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MIMIC-CXR-JPG/2.0.0/files/p13931815/s54155499/4a4a9d79-ee8a7f00-297ee5ab-8846fa21-c7120be8.jpg | MIMIC-CXR-JPG/2.0.0/files/p13931815/s54155499/e917ffdd-2ea64296-a3056f70-5b8982ec-d4eb16ea.jpg | Pa and lateral views of the chest are provided. The lungs are clear. No focal consolidation, effusion or pneumothorax. No free air below the right hemidiaphragm. The heart appears borderline enlarged. Mediastinal contour is unremarkable aside from an unfolded thoracic aorta. The bony structures appear intact, though there appears to be an old deformity of the right distal clavicle. | |
MIMIC-CXR-JPG/2.0.0/files/p18719314/s56760507/b0ab3515-917542c5-7227d262-1315e9e6-edd032e6.jpg | null | The et tube is approximately <num> cm above the carina. The right picc and left port-a-cath terminates in lower svc. The enteric tube extends into the stomach and out of view. The lung volume is small. Multiple areas of airspace opacity adjacent to the locations of pe seen on chest ct are likely infarction, but overall improving. Mild pulmonary venous congestion is unchanged. Pulmonary edema has worsened compared to yesterday. Left lower lobe atelectasis is unchanged. Left pleural effusion is unchanged. No pneumothorax. The cardiomediastinal silhouette is unchanged. | <unk> year old woman with pe now intubated // confirm location of itt |
MIMIC-CXR-JPG/2.0.0/files/p19451735/s58689596/29e9f9ba-f5521534-7223939d-95f2c4a0-816bd04e.jpg | MIMIC-CXR-JPG/2.0.0/files/p19451735/s58689596/13543f97-00231dd2-0532c688-249a64a2-a3ad2735.jpg | Moderate cardiomegaly is increased compared to the previous chest radiograph, partially accentuated by slightly low lung volumes. The aorta remains tortuous. There is minimal pulmonary vascular congestion without overt pulmonary edema. Subsegmental atelectasis is seen within the right middle and lower lobes. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | history: <unk>f with dyspnea, orthopnea worse in the past months. crackles bibasilar |
MIMIC-CXR-JPG/2.0.0/files/p19797687/s56097966/ff4662b5-0054ecdc-9e614ed5-42f5d70f-4598dbcc.jpg | MIMIC-CXR-JPG/2.0.0/files/p19797687/s56097966/da24a61e-c9ee2d04-4d54a795-bdb52f73-8f0f5a66.jpg | There is persistent right basilar opacity which is somewhat improved when compared to the most recent x-ray. Linear bibasilar opacities may be due to a combination of atelectasis or scarring. There is no large pleural effusion although blunting of the right lateral and posterior costophrenic angles could represent small residual effusion, potentially in part loculated laterally. Persistent left lower lobe atelectasis medially is also less conspicuous. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Left picc is seen with tip in the upper right atrium. | <unk>f with picc dysfunction, known empyema // eval pleural effusion/empyema, eval picc |
MIMIC-CXR-JPG/2.0.0/files/p10501705/s58524456/c4d36c23-b42eb0ee-7f4e82be-72a8a1a1-ce7411f7.jpg | null | In comparison with the study of <unk>, the degree of opacification in the left hemithorax has increased. However, this could relate to a redistribution of pleural fluid in the supine position, when compared to the upright pa view in the comparison study. Nevertheless, there certainly does not appear to be any substantial reduction in the degree of pleural fluid. No pneumothorax is seen. This information was discussed with dr. <unk>, who is covering for dr. <unk>, by telephone at <time> on <unk>. The idea that this could reflect bleeding into the hemithorax following the procedure, especially in a patient with poor clotting status, was discussed. An attempt will be made to take an upright portable view that would be better comparable to the prior study. This also would be of value to detect whether there is any pneumothorax. The house officers will closely monitor the patient this evening for any signs of intrathoracic hemorrhage. | thoracentesis, to assess for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10191971/s58837043/7f2e0612-79f2f8e7-00fff526-dfbba41e-d976f8c7.jpg | null | A single portable chest radiograph was provided. There has been improvement in the left and right hilar opacities, likely representing combination of pneumonia and lymphadenopathy. There is left basilar atelectasis. Cardiomediastinal silhouette is unchanged. No pneumothorax or pleural effusions are present. | history of peripheral t-cell lymphoma, possible pneumonia. interval worsening on chest x-ray. |
MIMIC-CXR-JPG/2.0.0/files/p11737203/s54425383/2d355456-fe6ca81c-ba8eb39c-9d1e4f4f-31f88bea.jpg | MIMIC-CXR-JPG/2.0.0/files/p11737203/s54425383/e16eced4-44f9e4ad-a4754afb-22f55064-22847132.jpg | Frontal and lateral chest radiographs demonstrate slightly low lung volumes with exaggeration of the cardiac silhouette and bronchovascular crowding. Allowing for this, the heart is not enlarged. The is minimally unfolded. Increased opacity or they lower lobe on the lateral view likely represents artifact due to underpenetration and multiple overlapping the anatomic structures. Allowing for this, no focal consolidation, pleural effusion, or pneumothorax is detected. The visualized upper abdomen is grossly unremarkable. | evaluate for acute process in a patient with cough/productive sputum. |
MIMIC-CXR-JPG/2.0.0/files/p15964158/s56495653/0d875850-f4d611e5-be4c2f7c-3716d07e-71d932e8.jpg | MIMIC-CXR-JPG/2.0.0/files/p15964158/s56495653/466ed8a3-95a44b8e-291300cb-0a76b8f7-9f57feda.jpg | The lungs are hyperinflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. | <unk>m with chest pain. assess for acute process |
MIMIC-CXR-JPG/2.0.0/files/p18693833/s50907496/184ad3ac-4c03496d-6f1dfa31-2765ddfa-f1eb7f9a.jpg | null | A radiograph centered in the upper abdomen was obtained for assessment of nasogastric tube, which terminates in the expected location of the proximal duodenum. Appearance of the imaged portion of the chest is without change since the recent chest x-ray of a few hours earlier. | |
MIMIC-CXR-JPG/2.0.0/files/p11747400/s58688535/5e8ae823-48f17e4d-e05eb3f8-de345371-84f5e40a.jpg | MIMIC-CXR-JPG/2.0.0/files/p11747400/s58688535/a05ee759-5d96e981-1d02f3f2-640de836-912d383a.jpg | The lungs are clear without focal consolidation, effusion, or edema. There is a small hiatal hernia. Mild cardiomegaly is again noted. Atherosclerotic calcifications noted at the aortic arch vessels tortuosity of the descending thoracic aorta. No acute osseous abnormalities. | <unk>m with chest pain // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p17983005/s58782712/ff92fa7d-a4fbdc13-d1be3021-dc96e4c6-6b15514c.jpg | null | In comparison to the previous chest radiograph, there is no appreciable change in the small to moderate right apical pneumothorax. No other relevant change. | <unk> year old woman with polytrauma s/p mvc // ?interval change in right pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p14514349/s51424894/fbc16cf0-779ce7ea-ecbc61a0-228d7700-aa3e3fd8.jpg | MIMIC-CXR-JPG/2.0.0/files/p14514349/s51424894/7b530d27-9e123e97-1cd75ade-87840e64-e3cc26f4.jpg | Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | <unk> year old man with <num>d acute shortness of breath // ? infiltrate, hyperinflation |
MIMIC-CXR-JPG/2.0.0/files/p11507738/s58269285/259ee892-02c9255d-df86b705-2f07cb4a-ab3f722a.jpg | null | Single ap portable view of the chest was obtained. A left-sided subclavian central venous catheter is subtly seen, appears to terminate in the region of the mid to proximal left subclavian but not seen more proximal to this. There are relatively low lung volumes without focal consolidation. No evidence of pneumothorax is seen. The low lung volumes accentuate the cardiac and mediastinal silhouettes. | |
MIMIC-CXR-JPG/2.0.0/files/p16841866/s56464181/88d88564-fd1216ed-80dde57f-c418ece0-bd7198cd.jpg | MIMIC-CXR-JPG/2.0.0/files/p16841866/s56464181/0eaed8c7-425f5898-6ced3f50-dd92b1b4-d673b276.jpg | The heart is at the upper limits of normal size. The aortic arch is calcified with slight unfolding. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky retrocardiac opacities are visible in the left lower lobe, more dense and crowded than on the prior study. Elsewhere, the lungs appear clear. Bony structures are unremarkable. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p11892979/s59920335/ef2c13ca-7a38c051-06d57115-10c03c85-c6c11139.jpg | MIMIC-CXR-JPG/2.0.0/files/p11892979/s59920335/e17cd331-9bd9d96f-19e9f6ec-28f17797-dc9e5a3d.jpg | Since the prior study, there has been increase/development of small bilateral pleural effusions. Increased bibasilar opacities could in part relate to pleural effusions and overlying atelectasis, although also relate to new consolidation, possibly from pneumonia. Linear configuration bilateral mid lung opacities may be due to atelectasis. Slight increase in prominence of the hila raises concern for central pulmonary vascular engorgement. The cardiac and mediastinal silhouettes are grossly stable. There is angulation of several lateral left ribs suggests prior rib fractures. | |
MIMIC-CXR-JPG/2.0.0/files/p17710401/s53242472/46bc0ef1-27385df8-de1324f5-6ee417c7-29d06bd5.jpg | MIMIC-CXR-JPG/2.0.0/files/p17710401/s53242472/0c40c3d3-90ed097c-4a0e00eb-663b69a6-a272ab28.jpg | Ap upright and lateral views of the chest provided. A subtle opacity projecting over the right upper lung appears increased in overall conspicuity compared with the prior exam. This finding could represent prominent costochondral calcification, however a true pulmonary nodules impossible to exclude. A nonemergent ct chest may be performed to further assess. Otherwise, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | <unk>f with unstaedy gait and dizziness pls eval ct for posterior infarct, pls assess cxr for pna |
MIMIC-CXR-JPG/2.0.0/files/p13288782/s58870210/57d4c1df-74323971-e480e887-9174e0f2-17a92902.jpg | MIMIC-CXR-JPG/2.0.0/files/p13288782/s58870210/1ab63c5b-adcc658a-3237a395-6c65679b-67f9f03e.jpg | No consolidation, pleural effusion, or pneumothorax is identified. Cardiac silhouette is borderline enlarged. Vertebral body height loss at the thoracolumbar junction is new since prior. | <unk>f with anaphalaxis after chemo no with new dyspnea // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14984395/s54071543/27b0b779-2022f87c-4f8637fc-e85cfc53-34132512.jpg | MIMIC-CXR-JPG/2.0.0/files/p14984395/s54071543/35e7eaa8-161851ce-f5728eb4-9189f7ef-047a5671.jpg | As compared to the previous radiograph, the extent of the left pleural effusion is constant. Also constant is the minimal blunting of the left costophrenic sinus. However, on the right, better appreciated on the lateral than on the frontal image, a new pleural effusion has occurred. However, this effusion is limited to the costophrenic sinus. No other changes. The catheter projecting over the left lung base and left upper quadrant is constant. Constant moderate cardiomegaly and tortuosity of the thoracic aorta. Constant position of the right pectoral port-a-cath. No evidence of pneumothorax. | left pleural effusion, evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p10376174/s57870887/022f6d5b-a648c95f-11574009-b1d90d93-8c243421.jpg | MIMIC-CXR-JPG/2.0.0/files/p10376174/s57870887/8976ff11-5db0305e-65958d1a-6e55603a-28587cd4.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>f with cough, chills |
MIMIC-CXR-JPG/2.0.0/files/p11411362/s53211863/10784af9-0c58b44c-5fd52a8b-662e0a5e-5479d073.jpg | null | In comparison to the prior examination. There has been interval placement of an enteric tube, which descends below the field of view as well as a right internal jugular catheter which terminates in the mid svc. An endotracheal tube is unchanged in position. There is no evidence of pneumothorax. Bilateral airspace opacities, right greater than left likely represent pulmonary edema, minimally increased from <time>. | history: <unk>m with central line // ? cvl placement |
MIMIC-CXR-JPG/2.0.0/files/p11087211/s53815514/d1d4603a-2f2c5781-0f29fe50-1338392d-49c78b3e.jpg | MIMIC-CXR-JPG/2.0.0/files/p11087211/s53815514/a5954798-7d7cb5cb-210e279e-065845bf-0468529f.jpg | There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart size is top normal. The mediastinal contours are normal. There is no evidence of pulmonary vascular congestion. | left upper extremity pain, possible angina, evaluate for abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p12070454/s55193291/7cab396d-bb2b4c22-c0a3d720-97fe878c-defecb2e.jpg | null | As compared to prior chest radiograph from <unk>, perihilar and bibasilar opacities have decreased. There is no pulmonary edema. Focal consolidation at the right lung base has improved. There is some persistent linear density at the right lung base. There is no pneumothorax. Costophrenic angles are obscured, could be due to overlying tissue or technique. Pleural effusions cannot be excluded, if clinical concern, pa and lateral chest radiographs can be obtained. There is moderate cardiomegaly, unchanged since prior examination. The hilar and mediastinal contours are within normal limits. | cough, chest pain, shortness of breath. rule out pneumonia, chf. |
MIMIC-CXR-JPG/2.0.0/files/p13350579/s55896821/22b2b97c-bd129cba-c4067c06-5173993a-46d27378.jpg | null | In comparison with the study of <unk>, there is now a stent in the right bronchus intermedius. The lung volumes are substantially improved. Blunting of the costophrenic angles persists, and there are mild atelectatic changes at the bases. | bronchus intermedius stent. |
MIMIC-CXR-JPG/2.0.0/files/p15985742/s53225153/c45a6581-eb41ea48-690342cd-6dc89bb5-ea1b92be.jpg | null | Slightly decreased prominence of the interstitial markings throughout both lungs. A small right pleural effusion is present. No focal consolidation or pneumothorax identified. Unchanged opacity in the right upper lobe the size the cardiomediastinal silhouette is within normal limits. Tortuous calcified thoracic aorta. | <unk>-year-old woman w/pmh interstitial lung disease, afib on rivaroxaban, mr/tr, htn, and hypothyroidism presenting with cough, sob, and fatigue concerning for a viral uri, course c/b afib on <unk>, likely from dehydration vs. underlying infection. she got ivf and iv metop and converted back to sinus. // pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16777182/s53601105/c66adf3d-92b590b7-58098170-fabd41ff-9fe62ebe.jpg | MIMIC-CXR-JPG/2.0.0/files/p16777182/s53601105/07d9424d-59e68a23-ff1bdfab-208b1f23-665c47d1.jpg | The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | <unk>f with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12451556/s59724513/3106ff4e-34fcb12d-1e1c415c-ac6e0fe7-6b344735.jpg | null | As compared to the previous radiograph, patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable, tip is not visualized on the image. The size of the cardiac silhouette continues to be enlarged, but there is no overt pulmonary edema. No pleural effusions. Status post sternotomy and cabg. | status post intubation, evaluation of endotracheal tube placement. |
MIMIC-CXR-JPG/2.0.0/files/p13122394/s51602609/8f2774d0-d31325e1-6c5f6de2-db1ba01d-b9eec30a.jpg | MIMIC-CXR-JPG/2.0.0/files/p13122394/s51602609/11d39797-e1f72c54-c172e8f1-cc72ab29-34304846.jpg | In comparison with the study of <unk>, there is little overall change. Mild hyperexpansion of the lungs could reflect some chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. | tobacco dependency with weight loss. |
MIMIC-CXR-JPG/2.0.0/files/p15775667/s50747032/5b44951e-6f526d86-1aec51ca-ebc4b239-ae0e0caa.jpg | MIMIC-CXR-JPG/2.0.0/files/p15775667/s50747032/e3a78a0f-df168506-64401fc7-2bde6be4-5ab1b8cd.jpg | Ap and lateral views of the chest. Low lung volumes are again noted. There is secondary crowding of the bronchovascular markings. There is no large confluent consolidation or effusion. The cardiomediastinal silhouette is stable. Dense mitral annular calcifications are noted. Right picc is seen; however, the tip is not clearly delineated. Drain identified in the left upper quadrant. Right upper quadrant drain is no longer seen. Peripherally calcified structures suggestive of gallstones seen in the right upper quadrant. | <unk>-year-old female with worsening muscle spasm, prior stroke. question shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p15407743/s58831933/24dfb021-2554555d-c335bc9a-e7a78a28-d2e40cfa.jpg | null | Portable upright view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. The ascending aorta appears prominent. Heart is mildly enlarged. There is no pulmonary edema. Right lung apex opacity is unchanged, which may reflect scarring. Partially imaged upper abdomen is unremarkable. | shortness of breath and hypoxia. |
MIMIC-CXR-JPG/2.0.0/files/p13588195/s57791724/6567d963-0e5bed7e-e2bc4d73-5bdfbcb2-5b07356b.jpg | null | The endotracheal tube tip sits <num> cm above the carina. The right-sided ij central venous catheter tip sits at the cavoatrial junction. The endogastric tube courses inferiorly and out of the field of view. Heart size is normal and the mediastinal contours are stable. Bilateral pleural effusions are present with associated atelectasis, more prevalent on the left than the right. There is no pneumothorax. Compared to the prior chest radiograph, findings are stable. | <unk>-year-old man status post open aaa repair with pleural effusions. |
MIMIC-CXR-JPG/2.0.0/files/p11131026/s59203388/a01efaff-933bc616-a98bbb3a-9bf56901-a7daf4b6.jpg | MIMIC-CXR-JPG/2.0.0/files/p11131026/s59203388/5280adc4-1012f221-39ab6396-973c799c-a410b6b9.jpg | Cardiac silhouette size is mildly enlarged with prominent epicardial fat pads. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Assessment of the lung apices is somewhat obscured by the patient's chin and soft tissues projecting over these regions. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Moderate multilevel degenerative changes are seen within the thoracic spine. | history: <unk>m with dyspnea on exertion x <num> weeks, difficulty with gait x several weeks, status post multiple falls with headstrike // evidence of volume overload, infiltrate, or effusion, evidence of intracranial hermorrhage or acute abnormality, hydrocephalus |
MIMIC-CXR-JPG/2.0.0/files/p18816142/s53027531/e3df2ba1-6cef11a3-32f6be10-b880ccac-98a63cdc.jpg | MIMIC-CXR-JPG/2.0.0/files/p18816142/s53027531/115b1678-cc1d969d-d84e1b77-30d097cb-9b6a62d3.jpg | The previously seen left lower lung opacity seen on comparison is no longer visualized. No pleural effusion, pulmonary consolidation, or pneumothorax is seen. The heart size is at the upper limit of normal. | <unk> year old woman with mds // pre bmt eval |
MIMIC-CXR-JPG/2.0.0/files/p17078350/s54672774/5524bbb1-74284d2f-7d144a0d-8527ecbf-39726e93.jpg | MIMIC-CXR-JPG/2.0.0/files/p17078350/s54672774/33c028f6-68899239-8d020654-8ca5b47b-bc703c16.jpg | Pa and lateral views of the chest provided. There is partial collapse of the right lower and right middle lobe with a moderate hydrothorax on the right. Hilar contours are normal. Mild, rightward shift of mediastinal structures. | <unk> year old man with recurrent hydrothorax, with decresaed breath sounds // size of effusion |
MIMIC-CXR-JPG/2.0.0/files/p18718699/s55078531/8c11782e-20a7e787-1f9376db-f3f2678d-05040fdd.jpg | MIMIC-CXR-JPG/2.0.0/files/p18718699/s55078531/a14d2de5-5e62950a-8b0c7824-f625fec5-b7a65f31.jpg | Heart size is normal. Mediastinal and hilar contours are unremarkable. There is a moderate left pleural effusion with left retrocardiac consolidation, which may reflect atelectasis. Underlying consolidation is not excluded. There is no right pleural effusion. There is no pneumothorax. Right basilar atelectasis is present. Small left humeral enchondroma is noted. | history: <unk>m with left abd pain x<num>d with radiation to chest and back, diminished breath sounds left base // any focal process |
MIMIC-CXR-JPG/2.0.0/files/p17509948/s54428267/b1fc19d3-e7ec7726-e6b9c01f-5788b348-484af990.jpg | MIMIC-CXR-JPG/2.0.0/files/p17509948/s54428267/51eb80e0-2bb4fa9a-0d056c31-449a49bd-8f17a581.jpg | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. | <unk>-year-old female with pancreatitis. question pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p17128602/s54935221/07f93e70-e68ff8b1-d9dd7134-9a4adec6-4a7deb04.jpg | MIMIC-CXR-JPG/2.0.0/files/p17128602/s54935221/540d6ef8-55efa830-3d6a07cc-58b4aa51-356fd914.jpg | As compared with the prior examination, there has been no significant interval change. Minimal bibasilar atelectasis is noted. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is top normal. Mediastinal contours are normal. | shortness of breath, evaluate for congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p12172704/s59479226/f27e8e02-5d98de90-ede9dcae-0023d9e8-ba1b56ca.jpg | MIMIC-CXR-JPG/2.0.0/files/p12172704/s59479226/d0af6fe1-500b6400-7634e6ac-a1077024-9af4032d.jpg | As compared to the previous radiograph, there is improvement of the pre-existing opacity at the right lung base. The left perihilar areas have also improved in translucency, reflecting a decrease of pre-existing parenchymal opacities. No newly appeared parenchymal opacities. The extensive bronchiectatic changes are best appreciated on <unk> computed tomography of the thorax. No pleural effusions. | severe bronchiectasis, recent exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p10569231/s55488757/8bd08c70-fbb6e2dc-4a5730ee-8a7a80b5-c496867e.jpg | MIMIC-CXR-JPG/2.0.0/files/p10569231/s55488757/70e97a3f-29b2d597-f8635ca2-daabc3ae-fba20599.jpg | Ap upright and lateral views of the chest provided. Large body habitus and underpenetrated technique limits assessment. Allowing for technical limitations, the lungs are clear. Heart is mildly enlarged. Mediastinal contour is normal. No large effusion or pneumothorax. Bony structures are intact. | <unk>f with seizure // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12499374/s50033550/07c8123c-5596922b-84406707-24bc4134-3a5408dd.jpg | MIMIC-CXR-JPG/2.0.0/files/p12499374/s50033550/2b7a81e7-7a575f9a-4c06f017-a6aa5ba7-7c27972a.jpg | Interval removal of a right-sided picc line. Cervical hardware is again noted. Persistent streaky a left lower lobe and retrocardiac opacities likely reflect atelectasis. Remainder the lungs are grossly clear. There is no evidence of pneumothorax or pulmonary edema. The cardiomediastinal silhouette is unchanged appearance. | history: <unk>f with fevers // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p18304969/s54132134/77e39fd8-8a165be4-67c81ee2-5c8bb4e0-57e70167.jpg | MIMIC-CXR-JPG/2.0.0/files/p18304969/s54132134/55419eef-282442ed-633bea55-5aea2ca4-aab47eac.jpg | The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. There is diffuse increase in interstitial markings bilaterally worrisome for moderate pulmonary edema. Bibasilar opacities are seen which could be due to infection and/or aspiration. No large pleural effusion is seen although trace effusions would be difficult to exclude. The cardiac silhouette is enlarged. Aorta is calcified and tortuous. No pneumothorax is seen. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p13733102/s51206796/7f4c2b09-ad5aff2b-e0e66edf-6d25fe30-60a02ce2.jpg | null | Single view ap portable chest x-ray in semi-upright position shows persistent bilateral opacification for layering moderate pleural effusion. New right perihilar oapcity is concerning for pneumonia, ct might be considered for further chracterization. Left retrocardiac opacification is due to atelectasis. Cardiomediastinal silhouette is normal. Right ij catheter is unchanged with tip ending in upper svc, tracheostomy tube is in standard position. There is no free air in the abdomen. | |
MIMIC-CXR-JPG/2.0.0/files/p16216201/s52242581/b3ed2072-9114af74-dbee483a-f0e32a04-45491cfd.jpg | null | Ap portable supine view of the chest. Left chest wall aicd is noted with leads extending to the region the right atrium and right ventricle. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. | <unk>f with leukocytosis // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p12118872/s53464852/878ded42-17a349d9-a058684e-54d2fe55-1ae490e2.jpg | null | A right pectoral mediport terminates at the junction of the right subclavian and brachiocephalic veins, unchanged. Lung volumes are low. There is no new consolidation or pleural effusion. There is no pneumothorax. The heart and mediastinum are magnified by the projection. | <unk> year old man with new sob, shaking chills // please eval for pna, heart failure |
MIMIC-CXR-JPG/2.0.0/files/p12469262/s54657783/6fc4a75a-3e9420ff-7cc03e01-55cc9dae-40a6318b.jpg | null | As compared to the previous image, the patient has been intubated. The tip of the endotracheal tube projects <num> mm above the carina, the tube needs to be pulled back by approximately <num>-<num> cm. The dobbhoff catheter shows an unchanged course, tip projects over the middle parts of the stomach. The two right-sided central venous access lines are constant. Whereas the right lung is unremarkable, bases have developed a relatively extensive basal opacity that might reflect atelectasis or pneumonia, or a combination of both. The size of the cardiac silhouette is constant. Minimal left pleural effusion. | possible seizures, evaluation for thoracic pathology. |
MIMIC-CXR-JPG/2.0.0/files/p19190224/s54110807/4efb579c-4e3154f7-5ad85e3a-0172907c-9dc516c6.jpg | MIMIC-CXR-JPG/2.0.0/files/p19190224/s54110807/a30a542d-7089ddab-e76126de-b1366c0b-0ac77252.jpg | Frontal and lateral views of the chest. The lungs are hyperinflated with flattening of the diaphragms. Linear bibasilar opacities may be due to scarring. There is no large confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. There is mild anterior wedging of the lower thoracic/upper lumbar vertebral body which is age indeterminate, could be old. No definite acute osseous abnormality identified. | <unk>-year-old male with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17890887/s56386263/37b5d4f7-b4aeb9af-16f37996-e1d12125-282f00ed.jpg | null | Portable semi erect frontal image of the chest. There has been interval placement of right ij line, which terminates at the cavoatrial junction. The lungs are well expanded. There are heterogeneous peribronchial markings in the lungs bilaterally, which could represent an atypical pneumonia or less likely pulmonary edema from heart failure. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | right ij placement. |
MIMIC-CXR-JPG/2.0.0/files/p17163115/s59647973/729b9c53-02568818-ae3d3dac-f8c20f18-9d9321cd.jpg | MIMIC-CXR-JPG/2.0.0/files/p17163115/s59647973/ba905eb6-1d638e8a-1f132890-42d88eb5-aae2e70f.jpg | The heart appears mildly enlarged even allowing for the projection. This is unchanged compared to the prior study. A left-sided picc has been removed. Prominence of the main pulmonary arteries is similar when compared to the prior study and consistent with pulmonary arterial hypertension. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance, bone island noted in the right scapula. | history: <unk>f with fever, hypotn // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p17329106/s56267354/dcbd5c44-7f3c64ed-7a5dd5ee-c14b3fc4-4d66e2bc.jpg | MIMIC-CXR-JPG/2.0.0/files/p17329106/s56267354/3b63b013-819b2e44-b5a1dc39-38bb5865-8bf4ee67.jpg | Based on limited exam due to rotation, portable technique and patient body habitus, there is no definite focal consolidation. There are small bilateral pleural effusions, larger on the right. There is mild pulmonary edema. Cardiomediastinal silhouette is grossly unchanged. | <unk>f with dyspnea // acute process |
MIMIC-CXR-JPG/2.0.0/files/p10689715/s52399951/6ba42c0a-a0a5953a-e2402bab-1cbabb3d-6956f1f8.jpg | MIMIC-CXR-JPG/2.0.0/files/p10689715/s52399951/279803c7-c5a8cfc4-4cd13950-60adb724-98e900a6.jpg | The heart size is mildly enlarged. The mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild thoracic aortic calcifications are identified. No acute osseous abnormality is identified. Left proximal humerus is partially imaged, but appears to be deformed, compatible with remote injury. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p14690530/s52084750/845271d0-89a91cc6-9fb7d13d-18745cd4-bb8fb8ae.jpg | MIMIC-CXR-JPG/2.0.0/files/p14690530/s52084750/80686e24-aae75da2-2fac2634-4359f1b5-7d7f4786.jpg | The cardiac silhouette size is normal. The aorta is tortuous and diffusely calcified, unchanged. Moderate size hiatal hernia is re- demonstrated. Pulmonary vascularity is normal. Lungs demonstrate minimal atelectasis within the lung bases, but no focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected. | abdominal pain. |
MIMIC-CXR-JPG/2.0.0/files/p12789116/s58598688/02e6b432-34b3432e-45664990-1950a57d-98bb7239.jpg | null | The tip of the right picc line extends into the superior cavoatrial junction. The tip of the endotracheal tube extends to the mid thoracic trachea. A gastric tube extends into the stomach. A well-defined density projects over the distal left main bronchus and may reflect the silicone plug. Low bilateral lung volumes with new predominantly bibasilar opacities, reflective of atelectasis/consolidation. The size of the cardiomediastinal silhouette is within normal limits. Calcification of the aortic arch is noted. | <unk> year old man with hemoptysis // please evaluate s/p silicone plug placement |
MIMIC-CXR-JPG/2.0.0/files/p10767284/s52962504/c34bde61-9c893b99-2eb81271-25cbfcce-fc0a1f0a.jpg | MIMIC-CXR-JPG/2.0.0/files/p10767284/s52962504/b1c4236e-7d54c87d-2c4a478a-48ad9b4a-c6ed6aa6.jpg | The lungs are well expanded and clear with minimal bibasilar atelectasis. Hila and cardiomediastinal contours and pleural surfaces are normal. The aortic bulb is heavily calcified. | <unk> year old woman with recent pneumonia // r/o mass |
MIMIC-CXR-JPG/2.0.0/files/p18092578/s56585132/5893f9a6-49da973d-a9c614bb-3d89e621-0484be38.jpg | null | As compared to the previous radiograph, the size of the left pneumothorax, notably at the lung base, has substantially decreased. The pneumothorax is now of millimetric <unk>. There is no evidence of tension. Unchanged appearance of the right lung and of the cardiac silhouette. | left pneumothorax. evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p16540773/s51055482/bab37ece-286362e6-5e394c4c-bde8a838-d65582c5.jpg | MIMIC-CXR-JPG/2.0.0/files/p16540773/s51055482/d7afb866-e8526577-1ea71baf-4f75b7c5-e9a439a8.jpg | The lungs are well expanded. No focal consolidation is identified. Mild bronchial wall thickening may reflect reactive airways disease. Mild blunting of the right costophrenic angle may represent pleural thickening or a small pleural effusion. There is no pneumothorax or pulmonary edema. The heart size is top normal. Patient has had prior right shoulder replacement. Degenerative changes are also seen in the left shoulder. | history: <unk>f with sob, tacky // pna? |
MIMIC-CXR-JPG/2.0.0/files/p17636206/s52234175/29cfa9a0-5b04c8ee-355cc09c-d0f11010-cccfce03.jpg | null | The lung volumes remain low. There is improved aeration of the upper lung zones from <unk> with persistent diffuse bilateral parenchymal opacities. No significant pleural effusion or pneumothorax is appreciated. There is pulmonary venous congestion. The cardiomediastinal silhouette is prominent but decreased in size from <unk>. An endotracheal tube and enteric tube are unchanged in position. | pulmonary edema status post heroin overdose treated with narcan. |
MIMIC-CXR-JPG/2.0.0/files/p11643401/s52789000/5462d227-01719db3-3eb7b159-7db76c12-268722a3.jpg | MIMIC-CXR-JPG/2.0.0/files/p11643401/s52789000/aec67a1f-d0ec2ba7-a51a81c5-a38d90bc-6b912c70.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>m with ulcerative colitis flare, dyspnea on exertion |
MIMIC-CXR-JPG/2.0.0/files/p18250248/s50984062/c48992a8-04167da2-e236267e-dba32f9d-a1aa261f.jpg | null | The heart size is mildly enlarged. The aorta is slightly tortuous and demonstrates diffuse calcifications, most marked at the aortic knob. Enlarged right paratracheal stripe may reflect tortuous vasculature, lymphadenopathy or a large right thyroid goiter. The lungs are hyperinflated. There is likely mild pulmonary vascular congestion, but no frank pulmonary edema is seen. No focal consolidation, pleural effusion or pneumothorax is present. Thoracic scoliosis is noted. | rapid heart rate. |
MIMIC-CXR-JPG/2.0.0/files/p19895187/s55924190/326476ff-77b0a377-1dd0afde-29a69de2-19312108.jpg | null | Since the prior exam, a new right internal jugular central venous catheter has been placed. The tip terminates in the low svc. There is no pneumothorax. There continues to be mild engorgement of the pulmonary vasculature, but no overt edema. There is no consolidation or pleural effusion. The cardiac silhouette remains severely enlarged. The mediastinal contours are normal. | evaluate catheter placement. |
MIMIC-CXR-JPG/2.0.0/files/p10610628/s52632724/d2d7eef4-926fdc5d-87862d90-15e9dda4-64452684.jpg | MIMIC-CXR-JPG/2.0.0/files/p10610628/s52632724/250c7cd7-20aae1b2-054af982-3fc186de-55759f8f.jpg | The position of the patient's obscures the right upper lobe. Left apical parenchymal scarring is unchanged from the study of <unk>, as are extensive pleural calcifications at the right base. Minimal blunting of the costophrenic angles with stable cardiomegaly. Little change in the compression of the mid dorsal vertebral body and the extensive surgical fixation devices in the upper-to-mid lumbar spine. | fever, to assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16363597/s59558247/612b453d-c307d064-872515d9-2bff65a5-47232d19.jpg | MIMIC-CXR-JPG/2.0.0/files/p16363597/s59558247/bfaea35c-fea57744-250be848-4cd38e93-5ae4e8f8.jpg | Pa and lateral views of the chest. The lungs are clear. There is no evidence of pneumonia. No pneumothorax. No pleural effusions. The cardiac, mediastinal, and hilar contours are normal. | chest pain, question pneumonia or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10554112/s54577011/e9a95c28-945f74df-8ef2f1a9-41a9feb8-3437fb22.jpg | null | In comparison with the study of <unk>, there are lower lung volumes that accentuate the transverse diameter of the heart. Left chest tube is in place following violation of the pleura during surgery. No definite pneumothorax is appreciated. Diffuse pulmonary opacifications most likely reflects overhydration with elevated pulmonary venous pressure. Poor definition of the hemidiaphragm could reflect some volume loss in the left lower lobe with pleural fluid. Air bronchograms behind the heart could conceivably reflect a consolidation or aspiration in the appropriate clinical setting. | for ct placement. |
MIMIC-CXR-JPG/2.0.0/files/p10872143/s54236796/caf2c0c6-36ef3d40-edc3a474-fdace441-afcf6dd6.jpg | MIMIC-CXR-JPG/2.0.0/files/p10872143/s54236796/e411292b-e4eab33b-559b9963-152e74c1-b92b878f.jpg | There has been slight interval worsening of a right-sided moderate pleural effusion with adjacent basilar atelectasis. The remainder of the right upper lobe and left lung are essentially clear without focal consolidation or pneumothorax. Cardiomediastinal silhouette remains top normal in size, likely secondary to a small pericardial effusion as seen on recent chest ct, and is unchanged as compared to the prior chest x-ray. Redemonstrated is a right subclavian central venous line, seen terminating within the proximal svc. There is no evidence of acute bony abnormality. | underlying mucinous appendiceal carcinoma, now with worsening right lower lobe consolidation and effusion. |
MIMIC-CXR-JPG/2.0.0/files/p14813481/s58863465/f6d3367c-eb487125-3e675d95-9ba7d90c-be27c3ee.jpg | MIMIC-CXR-JPG/2.0.0/files/p14813481/s58863465/ffb7e04f-552bf655-a2a2bf12-61ca8831-c51cba98.jpg | Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. A right-sided port ends in the mid svc. | history: <unk>f with fever // eval infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p19979738/s52468311/aca64aeb-fd390621-d271db22-c001998b-09111ea8.jpg | MIMIC-CXR-JPG/2.0.0/files/p19979738/s52468311/5a63bea2-9d7cb469-ed200054-cb531242-a451207a.jpg | Frontal and lateral views of the chest were obtained. Left-sided port-a-cath is seen terminating in the low svc without evidence of pneumothorax. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | |
MIMIC-CXR-JPG/2.0.0/files/p14945399/s53237910/a8880391-11a2dd8f-74cad9da-bf141559-25b43637.jpg | null | In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with some progression in the degree of pulmonary edema in a patient with previous cabg procedure. Otherwise, little change. | mri with flash pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p19155768/s57901940/5228900a-2466de57-dea08301-443d8ef4-13e05a43.jpg | MIMIC-CXR-JPG/2.0.0/files/p19155768/s57901940/cb2bef3b-8227bf2c-cfa4cf02-227419ab-78c9c32a.jpg | Mild persisting pulmonary edema. Increasing retrocardiac opacity which may represent atelectasis and/or consolidation. No pleural effusion or pneumothorax identified. Patient is status post prior median sternotomy and cardiac valve replacements. | <unk> year old man with chf, cad s/p cabg/mvr/avr/tr annuloplasty here with chf exacerbation. appears 'off' to family. ?new cough, stable crackles at bases but egophony on exam // ?infection, atelectasis |
MIMIC-CXR-JPG/2.0.0/files/p12256822/s58972252/53d4714d-32bd04e6-e03abe22-ec4a51c7-69852749.jpg | null | A single upright view of the chest demonstrates left chest tube projecting over medial left lung base. Moderate-to-large left pneumothorax seen on ct of the same date has nearly resolved. Subcutaneous gas in the left lateral chest is noted. Comminuted fractures of the left clavicle, scapula and nondisplaced fractures of the right ribs are better demonstrated on ct of the same date. Right lung is well expanded and is clear. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | patient with scooter accident with left-sided pneumothorax seen on ct of the same date. |
MIMIC-CXR-JPG/2.0.0/files/p19398915/s50718354/cd541739-c1ba7711-07c7e666-82146eac-9cff3075.jpg | MIMIC-CXR-JPG/2.0.0/files/p19398915/s50718354/f3ea765f-94e8db3e-180c279c-03faf770-26d11e3e.jpg | There has been interval, likely increase in large right-sided pleural effusion, given differences in technique. Underlying consolidation is not excluded. There are patchy opacities projecting over the left mid-to-lower lung which could be due to multifocal infection versus less likely edema. The mediastinal and cardiac silhouettes are not well assessed due to the large right-sided opacity from pleural effusion, however, the right aspect of the mediastinum and heart appear unremarkable. No large left pleural effusion is seen. There is no evidence of pneumothorax. | |
MIMIC-CXR-JPG/2.0.0/files/p19410985/s59453947/a5a924ae-13bdaa85-8264cac2-9bd50d4a-cc5cb160.jpg | MIMIC-CXR-JPG/2.0.0/files/p19410985/s59453947/68219147-49c9b80b-4a599d76-090375fc-2a33d195.jpg | There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, there may be minimal vascular congestion no focal consolidation to suggest pneumonia is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. | history: <unk>m with chest pain // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p14280250/s54851148/374ec800-93cc1136-c6780b64-90fc8784-1eda3dae.jpg | null | There is no focal consolidation, pleural effusion or pneumothorax. Minimal bibasilar atelectasis. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. | history: <unk>m with ams // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p12118886/s55227264/18a3f9a2-6da1398a-a664e4f2-506faf7c-f4b97d66.jpg | null | The ett tip ends approximately <num> cm from the carina with the neck extended. The newly placed right internal jugular venous catheter ends in the lower svc. Lung volumes are low. Slight increased opacity in the right infrahilar region may suggest aspiration or atelectasis in the appropriate clinical setting. Interval increasm in interstitial edema. Mild to moderate cardiomegaly is overall unchanged. Blunting of the left costophrenic angle obscuring of the left hemidiaphragm is new, compatible with pleural effusion. Blunting of the lateral aspect of the descending thoracic aorta slight increase retrocardiac opacity is new and may suggest atelectasis. No pneumomediastinum or pneumothorax | <unk> year old man with gi bleed and new intubation. |
MIMIC-CXR-JPG/2.0.0/files/p11242742/s56563509/7973f714-7dcd31b8-61113557-7ba697a7-1226a0bb.jpg | null | Tip of nasogastric tube terminates in distal stomach. Exam is otherwise unchanged since recent study. | |
MIMIC-CXR-JPG/2.0.0/files/p17080143/s54851826/00166eab-2b7f2efb-1c484048-173be18b-3dec8e60.jpg | null | As compared to prior chest radiograph from <unk>, there is redemonstration of a small left pleural effusion with atelectasis of the left lung base. There is increased opacity at the right lung base, which may reflect a combination of atelectasis and pleural fluid. However an early infectious process cannot be excluded. The cardiomediastinal and hilar contours are stable. There is no pneumothorax. Surgical clips are noted at the right upper quadrant and a vascular stent projects over the left brachiocephalic vein. A right-sided internal jugular central venous catheter terminates in the mid svc. | status post kidney transplant pod <num> with shortness of breath. rule out pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p17581899/s59781062/361b3c3e-1f26ceca-d0d4b295-b629676c-313e4b77.jpg | MIMIC-CXR-JPG/2.0.0/files/p17581899/s59781062/f1d47702-36a6089b-34948981-f5a8f219-1979c843.jpg | Pa and lateral views of the chest were provided. On the lateral view, there is subtle opacity obscuring the lower t-spine, which could represent a lower lobe pneumonia in the correct clinical setting. Otherwise, the lungs appear clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. | |
MIMIC-CXR-JPG/2.0.0/files/p12761284/s54597474/cf88aa17-a11dc369-4d6f3d63-38448aa1-eca608f8.jpg | MIMIC-CXR-JPG/2.0.0/files/p12761284/s54597474/5782c23d-20e6b766-dbfe3216-5799a111-da51acd4.jpg | Ap and lateral views of the chest. There are low lung volumes which crowd the pulmonary vasculature limiting the exam. There is no definite confluent opacity concerning for pneumonia. There is overall haziness of the lungs given the low lung volumes. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are within normal limits. | lethargic and headaches, reported fevers, question of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13299285/s51204632/db7e3861-71c6c2ac-e9ba51a4-56550442-2c0ad968.jpg | MIMIC-CXR-JPG/2.0.0/files/p13299285/s51204632/0aead6cd-128f1c5e-3ac69fd9-9e950639-53b9c027.jpg | In comparison with study of <unk>, there again are low lung volumes with some enlargement of the cardiac silhouette and evidence of vascular congestion with bilateral pleural effusions and compressive atelectasis at the bases. Intact midline sternal wires. The right picc line has been removed. The left picc line is essentially unchanged. | post-operative with shortness of breath, to assess for effusion or edema. |
MIMIC-CXR-JPG/2.0.0/files/p13451660/s58453835/d3e4fb56-e06e22a7-74642cbd-f58ce73c-0625a2f2.jpg | MIMIC-CXR-JPG/2.0.0/files/p13451660/s58453835/d564d931-e518efc4-1c1135d2-d8475f30-545908f8.jpg | The sternal wires in unchanged alignment. Clips projecting at the level of the right hilus. No change in appearance of the lung parenchyma. No evidence of pneumonia. No other lung parenchymal changes. Normal size of the cardiac silhouette. No evidence of pleural effusion. | crohn's disease, immunosuppression, productive cough, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14570287/s52637264/26eb6307-3c3c0f35-58558219-f7b2f5bf-3960ea4d.jpg | null | Right pectoral pacemaker with pacer leads in the right atrium and right ventricle. Increased atelectasis in the right lower lobe with associated volume loss. Stable left base opacity likely atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion. | <unk> year old man with h/o endocarditis, stroke, dilated cardiomyopathy, diastolic hf, htn, hld and atonic dilated transverse colon s/p extended left hemicolectomy c/b anastamotic breakdown, ex-lap, washout, revision anastomosis, end ileostomy, and now s/p ileostomy takedown with chest pain unclear historian, nausea // congestion, edema |
MIMIC-CXR-JPG/2.0.0/files/p18551091/s56521594/09c6a0b3-3918e617-564a6509-d352087a-07247e80.jpg | MIMIC-CXR-JPG/2.0.0/files/p18551091/s56521594/03815493-354517f8-0c0adb04-3b02b031-00ef7607.jpg | Moderate to severe cardiomegaly persists. Aorta demonstrates diffuse atherosclerotic calcifications. Mediastinal contours are unchanged. There is mild pulmonary edema which is new compared to the prior exam. Worsening opacification is seen within the right lung base with interval increase in size of a right pleural effusion which is now moderate in extent. Patchy left basilar opacity likely reflects atelectasis, and a small left pleural effusion is not excluded. No pneumothorax is demonstrated. Chronic deformities are again seen involving both shoulders. | generalized weakness. |
MIMIC-CXR-JPG/2.0.0/files/p11137490/s56340165/b48d49a4-7a6aa72f-c3681ab2-6a0abab8-eef32b1d.jpg | MIMIC-CXR-JPG/2.0.0/files/p11137490/s56340165/498fc4e2-8261032e-2ae11548-6c699548-7c5b2560.jpg | Pa and lateral views of the chest are provided. The left lung is clear. Subtle opacity is seen within the right lower lung which could represent loculated fissural fluid given its appearance on the lateral projection. Otherwise, the lungs appear clear. Cardiomediastinal silhouette appears normal. Calcified mediastinal lymph nodes are noted. Bony structures are intact. Air-filled loops of large bowel seen beneath the right hemidiaphragm. | |
MIMIC-CXR-JPG/2.0.0/files/p15672987/s50903743/85bb59e2-c141041e-1c7d58e1-f6c92df2-fb925735.jpg | null | The patient is intubated. The endotracheal tube terminates about <num> cm above the carinal. An orogastric tube reverses course in the distal esophagus and heads back into the hypopharynx. The cardiac, mediastinal and hilar contours appear stable including a moderate sized hiatal hernia, similar to prior findings. Aside from minor atelectasis associated with the hernia, the lungs appear clear. | seizure. |
MIMIC-CXR-JPG/2.0.0/files/p16550764/s57242262/ea9bb0d4-dd224f90-9e01a4c5-74d37ef0-5e5ba8f9.jpg | MIMIC-CXR-JPG/2.0.0/files/p16550764/s57242262/17d7a206-49cbb399-fbb331f9-7092770b-9d0d3ef6.jpg | Ap and lateral chest radiographs demonstrate low lung volumes but no rib fracture or pneumothorax. The heart size is top normal. The cardiac, hilar, and mediastinal contours are unremarkable. | left flank pain after mvc. evaluation for fracture or pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16019229/s54233203/6dbc4a59-dce33bfd-1a71735d-a527085a-2fdebba0.jpg | null | In comparison with the earlier study of this date, the enteric tube has been removed. Probable residual bilateral effusions with compressive atelectasis at the bases. Asymmetry of pulmonary vascularity could reflect some elevated pulmonary venous pressure, though this appears more prominent on the left rather than the usual situation in which asymmetric pulmonary edema prefers the right side. | alcoholic pancreatitis with surgery, to assess for infection. |
MIMIC-CXR-JPG/2.0.0/files/p15038117/s56938132/87c90736-d4e8cd1a-1f7331ce-b72bbd26-cab7ea98.jpg | MIMIC-CXR-JPG/2.0.0/files/p15038117/s56938132/7beddfc3-8f701ebf-95a771dd-bd68862c-3ee0619d.jpg | Lungs are clear without focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Specifically, there is no ectasia or dilatation of the visualized thoracic aorta. Heart size is top-normal. | <unk> year old man with cough and back pain. // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p17688596/s55132220/ced98683-d59e56f1-6b85c59a-33223354-c66313a8.jpg | null | Lung volumes are reduced. Heart size is borderline enlarged. The aorta is mildly tortuous. There is crowding of the bronchovascular structures with mild pulmonary vascular congestion. Patchy opacities in lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. There are multilevel degenerative changes in the thoracic spine. | pathologic fracture, altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p16146685/s59442711/c6796f73-1d291914-30ea93ec-5b99031d-e7dd6a51.jpg | MIMIC-CXR-JPG/2.0.0/files/p16146685/s59442711/c2f2a702-a638efa0-099f45b1-fe7e0972-af599416.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 fever and unidentified source // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p15991467/s57694529/5e576d38-0c355a63-cbe63384-54162bd4-546a9f0d.jpg | null | As compared to the previous image, there is no relevant change. The right-sided picc line has been removed. The lung volumes remain low. Moderate increase in size of the cardiac silhouette. No overt pulmonary edema. No pleural effusions. Known advanced degenerative changes in the right shoulder. | leukocytosis, evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18877812/s52891991/7e58fca1-9af92409-b8c69f6e-b9f22ad0-42cb447f.jpg | null | New right ij central venous catheter seen with tip in the mid to lower svc. There is no visualized pneumothorax based on this supine film. Again, enteric tube tip is in the region of the ge junction and should be advanced. Otherwise, there has been no change. | <unk>m with right ij cvl // eval new cvl |
MIMIC-CXR-JPG/2.0.0/files/p15653234/s53589099/d427281f-57d6dd88-a7081835-94b20d63-d82af279.jpg | MIMIC-CXR-JPG/2.0.0/files/p15653234/s53589099/bfb7173a-af78774b-329e0eb9-484daa3c-d649f294.jpg | Cardiac silhouette size remains moderately enlarged. Mediastinal and hilar contours are unchanged. There appears to be mild pulmonary vascular congestion with upper zone vascular redistribution. More focal patchy opacities in the lung bases with peribronchial cuffing are concerning for areas of infection or aspiration. Trace bilateral pleural effusions are likely present. No acute osseous abnormalities demonstrated. | history: <unk>m with shortness of breath, cough |
MIMIC-CXR-JPG/2.0.0/files/p18305097/s56209320/e7062efa-f6787854-f4751287-42ac9359-0caf3b28.jpg | MIMIC-CXR-JPG/2.0.0/files/p18305097/s56209320/6d1c4e1a-9f463bca-b40f1e1e-9e1f68a6-50e5697f.jpg | New left picc line, the tip is projecting over the mid svc. There is no pneumothorax. A linear opacity in the left lung base is unchanged from the prior examination. There is the likely atelectasis and scarring. No confluent consolidation is there to suggest pneumonia. No pleural effusion. Thoracic spinal hardware is incompletely evaluated on the radiograph. | fever, potential pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13870501/s55437464/80b49786-88a74899-70e7ecab-98cc7ca9-261155eb.jpg | MIMIC-CXR-JPG/2.0.0/files/p13870501/s55437464/c615bff6-b5d40286-752ee814-8303fdd0-fed1e337.jpg | The right hemidiaphragm is elevated as seen on prior studies. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The pulmonary artery is mildly enlarged consistent with pulmonary arterial hypertension. Heart size of normal. | <unk> year old woman with metastatic sarcoma, now with new exertional dyspnea and pericardial friction rub // rule out chf; also rule out cardiomegaly/pericardial effusion -please <unk> <unk> p<unk>with prelim wet read |
MIMIC-CXR-JPG/2.0.0/files/p14260580/s54567383/92b82c35-06423db1-9c04a54d-52132949-e074ccf2.jpg | MIMIC-CXR-JPG/2.0.0/files/p14260580/s54567383/ea7cc58b-8c23cc0c-784082ad-a0b63e10-7bbb0e87.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. | <unk>m w/chest pain, please eval for ptx // <unk>m w/chest pain, please eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p10717732/s58111153/f76351e9-9d435189-c234c639-fb107d96-fb7e1f16.jpg | MIMIC-CXR-JPG/2.0.0/files/p10717732/s58111153/67f14ef0-0c0dcca2-61675225-f16e9bd9-eb1a5ba8.jpg | There has been interval removal of the enteric tube. Heart size and mediastinal contours are stable. Left pleural effusion has improved, now trace. Right lung is clear and the left lung persistently demonstrates considerable parenchymal abnormality and atelectasis. | <unk> year old woman with s/p left vats and avr aortic root enlargement // eval for effusion or infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p13013082/s56388084/723c822e-e3bfb765-66d4b520-4406ac74-eaef0a63.jpg | null | Ap portable upright chest radiograph provided. A left arm picc line is seen with its tip near the proximal svc. The orogastric tube terminates in the left upper quadrant. There are bilateral lower lobe consolidations concerning for pneumonia. A left pleural effusion is likely present, small. Cardiomediastinal silhouette appears grossly stable, though the left heart border is partially lost. Bony structures appear grossly intact. | |
MIMIC-CXR-JPG/2.0.0/files/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg | null | Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. Svc stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated. | <unk> year old man with widely metastatic adenocarcinoma of unknown primary, complicated hospital course including hcap. new fever // eval fever. eval progression of pna |
MIMIC-CXR-JPG/2.0.0/files/p17797856/s54729943/1a39f111-fba55b48-0c4eaf6e-dda62442-709b1359.jpg | MIMIC-CXR-JPG/2.0.0/files/p17797856/s54729943/5c0956c9-aac088c7-cb81131b-607e2309-94438993.jpg | Pa and lateral views of the chest provided. Lungs are hyperinflated. A faint linear density in the left lower lung is unchanged likely scarring or platelike atelectasis. No focal consolidation, large effusion or pneumothorax. The heart size is normal. Cardiomediastinal silhouette is stable. Hila appear unchanged. No acute bony abnormalities. | <unk>f with copd p/w difficulty swallowing |
MIMIC-CXR-JPG/2.0.0/files/p19369689/s57841164/123879fa-1d91df60-7b8702b7-aff22c52-3a34c583.jpg | MIMIC-CXR-JPG/2.0.0/files/p19369689/s57841164/73f91d93-52110697-b22a477c-23edf8e2-b2a62c49.jpg | The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | history: <unk>f with fever body aches // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19811045/s59178848/720313d0-de281e65-dfe160b7-ad9b6261-528fcaef.jpg | null | The et tube lies <num> cm above the carinal. Right ij line tip overlies distal svc near svc/ra junction. An orogastric tube is present with tip extending beneath the diaphragm and off the film. Inspiratory volumes are quite low, with relative elevation the right hemidiaphragm. The degree of vascular plethora, which itself is likely accentuated by low lung volumes, may be slightly worse. Otherwise, the appearance of the cardiomediastinal silhouette and lungs is similar to the prior film. Cardiomediastinal silhouette is unchanged. There is bibasilar atelectasis, likely also accentuated by low inspiratory volumes. No gross left effusion. No obvious right effusion. Allowing for low lung volumes, no focal consolidation identified. | <unk>m with hx of htn, hld, alcoholism, osa not on cpap, who is transferred from osh with acute pancreatitis and hypoxic respiratory failure. // eval tubes/lines/edema/congestion |
MIMIC-CXR-JPG/2.0.0/files/p18788630/s58044319/aedeea4e-eef7f4b3-f4566ef3-9a6be41b-e7981068.jpg | MIMIC-CXR-JPG/2.0.0/files/p18788630/s58044319/43208c85-94a88460-86f1923c-76964681-d3ef6910.jpg | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | history: <unk>m with right chest wall / right upper quadrant pain |
MIMIC-CXR-JPG/2.0.0/files/p11647908/s51997255/6bfc2cdf-42eed67e-2f69e755-8b3fcde6-1be9fed2.jpg | null | There are decreased lung volumes, resulting in crowding of the bronchovascular structures. The right hemidiaphragm is noted to be elevated with respect to the left. There is appearant volume loss of the right, medial lung base. There is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema identified. There appears to be mild cardiomegaly, although this may be exaggerated by the patient's low lung volumes and by the ap projection. Mediastinal contours are normal. | shortness of breath and shallow breathing since surgery on <unk>. |
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