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MIMIC-CXR-JPG/2.0.0/files/p15704744/s51968034/8c1156de-27c58d5e-c29d5f59-7f939d8d-62856929.jpg | acdf hardware is intact without evidence of hardware malfunction. the lungs are clear without evidence of focal consolidations concerning for pneumonia. the cardiomediastinal contours are normal. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of c<num>-c<num> anterior cervical disc decompression/fusion. please evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p14950500/s53800803/03674692-8cc2fce1-91fdffa3-d2623f58-03053008.jpg | the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p16234474/s54905093/cfed0c72-04977582-dfd428a6-e706a90e-39477aeb.jpg | a nasogastric tube is in place with the distal tip not visualized. the endotracheal tube terminates <num> cm above the carina. a right-sided internal jugular line is in unchanged position. the cardiomediastinal contours are unchanged. vascular is congestion is slightly improved on the right and slightly more prominent on the left. there has been slight interval increase in the small left pleural effusion. new obscuration of the left heart border suggests interval increase in basilar atelectasis. | <unk>-year-old woman with an intraparenchymal cerebral hemorrhage, now with respiratory failure and concern for pneumonia. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p14689985/s54270754/d1b21a78-0ea8de65-793ad74c-18193e09-2d17b3a5.jpg | diffuse patchy opacities throughout the left lung are significantly improved compared with <unk>. the degree of left lower lobe aeration also appears improved. the right lung is unchanged in appearance, with some linear opacities across the right lung base and coarse interstitial markings likely secondary to chronic nonspecific fibrotic changes. a small left-sided pleural effusion is again seen. cardiomediastinal and hilar contours are unremarkable. there is no evidence of pneumothorax. a tracheostomy tube and left-sided pacemaker are again seen and unchanged in position compared with prior. | <unk>-year-old male with shortness of breath and history of recent pneumonia. evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p13872997/s58365028/d5a3d6ee-4dd9b6bc-1d70b2d8-99c3bb0a-10bdaa60.jpg | the heart is borderline enlarged, as before. the cardiomediastinal and hilar contours are within normal limits. there is mild interstitial pulmonary edema without pulmonary vascular engorgement. streaky opacities at the bases most consistent with atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. a tips is again demonstrated. | <unk>f with dyspnea // acute cardiopulm disease |
MIMIC-CXR-JPG/2.0.0/files/p19550773/s54550324/541cf724-e4394a0b-a75fb057-e746a712-97cc28d7.jpg | <num> right pleural catheters, <num> new since prior exam. decreased right pleural effusion. improved right mid, lower lung opacity. left lung is clear. | <unk> year old man with pleural effusion, s/p chest tube // r/o pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p16162271/s50298951/6ccea0ab-200842fb-e6ae79cf-2ad23684-0d18ea2c.jpg | pa and lateral views of the chest were compared to previous exam from <unk>. correlation is also made to ct from <unk>. compared to previous exam, there has been no significant interval change. right upper lobe, perihilar mass is essentially unchanged. there is some less dense consolidation in the right upper lobe, potentially due to tumor extension, not significantly changed from prior. elsewhere, the lungs are clear, there is no effusion. the cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. thickening of the right paratracheal stripe compatible with adenopathy as previously detailed. | <unk>-year-old male with history of non-small cell lung cancer with altered mental status. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14553780/s52234563/8e64ca58-9b55f075-9fcab37e-2dcf3277-de68a752.jpg | the lung volumes are low, with bibasilar hazy opacities, right greater than left, possibly due to the atelectasis, however underlying pneumonia cannot be excluded. the heart size is unchanged, and the pulmonary arteries remain prominent. there is no pneumothorax or overt pulmonary edema. no large pleural effusion is identified. there is a healed left clavicle fracture. | history: <unk>m with cp // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18620778/s52133938/98a4dd0d-a4fe2525-5c3a37ae-73c810bf-5c623498.jpg | the lungs are clear. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no pulmonary edema. | shortness of breath with asthma. |
MIMIC-CXR-JPG/2.0.0/files/p16075087/s56770013/d1ad94b2-cc8ed49e-8ff44b8e-ed2886ab-487dc91c.jpg | single portable view of the chest. endotracheal tube tip is seen within <num> cm of the carina. enteric tube has been advanced with tip now seen in the gastric body with side port past the ge junction. appearance of the lungs is not significantly changed noting significant perihilar opacities. extensive free intraperitoneal air is again noted. | <unk>-year-old female with et tube retracted. |
MIMIC-CXR-JPG/2.0.0/files/p17001101/s52821744/aee7fdc2-09fddea8-37521ad6-9358c2ba-c04710ad.jpg | the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with chest tightness // ?cause for chest pain |
MIMIC-CXR-JPG/2.0.0/files/p16146410/s55261019/18a3bc83-91387725-215f921a-ce0654b9-28783ab9.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p11679585/s50407106/f2832cf3-b7090fac-7d65371c-4d5e3890-91c54fc2.jpg | lungs demonstrate no focal parenchymal opacities are seen. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. chronic pleural thickening accounts for the blunting of the right costophrenic angle. focal biapical pleural parenchymal scarring is again seen. there is no evidence of subdiaphragmatic free air. bony structures are intact. degenerative changes of both ac joints are noted. | <unk>-year-old female with acute abdominal pain in the left lower quadrant. evaluate for free air. |
MIMIC-CXR-JPG/2.0.0/files/p19738569/s51408231/f716ed09-e6c2f65e-1212e3be-7e8cc983-f9633985.jpg | pa and lateral views of the chest provided. lung volumes are somewhat low. allowing for this, 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 sharp chest pain radiating to sides towards back. |
MIMIC-CXR-JPG/2.0.0/files/p12510171/s56387452/9b6f8274-341a4f6a-40448131-d6d88187-26da6b37.jpg | pa and lateral views of the chest. bibasilar opacities are unchanged and represent either atelectasis or pneumonia. there is hyperinflation of the lungs and flattening of the diaphragms, suggesting obstructive lung disease. a y-type tracheal stent is better seen on the lateral view and in place. there is no pleural effusion or pneumothorax. | copd, tracheobronchomalacia, shortness of breath and fevers, question acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14304495/s52880443/f78962cd-8328a774-acee5ee3-75906a69-683449d3.jpg | patient's unusual habitus required a total of four different frontal images to cover entire chest field as well as one lateral view. the heart size is normal. no configurational abnormalities are identified. thoracic aorta unremarkable. the pulmonary vasculature is not congested. no evidence of acute parenchymal infiltrates are seen and the lateral and posterior pleural sinuses are free. apical area excludes presence of pneumothorax. skeletal structures of the thorax grossly within normal limits. presence of very large soft tissue masses surrounding the thorax indicative of the patient's morbid obesity. there exists no prior chest examination available for comparison. review of a torso ct examination of <unk> did not show any pulmonary abnormalities in the basal half of the thorax. | <unk>-year-old male patient, morbidly obese, coming in with cough and subjective fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18964292/s58349546/0ddc25a8-b791c1cc-c15c152a-63ad948c-ae21f076.jpg | the lungs are hypoinflated. there is mild pulmonary vascular congestion. there is no focal consolidation. there is no pneumothorax or pleural effusion. the mediastinal and cardiac contours appear enlarged from prior, which may be due to patient obliquity, hypoinflation and technique. | <unk>f with chest pain to back. concern for dissection. |
MIMIC-CXR-JPG/2.0.0/files/p19971844/s54104296/10726476-35a66317-64727fee-93b9f54e-71d92089.jpg | pa and lateral views of the chest. there is mild biapical scarring. the lungs are otherwise clear without consolidation effusion or pulmonary vascular congestion. cardiac silhouette is mildly enlarged. descending thoracic aorta is ectatic. degenerative changes are noted at the shoulders bilaterally. osseous structures are otherwise unremarkable. | <unk>-year-old female with new murmur. |
MIMIC-CXR-JPG/2.0.0/files/p13332955/s51226777/64171a00-574fe50e-841d4920-53db2622-3003b27f.jpg | in comparison to prior studies, there has been interval improvement in pulmonary edema and near resolution. bilateral pleural effusions have nearly resolved, however a small right pleural effusion remains. the iabp terminates within <num> cm of the superior aspect of the aortic knob. no focal consolidations or pneumothorax. | <unk> year old woman with iabp in place // pump position, pulm edema? |
MIMIC-CXR-JPG/2.0.0/files/p15691899/s58426804/129add68-012a7015-b3240d85-c84f5407-28829e90.jpg | low lung volumes. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear besides linear opacity on the lateral view projecting over the heart, potentially in the middle lobe most suggestive of atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | <unk>m with wheezing on exam and history of asthma. evaluate for asthma exacerbation |
MIMIC-CXR-JPG/2.0.0/files/p14219521/s55226153/062c249b-5ddfe622-d6933394-91957b48-94d6cacc.jpg | frontal and lateral views of the chest. linear opacity in the left lung base most likely represents atelectasis; otherwise, the lungs are clear and well expanded. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours appear normal. there is no free air beneath the hemidiaphragms. there are old left rib deformities. | abnormal labs and recent leukocytosis. evaluation for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19130309/s56697475/e967222b-e7e21255-82617bb8-e8270775-eb320f24.jpg | there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. a left chest wall pacemaker is seen with lead in the right ventricle. median sternotomy wires are intact. surgical clips are present in the left chest wall. there are no acute skeletal findings. | <unk>-year-old man with persistent cough, recent uri, known heart failure, assess for pneumonia, pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p19261953/s50978999/71ef6750-d60d83ad-b4a00655-3a1fcba5-4a5322c4.jpg | multiple bilateral pulmonary nodules are again seen. there is scarring/ atelectasis at the lateral left lung base as well pleural thickening. there is persistent blunting of the left costophrenic angle. there is also slight blunting of the right costophrenic angle. patchy left base retrocardiac opacity is seen, nonspecific, could relate to infection or metastatic disease. no pneumothorax is seen. left-sided port-a-cath terminates in the right atrium. | <unk> year old man with colon cancer presenting with fever and exam suggestive of pna // pna? |
MIMIC-CXR-JPG/2.0.0/files/p18072875/s54238691/bd7fc8db-c54b77e5-2b57fe5b-4aaa2077-b5621bd1.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. apparent asymmetric hyperdensity of the left lung is likely due to superimposed breast tissue. no fractures are identified. | <unk>-year-old female with fall. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p10411588/s55394318/1c204a43-30206036-057b2fac-f79cd27f-714e242e.jpg | since prior exam, the picc has been pulled back. the tip is now in the low svc. the lung volumes are low, which limits evaluation. there appears to be mild vascular congestion without a definite focal opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. the aorta is unfolded and tortuous, similar to the prior exam. the heart size is within normal limits. | fever. evaluate pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11925631/s51690906/82c0e7ef-5760c746-e27a81ec-73b19b26-475e8d54.jpg | upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. evidence of free is is seen under the right hemidiaphragm, which may relate to patient's reported recent cholecystectomy. | abdominal pain and shortness of breath status post cholecystectomy today. |
MIMIC-CXR-JPG/2.0.0/files/p12495749/s52480224/419fcf8a-2b267fd9-f241dd79-428a00bd-122b43ea.jpg | pa and lateral views of the chest provided. cardiomegaly is mild and unchanged. hilar congestion is increased with interstitial pulmonary edema which is increased from prior. no large pleural effusion is seen. no pneumothorax. no definite signs of a superimposed pneumonia. aortic calcification again noted. bony structures are intact. | <unk>f with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p13975817/s51684139/10bd47a5-7ffa6f42-3d97ed33-01fdc53a-ee04b0b2.jpg | frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. depression of the sternum, best seen on the lateral view is longstanding. | hypoxia and possible seizure. assess for pneumonia or aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p10457182/s57776726/af9219ae-c8682d04-59f6f0f6-4afd4fd1-99d361fa.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. | chest pain and shortness of breath, assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12855109/s52870011/881a9645-221c6c90-fa424cf8-78558c80-fb22b5b0.jpg | large right apical pneumothorax is responsible for mild leftward mediastinal shift and bronchovascular crowding the left lung. there is no pleural effusion, focal consolidation, or evidence of hemorrhage. there is decreased left lung volume with associated bronchovascular crowding. right-sided subclavian line remains unchanged in position terminating within the low svc. | <unk> y/o female status post subclavian line placement, history of lymphoma, now with lower o<num> saturation. |
MIMIC-CXR-JPG/2.0.0/files/p15345456/s53335829/4aab5454-868b5497-84d1b8d0-0df3b283-794d7349.jpg | the lung volumes are low, resulting in accentuation of the cardiomediastinal contours and crowding of bronchovascular structures. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged but difficult to accurately assess due to relatively low lung volumes. scar in inferior lingula unchanged. | history: <unk>m with head strike <unk> weeks ago on warfarin with headahce and lethargy, also c/o doe // |
MIMIC-CXR-JPG/2.0.0/files/p12862888/s56570415/4c0225c4-a126e0a3-d98f1681-08313037-79d03392.jpg | lung apices are not included on the radiograph, upper abdomen is included. enteric tube tip is in the mid stomach. surgical clips upper abdomen. left picc line is partially seen. improved interstitial prominence since prior exam. stable left basilar opacity, probable tiny left pleural effusion. | <unk>f ngt placed please confirm position // <unk>f ngt placed please confirm position |
MIMIC-CXR-JPG/2.0.0/files/p15433848/s51229103/fdcc144a-0aa76303-1c425832-b1e505c3-13236c2c.jpg | the lungs are well expanded and clear. mediastinal contours and hila are normal. mild cardiomegaly without evidence of acute decompensation. no pleural effusion or pneumothorax. | <unk>m with confusion, hx of cancer // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18143490/s51637687/b7dadef0-8fed0909-1ff2190d-57abe2dc-b50ccb41.jpg | the patient is rotated to the left. et tube terminates <num> cm above the carina. ng-tube with the side hole in the region of the ge junction. pa catheter terminating in the region of the pulmonic valve. left ij terminating in the left brachiocephalic vein. sternotomy wires appear intact and appropriately aligned. improved right pleural effusion. persistent moderate left pleural effusion. left basilar atelectasis. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. | <unk> year old woman s/p replacement asc aorta // eval effusions |
MIMIC-CXR-JPG/2.0.0/files/p16239530/s59734044/75b9c06a-4c7b72af-ac91bb18-9adc5018-d1404229.jpg | there is probable cardiomegaly, with prominence of the left ventricle. the aorta is calcified and tortuous. there is upper zone redistribution, without overt chf. there is probable atelectasis at the left base. the absence of a lateral view it is difficult to completely exclude a focal infiltrate at the left base. elsewhere, no focal infiltrate or consolidation is detected. no right effusion is detected. doubt significant left effusion. | <unk> year old woman with ? community acquired pna per outside md, now with desats // ? atelectasis vs pna |
MIMIC-CXR-JPG/2.0.0/files/p11545313/s58946155/af9a3627-2754a0f4-03b9dc79-c19468d8-d95ac964.jpg | portable semi-upright radiograph of the chest demonstrates title lung volumes, which results in bronchovascular crowding. increased interstitial markings and haziness of the hila is concerning for moderate interstitial pulmonary edema. there is a probable small left pleural effusion. the heart remains enlarged. no pneumothorax. | history: <unk>f with code stroke // chf, pna |
MIMIC-CXR-JPG/2.0.0/files/p10705445/s57480622/1e72671b-80b62baa-fda3fb8b-6e9c15c0-5fb1197b.jpg | patchy right base opacity is seen, worrisome for pneumonia along with atelectasis. there is blunting of the right costophrenic angle of frontal view although so not well substantiated on the lateral view. there is minimal left base atelectasis. the patient is rotated somewhat to the right. no pneumothorax is seen. the cardiac silhouette is top-normal in size. | history: <unk>f with chest pain, dyspnea, hypoxia // eval heart and lungs |
MIMIC-CXR-JPG/2.0.0/files/p13950979/s57920026/82342ba7-b0a46d0a-8971359a-b943b6a9-b27a597f.jpg | patient is status post coronary artery bypass graft. median sternotomy wires appear grossly intact. there is a prosthetic mitral valve in place. the left chest wall pacemaker has leads terminating in the right atrium and right ventricle. there is new dense opacity at the left base obscuring the hemidiaphragm and apparently contiguous with the pleural surface, likely loculated pleural effusion, however underlying pneumonia or mass cannot be excluded. there is atelectasis at the right base. remaining lung fields are relatively clear. mild to moderate cardiomegaly is exaggerated by low lung volumes but likely unchanged. the mediastinal and contours are normal. there is no pneumothorax. there is no frank pulmonary edema. multiple old healed right lateral rib fractures are again identified. | history: <unk>m with pacemaker and now sob/cp // r/o chf |
MIMIC-CXR-JPG/2.0.0/files/p18492450/s55335628/0d253472-cf416a38-8888a2cb-d6415fbb-483a88c2.jpg | there is a large right lung opacity measuring approximately <unk> x <num> cm, occupying nearly the totality of the paramediastinal region of the right lung. there is also an associated right-sided pleural effusion. assessment of neoplastic process versus pulmonary inflammation within this consolidation is limited due to the lack of comparison studies. the left lung is unremarkable, without pleural effusion or focal opacity. the heart is not enlarged. there is no evidence of pneumothorax. biapical pleuroparenchymal scarring is present, right greater than left. | patient with newly diagnosed right upper lobe mass, presenting for further evaluation with shortness of breath. evaluate. |
MIMIC-CXR-JPG/2.0.0/files/p13983282/s54737117/a2b7a810-ce8c8062-fd9b7061-c3cfc1fe-175dc575.jpg | there is subtle increase in bibasilar opacities, suggestive of increased pleural effusions and mildly increased interstitial edema. no pneumothorax is detected. heart and mediastinum appear stable with mild cardiomegaly. right internal jugular catheter appears to be in similar position given differences in patient positioning. | <unk>-year-old female with shortness of breath and pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p12606113/s57545238/1172b480-b0c42c7a-1ef49339-d463db4c-153ffac7.jpg | there are increased interstitial markings throughout the lungs bilaterally, which is new since prior. there is chronic blunting of the left lateral costophrenic angle, which could be due to pleural thickening/scar. underlying effusion is also possible. the cardiac silhouette is within normal limits. the lungs are hyperinflated. dense atherosclerotic calcifications seen in the aorta. left-sided posterior fifth and sixth rib changes are identified, unchanged. there may be small bilateral effusions. | <unk>-year-old male with shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p10287542/s51837482/bfda9ce4-d5cd2b8d-b0500c7e-7d736804-6c431dab.jpg | heart size is normal. the mediastinal and hilar contours are unremarkable. there is a moderate size right pleural effusion with right basilar compressive atelectasis. subsegmental atelectasis is noted in the right upper lobe. a small left pleural effusion is also noted. left lung is clear. no pulmonary edema or pneumothorax is identified. there are no acute osseous abnormalities. | history: <unk>f with recent cholecystectomy, progressive weakness. |
MIMIC-CXR-JPG/2.0.0/files/p17779322/s55824178/9377a4dd-3de222aa-ecace2a9-ffa470a9-d523b2e4.jpg | the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of chest pain, syncope. please evaluate for pneumonia/chf. |
MIMIC-CXR-JPG/2.0.0/files/p16119588/s50205438/b51a1c71-fd0499ab-ceed0cbe-39e136e9-09c1115c.jpg | pa and lateral views of the chest provided. blunting of the left cp angle again noted consistent with a small left pleural effusion. a tiny right pleural effusion is also suspected. lungs are hyperinflated with coarsened interstitial markings reflecting known severe emphysema. no overt signs of edema or pneumonia. cardiomediastinal silhouette is unchanged. imaged bony structures appear intact. | <unk>f with copd, dyspnea // eval for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p14482958/s52845974/547792a3-1bc07328-9b6d86b0-6943d175-0bf3909d.jpg | <num> views were obtained of the chest. nasogastric tube courses into the stomach and out of view. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours. | anorexia with nasogastric tube. assess placement. |
MIMIC-CXR-JPG/2.0.0/files/p11345788/s57378479/5e9a44b8-a3943093-e439d84b-bd905a6d-0df0d0e0.jpg | cardiac silhouette size is normal. the aorta is markedly tortuous, unchanged. atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. moderate multilevel degenerative changes are seen within the thoracic spine with mild loss of height of <unk> mid thoracic vertebral bodies, not changed from <unk>. | history: <unk>m with left chest wall pain status post low speed mvc |
MIMIC-CXR-JPG/2.0.0/files/p10827966/s57583249/946f30cf-e4b217c6-773d7eba-a9f75e12-73cc2e75.jpg | again seen is a left-sided central catheter with its tip pointing posteriorly in the azygos vein. otherwise, there is no significant change. left lower lobe linear opacity, either atelectasis or scarring, is again seen. otherwise, the lungs are clear. top-normal heart size, mediastinum and hilar contours are unchanged. aortic calcification appear unchanged. severe thoracic kyphosis and vertebral body endplate changes likely due to renal osteodystrophy appear unchanged. | <unk> year old woman with ij, esrd on dialysis here for gi bleed. evaluate line placement, volume. |
MIMIC-CXR-JPG/2.0.0/files/p10995687/s56935682/dce0373b-5eca774f-29f2c87a-cc6d080d-0afe34d1.jpg | no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with chest pain // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p10332254/s58167704/2e75eeae-ba9aa170-c06dc548-a2ce53d8-6c6c07d1.jpg | cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta noted. prominence of the hila bilaterally is similar. the pulmonary vascularity is not engorged. linear opacity in the region of the lingula likely reflects scarring in is unchanged. remainder of lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. | congestive heart failure with chest tightness and shortness of breath for several hours. |
MIMIC-CXR-JPG/2.0.0/files/p15523091/s52587971/d43d6a16-aede43ef-1c15586b-a545eef4-5f1c611e.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 cough, fever |
MIMIC-CXR-JPG/2.0.0/files/p15622498/s51261386/f12af576-77a403a4-82a06210-13c73195-cd06eab7.jpg | right-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. heart size is top normal with dense mitral annular calcifications again noted. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. clips from prior bilateral nephrectomies are noted in the upper abdomen. | history: <unk>f with cough |
MIMIC-CXR-JPG/2.0.0/files/p17303323/s53722246/a97f041e-7007f8d4-62feed96-b43602d9-af483627.jpg | transvenous atrial biventricular pacer defibrillator leads with left pectoral generator are unchanged. right ij central line with tip over the upper right atrium is unchanged. right-sided chest tube is new. no pneumothorax is detected. the patient is status post sternotomy, with a large cardiomediastinal silhouette, similar to the prior film. again seen is opacification at the right base which likely represents a combination of a right effusion and underlying collapse and/or consolidation. the right pleural effusion may be very slightly smaller. faint blurring in the upper zones bilaterally likely reflects chf, also similar to the prior study. equivocal area of more confluent density in the upper right lung laterally, though i suspect that this is artifact due to overlying iatrogenic device. there is atelectasis in the retro cardio region, similar prior. no gross left effusion. | <unk> year old man with chf and complicated effusion s/p chest tube // assess ptx |
MIMIC-CXR-JPG/2.0.0/files/p16872291/s54960866/89d5bb1a-86136288-cb296398-d2df1039-c7022e48.jpg | ap and lateral views of the chest. when compared to prior, there has been improvement in the bibasilar opacities. there is a streaky right basilar opacity with mild linear opacity in left mid lung suggestive of atelectasis versus scar. there is no effusion. cardiac silhouette is enlarged but stable in configuration. no acute osseous abnormalities detected. | <unk>-year-old female with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17900392/s58780395/bce79f6a-f91866c6-3ce73431-b7b9ed3d-b779b23f.jpg | a portable frontal chest radiograph demonstrates interval advancement of an enteric tube, now in appropriate position. the endotracheal tube terminates <num> cm from the carina. the remainder of the exam is unchanged. | evaluate enteric tube positioned after adjustment. |
MIMIC-CXR-JPG/2.0.0/files/p19015466/s51717322/740d74ac-30f5cd7c-4c22501c-e6074db3-503b1cae.jpg | the lungs are hyperexpanded. there is a wedge-shaped opacity in the left upper lobe with less dense opacity more diffusely involving the left upper lobe, with evidence of volume loss. there is a horizontal scar consistent with prior resection. there is extension of the left hilum compared to prior studies. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with fever and shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10709096/s52828533/546b28dc-b8bbfdda-50c86bbe-60dcb75e-0b08bde8.jpg | pa and lateral views of the chest were obtained. lateral view is limited by patient's arm being down by her side. heart is top normal in size and cardiomediastinal contour is unremarkable. calcifications are noted in the aortic arch. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no displaced fracture is identified. | <unk>-year-old woman status post fall, evaluate for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p10610461/s57313508/82d82250-e0e55812-698137d2-6fcfe3a5-7d47f260.jpg | the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19674826/s58898166/1053788c-e2bbb0a3-67cbf74a-28db9c8f-993b7b93.jpg | the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. | <unk> year old man with persistent cough // r/o pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19395930/s52568572/52f7a76f-62e23430-96b2e1b5-1dbdb410-c21c01b7.jpg | the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.no osseous abnormalities. | history: <unk>f with chest pain sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p14086913/s55970930/2ac12967-6df7864e-141acca2-29512bcd-f18e86b4.jpg | there is no focal consolidation, pleural effusion or pneumothorax. two subtle nodular opacities project over the superior aspect of the heart on the lateral view and are not clearly identified on the frontal view. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. | history: <unk>f with leukocytosis w/ unknown origin, central cp // evidence of infection |
MIMIC-CXR-JPG/2.0.0/files/p19779079/s56635360/ae40a85f-a9b319c5-f91fcbfd-56cbbf9a-d0c09cf3.jpg | large left upper to mid lung consolidation and medial right mid to lower lung consolidation most consistent with multifocal pneumonia. difficult to exclude trace right pleural effusion. no large left pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is not enlarged. slight prominence at the ap window may be due to underlying mediastinal lymph node. the superior mediastinum is otherwise not widened. | history: <unk>m with acute process // acute process |
MIMIC-CXR-JPG/2.0.0/files/p15564604/s59871958/71c4dc48-b5a346aa-aa6b5643-404ed3fe-5e712ddd.jpg | there are mild bibasilar linear atelectatic changes. otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified. | weakness. |
MIMIC-CXR-JPG/2.0.0/files/p14081341/s53413472/e3c526a3-948ba13f-6545ab58-081c75d7-16825f72.jpg | the cardiomediastinal silhouettes are stable, reflective borderline cardiomegaly. the bilateral hila are within normal limits. there are low lung volumes and crowding of normal bronchovascular structures. linear opacity in the right middle lobe is similar in appearance to prior exams, most consistent with linear atelectasis. there is no focal consolidation. there is no evidence of pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion. | <unk>-year-old woman with fever and cough, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14394983/s59491184/c11b29ef-d8b67726-165e0cb8-4f25236d-1a42e5e5.jpg | frontal lateral chest radiograph demonstrates well expanded and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. no free intraperitoneal air. | <unk>m with hematemesis, multiple epsidoes vomiting, <unk> pain. assess for free intraperitoneal air. |
MIMIC-CXR-JPG/2.0.0/files/p18830363/s50811896/09dc79a0-94597e05-6ba3ac70-0064e3c8-054b43cb.jpg | portable semi-erect chest radiograph <unk> at <time> is submitted. | <unk> year old male with past history of cad s/p cabg, cardiomyopathy with icd placement <unk>, now intubated s/p fall and sah. // interval assessment interval assessment |
MIMIC-CXR-JPG/2.0.0/files/p15405111/s54250232/e9c4bcab-5d54dc16-9ba5b414-92f40804-8d09b567.jpg | as compared to the chest radiograph from the same day, there is a stable moderate left pleural effusion with atelectasis. there is moderate cardiomegaly, with indistinctness of the pulmonary vessels, indicative of an element of vascular congestion. there is no pneumothorax. there is no focal opacity in the right lung concerning for pneumonia. surgical fixation devices are present overlying the thoracolumbar spine. | hypoxia, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14607991/s57410351/feeb2067-8c13a52c-41a046a8-34791bc3-85ad0fc3.jpg | the chest, pa and lateral. the lungs are clear. moderate cardiomegaly is stable. hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. | hypoxia and dyspnea. |
MIMIC-CXR-JPG/2.0.0/files/p14037590/s57427720/dbbe1578-e2d6b560-d65ee1ce-39b7333d-1ed24e77.jpg | right-sided picc line terminates in the mid svc. there is new fluid tracking along along the fissures. the cardiomediastinal silhouette and hilar contours are stable. no pleural effusion and no opacities to suggest infectious process. | <unk>-year-old female with neutropenic fever. |
MIMIC-CXR-JPG/2.0.0/files/p18588384/s55055677/e0b60f62-dbfc0cb2-b277d04c-7a3ddf2a-b61c6ebe.jpg | ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with headstrike // eval for ptx, bleed |
MIMIC-CXR-JPG/2.0.0/files/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg | allowing for differences in positioning, the et tube ng tube and <num> right ij lines are probably similar in position. again seen is mild to moderate cardiomegaly and chf with vascular plethora an interstitial edema. small amount of alveolar edema would be difficult to exclude. retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. there is increased hazy density over the right over lower half of the right lung and to some degree at the left base. i suspect this reflects layering pleural effusions. presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded. | <unk> year old man s/p cardiac arrest, started on crrt, remains intubated // interval change? |
MIMIC-CXR-JPG/2.0.0/files/p17133509/s58224709/5df82d64-bc4f1f73-eb496a95-b0fb5130-c6656478.jpg | cardiomegaly, as before. the aorta is calcified, indicating atherosclerosis. new compared to prior prior increased interstitial markings and engorgement of the hila. more dense opacity identified at the right lung base, more so than left. probable small bilateral pleural effusions are noted. there are no acute osseous abnormalities. | <unk>m with shortness of breath, hypoxic to <unk>% // eval for pneumonia, chf |
MIMIC-CXR-JPG/2.0.0/files/p15805011/s51726414/b3b1a0ec-be0304c8-cce6f241-9d4476c2-573735a6.jpg | pa and lateral chest radiographs are limited by body habitus. despite limitations, the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. prominent left lateral pleural lipomatosis is unchanged. the cardiac and mediastinal contours are unremarkable. | <unk>-year-old man with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19909352/s55488974/38c3fc39-c74330b9-490f6aca-6db29372-86e4f208.jpg | the patient is status post median sternotomy and cabg. heart size is normal. mediastinal and hilar contours are unremarkable. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. | congestive heart failure, right arm and leg weakness. recent asthma exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p11688158/s55095694/e644a807-04935b41-86d25723-f3034b9c-f2f042f2.jpg | lung volumes are low, exaggerating the cardiomediastinal contours, which are otherwise unremarkable. no focal consolidations concerning for pneumonia identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable. | history: <unk>m with cp // evidence of pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p10362716/s56332200/81a889c3-3dc912a2-f0e3cd66-305db500-1881aedf.jpg | since the prior study, there has been decrease in lung volumes and redemonstration of coarse interstitial markings. cardiomediastinal silhouette is mildly enlarged and there is no new focal parenchymal consolidation. no evidence of large pleural effusion or pneumothorax. aside from general osteopenia, there is no acute osseous finding. | history: <unk>f with weakness. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p19705710/s56377963/0e81cd50-a5e3d69d-e5d1968d-509e3f3c-3e7ae72d.jpg | the study is somewhat limited due to low lung volumes and the patient's chin and neck obscuring assessment of the right lung apex. streaky bibasilar airspace opacities likely reflect atelectasis though aspiration or infection cannot be completely excluded. the cardiac, mediastinal and hilar contours are unchanged with mild enlargement of cardiac silhouette and tortuosity of the thoracic aorta again noted. there is crowding of the bronchovascular structures but no overt pulmonary edema is present. a small left pleural effusion is unchanged. compression deformity of an upper lumbar vertebral body is unchanged. marked degenerative changes of the left glenohumeral joint are present. | not feeling well, cough. |
MIMIC-CXR-JPG/2.0.0/files/p13609618/s58172370/98c97f57-06404ad2-3371d428-c9a78ef2-d182fc23.jpg | increased interstitial markings are seen throughout the lungs bilaterally but appear most severe overlying the upper lobes. lung volumes are relatively low. there is no definite superimposed focal consolidation and the pattern appears grossly similar compared to prior. cardiomediastinal silhouette is unchanged. known adenopathy is better seen on prior ct scan. posterior left rib fractures are noted. left breast prosthesis is visualized. | <unk>f with hypoxia, exertional chest pain, exertional hypoxia, rle pain + swelling // evaluate for pe, acute process |
MIMIC-CXR-JPG/2.0.0/files/p12219185/s58217494/e9adaf70-2ed5d3ca-34e0bad1-27bb2338-b45d096e.jpg | the lungs are that the focal opacity, pleural effusion pneumothorax. cardiac and mediastinal contours are stable. no acute osseous abnormality identified. | <unk>m s/p spinal surgery, concern for wound infection but with productive cough. |
MIMIC-CXR-JPG/2.0.0/files/p16405062/s58014421/f38194db-2723baf0-f630a570-23a2bcf9-2ec8b54c.jpg | heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19219660/s55046534/8bc2da62-692a8d7a-2cbc4821-92b42857-cebdc23c.jpg | right-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. a common bile duct stent is demonstrated in the right upper quadrant of the abdomen along with multiple clips projecting over the epigastric region. no acute osseous abnormality is visualized. | history: <unk>m with fever, epigastric pain |
MIMIC-CXR-JPG/2.0.0/files/p19879454/s56363521/e76e19f7-5d115d53-5448e63f-c01efdcd-ea30a4bf.jpg | ap portable upright view of the chest. midline sternotomy wires and prosthetic cardiac valve again noted. there is a left chest wall pacemaker with leads extending to the region the right atrium and right ventricle as on prior. there is persistent mild cardiomegaly with hilar congestion and mild pulmonary edema. no large effusion or pneumothorax seen. bony structures are intact. | <unk>f with chest pain // ? acute cardiopulm process |
MIMIC-CXR-JPG/2.0.0/files/p12860349/s56752982/c6e4b408-bb25739e-95d603e7-db5abd32-a73ce1ae.jpg | pa and lateral views of the chest were obtained. port-a-cath is seen over the left chest with tip terminating at the cavoatrial junction. there is no focal consolidation, pleural effusion, or pneumothorax. left upper lung density corresponds to one of several known pulmonary metastatic lesions. known osseous metastatses. | <unk>-year-old woman with brca, on chemo, presenting with chills, nausea, vomiting; evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p11045286/s55403452/00d28b33-ed4fcbd4-acfdd91b-748957cb-f9476a65.jpg | the patient is status post coronary artery bypass graft surgery and aortic valve replacement. the lungs appear clear. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. widening and irregularity of the left acromioclavicular joint appears unchanged. the acromiohumeral interval is also narrowed on the left. small osteophytes are present throughout the thoracic spine, and the bones are likely demineralized to some degree. | lower extremity swelling. history of congestive heart failure. |
MIMIC-CXR-JPG/2.0.0/files/p17449903/s51496085/07ba4ef0-c6e619dd-9e382391-65535fb7-78370eed.jpg | frontal and lateral radiographs of the chest demonstrates slightly decreased lung volume since the prior study. there is subtle opacification at the left lung base which is new since the prior study and may represent atelectasis or developing pneumonia. the heart size, hilar and mediastinal contours are unchanged. no pleural abnormality is identified. | cough and elevated white blood cell count. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16892632/s53668516/980e29db-f9d05c5e-f8753f35-da1a4585-238d4668.jpg | unremarkable mediastinal, hilar and cardiac contours are noted and stable. mild bibasilar atelectasis is seen. no focal opacification concerning for pneumonia present. minimal blunting of the costophrenic angles are likely related to pleural thickening. no definite pleural effusion identified. no pneumothorax present. | cough, shortness of breath, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15672432/s54397038/0a12e90f-d36dfb0c-556d0319-7894db4b-78629640.jpg | moderate cardiomegaly. there is mild prominence of the pulmonary vasculature. there is no focal consolidation. no pneumothorax or pleural effusion. | history: <unk>m with sob and hypoxia // pna? fluid? |
MIMIC-CXR-JPG/2.0.0/files/p10003400/s57147097/71884ebf-2fa1b333-d288ddba-2a9d832b-c9f4f79b.jpg | a chest tube in similar position. interval decrease in the right-sided pleural effusion which is now small. there is still fluid along the minor fissure and right lower lobe opacification. moderate to large left pleural effusion and significant opacification of the left lung is unchanged. feeding tube has been removed. nasogastric tube is coiled in the stomach region. . | <unk> year old woman with known pleural effusion drained by ct, now draining more this morning than last <num> hrs // interval change, pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14932641/s55048511/121c6951-18176b06-773ecef9-b924831c-da434bc1.jpg | a right-sided picc line terminates in the lower superior vena cava. a tracheostomy appears unchanged. are areas of opacification and volume loss in the left hemithorax, as well as the cardiac, mediastinal and hilar contours, appear stable. | picc line placement. |
MIMIC-CXR-JPG/2.0.0/files/p12047418/s51215244/2f3ae37c-06ebf567-4bda5cc7-c27a1333-43cd6d8e.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with respiratory failure // please eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p12739368/s50055363/d8e6aa32-8ba644c9-850bfadf-9b2daebd-f6409d5e.jpg | a right chest wall port-a-cath is in unchanged position ending in the low svc. normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. | <unk> year old woman with chest pain // infection |
MIMIC-CXR-JPG/2.0.0/files/p10556708/s59048036/f40395f9-a757e9cd-85772e2d-22ba1780-8043cda0.jpg | the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. | fever and productive cough, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18371155/s52974613/e98680a0-5b4a8973-57981420-f67eb8a0-87acae26.jpg | there has been little interval change in comparison to prior study from <unk>. the lungs remain clear with no evidence of focal consolidation, effusion, or pneumothorax. post-surgical changes are noted with surgical clips overlying the left hemithorax. additionally, surgical <unk> are noted in the upper abdomen. mediastinal silhouette remains normal. osseous structures appear unremarkable. | evaluation of patient with toe infection. |
MIMIC-CXR-JPG/2.0.0/files/p15556292/s52574579/0530ea6d-89779fe2-24500149-e2cf32ba-6bb176f0.jpg | the lungs remain hyperinflated. the cardiac and mediastinal silhouettes are stable. patchy right base opacity has been present over multiple prior studies and may be chronic, underlying aspiration or infection is difficult to entirely exclude. the left lung is grossly clear. there is no pleural effusion or pneumothorax. the bones are diffusely osteopenic. | history: <unk>f with weakness // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p12697173/s50028057/b5170100-34fe78b5-0df333d0-60be9f6c-bd1cb9b4.jpg | dual lead left-sided pacemaker is seen with leads again extending to the expected positions of the right atrium and right ventricle.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with cp // infiltrate or pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p12582300/s59389996/5bf4f46f-11efbf4f-848ee5dc-80416516-7df32e3d.jpg | ap upright and lateral views of the chest provided. faint linear densities in the lower lungs likely represent platelike atelectasis. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. emphysema is present. the cardiomediastinal silhouette appears stable with aortic calcifications. scoliosis involving the lower thoracic and upper lumbar spine is unchanged. | <unk>f with weakness // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p10236222/s52044836/d3311b3d-3445eb78-62673efd-3951cbba-c6b3df71.jpg | frontal and lateral views of the chest were obtained. heart size and mediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk>-year-old male with aids and recent-onset fatigue and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p18386349/s53976162/1b190280-f5724ebf-d8ec76c3-cc23434f-9969aec8.jpg | the heart is again mildly enlarged. the aorta is tortuous and partly calcified. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique, however. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized. there is again mildly exaggerated kyphotic angulation associated with unchanged loss in height among several mid thoracic vertebral bodies. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p19854608/s58172706/4a186b3f-d44c1dcf-f1585c69-4b977ff1-d0fe275e.jpg | <num> views of the chest demonstrates a right chest wall pacemaker generator with right atrial and ventricular leads, unchanged in position since the prior study. posterior fixation rods and pedicle screws in the thoracic spine are unchanged since the prior study. heart size is top normal. hilar and mediastinal contours are within normal limits. the lung volumes are decreased since the prior study. right lung base atelectasis is noted. no pleural effusion or pneumothorax. | hyponatremia. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10700319/s58818441/e7109724-3e2290bb-1d5afe3b-d257cc2d-e77bfcbe.jpg | lung volumes are low leading to crowding of the bronchovascular structures. there is no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. mild prominence of the interstitial markings appears similar to prior. the cardiomediastinal silhouette is unchanged. calcifications are noted at the aortic arch. | <unk>f with confusion/ams, aspiration risk // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11752817/s59400144/72760e42-c15a0a2f-7adb8834-9960cf2d-c5db0200.jpg | in comparison to the prior radiograph performed yesterday afternoon, opacification of the right hemithorax appears to have improved slightly. this suggests better aeration of the right lung. however, there is still a substantial right pleural effusion due to underlying empyema. small air collection at the right costophrenic sulcus that is contiguous with extrathoracic space, s/p eloesser flap. there is also a small left pleural effusion. otherwise, the left lung is essentially clear. stable cardiomediastinal silhouette. | <unk> year old man with cirrhosis, recent right sided empyema, s/p elossier flap <unk> now with mucous plug and atelectasis. // assess mucous plug |
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