without pleural effusion or pneumothorax. Right upper lobe opacification is noted without definite correlate on lateral view.
<unk> year old man with chest pain // source of precordial chest pain
MIMIC-CXR-JPG/2.0.0/files/p14129629/s57571449/d9fcf8e8-1562d9f6-a51669db-c6651bee-105ebe84.jpg
MIMIC-CXR-JPG/2.0.0/files/p14129629/s57571449/dc2b9c06-80ce1126-ccdf5b6f-cce1ee49-d883975c.jpg
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
right upper quadrant and chest wall pain with cough.
MIMIC-CXR-JPG/2.0.0/files/p13256565/s50011284/17a2f7d0-3f7ca823-c797ec31-3c6f5eb5-290e4aad.jpg
MIMIC-CXR-JPG/2.0.0/files/p13256565/s50011284/c92530e2-0d00c625-cd90af1a-10695c2a-6853d34d.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No displaced rib fracture is seen. No free air below the right hemidiaphragm is seen.
<unk>m s/p fall w/ chest pain // r/o rib injury
MIMIC-CXR-JPG/2.0.0/files/p11658675/s54795944/48469c28-c0488416-b6943367-3a1c1285-991f69c4.jpg
null
Ap upright portable chest radiograph was provided. Increasing bibasilar consolidation is concerning for worsening pneumonia. Underlying emphysema is evident in the upper lobe lucency. The heart size cannot be assessed.
<unk>-year-old man with history of copd with dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p16403314/s54650383/dd643466-d1262c34-99cd624b-527c03e5-8ac789b3.jpg
null
An ng tube is present, with its tip overlying the proximal stomach. There is suggestion that the side port lies in the region of the ge junction, though not necessarily beyond that. Right subclavian picc line tip overlies the distal svc. No pneumothorax detected. Again seen are low inspiratory volumes with patchy opacities at both lung bases, similar to prior. No new focal opacity is identified. There is pulmonary vascular plethora which could reflect chf, but is likely accentuated by low inspiratory volumes. Note is made of thinned wire like leads coursing across the right chest into the neck.
<unk> year old man with persistent tachypnea, altered mental status, high risk for aspiration, copious secretions // r/o aspiration, pna, edema
MIMIC-CXR-JPG/2.0.0/files/p11550134/s53484787/b3c2c13b-e7780e6c-e5289bec-a2c4268f-e01874ca.jpg
null
Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study obtained seven hours earlier during the same day. The ap single radiograph demonstrates unchanged position of the previously described small caliber pigtail ending pleural drainage catheter. There is no evidence of any remaining apical pneumothorax. However, hazy density occupying the entire left side hemithorax and elevated diaphragm is suggestive of pleural effusions layering in the posterior pleural spaces. The right hemithorax is unremarkable as before.
<unk>-year-old male patient status post endobronchial ultrasound, complicated by left-sided pneumothorax, status post chest tube placement on <unk>. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p10500801/s51554601/c6a5cf05-112ea49f-5426113e-1ad8fc22-d4af5b5b.jpg
MIMIC-CXR-JPG/2.0.0/files/p10500801/s51554601/10535d19-a8f9667e-56c538ad-b3e0d9c7-ae7907b7.jpg
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of cml with fever and body aches.
MIMIC-CXR-JPG/2.0.0/files/p13563423/s51192003/31be8f32-08b77a6b-54170c39-6e3d3786-7dc6de23.jpg
MIMIC-CXR-JPG/2.0.0/files/p13563423/s51192003/c77f0efd-eba69aad-a45751d8-7169ca70-42811021.jpg
<num> cm retrocardiac opacity seen on the lateral view interposed between the posterior wall of the left ventricle and the spine was also present on chest radiograph performed <unk>, but a subsequent chest ct scan on <unk> <unk> shows that there is no lung nodule or significant abnormality. This is presumably a pulmonary vein seen in partial cross section. Lungs are clear. No pleural effusion or pneumothorax. Severe cardiomegaly is unchanged. There is mild pulmonary vascular engorgement. Mediastinal and hilar silhouettes are wise unremarkable.
history: <unk>m with cough // evaluate for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p12861125/s59271508/cd701d98-a2903ffa-9da5e69b-ca9cee54-8f15738a.jpg
MIMIC-CXR-JPG/2.0.0/files/p12861125/s59271508/e0a8d068-a4c87a06-79df230a-01cb965f-794649ac.jpg
Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. No pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacities identified. The cardiomediastinal silhouette is unremarkable. Marked dextroscoliotic curvature of the thoracic spine is similar in comparison to the prior study, with partially imaged spinal rods in unchanged position.
<unk>-year-old man with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18998679/s52389503/865e6510-a03b3254-34ba540d-32d32095-c6ddd58a.jpg
MIMIC-CXR-JPG/2.0.0/files/p18998679/s52389503/ef5dc5e3-bf7a5cd7-549ea5ee-f6843766-41f2f0a8.jpg
As compared to the previous radiograph, a new opacity has occurred at the bases of the right lower lobe. The opacity shows air bronchograms, is ill-defined and likely reflecting pneumonia. The smaller component of the opacity is located in the medial parts of the middle lobe. No reactive pleural effusion. No other parenchymal abnormalities. Normal size of the cardiac silhouette. At the time of dictation and observation, on the <unk>, at <time> p.m., the referring physician, <unk>. <unk>, was paged for notification. However, the viewing and dictation of this report was substantially delayed, given that it was among a batch of unread cases.
sob, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18295542/s59764942/b55c58c7-fd91c1f9-fca3d218-23cd2650-5f20a41f.jpg
null
No peripheral catheter is visualized. Tracheostomy tube is midline and appears unchanged in position. As compared to prior chest radiograph from <unk>, there has been interval increase of a left lower lung opacity, likely due to increased pleural effusion and adjacent consolidation. Right lung base consolidation is unchanged. No new parenchymal opacities are identified. There is interval increase of mild vascular congestion. There is no pneumothorax. Moderate cardiomegaly is unchanged.
<unk>-year-old female patient with pneumonia, septic shock. study requested for evaluation of interval change and evaluation of picc line placement.
MIMIC-CXR-JPG/2.0.0/files/p13961294/s51336412/58391ca3-31d73272-47aafe92-7ffce994-2c7567eb.jpg
MIMIC-CXR-JPG/2.0.0/files/p13961294/s51336412/db4a7207-63a9bd7c-8063b7d9-cc51e6f5-50403f22.jpg
Ap and lateral views of the chest are compared to previous exam from <unk>. There are increased interstitial markings seen in the lungs. There is no confluent consolidation or effusion. Cardiac silhouette is enlarged but stable in configuration given differences in technique and positioning. Osseous and soft tissue structures are unchanged noting degenerative changes at the acromioclavicular joints.
<unk>-year-old female with worsening swelling in legs. question chf.
MIMIC-CXR-JPG/2.0.0/files/p19631417/s50687006/213cdc29-0ad2eddf-f7bb195a-c95ae8cf-1cc5aee7.jpg
null
Et tube and transesophageal tube have been removed. <num> right internal jugular introducer is terminate in right brachiocephalic vein. <num> left chest tubes are in unchanged position. Prosthetic heart valve valve is noted. There is increased elevation of right hemidiaphragm. Previous left lower lobe collapse is resolved in the left lower lobe is better aerated. Platelike atelectasis is noted at right lung base. Mildly enlarged cardiac silhouette is unchanged. There is no pneumothorax. Dextroscoliosis of lower thoracic spine is noted.
<unk> year old woman with mi mvr // r/o ptx, ct to water seal
MIMIC-CXR-JPG/2.0.0/files/p14395567/s54427318/1b797cb4-0cafe48e-79f2dbc9-4847274f-5350c17b.jpg
MIMIC-CXR-JPG/2.0.0/files/p14395567/s54427318/132b603d-968aabaf-204d7cab-76a263b4-5f162007.jpg
Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old female with dyspnea on exertion and cough.
MIMIC-CXR-JPG/2.0.0/files/p18496173/s59084473/bfb0c315-97f6d1b4-00bec570-46317bc0-2e8e58f8.jpg
MIMIC-CXR-JPG/2.0.0/files/p18496173/s59084473/a2f0c7c4-470abf9f-d2674242-2b10c29e-b0455a33.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>m with chest tenderness. +sob while exercising today. +recent travel with long plane ride. // rule out acute pulmonary problems
MIMIC-CXR-JPG/2.0.0/files/p16033659/s58116583/85e5b89c-f219312b-7b932e06-dfe5d304-71ae79da.jpg
MIMIC-CXR-JPG/2.0.0/files/p16033659/s58116583/733f31a4-6f132e25-32e5e7c7-bd88faf7-491c102e.jpg
Frontal and lateral views of the chest were obtained. Enlargement of the cardiac silhouette persists. Mediastinal contours are stable. There is no pleural effusion, focal consolidation or findings to suggest pneumothorax. There is persistent anterior eventration of the right hemidiaphragm. Opacity projecting over the right cardiophrenic angle most likely relates to epicardial fat pad; right middle lobe collapse is felt much less likely given lack of findings on the lateral view or other secondary findings of new collapse.
MIMIC-CXR-JPG/2.0.0/files/p18975498/s53124260/55705751-74b23922-c9866985-10135599-b26f08a4.jpg
null
There has been interval placement of a new left-sided chest tube, with significant interval decrease in the left pneumothorax. A small residual left pneumothorax persists. Unchanged positioning of the pigtail catheter, endotracheal tube, right ij line, and right pleural catheter.
<unk> year old woman with bilateral ptx, septic pulm. evaluate new left chest tube placement.
MIMIC-CXR-JPG/2.0.0/files/p14921373/s56543462/49ea3f29-f5ce1df4-b4d843b9-86471011-117b5c80.jpg
null
Ap portable upright view of the chest. Eventration of the right hemidiaphragm is unchanged. Retrocardiac opacity compatible with known hiatal hernia. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mildly enlarged heart size. Imaged osseous structures are intact.
<unk>f with active chest pain // evalaute for acute process
MIMIC-CXR-JPG/2.0.0/files/p17778496/s56745767/e39bdfb3-6b382733-fc9f3d1d-9b25ffab-19fb0752.jpg
null
As compared to the previous radiograph, there is no relevant change. Low lung volumes, moderate cardiomegaly, no evidence of pulmonary edema. No pleural effusions. No focal parenchymal opacities. Unchanged position of the right internal jugular vein catheter.
evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10213338/s56752789/fa164439-4a4d1707-6b9fd672-85b92619-b9f4a926.jpg
MIMIC-CXR-JPG/2.0.0/files/p10213338/s56752789/bd6f6ae8-ab4b62b2-7b1a2694-c939047b-9ca794ae.jpg
The cardiac, mediastinal and hilar contours appear stable. There is unchanged cardiomegaly and enlargement of the main pulmonary artery contour. The lungs appear clear. There are no pleural effusions or pneumothorax.
tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p13104348/s50032129/75b7ce01-5c914297-6d0d5418-47c27fee-a8c3fd6f.jpg
null
As compared to the previous radiograph, the lung volumes have slightly increased, with a subsequent reduction of the bilateral pre-existing pleural effusions that are more extensive on the right than on the left. On today's image, small pleural effusions bilaterally persist. There are signs of mild pulmonary edema. Has overall decreased in severity since the prior examination. Unchanged moderate cardiomegaly, the left picc line has been slightly pulled back, the tip is now located at the level of the superior svc.
heart failure, evaluation for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10444484/s52306377/dc8fe7d3-e9268c6e-d521e324-63cf32dc-49dc0d00.jpg
null
Linear opacities on the left are most consistent with atelectasis. There is no focal airspace consolidation to suggest a pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. An eventration of the right hemidiaphragm is unchanged. Prior left picc is no longer seen.
atrial fibrillation with a rapid ventricular rate. evaluate for edema or pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17928433/s57401813/c0fcd913-73734860-dc159c7b-d2f807e9-7e57f3d3.jpg
null
There is mild cardiomegaly with calcification of the aortic knob and mitral annulus. The mediastinal and hilar contours are otherwise unremarkable. There is no pneumothorax or large pleural effusion. There is a large opacity in the right lower lung zone concerning for pneumonia. Mild pulmonary edema is also present.
<unk>-year-old female with shortness of breath, query chf versus pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18936629/s53723156/fd8fc79c-4e1747e5-6836223f-1a77b2da-66eac79b.jpg
null
As compared to the previous radiograph, the previous right internal jugular vein catheter has been removed. The appearance of the lung parenchyma, the pleura, the heart and the clips after cabg is constant and shows no change.
cll, decortication, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p14993494/s50135129/aa5063bf-e1c17e25-759e9eab-797922b0-724377d9.jpg
MIMIC-CXR-JPG/2.0.0/files/p14993494/s50135129/23471c64-f98dbe4b-d0a90792-9e2f6e47-4dbdd5ff.jpg
As compared to the previous radiograph, there is a relevant change. In both lungs, predominating in the subpleural lung areas, there is a diffuse reticular pattern with signs of architectural lung distortion in subpleural location. The findings are appreciated both on the lateral and on the frontal radiograph. The changes displayed on today's image are typical for pulmonary fibrosis. These could be excluded or confirmed by ct. Borderline size of the cardiac silhouette. No other pathologic findings.
dry cough on methotrexate, evaluation for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17200377/s56937129/18954468-e149e4c8-c0137e25-e7226e1b-eef6b3c0.jpg
null
Ap portable upright view of the chest. Moderate bilateral pleural effusions are again seen, improved since <unk>. In particular, right fissural fluid is no longer present and there is improved aeration at the right base. There remain bibasilar linear opacities with air bronchograms, compatible with atelectasis, difficult to differentiate from underlying consolidations. There is no pneumothorax.
<unk> year old man with copd and increased o<num> requirement // ?interval change
MIMIC-CXR-JPG/2.0.0/files/p19926727/s57889595/768188d1-e1c250e0-57821116-5c0046ab-b64251b2.jpg
MIMIC-CXR-JPG/2.0.0/files/p19926727/s57889595/6c60cadd-ddf2dffd-6c39824a-0364a836-fa768d24.jpg
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged but decreased in size as compared to <unk>. No overt pulmonary edema is seen. The mediastinal contours are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11522912/s52854456/0888030d-7c5016f4-bb62118d-d8666650-e67329cb.jpg
null
The et tube is <num> cm above the carina. There is moderate cardiomegaly. There is bilateral pleural effusions which are moderate in size. There is pulmonary vascular redistribution. There is a left upper lobe and right mid lung hazy alveolar infiltrate that could be partially due to volume loss and alveolar edema but an underlying infectious infiltrate can't be excluded
<unk> year old man sp intubation // intubation
MIMIC-CXR-JPG/2.0.0/files/p16944511/s55202893/1e889307-30452c3d-26400f04-6c6f1a00-fcbb1a31.jpg
MIMIC-CXR-JPG/2.0.0/files/p16944511/s55202893/bf95ae3d-eacc8188-7e885280-b084ae79-18088040.jpg
Opacity at the right lung base as seen on prior study on <unk> could be lower lobe pneumonia. A small left pleural effusion has increased and very minimal right pleural effusion is unchanged compared to prior study. No pneumothorax is seen. Moderate cardiomegaly is unchanged. Left pectoral transvenous pacer leads terminate in the right atrium and right ventricle. Transcutaneous epicardial leads terminate in the cardiac apex
<unk> year old man with cough and question of lll pna on prior ct scan showing lung bases. // evaluate for consolidation/infiltrate
MIMIC-CXR-JPG/2.0.0/files/p15281216/s56612594/3e1a01ea-b90db1a9-7cfe8d7a-26d559f4-fa59a6fc.jpg
null
As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The right internal jugular vein catheter is in constant position. Unchanged complete opacification of the left hemithorax. The right hemithorax is slightly increased in volume and more radiolucent than on the previous image.
endobronchial lesion, bronchoscopy, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p14065956/s52462071/1868dd45-0e32c2c4-b0ce7fec-18aec437-70e402b3.jpg
MIMIC-CXR-JPG/2.0.0/files/p14065956/s52462071/9b954a6f-5abafe8c-cebef5de-f7112d67-203f1385.jpg
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with h/o asthma p/w chest tightness after marijuana ingestion // ?consolidation, effusion, acute abnormality
MIMIC-CXR-JPG/2.0.0/files/p16575177/s58671155/0e80c3d9-8cb078ba-b7e77f4b-61431631-a12bf1aa.jpg
null
Single portable view of the chest. There is slightly increased interstitial marking seen throughout the lungs, the chronicity of which is uncertain given lack of prior. There is a more focal region of opacity projecting over the left mid lung. Its etiology is uncertain and it could be due to confluence of shadows including the scapula. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen in the aorta.
<unk>-year-old female with new onset of shivering and shaking with fever. recent pneumonia, on levofloxacin and recent pelvic fracture. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12159404/s57314550/52b4873e-e88040ef-c7e6988b-a1651868-a19c13ef.jpg
null
There is a new focal consolidation in the left mid and lower lung zone. The remainder of the lungs are clear. There is no pulmonary edema. The left costophrenic angle is somewhat obscured, which could be due to the adjacent opacity or small pleural effusion. There is no right-sided pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. There is no free intraperitoneal is identified below the hemidiaphragms.
epigastric pain and hematemesis.
MIMIC-CXR-JPG/2.0.0/files/p14813528/s56220409/4d597cee-afff23bc-6f1ea340-da424655-99e872f9.jpg
MIMIC-CXR-JPG/2.0.0/files/p14813528/s56220409/80af4069-ad21aeb4-f907b2e1-446fede4-2a2411a7.jpg
Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. Mild dextroscoliosis of the thoracic spine is present.
preoperative chest x-ray for distal femur fracture.
MIMIC-CXR-JPG/2.0.0/files/p12390079/s55196249/ec2248ca-c51bb958-88d234bc-e9aec185-248d77e5.jpg
null
In comparison with the study of <unk>, there is some asymmetry of markings at the base with increased opacification on the left. This could represent merely some atelectatic change. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
cough, hypotension and fever.
MIMIC-CXR-JPG/2.0.0/files/p17799996/s55165987/994fc5b6-6afa1ead-63d8b18e-d8a6ed9f-6f986340.jpg
null
As compared to the previous radiograph, the patient has developed moderate pulmonary edema as manifested by bilateral pleural effusions, peribronchial cuffing, interstitial markings, basal opacities and mild cardiomegaly as well as associated areas of atelectasis. As documented by subsequent radiographs, for example from <unk>, <time> p.m., this problem was medically addressed, with subsequent improvement.
history of cll, chest pain, rule out pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19939978/s50331527/0e1b53b3-b482509d-1e578766-dffe1917-7aa1add1.jpg
MIMIC-CXR-JPG/2.0.0/files/p19939978/s50331527/997e1367-b16a4713-6f5c8b99-04ab46c6-691a6738.jpg
Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Cervical fixation hardware is noted.
renal failure. assess for fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p16513924/s57427758/684d4bdd-4d664db9-74bd19b4-61acd198-649d9a45.jpg
MIMIC-CXR-JPG/2.0.0/files/p16513924/s57427758/dbc9bf61-37c703b4-c8584188-35586080-394c4c75.jpg
No relevant interval change as compared to the prior examination. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with elevated lactate, tachycardia. // eval for cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p17277688/s58113037/fe2a366a-f8f9230a-be61d008-2456a850-9e448521.jpg
null
Portable semi-upright chest radiograph shows no worsening in bilateral ground-glass airspace opacity and left upper lobe air bronchograms. There may be some minimal interval clearing at the right lung base. Supporting tubes and lines are in unchanged position.
interval change after stopping cvvh and weaning vent settings. <unk>-year-old man with ards.
MIMIC-CXR-JPG/2.0.0/files/p17506285/s57767930/4a34ac5c-23be6056-8dcd2cb2-7ec239e8-876460ff.jpg
MIMIC-CXR-JPG/2.0.0/files/p17506285/s57767930/dc15711d-77816ea5-19176c6a-a518aa3f-59370154.jpg
Heart size is top normal. There is bilateral pulmonary vascular congestion and peribronchial cuffing compatible with pulmonary edema. No pleural effusion or pneumothorax. No strong evidence for pneumonia.
history: <unk>f with dyspnea. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14740501/s59818906/ac9f3911-9785064a-e240cfe8-8e336d14-cb264902.jpg
MIMIC-CXR-JPG/2.0.0/files/p14740501/s59818906/d34b6631-c65c602f-45013ebf-7f5a474b-72b39df5.jpg
As compared to the previous radiograph, the patient has received a left pectoral icd. The leads project over the right atrium and right ventricle. There is no visible pneumothorax on the left. Status post cabg. Moderate hiatal hernia. Unchanged minimal pleural scarring at the left lung base.
rule out pneumothorax, status post icd.
MIMIC-CXR-JPG/2.0.0/files/p13413272/s57069945/9542b8b4-297e1e33-1c7590ff-0aa32229-2bd0aba5.jpg
null
As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. The extensive and almost subtotal parenchymal and pleural opacities on the right are unchanged in extent and severity. The left lung is also unchanged. Known atelectasis at the left lung bases, but no evidence of new parenchymal changes. The left heart contour has an unchanged appearance.
productive cough after extubation, questionable pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11863504/s57701110/15ff7d92-4ed97b64-da461910-0b8fa06b-135d5573.jpg
MIMIC-CXR-JPG/2.0.0/files/p11863504/s57701110/80ae67ed-8960a86d-ebc2bb03-586631e5-c70decc4.jpg
The heart size is normal. The aorta is slightly unfolded. The mediastinal and hilar contours are unremarkable. On the lateral view, there is a <num> cm rounded opacity projecting over the lower lobes and descending thoracic aorta, not clearly delineated on the frontal view. The remainder of the lungs are clear. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine. Mild scarring is noted within the lung apices.
chest pressure and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p15528228/s53078415/157febc5-ee2b7092-93d96d3d-3b125ac7-7e7795a0.jpg
null
Portable upright frontal view of the chest shows no free air under the diaphragm. No pleural effusion, pneumothorax or focal airspace consolidation. There is a vague opacity abutting the left heart border, which is new from prior. The heart is normal in size. The mediastinum and hilus are unremarkable.
status post ercp. evaluate for a perforation.
MIMIC-CXR-JPG/2.0.0/files/p11364022/s51061470/31c8e66d-f1a3ec90-026a5a60-7ec097b4-6b2db158.jpg
null
There is increased bilateral airspace opacities greater on the left than the right. The ett ends <num> cm above the carina. An endotracheal tube is seen with the tip in the stomach but the side hole at the level of the ge junction. No large pleural effusion or pneumothorax.
history: <unk>m with s/p intubated*** warning *** multiple patients with same last name! // eval for tube
MIMIC-CXR-JPG/2.0.0/files/p18676703/s50768338/333a5ce7-96197dd3-28f24817-d3962596-f735f92d.jpg
null
Mild cardiomegaly is present. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases, which may reflect areas of atelectasis. Infection cannot be completely excluded. No large pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>f with altered mental status
MIMIC-CXR-JPG/2.0.0/files/p18806652/s59550738/2dc98d64-23891afc-ce10b7a9-2f9b38bd-84ec664a.jpg
MIMIC-CXR-JPG/2.0.0/files/p18806652/s59550738/5822f7d9-77247cc2-d744672d-b52d6fee-15fdbcf4.jpg
There is mild elevation of the left hemidiaphragm, which is stable since <unk>. 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.
<unk> year old woman with copd gold ii, with cough, wheeze, shortness of breath // any acute infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11063824/s52685370/1b5c2e7b-a619b98e-7cbabc36-3b191e7d-46209e0e.jpg
null
Portable single frontal chest radiograph was obtained. A new right ij central venous line has its tip terminating in the mid svc at the level of the carina. The tip of the endotracheal tube is situated <num> mm above the carina in appropriate position. A nasogastric tube has its tip terminating in the gastric fundus with the proximal side hole at the ge junction. There is a new focal opacity in the right mid lung. The left lung is clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.
patient with new right ij central venous line, evaluate placement.
MIMIC-CXR-JPG/2.0.0/files/p11528715/s53563911/2dd9f16e-b93e5de2-5d996d4c-77b3bf39-c8148a00.jpg
MIMIC-CXR-JPG/2.0.0/files/p11528715/s53563911/884e227b-b281d425-117684e2-a06f14bc-f3eed6f6.jpg
No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are again seen overlying the lower right hemi thorax.
history: <unk>f with dyspnea // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p17797252/s53308314/fba5ae16-d151c9e1-31b8a99e-acbd51a7-105fe6a3.jpg
MIMIC-CXR-JPG/2.0.0/files/p17797252/s53308314/2c457303-4a4157f1-27856f8b-f9ea0fde-a2db2fe8.jpg
Right-sided picc terminates in the proximal right atrium as before. Multifocal, bilateral parenchymal opacities appear increased from <unk> concerning for worsening infection. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.
<unk> year old woman with hodgkin's s/p allo sct, recent + cmv on bal so tx with ganciclovir, but has increasing cough and fever to <num> // pna
MIMIC-CXR-JPG/2.0.0/files/p17910612/s52852562/87d4cee5-e2f6c760-5ce733e8-97ba8fbc-4aa3729e.jpg
null
In comparison with the study of <unk>, there is still a substantial pneumoperitoneum. Monitoring and support devices remain in standard position. Continued enlargement of the cardiac silhouette with persistent pulmonary vascular congestion. Right pleural effusion is unchanged and mild opacification at the left base persists.
rising white count status post intubation.
MIMIC-CXR-JPG/2.0.0/files/p13972871/s59914539/5a6693e7-2d6a36da-a87a9331-af453e94-cf5dab2e.jpg
null
As compared to the previous radiograph, there is no relevant change. No signs of overinflation, no pneumomediastinum or pneumopericardium. No pleural effusions. No pneumonia. Unchanged normal size of the cardiac silhouette.
asthma, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19300920/s53355292/888d500c-52512e93-bd2ca6cf-f3657b20-a3f94c60.jpg
null
Exam is limited as the costophrenic angles and right lung base are excluded from the field of view. Increased interstitial markings are noted suggesting vascular congestion. Moderate cardiomegaly is suspected. Dense mitral annular calcifications are noted. No displaced fractures identified.
<unk>f with fall, new spine fracutres, acute sob, tachypnea, and hypoxia // assess for infiltrate, edema
MIMIC-CXR-JPG/2.0.0/files/p10650522/s53266134/0f75323f-68d514de-314008f1-9f1e529d-87fdc4ea.jpg
null
Ap portable upright view of the chest. The patient is post cabg. An endotracheal tube has been retracted, now terminating <num> cm above the carina. Central pulmonary vascular congestion and moderate pulmonary edema have improved, in particular at the lung bases.
<unk> year old man with ards s/p re-intubation, // assess for ett placement after adjustment
MIMIC-CXR-JPG/2.0.0/files/p17611092/s51530184/254ccf38-9c49bf59-478f2113-8c91f92b-64dad191.jpg
MIMIC-CXR-JPG/2.0.0/files/p17611092/s51530184/bd7ce587-892b04e5-ebf283fd-bd4c4531-349b0ea7.jpg
Pa and lateral views of the chest were obtained. Heart is normal in size, and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax. There is no free air under the diaphragm.
<unk>-year-old woman presenting with nausea, fever, recent egd, epigastric/right upper quadrant tenderness, evaluate for acute changes or free air.
MIMIC-CXR-JPG/2.0.0/files/p17728787/s59025038/700b670b-4a88bb0c-114764d1-e0ca5e78-c3bed2dc.jpg
MIMIC-CXR-JPG/2.0.0/files/p17728787/s59025038/e2ea88d0-9db242c3-d7a96e4c-d6cbeeeb-eff2a03c.jpg
The cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. The pulmonary vascularity is normal. There is no focal consolidation, pleural effusion or pneumothorax. Numerous clips are demonstrated within the left upper quadrant of the abdomen. There are mild degenerative changes within the thoracic spine.
dizziness and weakness.
MIMIC-CXR-JPG/2.0.0/files/p17679495/s57006129/53226a05-dfcafce3-32b0f979-3aaa9eea-86cf60a5.jpg
MIMIC-CXR-JPG/2.0.0/files/p17679495/s57006129/80aab3a4-3b1f757d-1130d5d8-c1dcb2b9-309e066e.jpg
Subtle increase in interstitial markings bilaterally may be due to technique or chronic lung disease/fibrosis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The patient is status post median sternotomy and cardiac valve replacement..
history: <unk>f with c/o sob // ? pna
MIMIC-CXR-JPG/2.0.0/files/p18491974/s50119327/8879844b-103298bd-f854592a-0c26c594-646c4ee6.jpg
MIMIC-CXR-JPG/2.0.0/files/p18491974/s50119327/7a01926f-b97d2e49-3b289277-922e21f2-1f135fc7.jpg
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is mild-to-moderately enlarged. Mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p15559090/s57481675/618df72e-4c762644-53efdd18-decf1df9-c4bcc062.jpg
MIMIC-CXR-JPG/2.0.0/files/p15559090/s57481675/3487369f-4527efb5-ae38bf89-14d3d795-de7d1f33.jpg
Streaky right basilar opacity is most likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes noted in the spine without acute osseous abnormality. Chronic changes of the lateral left second rib, potentially congenital are again noted.
<unk>m with syncope // pe?
MIMIC-CXR-JPG/2.0.0/files/p11668433/s58569188/093104eb-e7de8e5f-11975106-bb2a0edf-43551f94.jpg
null
Theet tube and ng tube have been removed since yesterday. A feeding tube curled in the stomach and a right picc ending in lower svc are unchanged. Small bilateral pleural effusions with left basilar atelectasis are not significantly changed since yesterday. Cardiomediastinal silhouette is normal. No pneumothorax.
found down, noted to have multiple strokes with very limited recovery and function of sedation. evaluate interval change in ventilator associated pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12008386/s56858197/a5176d02-0a4ab11f-397ad0e5-e41680b8-2892e14d.jpg
null
The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection. Regional bones and soft tissues are unremarkable.
<unk> year old woman with mediastinal lymphadenopathy. // eval post op change s/p mediastinoscopy
MIMIC-CXR-JPG/2.0.0/files/p17815790/s50759835/80bcaeb0-7b32e519-22cc0bb6-e57dc727-071a5886.jpg
MIMIC-CXR-JPG/2.0.0/files/p17815790/s50759835/deca39bf-777ca282-c68a5e50-d2344dca-857cc4fa.jpg
Pa and lateral chest radiographs are compared to prior examination dated <unk>. There has been interval increase in left-sided pleural effusion which layers superiorly over the lung apex. A right-sided pleural effusion is not significantly changed in size. A left chest port is present, its tip which terminates at or just below the cavoatrial junction. A right picc is present and terminates at approximately the same level. An esophageal stent is noted. Heart border is obscured. There is no pneumothorax.
<unk>f with dyspnea since <unk>, s/p thoracentesis, r sided decreased breath sounds // ?pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p11076033/s58622752/7c083a9b-532e3ca4-d40a3161-4dd2724f-93c82401.jpg
null
In comparison with the study of <unk>, there is continued and possibly more prominent enlargement of the cardiac silhouette with moderate pulmonary edema and extensive bilateral pleural effusions, more prominent on the right, with underlying compressive atelectasis at the bases.
pulmonary edema and effusions, to assess for worsening.
MIMIC-CXR-JPG/2.0.0/files/p18268875/s53760506/553d60f3-c2f5f668-05c7199b-875451c8-15049c77.jpg
MIMIC-CXR-JPG/2.0.0/files/p18268875/s53760506/d2ba2f01-298e8e90-bb018a34-1179a1b5-e9aa113e.jpg
Ap and lateral upright views of the chest were provided. There is stable mild elevation of the right hemidiaphragm. A calcified granuloma is again seen projecting over the right lung base. Clips in the left upper abdomen are noted. The lungs are clear of consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears stable with atherosclerotic calcifications along the thoracic aorta. The imaged bony structures appear intact with a scoliosis of the spine again seen.
MIMIC-CXR-JPG/2.0.0/files/p12206478/s59416604/15b138cb-e0fcd9e1-49554d9e-3f694b26-9bec3f4b.jpg
null
There has been interval placement of a right-sided central venous catheter with tip terminating in the distal svc. No pneumothorax is seen. Redemonstration of focal opacity within the right lower lung is again noted and consistent with infection versus aspiration. The heart is normal in size. Aortic arch vascular calcifications are noted. Biapical pleural thickening is present. There is mild degenerative change about bilateral glenohumeral joints.
MIMIC-CXR-JPG/2.0.0/files/p10370489/s56228354/ed27b5ee-64b41811-845d200c-05a14a01-b6e10e5b.jpg
null
Single frontal view of the chest. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Surgical clips overlie the right upper quadrant.
<unk>-year-old female with upper gi bleed. evaluate for aspiration.
MIMIC-CXR-JPG/2.0.0/files/p10214627/s53379420/f8a8a13f-8053ce2d-72b0110e-2864f476-d6eecf8a.jpg
MIMIC-CXR-JPG/2.0.0/files/p10214627/s53379420/6c4c9c62-af638e17-d3a37d92-f4fdcfc9-6026e197.jpg
There no focal consolidation, pleural effusions or pneumothoraces. The heart is top-normal in size, and mediastinal contours are stable.
<unk> year old woman with fever and productive cough, lung exam wnl. // ? pna
MIMIC-CXR-JPG/2.0.0/files/p15373413/s53893587/47b25fc7-952dfa54-1ce9815c-1f6d0373-0450c4bb.jpg
MIMIC-CXR-JPG/2.0.0/files/p15373413/s53893587/9f8a5c83-d5b88420-fc61fc79-c2bfaa6e-e8518c35.jpg
Frontal and lateral views of the chest. There is persistent small left-sided pleural effusion. There is mild pulmonary vascular congestion but no confluent consolidation. The cardiac silhouette is slightly enlarged but unchanged. No acute osseous abnormalities detected.
<unk>-year-old female with pancreatic cancer presenting with shortness of breath and worsening bilateral lower extremity edema.
MIMIC-CXR-JPG/2.0.0/files/p12826311/s52794983/8e9ba069-f05b3ff1-42def975-5ccdb77d-cd6a580b.jpg
null
Interval increase in width of cardiac silhouette and vascular pedicle accompanied by pulmonary vascular congestion and mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p17509177/s57797409/4c9156d2-d4edbffb-49c731f1-b7a7cd99-a7f87d37.jpg
null
Shallow inspiration accentuates heart size, pulmonary vascularity. Suggestion of small left pleural effusion, similar. Left chest tube. Left basilar opacity, mildly worsened come likely atelectasis. No pneumothorax. Additional tubing projected over left upper quadrant. Right lung clear.
<unk> year old woman with pleural effusion post pcnl, now s/p second stage pcnl // assess for recurrent pleural effusion; please seat patient as upright as possible
MIMIC-CXR-JPG/2.0.0/files/p10407730/s57669115/42bb2c98-b915b39f-efdf4a6e-6dc5ae51-79679cc6.jpg
null
Comparison is made to prior study from <unk>. There is cardiomegaly, which is stable. There is a right-sided dual-lead pacemaker, which is unchanged. There is worsening of the left retrocardiac opacity with likely small bilateral pleural effusions. There are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14884845/s51371347/787a69ab-833430e5-4a4178ad-4d4a8a65-bc26cef9.jpg
MIMIC-CXR-JPG/2.0.0/files/p14884845/s51371347/4c0216d3-9976bb35-4801badd-90a449d6-472a0bf1.jpg
Again seen, are increased interstitial markings, most pronounced in the subpleural region, not significantly changed from the prior study. There is no focal consolidation. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with history of scleroderma w/ <num> hrs exacerbation of vasculitic symptoms, evaluate for infection
MIMIC-CXR-JPG/2.0.0/files/p10446418/s56239896/242c05f4-a4e6f403-292563b0-f78bc96a-f3edd02e.jpg
MIMIC-CXR-JPG/2.0.0/files/p10446418/s56239896/37e24858-d812576c-1c922d25-442c65ba-04fb8287.jpg
In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with tortuosity of the aorta. No evidence of acute pneumonia or vascular congestion. Sclerotic foci are again seen bilaterally, consistent with known metastatic disease. This appears somewhat more prominent on the current study. Port-a-cath extends to the lower portion of the svc.
cough and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11760589/s50434166/4eac6c48-3d6a0884-571ac3b9-a03befca-29e0a3fe.jpg
null
Mild bibasilar atelectatic changes are again noted but overall aeration appears inimally improve in comparison to prior study from <unk>. Cardiomediastinal silhouette remains moderately enlarged but stable. Atherosclerotic calcifications are noted throughout the aortic arch and the aorta appears tortuous but stable. Otherwise, the lungs are without focal consolidation or pneumothorax. No acute fractures are identified.
evaluation of patient with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p13764015/s55064670/2283eb4f-888d97f2-aa8d7e13-7b9aa1c3-5092e322.jpg
null
Ap portable upright view of the chest. Endotracheal tube is in unchanged position. The ng tube is coiled in the hypopharynx and the tip remains in place in the region of the distal esophagus. A right ij central venous catheter extends to the low svc cavoatrial junction, unchanged in position. There is subtle opacity in the right lung base as on prior concerning for atelectasis versus pneumonia. No pneumothorax.
<unk>f with cvl placement
MIMIC-CXR-JPG/2.0.0/files/p13066686/s53378403/8c78ccc4-e86968a0-03a4ec18-90baf64c-eda706a7.jpg
MIMIC-CXR-JPG/2.0.0/files/p13066686/s53378403/0e5ef7e3-6f2ae42d-ee620b29-7439d8b7-5d109ceb.jpg
The lungs are hyperinflated. Irregular interstitial markings and increased lucency projecting over the upper lungs suggest underlying copd. Blunting of the posterior costophrenic angles may be due to small effusions with adjacent atelectasis. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, hypertrophic changes are seen the spine.
<unk>m with dyspnea // pulm edema
MIMIC-CXR-JPG/2.0.0/files/p18434727/s52953626/4dc9d42e-69eff3d8-dfd20422-ab3e70f2-0fc91cf4.jpg
null
Comparison is made to previous study from <unk>. The feeding tube has been advanced since the previous study, is now within the body of the stomach. There is a right-sided ij line with distal tip in the mid svc. Heart size is enlarged. There is a persistent left retrocardiac opacity. There has been some improvement of the pulmonary edema since the prior study. There is unchanged left-sided pleural effusion. There are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17319358/s59888157/4cbc557c-da349695-e1c50fc9-340a1d4c-38635135.jpg
null
There are bibasilar opacities that most likely represent pneumonia, worse on the left. There is no pneumothorax or pleural effusion or pulmonary vascular congestion. Hyperinflation suggests copd. The heart size is normal.
history of copd and pneumonia. acute onset of shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p18392985/s50261096/4661963c-7b1a0b5e-bab1f570-b6b6f7f4-c6a11fd4.jpg
MIMIC-CXR-JPG/2.0.0/files/p18392985/s50261096/0ef8bf2d-38154bdb-a0b8d9a2-4fbad992-9dd35fa0.jpg
Cardiomediastinal contours are normal. Low lung volumes accentuate bronchovascular structures. No focal areas of consolidation are present within the lungs, there is no pneumothorax or pleural effusion. Two contoured deformities are observed at the left third rib posteriorly and anteriorly, and could be due to acute or old injury. There is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16505030/s51059773/6fd045c6-b03adae9-b3256b94-91158dd8-5d2ec8cd.jpg
null
There are multifocal airspace opacities, particularly in the left mid lung and at the right lung base, which may be due to infection. Old healed right rib fractures are incidentally noted. There is no pneumothorax. Mild cardiomegaly despite the projection is present. Mild indentation of the right lateral wall of the upper trachea may be due to an enlarged right thyroid lobe. Clinical correlation including palpation is suggested.
<unk> year old man with fever and alk hep // eval for pneumonia
MIMIC-CXR-JPG/2.0.0/files/p14630468/s53585855/3a0ddd6b-6f512843-37b729b9-290c845e-f528a646.jpg
null
Single ap view of the chest. Tracheostomy tube remains in place. The lungs are grossly clear noting limitation due to positioning. The cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with history of laryngeal cancer, presenting with shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p11226173/s58665493/8dedb8e1-565bbca4-107ad863-889d0adf-3a0b3683.jpg
null
There continues to be right lower lobe consolidation and collapse. There is increased left lower lobe opacity consistent with volume loss/infiltrate/effusion. There continues to be pulmonary vascular re-distribution. Et tube, og tube, and right ij line are unchanged.
increasing pressor requirement and hypoxemia.
MIMIC-CXR-JPG/2.0.0/files/p11934843/s54801957/b672e81c-4495ce05-fe34479a-d3e6ec2a-11ff5680.jpg
MIMIC-CXR-JPG/2.0.0/files/p11934843/s54801957/67badf53-a9c4f274-abbd51b1-a93d2697-e80b3393.jpg
Cardiomegaly is mild. Lung volumes are low. A retrocardiac opacity is concerning for pneumonia. No pneumothorax.
history: <unk>f with seizure disorder requiring infectious workup // consolidation
MIMIC-CXR-JPG/2.0.0/files/p15690435/s53047807/027d8347-27e385ad-5048414c-973826de-dac2c213.jpg
null
Heart size, mediastinal and hilar contours are normal. Patchy opacity persists in the right infrahilar and retrocardiac area, and could potentially be due to a developing infection given clinical suspicion for this entity. Lungs are otherwise clear, and there are no pleural effusions or pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p16462861/s55498936/101f21b5-62443990-9d965e0c-63a5e661-58a60a96.jpg
null
Moderate-to-severe asymmetrical pulmonary edema is new, affecting the left lung to a greater degree than the right. Moderate left and small right pleural effusions have also increased in size and are accompanied by adjacent basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11281568/s52300134/66ebc146-97f25351-a106e45e-83877687-5a2231d3.jpg
null
There is mild pulmonary edema on a background of chronic interstitial lung disease. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion.
history: <unk> m with hiv, pulling out g tube. unable to provide much of history.evaluate for trauma/infection.
MIMIC-CXR-JPG/2.0.0/files/p18477137/s58315993/620a4afd-1da7c471-5d0133e9-e0b3c906-5fc74105.jpg
MIMIC-CXR-JPG/2.0.0/files/p18477137/s58315993/c3e1f253-4cee5b82-7bbb2772-270f0384-1f938f37.jpg
A left-sided pacemaker is seen with leads projecting over the right ventricle and left ventricle and unchanged in position from prior radiograph. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac silhouette is enlarged but stable.
<unk>-year-old man with chf, ivcd presents for a left lv lead revision.
MIMIC-CXR-JPG/2.0.0/files/p15617050/s50870696/0b6bd75f-77215e33-e8e8c79c-90c924b1-b6ca390f.jpg
MIMIC-CXR-JPG/2.0.0/files/p15617050/s50870696/95526753-f3d7c0a5-0d65797c-6b241e68-f0311149.jpg
Mild increase in moderate-sized lateral right pneumothorax with small apical hydropneumothorax. Apical loculated fluid was more fully evaluated on recent ct. No mediastinal shift or flattening of right hemidiaphragm. Stable right subcutaneous emphysema. Mild improvement in right upper lung homogeneous opacity. Increase in retrocardiac opacity from atelectasis. Heart size, mediastinal contour and hila are otherwise normal. No bony abnormality.
<unk>-year-old female with right upper lobe carcinoma status post vats and right upper lobe lobectomy with mediastinal lymph node dissection. right pneumothorax status post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p17108649/s59164172/8472f383-5fee98ff-4c256566-d9ec8c4a-ea839578.jpg
MIMIC-CXR-JPG/2.0.0/files/p17108649/s59164172/eef2eca4-fd5167fd-4d3eb92b-f500ed11-48922651.jpg
There are low lung volumes. Cardiac size is top-normal. The mediastinum is widened, could be the projection or enlargement/ dilatation of the ascending aorta. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with fevers // rule out infection
MIMIC-CXR-JPG/2.0.0/files/p11137560/s54521165/18bf74d4-8168ebaf-1bc62d39-d45ffeea-14b27c76.jpg
MIMIC-CXR-JPG/2.0.0/files/p11137560/s54521165/34e5af9d-ad6ccc6a-11077146-a11f967b-c6d7ab53.jpg
The left chest port-a-cath tip ends in the low svc. Lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. There is mild left curvature of the thoracic spine. Degenerative changes of thoracic spine are mild.
<unk>-year-old woman with a left-sided port. evaluate port placement.
MIMIC-CXR-JPG/2.0.0/files/p18870233/s53404379/563b3743-f50693e6-a179bdf9-deedab47-70dad2ea.jpg
MIMIC-CXR-JPG/2.0.0/files/p18870233/s53404379/5e504eb8-3a94178a-34d3a7fe-7a64c375-cf3832de.jpg
The lungs are hyperinflated, compatible with copd. Suture chain is seen in the right middle lobe. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. Aortic calcifications are noted. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted.
history of copd and asthma, presenting with wheezing and increased dyspnea. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19705710/s59352390/be87c702-bac84a0e-55b9d28e-60734454-a5f6a655.jpg
null
Heart size is mildly enlarged. The aorta is tortuous and calcified, similar compared to the previous exam. There is no pulmonary edema, and the hilar contours are within normal limits. Patchy opacities are noted in both lung bases, which could reflect areas of atelectasis, though infection is not completely excluded. Small bilateral pleural effusions may be present. No pneumothorax is seen. Degenerative changes of the left shoulder from noted.
low-grade temperature.