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MIMIC-CXR-JPG/2.0.0/files/p10396938/s58146933/1268fc4d-e0834b29-df4f8e90-cccbe87f-fe5ef429.jpg | the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. | history: <unk>f with weakness, anorexia. // pneumonia, other intrathoracic process? |
MIMIC-CXR-JPG/2.0.0/files/p10141505/s54175429/607e4b28-58224eb2-24e33207-ee8c9103-f2dbef91.jpg | lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal and stable from <unk>. no pleural effusion or pneumothorax. | <unk>m with hx of aortic dilataton here w/ chest pain radiating to neck // dissection? |
MIMIC-CXR-JPG/2.0.0/files/p17700343/s57910993/c7885f5f-8392ced4-7d18ac59-e231da27-7cc1775f.jpg | since the prior radiograph, there has been interval development of a new left retrocardiac opacity, which silhouettes the left heart border and part of the lower thoracic spine on lateral view. these findings are concerning for pneumonia. there are no pleural effusions or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk> year old woman with increased cough // ? pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p19880967/s56560807/3cd6fa42-3f07733c-2da19a63-15b6a65c-2e806f2c.jpg | venous catheter tip mid svc. decreased pulmonary vascularity. mild interstitial prominence, improved. no pleural fluid. normal heart size. | <unk> year old woman with aml admitted for mud transplant // please evaluate for pleural effusions |
MIMIC-CXR-JPG/2.0.0/files/p18625115/s59348177/d22c25f1-0919e540-423e1cc2-066cfebb-dd8c603c.jpg | pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | cough and dyspnea. history of hiv. |
MIMIC-CXR-JPG/2.0.0/files/p15021356/s54915605/92783d8d-097ab8ca-d0abeb19-900e4308-04ccf58c.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. bibasilar consolidations seen on both the frontal and lateral views are concerning for multifocal pneumonia versus aspiration. pulmonary vasculature is within normal limits. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11222720/s51737981/0efe2a99-9329afc8-037ecd97-567951b4-86958560.jpg | ap portable upright view of the chest. a transesophageal catheter extends to at least the level of the stomach, with the tip excluded from this examination. a right picc terminates within the upper atrium, unchanged since <unk>. the heart size is top normal. the hilar and mediastinal contours remain unchanged. the lung volumes are low, exaggerating mild bibasilar atelectasis. there is no pneumothorax, focal consolidation, or pleural effusion. | <unk> year old man with sdh // pneumonia? |
MIMIC-CXR-JPG/2.0.0/files/p18580382/s53756685/b4b429cc-022d130b-1505b793-3ac88110-d0883a41.jpg | there is a new left subclavian port-a-cath with the catheter tip in the right atrium. there is no pneumothorax. previously visualized multiple pulmonary nodules concerning for metastatic disease are better evaluated on recent chest ct from <unk>. cardiomediastinal silhouette remains stable. osseous structures remain stable. | evaluation of patient with port-a-cath placement. |
MIMIC-CXR-JPG/2.0.0/files/p16812475/s54475654/114939cb-1914e01e-55be48c0-e9fbcbc0-bf789a1a.jpg | pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. degenerative changes seen at the right shoulder. | <unk>-year-old male with no past medical history of left-sided chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p19346252/s51125476/51d5a4b7-6e12e3aa-20fee10c-d14209e2-0f14049c.jpg | the heart is normal in size. there is patchy calcification along the aortic arch. the lungs appear clear. there are no pleural effusions or pneumothorax. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11395953/s55612551/07ddbc0a-e7b5ca87-24ea9896-3ccd1bd0-927c1bbd.jpg | ng tube enters the stomach; but tip is not clearly identified. widespread parenchymal opacities seen in the prior study, likely representing pulmonary edema, are relatively unchanged. tracheostomy tube and right subclavian central venous catheter are unchanged. no pneumothorax. | <unk>-year-old man with polytrauma, new ng placement, evaluate for position. |
MIMIC-CXR-JPG/2.0.0/files/p11247917/s55684297/a2dbac84-0792c757-0c39f70f-315fdf7d-d6b72c2b.jpg | the lungs are well-expanded. the previously seen pulmonary edema has largely resolved, with only some residual prominence of the pulmonary vasculature noted. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> year old woman who presented with shock and evidence of pulmonary edema on prior imaging // assess for pulmonary edema, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p16625317/s56882477/eb4e5109-5e00ecc2-52d0dc39-c75af13f-2bbe993f.jpg | moderate cardiomegaly is unchanged. mild to moderate pulmonary vascular congestion is similar to the prior study with a slight increase in the size of small bilateral pleural effusions. there is no focal consolidation or pneumothorax. | <unk>f with nausea, poor breath sounds evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17934668/s58273484/22226f0b-fa126c41-eb934fea-187a10f8-5b5f3037.jpg | heart size is normal. relatively narrow mediastinal contour may be related to to known congenital heart disease. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.mild rightward curvature of the upper thoracic spine noted. | <unk>f <unk>y s/p asd repair, presents with nonexertional dyspnea/lightheadedness. evaluate for acute cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p19259478/s51273610/3eb19c69-f477d899-4552df04-f9c48679-45f80cc4.jpg | there is a large right-sided pleural effusion, slightly increased in size compared with prior exam. there is diffuse increased interstitial markings, kerley b lines, and upper vascular redistribution, but no focal opacities. large cardiomegaly is redemonstrated. there is no left-sided pleural effusion and no pneumothorax. sternotomy wires are intact. | <unk>-year-old male with a history of chf, ckd, cad, with ejection fraction of <num>% to <unk>% with syncopal episode. evaluate for evidence of chf exacerbation. |
MIMIC-CXR-JPG/2.0.0/files/p15111725/s50640062/5e6664aa-2b13e46e-e4c4853b-3531a3e3-9fa79add.jpg | the right ij central venous catheter terminates in the mid svc. a feeding tube is advanced to the level of the lower esophagus on the initial series of radiographs, but is advanced into the stomach on the repeat radiograph from <unk> hr. bibasilar subsegmental atelectasis with low lung volumes are present. the radiograph from <unk> hr shows increased left basilar airspace opacification which may be due to new aspiration. there is stable elevation of the right hemidiaphragm. | <unk> year old man with nj placement for feeding // nj tube placement ; <unk> year old man with need for dobhoff placement // ? dobhoff placement |
MIMIC-CXR-JPG/2.0.0/files/p11186530/s57407693/6ad951e2-5d411698-c99a9a68-59bced7b-e22fb42e.jpg | the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. | history: <unk>m with chest pain x<num> weeks // acute process? |
MIMIC-CXR-JPG/2.0.0/files/p15118979/s54878961/e8636fda-4939fc9e-cd5dba05-d8979764-8e1c58c6.jpg | lung volumes are low, accentuating the mediastinum/cardiac silhouette and causing vascular crowding. atelectasis the left lower lobe is mild. hila are normal. there is no pleural effusion or pneumothorax. | <unk>m with tachycardia palpitations // infiltrate, effusion, edema. |
MIMIC-CXR-JPG/2.0.0/files/p16317455/s52204950/d502112b-7bdeee49-c51caf0b-d4ba24ac-3208c4ec.jpg | the cardiomediastinal and hilar contours are within normal limits. the aorta is tortuous. there is hyperinflation. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | history: <unk>m with abdominal pain and cough +r lung crackles on exam*** warning *** multiple patients with same last name! // interval change |
MIMIC-CXR-JPG/2.0.0/files/p12699927/s58211652/d8296702-835e7530-6ef932be-2272bf71-604e1cfe.jpg | again seen are patchy ill-defined opacities in lung bases worrisome for infection or aspiration. emphysematous changes of the upper lobes are again noted. no pleural effusion. no pneumothorax or pulmonary edema. the heart is normal in size. mediastinal contour and hila are unremarkable. limited assessment of the osseous structures are notable for diffuse demineralization and loss of vertebral body height, unchanged since prior examination. | <unk>f with fever, cough. assess for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p14991576/s59125218/c400d7a2-c2cfcfdd-fcba142d-373e5506-02d9e82c.jpg | there are diffuse interstitial opacities, compatible with interstitial pulmonary edema. additionally, there is a more focal opacity at the right lung base, which is most likely also due to underlying pulmonary edema, although superimposed pneumonia could be considered in the appropriate clinical setting. there is no large pleural effusion or pneumothorax. heart size is moderately enlarged, which appears new from the prior radiograph in <unk>, although it may partially be due to portable technique. aortic arch calcifications are noted. no acute osseous abnormalities identified. | <unk>-year-old female with a history of diabetes, hypertension and hypercholesterolemia, presenting for evaluation of chest pain and shortness of breath x<num> days. wbc <unk>. |
MIMIC-CXR-JPG/2.0.0/files/p12936618/s57238002/7ee27243-1ed2c9dd-fca0d65a-ca2afaa2-6b232d34.jpg | the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. | <unk> year old man with productive cough, night sweats. // please evaluate for infiltrate consistent with pna> |
MIMIC-CXR-JPG/2.0.0/files/p15052507/s54765575/2d5ee75c-132a51d4-4504cc68-7047359f-cf1544c4.jpg | compared to the prior study there is no significant interval change. | <unk> year old woman with pleural effusions s/p drainage now w/ new subcutaneous emphysema with l chest tube // r/o ptx |
MIMIC-CXR-JPG/2.0.0/files/p18458646/s55554736/fb550ba7-5adb5455-752b1894-2ca434a2-fe68f2b1.jpg | right lower lobe consolidation and small right pleural effusion appear slightly improved as compared to the most recent prior study. again seen is a small calcified granuloma in the right upper lung. note is made of pectus excavatum. cardiomediastinal and hilar contours are unchanged. no pneumothorax. | history: <unk>m with fever, cough, recent admission for pneumonia // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p19950864/s52815959/16664421-34328b5d-6c0d94e2-71285361-4233fb85.jpg | there is mild interstitial edema, and the heart is normal in size. a left basilar opacity may reflect atelectasis versus pneumonia. there is no pleural effusion or pneumothorax. | <unk>-year-old male with confusion. evaluate for infectious process. |
MIMIC-CXR-JPG/2.0.0/files/p14174539/s55185758/0485c192-6ba88ac9-3c9a1fb8-aa265683-9a059128.jpg | the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable for acute process. pectus excavatum deformity is incidentally noted. | <unk>-year-old woman presenting with chest pain; evaluate for an acute process. |
MIMIC-CXR-JPG/2.0.0/files/p19688313/s59624315/0d74454e-781964e6-687354e2-ca5491fc-0d7b752e.jpg | the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with fatigue, subjective fevers, recent ivdu // ? infectious process |
MIMIC-CXR-JPG/2.0.0/files/p15579082/s56245340/f20a96c0-2a6a7e0a-e9e48672-530babc6-f77ec345.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. | left lateral chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p12547682/s59257098/9fafa0be-33e5d1ac-a62e368f-580bcf9d-c5f2a9fd.jpg | left chest wall vagal nerve stimulator is again seen. this obscures portion of the left midlung. where seen, the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. | <unk>f with dyspnea sp recent fall and reported rib fx // presence of ptx, infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p17963990/s51110683/4a9865ec-4d3c0226-5c95bd07-da44bd59-bc6b3c62.jpg | elevation of the right hemidiaphragm is chronic, with similar blunting of the right costophrenic angle likely reflective of chronic pleural thickening. thickening along the right minor fissure however suggests the possibility of a trace right pleural effusion as well. apart from minimal right basilar atelectasis, the lungs are clear without focal consolidation. cardiac and mediastinal contours are on remarkable. hilar contours are normal. pulmonary vasculature is not engorged. there is no pneumothorax. mild degenerative changes are noted in the imaged thoracolumbar spine. no acute osseous abnormality is clearly noted. remote fracture deformities of several right-sided ribs are unchanged. no acute osseous abnormality is detected. | history: <unk>f with past medical history of psychosis presents with fever to <num> and right "rib pain" |
MIMIC-CXR-JPG/2.0.0/files/p15606157/s59948002/0e201b93-862230fc-e32d6af1-426ee55c-f475cd9e.jpg | lung volumes are slightly lower compared to the prior exam. slightly asymmetric increased opacity in the right infrahilar region could reflect bronchovascular crowding and atelectasis but an early bronchopneumonia cannot be excluded, particularly in the setting of prior ct showing an opacity in the right lower lobe. no effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. aortic knob calcifications are unchanged. no acute osseous abnormality. | history: <unk>f with fever // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13194166/s59879749/2e1eaa99-7121704a-3a213c61-1f8a5eef-4bc1d02f.jpg | endotracheal and enteric tubes remain in unchanged positions. heart size remains moderately enlarged. the mediastinal contour is similar. mild pulmonary edema is not substantially changed in the interval. bibasilar opacities persist and may reflect areas of atelectasis though infection is not excluded. a small left pleural effusion may be present. there is no pneumothorax. | history: <unk>f with hypotension, hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p17846084/s52419810/e24a1086-2eb2aab6-3aefc67a-1748e186-81d3016d.jpg | pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen. | <unk>m with fevers, cough x <num>weeks // pna? |
MIMIC-CXR-JPG/2.0.0/files/p10697395/s50124197/300963c3-5eb991a6-0f6a14cd-86134faa-1814776e.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | chest pain, cough, fever |
MIMIC-CXR-JPG/2.0.0/files/p12223122/s56132889/cddb5acf-0fbcb3d1-6c1d1dd0-9d66d2e9-666e15d8.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. | history: <unk>m with preop // acute process |
MIMIC-CXR-JPG/2.0.0/files/p17586195/s51233731/1540283b-72c3aec0-5d12a91c-a80bebf5-1f3b6494.jpg | pa and lateral chest radiographs are provided. the lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. linear opacities at the bases are consistent with atelectasis. cardiomediastinal silhouette is normal. | pleuritic chest pain for two days. rule out pneumothorax. |
MIMIC-CXR-JPG/2.0.0/files/p14096942/s57161699/aa8f306a-c2132c7f-b4ae2c6c-d3ecb640-2f5104b3.jpg | pa and lateral views of the chest provided. low lung volumes. there is no focal consolidation, effusion, or pneumothorax. no overt signs of edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>f with sudden onset r chest pain, mild sob s/p liver biopsy. |
MIMIC-CXR-JPG/2.0.0/files/p16686466/s50084731/d2554a28-4e344000-f530f12c-fc35ab74-5cbdbc43.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. | history: <unk>m with s/p fall // eval for injuries |
MIMIC-CXR-JPG/2.0.0/files/p19468400/s59457175/fdafa989-14d5d94d-091f7100-328c5f82-033331a3.jpg | the patient is rotated, limiting assessment. the mediastinum is normal in size and contour. the cardiac silhouette is normal in size. the hila are unremarkable. there is no pneumothorax lungs are expanded and clear without focal consolidation. gaseous distention of multiple bowel loops is noted in the upper abdomen. | history: <unk>m with chest pain // eval for widened mediastinum |
MIMIC-CXR-JPG/2.0.0/files/p10930646/s53424978/0422222d-2916c3c6-0d3ba58a-ea015977-ff8487bc.jpg | dual lead pacemaker in situ with the tips in the right atrium and right ventricle. evidence of previous tavr. transverse cardiomegaly. suspected left lower lobe atelectasis. small bilateral pleural effusions. coarsened bronchovascular markings. pulmonary hyperinflation. no airspace consolidation. spondylotic changes of the thoracic spine. calcific bodies in relation to the right subcoracoid bursa. | <unk> year old woman s/p dual chamber ppm. // assess leads placement and r/o ptx. |
MIMIC-CXR-JPG/2.0.0/files/p11175776/s55487894/5582fcba-7b24980f-565143de-e1f0b536-eee62b85.jpg | enteric tube is in appropriate position. endotracheal tube terminates approximately <num> cm above the level the carina. no pleural effusion or pneumothorax is seen. there appears to be mild right infrahilar bronchial thickening. subtle opacity at the medial right lower lung may be due to overlap of vascular structures and atelectasis however, developing consolidation possibly due to infection or pneumonia and could be present. attention at followup. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. | <unk>m w/ iph and now w/ fevers // ? interval change |
MIMIC-CXR-JPG/2.0.0/files/p17396417/s52257993/008b9a58-9ebca7b1-538d6038-c0ca141a-3896a480.jpg | no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p12716873/s53456774/57363e95-6c85b380-9605966c-3c9db773-ff756fc3.jpg | lung hyperinflation. the lungs are clear. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old woman with head neck cancer s/p definitive chemoradiation // assess for lung nodules |
MIMIC-CXR-JPG/2.0.0/files/p15853169/s53817116/ef342a3b-0baf1cb0-c6a92427-91141f03-69e6fbf4.jpg | the lungs are well-expanded and clear. the small right perifissural nodule is not well appreciated on the radiograph but is seen on prior cross-sectional imaging. no focal consolidation, effusion, edema, or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormality. | history: <unk>f with generalized weakness, chills, shortness of breath and productive cough. // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p16807965/s56599959/594800cf-851db2a3-5f72243d-fdce9700-d3ddac6d.jpg | the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. | history: <unk>m with ble swelling. // pneumonia/fluid? |
MIMIC-CXR-JPG/2.0.0/files/p16123839/s52290311/1a82db7f-7e0efec1-32520750-f686cfec-c51bbf3b.jpg | right internal jugular central venous catheter tip terminates in the mid svc. no pneumothorax is present. the cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. as seen previously, innumerable tiny nodular opacities are again noted in both lung bases, compatible with chronic punctate calcifications which are likely the sequela of prior interstitial pneumonitis. no new focal consolidation or pleural effusion is present. no acute osseous abnormalities are demonstrated. | history: <unk>m with central line placement |
MIMIC-CXR-JPG/2.0.0/files/p11833476/s51396613/f1ad10c4-53e52487-f0e6f779-6755bc83-dbf559d9.jpg | the og tube terminates in the upper to mid stomach. the left-sided picc terminates at the mid svc. <num> chest tubes remain in place with no evidence of pneumothorax. diffuse bilateral pulmonary opacifications consistent with pulmonary edema appear grossly unchanged from prior. the possibility of superimposed pneumonia is extremely difficult to exclude in this setting. again seen are the previously described left rib fractures. | <unk> year old man with og tube // eval og tube placement |
MIMIC-CXR-JPG/2.0.0/files/p15805011/s52112718/1cc50d0a-4f82e870-77a6c811-c3cd54f3-797b1390.jpg | ap frontal and lateral radiographs of the chest with the patient lying in the stretcher were obtained. evaluation of the heart and lungs is limited due to technique and patient rotation. within these limitations, there is blunting of the right costophrenic angle with opacification of the right minor fissure suggesting pleural fluid. no focal consolidation concerning for pneumonia or significant pneumothorax is detected. the cardiac silhouette is normal in size allowing for rotation and low inspiratory lung volumes. the mediastinum is within normal limits. the visualized upper abdomen is gasless. | chest pain with wheezing and rhonchi on physical exam on the right greater than the left, here to evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p10933622/s58204586/cae3d53e-719cdf1c-06f0e846-5d20bb9a-d35b4757.jpg | the cardiac, mediastinal and hilar contours are probably unchanged. there is no pleural effusion or pneumothorax. there is a mild interstitial abnormality most suggestive of pulmonary edema. however, opacities are more striking in the right lung, especially the right upper lung. | urinary infection symptoms, confusion, and right lower lobe crackles. |
MIMIC-CXR-JPG/2.0.0/files/p12712793/s57293246/1057c272-acb9bd1a-7dd71694-9b05e09b-dfe0e76d.jpg | hyperinflation of the lungs ia unchanged. fibrotic changes at both lung bases are stable. the descending aorta remains markedly tortuous and aneurysmal, particularly at the diaphragmatic hiatus. there are no new abnormal cardiac and mediastinal contours. there is no new consolidation, effusion, or pneumothorax. | <unk>-year-old woman with weakness, rule out acute process. |
MIMIC-CXR-JPG/2.0.0/files/p18171919/s55113229/191bb7e5-4fdfd828-a96d035c-18d039bf-a052b3db.jpg | heterogeneous opacities along the medial aspect of the right lung base seen on prior ct from <unk> are not well appreciated on the current study. left lower lung heterogeneous opacities are not significantly changed compared to prior ct, thought to represent an area of aspiration pneumonitis/pneumonia. the remainder of the lungs is clear. apparent enlargement of the heart is thought to be secondary to decreased lung volumes rather than true cardiomegaly. the mediastinal contours are normal. trace pleural effusions seen on prior ct are not appreciated on the current radiograph. there is no pneumothorax. a new enteric catheter passes below the level of the diaphragm, then curves superiorly to end within the gastric cardia. | status post nasogastric tube placement. evaluate position. |
MIMIC-CXR-JPG/2.0.0/files/p12138413/s55716818/e743ba93-30f98be3-1ac91e47-1a1f1724-5658c39f.jpg | there has been interval placement of a right internal jugular approach pacemaker wire with the tip terminating in the expected location of the right ventricle. there is continued improvement in pulmonary edema, now mild. no focal consolidation, pleural effusion or pneumothorax. stable size of the cardiac silhouette. otherwise no significant change from radiograph of <num> hours prior. | history: <unk>f with pacer wire |
MIMIC-CXR-JPG/2.0.0/files/p19813794/s58710808/4c875891-1837d443-cbc7d0b8-a5934c87-277f6c02.jpg | ap and lateral views of the chest. since the prior study there has been increase in interstitial opacities bilaterally most consistent with mild interstitial pulmonary edema. sternotomy wires and mediastinal clips are again seen. left aicd is present with the lead terminating in right ventricle. again seen is moderate cardiomegaly. mild bibasilar atelectasis versus scarring. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19894323/s55496338/d2082128-e7ba1255-8ab5b4f3-31cb2bb0-9ab8bd40.jpg | the lungs are well inflated and clear. no focal consolidation, effusion, pneumothorax is present. the cardiac and mediastinal contours are normal. a right-sided port-a-cath tip terminates in the mid svc. there are surgical clips at the gastroesophageal junction and mid abdomen. | <unk>-year-old with right lower lobe bronchi, cough, shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p19674244/s54729332/7a759e63-9c249d28-2f6f988d-fabcefd0-433ba7ff.jpg | portable ap upright chest film <unk> at <time> is submitted. | <unk> year old man with chf, copd; recent code x<num> on reintubation // interval change interval change |
MIMIC-CXR-JPG/2.0.0/files/p16526656/s52642376/8dc30e6c-2c88500a-12d72981-29212ef2-4c2a97df.jpg | there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouette are normal size. | sob, achy x <num> days <unk> year old man with dyspnea, exercise desaturation // ?interstitial disease |
MIMIC-CXR-JPG/2.0.0/files/p15670921/s50873715/9283d08b-74e43560-cf6e2f65-283c06bc-b73585c2.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified. | left chest wall pain after assault. |
MIMIC-CXR-JPG/2.0.0/files/p15583423/s56059082/7af2927f-b238166e-0e34733d-3cf60974-372bb422.jpg | cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified. | history: <unk>m with chest pain and dyspnea |
MIMIC-CXR-JPG/2.0.0/files/p12090235/s59146460/1ea4016e-cbdaed89-7ef9de64-eb0c4536-1e4fc5d4.jpg | the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. views of the upper abdomen are unremarkable. | <unk>f with fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p11267564/s51138438/74b97eb3-f6e5c013-592a248c-1ac4b510-ade92b8e.jpg | since <unk>, a new opacity is seen in the right lower lung field, concerning for aspiration or infection. the left lung is clear. the heart size is normal. the tip of an endotracheal tube is seen <num> cm above the carina. ng tube is seen in the stomach and continues out of view. no pneumothorax. | <unk> year old man with left vertebral dissection and sah // intubated, interval change |
MIMIC-CXR-JPG/2.0.0/files/p16168308/s50646672/d0f1edd2-547054af-850cb313-e1a1f663-9b71eb68.jpg | patient is status post median sternotomy and cabg. moderate enlargement of the cardiac silhouette is demonstrated, slightly increased in the interval, with mild pulmonary edema. elevation of the right hemidiaphragm is chronic. no large pleural effusion or pneumothorax is seen. atelectasis is noted at the lung bases. no focal consolidation is demonstrated. there are no acute osseous abnormalities. | history: <unk>m with dyspnea, hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p11356345/s50926471/7ecedd7d-214ace06-a2c013a3-1d30c559-da970f31.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. | history: <unk>f with left shoulder pain status post pedestrian struck |
MIMIC-CXR-JPG/2.0.0/files/p11655773/s53157491/0371fd0c-bb5bd45c-fb71add1-4fde00ac-aedc104f.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with palps and cp // ? process |
MIMIC-CXR-JPG/2.0.0/files/p14773816/s54822008/50887afb-47632a95-c11f5a39-e1fb5593-4cf7739c.jpg | new compared to prior diffuse bilateral parenchymal opacities most notably in the right mid lung and left lung base. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with cough // cough |
MIMIC-CXR-JPG/2.0.0/files/p10751261/s50106268/a807429c-52ea5ec6-a6decb0e-da72b011-9e602d00.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. | dyspnea on exertion. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p17402093/s53053638/8604eddf-1b02d29e-3fa8fc3b-948c04a4-8d6166f9.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. there is flattening of bilateral hemidiaphragms, which raises suspicion for possible chronic obstructive pulmonary disease. the cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted at the aortic arch. the patient is status post left mastectomy. post-surgical changes are also noted with clips in the right axilla. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p19091199/s55815813/04a86839-da40d88a-ff3a9a8c-d57166ea-b47e9801.jpg | the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. | <unk>m with chest pain // eval for acute process |
MIMIC-CXR-JPG/2.0.0/files/p12186666/s51514781/d3acc08c-c4f24b60-e80a34a4-dd05e164-281be25a.jpg | there has been interval appearance of a left lower lobe peripheral opacity concerning for developing pneumonia. lungs are otherwise clear without effusion or pneumothorax. the cardiac silhouette and mediastinal contours remain normal. the pulmonary vasculature is normal. | <unk>-year-old female with history of asthma exacerbation and now productive cough, question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18639458/s55522846/2cf6afa9-89f9eb11-d4e9b8fe-1c66cc23-9f8e8693.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with cough, hx of hiv w cd<num> <num> // pna? |
MIMIC-CXR-JPG/2.0.0/files/p13182319/s59216920/342c94e5-f3204b18-376d1f9f-288ee424-3ef9fc73.jpg | the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. | <unk> year old man with hemochromatosis + varices, current variceal bleed, evaluating for infectious trigger // evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12762465/s59194163/f39077c0-eed2ee0a-05c9c91e-3c1e628a-5e318e50.jpg | the cardiomediastinal and hilar contours are normal calcific aortic knob. there is no pleural effusion or pneumothorax. the lungs are well expanded. new increased nodularity at the right lung base is consistent with an infectious process. right apex linear opacities are slightly more prominent, consistent with scarring. the upper abdomen is unremarkable in appearance. degenerative changes are seen in the thoracic spine. | <unk> year old man with cough, left base crackles // eval for infiltrate |
MIMIC-CXR-JPG/2.0.0/files/p10266070/s53727383/a80bb95b-0e2adfee-354db58f-767041fc-69422dc3.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | <unk>-year-old female with fever and back pain. evaluate for evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15396465/s58412865/2df90c1e-34181096-fcb597b8-ddd12249-1094fa3d.jpg | ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. | <unk>m with tachycardia, eval for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12872916/s53554746/73706b4e-03a85095-8e793442-427f681e-a954b8ba.jpg | the right internal jugular central venous catheter tip terminates in the proximal right atrium. no pneumothorax. remainder of the chest is unchanged with severe enlargement of the cardiac silhouette. persistent right upper lung field focal opacity is concerning for pneumonia. mild pulmonary edema is also again seen. there are small bilateral pleural effusions. pacing leads are in unchanged positions. | new right internal jugular central venous catheter. |
MIMIC-CXR-JPG/2.0.0/files/p15206209/s54073044/0b329453-0c653367-c5ca6e74-c75120b3-de225808.jpg | left sided dual lead pacemaker device a appears intact and unchanged with <num> lead in the right atrium and the other in the right ventricle. enteric tube tip traverses the hemidiaphragm and tip projects over the mid abdomen, and expected region of the stomach. edema has improved in the interim. otherwise, no significant interval change. persistent, right greater than left pleural effusions with compressive atelectasis, overall unchanged given positional differences. no pneumothorax. cardiomediastinal contours are unchanged. aortic knob calcifications are moderate. extensive, broad dextroconvex scoliosis of the thoracic spine with marked distortion of thoracic cage is unchanged. incompletely visualized cervical spine fixation hardware is noted. | <unk> year old woman with copd and bilateral pleural effusions triggered for a. fib with rvr and sob. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p11864106/s51288406/57e0dd4e-2b36a001-2a0822e9-4e24f173-b6f5ed86.jpg | pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the previously identified remaining tiny left-sided apical pneumothorax cannot be identified anymore. the pleural densities on the left base, however, remain with obliteration of the diaphragmatic contours and hazy densities related to the remaining pleural effusion that mostly occupies the posterior pleural sinus on the left side. the next previous examination detectable small air-fluid level related to the remaining postoperative pneumothorax is not seen anymore. the basal pleural densities along the diaphragm may have increased slightly, but no new parenchymal abnormalities are present. the right-sided hemithorax remains unchanged and within normal limits as before. | <unk>-year-old female patient with non-small cell lung cancer, status post resection, assess for abnormalities. |
MIMIC-CXR-JPG/2.0.0/files/p18649599/s58630043/bdffb2bf-b873e3d2-54880da1-d039ff9c-43653ae2.jpg | rather small bilateral pleural effusions and volume loss in both lower lungs. however, this is improved in appearance compared to the study from <num> week ago. dual lead pacemaker is again seen. her continues to be moderately enlarged. there is mild pulmonary vascular redistribution. | <unk> year old man with chf, cad admitted for volume overload and possible pneumonia. // evaluate for interval change re pulmonary edema and infection |
MIMIC-CXR-JPG/2.0.0/files/p13859433/s56222792/5de01dc2-8d1ff0ae-052d8f21-03b56695-bdbc77db.jpg | ap upright and lateral views of the chest provided. there is a persistent small pneumothorax with <unk> is not significantly changed in size compared with the prior exam. no midline shift or signs of tension. persistent partial collapse of the left lower lobe noted. right lung remains clear. cardiomediastinal silhouette is normal. fractures involving the left fifth, sixth ribs along the posterolateral arch again noted, displaced. | <unk>f with pneumothorax s/p fall of horse |
MIMIC-CXR-JPG/2.0.0/files/p12685684/s58464069/ca353c75-cfa3c07b-7c180ad9-b1eea2b7-bffef154.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. | cough, fever. question pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13794644/s56591563/a17217c3-a101912b-63bb32fe-57f567e5-1148f897.jpg | endotracheal tube tip is approximately <num> cm from the carina. enteric tube passes below the inferior field of view. lung volumes are relatively low. elevated right hemidiaphragm is again seen. there is no large confluent consolidation or large pleural effusion. these findings are all within limitation of portable technique and overlying trauma board. no displaced fractures identified. | <unk>m with fall, no sensation from nipple down, intubated // eval for c spine fracture, tls fracture, ptx, rib fractures, ich |
MIMIC-CXR-JPG/2.0.0/files/p11480752/s50959344/f465063b-9b963f41-3fefeb56-8f5b076a-6f2de762.jpg | heart size is mildly enlarged. mediastinal contours normal. there is no pleural effusion or pneumothorax. lung volumes are low, but there is no focal consolidation. | <unk>-year-old woman with chest pain cough and shortness of breath, evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p14593165/s59787975/022a0e5e-2de74c92-650e79b7-e8a8217e-54bf7f15.jpg | the lung volumes are low, resulting bronchovascular crowding. retrocardiac opacification likely represents a combination of collapse and pleural effusion. the heart remains enlarged. the patient is status post median sternotomy, with intact wires. no pneumothorax. . | history: <unk>f with fatigue // eval infiltrrate, cardiomegaly |
MIMIC-CXR-JPG/2.0.0/files/p13048370/s50811384/e09036a6-d597f901-78366dbf-0e2a083d-567fd920.jpg | the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is een. | evaluation of patient with thoracic pain after lifting weights. |
MIMIC-CXR-JPG/2.0.0/files/p12854593/s54183359/4074e750-8066c31e-804b41b3-13248c03-577d591b.jpg | there are multiple focal opacities in the right upper zone and at the bilateral lung bases, consistent with multifocal pneumonia. there is no effusion or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. | <unk> year old man with fever, productive cough and low o<num> sat, bibasilar rhonchi. beeper <unk> // / pna |
MIMIC-CXR-JPG/2.0.0/files/p14187451/s53919542/42b6587a-2097b977-b4ced3f6-79fe0997-bba1447a.jpg | endotracheal tube terminates <num> cm above the carina. an enteric tube courses into the stomach. a new right internal jugular catheter has been placed and courses into the low svc. there is no pneumothorax or pleural effusion. bilateral patchy opacities persist and are unchanged from <time> today. heart size remains mildly enlarged. hilar and mediastinal structures are unchanged. | new right ij central venous catheter placement. |
MIMIC-CXR-JPG/2.0.0/files/p18931342/s57906281/b37fbe7f-ac67f53a-b0fd6648-394b4364-5e4c2901.jpg | single portable frontal view of the chest. the lung volumes are exceedingly low, resulting in crowding of the bronchovascular structures and bilateral atelectasis. there is no definite pleural effusion. no pneumothorax. cardiac silhouette and mediastinum are likely unchanged, accounting for low lung volumes. | cough for weeks with hypoxia. evaluate for pneumonia or a pleural effusion. |
MIMIC-CXR-JPG/2.0.0/files/p12367923/s57435697/ca1b8d08-c6540e94-f90e6c01-772ca095-08e2c0c3.jpg | no radiopaque foreign body is seen. there is no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f who ?swallowed retainer // evaluate for foreign body |
MIMIC-CXR-JPG/2.0.0/files/p17086431/s59101643/91372f76-5297ad75-3a7103a0-945c4a45-0ec6e0e9.jpg | frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. low lung volumes with linear right basilar atelectasis. no pleural effusion or pneumothorax. no pulmonary edema. | hcv and cirrhosis presenting with abdominal distention and shortness of breath, evaluate for pulmonary edema |
MIMIC-CXR-JPG/2.0.0/files/p17136238/s53541815/b08bee65-2a70f537-dfd962bb-d659f7f7-b7fff7ed.jpg | streaky bibasilar atelectasis is mild, slightly more prominent on the right. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. | history: <unk>m with <num> days of sore throat, r eye drainage, l ear pain; also chest pressure/cough // eval for consolidation |
MIMIC-CXR-JPG/2.0.0/files/p19096168/s54756075/2ea06a1f-065594a1-e4f93cae-e50bd6b3-18a3a591.jpg | ap and lateral chest radiograph demonstrates low lung volumes. resultant bronchovascular crowding is noted. there is no pleural effusion identified. no focal consolidation concerning for pneumonia is identified. heart is enlarged, partially sequelae of low lung volumes. | <unk> year old woman with fever and sob, pls eval for pna or effusion on repeat cxr // <unk> year old woman with fever and sob, pls eval for pna or effusion on repeat cxr |
MIMIC-CXR-JPG/2.0.0/files/p16743731/s57920283/d197b13b-c3a3aeaa-1508e890-c4b90a06-9c7b3848.jpg | et tube has been removed. pulmonary edema has improved since <unk>. moderate left pleural effusion with left lower lobe collapse is unchanged. left paramediastinal pleural fluid causes apparent widening of the mediastinum. no pneumothorax. | history of nash cirrhosis and diffuse lymphadenopathy with recent upper gi bleed, now with oxygen requirement. evaluate interval change. |
MIMIC-CXR-JPG/2.0.0/files/p19822093/s52982582/296908c2-bc08b30b-35a3c593-41fbab79-bcca0d4b.jpg | right-sided picc has migrated, withdrawn and now terminates in the right axilla.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.. | history: <unk>m with picc // location of picc line |
MIMIC-CXR-JPG/2.0.0/files/p12568708/s56562205/3a3a1198-3a437a1b-469b09be-326dcc68-73f40530.jpg | there is interval improvement in the previously seen left upper lobe and left lower lobe opacities consistent with gradual resolution of infection or aspiration. a subtle opacity is also seen within the right upper lobe which may have been present on the prior radiograph in <unk>, and therefore an underlying parenchymal lesion cannot be excluded. there is no appreciable pleural effusion or pneumothorax. plate-like atelectasis is noted at the left lung base. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities identified. | <unk>-year-old female with a history of cirrhosis, presenting for evaluation of progressively worsening altered mental status and weakness. denies recent trauma. |
MIMIC-CXR-JPG/2.0.0/files/p18781675/s53044200/b489e483-9838445a-0c133fa6-e93214f5-1f2dfc98.jpg | pa and lateral chest radiograph demonstrate a left chest cardiac device, its leads which appear intact and terminate in the anticipated location of the right atrium and ventricle. patient is status post cabg. the most inferior median sternotomy wire appears discontinuous as does the second to most inferior sternotomy wire anteriorly. surgical clips project over the left heart border and left mid axillary chest superiorly. there is no pneumothorax. there is no pleural effusion. no evidence of pulmonary edema. cardiomediastinal and hilar contours are within normal limits. bibasilar atelectasis, left greater than right is mild. images of the upper abdomen are grossly normal. | history: <unk>m with vomiting, dizziness, hx cabg and pacer // pacer placement, acute cardiopulmonary process |
MIMIC-CXR-JPG/2.0.0/files/p19408205/s58964067/31da1de7-708649ea-b3b31136-6ef0b6aa-57727ff1.jpg | frontal and lateral radiographs of the chest show interval resolution of right middle lobe opacification from <unk> with residual bronchial thickening. the inspiratory lung volumes are appropriate. the lungs are clear without pleural effusion, pneumothorax or new focal consolidation. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the patient is status post median sternotomy with intact wires. | <unk>-year-old female with pneumonia diagnosed in <unk>, here to evaluate for resolution of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13787729/s50179459/a960bf92-cd163365-dcacc2dc-dc839433-ff1b4a6a.jpg | pa and lateral chest radiographs were obtained. multiple non-displaced right rib fractures are similar in appearance. a right basilar pleural thickening is slightly increased. a right pleural effusion has increased from small to moderate. a left pleural effusion remains small. no new abnormal cardiac or mediastinal contours are noted. a tiny apical right pneumothorax is still apparent. epidural catheter is new. | <unk>-year-old woman with right fourth through eleventh rib fractures. evaluate for pulmonary contusion. |
MIMIC-CXR-JPG/2.0.0/files/p14602471/s54182712/a0847ae8-0dcd0f51-ecbca7ba-8af32217-a8221193.jpg | a right lateral approach chest tube is in unchanged position. the right-sided hemothorax is not appreciably changed since the prior radiograph performed <num> day ago. there is a new right lung base opacity. no pneumothorax. the cardiac and mediastinal silhouettes are stable. | <unk> year old man with right hemothorax. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15068958/s59684049/25768a1d-a3e82872-0aa74abe-1c4d3239-e0f5f720.jpg | subtle patchy right lower lobe opacity is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>f with productive cough // r/o acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p18259094/s58335212/30e798ee-957646e8-b885cff6-653520b5-d050c68c.jpg | there are low lung volumes and the patient is somewhat kyphotic in position. enlargement of the cardiac and mediastinal silhouettes is stable. again, blunting of the right costophrenic angle suggests small pleural effusion. no evidence of pneumothorax. bibasilar atelectasis without definite focal consolidation. no definite pulmonary edema. | history: <unk>f with sob // eval for effusion/pna |
MIMIC-CXR-JPG/2.0.0/files/p13040343/s50477442/e7044c22-7bb2cc28-71b5be1a-7e057daa-e2c5dcca.jpg | pa and lateral views of the chest provided. suture material is again seen projecting over the left lower lung with tiny clips in the left upper abdomen. bilateral pleural effusions are increased from prior and small in overall volume. also noted is pleural based opacity at the right apex and along the periphery of the right mid lung which is concerning for loculated effusion similar in appearance to prior exam. ground-glass opacities in the lower lungs raise concern for pneumonia. in addition, ill-defined opacity in the right upper lung may reflect a component of pneumonia. cardiomediastinal silhouette is unchanged. imaged bony structures are intact. | <unk>m with fever, infectious work-up |
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