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MIMIC-CXR-JPG/2.0.0/files/p18463717/s56878074/0bfa3533-2b7419dc-1213c27d-a889dd5f-49153de6.jpg | the endotracheal tube terminate <num> cm above the carina. a right ij line is seen terminating in the mid svc. within the left lung, there is minimal basilar atelectasis, improved from prior examination. within the right lung, there is increased basilar atelectasis with small, associated pleural effusion. there is no evidence of pneumothorax. stable, mild cardiomegaly is noted. the mediastinum appears widened, and is likely exaggerated by patient rotation. | gi bleed, new intubation. |
MIMIC-CXR-JPG/2.0.0/files/p14111050/s50192350/c43d8de9-e78a496c-c9ec575c-87f7818a-7b98a0e6.jpg | single upright ap view of the chest demonstrates interval removal of a dual-lumen hemodialysis catheter since the prior study. the lungs are well expanded, with a linear area of atelectasis in the left lower lung, but no focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is unremarkable. | <unk>-year-old male with dyspnea, and missed hemodialysis appointment. evaluation for fluid overload. |
MIMIC-CXR-JPG/2.0.0/files/p19915727/s54837211/d4f44135-bb19745d-361f05d0-75891915-e306b3f7.jpg | heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. the visualized osseous structures are grossly unremarkable. | aml, pre-bone marrow transplant evaluation. |
MIMIC-CXR-JPG/2.0.0/files/p12122921/s56210762/8d526498-125ebb53-a5f97842-a24f6294-37e8456d.jpg | interval removal of the left-sided pigtail catheter. no pneumothorax or associated sub-cutaneous emphysema. improvement in the left pleural effusion, now small-to-moderate in size. stable, small right pleural effusion with adjacent basilar atelectasis. stable tracking of the effusions in the fissures. stable cardiomegaly. the mediastinal contours are normal. no new focal consolidation or pulmonary edema. no acute osseous abnormality. no intra-abdominal sub-diaphragmatic free air. | <unk>-year-old man, status-post drainage of left-sided pleural effusion and removal of chest tube; evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16709115/s57040051/3f1a7744-2de51434-876b02e5-e58c9768-935f7f25.jpg | the cardiac, mediastinal, and hilar contours are normal. the pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen. | left-sided chest discomfort. |
MIMIC-CXR-JPG/2.0.0/files/p19192170/s57365796/5b4263ab-af466c82-baf18093-5b5b88d9-a0172d79.jpg | other than a right upper lobe granuloma, the lungs are clear with no focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable, with heart within the upper limits of normal in size. pulmonary vascularity is normal. there is dextroconvex scoliosis of the thoracic spine. | <unk>-year-old male with cough, rash and swollen lips. evaluate for chf or tumor. |
MIMIC-CXR-JPG/2.0.0/files/p15363567/s56481689/c8658102-b1187952-7e7d7671-73bf7938-925fc90e.jpg | cardiomediastinal silhouette and hilar contours are normal. previously appreciated left lower lung consolidation is improved but with persistent small left pleural effusion. there is no pneumothorax. right lung is clear. a peg tube projects over the left upper quadrant. | hypoxia and improving hypercarbia but with a rising white count and increased sputum production and at high risk for aspiration. |
MIMIC-CXR-JPG/2.0.0/files/p13110959/s52831153/53a8e08b-2806ac21-ec030e82-0dfddc88-3f929dcc.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. no apical scarring is identified. mild thickening of the fissues is of uncertain significance. the cardiomediastinal silhouette is normal. | cough and night sweats. evaluate for tuberculosis. |
MIMIC-CXR-JPG/2.0.0/files/p13901287/s54081768/4204c3e3-ca4e9d08-1e29ad30-10e98aa0-039d4553.jpg | the lungs are well expanded. a small opacity is seen in the right lung base, possibly representing atelectasis, but cannot exclude early pneumonia or aspiration in the right clinical setting. mild cephalization is noted, but no overt pulmonary edema is seen. there is no pleural effusion or pneumothorax. the mediastinum is widened, primarily due to an enlarged aorta, which could be aneurysmally dilated. the cardiac silhouette is enlarged. | history: <unk>m with hyperk // ? mass |
MIMIC-CXR-JPG/2.0.0/files/p17397253/s58996131/2ce0b928-4707372a-e3cfc4d9-a5cc3d18-9016cbd6.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11020337/s50203696/21e82b4b-7593ae6c-56a1c1f8-9c9656e1-a2c04499.jpg | frontal and lateral views of the chest. heart size and mediastinal contours are normal. prominent right-sided epicardial fat pad, as seen on <unk> abdomen ct, is stable. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. multiple bilaeral rib and right scapular fractures are chronic and stable. | seizures. |
MIMIC-CXR-JPG/2.0.0/files/p19224245/s55812064/efb7c22c-19373f9d-a0127c96-53652322-6aa39a9b.jpg | pa and lateral views of the chest. the lungs are clear. there is no pleural effusion, pneumothorax, or focal consolidation. the cardiomediastinal and hilar contours are normal. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14080963/s59394497/c6472625-ead20acb-bc1c10b4-a3ec18a0-c3e669f6.jpg | the lungs are clear. prominent soft tissue in the right upper paratracheal location likely corresponds to prominent vasculature. cardiomegaly is stable. multilevel spinal degenerative changes are noted. | <unk> year old woman with multiple myeloma chills and altered mental status // infection |
MIMIC-CXR-JPG/2.0.0/files/p14351551/s51330968/0f67b8c6-95c795ec-d5586b74-bbea5f57-cc645c7a.jpg | no focal consolidation is seen. there is no pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable peer | <unk> yo male s/p fall head contusion // evaluate for head and neck trauma |
MIMIC-CXR-JPG/2.0.0/files/p13131584/s51609240/aab56051-0961e5e8-880f760a-eda927ce-466f7298.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. | history: <unk>f with cough // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p15068876/s58613228/be3835e4-40b2cc7e-46ded211-3627debe-5b512bb4.jpg | since the prior cxr, there has been interval placement of a dobbhoff tube that terminates in the stomach. multiple right upper quadrant drains are re-demonstrated. lung volumes are low. there are no focal consolidations, large pleural effusions or pneumothorax. stable mild to moderate cardiomegaly. | <unk> year old woman with polycystic liver s/p drains by ir. bacteremia. ngt placed <unk> // eval ng dobhoff tube placement |
MIMIC-CXR-JPG/2.0.0/files/p18051152/s57280041/23570eae-c2713f42-a22a6668-59cfdf5f-2d7367bc.jpg | there has been removal of a right ij central venous catheter. there is a right picc line with the tip ending in the lower svc. there is no pneumothorax. pulmonary vascular congestion is stable from prior exam. there is a small right pleural effusion and moderate left pleural effusion, unchanged. the heart size is mildly enlarged, also unchanged from prior exam. | <unk>-year-old man with removal of right ij central venous line and indwelling right picc, assess for placement of picc. |
MIMIC-CXR-JPG/2.0.0/files/p15068059/s53699756/e7497304-49f0ae02-e1aff025-13cd422b-28bb3373.jpg | pa and lateral views of the chest provided. overall lung volumes are low with crowding of the vessels at both bases. bands of atelectasis are seen within the right middle lobe. there is no focal consolidation, effusion, or pneumothorax. heart size is top-normal and exaggerated by low lung volumes. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk> year old man with persistent cough // assess for pna |
MIMIC-CXR-JPG/2.0.0/files/p12029365/s52701548/c6119e6a-d88c7b26-68d0f00d-2019ceca-2dd61638.jpg | there is no pleural effusion, or pneumothorax. there is mild pulmonary edema. increased opacity in the left lung could be focus of increased pulmonary edema although aspiration is also possible. radiodense marker is noted in the right upper lung.there is no local hemorrhage. cardiac silhouette is borderline enlarged. left pectoral pacemaker leads terminate in right atrium and right ventricle. | <unk> year old man with rul nodule biopsy and ebus/tbna // r/o pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p15647220/s54984350/3c59353a-5f744ea5-de9ed62c-3190d61a-c55f02fb.jpg | redemonstrated is atelectasis seen within the left lung with associated left perihilar radiation changes and adjacent postobstructive changes. the left hemidiaphragm is elevated, likely secondary to fibrosis following radiation therapy. there is no focal consolidation seen within the right lung. there is no pleural effusion, pneumothorax, or overt pulmonary edema identified. the heart appears grossly normal in size. | history of lung cancer status post radiation therapy, evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p13299143/s56874099/caeed46b-e264b08d-65df078d-07ba3d4f-d88b30ae.jpg | frontal and lateral views of the chest demonstrate normal lung volumes. linear opacities involving right mid lung zone, likely correspond to scarring and post-surgical changes related to right lower lobe wedge resection. there is no focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are normal. aortic arch calcifications are noted. heart size is normal. no pulmonary edema is seen. ill-defined opacity projecting over ascending aorta is only seen on the lateral view, and appears more prominent from <unk> exam. patient is status post left mastectomy. multiple surgical clips project over mid upper abdomen. | dizziness and vomiting. patient with history of lung cancer. |
MIMIC-CXR-JPG/2.0.0/files/p17781063/s51953353/d2dd3f91-a26a2cee-ad8540cc-5b3068f2-c4809f9c.jpg | the heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. a gastric lap band is visualized within the left upper quadrant of the abdomen. | chest pain and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p16547007/s54008102/6e128fd5-f196a9de-49a7a7b1-0db3dc86-691f3687.jpg | right basilar opacity may be due to atelectasis noting low lung volumes, not significantly changed from prior. blunting of left costophrenic angle suggests small effusion as on prior. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. | <unk>f with possible aspiration // eval for interval change |
MIMIC-CXR-JPG/2.0.0/files/p10639500/s58251834/3825e92b-27fe32f7-8b11dacc-150275a6-9abd5b7e.jpg | ap portable upright chest radiograph provided. the heart is moderately enlarged. the hila appear congested. mild edema difficult to exclude. no large effusion. no convincing evidence for pneumonia. no pneumothorax. bony structures are intact. | <unk>-year-old male with morbid obesity here with chest and abdominal pain. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18480379/s59222797/e2fa7c27-9ab69531-5286d839-53789599-afb682d3.jpg | the lungs are relatively hyperinflated. bibasilar atelectasis and scarring is seen. there is also lingular scarring. no pleural effusion or pneumothorax is seen. the cardiac silhouette remains top-normal to mildly enlarged. no pulmonary edema is seen. vertebroplasty the mid thoracic spine is again seen. there is again grossly stable compression deformity <num> level below the vertebroplasty as well as anterior wedging of <num> to two vertebral bodies a couple levels below the vertebroplasty. | history: <unk>f with lightheadedness, cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13529237/s53176672/af6ad1f4-f30dc22d-0ec8288d-56a47322-8d1163e6.jpg | lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified. | acute onset chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14207656/s58059747/6d551d1f-ea0c3a2f-0dd42b72-6e044a36-1ea445c3.jpg | the heart is normal in size. there is redemonstration of calcified hilar and mediastinal lymph nodes, as seen previously on chest radiographs and noncontrast ct of the chest. there is elevation of the left hemidiaphragm. no focal areas of consolidation are seen within the lungs. there is no pleural effusion or pneumothorax. | <unk>-year-old female shortness of breath. evaluation for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p14568274/s58409494/753c34df-271a32fd-6d8b0e68-24aa9893-053f04c2.jpg | frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. the aorta is mildly tortuous. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable. dish is noted in the thoracic spine. | chest pain. evaluate cardiac size, pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16279965/s51457307/f75e7463-f81ff5f7-63b2e1cf-82d67067-93824a03.jpg | lungs are fully expanded and clear. there is no diaphragmatic flattening or enlargement of the retro sternal clear space a suggest copd. apparent enlargement of the ap diameter is likely related to thoracic kyphosis. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. | <unk>f with left knee effusion, further w/u per ortho request, evaluate for copd. |
MIMIC-CXR-JPG/2.0.0/files/p15285446/s51102031/cc6f2e41-e2ef08d2-311312c2-bd62b2bc-3f616488.jpg | frontal and lateral views of the chest are normal. the mediastinal, pleural, and pulmonary structures are unremarkable. there is no pneumothorax or pleural effusion. the heart size is normal. fine osseous detail is limited by body habitus. | chest pain that radiates to the back. |
MIMIC-CXR-JPG/2.0.0/files/p14771056/s52160878/5f5ca0d8-2a194943-024d5361-4b7d9b59-b04f983e.jpg | the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. degenerative changes are seen in the thoracic spine. | cough, fever, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12092225/s59809741/8d81720b-9434fd95-08525c01-6d76650f-ee9b7afe.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. subtle leftward indentation on the trachea above the level of the clavicle could be due to enlarged right lobe of the thyroid. | history: <unk>m with cp, vomiting, tachycardia // eval for ptx |
MIMIC-CXR-JPG/2.0.0/files/p16490533/s53917099/0e21c933-2c96f831-6a500f43-1e2c7a45-54d3d8a8.jpg | heart size is mildly enlarged with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. a right internal jugular approach port-a-cath tip terminates in the high right atrium. | rectal cancer on chemotherapy with tia-like symptoms. |
MIMIC-CXR-JPG/2.0.0/files/p13748721/s59952449/ed8a0570-705726ef-5e16abac-96c677c1-bcab6b6d.jpg | the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. slight degenerative changes are present along the thoracic spine. there has been no significant change. | chest pain and headache. |
MIMIC-CXR-JPG/2.0.0/files/p13798952/s51633032/e00f51e6-2d18f0a9-7d3ac232-57f5ed48-263f1013.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with ili // cough chest burning |
MIMIC-CXR-JPG/2.0.0/files/p11125965/s56591635/6f70514a-e525b408-a149d412-c5167d4e-c5bb6646.jpg | frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable. | history: <unk>f with cp // r/o infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p18369045/s59427447/ed8b694f-cdb240c2-848511e9-6c716c56-13148dd9.jpg | frontal and lateral views of the chest. the lungs are hyperinflated. focal opacity at the right cardiophrenic angle is compatible with fat pad identified on prior ct. more vertically oriented opacities seen laterally in the right lung may be due to atelectasis. there is no focal consolidation worrisome for infection. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications identified at the aortic arch. no acute osseous abnormality is identified. | <unk>-year-old female with tachycardia and crackles. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15896535/s54099723/b6e664d1-191d9cac-6c0f2420-e98a8a1d-8fe0e27a.jpg | heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. multiple mediastinal clips are re- demonstrated. pulmonary vascularity is normal. previously noted left lower lobe opacity has nearly completely resolved. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified. | fever. |
MIMIC-CXR-JPG/2.0.0/files/p16993562/s50084536/5aa01912-0e116d4a-41827488-6affab51-647fb73c.jpg | frontal and lateral views of the chest demonstrate somewhat suboptimal frontal evaluation due to obscuration of lung bases by the upper abdomen. allowing for such, the lungs are clear, although low in volume. there is no pneumothorax, vascular congestion, or large effusion. cardiomediastinal silhouette is within normal limits. | <unk>-year-old female with end-stage liver disease, presents with seizure. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16387284/s59395234/3f125b66-9ac50616-9dbb8277-a2043cec-08beec49.jpg | right ij central line tip low svc. very shallow inspiration. sternotomy. small left pleural effusion, more prominent. new bilateral perihilar opacities, likely developing edema. mild bibasilar atelectasis. | <unk> year old woman s/p cabg // hypoxemia |
MIMIC-CXR-JPG/2.0.0/files/p14827159/s51668659/dcc3de28-ae489eb8-bfc470e8-498a57f4-d80950ac.jpg | cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized. | supraventricular tachycardia. |
MIMIC-CXR-JPG/2.0.0/files/p11482500/s59696600/40f70c48-2318729f-35b6066e-eb991d76-35180de8.jpg | there has been interval decrease in the right pleural effusion, and a stable moderate size left pleural effusion is again noted. no pneumothorax is seen. the heart continues to be enlarged, and a left-sided cardiac pacing device has its leads projecting over the right atrium and ventricle. | <unk> year old woman with right pleural effusion status post thoracentesis with <num> ml output. evaluate for pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p16979635/s58726302/c7e99270-93a8d18e-17c2a20f-b9c8f925-7e069005.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a few ring shadows are again noted in the upper lungs, two on each side. otherwise, the lung fields appear clear. bony structures are unremarkable. | evaluation of cystic structures on prior radiographs requested. |
MIMIC-CXR-JPG/2.0.0/files/p10530041/s59485638/8fac7085-d897e2eb-8c777b05-0d6a8415-eb4e0668.jpg | a moderate-to-large right pneumothorax persists. there has been interval decrease in size of its basilar component. the apical component remains essentially unchanged. chest tubes are in unchanged position. cardiomediastinal contours are normal. left lung is clear. | <unk>-year-old woman status post right lower lobectomy with right pneumothorax. chest tube placed on suction. evaluate for improvement. |
MIMIC-CXR-JPG/2.0.0/files/p15390338/s55895829/1bfadffb-9c97ea6c-ff183e1a-efb14129-ea2831d3.jpg | the lungs remain hyperinflated. the cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous in the cardiac silhouette enlarged. minor mid lung atelectasis/scar is noted particularly on the lateral view. mitral anulus calcification is also noted. | history: <unk>f with sob // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p12511936/s51313391/803f6c56-ac571aa9-70565968-0ec65c52-1ef5a9dc.jpg | the lungs are mildly hyperinflated and clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable. | <num> week history of cough and left-sided wheezing; assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17597508/s54049391/aafc9435-598fbcb2-a6d72345-2d5cbc43-c53c73f4.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. no subdiaphragmatic free air is identified. | status post roux-en-y bypass. question free air |
MIMIC-CXR-JPG/2.0.0/files/p19227457/s53177717/bdda38fb-b3502f0c-bd89113c-766580b8-8066c8e8.jpg | portable ap upright chest radiograph was obtained. the lungs are relatively well expanded and clear. linear atelectasis is seen in the left lower lobe. there is no focal consolidation, pleural effusion or pneumothorax. left subclavian catheter has been removed. the heart is moderately enlarged with tortuous aortic contour. | worsening shortness of breath with history of aortic regurgitation and atrial fibrillation status post whipple procedure seven days ago, assess for pleural effusion or pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p14721873/s56203761/b01d3923-0b971d9b-679b062e-68775e3a-06480867.jpg | low lung volumes and underpenetrated technique somewhat limit the assessment. allowing for this, the lungs are clear. heart is top-normal in size. hila appear slightly congested. no large effusion or pneumothorax. bony structures are intact. | <unk>m with svt to <num>s, palpitationbs |
MIMIC-CXR-JPG/2.0.0/files/p19027151/s58708261/e505a0e0-35353147-53b61a51-d8b15443-3d6c40a8.jpg | indistinct airspace opacities in the right lung base may represent atelectasis or early pneumonia depending upon the clinical setting. there is no pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is normal. | <unk>f with chest pain, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p15092156/s56836202/574fc387-a16a7009-bab4d31f-46b40b01-c3ee6dc5.jpg | lung volumes are low limiting assessment. there is mild bibasilar atelectasis. bronchovascular crowding also noted in the perihilar region in the setting of low lung volumes. no convincing signs of pneumonia, edema, large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged allowing for differences in technique. again seen is a comminuted fracture of the surgical neck of the left humerus. again seen is chronic deformity of the distal right clavicle. | <unk>-year-old man with weakness, cough. evaluate for acute process, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p15483978/s55475061/b4daa9de-d4b48009-fb35771d-0677162f-4ed13c92.jpg | the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lung volumes are low. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. | pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p17168310/s51055380/6bf3da7a-5f7bdcff-a37104e9-ef154aa2-ac633226.jpg | low lung volumes cause bronchovascular crowding and bibasilar platelike atelectasis. linear opacity projecting above the left hemidiaphragm is unchanged from prior studies and likely represents chronic scarring. there is no pleural effusion, pulmonary edema, focal consolidation, or pneumothorax. the cardiomediastinal silhouette is unchanged. | <unk> year old man with new o<num> requirement, evaluate for acute pulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p17304751/s51781875/99cd94f2-3f89909f-cc201279-74106170-c3285d9d.jpg | the heart size is top normal with a left ventricular predominance. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of fevers on chemotherapy. |
MIMIC-CXR-JPG/2.0.0/files/p19172342/s58479900/cde25593-844dc3e8-8d56034f-d45c979d-46e164bc.jpg | pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p18001762/s59728339/205d5d26-40da6d4f-35469a7a-47c9bc26-3b4e35f8.jpg | heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. | history: <unk>f with cough, orthopnea |
MIMIC-CXR-JPG/2.0.0/files/p12671760/s56930222/fcff445d-b7da8a74-a8927da6-9ed14ae2-ab5d1a86.jpg | the cardiac, mediastinal and hilar contours appear unchanged. the heart is borderline enlarged. there is no pleural effusion or pneumothorax. the lungs appear clear. there is some chronic-appearing bony fragmentation along the distal right clavicle. | nausea and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14065397/s56319910/c9522e40-87b4b450-94dd9681-bd30f119-288b54f7.jpg | sequential chest radiographs demonstrate advancement of the nasogastric tube into the distal esophagus with some coiling in the back of the throat. again there is a mild-to-moderate vascular congestion in a patient with intact midline sutures and prosthetic right shoulder. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal contours are stable. | <unk> year old man with parkinsons and sepsis s/p dobhoff placement // staged dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p13287156/s51266192/1f176d5c-add139ea-17e30bf0-9ab91c79-e022ac24.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with sob, cp // r/o acute process |
MIMIC-CXR-JPG/2.0.0/files/p10765488/s54373376/f84a470a-a4259252-dc0ab49d-10554698-19af358b.jpg | there is interval development of a <num> cm partially circumscribed mass in the left upper lung. lung markings are visible through the lesion. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is stable. there is progressive loss of height associated with midthoracic vertebral body as compared to the prior study. | history: <unk>m with chest pain, radiating to both shoulders, back // dissection? ptx? |
MIMIC-CXR-JPG/2.0.0/files/p12877262/s51576813/7d390d8b-d4b029f4-3fe564d0-0d72f7ad-d47c34e1.jpg | no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. there may be minimal central pulmonary vascular engorgement but there is no overt pulmonary edema. | history: <unk>f with chest pain, recent positive stress test // eval ? edema, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12459530/s56172901/a079dc21-4749ecb9-0153b40d-4ea45964-16d56b0d.jpg | ap single view of the chest has been obtained with patient in sitting semi-upright position. no previous chest examination available for comparison. patient is mildly rotated to the right accounting for some asymmetric presentation of the chest. no significant cardiac enlargement is present. the thoracic aorta appears moderately generally widened but no local contour abnormalities are seen. pulmonary vasculature is not congested and there is no evidence of pleural effusion in the lateral pleural sinuses. no pneumothorax can be identified in the apical area. skeletal structures of the thorax grossly unremarkable. | <unk>-year-old female patient with or, any acute cardiopulmonary process?, cannot go to suite for pa and lateral chest examination, portable chest examination required as patient goes to surgery for embolectomy. |
MIMIC-CXR-JPG/2.0.0/files/p10540288/s54538586/43f7d2e0-2163884b-a56ae81f-43818076-5bd3086c.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no nondisplaced rib fractures are identified. | <unk>f with mvc rollover, unrestrained c/o headache. endorses loc // ?bleed or fx |
MIMIC-CXR-JPG/2.0.0/files/p19169852/s58126306/640366fb-d1fcd885-bc25fac0-3bdcb4c9-ba5dcfce.jpg | two views of the chest again demonstrate a right chest wall pacer device with leads overlying the right atrium and ventricle. left approach leads also terminate over the right heart. these are all unchanged in position. there is severe cardiomegaly, unchanged. increased prominence is likely related to low lung volumes. mild hilar congestion is improved compared to early <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. | evaluate for acute process in a patient with dyspnea and cough. |
MIMIC-CXR-JPG/2.0.0/files/p12990477/s51067764/0b461a4a-a54d2226-8d763a63-184a8e45-73eea5ee.jpg | pa and lateral images of the chest were obtained with the patient in the upright position. there are bilateral pleural effusions, worse on the left. the heart is at the upper limits of normal size. there is retrocardiac opacity that in view of the clinical history is concerning for aspiration pneumonia. there is no pneumothorax. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable. | <unk>-year-old female with epiglottitis, now with pleuritic chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11644872/s59649745/7ed55ef7-6006502b-65eb24f8-f325a2b7-202ac49d.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. no radiopaque foreign bodies detected. | cough. sensation of foreign body in the neck. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18778763/s56952047/7524aec1-758bd155-cea7960a-c4e4b14a-56c2dfe7.jpg | endotracheal tube approximately <num> cm above the carina, can be retracted for more optimal positioning. nasoenteric tube within the distal esophagus and should be advanced. the heart is enlarged. left basilar and perihilar opacities likely represent atelectasis. there is mild interstitial edema. there is a small left pleural effusion. there is no pneumothorax. | <unk>f with hypoxia, intubated, evaluate tube positioning.. |
MIMIC-CXR-JPG/2.0.0/files/p14439027/s53124821/c579c56e-d4a7e309-2730079b-19061262-ac511334.jpg | subtle patchy left base opacity may be due to atelectasis or subtle pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with productive cough and fevers // infiltrate? |
MIMIC-CXR-JPG/2.0.0/files/p10723086/s54050905/2aa2f608-6db47d18-6b18a13b-6afa0850-2fe5c9db.jpg | the left internal jugular approach hd catheter is unchanged in position and terminates in the right atrium. the enteric tube is again noted in the gastroesophageal junction. unchanged position of the tracheostomy tube. there are no other significant changes. no evidence of pneumothorax. again noted is moderate to severe pulmonary edema. | <unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line // <unk> year old woman with inability to dialyze through temp hd line, please evaluate for positioning of line and need for adjustment |
MIMIC-CXR-JPG/2.0.0/files/p13369196/s52734471/ab169e00-9cd88e9c-9027ee67-29bb0acd-54e6cbac.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. right basilar consolidation may represent atelectasis. left basilar atelectasis is presumed. air-fluid levels in the left base are new. right neck subcutaneous emphysema is slightly improved. right chest tube remains in similar position. | <unk> year old woman with tbm s/p tracheobronchoplasty now with chest tightness and sob // interval change, collapse / pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p19865758/s58828168/ebac10be-271fa67d-30201b23-77081e3d-15df2d86.jpg | there are small bilateral pleural effusions. there is a right basilar opacity medially on the frontal view, not confirmed on the lateral. the lungs are otherwise clear. there is no focal consolidation. the cardiomediastinal silhouette is within normal limits. left sided picc is seen with tip in the lower svc. | <unk>f with fever wbc // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13944352/s52641592/7a471c56-4d58dc1b-ec232960-3a14537f-75b7b992.jpg | severe levoconvex scoliosis with associated distortion of the thoracic cage. the lungs are well-expanded. small amount of residual focal increased opacity in the right lower lung compared to the prior exam, reflecting significant interval improvement in the left lower lung pneumonia from <num> weeks ago. left lower lobe subsegmental atelectasis. no pleural effusion, pulmonary edema, or pneumothorax. stable mild cardiomegaly. mediastinal contours and hila are unremarkable. median sternotomy wires the appear intact and unchanged in position. lower thoracic and lumbar spine surgical fixation devices are unchanged. | <unk>-year-old woman with cough, shortness of breath, ? aspiration, h/o edema, h/o pneumonia (one mo ago). evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p14310053/s51487147/02296a12-885f7f45-49cca786-432cef07-b5fe524b.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a focal consolidation seen within the superior segment of the right lower lobe consistent with pneumonia. there is no pleural effusion or pneumothorax. there is minimal bibasilar atelectasis. | history: <unk>f with cough // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p10538657/s54011464/3aca96f1-b72926bb-a8d52be2-f50b78a7-c5f952f5.jpg | the patient is status post median sternotomy and cabg. a left-sided aicd device is noted with leads terminating in the right ventricle and in the region of the coronary sinus, unchanged from the prior exam. the heart is moderately enlarged but stable. no pleural effusion, focal consolidation or pneumothorax is present. there is mild pulmonary vascular congestion without frank edema. | history: <unk>f with chest pain // chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14982898/s54530096/231a98e0-285de0ee-44ff8658-9fecc2c8-4cc0edc2.jpg | single portable view of the chest. no prior. the lungs are grossly clear. cardiac silhouette appears enlarged. degenerative changes noted at the glenohumeral joints bilaterally. osseous and soft tissue structures are otherwise grossly unremarkable. | <unk>-year-old female with fall, now status post iv tpa for stroke. evaluate for pneumonia or chf. |
MIMIC-CXR-JPG/2.0.0/files/p19936081/s55527463/00362f08-7467ab74-16f37f2f-7766dd7f-e1fd846a.jpg | enteric tube tip is seen within the distal esophagus, advancement recommended for optimal positioning. dilated loops of bowel again seen throughout the abdomen as well as excreted contrast in the renal pelves bilaterally. right basilar opacity is again noted which could be atelectasis although infection would also be possible. | advanced ng tube. |
MIMIC-CXR-JPG/2.0.0/files/p18674063/s57411127/921dd314-3a914363-f617304d-bc5bd0c0-6aab963e.jpg | frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no pneumomediastinum. | chest pain, vomiting, please evaluate for infiltrate versus pneumomediastinum. |
MIMIC-CXR-JPG/2.0.0/files/p16386563/s58656575/ef9c9753-6e0d3a14-2ca40a9a-d3bf8cff-10be156c.jpg | a right picc terminates in the mid to low svc. 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. | <unk> year old man s/p craniectomy for infection now with new onset chest pain x several hours. // rule out chest pathology given new onset chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15419160/s56030772/b309d744-5608559a-fffc7c20-6eb0a53c-b5025097.jpg | possible nodule in the left lung projecting over the left seventh rib anteriorly. the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes. | <unk>m w/ nstemi and new chf // eval pulmonary congestion |
MIMIC-CXR-JPG/2.0.0/files/p17447497/s55354210/7ba8da79-19a4cb34-96344386-a12d4a06-22c7bab5.jpg | bilateral pulmonary opacities are overall stable to slightly improved as compared to the prior study. no definite new focal consolidation seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>f with copd, <num>d of increased o<num> use, cp*** warning *** multiple patients with same last name! // ?cpd |
MIMIC-CXR-JPG/2.0.0/files/p11844144/s55929479/581b5782-a3caa8f1-f6d446ca-e74050de-2cc3eb11.jpg | ap view of the chest provided. lung volumes are low. there is pulmonary vascular congestion with mild edema. the cardiac silhouette is stably enlarged. of note, at the cervicothoracic junction, there is symmetric narrowing of the trachea, which was also seen on prior studies and is likely chronic. dual pacemaker lead is seen terminating in the right atrium and right ventricle. | <unk> year old man with osa, now post viral stridorous symptoms |
MIMIC-CXR-JPG/2.0.0/files/p13050816/s59908228/dfeab961-1f2927e3-6d98a7a5-3d2f457a-69f9c544.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. healing lower lateral right rib fractures are again seen, involving at least the lateral right <unk> and <num>th ribs. | confusion. |
MIMIC-CXR-JPG/2.0.0/files/p17423730/s53125157/3b1ae8e8-e5c1f7fc-fbf54b60-a7010eeb-407ca439.jpg | lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. | subacute onset right chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13340770/s53171681/8f53551e-1a2ab329-690040a4-b01cf515-e0d03f3a.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are fully expanded and clear without any atelectasis. no pleural effusion or pneumothorax is seen the diaphragms appear flattened, which suggests hyperinflation. | <unk> year old woman with copd/asthma with cxr <unk> showing some atelectasis vs. pneumonia, any change? // any infiltrates |
MIMIC-CXR-JPG/2.0.0/files/p17670249/s57072713/69671435-68d5ab4f-e8a34bef-34d83f50-ba7598f5.jpg | left base retrocardiac opacity is worrisome for pneumonia given clinical history versus less likely atelectasis. recommend followup to resolution. the right lung is clear. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cough, fevers, crackles at bases. // evidence of pna? |
MIMIC-CXR-JPG/2.0.0/files/p11770100/s54381305/da3c2e2e-39d6b326-2c78900f-aacb209b-db0a576b.jpg | heart size remains moderately enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. streaky opacity in the left lung base likely reflects atelectasis with a trace left pleural effusion, similar compared to the previous exam. no new focal consolidation or pneumothorax is present. multilevel compression deformities are again seen in the thoracic spine, unchanged, along with multilevel degenerative changes. | history: <unk>m with cough |
MIMIC-CXR-JPG/2.0.0/files/p19303239/s56409110/0afbb741-c1517731-fd703d4a-b8556f95-8c6d283f.jpg | there are persistent right middle and lower lung opacities, which are similar in extent but decreased in density compared to prior. there are bilateral pleural effusions with retrocardiac atelectasis. left port-a-cath appears to be in similar position. there has been interval placement of an esophageal catheter which courses below the diaphragm, its tip projecting over the right upper quadrant. no pneumothorax is detected. heart and mediastinal contours are stable. | <unk>-year-old male with peritoneal carcinomatosis, small bowel obstruction, and possible pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11792040/s59607089/520463e8-cd5e6fc2-08eb4024-c179a3a5-095d18c1.jpg | cardiac size is normal. multifocal consolidations in the lower lobes left greater than right and minimal opacities in the left upper lobe have increased consistent with multifocal pneumonia. there is no pneumothorax or pleural effusion. | <unk> year old woman with polysubstance abuse, new cough // r/o pna |
MIMIC-CXR-JPG/2.0.0/files/p19014190/s56815063/c90c5251-7c0914c6-111f4926-c8a283d3-98cc94c3.jpg | small bilateral pleural effusions are not significantly changed compared to the prior chest radiograph from <unk>. moderate left and mild-to-moderate right basilar atelectasis is also not significantly changed. mild cardiomegaly is unchanged. the mediastinal contours are normal. there is no pneumothorax. a left picc ends in the mid svc, as before. there is evidence of prior mitral valve annuloplasty. midline sternotomy wires and multiple mediastinal surgical clips are again noted. skin <unk> overlie the thoracic midline, unchanged. | status post revision of mvr/tvr, now with shortness of breath. assess for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p17690782/s57475522/8add919d-cd52fb07-ecf18911-c40a844f-d11c4604.jpg | as also seen on multiple prior studies, there is marked elevation of the right hemidiaphragm. there is likely a small to moderate right pleural effusion with overlying atelectasis, difficult to exclude right basilar consolidation. the left lung is grossly clear. no left pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. subtle chronic biapical and perihilar fibrotic disease, similar to prior. | fevers, dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p18526154/s55806155/97279b68-fa0fb2ad-9acf4af5-b48707f3-8a16720b.jpg | heart size is normal. fullness of the left perihilar region corresponds to known mass, better assessed on the previous ct, and appears unchanged from the prior radiograph. right hilar and mediastinal contours are similar. pulmonary vasculature is normal. the lungs are hyperinflated with mild emphysematous changes again noted in the lung apices. minimal atelectasis is seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is demonstrated. | history: <unk>m with stage iv lung cancer presenting with subacute onset of dyspnea and right middle/lower lung field crackles |
MIMIC-CXR-JPG/2.0.0/files/p11845452/s51497254/d3761108-45a5de83-cbdbe1ea-c6949553-c09e104c.jpg | the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>m with chest pain, dyspnea and cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p11192888/s54521224/7e306592-99b7a7e1-da79e182-f7101eb8-e97fa01a.jpg | a right upper extremity picc has been slightly retracted in the interim, now terminating within the mid svc. a left pectoral pacemaker is unchanged. there is improved aeration of the left lung base with residual streaky opacities, reflecting atelectasis. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. there is no pneumomediastinum or subcutaneous air. the heart is normal size. the mediastinal structures and hilar contours are unremarkable. | open esophageal repair, neck exploration and esophagoscopy, now coughing up blood. |
MIMIC-CXR-JPG/2.0.0/files/p11356031/s51716367/46928046-73ac08dc-d379d335-742215e3-e651eebd.jpg | again seen is a small-to-moderate left apical pneumothorax, unchanged from the most recent prior radiograph. a left chest tube has been removed. there is now a small left pleural effusion with associated compressive atelectasis. a tiny right pleural effusion is present. no focal consolidation. cardiomediastinal silhouette is unremarkable. | <unk>-year-old woman, status post left thoracotomy, rule out pneumothorax post-chest tube removal. |
MIMIC-CXR-JPG/2.0.0/files/p19457366/s57165809/d1f0c699-cff0a07b-2c29d72c-fe9001bf-80ab1ae9.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is mildly enlarged. lung volume is low. bilateral peribronchial cuffing is identified, most notably in the right upper lobe. | history: <unk>m with ams, delayed mentation // eval ? infection, atypical infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p12242325/s55818832/ea4f9ba3-e19ca322-84421695-a46b91d2-724f0356.jpg | tracheostomy tube is identified in proper position. there are bilateral parenchymal opacities with most dense consolidation at the left lung base and left mid lung but also seen at the right lung base. there may be a component of left pleural effusion. the cardiac silhouette is upper limits of normal for technique and positioning. osseous structures are unremarkable. | l<num>f with history of respiratory failure // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p16846450/s58750783/bff13f74-af1e183e-f8df4b54-07486ce3-0b2e1d55.jpg | y stent is seen in standard position. the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. | status post y stent placement. |
MIMIC-CXR-JPG/2.0.0/files/p18223363/s55606346/e8185f39-37cf8e26-98845a3a-508790d6-06b99db4.jpg | the upper enteric drainage tube ends in the mid portion of a much less distended stomach. the lungs are clear. cardiomediastinal and hilar contours are stable. mild to moderate thoracolumbar scoliosis is probably chronic. | history: <unk>f with sbo abd pain |
MIMIC-CXR-JPG/2.0.0/files/p17734689/s58831797/07695f34-69c3fe9d-bc04c852-bb26bf1a-af5b429a.jpg | pa and lateral views the chest provided. pectus excavatum deformity of the sternum and spinal hardware noted. lung volumes are low. allowing for this the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormality. | <unk>m with s/p l mesh for flank hernia. back pain and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p15789800/s57234002/1bf5b8b3-89badd2a-ba2edb41-ae826a68-3edcd483.jpg | compared to the prior study there is no significant interval change. | <unk> year old man with stroke. ng came out and was replaced. ng tube currently at <num> cm at nare. // eval ng tube placement. |
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