File_Path
stringlengths
94
94
Findings
stringlengths
10
1.83k
Query
stringlengths
4
830
MIMIC-CXR-JPG/2.0.0/files/p16893353/s54171000/e4ab00f4-5ec05ee9-f2fee6ff-93c0f759-b2fd410b.jpg
cardiac size is enlarged. pacer lead is in standard position. right lower lobe opacity has almost completely resolved, otherwise the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with copd, asthma, pneumonia with worsening respiratory distress // eval for worsening pna, pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p13721087/s51345232/d4571326-ba1760db-2fc426c2-e8fc8099-7204ed5a.jpg
the patient is status post median sternotomy. a left-sided pacemaker device is noted with single lead terminating in the right ventricle. massive enlargement of the cardiac silhouette is again demonstrated with marked tortuosity of the thoracic aorta, unchanged. there is mild pulmonary edema, new from the prior exam. n...
shortness of breath, hypoxia.
MIMIC-CXR-JPG/2.0.0/files/p11791809/s55150121/60f59315-932d5bf7-46ce4cd3-da880d1c-1f675a9b.jpg
rotated positioning. again seen is moderate cardiomegaly. no definite chf. minimal atelectasis at both lung bases, but no convincing focal infiltrate and no consolidation identified. previously seen increased markings at the right base have improved. no gross effusion on either side. the extreme right costophrenic angl...
<unk> year old woman with coughing // eval for infiltrate, concern for aspiration
MIMIC-CXR-JPG/2.0.0/files/p15013860/s54423737/18dcd31e-8dd8a819-3d6d688b-fd318421-7f13f138.jpg
lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. heart size is top-normal with mild unfolding of the thoracic aortic arch. hilar contours are unremarkable. there is a large hiatal hernia with adjacent atelectasis. lungs are otherwise clear. pleural surfaces are clear without effusion ...
frequent falls at home. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16508412/s55254379/ec49f2ca-6b11519f-74e25536-fe9e5f49-44a188fe.jpg
there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. mild prominence of interstitial markings is not significantly changed from <unk>. the left hemidiaphragm is elevated, unchanged from <unk>.
ascites, evaluate for infection.
MIMIC-CXR-JPG/2.0.0/files/p12928031/s52652897/8524cd9d-0efe8c73-b25cb48b-95de9b18-fbb55b79.jpg
the patient is status post sternotomy and a dual-lead pacemaker/icd device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. the chest is hyperinflated. there is no pleural effusion or...
dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p15228243/s57692330/8025fe97-2483c7e6-b0e334ba-de3ab796-c81ee607.jpg
there is interval increase in the sharpness of the mediastinal border suggesting pneumomediastinum. there is volume loss at both bases left greater than right. right-sided chest tube is again visualized.
<unk> year old man with esophageal cancer // ptx effusion
MIMIC-CXR-JPG/2.0.0/files/p12862100/s56063174/1161028f-f34343a5-7e219fa4-7e0218b3-8ae99137.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. no peripheral opacity to suggest pulmonary infarct.
shortness of breath and wheezing. evaluate for indirect evidence of pneumonia, asthma, pe.
MIMIC-CXR-JPG/2.0.0/files/p12932861/s55401163/edc04234-b79a66f3-f1ad9bbd-511c9f9e-def605d2.jpg
heart size is top-normal is calcified. hilar contours are unremarkable. there is a small linear opacity in the left lower lobe, not seen previously. there is no pulmonary edema or pleural effusion. there are mild endplate degenerative changes in the spine.
history: <unk>f with cough and sore throat. evaluate for pneumonia, other acute process.
MIMIC-CXR-JPG/2.0.0/files/p11690969/s53887075/3c5d230c-733da5dd-6d3a3d56-00e6c925-0f20912f.jpg
mild cardiomegaly is a stable. the aorta is tortuous. the lungs are hyperinflated. bibasilar opacities have almost completely resolved. bilateral effusions are small, decreased from prior. there is no pneumothorax. sternal wires are aligned. there are mild degenerative changes in the thoracic spine. patient is status p...
<unk> year old man with f/u pna, ongoing fatigue // r/o pna, lesion
MIMIC-CXR-JPG/2.0.0/files/p15963017/s57788301/235f8c36-22807807-2107ae4f-1638a722-55d9534f.jpg
pa and lateral views of the chest provided. cardiac silhouette remains enlarged with left lower lobe consolidation and effusion appearing slightly increased. blunting of the right cp angles also noted. no nodules are again seen in the left upper and right lower lung. mediastinal contour is grossly unchanged allowing fo...
<unk>f with r clavicle deform common nodules and rib lesions on prior chest ct exam.
MIMIC-CXR-JPG/2.0.0/files/p11768588/s55783021/1f5dde9f-9a6ccc7c-731bc7fe-88e2ac71-2cf73d22.jpg
portable single frontal chest radiograph was obtained. the tip of the et tube terminates <num> cm above the carina. the ng tube forms a loop in the fundus of the stomach. the lungs are fully expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
patient newly intubated with ng tube, eval position.
MIMIC-CXR-JPG/2.0.0/files/p17474083/s51359589/cc930b91-62f94763-208fbef2-4479623c-3cd7167b.jpg
the cardiomediastinal and hilar contours are unchanged. moderate cardiomegaly is stable. the pulmonary vasculature is mildly engorged and there is mild to moderate pulmonary edema, slightly decreased from the prior examination. lobular right hilus may be due to edema or adenopathy. no large pleural effusion or pneumoth...
<unk> year old woman with pulmonary edema, now improved, question of hilar lad // evaluate parenchyma, adenopathy, interval change
MIMIC-CXR-JPG/2.0.0/files/p15503721/s56536282/7007fd7d-02736e30-dcf3329b-c70d9c42-1ccfb7ee.jpg
there are no significant interval changes since the prior radiograph performed approximately <num> hours ago. the right internal jugular catheter terminates in the mid svc. there are bibasilar opacities, which are likely due to small pleural effusions as well as adjacent atelectasis. however, cannot exclude underlying ...
<unk> year old female newly dx afib with smv/pv/splenic vein thrombosis s/p exlap (<unk>) and resection <unk> cm ischemic bowel now tachycardic tachypneic. // pna vs. pulmonary edema vs. pe
MIMIC-CXR-JPG/2.0.0/files/p15308477/s56982396/471438ec-ff9f5685-537959d0-7d29df59-8213472e.jpg
the left lower lobe lung mass and associated consolidation is again seen and appears similar compared to the study from two days ago. there are no new areas of infiltrate. left humeral prosthesis is again visualized.
copd, new left lower lobe lung mass with fever.
MIMIC-CXR-JPG/2.0.0/files/p16024297/s55987299/d320dc92-1245cee7-bf83713a-ba3f5e8c-948e655d.jpg
in comparison to chest radiograph earlier today, there has been interval improvement in the right basilar opacity. the left basilar opacity is grossly unchanged and likely reflects atelectasis, though infection should be considered in the appropriate clinical setting. there is no new consolidation, pneumothorax or pleu...
<unk> year old man with respiratory distress requiring bipap now off // eval for interval improvement in pulm edema, ?pna
MIMIC-CXR-JPG/2.0.0/files/p19381528/s55473675/2e8f1bbf-c8171dc0-a4b8e6d3-0bb4a6f2-0e062621.jpg
et tube tip lies approximately <num> cm above the carina, at the lower edge of the medial clavicular heads. ng tube tip overlies the left upper quadrant. a sideport, if present, does not extend beyond the ge junction. right ij central line tip overlies the proximal/mid svc. cardiomediastinal silhouette is probably unch...
<unk> year old man with urosepsis s/p intubation for airway protection now with increased secretions // please assess for interval change given c/f developing pna
MIMIC-CXR-JPG/2.0.0/files/p19250843/s55826200/01babdbc-527bf074-eb15e718-20781ec0-4a6a0f04.jpg
the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart size is normal. the mediastinum is not widened. no evidence of acute fracture. no subdiaphragmatic free air.
history: <unk>m with s/p mva with rollover // eval for injuries
MIMIC-CXR-JPG/2.0.0/files/p15136836/s59252993/dcb9a5ac-81529768-d630b5cf-01837e8f-348fb320.jpg
pa and lateral chest radiograph demonstrates an enlarged heart. lungs appear clear. right hilar prominence appears to open present on chest ct dated <unk> as a confluence of prominent vascular structures. eventration of the right hemidiaphragm is incidentally noted. there is no pleural effusion. blunting of bilateral c...
<unk>-year-old female with question of pulmonary hypertension.
MIMIC-CXR-JPG/2.0.0/files/p16142804/s51255818/02eaa440-0e08a27a-fed37848-ffdda62b-4446537b.jpg
frontal and lateral views of the chest were performed. the lungs are better inflated on this study. there is moderate to severe cardiomegaly which, allowing for differences in technique, is unchanged. prominence of the central pulmonary vessels is noted with mild interstitial edema which is slightly improved. there is ...
chest pain, evaluate for mediastinal widening or cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15596627/s54786593/8b511912-622409db-aa0c9863-63b55895-0c7c943a.jpg
the lungs are well expanded and clear. there is no mass, consolidation, nodule, effusion, or pneumothorax. the heart size is top-normal.
scapular pain.
MIMIC-CXR-JPG/2.0.0/files/p19690769/s53466309/98c7495f-422d1129-c5cb0299-46f275d4-ab44befd.jpg
there has been interval improvement of the mild pulmonary edema. a left pleural based opacity is stable, better seen on prior ct, and there no focal consolidations or pleural effusion. lumbar spinal hardware is partially visualized.
<unk> year old man with metastatic rcc to spine/lungs
MIMIC-CXR-JPG/2.0.0/files/p15375159/s56556168/0a2c8f81-17b6f137-258face9-49528c85-bd947722.jpg
pa and lateral views of the chest were provided. there is airspace consolidation in the right middle lobe compatible with pneumonia. there is an associated small right pleural effusion. there is mild loss of definition of the left heart border with subtle adjacent opacity which could indicate a small component of pneum...
<unk>-year-old female with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p14335377/s58846448/2280606c-ebe454c3-3ad7ac62-4c1066a4-b7907f19.jpg
the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with dizziness // pna?
MIMIC-CXR-JPG/2.0.0/files/p15381293/s58001487/7e7d1bf9-18bed899-aa7d6bce-99b9bae9-340c771a.jpg
ap and lateral views of the chest. no radiopaque foreign body is seen in the lungs or airways. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal. no free air.
tooth knocked out during endoscopy, question aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18770024/s52936377/0b7709c1-8950d167-620cb73f-166fe827-cb107d1d.jpg
the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of syncope. please evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg
all the monitoring and support devices are unchanged within standard position. patient is after sternotomy for cardiac surgery. lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component. also, the left base pleural effusion is reduced. the right basilar opacif...
followup.
MIMIC-CXR-JPG/2.0.0/files/p15625284/s57097336/475e80f2-170f7852-98c9f40b-ef554931-da2a9b35.jpg
pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with cough and fever with a hx of copd and dysphagia // ? pna /aspiration ? pna /aspiration
MIMIC-CXR-JPG/2.0.0/files/p14235272/s53842819/5a48f78b-486e9aa5-db1420c3-1e1973f9-4e0d7c32.jpg
single frontal view of the chest. heart size is top normal and upper mediastinal contours are stable. pulmonary vascular markings are indistinct, consistent with pulmonary edema. new bilateral lung base opacities are consistent with a large right and moderate left pleural effusion. increased retrocardiac opacity may re...
status post left foot amputation and cardiac arrest.
MIMIC-CXR-JPG/2.0.0/files/p16414344/s56919096/298af726-2a08a037-b75da73b-94b9e302-4a96c278.jpg
single portable view of the chest. there are diffuse bilateral parenchymal opacities in the lungs. blunting of the costophrenic angles suggestive of pleural effusions. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are seen. no acute osseous abnormalities detected.
<unk>-year-old male with hypoxia and chest pain. question pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12591293/s55240584/0b652396-1317b6a0-4733ee7b-ef991ccb-3445a729.jpg
there are low inspiratory volumes. medial uppermost portion both lung apices is obscured by the patient's chin. mild prominence the cardiomediastinal silhouette is again noted, similar to prior, but could be accentuated by low lung volumes. perihilar interstitial markings are slightly increased and there is some atelec...
history: <unk>m with ams // eval for acute process, pna . review of prior studies indicates a history of sickle cell disorder.
MIMIC-CXR-JPG/2.0.0/files/p15128282/s58879029/34fe2c9f-5bac2ae8-17111548-9314cd1f-a013b8b4.jpg
again noted is the dilated neoesophagus without air fluid levels. there is no evidence of pneumomediastinum. othrwise the lungs are clear with the exception of mild left basilar atelectasis. the hilar contours are unremarkable. the heart size is normal. there is no pleural effusion or pneumothorax. a left-sided port-a-...
<unk>-year-old male with status post esophagectomy with gastric pull-up on <unk>, with neo-esophageal dilatation. evaluate for evidence of mediastinal air.
MIMIC-CXR-JPG/2.0.0/files/p14634288/s51862820/309ca949-903e60f5-ba93d3ce-303a96e7-ff2241f0.jpg
portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with no history lung dz now with decreased o<num> saturation and left sided wheezing s/p left kidney stone laser lithotripsy // pleural effusion, pneumothorax or other explanation for decreased o<num> saturation pleural effusion, pneumothorax or other explanation for decreased o<num> saturation
MIMIC-CXR-JPG/2.0.0/files/p17460310/s53851335/34474b94-c65660cf-fa03f021-e5c6c5c9-d412b72f.jpg
the tip of a new ett is seen <num> cm above the carina. a right ij central line is seen in unchanged position. there is little change in the appearance of the lungs since prior exam the heart size is top normal in size but this may be due to patient obliquity. no pneumothorax or pleural effusion. posterior lumbar fusio...
<unk> year old man with metastatic hcc // intubated
MIMIC-CXR-JPG/2.0.0/files/p13886221/s56953224/770020f3-f626a3bf-179f8eb7-d3977ba1-babc5f1a.jpg
pa and lateral views of the chest were obtained. the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no infiltrate or pulmonary edema. the visualized osseous structures are unremarkable.
<unk>-year-old female with end-stage renal disease on peritoneal dialysis with cough.
MIMIC-CXR-JPG/2.0.0/files/p13264941/s55016929/7f071be5-f5dbba19-2fa138e6-261a575d-9a4dad18.jpg
pa single portable view of the chest. no prior. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old woman with tachycardia.
MIMIC-CXR-JPG/2.0.0/files/p19519825/s58489791/0bdf33c4-68b20e31-d62965d8-db471ccb-86b737a3.jpg
in comparison to the most recent examination, there is no significant change in the left-sided pleural effusion. a left-sided pleurx catheter remains at the left lung base. left basilar opacity is stable. right basilar opacity is improved. again seen is a right sided port-a-cath with the tip terminating in the mid svc....
<unk> year old woman with dlbcl s/p r-chop (<unk>) with pleurx cath // interval change, pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p16261645/s52495493/67ee5016-22e90478-f4a86337-35fcae79-dcd01bb7.jpg
since the interval prior study, there is been a advancement of the et tube, now more appropriate position approximately <num> cm above the carina. however, the cuff of the et tube appears overinflated. there is also been interval placement ng tube, with tip terminating near the region of the pylorus and resultant impro...
<unk>m with hypotension s/p intubation // eval for ptx
MIMIC-CXR-JPG/2.0.0/files/p18847956/s58463468/6f740c8c-599cefd3-1d426b6f-3ce25ad1-e3a0928b.jpg
the cardiac, mediastinal and hilar contours are normal. lungs are clear without focal consolidation. scarring within the lung apices is unchanged. no pleural effusion or pneumothorax is visualized. there is no pulmonary vascular congestion. no acute osseous abnormalities seen.
cough.
MIMIC-CXR-JPG/2.0.0/files/p16206585/s52452029/df156000-a036304d-ee5b9cb9-c59169a4-87e466cd.jpg
lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour. is not enlarged. heart size is at the upper limit of normal. previous median sternotomy is noted. no pleural effusion, consolidation or pneumothorax seen. no fracture seen.
<unk>f with chest pain this morning pls eval for cardiopulm change // <unk>f with chest pain this morning pls eval for cardiopulm change
MIMIC-CXR-JPG/2.0.0/files/p15614172/s50892595/509e1f61-ee6c4659-5936a0d5-ba237514-8cf36508.jpg
patient is rotated to the left. there are relatively low lung volumes. obscuration of the bilateral costophrenic angles may be due to overlying soft tissue, although trace pleural effusions are difficult to exclude. patchy medial right base opacity has been present over multiple priors and most likely relates to overly...
history: <unk>m with multiple myeloma presenting with altered mental status. // any evidence of pna?
MIMIC-CXR-JPG/2.0.0/files/p10267709/s55427191/31c7145a-bc952ff0-ad9037a8-6b884fbe-bc918022.jpg
an endotracheal tube terminates in appropriate position, and an enteric tube terminates in the stomach. the patient is status post median sternotomy and cabg. the lung volumes cause crowding of the bronchovascular structures. there are bibasilar opacities which may represent aspiration.
<unk>-year-old man status post intubation.
MIMIC-CXR-JPG/2.0.0/files/p18105781/s53129572/39fb60cd-881de98f-2035504d-1a843920-687311d0.jpg
the cardiomediastinal 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.
<unk>f with cp x<num> days // ?pna or pneumo
MIMIC-CXR-JPG/2.0.0/files/p15139909/s50988086/e4cb24cc-0f13107c-681a206e-afe4ef3a-fdad619a.jpg
pa and lateral views of the chest provided. suture projecting over the right and left lung base reflect prior intervention. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaph...
<unk>m with right sided weakness
MIMIC-CXR-JPG/2.0.0/files/p10566018/s59478173/fe480f31-f0dca7db-5a5cd7cd-c2273246-20c219f2.jpg
frontal and lateral views of the chest demonstrate normal heart size and mediastinal and hilar contours. the lungs are well expanded. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with intermittent cough for six months. question lung lesion.
MIMIC-CXR-JPG/2.0.0/files/p11281568/s54630868/e77f94d8-89958e7a-a8e3ca5a-409732b4-41f385ad.jpg
patient is somewhat rotated in this examination. a tracheostomy tube is seen well positioned in the trachea. left subclavian catheter extends to the mid portion of the svc. enteric tube courses below the diaphragm, the tip is not included in this examination. allowing for positional changes, cardiomediastinal and hilar...
<unk>-year-old man with neurologic toxoplasmosis and tracheostomy. study requested for evaluation of tracheostomy and for new infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s51213999/5368cb45-48a0da39-a431a065-fd2a14d7-c511ee90.jpg
tracheostomy and enteric tubes are unchanged. left picc line appears to have been advanced, which may be a function of arm position, now terminating in the right atrium. lung volumes are low with obscuration of the lung bases bilaterally, a combination of pleural effusion and atelectasis. heart size is similar. there i...
<unk> year old man intubated. evaluate interval change.
MIMIC-CXR-JPG/2.0.0/files/p18414171/s50378713/3d48d01f-31093371-bb82ad33-97715ea9-f4f9d772.jpg
the heart is stably enlarged. mild central pulmonary vascular congestion and early interstitial pulmonary edema are present. no focal consolidation, or pneumothorax. small right pleural effusion. sternal wires and a prosthetic cardiac valve are unchanged in position.
<unk>f with afib. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15772705/s53236217/e1afd67f-596f7813-aa103c48-6e24d778-dfca0737.jpg
pa and lateral views of the chest provided. the lungs appear clear though hyperinflated without focal consolidation, effusion or pneumothorax. no edema or congestion is seen. heart size is normal. mediastinal contour is unremarkable. the imaged bony structures appear intact. dedicated views of the right shoulder fail t...
<unk>m with cough, shoulder pain
MIMIC-CXR-JPG/2.0.0/files/p19288750/s51132139/ed37e67c-1df8b757-99eb223c-e1246139-5fe0899f.jpg
the lungs are clear.the heart size is normal. mediastinal contours remarkable for slightly tortuous descending thoracic aorta, which is unchanged.no pleural abnormality is seen.
<unk>m with cough and malaise. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13991458/s50572935/8f51006d-0047c079-0b6715c3-6ddc3d71-e5a5b104.jpg
two frontal images of the chest demonstrate interval placement of ng tube and endotracheal tube. another short tube appears overlying the trachea and recommend clinical correlation to identify. the cardiomediastinal silhouette is unremarkable. there is interval worsening of interstitial markings, likely representing pu...
<unk>-year-old male with new onset tachypnea.
MIMIC-CXR-JPG/2.0.0/files/p12320594/s50983585/dfbe4f9d-9d939417-b32a9c51-bdf0752d-0143179b.jpg
the soft tissue of the upper anterior chest wall is markedly thickened, and should be inspected for possible hematoma. the manumbrium is not clearly delineated and could be fractured. the mid thoracic spine which is scoliotic is also difficult to see. bone detail views of both manubrium and thoracic spine, or chest ct,...
<unk>-year-old male status post <unk> rollover.
MIMIC-CXR-JPG/2.0.0/files/p18985761/s50707283/689f0cd0-ee982281-95438dd2-a6b493b7-d50387b7.jpg
the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. mild rightward convex curvature is again centered along the upper thoracic spine. cholecystectomy clips project over the right upper quadrant of the abdome...
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p13044775/s58924144/afd36d7f-0b5442c0-942c745a-2fbaef68-c85a84ad.jpg
the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with coughm, recent pna // ? pna
MIMIC-CXR-JPG/2.0.0/files/p18858088/s59964963/0ec892a7-eb7feaeb-a4e875c8-6bcea87d-5dee7ac4.jpg
heart size remains mild to moderately enlarged. the mediastinal and hilar contours are unchanged with atherosclerotic calcifications at the aortic knob again demonstrated. mild upper zone vascular re-distribution is presumably due to supine positioning. the opacification over the left mid and lower lung fields appear w...
fall, unresponsive.
MIMIC-CXR-JPG/2.0.0/files/p18298823/s54536757/10d18a97-526256bc-b669d375-b2684c91-006d7afe.jpg
since the prior exam, there has been improved aeration of the right upper lobe. there is still a large right pleural effusion and associated atelectasis. the left lung is essentially clear. there is no left pleural effusion. no pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hem...
status post tips. evaluate for subdiaphragmatic air.
MIMIC-CXR-JPG/2.0.0/files/p12525635/s50664454/e87bf508-b6f104f5-b4aa3faf-b61a75c8-8ffaed3f.jpg
lungs are clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.
<unk> year old man with cirrhosis, <unk>, r./o infection // assess for any infiltrate
MIMIC-CXR-JPG/2.0.0/files/p14018526/s50670359/7d806ef0-325f401f-67f4def5-09c1dce6-abce208f.jpg
compared to the most recent prior film, dobbhoff tube placement has been attempted. allowing for slightly rotated positioning, the radiopaque portion of the dobbhoff tube overlies the thoracic inlet/superior mediastinum. because it does not pass distal to the carina, the dobbhoff tube position in relation to the trache...
<unk> year old man with recent dht tube placement. // evaluate placement
MIMIC-CXR-JPG/2.0.0/files/p13176838/s53729646/746b3ea6-d0926f54-f23cf084-02f18dc6-88a5a85c.jpg
the left-sided port-a-cath terminates in the cavoatrial junction. the cardiomediastinal silhouette is unremarkable. the previously seen retrocardiac opacity has nearly resolved. there are no new focal consolidations. there is no pulmonary edema, pneumothorax, or pleural effusions.
<unk> year old man with recent admission for febrile neutropenia and presumed taxol reaction/hypersensitivity pneumonitis. bal + for afb // eval progression of pneumonitis. eval evidence of mycobacterial disease
MIMIC-CXR-JPG/2.0.0/files/p17276953/s58706459/ecb3d8d3-74b968e7-ca46979a-a2465ae7-3127ed36.jpg
lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with sob // eval for pna
MIMIC-CXR-JPG/2.0.0/files/p14231200/s53485660/231697f3-4b2f730b-27dd1f4f-9f240e48-68785218.jpg
frontal and lateral views of the chest. catheter of a left chest wall port terminates in the lower svc without acute kinks or interruption. the patient is status post bilateral mastectomy with a left breast tissue expander in place. heart size and cardiomediastinal contours are normal. the lungs are clear without focal...
swelling and inflammation of the left breast.
MIMIC-CXR-JPG/2.0.0/files/p16043637/s55430187/5f4fdb1c-97aed97d-fa4a3b1b-9da4ea33-e9df38ee.jpg
the heart size is unchanged in size, and a left cardiac pacer device is in stable position with its lead in appropriate position. the patient is status post aortic valve replacement and median sternotomy. the lungs are clear of focal consolidation, pleural effusion or overt pulmonary edema. a right picc terminates in t...
<unk>-year-old female with productive cough and dyspnea.
MIMIC-CXR-JPG/2.0.0/files/p16380197/s56803789/76b2976f-318ab1ae-c13de45e-61aae908-8fdc7216.jpg
right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no subdiaphragmatic free air is identified. degene...
history: <unk>f with belly pain, central line placement
MIMIC-CXR-JPG/2.0.0/files/p14275120/s55506966/65b75c5d-33cb6604-71e8ffca-786a5ee5-735957ff.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 cough // ? pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10766251/s57619943/d6b2d619-3f93f31e-65907f5c-a5465bd2-a398ab6f.jpg
heart size is normal. the mediastinal and hilar contours are remarkable for a right cardiophrenic angle opacity corresponding to a large pericardial fat pad on prior chest ct of <unk>. . the pulmonary vasculature is normal. lungs are clear. attenuation of upper lobe vessels is consistent with known emphysema as demonst...
<unk> year old woman with cough // rule out infiltrate
MIMIC-CXR-JPG/2.0.0/files/p14201843/s54000944/12c40260-9fbd86f3-4c6e9846-f75a7b31-1e5d8b7d.jpg
lungs are normally expanded. there is increasing pulmonary congestion at the lung bases and worsening cardiomegaly especially the left ventricle. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. mid thoracic compression deformities are re- demonstrated.
history: <unk>f with h/o copd p/w shortness of breath and productive cough // eval for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p11485828/s57777817/b8ab06dd-bf7b4f4b-e328c7b9-99403118-979c7b89.jpg
there has been interval placement of a right picc line, this traverses the mediastinum and the tip is positioned in the left brachiocephalic vein the lunate in the svc. no pneumothorax. there is unchanged left lower lobe a atelectasis. infection cannot be excluded. no pleural effusion seen.
<unk>-year-old female s/p hand fracture with persistent severe hand pain/necrosis requiring multiple washouts/debridement now s/p hand reconstruction with free flap, increasing wbc and temp on standing apap. // evidence of pna
MIMIC-CXR-JPG/2.0.0/files/p18609004/s54830797/eceb3e39-3c6ac4f1-e8ea2d8f-7a7ab0c5-e2aaa383.jpg
pa and lateral views of the chest were reviewed and compared to the prior studies. lung volumes have improved since <unk>. the lungs are clear without focal consolidation, pulmonary edema, vascular congestion or pleural effusion. there is no pneumothorax. cardiac size is normal. prominence of the ascending aorta is unc...
renal transplant evaluation in a man with end-stage renal disease.
MIMIC-CXR-JPG/2.0.0/files/p17648869/s59587694/d8159393-1839699e-2c5fdf29-2ed73ebc-fe6696b3.jpg
the patient is status post sternotomy and probably cabg. the cardiac, mediastinal and hilar contours appear stable. fissures are thickened. small pleural effusions are present. the lungs demonstrate a predominantly central interstitial abnormality suggesting mild pulmonary edema. although probably not acute, non-displa...
question congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p12951641/s58616834/cbac57cb-c820e2b2-4822a5e5-c4e1b881-db244328.jpg
pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.
<unk> year old woman with history of asthma with fevers, cough, shortness of breath, and wheezing
MIMIC-CXR-JPG/2.0.0/files/p19348745/s52272758/a77fff16-5f50fb44-c2f1b57d-69dcdebe-48cc19c3.jpg
the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. mild dextroscoliosis of the thoracic spine is noted. bilateral rib cage deformities appear chronic.
lower chest pain.
MIMIC-CXR-JPG/2.0.0/files/p17054151/s53196743/27cf9330-19349861-368a043d-bd7f562a-4f9418f4.jpg
redemonstrated is a dual lead pacemaker/ icd with leads terminating within the right ventricle and atrium, respectively. the cardiomediastinal silhouette is stable. retrocardiac opacity has resolved. patchy right lower lobe opacity is probably chronic and unchanged, likely due to minor scarring or atelectasis. there ar...
history: <unk>m with chb s/p pacer, oral scc s/p xrt and resection ,presenting with fever, has crackles at l lung base. // ?pna
MIMIC-CXR-JPG/2.0.0/files/p19643415/s55348942/8a96f35d-b9ff1717-b6a49d6e-76e37b1b-1cf11ae2.jpg
left dual lumen chest wall port-a-cath is seen with catheter tip in the mid svc. opacity at the left lung base is compatible with prominent fat pad. the lungs are otherwise clear without consolidation, effusion, or edema. known pulmonary nodules are better seen on prior dedicated chest ct. the cardiomediastinal silhoue...
<unk>m with chest pain // r/o acute cpd
MIMIC-CXR-JPG/2.0.0/files/p18236201/s57400231/96a680a2-7523f4da-18475672-35d41573-6e8befdb.jpg
again demonstrated are multifocal areas of consolidation involving both lungs, with lower lung predominance. some of the consolidative opacities have a nodular contour. allowing for differences in technique and projection, the overall appearance is similar to the prior radiograph of <unk>. cardiac silhouette remains en...
<unk> year old with history of atrial fibrillation on xarelto, chfpef, intermittent headache, sinus pressure, nausea, vomiting, diarrhea, abdominal pain, and shortness of breath found to have pneumonia by ct chest. // any evidence of pna? edema? lesions?
MIMIC-CXR-JPG/2.0.0/files/p11152718/s55263647/e388d1cf-b68214b1-60581a3c-2e3080e9-c14e52c9.jpg
the central venous catheter has been removed. a moderate left pleural effusion with associated left basilar atelectasis appears relatively unchanged. the cardiac mediastinal contours are similar with atherosclerotic calcifications noted at the aortic knob. there is no pulmonary vascular congestion, new focal consolidat...
history: <unk>f with fevers and recent transplant
MIMIC-CXR-JPG/2.0.0/files/p10893978/s52424797/b3e47f51-6fac6182-d027eda9-2241117d-23c9c8aa.jpg
heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. lung volumes are low with crowding of the bronchovascular structures and mild pulmonary vascular engorgement. linear opacities are seen in both lung bases likely reflective of subsegmental atelectasis. small right pleural effusion is li...
history: <unk>f with chest pain, elevated d-dimer
MIMIC-CXR-JPG/2.0.0/files/p13018979/s50019629/749f60e8-0b7aa4ae-eca5f370-4d619383-59532c17.jpg
the cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. no fracture is identified.
status post motor vehicle collision. question rib fracture, hemothorax.
MIMIC-CXR-JPG/2.0.0/files/p15094991/s59299746/606d5b98-b88a5778-1bd71f83-37f63ec8-6146918d.jpg
the heart and mediastinal contours are within normal limits. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with new onset of atrial fibrillation.
MIMIC-CXR-JPG/2.0.0/files/p19085840/s54848078/6ed5511f-e0deeb5f-ddf90ef8-e03af0a5-91dafaf2.jpg
frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.
<unk>-year-old female with history of igg deficiency, now with two-month history of intermittent cough productive of purulent sputum without fevers, here to evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19841746/s53800533/0304247e-c4b09952-d908b7f0-3db1eed7-d5d46772.jpg
pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. scarring is noted in the right apex. the cardiomediastinal silhouette is normal. clips are noted in the left upper quadrant and in the mid abdomen. the bones are intact without evidence of compression frac...
history of hodgkin's and breast cancer with mid upper back pain for six months. question djd or other etiologies.
MIMIC-CXR-JPG/2.0.0/files/p12104123/s51735158/aad26ccf-d13a2013-953a2dc6-5da26f09-7cb734db.jpg
since prior, there is no significant change. lung volumes are low. cardiomediastinal silhouette is unchanged. streaky bibasilar linear opacities are compatible with atelectasis. there is no evidence of pulmonary edema. slight blunting of the costophrenic angles bilaterally may be due to trace pleural effusions. there i...
<unk>m with shortness of breath and hypoxia, evaluate for pneumonia. .
MIMIC-CXR-JPG/2.0.0/files/p12604638/s55149761/1bbcfa65-c0b51e06-8f3b9cf2-3cd4d604-b29d2675.jpg
a right humeral head joint prosthesis appears dislocated from the glenoid fossa. the prosthesis obscures a portion of the right upper lung. low lung volumes cause bronchovascular crowding and bibasilar atelectasis. allowing for this, there is moderate central pulmonary vascular congestion with likely mild interstitial ...
<unk>f with wheezing, evaluate for acute process.
MIMIC-CXR-JPG/2.0.0/files/p15640404/s57865150/4d547dac-559f0800-e4b9bd22-39867d55-a44ad786.jpg
single ap view of the chest provided. lungs are well inflated. prominence of the pulmonary vasculature and diffuse interstitial opacities are suggestive of mild to moderate pulmonary edema. no pleural effusion or pneumothorax. cardiomediastinal contours are normal.
<unk> year old woman with new oxygen requirement. patient in <unk> <unk>. // rule out aspiration pneumonia or chf
MIMIC-CXR-JPG/2.0.0/files/p14020630/s58449465/823a0c0d-b11385be-a6556666-a57fa301-84f43cfb.jpg
frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. several surgical clips project over right upper abdomen. otherwise, the im...
right-sided pleuritic chest pain. assess for rib fractures or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18273107/s52923405/cade89fa-84ad07a7-bde7b15d-01398bdb-0a816192.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.
chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18035288/s56968003/e7760635-fa66ff2f-6013756c-894f4596-2966bb15.jpg
the lungs are clear. focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette, hila, and pleura are within normal limits.
<unk>-year-old woman presenting with a cough for <num> weeks. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16298617/s54180090/6c40e548-9988caef-3968ae22-61f0f968-326eaf35.jpg
the lungs well expanded and clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable.
history: <unk>m with near syncope, cough // eval for consolidation
MIMIC-CXR-JPG/2.0.0/files/p12484082/s54275802/152e12cc-c133da81-480f8170-7de3ac52-6ba00247.jpg
there is no focal consolidation, effusion, or pneumothorax. heart size is normal. mediastinal and hilar contours are normal.
<unk> year old woman with cough and wheezing // check for infiltrate
MIMIC-CXR-JPG/2.0.0/files/p18550118/s52870137/34da49b6-1c8e5f4f-56c73270-98fd9b44-6918edc2.jpg
ng tube terminates within the stomach. since prior radiograph, there is now collapse of the left lower lobe with mediastinal shift toward the left. there may also be increase in the left pleural effusion. haziness at the right base most likely represents a combination of pleural effusion and atelectasis. pulmonary cong...
<unk>-year-old woman with subdural hemorrhage recently extubated. evaluate for effusions or infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p11273035/s53532051/9e331016-46794c2d-5ab5b90a-26fb056f-fef73a5a.jpg
the lungs are well expanded and clear. a small calcified granuloma is noted in the lateral left lung base. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>m with chest pain // ? pna
MIMIC-CXR-JPG/2.0.0/files/p10996929/s53797008/ccb2e309-a4179c84-c870a36c-7cb60009-73c23a06.jpg
frontal and lateral views of the chest demonstrate low lung volumes, which accentuates bronchovascular markings. there is no pleural effusion, focal consolidation or pneumothorax. linear opacity in the left lung base likely represents atelectasis. hilar and mediastinal silhouettes are unchanged. mild perihilar vascular...
altered mental status and chest pain. study obtained prior to vq scan.
MIMIC-CXR-JPG/2.0.0/files/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg
the patient is status post coronary artery bypass graft surgery. the sternum is not well assessed with this technique. the cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly as well as calcification and tortuosity of the aorta. there is no pleural effusion or pneumothorax. the chest i...
infected sternal wound.
MIMIC-CXR-JPG/2.0.0/files/p18843156/s53798851/f2489f12-c2de93ca-86c3e775-e7247090-69128391.jpg
supine portable view of the chest demonstrates endotracheal tube terminating in the right main stem bronchus with associated right upper lobe collapse. lung volumes are low. no pleural effusion or pneumothorax. there is slight widening of the hilar and mediastinal silhouette. heart size is normal. there is pneumomedias...
patient with history of neck crepitus.
MIMIC-CXR-JPG/2.0.0/files/p12646051/s55379682/7c9e7de4-fd55b546-238e0631-ad24a73e-49b241e5.jpg
pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
left-sided chest pressure. evaluate for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14491638/s50544930/37c3b16c-051c46f4-e8958e91-75204a34-2e2cb8b8.jpg
pa and lateral views of the chest provided. dual lead left chest wall pacer is again noted with leads in unchanged position. the heart remains stably enlarged. no edema or pneumonia. no pleural effusion or pneumothorax. mediastinal contour is normal. bony structures are intact.
<unk>m with chf, recent pacer placed //
MIMIC-CXR-JPG/2.0.0/files/p19472091/s51793115/4a33eda4-00e45cce-97d9c4f2-238181d2-078a0ecb.jpg
since <unk>, small right pleural effusion and right basilar atelectasis is increased. the heart size is normal. previously noted right picc line has been removed. mid leftward tracheal deviation is due to enlarged right thyroid lobe.
<unk> year old woman with cirrhosis and history of effusions // f/<unk> effusion
MIMIC-CXR-JPG/2.0.0/files/p19759447/s54873381/1dea14b2-fa25a57c-077b1926-adc14cc3-5091c592.jpg
heart size is normal. the aorta remains markedly tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal and the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine. radiopaque objec...
fall, assess for infection.
MIMIC-CXR-JPG/2.0.0/files/p16435829/s55184934/fab084c4-43989541-08fbfb46-ec979942-2052ef5e.jpg
previously seen left lower lobe opacity in is resolved, consistent with clearing of pneumonia. minimal residual bronchial thickening is noted in the left lower lobe. there is no consolidation, pneumothorax, or pleural effusion. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with pneumonia lll // clearing?
MIMIC-CXR-JPG/2.0.0/files/p19166723/s55339935/b8ff6a26-30831551-5d81fd31-d73f8c3f-4276ed15.jpg
frontal and lateral views of the chest. there are bilateral lower lobe and right upper lobe consolidations worrisome for pneumonia. prominence of the left hilus is likely from reactive lymphadenopathy. no pleural effusion or pneumothorax. heart size is normal. the mediastinal contours are unremarkable.
two days of midsternal chest pain with worsening of breathing and cough.
MIMIC-CXR-JPG/2.0.0/files/p18557012/s54137713/4f67a34a-7aa9a531-5dc9766b-59eb5dbc-beef78f0.jpg
as compared to the chest radiograph on <unk>, the right infrahilar opacity has resolved. the lungs are well expanded and clear. the appearance is similar to the baseline radiograph of <unk>. the heart is mildly enlarged and there is some mild aortic tortuosity. no pleural effusion or pneumothorax is identified. again s...
history of recent pneumonia. evaluation for interval resolution.