Frontal_Image_Path
stringlengths 94
94
| Lateral_Image_Path
stringlengths 94
94
⌀ | Findings
stringlengths 76
2.06k
| Query
stringlengths 1
630
|
|---|---|---|---|
MIMIC-CXR-JPG/2.0.0/files/p10188275/s57284034/6e3933cc-39f70a73-8c33afec-21f705c5-7b33a8e5.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10188275/s57284034/e3b68c99-5ab0972e-e529bc7b-256662d0-e8bd24ea.jpg
|
Cardiomediastinal contours are stable in appearance. Improving bibasilar atelectasis is present. Partially loculated right pleural effusion, small-to-moderate in size, is unchanged. Subcutaneous emphysema is present in the right chest wall extending into the right supraclavicular and cervical regions.
| |
MIMIC-CXR-JPG/2.0.0/files/p15048999/s58165144/78b24581-c8c9fbf4-a4b4a490-81eaf88d-79267ce0.jpg
| null |
Pneumomediastinum and soft tissue gas at both supraclavicular regions, both unchanged from outside hospital radiograph from yesterday. No evidence of pneumothorax on cxr. The heart size and hila are normal. Atelectatic changes are seen in the right mid lung zone. Endotracheal tube ends about <num> mm above the carina. Og tube ends in the corpus of the stomach.
|
<unk>-year-old man, intubated after overdose.
|
MIMIC-CXR-JPG/2.0.0/files/p18271444/s58285394/d3b9253a-9d52936b-9c6dfb82-b7eda05e-c4ce2055.jpg
| null |
In comparison with the study of <unk>, there are again substantial bilateral layering effusions with compressive atelectasis at the bases. Some elevation of pulmonary venous pressure is again seen. Monitoring and support devices are unchanged in position.
|
colitis and sepsis with intubation.
|
MIMIC-CXR-JPG/2.0.0/files/p15727523/s55546187/357d7589-3ae34888-02c21fbd-a13b5bc4-46f01a3c.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15727523/s55546187/86acfe6b-44b4e1b9-dcb93198-b1824a68-496f5d51.jpg
|
No consolidation. Minimal residual left pleural effusion is unchanged. No pleural effusion on the right. The cardiomediastinal silhouette is unchanged. No pneumothorax.
|
<unk> year old woman with h/o pleural effusion s/p thoracentesis // assess for interval change
|
MIMIC-CXR-JPG/2.0.0/files/p17243031/s59632130/c35bd2ba-19d37add-9c97b0cb-f854b259-f24b2794.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17243031/s59632130/d7f9e775-31b93b49-dc532856-1e363868-edfaf2af.jpg
|
Linear atelectasis is noted in the lingula. There is no lobar consolidation, pleural effusion, or pneumothorax identified. The cardiomediastinal silhouette is unchanged from the prior examination. The cardiomediastinal silhouette is within normal limits.
|
history: <unk>f with cough and fevers // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p19160511/s50888436/3db1fcc5-f136df3c-e05348ef-bc427237-0f631c92.jpg
| null |
Ap view of the chest provided. There is worsening colonic distention, with <unk> sign suggestive of pneumoperitoneum. Lung volumes are low, in part due to abdominal distention. Lungs are otherwise clear.
|
<unk> year old man status post robotic prostatectomy, presents with shortness of breath and chest pressure
|
MIMIC-CXR-JPG/2.0.0/files/p13724843/s56489095/0885fd6e-f9edc0b6-3b407fa0-d22fe07c-b3a67cf5.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13724843/s56489095/7bfbf1b0-e92d7163-faa10d01-ea5cdec6-5bd3504e.jpg
|
Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Incidental note is made of a left-sided cervical rib.
|
<unk> year old woman with untreated htn, migraine, intermittent cp/sob/back pain // ?pna/other acute intrathoracic process
|
MIMIC-CXR-JPG/2.0.0/files/p16742247/s56981342/11064d2c-3219244e-4eba537a-fd575054-44a788e0.jpg
| null |
There is a right subclavian, which terminates in the mid svc. The multifocal bilateral airspace opacities have improved slightly, however they are persistent. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
|
<unk> year old man with aml, now new onset hypotension // any acute process to explain acute hypotension?
|
MIMIC-CXR-JPG/2.0.0/files/p17710225/s50709492/b40618a2-ab5beff0-76358252-29985fa0-1edbb95e.jpg
| null |
In comparison with the study of <unk>, the patient has taken a slightly better inspiration and there is now a tracheostomy tube in place with the right ij catheter removed. Cardiac silhouette is within normal limits. There is bilateral pulmonary opacifications, which could reflect non-cardiogenic vascular congestion or resolving ards. Some asymmetric increased opacification at the left base could reflect developing consolidation in the appropriate clinical setting, however, the opacifications from previous ards have consistently been more prominent on the left, so this may merely reflect the natural course of resolution.
|
resolving ards, to assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12267107/s52277803/cca3ded0-2345fd75-50b83602-97b85895-76adf89e.jpg
| null |
In comparison with the study of <unk>, the study is extremely lordotic. There is indistinctness of the left hemidiaphragm with opacification above it. Although this could merely reflect atelectasis and effusion, in the appropriate clinical setting, supervening pneumonia would have to be considered. Little change in the appearance of the dual-channel pacer device, and intact midline sternal wires are again seen.
|
leukocytosis and decreased breath sound.
|
MIMIC-CXR-JPG/2.0.0/files/p15455136/s53196004/5c70698e-7211647d-961a34b9-dc04a783-523361a0.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15455136/s53196004/0d2c6165-a6c7dccd-8423d04b-07ef56ac-9e679395.jpg
|
The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is thoracic dextroscoliosis with likely s-shaped appearance. Nipple jewelry is seen.
|
history: <unk>f with anxiety, intermittent chest tightness // please evaluate for infectious process
|
MIMIC-CXR-JPG/2.0.0/files/p11340250/s54428598/367e6074-56625743-ab64b298-f05aff33-8a9dd6a4.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11340250/s54428598/0a43bd12-d13ac778-1543dec0-5f4fa3b5-e694ef01.jpg
|
The lungs are clear besides minimal probable bibasilar atelectasis. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities. Anterior and posterior cervical fixation hardware is partially visualized.
|
<unk>m with cough, adventitious breath sounds // pneumonia?
|
MIMIC-CXR-JPG/2.0.0/files/p19703206/s55041175/952fd1d0-c54a5ebe-d149d08c-b5acbd4f-6d753438.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19703206/s55041175/70b7bba4-29c84aaa-6dba66cc-df2e5951-b2b7f803.jpg
|
The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes are noted in the spine.
|
<unk>f with chest pain // acute process?
|
MIMIC-CXR-JPG/2.0.0/files/p11822564/s51818532/7d8c6fff-4e7905a6-df659adb-cb1e2778-5fc86523.jpg
| null |
Ap views of the chest taken at different times. The first image demonstrates the dobbhoff tube in the upper esophagus, and the second image demonstrates the dobbhoff tube in the stomach. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
|
liver failure, dobbhoff placement.
|
MIMIC-CXR-JPG/2.0.0/files/p18857743/s53737870/2ac57f2a-2e42fb7e-55a052b0-bd1c78c4-663a539a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18857743/s53737870/52ffdef1-303e7d7d-8c8d53fb-5994f9b3-abce2860.jpg
|
Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
|
chest pain. assess for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13290763/s57896075/5749c002-cb852d9f-ff9fc4dd-b01f48eb-a6ad0905.jpg
| null |
No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is identified. There is evidence of both pneumopericardium and pneumomediastinum, likely postoperative in nature. Additionally noted is significant subcutaneous emphysema within the left thoracic soft tissues and cervical soft tissues.
|
status post lap nissen fundoplication.
|
MIMIC-CXR-JPG/2.0.0/files/p17026688/s52364126/fbf94e61-5ed8e725-5f289cb7-36e88f2d-7298f7be.jpg
| null |
The endotracheal tube is in adequate position at <num> cm above the carina. There is a left subclavian line that projects in the lower superior vena cava. There is a nasogastric tube. Theright chest tube that is in unchanged position. The ct scan of yesterday showed potential intraparenchymal course of that chest tube. Stability of the bilateral pleural effusion and consolidation.
|
patient with mvc, pneumothorax, pulmonary contusion.
|
MIMIC-CXR-JPG/2.0.0/files/p14381330/s57985471/9b90110e-03a81b9f-985d743b-4bf01beb-5011345e.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14381330/s57985471/f93163d4-e87aad3f-2d74b118-a2c58e77-0c9d1279.jpg
|
Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. A rounded dense structure overlying the right lung base appears similar to prior studies dating back to at least <unk>, and may represent costochondral calcification. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
|
<unk>-year-old man with constipation for four days and fevers. evaluate for infiltrate.
|
MIMIC-CXR-JPG/2.0.0/files/p15834956/s58808325/9e320cf7-a6c26a95-ff8de261-81cd4258-00ab10bc.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15834956/s58808325/f68b2bd5-86e6e9df-5ae5fbfc-4d896543-d956ebdd.jpg
|
Pa and lateral views of the chest are compared to previous exam from <unk>. Subtle opacity is noted at the left lung base which may represent atelectasis versus early pneumonia. Posterior costophrenic angles are sharp. Elsewhere, the lungs are clear noting minimal biapical scarring. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
|
<unk>-year-old woman with shortness of breath. question pneumonia versus chf.
|
MIMIC-CXR-JPG/2.0.0/files/p15268532/s57432533/3c5e54f9-998f28cf-20c544aa-ca73e199-ea9c8f73.jpg
| null |
Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. Initial image demonstrates a post pyloric nasogastric tube. Subsequently this tube is removed, and a new nasogastric feeding tube is positioned with its tip in the region of the stomach.
|
<unk>m w/dobhoff replacement, please eval placement // <unk>m w/dobhoff replacement, please eval placement
|
MIMIC-CXR-JPG/2.0.0/files/p17266453/s52745253/49b7f19b-bf826448-29b66544-ea35a646-f04a8e5b.jpg
| null |
The exam is suboptimal due to patient motion. A left-sided jugular central venous catheter is seen, distal portion not well seen, but possibly terminating just distal to the left internal jugular/brachiocephalic junction. No evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable, given differences in inspiration the stable prominence of the cardiomediastinal silhouette. Prominence of the pulmonary vasculature suggests moderate pulmonary congestion although not well assessed. No large focal consolidation or pleural effusion.
|
history: <unk>m with septic shock from lle cellulitis // assess cvl placement
|
MIMIC-CXR-JPG/2.0.0/files/p14412677/s58621661/294d24b5-9a87a20a-d9641889-44b35a88-14eb01a1.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14412677/s58621661/f7e8931e-1337ee63-13278eba-5ae9f6c3-29f82998.jpg
|
Pa and lateral views of the chest provided. A large retrocardiac opacity is consistent with known large hiatal hernia. Lung volumes are low limiting assessment. There is left basal platelike atelectasis. No convincing evidence for pneumonia or pneumothorax. No large effusion is seen. Cardiomediastinal silhouette appears grossly within normal limits. Bony structures are intact.
|
<unk>m with shortness of breath x <num> week // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p11653727/s57456334/7a0f41fe-7b7c0294-5165ce0e-873e5548-cbeb8dac.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11653727/s57456334/1305fc52-097b424f-da5bc009-1804ca7a-b225879c.jpg
|
Ap and lateral radiographs of the chest demonstrate clear lungs with severe emphysematous changes in the upper lobes, unchanged from the prior examination. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced fracture is seen.
|
fall. rule out fracture.
|
MIMIC-CXR-JPG/2.0.0/files/p19580367/s59593167/424d60e4-e347acfa-b3df60b2-4b250880-27bf22c6.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19580367/s59593167/09d1bd10-221fa2de-584d2f56-4a96c059-a23d4dc1.jpg
|
Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are normal. The imaged upper abdomen is unremarkable.
|
chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p10253057/s57222617/c2953c7f-76823e80-a6b18ff8-63a678f6-2528dcc5.jpg
| null |
Right picc tip is likely in the right internal mammary vein. Sternotomy wires are intact and a new radiopaque opacity projects over the right mid lung. Subtle increase in right upper lobe heterogeneous ill-defined opacity may represent evolving right upper lobe pneumonia. Mild vascular congestion with top normal heart size, stable small left pleural effusion and no mediastinal vein dilatation or pulmonary edema. No pneumothorax.
|
<unk>-year-old male with malfunctioning picc. assess picc placement.
|
MIMIC-CXR-JPG/2.0.0/files/p10514375/s54173461/dd05cd78-aeefe58f-67e03c3e-4d3184fd-40d9c522.jpg
| null |
The right lung is clear. The left lung again demonstrates a rounded left apical opacity, which is not significantly changed compared with prior ct and represents a loculated pleural effusion. Small amount of left pleural fluid is also noted at the base in this patient who is status post pleurodesis. Left hilar opacity is compatible with known mass, and streaky opacity within the left lung base radiating from the hilum is unchanged, likely reflective of atelectasis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
|
<unk>-year-old female with history of metastatic lung cancer, now with shortness of breath. evaluate for evidence of pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p13279093/s52358264/5a9fd831-bb963c9d-ceb77792-904ecbe6-7b2c5e8b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13279093/s52358264/5108b906-70cc0292-f2c7d2b5-980fc6dc-8c7da1ae.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. A prominent anterior osteophyte is noted along the lower thoracic interspace, as before.
|
productive cough.
|
MIMIC-CXR-JPG/2.0.0/files/p15579947/s58210535/df56e5b4-90969d8e-9cef7907-57285633-fa220c0c.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15579947/s58210535/621b8179-9e7713dc-fab269ba-5e48187b-6fa33020.jpg
|
The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
|
<unk>f with chest pain with pleurtic component // ? infectious process
|
MIMIC-CXR-JPG/2.0.0/files/p11739489/s50510009/2e6f2ad9-eafc6279-5f48bc25-227c6238-62236862.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11739489/s50510009/19559c5a-74d0c748-843bb1a4-eab70514-cc528087.jpg
|
There has been interval placement of a left-sided pacemaker with <num> leads seen in appropriate position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is mildly increased retrocardiac opacity from the prior study which likely represents atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
|
<unk> year old man s/p left sided pacemaker // r/o ptx; check leads
|
MIMIC-CXR-JPG/2.0.0/files/p19695104/s54046700/0ceba999-63721c97-cf1fe9fa-ca5a05e0-10e932c2.jpg
| null |
The lung volumes are normal. Status post cabg. Multiple clips and sternal wires in situ. No pleural effusions. No pulmonary edema. No pneumonia. No pneumothorax.
|
decreased breath sounds on exam, dyspnea, evaluation for pulmonary edema.
|
MIMIC-CXR-JPG/2.0.0/files/p11690358/s51001572/19383a67-e58c8abd-c1f710b5-3aa7b191-e651cbf7.jpg
| null |
In comparison with the study of <unk>, there is little change in the appearance of the heart and lungs. However, the dobbhoff tube now coils within the upper portion of the stomach.
|
dobbhoff placement.
|
MIMIC-CXR-JPG/2.0.0/files/p11357031/s54177286/857aa1a7-89acb975-89370a9e-c361d7df-f0efcc21.jpg
| null |
Ap portable upright view of the chest. Linear atelectasis in the lower lungs noted. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Heart appears top-normal in size. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
|
<unk>m with sob // eval for consolidation
|
MIMIC-CXR-JPG/2.0.0/files/p14628533/s50388103/15b51fe0-81b274d4-f14b9074-76714a16-edfc7baa.jpg
| null |
There has been interval removal of an endotracheal tube and enteric tube. Bilateral chest tubes have also been removed. A right internal jugular catheter terminates in the proximal right atrium. Sternotomy wires are intact. The cardiomediastinal and hilar contours are stable. There is no evidence of mediastinal widening. Lung volumes are markedly low. Bibasilar bandlike opacities suggest atelectasis. There is no pneumothorax. No large pleural effusions are identified. The stomach is distended with gas.
|
<unk> year old man s/p cabg // eval for pneumothorax s/p ct removal
|
MIMIC-CXR-JPG/2.0.0/files/p12709169/s53417513/c7b813ee-93aa0bff-93cfef97-c7abcac8-09031b45.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12709169/s53417513/bf0a702e-891a0e68-2ea45e86-76bf496c-c42d839e.jpg
|
Moderate cardiomegaly is unchanged. The aorta is diffusely calcified. The mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. There is streaky opacities at the lung bases likely reflective of atelectasis. Minimal blunting the right costophrenic angle suggests a trace pleural effusion. No pneumothorax is identified. There are mild degenerative changes in the thoracic spine.
|
sudden onset light-headedness.
|
MIMIC-CXR-JPG/2.0.0/files/p15726347/s54950221/24ad001b-436a0250-ebb156fb-e236b2ac-7ca1b4bb.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15726347/s54950221/318ef6a6-9ad42066-46986964-a370e7ff-99570f36.jpg
|
Cardiomediastinal silhouette is stable. A dual-chamber pacemaker is present with leads appropriately positioned in the right atrium and ventricle. The lungs are clear. There is no pleural effusion or pneumothorax.
|
<unk> year old woman with ? lll atelectasis on ct scan // ? atelectasis
|
MIMIC-CXR-JPG/2.0.0/files/p19021847/s57578620/675b8503-ecf07bc6-e474a6b0-1055227e-ff76c389.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19021847/s57578620/491f3527-9ce9329e-363c843a-71cee253-9ea51c67.jpg
|
On the lateral view, there is increased opacity projecting over the lower thoracic spine. On remote prior ct scan there is no significant degenerative changes to account for this density. While this could be due to interval development of degenerative changes, underlying parenchymal opacity in the lungs, in one of the lower lobes is possible though not confirmed on the frontal view. Increased opacity at the left cardiophrenic angle is compatible with fat pad seen on prior ct. Superiorly, the lungs are clear cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
|
<unk>m with persistent cough // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p14360114/s52581975/f8118210-e6b1ea7c-e747f9bd-f9273791-3291ba35.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14360114/s52581975/0ea8b8bf-a4125384-ef9bb9a8-d32efde8-af4a342e.jpg
|
The heart appears mildly enlarged. The cardiac, mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Particularly allowing for relatively low lung volumes on the lateral view, the lungs are probably clear. There is no pleural effusion or pneumothorax. Bony structures appear unchanged.
|
hyperglycemia.
|
MIMIC-CXR-JPG/2.0.0/files/p17728504/s50260307/75e8e67c-9245f452-85bf85a4-a3fdf4fc-41b21145.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17728504/s50260307/f9671f8f-1ebebc6c-26a6605e-ca21c49e-6633f128.jpg
|
A single-lead pacemaker device terminates in the right ventricle. The heart has a globular configuration and shows similar moderate enlargement. Mitral annular calcifications are present.the aortic arch is calcified. There is a persistent right mid lung opacity suggesting minor stable scarring. Elsewhere, the lungs remain clear. There is no pleural effusion or pneumothorax. Pleural effusions have resolved.
|
cough and bronchial breath sounds on the left.
|
MIMIC-CXR-JPG/2.0.0/files/p15634224/s57595192/4fffb221-4cb6d866-aff0f54b-fb9a2bee-62b6ed9c.jpg
| null |
Single portable chest radiograph is provided. Endotracheal tube terminates in the mid trachea, approximately <num> cm above the carina. Nasogastric tube courses below the diaphragm into the stomach. An ovoid density projects over the right upper lobe, likely external to the patient. Irregular opacities in the lolwer lobe, more prominent since the prior radiograph are most consistent with aspiration. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced fractures.
|
intubated, transfer for endotracheal tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p17331457/s53398899/74959510-725475f2-800eccee-09f9525c-23373dc2.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17331457/s53398899/02d061a5-5ad56102-fa492099-aea414b3-1b6e5cc4.jpg
|
There are low lung volumes. On the frontal radiograph, plate-like atelectasis is appreciated. On the lateral, there is also plate-like atelectasis. There is an increased area of opacity overlying the lower thoracic spine. While this could all be related to atelectatic changes given the low lung volumes, if the patient has any clinical concern of pneumonia, this should be highly considered. There is no free air. There is no pneumothorax. There is no pleural effusion. Cardiac size is top normal. Hilar contours are unremarkable.
|
<unk>-year-old female with recent surgery and abdominal pain.
|
MIMIC-CXR-JPG/2.0.0/files/p16291864/s52415379/d85186c5-a34c1beb-9d224f0e-5f476a11-0f5bee1a.jpg
| null |
A left pectoral pacemaker with dual leads ending in the right atrium and right ventricle is unchanged. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms, compatible with copd. Small bilateral pleural effusions are unchanged. There is increased pulmonary vascular congestion from <unk> with mild interstitial pulmonary edema. Streaky opacities in the bilateral lung bases likely reflect atelectasis. The cardiomediastinal and hilar contours are within normal limits.
|
history of end colostomy and recurrent small bowel obstructions, now with sudden desaturation, here to evaluate for pneumothorax or other acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p14634884/s59002306/a3099dac-83ebdd54-76edd085-8cd89bb9-0ce4cd21.jpg
| null |
Ap portable upright view of the chest. Dual lead pacemaker is unchanged. The heart remains moderately enlarged. Mitral annular calcifications are again suggested. There is aortic atherosclerosis is again noted. The lungs appear grossly clear without supine evidence for effusion or pneumothorax. Chronic left ribcage deformities are again noted. No acute osseous abnormality. Vertebroplasty changes in the thoracolumbar junction again noted.
|
<unk>f with sepsis // ?pulm edema
|
MIMIC-CXR-JPG/2.0.0/files/p11158097/s58286052/3417352e-b6ac8f22-92832070-ef542dba-cf3bfe77.jpg
| null |
On image <num> series <num>, the newly inserted top of catheter is visualized in the middle parts of the stomach, approximately at the level of the <unk> <unk> inserted feeding tube. No complications.
|
<unk> year old man with dobhoff placement // placement
|
MIMIC-CXR-JPG/2.0.0/files/p15039336/s57200210/f018ef59-3e8ccd1f-00bfbb37-631d8b44-3b94bfd7.jpg
| null |
The lung volumes are diminished. Pulmonary vascular congestion is mildly increased suggestive of mild interstitial edema. Possible small bilateral pleural effusions, left greater than right. Moderate cardiomegaly is stable. The mediastinal and hilar contours are stable. The ng tube tip is located in the upper stomach.
|
<unk> year old man with new ng tube placement // confirm location
|
MIMIC-CXR-JPG/2.0.0/files/p12759187/s55972134/4acfbe6b-f198f033-6fc737cd-7caa42e8-ca329edd.jpg
| null |
Right moderate pleural effusion is stable. Moderate cardiomegaly is stable. Pulmonary vascular congestion is increased. The left ij dialysis catheter terminates within low svc. The right ij catheter with temporary pacer terminates within the right ventricle. The right pigtail catheter is in the right lower thorax. There is no pneumothorax.
|
<unk>f w/new chest tube placement // evaluate for pneumothorax, interval changes
|
MIMIC-CXR-JPG/2.0.0/files/p11325222/s52417385/5d3ed365-6f0a0866-d732335d-98e2728c-64759488.jpg
| null |
As compared to the previous radiograph, the patient has developed mild pulmonary edema. There is unchanged evidence of substantial cardiomegaly. No parenchymal opacities suggesting pneumonia. No pleural effusions.
|
hypoxia, new parenchymal opacity.
|
MIMIC-CXR-JPG/2.0.0/files/p14181355/s51829588/92d27f9e-7d1b1d7c-d08f2965-17db8661-7f56e90c.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14181355/s51829588/e7e45bce-7a69cbf9-48cb9f3a-100b8211-8cbc88b2.jpg
|
There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
|
<unk> year old woman with chronic cough // r/o ca, infiltrate
|
MIMIC-CXR-JPG/2.0.0/files/p19450949/s56023844/733b7278-15e2bc38-2dbe4d40-55de540d-bf118f09.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19450949/s56023844/e3fb353b-b063e91a-fd9a6659-be87d609-8c60779c.jpg
|
Lung volumes are slightly decreased but the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, similar prior exams.
|
history: <unk>f with cough x <num> days // r/o pna
|
MIMIC-CXR-JPG/2.0.0/files/p13041517/s53043767/271860e5-4d32b6e7-6ad57a3b-3dc9e145-272b5766.jpg
| null |
Evaluation is limited by overlying trauma board and electronic device over the left lung base. Heart size is top normal. The cardiomediastinal silhouette is otherwise unremarkable. Lungs are grossly clear. There is no large pleural effusion or pneumothorax. The thoracic cage is grossly intact. The right hip joint space is well preserved. There is a displaced transverse fracture through the mid right femur with medial displacement of the distal fragment.
|
motor vehicle collision.
|
MIMIC-CXR-JPG/2.0.0/files/p13743156/s50440814/27abd14b-9d98f341-e3d9274b-bdf48d6c-b56b0b13.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13743156/s50440814/e5624e0d-c394fc10-392280d0-7308d9ea-881d1ae1.jpg
|
Ap upright and lateral views of the chest provided. Overlying ekg leads noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
|
<unk>m with syncope, unresponsive episode
|
MIMIC-CXR-JPG/2.0.0/files/p12050390/s53794300/5b9d25db-58bafe12-3ebe5ba2-cc719345-5cf3528b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12050390/s53794300/55011ede-eb99166b-9bc77319-d11c0a1e-c1914c21.jpg
|
A large right upper lobe mass is unchanged in appearance. Peripheral and basal predominant interstitial markings are similar compared to the prior examination. No new focal consolidation is seen. Heart size and cardiomediastinal silhouettes are unchanged. A right-sided dual chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. The superior-most median sternotomy wire is fractured, unchanged. Mediastinal clips and an aortic valve replacement are also noted. Mild anterior wedging at multiple levels in the upper thoracic spine is unchanged compared to the prior examination.
|
<unk>m with sob, hx of pulm fibrosis // please eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p18036188/s57866397/9be26835-0248a6ac-e71a7011-775c41d4-1ee13aac.jpg
| null |
Large left pleural effusion is similar in appearance to the previous study, the previously reported small loculated hydropneumothorax is no longer evident. Cardiomediastinal contours are stable. Interstitial edema has resolved, and small right pleural effusion has slightly decreased in size. Otherwise, no relevant short interval change.
| |
MIMIC-CXR-JPG/2.0.0/files/p18091631/s53175520/7b40c9bc-e21b533d-8cafafcf-24f709d2-f72d7644.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18091631/s53175520/000873c6-12110ab6-7fd1e1e3-c1d1a89c-4e4d6744.jpg
|
Pa and lateral views of the chest were obtained. The lungs are well expanded and clear bilaterally. There is no sign of pneumonia, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
| |
MIMIC-CXR-JPG/2.0.0/files/p12382495/s59037853/b8f13a27-6ae89c00-6d3a64ae-d84f13d1-b576c0a9.jpg
| null |
In comparison with study of <unk>, the nasogastric tube now extends to the distal stomach. The degree of pulmonary vascular congestion has decreased. Opacification at the right costophrenic angle is again seen, though the left base is clear.
|
ng tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p15389058/s54418503/5cb2547a-730c0bff-8f2a671d-5c99e6b3-95e33808.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15389058/s54418503/d9082217-951a8762-f5aa4093-ca2f034c-55dcfbf4.jpg
|
Bibasilar atelectasis and pleural effusions are new since <unk>. There is mild interstitial pulmonary edema. Mildly enlarged cardiac silhouette is exaggerated by low lung volumes.
|
history: <unk>m with bilat <unk> edema, fatigue, h/o chf // r/o acute process
|
MIMIC-CXR-JPG/2.0.0/files/p13333527/s59728674/600b15dd-b1aaf370-936c398c-4565ecd5-d2716c3e.jpg
| null |
Lung volumes continue to be low with small bilateral pleural effusions and bibasilar atelectasis. The cardiac silhouette continues to be severely enlarged with unchanged pulmonary vascular engorgement. The right ij and left ij central venous line are unchanged and in upright position. The et tube and gastric tube both have been removed.
|
<unk>-year-old man status post endotracheal intubation with increasing hypercarbia and increasing white blood count. evaluate for pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p12724735/s56052563/9d35bc0d-8b296027-a53b9d47-3c0f04a4-0c38161f.jpg
| null |
Since the prior study the has been insertion of pigtail catheter in the left pleural space at the mid aspect. As a consequence there has been interval substantial decrease in the amount of pleural effusion in particular at the basal aspect of the pleura. Currently the effusion continues to be loculated containing multiple foci of air, most likely trapped within the effusion. The prior study there has been interval elevation of the hemidiaphragm, slight potentially due to decrease in the amount of pleural fluid with subsequent slight right mediastinal shift. Left chest wall air is demonstrated along the tract of the catheter. No pneumothorax seen outside of the fluid collection. No appreciable pericardial effusion is seen. Minimal amount of right pleural fluid is demonstrated, increased since the prior study. Imaged portion of the upper abdomen demonstrate large cortical cyst in the left kidney as well as gallbladder sludge and foci of calcification in the right kidney. Airways are patent to the subsegmental level bilaterally except fall left lower lobe and lingula where atelectasis is noted most likely due to combination of effusion and elevated left hemidiaphragm. Except for minimal a right lower lung atelectasis right lung is clear. Off note is soft tissue lesion, <num> x <num> cm, pleural or extrapleural based, series <num>, image <num>, unchanged in appearance since previous ct obtained <num> days ago. No lytic or sclerotic lesions worrisome for infection or neoplasm demonstrated. Erosive changes at the manubrial sternal joint suggesting prior inflammation as previously. Septal thickening in the left upper lobe is minimal. Besides left lower lobe atelectasis no new findings demonstrated.
|
<unk>f with h/o htn, alport's syndrome s/p <num> renal transplants with chronic graft failure, presenting in hypertensive urgency with respiratory distress. // interval change
|
MIMIC-CXR-JPG/2.0.0/files/p13816741/s59390112/7b595ade-1db54562-6e35098c-aebf6830-accc4b2a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13816741/s59390112/dfcc87c4-7518dbba-0e50b962-e951816f-a6a33f71.jpg
|
Increased opacity in the posterior segment of the right lower lung compared to the prior exam. The lungs are otherwise clear and hyper-expanded. No pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal. No acute osseous abnormality.
|
<unk>-year-old woman presenting with a persistent and worsening cough.
|
MIMIC-CXR-JPG/2.0.0/files/p12351481/s51957440/c2ae94b1-13baaf96-dc1d8b19-eb6b99da-f3b3e1b0.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12351481/s51957440/3029d0ec-2294fdf0-a3e7410b-5e44e369-3b5137eb.jpg
|
Ap upright and lateral views of the chest provided. Persistent perihilar and lower lung opacities are noted with slight improvement compared with prior recent exam could reflect persistent pneumonia. Small pleural effusions are also present. No pneumothorax. Heart size is unchanged. Mild edema difficult to exclude. Patient is known to have severe emphysema. Bony structures are intact.
|
<unk>m with sob. recent admit // eval for pna
|
MIMIC-CXR-JPG/2.0.0/files/p19789197/s52937302/3b21d790-2892764b-415b0c8a-21eaaecf-ed688640.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19789197/s52937302/d0e98e01-f9614a66-4e040b2e-fc0a2e1d-c4d44111.jpg
|
The patient is status post median sternotomy and cabg with multiple bypass grafts stents again demonstrated. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. The aorta is mildly diffusely calcified. There is minimal atelectasis in the left lung base, but no focal consolidation, pleural effusion or pneumothorax is visualized. Pulmonary vasculature is not engorged. No acute osseous abnormality is identified.
|
history: <unk>m with chest pain
|
MIMIC-CXR-JPG/2.0.0/files/p16066974/s57197451/67b2c727-7919022c-4f75faa4-6408d830-799d00e2.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p16066974/s57197451/38b609dc-4898442b-4dc68a42-21ff42e2-44ae5d9a.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. The upper abdomen is unremarkable.
|
history: <unk>f with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p10763687/s54612005/d8e6f9df-3dd23c4f-140fac91-1c9a8de0-c9ae45f1.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p10763687/s54612005/9e0e6004-03535f69-3abb530d-e80533f6-1e672a9b.jpg
|
Two views of the chest were provided. There is a moderate right pleural effusion, similar in extent to the prior study. Well demarcated linear opacity at the right base has the configuration of atelectasis; however, infection cannot be excluded. There is mild prominence of the pulmonary vasculature consistent with pulmonary edema. Cardiomediastinal silhouette is otherwise unchanged. Osseous structures are intact.
|
<unk>-year-old man with cough, question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p11995284/s53296800/0b917f44-80ed2e92-2579580e-5a0a1072-bbbf9ae5.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11995284/s53296800/edf83b40-ecd09c42-e2e6e6a5-65d9b919-e84bd376.jpg
|
No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are stable with postoperative cardiac sillouhette and postsurgical hardware.
|
<unk>-year-old male with cough.
|
MIMIC-CXR-JPG/2.0.0/files/p13122881/s55866368/43dd9606-1ce28cf2-30a24ddf-d33245bc-2f07b066.jpg
| null |
Moderate cardiomegaly is chronic and mild pulmonary edema is worse today than on <unk>, though less severe than on <unk> or <unk>. Pleural effusions would not be surprising, but are small if any. Obscuration of the left hemidiaphragm could be due to atelectasis and confluent edema or, less likely, pneumonia.
|
<unk>-year-old male with chf.
|
MIMIC-CXR-JPG/2.0.0/files/p17549269/s59659559/51254929-84127c0d-1eb61702-c6654470-c538fb7e.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17549269/s59659559/f6d7ed1d-f527a11f-fd315198-40eb3d38-d0bd68f6.jpg
|
Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A <num> cm right central, suprahilar rounded opacity is felt to represent a vessel on end.
| |
MIMIC-CXR-JPG/2.0.0/files/p11248793/s56356552/2e925649-ee642005-f4bd0bbb-af78070e-408d1413.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11248793/s56356552/dd6eb2c1-1bcb0884-35c130e4-346a2912-d48b15a1.jpg
|
Mild cardiomegaly is stable. There is calcification of the mitral annulus. Calcified granuloma in the left lower lobe is unchanged. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable. Multiple surgical clips project in the right upper quadrant of the abdomen
|
pt with mild worsening of exertional shortness of breath // check for vascular redistribution or pleural effusions
|
MIMIC-CXR-JPG/2.0.0/files/p17562969/s52284391/1a00d864-3dc8c5a4-33f0bed7-12299fe1-5b8062a2.jpg
| null |
Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. As before, elongated and widened thoracic aorta with calcium deposits in the wall is encountered but appears unchanged. Cardiac enlargement with left ventricular prominence, compatible with the clinical history of longstanding hypertension. The pulmonary vasculature has not undergone any significant change during the latest examination interval. The scattered basal parenchymal densities interpreted as atelectasis - possible aspiration infiltrates have not changed significantly, and no new abnormalities are seen on this portable chest examination with the patient in semi-upright position. As before, there exists a marked right-sided scoliotic prominent curvature of the thoracic spine. There is evidence of multiple old rib fractures in the left hemithorax. No new acute abnormalities are identified.
|
<unk>-year-old male patient with hypertension and dementia, presenting with nausea, vomiting, and diarrhea, with persistent fever following resolution of diarrhea. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p17385766/s50509841/a3a9e52d-f6383307-d54aa426-40147306-ef8596a2.jpg
| null |
Interval placement of an enteric tube courses below the level the diaphragm, extending into the expected location of the stomach although the side port may be at the ge junction. Recommend advancement sludge is well on the stomach. Endotracheal tube terminates approximately <num> cm above level the carina. Severe pulmonary edema persists. Blunting of the left costophrenic angle concerning for a left pleural effusion. No large right pleural effusion is seen although a small pleural effusion may be difficult to exclude. No pneumothorax seen. Cardiac and mediastinal silhouettes are stable.
|
history: <unk>f s/p ogt placement // eval ogt placement
|
MIMIC-CXR-JPG/2.0.0/files/p17264917/s54036507/2ae4190d-8aad8b80-eaf20bd7-f5ca75f0-3e98a1eb.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17264917/s54036507/c3b6aa28-1c717566-5d889616-74c51f39-14a4d691.jpg
|
Ap upright and lateral views of the chest were provided. The lungs are clear, though hyperinflated. There is a retrocardiac density containing an air-fluid level compatible with known hiatal hernia. A calcified nodule in the right mid-to-lower lung is compatible with a calcified granuloma. No effusion or pneumothorax is seen. The aortic knob calcification is again noted. The bony structures appear intact.
| |
MIMIC-CXR-JPG/2.0.0/files/p12018752/s51714904/bbd0f0bf-c1268699-ceef9bb3-514e94f7-8dd1f96a.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p12018752/s51714904/a26eaa13-c7e0ffd3-73d62f2a-fc53d090-19dcbe33.jpg
|
Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, pneumothorax. No signs of chf. Heart size is mildly enlarged. The mediastinal contour is unremarkable though atherosclerotic calcifications are noted along the aortic knob. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
| |
MIMIC-CXR-JPG/2.0.0/files/p16336062/s50714249/c89fe1b7-67686bce-4b0d2171-8b5604ee-02edbaa7.jpg
| null |
There are moderate bilateral pleural effusions with adjacent compressive atelectasis. There is mild central pulmonary venous congestion. There is no pneumothorax. Icd wires terminating in standard position within the right atrium and right ventricle. There is stable apical pleural thickening.
|
<unk>m with dyspnea. eval for acute process, pna, pulm edema.
|
MIMIC-CXR-JPG/2.0.0/files/p15251751/s57784698/5ead0ee2-a0d4ce0d-4174ed8f-71890aba-d2db889b.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15251751/s57784698/c49c48a0-ff5af49d-288f040a-f65124b5-18f3ed43.jpg
|
Ap and two lateral radiographs of the chest were obtained. The exam is limited by low lung volumes and suboptimal x-ray penetration. Despite these limitations, there is increased pulmonary vascular congestion and indistinctness of the hila. Right lower lobe atelectasis is similar. Dual-lead pacemaker leads are in stable position of the chest. The aortic arch is calcified. Severe cardiomegaly is similar. No effusion or pneumothorax is present.
|
<unk>-year-old woman with cough. evaluate for pulmonary edema or consolidation.
|
MIMIC-CXR-JPG/2.0.0/files/p14574644/s51264509/42464a7f-43162349-44dd0e8c-6bf73fd1-04ac43f8.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14574644/s51264509/fc51f444-3710cd64-dc383cf3-1746521b-bc9ca575.jpg
|
There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute displaced fracture is identified. Severe degenerative changes of the thoracic spine noted.
|
history: <unk>f with back ttp s/p mvc*** warning *** multiple patients with same last name! // eval for fx
|
MIMIC-CXR-JPG/2.0.0/files/p12038559/s54779961/4f777d3f-43c7960a-2b465589-567b7e3b-c0d3acad.jpg
| null |
Severe cardiomegaly and mild pulmonary vascular congestion is essentially unchanged from prior examination, without frank pulmonary edema or pleural effusion. No lobar consolidation or pneumothorax.
|
<unk>m with weight gain and new onset atrial fibrillation // eval for chf, pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p18113806/s57599225/1d7a4669-f0580ea3-1a48dac4-90f0925e-48011a1e.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18113806/s57599225/15c67ba6-905cf93a-ae4c9d7a-954580a6-5fad4bcd.jpg
|
A dual-lead pacemaker/icd device appears unchanged, with leads again terminating in the right atrium and ventricle, respectively. The heart is normal in size. The mediastinal and hilar contours appear unchanged. Irregular reticular opacities again project over each central lung region, without significant change. Blunting of the left costophrenic sulcus suggests a very small pleural effusion. The chest is hyperinflated. Moderate emphysema is present. Confluent subpleural opacity along the posterior chest on the left probably suggests nodular pleural thickening. Calcified pleural plaques could be seen with prior asbestos exposure. Bony structures are unremarkable. The findings are quite similar to earlier radiographs from <unk>.
|
leukocytosis and elevated lactate.
|
MIMIC-CXR-JPG/2.0.0/files/p17071904/s54866777/aab59fd0-2e490cd9-1de6a5fa-91c4e2a1-ecaa02fd.jpg
| null |
In comparison with the study of earlier in this date, there is little change. Bibasilar atelectatic changes are seen with elevation of the left hemidiaphragm. Specifically, no evidence of appreciable pneumothorax.
|
to assess for pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p19248019/s55308200/501619ff-f09363a7-53bcdff0-80966021-4f2f28ab.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19248019/s55308200/7fa5b2d8-9e4fa15c-bbb1d99d-14733bc1-27bb4ad2.jpg
|
No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
|
history: <unk>m with chest pain // r/o pneumonia
|
MIMIC-CXR-JPG/2.0.0/files/p13768004/s54230122/f7a16de4-25cf000a-c20b41cf-44bfc29e-16cf7a42.jpg
| null |
Single frontal view of the chest was obtained. Lung volumes are very low. New ng tube terminates in the upper chest at the level of the clavicles. Indistinctness of the vascular markings is compatible with pulmonary interstitial edema. Increased right hilar opacity is consistent with atelectasis. Atelectasis is also present at the lung bases. No pneumothorax. Heart size is normal.
|
<unk>-year-old female with crohn's disease presenting with free air and incarcerated ventral hernia status post exploratory laparotomy with small bowel resection. assess ng tube placement.
|
MIMIC-CXR-JPG/2.0.0/files/p19270021/s52064937/45c8d0af-583c7a85-5ca8c073-114d6723-9a211ed3.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19270021/s52064937/ea0f5d5d-f7b625de-c20bb6a4-d41dbe59-c021f709.jpg
|
The lungs are clear without consolidation, effusion, or edema. Cardiac silhouette is top-normal. Multiple radiopaque densities project over the anterior and mediastinum, presumably postsurgical. Laparoscopic band is visualized in the upper abdomen. No acute osseous abnormalities.
|
<unk>f w/chest pain, please eval for mediastinal widening, pna
|
MIMIC-CXR-JPG/2.0.0/files/p14784406/s51812706/7ad85963-65b07de9-c5072e55-3d75b2bc-d00263a5.jpg
| null |
As compared to the previous radiograph, the right-sided chest tube is in unchanged position. The patient has been extubated. The lung volumes are unchanged. There currently is no evidence for a right pneumothorax. The cardiac silhouette and the left lung are unchanged.
|
intraoperative pneumothorax, now extubated. questionable pneumothorax.
|
MIMIC-CXR-JPG/2.0.0/files/p17101127/s54963268/4cb0107d-d60e2f64-6f00e259-846d4f2a-158da358.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17101127/s54963268/39ff81fd-06873191-b186cda5-ad06237b-feaf76b8.jpg
|
The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
|
<unk> year old man with prolonged asthma exacerbation. evaluate focal consolidation.
|
MIMIC-CXR-JPG/2.0.0/files/p18042405/s50497877/35fdac77-fe646884-c93b08bf-aacbc992-e94b63ef.jpg
| null |
The patient is rotated to the left. Right apical opacity is again seen, similar to prior with some volume loss. Hazy right base opacity has decreased in the interval. Plate-like atelectasis at the left lung base has significantly decreased with only minimal residual remaining. There is streaky opacity in the left infrahilar region which may represent vascular structures, although an underlying consolidation or aspiration is not excluded. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
| |
MIMIC-CXR-JPG/2.0.0/files/p19054756/s59034420/3f6f68bd-5ba1e20e-13caf693-76da9c21-b16a6677.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19054756/s59034420/e6616b89-d782cabb-bc19cf5a-702956d1-a83e3118.jpg
|
The inspiratory lung volumes are slightly decreased. Streaky opacities in the right lung base greater than the left are compatible with atelectasis. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. No acute osseous abnormality is detected.
|
chest pain, here to evaluate for acute cardiopulmonary process.
|
MIMIC-CXR-JPG/2.0.0/files/p13704182/s53747047/e2734e09-39fead03-0c88b5aa-499bcfea-ae47c4f3.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p13704182/s53747047/9ce3cef4-6416c14a-35c7c813-d26bc132-bad62603.jpg
|
The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
|
<unk>m with chest pain // pna, volume overload?
|
MIMIC-CXR-JPG/2.0.0/files/p11511428/s51928047/21d04b2f-7ec5b974-e63cf212-fc295e42-fd53b6b3.jpg
| null |
Ap portable semi upright view of the chest. An endotracheal tube is seen positioned approximately <num> cm above the carina. Advancement by at least <num> cm would result in more optimal positioning. An endogastric tube is also seen extending into the left upper abdomen with its tip excluded from view. Extensive bilateral patchy airspace consolidation is noted involving the bilateral mid and lower lungs with relative sparing of the apices. Findings may reflect severe pneumonia versus extensive aspiration. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
|
<unk>m with pneumonia s/p intubation // eval ett s/p transfer
|
MIMIC-CXR-JPG/2.0.0/files/p17610678/s59817779/66af1a79-a7d78cc0-725e9b02-ae4b3055-d740b3c2.jpg
| null |
As compared to the previous radiograph, there is no relevant change. The left picc line should be pulled back by about <num> cm, the tip is currently projecting over the right atrium. There is unchanged evidence of bilateral pleural effusions, right more than left, as well as moderate-to-severe pulmonary edema. Areas of atelectasis are seen at the lung bases. A radiodense structure that could represent a tooth projects over the mediastinum. The structure was not visible at the last examination. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification.
|
mitral valve regurgitation, shortness of breath, evaluation for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p18485280/s59241958/7bc66af0-82c344d2-7eecf275-199dac96-85e5e611.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p18485280/s59241958/2564d778-abc15042-64f58dd0-fc06c646-71b96109.jpg
|
Patient is status post median sternotomy and cabg. The aorta is tortuous. The cardiac silhouette is top-normal. Left base atelectasis is seen. No pleural effusion or pneumothorax is seen.
|
history: <unk>m with ams // infiltrate?
|
MIMIC-CXR-JPG/2.0.0/files/p19167301/s54084594/53dcd1f1-d94dc54b-8e50c27b-708f0f31-f069ed66.jpg
| null |
Tip of the endotracheal tube projects <num> cm from the carina. Enteric tube terminates below the diaphragm.there is a small right pleural effusion and opacification of the right infrahilar region, which likely represents right middle lobe collapse. Streaky atelectasis in the left infrahilar region is also noted. No pneumothorax.
|
history: <unk>f with transferred while intubated. evaluate tube position.
|
MIMIC-CXR-JPG/2.0.0/files/p11482871/s56210439/31e9c2b4-bd090474-dbf91bf5-c9218e73-b8208290.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p11482871/s56210439/38c774d2-4a5b4101-4fd28ec4-84bd481d-5fa8294e.jpg
|
Frontal and lateral views of the chest are compared to previous exam from <unk> and <unk>. Right chest wall port is again seen with catheter tip at the cavoatrial junction. There are bibasilar opacities, potentially due to atelectasis. Superiorly, the lungs are clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are notable for hypertrophic changes in the spine. Surgical clips project over the lower neck on both sides.
|
<unk>-year-old female with cough. question pneumonia.
|
MIMIC-CXR-JPG/2.0.0/files/p19865164/s58202452/95a8bb83-ad793bd7-9643d531-73524a1d-79ca5d4f.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19865164/s58202452/bd645463-f26692cf-e6c21be0-a38ed6ec-2461536e.jpg
|
Ap upright and lateral views of the chest are provided. Patient is rotated to the left on the frontal view. The heart is mildly enlarged. No convincing sign of pneumonia, or effusion. No large effusion is seen. Bony structures are intact. No free air below the right hemidiaphragm.
| |
MIMIC-CXR-JPG/2.0.0/files/p19593575/s52468734/31fa651a-4808fd16-0d7e38f5-a8fff975-c4df8a1f.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p19593575/s52468734/d870bfef-701a6b25-7380b90a-7b359d19-638fb6fe.jpg
|
There is consolidation within the left upper lung, localized to the upper lobe on the lateral, concerning for pneumonia. However, the consolidation has convex outward borders, and this should be followed up with a repeat chest radiograph to ensure resolution. The lungs are otherwise clear. No pulmonary edema. Cardiomediastinal silhouette is within normal limits. No pleural effusion. No pneumothorax.
|
<unk> year old man with persistent cough and bloody sputum. // please evaluate.
|
MIMIC-CXR-JPG/2.0.0/files/p19561246/s52620968/e2db063f-6413b8d1-ef321bd4-c1bc5751-ca03fd2f.jpg
| null |
Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. Again seen is extensive retrocardiac atelectasis and extensive bilateral parenchymal opacities with air bronchograms. Overall the appearance is not significantly changed from the prior study dated the same day. An endotracheal tube ends <num> cm from the carina. An enteric feeding tube courses into the stomach with the last side port below the ge junction. There is no pneumothorax. Calcified hilar lymph nodes are suggestive of prior granulomatous infection.
|
<unk>-year-old female with ards and liver disease status post og tube placement. evaluate for interval change.
|
MIMIC-CXR-JPG/2.0.0/files/p10388400/s57589516/73319542-3d3f6da8-19d93d83-899d1499-6b03659a.jpg
| null |
The et tube and the right- and left-sided chest tubes half been removed. A left ij line tip overlies the brachiocephalic vessel and appears very slightly retracted compared with <unk>. A left subclavian picc line overlies the mid svc. An ng type tube is present, tip extending beneath diaphragm, off film. There is increased opacity at the right base, likely a combination of a pleural effusion and underlying collapse and/or consolidation. A small left effusion is likely larger. Left lower lobe collapse and/or consolidation is gross unchanged. No pneumothorax is detected. The heart is enlarged, though the cardiomediastinal silhouette appears stable. There is mild upper zone redistribution and vascular plethora, without other evidence of chf.
|
<unk> year old woman with hypoxemia. // please evaluate for acute process.
|
MIMIC-CXR-JPG/2.0.0/files/p15314618/s50022058/7012a725-a6d13957-467b6242-e2902782-00936e5d.jpg
| null |
The tip of the dobbhoff is in the stomach while the proximal weighted portion is at the ge junction. Right hemodialysis catheter is in stable position in the right atrium. There is chronic elevation of the right hemidiaphragm with low lung volumes.
|
<unk> year old man with new dobhoff tube. // evaluate dobhoff placement.
|
MIMIC-CXR-JPG/2.0.0/files/p15723212/s59889838/4c3790ed-af5c5b68-953fa8d8-8775b173-1371be1e.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p15723212/s59889838/b3c91b3b-ecefa79f-9c170f72-36481606-ec61252d.jpg
|
Moderate cardiomegaly is a stable. Transvenous pacer lead tip is in standard position in the right ventricle. Patient is status post cabg. Sternal wires are aligned. There is no pneumothorax or pleural effusion. Bibasilar atelectasis are larger on the left side. Elevation of the left hemidiaphragm is unchanged
|
history: <unk>m with sob/ chf // assess pulmonary edema
|
MIMIC-CXR-JPG/2.0.0/files/p10995312/s50803517/b2129fbc-ffb05e38-4e54057f-3842eb6c-2c1fa7be.jpg
| null |
Since prior radiograph acquired over the last <num> hours, there has not been no significant changes in the lung. Bibasal mild atelectasis is similar. Upper lungs are clear, and there are no lung opacities concerning for pneumonia or aspiration or new areas of atelectasis. Heart size, mediastinal and hilar contours are normal. There is no pleural effusion.
|
dyspnea, to assess for interval changes
|
MIMIC-CXR-JPG/2.0.0/files/p17419191/s59988250/6f9325f2-22f283d7-0a68c071-13f43aff-854a7b9f.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p17419191/s59988250/943d31d9-e5b0acc8-e4c28925-e7e73746-b7c13dc8.jpg
|
Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Slight indentation on the right lateral aspect of the trachea at the thoracic inlet is less conspicuous on the current exam. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
|
<unk>-year-old male with chest pain.
|
MIMIC-CXR-JPG/2.0.0/files/p15773840/s54529445/e30c5eaa-e719cb31-3debc295-1a22e6d2-ba901838.jpg
| null |
As compared to the previous radiograph, the monitoring and support devices and the post-surgical devices in the neck are unchanged. Pre-existing parenchymal opacity on the left, described on yesterday's radiograph, has completely resolved. There is no pleural effusion or left basal opacity. Minimal middle lobe atelectasis. No new parenchymal opacities. Normal size of the cardiac silhouette.
|
tracheostomy, pneumonia, evaluation for consolidation.
|
MIMIC-CXR-JPG/2.0.0/files/p15344483/s58520766/82a627d8-f7fce2bd-a0613c1c-fd042674-b15f0680.jpg
| null |
A frontal upright view of the chest was obtained portably. The patient has now been intubated with the endotracheal tube ending <num> cm above the carina. An upper enteric tube ends in the stomach. Moderate pulmonary edema and small right pleural effusion are unchanged from the prior study. No pneumothorax. The cardiac and mediastinal silhouettes are stable.
|
chf and respiratory distress, status post intubation.
|
MIMIC-CXR-JPG/2.0.0/files/p14761733/s56495647/38107d92-b95a17a0-8681bc7c-c39b897a-e30d7d60.jpg
|
MIMIC-CXR-JPG/2.0.0/files/p14761733/s56495647/83bb4b58-304e4a4f-88d90a9a-91e344c4-901664b3.jpg
|
Evaluation is somewhat limited due to low lung volumes. However, there are bibasilar opacities, likely representing a combination of atelectasis and pleural effusions. Additionally, there are bilateral interstitial opacities raising suspicions for mild pulmonary edema. The visualized portions of the upper cardiomediastinal silhouettes are normal. Lower cardiomediastinal silhouette is severely limited on evaluation. There is a lucent focus adjacent to the lower right heart border which may be suggestive of a herniated loop of bowel. Severe kyphosis of the thoracic spine is noted.
|
dyspnea.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.