Libra
Collection
[ACL 2025] ⚖️ Temporally-aware MLLM for Biomedical Radiology Analysis and Report Generation.
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1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5 | 54742755 | 19991135 | Heart size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Hyperinflation of the lungs with bullous emphysematous changes are again noted in the upper lobes. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Right-sided rib cage deformities are chronic. Partially visualized is cervical spinal fusion hardware. | No acute cardiopulmonary abnormality. Bullous emphysema. | History: ___F with worsening dyspnea in setting of recent palpitations. | ___ chest radiograph, ___ chest CT 8 | Chest PA and lateral | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21290925 | 130348.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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ebe1c050-b5cd68d5-7eb2b544-8906f022-e95300a4 | 56918032 | 19991135 | In comparison with study of ___, there is again evidence of severe COPD with apparent bullous changes in the apices. Old healed rib fractures are noted on the right. However, there is no evidence of acute pneumonia or vascular congestion at this time. | null | null | null | null | COPD with dyspnea on exertion. | null | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21270925 | 112241.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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52e964a2-7fa373f2-9b88b009-123e8817-48889d6b | 56918032 | 19991135 | In comparison with study of ___, there is again evidence of severe COPD with apparent bullous changes in the apices. Old healed rib fractures are noted on the right. However, there is no evidence of acute pneumonia or vascular congestion at this time. | null | null | null | null | COPD with dyspnea on exertion. | null | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,706 | 21270925 | 112241.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00 | 51777681 | 19991135 | PA and lateral radiographs of the chest were acquired. There is volume loss on the right with associated elevation of the right hemidiaphragm, consistent with the provided history of prior right upper lobectomy. Pleural densities along the right upper lateral chest wall are not significantly changed. Similarly, opacity at the right apex along the superior mediastinum is not significantly changed, possibly loculated fluid in the pleural space. There is no focal consolidation concerning for pneumonia. There is no left pleural effusion. No definite pneumothorax is seen. There is evidence of prior right thoracotomy, involving the right posterior sixth rib. Cervical fusion hardware is incompletely assessed. | 1. No significant interval change. 2. Post-surgical changes on the right, as described above. | Pain, redness, and slight swelling at right chest surgical site for the past two days. Patient has undergone a prior right VATS, converted to a thoracotomy with right upper lobectomy for a pulmonary nodule which was thought to be malignant but pathology revealed only a granulomatous inflammatory process. Evaluate for acute process. | Chest radiograph from ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21260930 | 133727.093 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767 | 50286241 | 19991135 | PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Heart size and mediastinal structures are unchanged. The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area. Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation. No new abnormalities are seen. The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities. | Progression of postoperative healing, status post right upper lobectomy accomplished via VATS extended to thoracotomy intervention. | ___-year-old female patient with history of 40-pack-year smoking and increased right upper lobe nodule with FDG avidity on PET-CT, now status post right VATS converted to thoracotomy with right upper lobectomy, evaluate for interval change. | null | null | null | Chest, PA and lateral. | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21260926 | 103050.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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d122eb74-bc404dd2-45a05cd3-18505b72-5058fbdd | 59381316 | 19991135 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained four hours earlier during the same day. The previously described right-sided chest tube remains in unchanged position. No pneumothorax has developed and there is no evidence of significantly increased pleural densities during this interval. The right-sided chest wall emphysema described earlier has regressed. No new abnormalities are seen. Left-sided hemithorax is unremarkable. | null | ___-year-old female patient with right VATS of right upper lobe, chest tube clamped for six hours, evaluate for interval change. | null | null | null | CHEST, PA AND LATERAL. | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 2,022 | 21260914 | 155927.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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6ce54ac9-077864fe-84217f97-5f43c4e3-f0578456 | 54103833 | 19991135 | 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 obtained four hours earlier during the same day. Again identified is status post right upper lobectomy with moderately elevated right-sided diaphragm and local chest wall emphysema in the right shoulder area. No pneumothorax has developed since the preceding study, and no new infiltrates are seen. | Stable chest findings as seen on portable followup examination, status post right upper lobectomy. | ___-year-old female patient with history of 40-pack-year smoking and increased right upper lobe nodule with FDG avidity on PET-CT. Now status post right VATS converted to thoracotomy with right upper lobectomy. Evaluate for pneumothorax. | null | null | null | Chest, AP portable single view. | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21260912 | 133554.89 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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f6a7a470-9e057a45-d244e0e5-3efe1422-bb946478 | 58283482 | 19991135 | In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall. | null | null | null | null | Right VATS converted to thoracotomy and right upper lobectomy. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21260912 | 94020.015 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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4d0251eb-cc875c55-fde85f43-3a9d7888-c62772b8 | 58283482 | 19991135 | In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall. | null | null | null | null | Right VATS converted to thoracotomy and right upper lobectomy. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21260912 | 94020.015 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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313f1d75-23648c34-dd36ecad-5d0f94e8-93a40356 | 58283482 | 19991135 | In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall. | null | null | null | null | Right VATS converted to thoracotomy and right upper lobectomy. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21260912 | 94020.015 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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715d0cdc-ddee4d9b-b5a28b77-350e1063-bc606f0d | 54602632 | 19991135 | In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax. The left lung remains essentially clear except for some atelectatic changes at the base. Extensive subcutaneous emphysema again persists along the right lateral chest wall. Opacification along the mediastinal border on the right again could reflect collection of pleural fluid. The development of hematoma cannot be excluded in the appropriate clinical setting. | null | null | null | null | Lobectomy, to assess for change. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21260911 | 44949.484 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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585dc46b-7d735766-e8302451-9285b2c6-eb6c295a | 53913561 | 19928916 | There is no acute findings. There is no pneumonia. Stability of the right middle lobe calcified nodule. There is no pneumothorax and no pleural effusion. The cardiac and mediastinal contours are stable. Consolidated fracture of the axillary portion of the seventh right rib Degenrative changes of the right shoulder. | There is no pneumonia. | Rule out pneumonia. Woman with cough. | CHest X-___ ___ ___. Also compared to chest CT of ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21510415 | 95101.875 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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7022a121-c39c1e71-7fc1c7f7-d24120be-62decb00 | 54375943 | 19928916 | Portable AP upright chest radiograph was obtained. Low lung volumes noted. Allowing for this, the lungs appear clear. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears normal. A calcified granuloma projects over the right lateral mid lung. Bony structures are intact. | No acute findings in the chest. | null | ___ as well as a CT chest dated ___. | null | Hypoglycemia, dehydration, hypotension, assess for acute intrathoracic process. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21510324 | 133822.984 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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43fd9f86-bafca6c3-8e89eb75-eccccb60-bdf29257 | 56042355 | 19914761 | Overlying trauma board limits evaluation. Endotracheal tube tip terminates approximately 5 cm from the carina. Orogastric tube is noted within the stomach and the tip projects off the inferior borders of the film. Bilateral chest tubes are noted terminating near the lung apices. Left subclavian central venous catheter tip terminates within the upper SVC. The heart size is normal. The superior mediastinum is widened. Small bilateral pneumothoraces are present. Minimal streaky opacity is noted in the left lung base, which could reflect atelectasis. More focal opacity is also seen within the left mid lung field, which is nonspecific. No pleural effusion is identified. There are multiple bilateral rib fractures noted. | 1. Lines and tubes in standard positions. 2. Widened superior mediastinum. Subsequent CT of the torso demonstrated an extensive type A aortic dissection. 3. Small bilateral apical pneumothoraces. 4. Streaky opacity left lung base may reflect atelectasis. More focal opacity in the left mid lung field is nonspecific but could reflect an area of aspiration or contusion. | null | null | Multiple supine AP views of the chest. | Unresponsive. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21450710 | 155627.156 | CHEST (PA AND LAT) | antero-posterior | Recumbent | frontal |
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2273715a-2ad11b92-c64a1ab9-2d38c44a-e1e7d03a | 56042355 | 19914761 | Overlying trauma board limits evaluation. Endotracheal tube tip terminates approximately 5 cm from the carina. Orogastric tube is noted within the stomach and the tip projects off the inferior borders of the film. Bilateral chest tubes are noted terminating near the lung apices. Left subclavian central venous catheter tip terminates within the upper SVC. The heart size is normal. The superior mediastinum is widened. Small bilateral pneumothoraces are present. Minimal streaky opacity is noted in the left lung base, which could reflect atelectasis. More focal opacity is also seen within the left mid lung field, which is nonspecific. No pleural effusion is identified. There are multiple bilateral rib fractures noted. | 1. Lines and tubes in standard positions. 2. Widened superior mediastinum. Subsequent CT of the torso demonstrated an extensive type A aortic dissection. 3. Small bilateral apical pneumothoraces. 4. Streaky opacity left lung base may reflect atelectasis. More focal opacity in the left mid lung field is nonspecific but could reflect an area of aspiration or contusion. | null | null | Multiple supine AP views of the chest. | Unresponsive. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21450710 | 155627.156 | CHEST (PA AND LAT) | antero-posterior | null | frontal |
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04833a58-a2f015d6-5d9e4afe-efa203f9-cfd9c1c6 | 56042355 | 19914761 | Overlying trauma board limits evaluation. Endotracheal tube tip terminates approximately 5 cm from the carina. Orogastric tube is noted within the stomach and the tip projects off the inferior borders of the film. Bilateral chest tubes are noted terminating near the lung apices. Left subclavian central venous catheter tip terminates within the upper SVC. The heart size is normal. The superior mediastinum is widened. Small bilateral pneumothoraces are present. Minimal streaky opacity is noted in the left lung base, which could reflect atelectasis. More focal opacity is also seen within the left mid lung field, which is nonspecific. No pleural effusion is identified. There are multiple bilateral rib fractures noted. | 1. Lines and tubes in standard positions. 2. Widened superior mediastinum. Subsequent CT of the torso demonstrated an extensive type A aortic dissection. 3. Small bilateral apical pneumothoraces. 4. Streaky opacity left lung base may reflect atelectasis. More focal opacity in the left mid lung field is nonspecific but could reflect an area of aspiration or contusion. | null | null | Multiple supine AP views of the chest. | Unresponsive. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21450710 | 155627.156 | CHEST (PA AND LAT) | antero-posterior | Erect | frontal |
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a4a72137-eea8a09f-a1ac8c72-4c948dd3-57236f6e | 52697084 | 19914761 | In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta. Mild elevation of the right hemidiaphragm is again seen. No evidence of pulmonary vascular congestion or acute focal pneumonia. | null | null | null | null | Leukocytosis and dizziness. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 2,022 | 21440903 | 140720.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8 | 53905237 | 19907884 | Since most recent chest radiograph, there has been interval placement of a right IJ central venous catheter which terminates projecting over the right atrium. There is no pneumothorax. Lungs are clear. Persistent elevation the right hemidiaphragm is noted. Radiopaque lucencies overlie the right upper mediastinum. | Right IJ central venous catheter terminates projecting over the right atrium. No pneumothorax. | History: ___F with DKA // please eval for RIJ CVL placement | Chest radiograph ___ 22:28 | Chest PA and lateral | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21860718 | 2513.359 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0 | 54596345 | 19907884 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm is unchanged from chest radiograph ___ | No acute intrathoracic process. | History: ___F with abd pain and pancreatitis, DKA, WBC elevation to ___, PNA? effusion? // History: ___F with abd pain and pancreatitis, DKA, WBC elevation to ___, PNA? effusion? | Chest radiograph ___ | null | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21860717 | 222837.531 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb | 57258004 | 19907884 | Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. Elevation of the right hemidiaphragm is unchanged. Multiple clips are again noted in the right paramediastinal region. | No acute cardiopulmonary abnormality. | History: ___F with pancreatitis // evaluate for pleural effusion | Chest radiograph ___ | Chest PA and lateral | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21860510 | 224900.625 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf | 55036801 | 19907884 | Interval removal of a right-sided internal jugular central venous line. Multiple metallic clips overlying the superior mediastinum are unchanged in position. Lung volumes remain low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | No evidence of acute cardiopulmonary process. | History: ___F with hyperglycemia // ? infection | Chest radiographs dated ___ | Chest PA and lateral | null | Chest radiograph. | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21850206 | 5850.875 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db | 57885384 | 19907884 | A portable supine frontal chest radiograph demonstrates a right internal jugular catheter, which now terminates in the low SVC. Lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax. | Repositioned right internal jugular catheter, which now terminates in the low SVC. | Status post repositioning of the right IJ catheter. | Chest radiograph from approximately half an hour prior on the same day. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21841231 | 4824.937 | CHEST (PORTABLE AP) | antero-posterior | Recumbent | frontal |
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32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c | 51612287 | 19907884 | A supine portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. There is been interval placement of a right internal jugular catheter, with the tip likely within the proximal right atrium. There is persistent elevation of the right hemidiaphragm. No definite focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable. | 1. Low lung volumes. No definite focal consolidation identified. 2. A right internal jugular catheter terminates within the proximal right atrium. This catheter can be pulled back approximately 2.5-3 cm to place the tip in the distal SVC, if desired. | Hyperglycemia and fatigue. | Chest radiograph from ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | AP | 2,544 | 3,056 | 21841231 | 1108.093 | CHEST (PORTABLE AP) | antero-posterior | Recumbent | frontal |
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92134f99-0e73faba-1280ad81-218c68ba-933a85c5 | 57427881 | 19907884 | There are low lung volumes and persistent elevation of the right hemidiaphragm. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | Low lung volumes and persistent elevation of the right hemidiaphragm. No significant interval change. | History: ___F with hyperglycemia // evidence of infection | null | Chest Frontal and Lateral | null | Chest: Frontal and lateral views | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21841031 | 190357.031 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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c6db0413-f3266e66-031e9892-2809b536-c13cf9f2 | 59325966 | 19907884 | PA and lateral views of the chest. Again, low lung volumes are seen with relative elevation of the right hemidiaphragm which is unchanged. The lungs are clear without effusion, pulmonary vascular congestion or pneumothorax. Again seen are surgical clips in the right paramediastinal region. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. No free air is seen below the diaphragm. | No acute cardiopulmonary process. | null | null | null | ___-year-old female with chronic pancreatitis status post Whipple with abdominal pain, nausea, vomiting and diarrhea. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21830802 | 210558.593 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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484ad440-175df0f1-5dfa85f0-c66c85d9-8b671d66 | 59741915 | 19907884 | The cardiac, hilar, and mediastinal contours are normal. The pulmonary vascularity is normal. Mild elevation of the right hemidiaphragm is unchanged with mild tenting of the diaphragm suggestive of mild volume loss. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | No acute cardiopulmonary abnormality. | null | null | PA and lateral views of the chest. | Hyperglycemia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21820403 | 164253.218 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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be142141-0e637201-65d2ff88-43edd072-198d4dc7 | 52269494 | 19907884 | Frontal and lateral views of the chest were obtained. There are low lung volumes and bronchovascular crowding. There is prominence of the hila suggesting pulmonary vascular engorgement with possible mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Left infrahilar and left basilar opacity may relate to vascular crowding, although infectious process cannot be excluded in the appropriate clinical setting. There are right paramediastinal surgical clips. Cardiac and mediastinal silhouettes are stable. | null | null | null | null | ___-year-old female with history of fever. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21811231 | 165014.781 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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38c9787f-8f9a7af2-3814ee5a-ebd8ba86-d55e4279 | 58635342 | 19907884 | No endotracheal tube is seen. Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss. Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema is present. | No evidence of acute intrathoracic process. No evidence of the ET tube. These results were communicated with Dr ___ of the ED by Dr ___ at 4:10 pm via telephone on the date of the study. The wrong requisition was entered. The clinical history is ___ year old women with shortness of breath. | null | ___ chest x-ray. | null | ___-year-old woman with tube placement. Question tube placement. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,040 | 2,544 | 21811012 | 150006.296 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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c76592b7-dc16f6ee-eddffb4d-e872e85b-672e7d59 | 55906329 | 19907884 | With the patient's neck in flexed position, the endotracheal tube ending approximately 7cm above the carina is highly placed. Consider advancing the endotracheal tube by additional 4 cm for better seating. New left internal jugular line ends at the left vertebral margins and is likely within the left brachiocephalic trunk. Considering advancing by additional 2.5 cm to 3 cm. Left PICC line ends at lower SVC. Both lung volumes are low and remarkable for minimal bibasal atelectasis. No oacities concerning for pneumonia. A thin, curved, radioopaque structure is seen extending from right medial basal lung till right hypochrondriac region. Its clinical significance was discussed with Dr.___ by phone on ___ at 4.50PM, but my discussion led to conclude this as of uncertain nature. I recommend a lateral radiograph for further evaluation to see if this is a artifact or real. Orogastric tube is seen coursing below the diaphragm into the stomach and is adequately placed. An abdominal drain tube is seen in the left upper abdomen. Above findings were discussed with Dr. ___ by phone on ___ at 4:50 p.m. | null | null | null | Semi-erect portable radiograph of chest. Compared with prior studies from ___. | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21810811 | 160025.859 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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247125c4-d3771619-d3f0f316-f696f8c7-c66bc0b7 | 55906329 | 19907884 | With the patient's neck in flexed position, the endotracheal tube ending approximately 7cm above the carina is highly placed. Consider advancing the endotracheal tube by additional 4 cm for better seating. New left internal jugular line ends at the left vertebral margins and is likely within the left brachiocephalic trunk. Considering advancing by additional 2.5 cm to 3 cm. Left PICC line ends at lower SVC. Both lung volumes are low and remarkable for minimal bibasal atelectasis. No oacities concerning for pneumonia. A thin, curved, radioopaque structure is seen extending from right medial basal lung till right hypochrondriac region. Its clinical significance was discussed with Dr.___ by phone on ___ at 4.50PM, but my discussion led to conclude this as of uncertain nature. I recommend a lateral radiograph for further evaluation to see if this is a artifact or real. Orogastric tube is seen coursing below the diaphragm into the stomach and is adequately placed. An abdominal drain tube is seen in the left upper abdomen. Above findings were discussed with Dr. ___ by phone on ___ at 4:50 p.m. | null | null | null | Semi-erect portable radiograph of chest. Compared with prior studies from ___. | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21810811 | 160025.859 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b | 57664750 | 19890786 | AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib. | Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation. | null | null | null | Cough, metastatic non-small cell lung cancer, assess for cause of new cough. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,886 | 2,430 | 21610510 | 134858.296 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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5b433593-d02544b5-225e12eb-2d963391-108a1692 | 53504804 | 19844485 | PA and lateral views of the chest were provided. Since the prior exam, there is increased opacity at the right lung base which could represent a combination of atelectasis and effusion, though underlying pneumonia is difficult to exclude in the correct clinical setting. Lung volumes and evaluation for mild pulmonary edema is limited. There is no overt edema. No pneumothorax is seen. Bony structures appear intact. | Increased opacity at the right lung base, likely a combination of effusion and atelectasis, though underlying pneumonia difficult to exclude. | null | null | null | Chest pain, question pneumonia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21850428 | 111600.546 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483 | 53788698 | 19844485 | Frontal and lateral views of the chest were obtained. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette mild-to-moderately enlarged. There is mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine. | Mild pulmonary vascular congestion. Cardiomegaly. Pulmonary nodules documented on CT from ___ are better appreciated on that study. | null | null | null | ___-year-old female with history of dyspnea on exertion and fatigue. | Chest frontal and lateral views. | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21841103 | 144726.125 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15 | 53984746 | 19844485 | AP portable erect AP view of the chest. Diffuse bilateral mainly basilar parenchymal opacities consistent with moderate pulmonary edema. Small bilateral pleural effusions. Cardiomegaly is stable. Mediastinum is still slightly widened due to mediastinal venous engorgement. | Moderate pulmonary edema and small bilateral pleural effusions and cardiomegaly consistent with congestive heart failure. | Shortness of breath, evaluate for pneumonia or CHF. | CT abdomen and pelvis on ___ and chest radiograph on ___. | null | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,504 | 21840726 | 131238.578 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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cc5ac61e-f2bd2109-93d1046f-d8eba485-5a753deb | 59700587 | 19800337 | Multifocal patchy opacities in the right middle, right upper, and bilateral lower lobes are concerning for pneumonia. The most severe consolidation is in the right middle lobe. The lungs are without pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. | Multifocal pneumonia most severe in the right middle lobe. | ___ year old woman with high fever and cough for 5 days, hypoxemia // r/o pneumonia | Chest radiograph ___. | Frontal and lateral views of the chest. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21710710 | 135840.457 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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be1ddefb-9327567f-aef38bd8-e918043d-91c40219 | 53459280 | 19800337 | PA and lateral views of the chest were provided. Vague nodular opacity projecting over the right lower lung represents atelectasis, less likely pneumonia. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Imaged osseous structures appear intact. No free air is seen below the right hemidiaphragm. | Vague nodular opacity projecting over the right lower lung is most likely secondary to atelectasis. Consider repeat radiograph with more optimal inspiratory effort to further assess. | null | Prior exam from ___. | null | COPD, dyspnea, orthopnea and wheezing. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21700227 | 190841.437 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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19254d2e-12f84a8a-3d9be406-77b33fc9-ff7ed852 | 51102831 | 19800337 | As compared to the previous radiograph, there is no relevant change. The lung volumes have increased, likely reflecting improved ventilation. No focal parenchymal opacities suggesting pneumonia. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No lung nodules or masses. Dating back to previous exams from ___, the left hilus has always been slightly rounder and denser than on the right. However, no pathologic contours are seen and the appearance of the hilus is unchanged with respect to size. | null | Dyspnea, evaluation for pneumonia. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21690615 | 160719.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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00c3905c-c62bcac5-af952060-8b2bd330-cc4848ac | 56050160 | 19800337 | As compared to the previous radiograph, there is no relevant change. No evidence of pulmonary edema or other acute lung changes. No pneumothorax. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. | null | Crackles, fluid overload. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21681002 | 23217.281000000003 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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b800c916-3b94102e-b30f93af-af52c677-167e5233 | 51584806 | 19800337 | PA and lateral views of the chest are compared to previous exam from ___. The lungs are now clear without focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. | No acute cardiopulmonary process. | null | null | null | ___-year-old female with recently status post surgery with fever. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21681001 | 174048.984 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe | 50775929 | 19765968 | As compared to the previous radiograph, there is no relevant change. No definite proof of pneumonia. Unchanged borderline size of the cardiac silhouette without evidence of overt pulmonary edema. Minimal atelectasis at the left lung base and minimal bilateral pleural effusions restricted to the dorsal costophrenic sinuses, better appreciated on the lateral than on the frontal radiograph. Known skeletal changes. | null | End-stage multiple myeloma, myelodysplastic syndrome, new cough and fever, rhonchi in the lower lungs, evaluation for pneumonia. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 1,727 | 2,021 | 21520505 | 104625.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4 | 50775929 | 19765968 | As compared to the previous radiograph, there is no relevant change. No definite proof of pneumonia. Unchanged borderline size of the cardiac silhouette without evidence of overt pulmonary edema. Minimal atelectasis at the left lung base and minimal bilateral pleural effusions restricted to the dorsal costophrenic sinuses, better appreciated on the lateral than on the frontal radiograph. Known skeletal changes. | null | End-stage multiple myeloma, myelodysplastic syndrome, new cough and fever, rhonchi in the lower lungs, evaluation for pneumonia. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,021 | 1,740 | 21520505 | 104625.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc | 59876822 | 19765968 | PA and lateral views of the chest. A new heterogeneous opacity is seen in the retrocardiac posterior left lower lobe suggestive of early infiltrate. The right lung is clear. The heart size is unchanged. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The mild compression deformities of two mid thoracic vertebral bodies are stable. No new fractures. | New left lower lobe early pneumonia. These findings were discussed with Dr. ___ at 11:35 a.m. on ___ by telephone. | Multiple myeloma and pancytopenia, presenting with hypotension, pneumonia. | Chest radiographs on ___ and CT chest without contrast on ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,014 | 2,014 | 21520408 | 202009.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7 | 52279876 | 19765968 | A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified. | Little change in diffuse interstitial prominence, without new focal parenchymal opacity. Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted. | ___-year-old male with myeloma, with shortness of breath. | null | null | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 2,022 | 21520401 | 162149.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602 | 52279876 | 19765968 | A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified. | Little change in diffuse interstitial prominence, without new focal parenchymal opacity. Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted. | ___-year-old male with myeloma, with shortness of breath. | null | null | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21520401 | 162149.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993 | 59146382 | 19759491 | Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion. | 1. Stable moderate cardiomegaly and a likely small left pleural effusion. 2. Hemodialysis catheter terminating in the right atrium. | History: ___F with PICC needs placement confirmed. | null | Portable upright chest radiograph | null | CHEST (PORTABLE AP) | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21950117 | 13021.406 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562 | 58128416 | 19759491 | Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen. | Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen. | History: ___F with type I diabtes, CHF, ESRD on HD presenting with dyspnea and ___ edema // Eval for pulm edema, pna | null | Chest Frontal and Lateral | null | Chest: Frontal and lateral views | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | AP | 2,510 | 2,507 | 21941024 | 182131.64 | CHEST (PA AND LAT) | antero-posterior | Erect | frontal |
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7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69 | 58917922 | 19759491 | Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified. | Persistent mild pulmonary edema. More confluent retrocardiac opacity potentially due to atelectasis accentuated by portable technique. Consider PA and lateral if patient is amenable to further characterize. | ___F with recent prolonged hospitalization now presenting wtih fever. // evaluate for PNA | null | Single portable view of the chest. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21941008 | 210008.046 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5 | 51323886 | 19759491 | There is no significant interval change since the prior radiograph performed yesterday evening. A biventricular pacer defibrillator is visualized. The hemodialysis catheter is unchanged in position and terminates in the right atrium. There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. No new areas of focal consolidation are identified. Left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. A small right pleural effusion is also noted. Stable cardiomegaly. | 1. Stable pulmonary vascular congestion and interstitial edema. 2. Left lung base opacity is probably due to a combination of small left pleural effusion and adjacent atelectasis. | ___ year old woman with fever, ? pna; on pripor x-ray question atelectasis vs conosolidation // r/o pna | Chest x-ray ___. | Chest radiograph PA and lateral | null | Chest radiograph | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 1,870 | 1,811 | 21940919 | 113508.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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283df983-fd666130-de72e26e-a2fb9b59-88a371f7 | 50882471 | 19759491 | A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position. A right internal jugular approach dialysis catheter present with tip in the right atrium. An aortic valve replacement is also noted. The patient is status post CABG. There is moderate cardiomegaly. The mediastinal and hilar contours are stable with aortic calcifications There is no pleural effusion or pneumothorax. The lungs are well-expanded with increased interstitial markings, consistent with mild edema. There is no focal consolidation concerning for pneumonia. | Moderate cardiomegaly with mild edema. | ___F with chest pain // eval pna | Chest radiograph ___, ___. | Chest PA and lateral | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21940714 | 2919.343 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2 | 59984376 | 19759491 | There has been previous median sternotomy and mitral valve replacement. A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well. Stable cardiomegaly accompanied by worsening interstitial edema. Additionally, a more confluent area of opacity is present in the left lower lobe, partially obscuring the left hemidiaphragm. This is concerning for developing pneumonia. Small pleural effusions are present bilaterally. | 1. Left lower lobe consolidation suspicious for pneumonia. 2. Worsening interstitial edema and small pleural effusions. | null | null | null | null | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,022 | 2,020 | 21940103 | 160709.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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dc433c13-ef033a1e-75763e20-db477b3f-da3e909b | 53927305 | 19759491 | There continues to be moderate cardiomegaly and volume loss at both bases. There is a small left effusion. There is no focal infiltrate. Pacemaker and mitral valve replacement and sternotomy wires are unchanged | No significant change. | ___ year old woman with productive cough, fever // Please eval for acute pulmonary process | null | Chest PA and lateral | null | Chest x-ray | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,021 | 2,021 | 21940101 | 215913.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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29120840-a5d71eac-82a9f536-6cf7509d-f01a7480 | 53927305 | 19759491 | There continues to be moderate cardiomegaly and volume loss at both bases. There is a small left effusion. There is no focal infiltrate. Pacemaker and mitral valve replacement and sternotomy wires are unchanged | No significant change. | ___ year old woman with productive cough, fever // Please eval for acute pulmonary process | null | Chest PA and lateral | null | Chest x-ray | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,021 | 2,021 | 21940101 | 215913.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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de862699-c552320b-11e6f6c8-5087a74f-98f0b80d | 50910303 | 19759491 | No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac silhouette continues to be mildly enlarged. Right-sided cardiac device is stable in position with appropriate lead placement unchanged. Median sternotomy wires are intact. | Resolution of previously seen pneumonia. | null | Chest radiograph from ___. | PA and lateral chest radiographs were obtained with the patient in the upright position. | ___-year-old male with diabetes, coronary disease, CABG with mitral valve replacement in ___. Evaluate for recent treated for pneumonia. | null | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21930419 | 143608.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0 | 55187337 | 19759491 | Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion. | New left lower lobe infiltrate and effusion. | null | null | null | Low-grade fever. | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,021 | 1,783 | 21930404 | 82844.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39 | 52381425 | 19759491 | PA and lateral views of the chest. Diffuse interstitial opacities have not significantly changed from prior. Posterior costophrenic angles are sharp. Thickening along 1 of the major fissures may represent fluid or pleural thickening. Cardiac silhouette is enlarged but stable in configuration. Right chest wall dual lead pacing device is again seen. There is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium. There is no new confluent consolidation. No acute osseous abnormality detected. | No significant interval change since prior. Diffusely increased interstitial markings compatible with interstitial edema versus chronic changes. No superimposed acute process. | null | ___ and ___. | null | ___-year-old female with cough and fevers. Question pneumonia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21930325 | 215356.125 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4 | 58191597 | 19759491 | PA and lateral views of the chest. Triple lead pacing device along the right chest wall is again noted with leads in unchanged position. Mitral valvular replacement again noted. Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. Degree of cardiomegaly has not changed. No acute osseous abnormalities detected. | Findings is compatible with mild interstitial edema. | null | ___ and ___. | null | ___-year-old female with dyspnea. Question pulmonary edema. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21930305 | 210256.046 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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d21a9727-19732ca3-04b1e396-f706bb33-063c90b8 | 50269116 | 19759491 | Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and a mild interstitial edema. Left retrocardiac opacity has slightly improved, could reflect improving atelectasis or a resolving pneumonia in the appropriate clinical setting. Adjacent small left pleural effusion is also slightly smaller. No visible pneumothorax. | null | null | ___ radiograph. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21930215 | 15528.156 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a | 54010994 | 19759491 | There is a biventricular pacer/ICD with leads terminating in the coronary sinus and right ventricle. The right atrial lead takes an unusual course, directed posteriorly. While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered. There is no evidence of lead fracture or displacement. Aortic valve prosthesis is again noted. Sternotomy wires and mediastinal clips are present. Moderate cardiomegaly is unchanged. There has been further improvement in the mild pulmonary edema. Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions. There is no pneumothorax. | Lead intended for the right atrium is directed unusually posteriorly. While this lead is likely in the right atrium, correlation with electrophysiology measurements would be helpful. These findings were discussed with Dr. ___ by Dr. ___ at 10:50 AM on ___ by telephone ___ minutes after discovery. | null | Chest radiograph ___ and ___. | Frontal and lateral views of the chest. | Recent ICD implant, evaluate lead positions. | null | Provide a detailed description of the findings in the radiology image. | Performed Desc | PA | 2,021 | 1,772 | 21930209 | 91510.0 | CHEST (PA AND LAT) | postero-anterior | Recumbent | frontal |
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ae135fa3-eb593692-9f19fe95-cdc9b703-28b87ac4 | 50152324 | 19759491 | As compared to the previous radiograph, the patient has received a pectoral pacemaker. The course of the pacemaker leads is unremarkable, there is no evidence of fracture or displacement. The signs indicative of mild pulmonary edema, present on the previous examination, have decreased. No evidence of pneumothorax. Unchanged mild retrocardiac atelectasis and moderate cardiomegaly. Status post sternotomy. | null | Evaluation for implant. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,050 | 2,539 | 21930208 | 131005.468 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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897059e3-92ae214b-1458e44d-75eb5510-5098e1f8 | 52749045 | 19759491 | Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected. | Persistent mild edema and left lower lobe atelectasis vs fluid in the fissure. Unchanged from ___. Bronchial obstruction cannot be excluded. | Dyspnea, here to evaluate for evidence of acute congestive heart failure. | Chest radiographs dated ___. | PA and lateral radiographs of the chest. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21920912 | 142449.031 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f | 58459168 | 19759491 | The patient is status post median sternotomy, CABG, and mitral valve replacement. The heart is mildly enlarged. The mediastinal contours are unchanged with calcification of the aortic knob again noted. Mild pulmonary edema appears progressed compared to the prior exam with small bilateral pleural effusions, also minimally increased compared to the prior exam. Left basilar opacification likely reflects atelectasis. There is no pneumothorax. No acute osseous abnormalities are identified. | Slight interval worsening of mild pulmonary edema with small bilateral pleural effusions. Left basilar opacity likely reflects atelectasis. | null | null | PA and lateral views of the chest. | Crackles at the lung bases and shortness of breath. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21920816 | 164102.156 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f | 59691119 | 19759491 | In comparison with the study of ___, there is still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure, though substantially less than on the prior study. The more focal opacification at the left base is not appreciated at this time. There is fluid within one of the major fissures, though no substantial free pleural effusion. | null | null | null | null | ESRD, pretransplant. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | null | PA | 2,022 | 1,736 | 21910812 | 153242.0 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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dd0edd5f-bbfc870a-23c7b603-2ee5bd53-caedb97b | 50149345 | 19757720 | As compared to the previous radiograph, there is no relevant change. Diffuse increased opacity of the right lung, with several air bronchograms. A pre-existing right pleural effusion seems to have moderately decreased. No changes in the left lung. Unchanged monitoring and support devices. Unchanged aspect of the cardiac silhouette. | null | Pulmonary hemorrhage, evaluation for interval change. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21430902 | 33810.75 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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c7bb0e40-1f6e7506-544a2f87-79320653-743f3351 | 50149345 | 19757720 | As compared to the previous radiograph, there is no relevant change. Diffuse increased opacity of the right lung, with several air bronchograms. A pre-existing right pleural effusion seems to have moderately decreased. No changes in the left lung. Unchanged monitoring and support devices. Unchanged aspect of the cardiac silhouette. | null | Pulmonary hemorrhage, evaluation for interval change. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21430902 | 33810.75 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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41015709-991752ad-b8bf5519-0dd588fd-dec4d029 | 58495629 | 19757720 | As compared to the previous radiograph, there is no relevant change. Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval. Unchanged widespread but less severe opacities on the left. Unchanged monitoring and support devices. No newly appeared parenchymal opacities. The regions of the costophrenic sinuses are not included on the image. | null | Alveolar hemorrhage, followup. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21430829 | 14312.89 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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1d63f983-58edaaaf-a291053b-73417333-421d0021 | 58495629 | 19757720 | As compared to the previous radiograph, there is no relevant change. Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval. Unchanged widespread but less severe opacities on the left. Unchanged monitoring and support devices. No newly appeared parenchymal opacities. The regions of the costophrenic sinuses are not included on the image. | null | Alveolar hemorrhage, followup. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21430829 | 14312.89 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141 | 57361288 | 19757720 | Monitoring and supporting devices are in standard positions. Bilateral, confluent, airspace opacities, right side more than left are unchanged since ___. As mentioned previously, these opacities are likely from combination of pulmonary edema, hemorrhage or pleural effusion. Enlarged heart size, mediastinal and hilar contours have similar appearance. Increased retrocardiac density reflecting left lower lung atelectasis is similar. | null | null | null | Single supine portable chest view was reviewed in comparison with prior radiographs through ___ to ___. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 2,844 | 21430828 | 150805.75 | CHEST (PORTABLE AP) | antero-posterior | Recumbent | frontal |
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5db1ff54-6a22902f-51402f15-27dc7310-21a1183c | 55489891 | 19757720 | In comparison with study of ___, there is again diffuse bilateral pulmonary opacifications, more prominent on the right. Although this could represent severe pulmonary edema, the possibility of supervening pneumonia or even developing ARDS must be considered. Monitoring and support devices remain in place. | null | null | null | null | Intubation with pulmonary edema. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21430826 | 31547.89 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398 | 56399963 | 19757720 | In comparison with the study of ___, there is continued extensive bilateral pulmonary opacification, worse on the right. The findings could reflect some combination of widespread pneumonia, severe pulmonary edema, an even ARDS. Monitoring and support devices remain in place. | null | null | null | null | Prior pneumonia, to assess for change. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21430825 | 33559.125 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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13255e1f-91b7b172-02baaeee-340ec493-0e531681 | 59572378 | 19757720 | In comparison with the earlier study of this date, an OG tube is in place with the tip in the stomach. However, the sidehole appears to be above the esophagogastric junction. Right IJ catheter tip extends to the mid-to-lower portion of the SVC. Endotracheal tube remains in good position. There is increasing bilateral opacifications consistent with worsening pulmonary edema. Moderate-to-large right and small left layering pleural effusions with compressive atelectasis at the bases. | null | null | null | null | OG tube placement. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,052 | 2,544 | 21430824 | 193725.75 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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f6996351-b7330fe0-c77b11b0-628b7301-475c940f | 56664513 | 19748558 | Lung volumes are somewhat low, which accentuates bronchovascular markings but the lungs appear clear. The cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax identified. No osseous abnormalities are identified. | Low lung volumes. No acute cardiopulmonary abnormality. | ___ year old man with hypoxia, leukocytosis, and AMS. // Please eval for e/o pneumonia or aspiration. | Multiple chest radiographs the most recent on ___ | Single AP view of the chest | null | CHEST (PORTABLE AP) | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21670501 | 81236.656 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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6eaf56a0-ded30052-29edb3ad-20da2133-db0cf728 | 53919021 | 19748558 | There is no focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | No acute cardiopulmonary process | ___M with cough and fever // r/o acute process | Multiple priors dating back to ___ with most recent from ___. | PA and lateral views of the chest. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21670220 | 192919.593 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd | 51371355 | 19748558 | 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. | No evidence of acute disease. | null | null | Chest, portable AP semi-supine. | Hypoxia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21661017 | 181521.578 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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7ee153a9-e00f7cd0-8c44b852-d83a1175-db28c1e7 | 54913354 | 19748558 | Frontal and lateral views of the chest demonstrate heterogeneous opacities in the left mid lung. Similar opacities are also seen in the right lung base. No pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pulmonary edema. | Multifocal pneumonia. Follow-up exam following resolution of the symptoms is recommended. | Dyspnea and cough, right-sided back pain. | null | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21660216 | 233024.671 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0 | 51391219 | 19748558 | Frontal and lateral views of the chest were obtained. The heart size is normal with normal cardiomediastinal contours. There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion. There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation. There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. The pulmonary vasculature is unremarkable. No pneumothorax or pleural effusion. The osseous structures are normal. There has been interval removal of a PICC. No radiopaque foreign bodies are present. | 1. New right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting. 2. Persistent right upper lobe and improved left lower lobe opacities. | ___-year-old man with shortness of breath. Evaluate for pneumonia. | Multiple prior chest radiographs, most recently of ___. Chest CT of ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21640814 | 80255.187 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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9905499f-c48f304d-f9efd154-a921881b-f71b7f86 | 59041431 | 19748558 | In the left mid lung is a 2.9 cm rounded opacity with an air-fluid level concerning for a cavitary lesion. This was no present in the prior exam. The remainder of the lungs are unremarkable. There is no pneumothorax, pleural effusion, or edema. The cardiomediastinal silhouette is normal. No fracture is visualized. | 1. 2.9-cm left-sided cavitary lesion. 2. No displaced rib fracture seen. Results were discussed with Dr. ___ at 11:00 a.m. on ___ via telephone by Dr. ___. | Chest pain after recent fall. Evaluate for fracture. | Chest radiograph, ___. | null | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21640612 | 92453.921 | DX CHEST & RIBS | postero-anterior | Erect | frontal |
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baf21f49-b3c34e24-016e1cf0-2d79e385-87cef256 | 59372049 | 19748558 | PA and lateral chest radiographs are provided. There is no focal consolidation, pneumothorax or pleural effusion. The lungs are hyperinflated. Cardiomediastinal silhouette is unremarkable. There is no free air under the right hemidiaphragm. There are no concerning osseous lesions. | No acute cardiopulmonary process. | ___-year-old man with shortness of breath, history of asthma, question pneumonia. | Prior radiographs from ___. | null | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21640112 | 143403.468 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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06df3b11-81898aee-955508ec-3c40c0bd-2c592b21 | 55499739 | 19731864 | The heart is moderately enlarged. The aortic arch is calcified. Again noted is mild prominence of the main pulmonary artery contour in the aortopulmonary window. There is no pleural effusion or pneumothorax. There is persistent minor atelectasis at the left lung base, but otherwise, the lungs appear clear. | No evidence of acute cardiopulmonary disease. | Bradycardia and shortness of breath. | null | Chest, PA and lateral. | null | CHEST RADIOGRAPHS | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21760210 | 184656.906 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
|
0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff | 51067581 | 19720782 | Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted. | 1. Resolution of fluid in the right major fissure. 2. Small right pleural effusion and right basilar atelectasis. 3. Chronic treatment-related changes in the right lung. | ___ year old woman with h/o small cell lung cancer s/p radiation and severe emphysema presenting with dyspena, treating for COPD exacerbation, CXR on admission with ?fluid in the right major fissure. // Evaluate for interval change, particularly of the right major fissue and note of fluid on prior CXR. | null | Portable semi upright chest radiograph | null | CHEST (PORTABLE AP) | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21840125 | 40843.546 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c | 57501180 | 19720782 | Heart size remains mildly enlarged. Aortic knob is densely calcified. The mediastinal contour is unchanged. Right hilar opacity is similar to the previous examinations. Rounded opacity projecting over the right mid lung field likely reflects fluid loculated within the major fissure. A moderate right pleural effusion and trace left pleural effusion are noted, and there is mild pulmonary edema. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration is not excluded. No pneumothorax is present. Emphysematous changes are again seen in the lungs. | 1. Mild pulmonary edema and moderate size right and small left pleural effusions. Small amount of fluid is loculated within the right major fissure. 2. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration cannot be excluded. 3. Unchanged chronic right hilar opacity. | History: ___F with hypoxia | Chest radiograph ___ and CT chest ___ | Portable upright AP view of the chest | null | CHEST (PORTABLE AP) | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21840124 | 174640.5 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b | 53342490 | 19720782 | Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified. | Mild pulmonary vascular congestion with small bilateral pleural effusions, right greater than left. Radiation fibrosis in the right upper lobe and right perihilar region and chronic consolidative opacity in the right lower lobe. Streaky left basilar opacity may reflect atelectasis though infection cannot be completely excluded. No radiopaque foreign body identified. | History: ___F with foreign body | Chest CT ___, ___ chest radiograph | Upright AP and lateral views of the chest | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21830603 | 135018.828 | CHEST (PA AND LAT) | antero-posterior | Erect | frontal |
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38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa | 57890092 | 19720782 | Lung volumes are decreased compared to the prior exam. Heart size remains within normal limits. Mediastinal contour is unchanged. Within the right upper lobe and perihilar region, there is chronic opacification compatible with radiation fibrosis. Mild pulmonary edema is demonstrated with perhaps slight enlargement of a moderate size right pleural effusion which is partially loculated superiorly and medially. Right basilar opacification may reflect atelectasis but infection is not excluded. No pneumothorax is seen. | Mild pulmonary edema with moderate right pleural effusion, perhaps slightly increased compared to the prior study. Chronic opacity within the right upper lobe and perihilar region is compatible with radiation fibrosis. Right basilar opacity may reflect atelectasis but infection is not completely excluded. | History: ___F with hypoxia to ___% // assess for infiltrate | Chest CTA ___ and chest radiograph ___. | Upright AP view of the chest | null | CHEST (PORTABLE AP) | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21830316 | 192000.781 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803 | 59642258 | 19720782 | A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___. Associated consolidation at the right lung base is likely compressive atelectasis, although infection in this region cannot be excluded. There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema. The heart size remains top normal. The mediastinal contours are normal. Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___. There is no pneumothorax. | 1. Unchanged small to moderate right pleural effusion. 2. Right lower lung consolidative opacification, likely compressive atelectasis, although infection in this region cannot be excluded. 3. Mild pulmonary edema. | null | Chest radiograph ___. Chest CT from ___. | null | Hypoxia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21821202 | 150401.718 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96 | 52924835 | 19720782 | Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged. | null | Severe COPD, admitted with COPD exacerbation. | Chest radiographs dated ___ and ___. | Portable upright frontal radiograph of the chest. | null | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21821021 | 35846.359 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf | 55652987 | 19720782 | Single portable view of the chest. There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion, similar in size when compared to prior. There is also pulmonary vascular congestion, increased compared to prior. There is no definite focal consolidation. Cardiomediastinal silhouette is unchanged. Elevation of the right hilum with increased density in the right paratracheal region compatible with prior post-treatment changes, better characterized on prior CT. | Persistent right-sided effusion and pulmonary vascular congestion. | null | ___, CTA chest from ___. | null | ___-year-old female with shortness of breath. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,856 | 2,417 | 21821020 | 163632.125 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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5932603f-64abd8a2-713ef8b9-907f95b0-106004c5 | 53035658 | 19720782 | AP portable upright chest radiograph was provided. Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged. There is right perihilar opacity which likely reflects known fibrosis as seen on prior CT. New consolidation is seen. No pneumothorax. Overall, cardiomediastinal silhouette is stable. Bony structures are intact. | Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged. Please refer to subsequent CTA chest for further details. | null | Prior chest CT from ___. | null | Shortness of breath, hypoxia, history of nonsmall cell lung cancer. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21820615 | 130909.671 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3 | 50043351 | 19720782 | There is a right pleural effusion which is unchanged since prior exam. Again seen is a right hilar opacity consistent with fibrosis, better assessed on recent CT. A subtle left lower lobe opacity is seen, which may represent atelectasis, but pneumonia cannot be excluded. The lungs are otherwise clear. The cardiomediastinal silhouette is unchanged from prior exam. Visualized osseus structures are unremarkable. | 1. Subtle left lower lobe opacity, which may represent atelectasis, but pneumonia cannot be excluded. PA and lateral radiographs could allow for better assessment of this opacity. 2. Stable right pulmonary effusion. | null | Comparison is made with CTA chest from ___. | null | Hypoxia, dyspnea. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21820316 | 130522.906 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2 | 55515719 | 19720782 | An opacity projecting over the right hilum is unchanged from prior examination is consistent with paramediastinal radiation changes. There is a persistent loculated right pleural effusion, unchanged in size from prior. The left lung remains clear. No pneumothorax is evident. There is pulmonary vascular congestion, though no overt pulmonary edema. Cardiac size is within normal limits and unchanged. | Stable post-treatment changes related to known small cell lung carcinoma. No superimposed acute cardiopulmonary process. | null | Chest radiograph from ___ and chest CT from ___. | null | ___-year-old female with small cell lung carcinoma status post radiation therapy. Patient now presenting with acute shortness of breath. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21810724 | 123320.609 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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65275408-6db6d9a9-13c023c8-a6a96579-434dee3d | 50371697 | 19720782 | Portable AP upright chest radiograph obtained. In this patient with known small cell lung cancer, there is stable soft tissue density/prominence of the right pulmonary hilum which is unchanged from prior exams. There is a small right pleural effusion which appears stable from prior exam and is somewhat loculated, tracking along the right lung apex. There is no overt evidence of pneumonia. There are subtle nodular opacities within the periphery of both lungs which are of unknown etiology or significance. Overall heart size appears stable. Bony structures are intact. | Stable right hilar prominence and right pleural effusion. Subtle nodular opacities in the periphery of the lungs are indeterminant. Nonemergent CT may be performed to further assess. | null | null | null | Hypoxia, question pneumonia. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,056 | 2,544 | 21810326 | 164917.234 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a | 58510466 | 19720782 | Portable AP upright chest radiograph is obtained. Evaluation is somewhat limited given the underpenetrated technique. There is stable prominence of the right hilar structures with slight upward retraction of the right hila again noted. A small right effusion is again noted. Mild congestion is difficult to exclude. The heart is top normal in size. Bony structures appear intact. | Stable prominence and upward retraction of the right pulmonary hilum in this patient with known lung cancer. Right pleural effusion and probable mild interstitial edema. | null | null | null | Acute short of breath, history of lung cancer, question acute intrathoracic process. | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,625 | 2,544 | 21810108 | 171223.578 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006 | 50848970 | 19715857 | There is mild cardiomegaly and moderate pulmonary edema as well as small (right greater than left) pleural effusions. No pneumothorax. Severe degenerative changes at the right glenohumeral joint. | Moderate pulmonary edema. | ___ yo with dyspnea, please assess for flash pulmonary edema. | Chest radiograph from ___. | Single frontal radiograph of the chest obtained. | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,544 | 3,056 | 21920520 | 160616.812 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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f517acaa-8c49752c-968ae55b-9b6530f1-4dacc503 | 58087032 | 19640059 | AP upright portable views of the chest were obtained. Per the radiology technologist, x-ray was repeated due to patient kyphosis. The patient's chin overlies the lung apices. Again seen are increased interstitial markings, worse at the lung bases in this patient with history of known chronic interstitial pulmonary disease. Opacity at the right lung base appears increased compared to the prior study and superimposed infectious process is not excluded. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | Known chronic interstitial disease with increased interstitial markings seen at the lung bases. Interval increase in right base opacity raises concern for a superimposed infectious process. | null | null | null | ___-year-old female with history of shortness of breath, rule out infection versus fluid. | Chest AP upright portable views. | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 3,024 | 2,516 | 21250323 | 123300.843 | CHEST (PORTABLE AP) | antero-posterior | Erect | frontal |
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322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7 | 58087032 | 19640059 | AP upright portable views of the chest were obtained. Per the radiology technologist, x-ray was repeated due to patient kyphosis. The patient's chin overlies the lung apices. Again seen are increased interstitial markings, worse at the lung bases in this patient with history of known chronic interstitial pulmonary disease. Opacity at the right lung base appears increased compared to the prior study and superimposed infectious process is not excluded. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | Known chronic interstitial disease with increased interstitial markings seen at the lung bases. Interval increase in right base opacity raises concern for a superimposed infectious process. | null | null | null | ___-year-old female with history of shortness of breath, rule out infection versus fluid. | Chest AP upright portable views. | Provide a detailed description of the findings in the radiology image. | CHEST (PORTABLE AP) | AP | 2,812 | 2,436 | 21250323 | 123300.843 | CHEST (PORTABLE AP) | antero-posterior | null | frontal |
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fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15 | 51233560 | 19640059 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized. | 1. Stable findings of chronic interstitial lung disease without definite evidence for superimposed process. 2. Air-fluid level in the esophagus which could be seen with known CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether, projecting near the expected site of the gastroesophageal junction. Clinical correlation regarding any potential aspiration risk is recommended. | null | null | Chest, AP and lateral. | Fatigue, anorexia, weight loss with hypoxia and leukocytosis. Background of CREST and chronic interstitial lung disease. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | AP | 2,908 | 2,436 | 21250127 | 172340.64 | CHEST (PA AND LAT) | antero-posterior | Erect | frontal |
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03b170ab-561ffd21-6697ecf9-665767b0-674413ae | 51233560 | 19640059 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized. | 1. Stable findings of chronic interstitial lung disease without definite evidence for superimposed process. 2. Air-fluid level in the esophagus which could be seen with known CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether, projecting near the expected site of the gastroesophageal junction. Clinical correlation regarding any potential aspiration risk is recommended. | null | null | Chest, AP and lateral. | Fatigue, anorexia, weight loss with hypoxia and leukocytosis. Background of CREST and chronic interstitial lung disease. | null | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 2,868 | 2,516 | 21250127 | 172340.64 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
||
2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35 | 57629666 | 19640059 | There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Chronic interstitial abnormalities are again seen diffusely, more pronounced at the lung bases with fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is identified. There is diffuse calcification of the aorta. | No acute cardiopulmonary abnormality. Chronic interstitial lung disease, which on the prior CT of the chest from ___ suggested usual interstitial pneumonia. | Three days of dyspnea on exertion, dry non-productive cough. | Chest radiograph ___ and ___. Chest CT ___. | null | null | null | Not supported with pagination yet | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21241209 | 131753.625 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
|
d8d6bec6-48c8a366-841c2d03-d9845540-66735bb4 | 57254304 | 19623993 | Mild linear atelectasis in the right lung is unchanged. There is no new consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar silhouettes are normal. | No focal consolidation concerning for pneumonia. | ___F with shortness of breath. Evaluate for consolidation or effusion. | Chest radiograph of ___. | Chest PA and lateral | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21440518 | 180609.812 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
||
66607c54-01766ee9-0296b1fd-b642145d-24ea1577 | 50373067 | 19623993 | PA and lateral views of the chest provided. Subtle linear density in the left mid to lower lung is most compatible with platelike atelectasis. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | No acute intrathoracic process. | ___ year old woman with ili symptoms // ili cough | null | null | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21431114 | 172628.828 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
||
61ed122d-80b347e7-d2269b6b-e28fb75e-e5585f0f | 52893597 | 19623993 | PA and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | No acute intrathoracic process. | ___F with cough // ? pneumonia | null | null | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21430815 | 205122.343 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
||
879c5bd5-8fde6e6e-470c4bdb-323689b2-fac6fa7e | 58865157 | 19623993 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | No acute intrathoracic process. | ___F with pain s/p fall // r/o fracture | null | null | null | CHEST (PA AND LAT) | Provide a detailed description of the findings in the radiology image. | CHEST (PA AND LAT) | PA | 3,056 | 2,544 | 21430115 | 163442.078 | CHEST (PA AND LAT) | postero-anterior | Erect | frontal |
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MIMIC-CXR-RRG: Radiology Report Generation Subsets
This dataset provides two carefully filtered and structured subsets from the MIMIC-CXR dataset, specifically designed for Radiology Report Generation (RRG) tasks. It includes image-report pairs focused on the Findings and Impression sections, targeting frontal-view chest X-rays only.
📚 Dataset Overview
| Subset | Section Target | Split | #Samples | View Type |
|---|---|---|---|---|
findings_section |
Findings | test | 2361 | Frontal only |
impression_section |
Impression | test | 2343 | Frontal only |
- The splits follow the evaluation protocol used in models such as Libra and MAIRA-2.
- Images and labels are provided in a test-only setting, useful for benchmarking and zero-shot evaluation.
🧾 Data Format
Each instance in both subsets contains:
- 📷
main_image– The frontal-view chest X-ray - 📷
prior_image– (Optional) Prior image if available - 📝 Text sections:
findings_sectionimpression_sectionindication_sectioncomparison_sectiontechnique_sectionhistory_sectionexamination_section
- 💬
default_prompt– Prompt for generation tasks - 🧾 Metadata:
dicom_id,study_id,subject_id- Acquisition info:
Rows,Columns,StudyDate,ViewPosition, etc.
🚀 How to Use
from datasets import load_dataset
# Load a specific subset (e.g., findings_section)
ds = load_dataset("X-iZhang/MIMIC-CXR-RRG", name="findings_section", split="test")
# Display an image
from PIL import Image
ds[0]["main_image"].show()
# View sample
print(ds[0]["findings_section"])
✏️ Citation
@misc{zhang2025libraleveragingtemporalimages,
title={Libra: Leveraging Temporal Images for Biomedical Radiology Analysis},
author={Xi Zhang and Zaiqiao Meng and Jake Lever and Edmond S. L. Ho},
year={2025},
eprint={2411.19378},
archivePrefix={arXiv},
primaryClass={cs.CV},
url={https://arxiv.org/abs/2411.19378},
}
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Size of downloaded dataset files:
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Number of rows:
4,804