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/p12671581/s54092180/c5732079-3ea958c1-3f00f8e2-c7ae2fe7-5c3b5cad.jpg
MIMIC-CXR-JPG/2.0.0/files/p12671581/s54092180/17548676-b3f86f74-5655a6f6-349fe59d-c90284de.jpg
The patient's chin obscures evaluation of the medial lung apices. Lung volumes are low. Mild to moderate cardiomegaly is re- demonstrated, with mild tortuosity of the thoracic aorta. Diffuse aortic calcifications are again noted. The pulmonary vascularity is not engorged, and hilar contours are stable. Hyperinflation along with flattening of the diaphragms is re- demonstrated suggestive of underlying copd. Blunting of the costophrenic angles posteriorly on the lateral view may suggest pleural thickening or trace bilateral pleural effusions. Except for minimal bibasilar atelectasis, there is no focal consolidation. No pneumothorax is detected. Multilevel degenerative changes are seen in the thoracic spine.
possible fall with neck pain, headache, shortness of breath and feeling of weakness.
MIMIC-CXR-JPG/2.0.0/files/p19812418/s53691318/395bf784-ded5ffed-e54843a7-30ae2d44-47121799.jpg
null
Post cabg changes are stable. Swan-ganz catheter is stable in position. Central and chest drains in situ. The ett has been removed. Mild subglottic edema. Lung volumes remains stable. Bibasal atelectasis unchanged. No pneumothorax. The cardiomediastinal shadow is enlarged, but unchanged. No pulmonary edema. No new areas of airspace consolidation
<unk> year old woman with as above // s/p avr/mvr/tv repair w/increased secretions r/o infiltrate
MIMIC-CXR-JPG/2.0.0/files/p12974480/s55175546/db4e6767-8b31e2d2-99e84117-5b32704e-48ea58d2.jpg
null
Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Minimal atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely imaged.
history: <unk>f with hypoxia, fever
MIMIC-CXR-JPG/2.0.0/files/p12139024/s53153436/0003fc7c-3dfce751-9ff36dc3-8fa4f6d9-0515ce50.jpg
MIMIC-CXR-JPG/2.0.0/files/p12139024/s53153436/2193a40c-4b35cb29-027d876e-863f9a01-79a30f68.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.
alcohol cirrhosis and shortness of breath. evaluate for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19930120/s53585451/bd221ee1-9b5d3504-11f65fe8-8f2970f5-55ba7cef.jpg
null
The lungs are clear. Cardiac size is normal. Aorta is mildly unfolded. No pleural effusion, pneumonia, pneumothorax, pulmonary edema.
<unk> year old woman with history of primary cns lymphoma with three days of cough, sore throat and rhinorrhea with crackles on exam // please evaluate for consolidation, pneumonia //<unk> year old woman with history of primary cns lymphoma with three days of
MIMIC-CXR-JPG/2.0.0/files/p13815588/s57440996/07cf8a98-9f89068c-1a6f121c-6838e8d6-edb7498d.jpg
MIMIC-CXR-JPG/2.0.0/files/p13815588/s57440996/fa56215c-ce13b085-fbcf2b4f-6eeea7ca-252fb56f.jpg
Lung volumes remain low. A left-sided chest tube has been removed. There is a small lateral pneumothorax associated with residual pleural thickening. A left anterior air-fluid level and retrocardiac lucency are new small pleural air and fluid loculations. There is linear atelectasis in the superior right lower lobe and behind the heart. There is persistent thickening of the left major fissure.
<unk>-year-old woman with left-sided empyema status post left-sided vats decortication on <unk>. status post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p19748294/s53309855/c39dec35-1410804f-e150f83e-f1471ab7-f6681188.jpg
MIMIC-CXR-JPG/2.0.0/files/p19748294/s53309855/aa72732a-e7270e37-c281e612-bc4c09a3-48a29df9.jpg
Previously seen rounded opacity projecting over the right fifth posterior rib is not identified on current study, likely an external structure has since been removed. Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size normal.
history: <unk>m with seizure // ?cpd
MIMIC-CXR-JPG/2.0.0/files/p11300822/s59495052/01a4fd93-e1ab63c3-286c0b58-940873aa-0a3a1735.jpg
MIMIC-CXR-JPG/2.0.0/files/p11300822/s59495052/b9fabdcd-0a4ba0d3-3c4840d0-daf782da-10702a12.jpg
Heart size is mildly enlarged. The aorta is tortuous. Pulmonary vasculature is not engorged. Hilar contours are unchanged. Lungs are hyperinflated. New focal opacity is seen within the left lower lobe as well as patchy nodular opacity within the left lower lobe, findings concerning for multifocal pneumonia. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Deformity of the right mid clavicle compatible a remote fracture is re- demonstrated.
history: <unk>m with shortness of breath
MIMIC-CXR-JPG/2.0.0/files/p19901104/s54508775/f3574c00-e811f9b6-48a171dc-3d01d6cc-abf35edc.jpg
MIMIC-CXR-JPG/2.0.0/files/p19901104/s54508775/4872451c-83bc7441-43b873b6-fddaed1f-2bf4908d.jpg
Compared to <unk>, there is no significant change. The lungs are well expanded and clear. Moderate cardiomegaly is stable, though substantially decreased since <unk>. There is no pleural abnormality. Mediastinal and hilar contours are unchanged. Left-sided single chamber icd is unchanged in positioning.
<unk> year old man with s/p single chamber icd. eval for post procedure complications including pneumothorax. // <unk> year old man with s/p single chamber icd. eval for post procedure complications including pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18676703/s55133193/bb8b4527-d91b2295-a08876db-f93786e4-bca4e299.jpg
MIMIC-CXR-JPG/2.0.0/files/p18676703/s55133193/b45ee3da-2d69138b-a584438c-4c2b1ee0-d3c1a4a0.jpg
Frontal and lateral views of the chest demonstrate a rotated patient to the left. Apparent discrepancy in lung attenuation may be related to amount of overlying breast tissue. Allowing for such, the lungs appear clear. There is no pneumothorax, vascular congestion, or pleural effusion, particularly on the lateral view. Assessment of cardiomediastinal silhouette is somewhat limited but likely within normal limits.
<unk>-year-old female with fever and hyperglycemia. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19505546/s53059476/6f1b36a3-f5787908-b9421377-633ce570-b0e1ae9c.jpg
MIMIC-CXR-JPG/2.0.0/files/p19505546/s53059476/a5122066-08d76cae-ddd06aa0-cba4729d-a5e25d67.jpg
Pa and lateral views of the chest were provided. The lungs are hyperinflated without discrete focal lesion or signs of pneumonia or chf. There is a vague density at the right infrahilar region which likely corresponds with a chest wall density as seen on the lateral view. Please correlate for chest wall palpable abnormalities. Cardiomediastinal silhouette is normal. Bony structures are intact.
MIMIC-CXR-JPG/2.0.0/files/p16367769/s52953156/941277dc-354d1161-4129e580-f5ddcecc-8862924e.jpg
null
Single portable supine chest radiograph demonstrates consolidation in the right lung base is unchanged. There is a similar amount of fluid seen layering along the minor fissure, which is chronically elevated from right upper lobe radiation change. There is no pneumothorax. The pulmonary vasculature is normal in appearance. The cardiac silhouette is normal in size, the mediastinal contours remain widened, with loss of the paratracheal stripe, likely the result of prominent mediastinal fat. The patient is intubated, the tip of the endotracheal tube lies <num> cm from the level of the carina. A right ij line is in place, unchanged in position with its tip in the region of the cavoatrial junction. Ng tube is in place, the tip is not seen.
<unk>-year-old male with history of lung adenocarcinoma and aspiration pneumonia, evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p12311494/s56706182/f7097525-a8e145dc-79af3e24-977c52ca-72d6cd43.jpg
MIMIC-CXR-JPG/2.0.0/files/p12311494/s56706182/af3c8795-91a59b97-a7d5ec43-ca3d10e5-75ab66dd.jpg
The lungs are hyperinflated but clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. There is slight thickening of the pleura in the bilateral lung apices and costophrenic angles. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain // eval ptx/pna
MIMIC-CXR-JPG/2.0.0/files/p14295375/s54396447/48552023-a8c21531-fae49106-3899d11c-6290d1bd.jpg
null
Sternotomy wires are intact. The heart is enlarged. Bilateral perihilar as well as basilar opacities as well as pulmonary vascular congestion are present. There is no large pleural effusion or pneumothorax. There is increased retrocardiac density.
<unk>-year-old female with hypoxia after peritoneal dialysis catheter placed initially.
MIMIC-CXR-JPG/2.0.0/files/p12521044/s56489226/5e0edb68-5eeb33bc-3dd821af-f146a9d1-ad3323fa.jpg
MIMIC-CXR-JPG/2.0.0/files/p12521044/s56489226/4bb08100-bdf31580-95d4b79f-cfd72fd5-a71cded9.jpg
The cardiomediastinal silhouette is top normal. Post radiation changes in the left lung apex are again noted. Chronic fractures of the left fifth through seventh ribs are unchanged. No definite acute left rib fracture detected. No evidence of pneumothorax, new focal consolidation, or pleural effusion. Exaggerated thoracic kyphosis is present, with multilevel degenerative changes of the thoracic spine.
<unk>f with l lateral chest wall pain, with ttp over the site s/p fall. evaluate for rib fractures are pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15470171/s53856544/cf00c606-94f50bea-14a5dc6a-a04ca0e0-9783ace1.jpg
MIMIC-CXR-JPG/2.0.0/files/p15470171/s53856544/4234553d-4360f24a-8cb5331e-53c5e63d-4a888d34.jpg
Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Lungs are hyperinflated with flattening of the diaphragm with hyperlucency within the upper lobes bilaterally consistent with emphysematous changes. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea on exertion and cough.
MIMIC-CXR-JPG/2.0.0/files/p15748976/s57240063/aeb292b5-efa27e9c-e5d0f180-f6d9021d-ef7ed859.jpg
MIMIC-CXR-JPG/2.0.0/files/p15748976/s57240063/1f530e56-a3eb20fc-2d2acb4a-d205a2b8-f063a1b2.jpg
No focal consolidation, pleural effusion, or pneumothorax is detected. Calcified granuloma is again noted projecting over the left lower lobe. Heart size remains top-normal, and the aorta is tortuous. Wedge compression deformity of a lower thoracic vertebral body is also unchanged.
<unk>-year-old woman with chest pain and sob. evaluate for pneumonia or infarction.
MIMIC-CXR-JPG/2.0.0/files/p10481190/s56890865/a637883e-36f05357-52d844c2-004aadcf-da1a105d.jpg
MIMIC-CXR-JPG/2.0.0/files/p10481190/s56890865/49c3258e-609a7aff-a2cb050f-e2a9caa6-5f62b8bf.jpg
The lungs are hyperexpanded, but clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. A <num> x <num> cm hyperdensity projecting over the anterior right second rib on the frontal view is incidentally noted, and not visualized on the lateral view.lad stent is in place.
history: <unk>m with dyspnea // evidence of fluid or pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17744443/s53758345/a735bdb6-138d8d46-1463836c-c0584caf-fae02743.jpg
MIMIC-CXR-JPG/2.0.0/files/p17744443/s53758345/cb9626de-e8dfab8e-ea95e3e3-e98b016a-4f0bfda5.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 seen.
history: <unk>m with chest pain // ? acute cardiopulm process
MIMIC-CXR-JPG/2.0.0/files/p11752817/s55295742/212b7f2f-1ceb6254-e242c613-5ee37ec6-b1b4b4d2.jpg
MIMIC-CXR-JPG/2.0.0/files/p11752817/s55295742/e5156244-530cbb88-2e99322b-c2ffa29d-b5219fa7.jpg
Pa and lateral views of the chest provided. The left lung is clear. Persistent right hydropneumothorax and adjacent right lung base atelectasis are possibly mildly larger. Moderate rightward shift of mediastinal structures is unchanged.
<unk> year old man with post op // right rib resection with eloessor flap
MIMIC-CXR-JPG/2.0.0/files/p18147212/s51233503/02924a8c-553afbce-ae9652e4-c7f1360b-4592a086.jpg
null
The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Increased density overlying the right chest is likely from dense costochondral cartilage. The cardiomediastinal silhouette is normal.
cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15301327/s50348310/1bfcfefe-9ce7f612-7733e4ef-51633666-bbc42b3f.jpg
null
Shallow oblique views were obtained re-demonstrating punctate opacity in the right lower lung, which appears to be within the pulmonary parenchyma and likely represents crossing vessels or possibly a partially calcified granuloma. Otherwise, unchanged exam with normal cardiomediastinal and hilar borders. Lungs are clear. No pleural effusion or pneumothorax evident.
shallow views requested for opacification in right lung projecting over the fifth rib, unclear if pulmonary vs. osseous lesion.
MIMIC-CXR-JPG/2.0.0/files/p19685014/s51208988/3268e434-038c7db4-9e1ba62f-8ab632fe-7927dce4.jpg
MIMIC-CXR-JPG/2.0.0/files/p19685014/s51208988/844ecceb-cd67079f-d9bc2b69-a8fc8a2a-833cf912.jpg
There is mild effacement of the right cardiac border and faint opacification within the right lower lobe, which could relate to resolving/known pneumonia, however recent radiographs are unavailable for comparison. The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
history of pancreatic and renal transplant for diabetes type <num>, presenting with severe headache, neck pain and nausea with recent diagnosis of pneumonia on <unk> (patient evaluated at urgent care <unk> at <unk>).
MIMIC-CXR-JPG/2.0.0/files/p18114027/s52032568/bb594adc-6199aa42-795dbd07-3ba05e5f-15c8352a.jpg
null
As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter and the nasogastric tube are in unchanged position. There could be a minimal effusion on the right, no effusion on the left. The intrathoracic volumes are low. No change in size of the cardiac silhouette. No pulmonary edema, no pneumonia.
reduction of internal hernia, evaluation for pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15524760/s55438252/99288ebf-5ae94a6e-9d00f42e-65084f89-4549ee9a.jpg
null
Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta appearing similar. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflects atelectasis without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Marked degenerative changes of the left glenohumeral joint are again noted with osteophyte formation. <num> rounded calcific densities projecting over the right scapula may reflect loose bodies, unchanged from the previous chest radiograph.
<unk>m with emesis at snf today, reportedly unwitnessed, please eval for aspiration
MIMIC-CXR-JPG/2.0.0/files/p11648387/s57798178/2f2095f7-845ba2c9-499b871c-535b534c-c0e2f4dd.jpg
MIMIC-CXR-JPG/2.0.0/files/p11648387/s57798178/7f828f94-be574527-014b802e-1698ebbb-b4a7c89f.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 svt // eval for pna, cardiomeg
MIMIC-CXR-JPG/2.0.0/files/p17212600/s57479625/de75127d-b25f61e5-a5918ec3-6a168e33-939aa449.jpg
MIMIC-CXR-JPG/2.0.0/files/p17212600/s57479625/3f3cd0fc-2c82aed4-7dd4580f-c1f29341-dd8d763f.jpg
As compared to <unk> radiograph, a new subtle opacity in the right middle lobe has developed. Lungs are otherwise clear, and cardiomediastinal contours are normal.
<unk> year old woman with <num> days of cough, worse over the past few days,? fevers, + sweats and chills. pain in right chest with deep breath. lung exam with diffuse wheezing and rhonchi, crackles over rml. please call wet read to <unk> <unk> <unk> // r/o pna
MIMIC-CXR-JPG/2.0.0/files/p14077750/s54935117/93006b38-f30a5bfb-2f995157-b6e6f2f6-06b6eaa9.jpg
null
In comparison with the study of <unk>, there is some increased opacification at the right base extending upward along the chest wall, consistent with increasing pleural effusion. Diffuse bilateral pulmonary opacifications and enlargement of the cardiac silhouette persist.
chf, to assess for change.
MIMIC-CXR-JPG/2.0.0/files/p11891753/s59969214/21a67549-973b6f02-26ca8812-b12eb754-3a00948c.jpg
null
The lungs are well inflated and clear. The cardiomediastinal silhouette, hila contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
status post fall and now with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11522433/s50983372/dd69d233-33b48a98-0ba8372d-ba4df5ff-26eaca6f.jpg
MIMIC-CXR-JPG/2.0.0/files/p11522433/s50983372/e0684890-fbe3603c-1c0bfcb0-730b8b50-d0dafe0b.jpg
Pa and lateral views of the chest provided. The heart is mildly enlarged. There is no focal consolidation concerning for pneumonia. There is no large effusion or pneumothorax. Pulmonary vascular congestion is noted, mild without overt edema. Mediastinal contour appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with <num> weeks of sob, abd pain
MIMIC-CXR-JPG/2.0.0/files/p17690837/s56630376/2127e4e6-76f0f5b5-0f426992-725c8d3c-6a5d269a.jpg
MIMIC-CXR-JPG/2.0.0/files/p17690837/s56630376/33e89e90-a26c7e61-799e6441-15066949-c862815b.jpg
As compared to the previous image, the postoperative changes on the left have normalized. There is a minimal pleural scar projecting over the costophrenic sinus, but no evidence of acute disease. The pre-existing right-sided atelectasis has completely resolved.
status post vats, evaluation for interval change.
MIMIC-CXR-JPG/2.0.0/files/p11746946/s57248495/14293d11-ca5d6d3e-4167c6c3-52bb99b2-138cfa22.jpg
null
Comparison is made to prior study from <unk> at <time> p.m. The endotracheal tube, left-sided subclavian central venous catheter are unchanged in position and appropriately sited. There remains a left retrocardiac opacity. The heart size is within normal limits. There remains a left retrocardiac opacity which is stable. There is persistent prominence of the pulmonary interstitial markings, appears slightly increased from the prior study. Small bilateral pleural effusions are seen, and there are no pneumothoraces identified.
MIMIC-CXR-JPG/2.0.0/files/p18080257/s55149081/17393f77-a8fe8c2d-139e69ce-fd2b1134-1a9beca8.jpg
null
There has been previous median sternotomy and coronary artery bypass surgery. Cardiomegaly is similar in appearance to the prior radiograph and is accompanied by pulmonary vascular congestion and minimal edema. Patchy and linear areas of atelectasis are again demonstrated at the lung bases, slightly worse in the left lower lobe as compared to <unk>.
MIMIC-CXR-JPG/2.0.0/files/p14990366/s55395446/2ecce204-173899af-452e23d1-0513acac-e10eefc4.jpg
null
Bilateral ground-glass opacities sparing the right lung base have significantly improved. It was probably secondary to asymmetric pulmonary edema. Left lower lobe opacities, mostly due to atelectasis, are unchanged. Lung volumes are low. Right hilar region convexity is more pronounced today, of indeterminate significance. It does not have the usual shape of lobar atelectasis, and without prior chest x-ray before the surgery, it is difficult to assess if it is chronic or acute. There are some radiolucencies in this density. The et tube is in adequate position. There is no pneumothorax. Unusual line is seen in left upper mediastinum, could be due to the projection only.
patient with new ng tube colectomy, confirm placement.
MIMIC-CXR-JPG/2.0.0/files/p16717658/s55786696/70241e4e-c0b27790-edd87c61-bd735da7-9294a818.jpg
null
Bilateral chest tubes have been removed. Small right pleural effusion is unchanged. Small left pleural effusion has slightly increased. There is no pneumothorax. Mediastinal and cardiac contours are normal. The lungs are otherwise unremarkable, except for bibasal atelectasis.
patient with pigtail pulled.
MIMIC-CXR-JPG/2.0.0/files/p19669999/s52687976/7fa1a435-608fc91b-186a22c4-d7c586bf-354bdd40.jpg
null
Portable ap upright chest radiograph was obtained. Lungs are low in volume, but appear clear. Large hiatal hernia is redemonstrated. There is no pleural effusion or pneumothorax. Tortuosity of the descending thoracic aorta is again seen with normal cardiac size. Moderate-to-severe degenerative changes are seen at both glenohumeral joints. Extensive aortic and splenic artery calcifications noted.
fever.
MIMIC-CXR-JPG/2.0.0/files/p11958032/s53169502/f53eee1a-19d34d70-91d01308-76d0d146-e4aafaef.jpg
MIMIC-CXR-JPG/2.0.0/files/p11958032/s53169502/a0f61f45-dc459237-cb13972e-67fb72e9-9c4796b7.jpg
The patient is status post median sternotomy and prior cabg. There is no focal consolidation concerning for pneumonia. A triangular opacity obscuring the right cardiophrenic angle is unchanged from the prior study, compatible with a prominent epicardial fat pad. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
dyspnea on exertion, here to evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11613444/s55686904/860a0c83-685d9220-59cc4854-34b2fca5-baf65e64.jpg
null
Left-sided picc line is no longer visualized. The appearance of the heart and mediastinum is unchanged. There is volume loss at both bases and a small left effusion. An early infiltrate in the lower lobes can't be totally excluded
<unk> year old man with gross hematuria c bladder ca now with new fever. // pna?
MIMIC-CXR-JPG/2.0.0/files/p17634980/s59590662/ec92b119-26f5483c-33bf2bd0-5f1cff2b-1cb16c91.jpg
MIMIC-CXR-JPG/2.0.0/files/p17634980/s59590662/319928c9-c775acb6-0a08c205-bcf7b0b4-2a56ab01.jpg
Patchy opacity in the anterior right middle lobe is worrisome for pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p12905506/s52832451/86114dd6-fa046d35-3c724c5b-3ab1eba7-ec403b4c.jpg
null
Since the prior cxr, the right ij catheter has been removed. There is no significant change in appearance of diffuse interstitial opacities since the <unk> cxr. Although this is partially due to underlying ild, there is also an additional component of moderate interstitial pulmonary edema. Pulmonary arteries are enlarged from known pulmonary artery hypertension. No large pleural effusions or pneumothorax. Stable cardiomegaly. No acute osseous abnormalities.
<unk> year old woman with interstitial lung disease pulm hypertension with worsening o<num> sats // pulm edema
MIMIC-CXR-JPG/2.0.0/files/p19278266/s51202875/b702cdc0-8b3a3a3d-e9211f8c-2b02c0fc-376ea9e1.jpg
MIMIC-CXR-JPG/2.0.0/files/p19278266/s51202875/9e9f88bd-a9af48b0-dad67a74-fe90b7cd-2a9ad6c2.jpg
The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips seen in the neck. No acute osseous abnormalities.
<unk>f with acute onset left arm pain/tingling at <num>am // any cpd
MIMIC-CXR-JPG/2.0.0/files/p13648633/s54919081/15851f0f-d037bba4-2dd5fa60-761fcc8e-b262d2b9.jpg
null
Frontal view of the chest. Endotracheal tube terminates <num> cm above the carina. Ng tube terminates in the stomach. Feeding tube passes into the stomach and beyond the borders of the film. Swan-ganz catheter terminates in the region of the pulmonary artery valve. Right central venous catheter terminates in the lower svc. Large-bore right ij central catheter terminates in the the region of right brachiocephalic vein. Bibasilar atelectasis is similar to prior. No new consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are stable. Calcified hilar lymphadenopathy is unchanged.
status post liver transplant.
MIMIC-CXR-JPG/2.0.0/files/p10602086/s50904894/38575ead-9be5cb6a-28c68d33-e73b4aff-193cdd00.jpg
MIMIC-CXR-JPG/2.0.0/files/p10602086/s50904894/650ef3a1-389b68ab-5a9330ac-397b29a1-59f66064.jpg
In comparison with the study of <unk>, there is no definite change or evidence of acute cardiopulmonary disease. No pneumonia or vascular congestion.
persistent cough with right rales.
MIMIC-CXR-JPG/2.0.0/files/p17822730/s52361576/cacda965-0fc4a1c0-751946bd-3c1f6656-eda38cb7.jpg
null
Heart size is normal and the pulmonary vasculature is normal. There is no pulmonary edema. The mediastinal and hilar contours are normal. The lung parenchyma is normal, with the exception of a small platelike atelectasis at the left lung base. No pleural effusion or pneumothorax. No pneumonia.
<unk> year old woman with atll sob, oxygen saturation <num>% on room air, wbc <num> // eval sob
MIMIC-CXR-JPG/2.0.0/files/p17069955/s55612068/966e5c39-0cc40f0e-fbe7e1c1-c9becf5d-693f3992.jpg
null
Ap chest radiograph demonstrates the right chest tube has been removed. There is no pneumothorax, but a trace pleural effusion is seen. The left picc is in stable position. Multifocal opacification seen on <unk> has improved. Since <unk>, the left lung base has cleared. The heart size remains mildly enlarged, unchanged from multiple priors.
multifocal areas right chest tube removal. evaluation for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19435851/s52270849/619eaf5f-3227922d-a58f449a-c083fb75-34c82da6.jpg
MIMIC-CXR-JPG/2.0.0/files/p19435851/s52270849/aa958be7-73bd634b-e78df6a4-1b7f09fd-980dc701.jpg
An azygos lobe is incidentally noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with ?stroke // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p19921229/s54474665/26914927-7dd949b5-3a6c54ae-32a7629a-8d014706.jpg
null
Bilateral interstitial markings have increased, and previously seen left upper lung opacity has increasied in size. The cardiac size is normal. No pleural effusions or pneumothorax are seen, and the et tube is in appropriate position. Gastric tube ends in the stomach with the side port near the diaphragm and ge junction.
<unk>-year-old man with pneumonia and altered mental status. evaluate pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17253194/s52604551/cc95b020-af23905f-ac4d0dae-ca28930c-76f99efc.jpg
MIMIC-CXR-JPG/2.0.0/files/p17253194/s52604551/7873b5c0-de651206-47052b15-e6c08753-68998122.jpg
A dual-lumen central venous catheter terminates in the mid-to-lower superior vena cava. The aortic arch is partly calcified. Otherwise, the cardiac, mediastinal and hilar contours appear within normal limits noting that the heart is at the upper limits of normal size. Mild blunting of the left costophrenic angle suggests a very small pleural effusion on the left side. Hyperinflation is suggested by flattening of the hemidiaphragms and an expanded anteroposterior dimension of the chest. There is mild background coarsening of lung markings, namely slight interstitial prominence with peribronchial cuffing, more prominent in the right lower than left lung, although without confluent focal opacification. Mild degenerative changes are noted along the thoracic spine.
fever and tachycardia. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19071652/s51618209/fab20498-9029d40e-4270f790-360d45da-45c3df31.jpg
MIMIC-CXR-JPG/2.0.0/files/p19071652/s51618209/e041c467-e758cc54-78d2813b-8a07897c-cc22e612.jpg
As compared to the previous radiograph, the lung volumes have increased and there is a decrease in extent and severity of the pre-existing parenchymal opacities, predominantly at the lung bases. These changes are likely to reflect improvement in pulmonary edema. Remnant changes, however, are still seen at the bases of the left and right lung. Moderate cardiomegaly persists. No evidence of larger pleural effusions.
pulmonary edema, hypertensive urgency, evaluation.
MIMIC-CXR-JPG/2.0.0/files/p13483060/s59466718/70b576d3-97bb461a-40e7bcb5-cac30b67-f8e95d74.jpg
MIMIC-CXR-JPG/2.0.0/files/p13483060/s59466718/965a6bc6-cc98b36a-a671a752-70ac1ac7-d4b69e73.jpg
Right chest port-a-cath terminates in the low svc, unchanged from <unk>. Lung volumes are low and there is mild scarring at the lung bases without evidence of opacity concerning for pneumonia. Mediastinal contour, hila, and cardiac silhouette are stable.
<unk>m with fever // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p16540581/s52024045/0175d7ab-4c261420-87129c9a-f95cef75-79d22660.jpg
null
Lungs are low in volume but appear clear aside from basal atelectasis. The heart is normal in size. Normal cardiomediastinal silhouette. No pneumothorax or pleural effusion is seen.
<unk>-year-old man with elevated white blood cell count, assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19622090/s53663695/29c348f9-421f4a11-c7cdebdb-f43dc24d-878a9ec0.jpg
MIMIC-CXR-JPG/2.0.0/files/p19622090/s53663695/502d517e-5d340e2a-198af962-d6d8fdcb-dbd7528d.jpg
The lung volumes are somewhat low, accentuating lung markings.otherwise, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Osseous structures are unremarkable.
<unk>f with crackles at right base. evaluate for pulmonary edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17759808/s57519424/4329bed3-9c38b502-4d480688-849c7329-4941c218.jpg
null
A single lead pacemaker device again terminates in the right ventricle. The heart appears mild to moderately enlarged. The aortic arch is calcified. Each hilum appears mildly engorged but it is not necessarily clear that this would represent a clinically significant acute finding. Minimal retrocardiac opacification is typical for atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11723660/s58305643/13133b66-906ca1b7-966b3a17-cf393c29-ebc8b380.jpg
MIMIC-CXR-JPG/2.0.0/files/p11723660/s58305643/1c3d8ba4-118d467f-3edb6292-466a7649-46827dc8.jpg
Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable and unchanged. The pulmonary vasculature is not engorged. Ring-like <num> cm opacity within the right lower lobe is compatible with the known malignancy, and contains <unk> fiducial markers within it. Compared to the previous radiograph, the central portion of this mass is now radiolucent. No new focal consolidation, pleural effusion or pneumothorax is present. There mild degenerative changes seen in the thoracic spine
<unk> year old woman with dizziness, history of malignancy
MIMIC-CXR-JPG/2.0.0/files/p16445376/s51088538/3eaa46aa-c159ddf6-d51949eb-0015c7b9-869ad65d.jpg
MIMIC-CXR-JPG/2.0.0/files/p16445376/s51088538/91caee35-fe2ace70-055f184c-806014f1-d6d30772.jpg
Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical clips from prior cholecystectomy are demonstrated in the right upper quadrant of the abdomen.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p15738526/s59980972/0ab88ed0-03597a98-31aa4d7b-10265fd8-aa726687.jpg
MIMIC-CXR-JPG/2.0.0/files/p15738526/s59980972/0c4bdff9-da898374-fde44f80-88733f8d-c9838bfd.jpg
No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains top-normal to mildly enlarged. Mediastinal and hilar contours are stable. No overt pulmonary edema is seen. Metallic hardware is partially visualized in the cervical spine.
cough.
MIMIC-CXR-JPG/2.0.0/files/p13813803/s54263003/98a1b654-2ea5c9af-078e1717-e567383b-44c9f2a7.jpg
MIMIC-CXR-JPG/2.0.0/files/p13813803/s54263003/f18b7b58-6db77d0a-988ccf7d-ac439579-0bfbb04a.jpg
The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. There is no evidence of free air beneath the right hemidiaphragm.
<unk>-year-old woman with history of marginal ulcer now with abdominal pain, here to evaluate for free air.
MIMIC-CXR-JPG/2.0.0/files/p11648387/s52986121/8f8c1f74-bbc9d4fb-7c87bb60-daab1b8d-8df05775.jpg
MIMIC-CXR-JPG/2.0.0/files/p11648387/s52986121/79686336-867b6ef0-60db64de-7d874292-8a6b7a80.jpg
The cardiomediastinal silhouettes are unchanged compared to multiple prior studies. There is a soft tissue density adjacent to the right heart border, seen on multiple prior studies and likely due to a prominent epicardial fat pad as seen on a prior ct. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain since <unk>:<num> this morning, evaluate for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13058342/s55874786/8985f162-1e6ee0ca-2b9544b8-72cf8b1a-5ddbd4de.jpg
null
There is abnormal soft tissue in the upper mediastinum, left greater than right, which may be due to underlying mass or aortic abnormality. Right basilar and right upper lung consolidations are also noted. The endotracheal tube terminates <num> cm above the carina and should be advanced approximately <num>-<num> cm for optimal placement. An enteric tube projects over the upper thorax, with its side hole at the level of the posterior third rib. The heart size is normal. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with recent intubation. evaluate endotracheal tube placement.
MIMIC-CXR-JPG/2.0.0/files/p10471192/s56313090/a413d127-bfd5083e-ce6af05a-f44bfaec-b89a14af.jpg
null
Since a recent chest radiograph of <num> day earlier, a left retrocardiac opacity has slightly worsened, and probably represents atelectasis. Followup pa and lateral radiographs may be helpful for more complete characterization. Apparent elevation of left hemidiaphragm is similar to the prior study with adjacent small left pleural effusion.
<unk> year old woman with resp distress // eval interval change
MIMIC-CXR-JPG/2.0.0/files/p13942616/s54438357/02b63539-bbf68a17-2ea10489-93d6d2df-c82ab90a.jpg
MIMIC-CXR-JPG/2.0.0/files/p13942616/s54438357/09efb243-4c0cb1a5-c250474f-bb5b61d8-0a5e48bf.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 fevers, midsternal chest pressure // eval edema, effusion
MIMIC-CXR-JPG/2.0.0/files/p16635195/s52754356/4cbbd6b5-f641e059-a7079eff-c23db776-6cdf72f8.jpg
MIMIC-CXR-JPG/2.0.0/files/p16635195/s52754356/8204e1e2-1a940aba-48283754-ab953bc6-9487a46f.jpg
Slight increase in opacity projecting over the lung bases is likely due to overlying soft tissue. There is subtle increased opacity at the right lung base which could be due to early consolidation versus atelectasis. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal. The mediastinal and hilar contours are unremarkable.
cough.
MIMIC-CXR-JPG/2.0.0/files/p14623142/s52006941/1d724ed0-57b0ddba-d7a97323-08ae8c26-56757c1e.jpg
MIMIC-CXR-JPG/2.0.0/files/p14623142/s52006941/05db5e69-7d9eac8b-3cced84c-ae625a13-d69127a3.jpg
The lungs appear well expanded and clear. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation. Note is made of calcification of the aortic knob.there is angulation of the anterior cortex of a mid-to-low thoracic body, which is worse since <unk>.
history: <unk>f with weakness // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p19515530/s55598743/56bab83f-09ad97b3-b80eebbf-4365b907-4a7d22b2.jpg
MIMIC-CXR-JPG/2.0.0/files/p19515530/s55598743/338386f7-64b0e195-c75b67fe-4516214c-bd901df2.jpg
The cardiomediastinal silhouette is unremarkable. Central pulmonary vasculature is congested, with indistinctness of the pulmonary vasculature overall. Patchy bilateral opacities are noted, worse at the right base. Bilateral pleural effusions are present.
history: <unk>m with sob, chf // ?cpd
MIMIC-CXR-JPG/2.0.0/files/p14258949/s58118350/b841ec88-0af8ecd7-3b1f7835-2f71410c-740779ee.jpg
MIMIC-CXR-JPG/2.0.0/files/p14258949/s58118350/aca7e90f-815665e9-36e8b02f-53aabf8a-f2fc2472.jpg
Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. The small regions of peribronchial opacification at the right and left lung base are much less conspicuous on this exam. The heart size is normal. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, pneumothorax, or pulmonary edema. Again seen is a wedge-shaped deformity of the mid thoracic vertebral body, unchanged from prior.
<unk>-year-old man with a history of mycoplasma pneumoniae status post treatment. evaluate for interval change.
MIMIC-CXR-JPG/2.0.0/files/p19717260/s57111538/b75bd3bb-538eb52a-d231f672-cf68ee4f-7f958b81.jpg
null
There has been interval placement of an endotracheal tube, terminating approximately <num> cm above the level the carina. The lungs appear somewhat better aerated as compared to the prior study but otherwise are similar in appearance with persistent multifocal opacities seen.
history: <unk>f with intubation // eval tube placement
MIMIC-CXR-JPG/2.0.0/files/p17866685/s53993973/0e6e83e4-c8e9d11d-582d4859-0edc6d4a-0d88772b.jpg
MIMIC-CXR-JPG/2.0.0/files/p17866685/s53993973/169915d4-69269e13-01c43cab-bf4df10a-36b49028.jpg
Frontal and lateral views of the chest were obtained. There are slightly low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
MIMIC-CXR-JPG/2.0.0/files/p14244279/s57851032/54e74778-b6d68d06-c1419222-df145a75-d2a2fe55.jpg
null
Heart size is moderately enlarged, which is partially a function of the portable technique. There is no focal consolidation or pleural effusion. Cervical spine fixation hardware is partially imaged.
history: <unk>m with acute onset sob, chest pressure // pna? ptx?
MIMIC-CXR-JPG/2.0.0/files/p12449590/s51855038/09178293-988d302f-f97306d2-edcf0ced-b6bdbcb3.jpg
MIMIC-CXR-JPG/2.0.0/files/p12449590/s51855038/f5c3491d-5e7fb165-2754910c-a74f726b-4872ee38.jpg
The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No displaced rib fracture is present.
<unk>-year-old female status post fall.
MIMIC-CXR-JPG/2.0.0/files/p14018427/s57150649/ce9f0c0a-a537e47e-157f7831-49210cd1-2e649eec.jpg
MIMIC-CXR-JPG/2.0.0/files/p14018427/s57150649/952e8075-d574e46c-e5fa6e57-12d41ee3-bc65ac8b.jpg
Pa and lateral images of the chest were obtained. Lungs are clear bilaterally with no areas of focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
cough and congestion for one week.
MIMIC-CXR-JPG/2.0.0/files/p19933545/s51632069/b9e34a44-1ae15672-c871c684-faeb5e84-6d158f4a.jpg
MIMIC-CXR-JPG/2.0.0/files/p19933545/s51632069/0ec6e6a6-c3b620ac-9a86b4d3-a603d4fd-0c7a473d.jpg
Heart is top normal size and cardiomediastinal silhouette is stable. A well-defined rounded retrocardiac opacity containing an air-fluid level is consistent with known hiatal hernia. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old woman with cough, evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19660649/s59506034/bf0d0b15-b8d3fcde-445d200a-ca70c777-9ddadd30.jpg
null
In comparison with the study of <unk>, there again are low lung volumes accentuating the transverse diameter of the heart. Continued prominence of interstitial markings could reflect elevated pulmonary venous pressure superimposed on diffuse fibrotic changes. Increased opacification at the left base probably reflects atelectatic changes. However, in the appropriate clinical setting, supervening aspiration or pneumonia would have to be considered.
respiratory failure.
MIMIC-CXR-JPG/2.0.0/files/p17662159/s59603447/d9c0e8d6-11bef7b7-12fcb417-02f14fc7-32df2bc5.jpg
MIMIC-CXR-JPG/2.0.0/files/p17662159/s59603447/c5707833-4ccc59b5-8451bb4c-531d65b5-69ee840a.jpg
The lungs are hyperinflated with flattening of the hemidiaphragms, most consistent with emphysema. Basilar linear opacities are not significantly changed from the prior exam, likely representing chronic atelectasis. There is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. There is pleural thickening at the bases and apices. The cardiomediastinal silhouette is unchanged. Again, the aorta is tortuous and diffusely calcified. The heart is minimally enlarged.
shortness of breath and dyspnea on exertion for one week.
MIMIC-CXR-JPG/2.0.0/files/p12356657/s54166279/37e5a13f-4d7d8880-fdfc6396-894ce06f-c0a772de.jpg
null
Single ap view of the chest was provided. Lung volume is still low with bilateral opacification due to moderate-to-severe pulmonary edema, minimally improved at the right base. Small right pleural effusion and atelectasis are unchanged. Left lung base has not been included in chest x-ray. The monitoring and support devices remain in place, unchanged since prior chest x-ray. Heart size is still enlarged. There is no pneumothorax. Minimal interval increase of left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12408912/s54349115/d7db2b64-c3a408b5-c9438b99-ae5bf365-c61c6782.jpg
MIMIC-CXR-JPG/2.0.0/files/p12408912/s54349115/03db3518-3ccf126f-ccc6d4bd-e4dda815-d918a8d8.jpg
Frontal and lateral radiographs of the chest demonstrate interval worsening of the consolidation in the lingula when compared to the radiographs from <unk>. There are persistent atelectatic changes at the right base, with volume loss, consistent with prior right upper lobectomy. The left heart border is not clearly visualized due to the adjacent parenchymal opacification, however the cardiac contour appears unchanged since <unk>. No pleural effusion or pneumothorax.
lung cancer. evaluate for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p19174297/s56222569/dd84fba9-608d642c-1bfacdf9-59e7707b-21946a51.jpg
null
Endotracheal tube terminates <num> cm above the carina, likely related to changes in chin positioning. Right ij venous catheter and enteric tube are in unchanged position. Lower lung volumes accentuate the bronchovascular structures. There is mild vascular engorgement and early pulmonary edema. No definite pneumonia or pleural effusions identified. An ossific density is again seen over the right acromion and distal right clavicle.
<unk>-year-old woman with history of chronic hyponatremia, asthma/copd, ethanol abuse, presenting with unresponsiveness and profound hyponatremia. study requested for evaluation of interval change.
MIMIC-CXR-JPG/2.0.0/files/p14675727/s50377429/28db7fa3-69cb5a87-b4406842-bbe54c0e-504653ba.jpg
null
Ap portable upright view of the chest. The patient's chin obscures the superior mediastinum. There are streaky lower lung opacities likely the sequelae of chronic aspiration. No large effusion or pneumothorax. Heart size cannot be assessed. Mediastinal contour is unchanged. No signs of congestion or edema. Bony structures are intact.
<unk>m with <unk> weakness, prior parietal hemorrhage, cxr for metabolic workup // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p13056319/s56489284/9db70776-3f0a5ad4-20640c91-26c7da6c-170c0bea.jpg
MIMIC-CXR-JPG/2.0.0/files/p13056319/s56489284/69bb52d6-0dee63d3-54b0b89b-f008fd30-c935a422.jpg
Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low. There is minimal right basilar atelectasis. The lungs are otherwise clear. Mild cardiomegaly is increased compared to the prior study from <unk>. Aortic knob calcification is seen. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
altered mental status. assess for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16775289/s54723822/7042b2d4-edde0299-7482aa37-cf841387-3832a515.jpg
MIMIC-CXR-JPG/2.0.0/files/p16775289/s54723822/ead1aa22-19dd8684-09b994ac-8fb5a770-7035fed2.jpg
Right picc tip terminates in the mid svc. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>f with fever, rash, cough // acute process in chest
MIMIC-CXR-JPG/2.0.0/files/p10160202/s58949523/7a7652de-94398af0-7ad432cf-f543e99a-9ac9fe30.jpg
null
As compared to prior chest radiograph from <unk>, there has been interval placement of an et and og tube. Endotracheal tube terminates <num> cm above the carina. The orogastric tube is difficult to visualize, however the tip is likely in the proximal stomach. There has been interval improvement of bilateral consolidations, likely related to resolving pulmonary edema. There are small bilateral pleural effusions. There is atelectasis at the left lung base. There is redemonstration of elevation of the left hemidiaphragm, which appears chronic in nature. Cardiomegaly is unchanged.
<unk>-year-old man with hypoxemia, now intubated and with og tube placement.
MIMIC-CXR-JPG/2.0.0/files/p16030116/s57668483/652155ca-cf055a80-e075315f-53731fdb-dccc71f0.jpg
null
In comparison with study of <unk>, there has been a dramatic change in the appearance of the lungs with diffuse bilateral pulmonary opacifications consistent with the clinical diagnosis of ards. There has been placement of an endotracheal tube with its tip approximately <num> cm above the carina.
ards with intubation.
MIMIC-CXR-JPG/2.0.0/files/p15616077/s50587959/75c809f6-d9f292c6-d8c67bc0-b2b81e72-81e9e336.jpg
null
Portable frontal chest radiograph was performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is minimal atelectasis, left greater than right. There is no free air seen underneath the diaphragm.
abdominal pain.
MIMIC-CXR-JPG/2.0.0/files/p11004450/s57579140/d37848b3-e874241e-cc225063-1e91b337-c974deda.jpg
null
Compared to the study from one week prior, there is no significant interval change. Subclavian line tip is in the svc. There is no focal infiltrate or effusion.
febrile neutropenia.
MIMIC-CXR-JPG/2.0.0/files/p18787543/s56717107/3a8b8da0-b23a75fd-77ba1cf9-d0b52c81-377615e5.jpg
MIMIC-CXR-JPG/2.0.0/files/p18787543/s56717107/38976c6f-09e8b3ca-7feb04b7-28099948-058ccb00.jpg
Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is no pulmonary edema. Bilateral hilar prominence, more prominent right than left, is compatible with enlarged pulmonary arteries, as previously described on comparison study. Arthroplasty of the left shoulder is incompletely visualized. No free air below the right hemidiaphragm is seen.
<unk>m with c/o sob and cp // ? pna or chf
MIMIC-CXR-JPG/2.0.0/files/p14213416/s50180084/bc42a9ae-5ee93bac-d99f85bc-7c052b8e-f6ab597c.jpg
MIMIC-CXR-JPG/2.0.0/files/p14213416/s50180084/f8579f68-1b0ec465-69eeb59e-951b5ae7-f76cc4ba.jpg
Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. There are no acute osseous abnormalities.
hiccups, shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p16302207/s55697408/5c7ce845-3523530d-1f9f8883-2c1bd97b-0d760cde.jpg
null
Pleural catheters are present in the right hemithorax, with no visible pneumothorax. Cardiomediastinal contours are stable in appearance. Pulmonary vascular congestion persists, but there has been improvement in the extent of pulmonary edema. Bibasilar opacities likely represent a combination of atelectasis and residual edema. Small pleural effusions are present bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p11088880/s53213367/12b721db-a55c1766-3f9cb558-da2a06b2-75670f06.jpg
MIMIC-CXR-JPG/2.0.0/files/p11088880/s53213367/af20628c-298b1b42-dff52f2c-5b9f0bfe-5fdcbbc7.jpg
The heart size, mediastinal, and hilar contours are normal. Mild bibasilar atelectasis identified. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with seizure. eval ? infection, mass.
MIMIC-CXR-JPG/2.0.0/files/p11747893/s53793978/e8fed5e6-12612038-1c8fd25e-d366fbdb-9d2e7603.jpg
MIMIC-CXR-JPG/2.0.0/files/p11747893/s53793978/f911136c-22c91b01-860cee72-98d6d92f-8e6666b6.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. On the lateral projection, gas-filled loops small bowel in the upper abdomen appear somewhat distended with air-fluid levels. Please correlate clinically.
<unk>m with abdominal pain and distention, question free air.
MIMIC-CXR-JPG/2.0.0/files/p13802468/s53952031/92699ee4-0c2d9e12-9d0f6d96-96e43e3c-cb3de1b9.jpg
null
Tracheostomy tube, peg, and left picc are in stable position. Heart size and cardiomediastinal contours are stable. Moderate layering left pleural effusion with adjacent atelectasis is similar to prior. Small right base atelectasis is unchanged. No pneumothorax.
<unk>-year-old female with hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p10098993/s59302191/66a4996b-6dcea8b8-50f1ae40-2fbdf54c-d623b0c9.jpg
MIMIC-CXR-JPG/2.0.0/files/p10098993/s59302191/343f126e-6d6248e5-816e1679-339d1b7d-02e279c5.jpg
Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, there is new mild indistinctness of the pulmonary vasculature with cephalization. There is no confluent consolidation. Blunting of the posterior costophrenic angles raises possibility of small effusions. Cardiac silhouette is enlarged but stable. Multiple lead pacing device again seen with tips about right ventricular apex, right atrium, and two within the coronary sinus. Osseous and soft tissue structures are unchanged.
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p11234232/s57373990/6a3bc1ae-ff2258d3-48cbbfd6-bd24d704-f770ff0d.jpg
MIMIC-CXR-JPG/2.0.0/files/p11234232/s57373990/b8a13396-4ed73ef5-1919e379-4800a891-abab1b2f.jpg
The lungs are well expanded. Better seen in the lateral view there is a right lower lobe opacity at least in part due to pleural effusion. The left lung is clear. There is a large mass in the upper mediastinum,, larger on the right when compared to the left with associated narrowing of the trachea at the thoracic inlet which is also displaced anteriorly. Cardiac size is normal. There is no pneumothorax.
<unk>-year-old female with failure to thrive and cough. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16302207/s55981309/3745cdc3-568ee8a4-9532624b-f3ca9f24-18264969.jpg
null
As compared to the previous radiograph, the left chest tube has been removed. There is no evidence of left pneumothorax. The parenchymal opacities have minimally decreased in extent and severity. The other monitoring and support devices are in constant position. The visibility of the hemidiaphragms is improved as compared to the previous image. The size of the cardiac silhouette remains enlarged. Unchanged mild-to-moderate pulmonary edema.
left chest tube removal, evaluation for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19991720/s59793449/863cc16e-4f1e4990-2c568559-ee21f91c-bb72938d.jpg
MIMIC-CXR-JPG/2.0.0/files/p19991720/s59793449/23786f84-e141febc-b13c8533-7be0d2d1-7145c110.jpg
There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. No displaced fracture is identified.
history: <unk>f with s/p fall l rib pain and difficulty taking deep breath // r/o fx
MIMIC-CXR-JPG/2.0.0/files/p11532808/s56328132/a15ec7ce-80ec08db-d91f7a09-356b89a5-94c597ed.jpg
null
In comparison with the study of <unk>, the patient has taken a somewhat better inspiration. Mild atelectatic changes persist at the bases.
pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17237809/s52103327/2935b295-657330ae-b00d103d-e73d0c5c-93a7d2c0.jpg
null
Ap supine chest radiograph. Endotracheal tube terminates <num> cm above the carina. Ng tube descends inferiorly along the thoracic midline, the tip is poorly visualized. Midline sternotomy wires and mediastinal clips are noted. Mild cardiomegaly with hilar congestion. Retrocardiac space poorly assessed, though difficult to exclude effusion and left basilar consolidation. No pneumothorax. Bony structures intact.
<unk>m with intubated // eval for et placement
MIMIC-CXR-JPG/2.0.0/files/p11252719/s50265547/4376e04e-145974d9-2321f1b5-672ca8c1-23a89bae.jpg
null
Left anterior chest wall dual lead pacer is unchanged. Heart size is top-normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
weakness
MIMIC-CXR-JPG/2.0.0/files/p16420618/s59260145/1a7bc84b-61f9cd82-9992fc10-6bd98f6d-13f8dc2a.jpg
null
In comparison with study of <unk>, there is little change. Again there are low lung volumes, though no evidence of acute pneumonia, vascular congestion, or pleural effusion. Dual-channel pacer device remains in place. The left venous catheter is no longer present.
post-procedure leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p13165778/s58517578/4dc11026-5d1692bc-0715fab8-2b9e77f7-1e2b1f36.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 nasogastric tube has been slightly advanced and the tip now projects over the mid parts of the stomach. The existing parenchymal opacities are overall unchanged in extent, but appear more concentrated around the perihilar areas. Minimal pleural effusions and bilateral apical thickening persists. No new parenchymal changes.
status post laparoscopy, fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p13483571/s59424945/7a58e78c-db838133-a1f811e9-0ad20cd7-f5dcb291.jpg
MIMIC-CXR-JPG/2.0.0/files/p13483571/s59424945/da1de1ec-b7fd4358-78bfabd4-d60fb0c9-d29eb378.jpg
Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen with leads appear in the expected positions of the right atrium and right ventricle. Eventration of the left hemidiaphragm. Mild vascular congestion is seen. More focal basilar opacity on the right may be due to prominent vascular structures, though underlying consolidation is not excluded in the appropriate clinical setting. There is minor left basilar atelectasis. Mitral calcification may be present. The cardiac silhouette is mildly enlarged. The aorta is calcified and tortuous. The patient is status post median sternotomy and cabg.
MIMIC-CXR-JPG/2.0.0/files/p13659261/s51101365/5da03a0f-8b7c8f43-01ed7ddc-5faca94d-ae52744d.jpg
MIMIC-CXR-JPG/2.0.0/files/p13659261/s51101365/16c1f014-b0f990fa-4c5e5f3d-64ce56ff-14ad9da3.jpg
In comparison with the study of <unk>, the atelectatic changes at the right base have cleared and the right ij catheter has been removed. There is no evidence of pneumonia, vascular congestion, or pleural effusion.
productive cough, to assess for pneumonia.