ChayanM/MIMIC-Impression-Dataset · Datasets at Hugging Face

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p16507140/s56832980/671f682b-f9336043-4fb91527-91469b50-399c43b1.jpg	persistent multifocal consolidation and ground glass opacities, most severe in the right upper lobe. worsening right upper lobe volume loss, but no evidence of obstructing central lesion on recent ct. considering infectious symptoms and the rapid progression between and , a multilobar pneumonia is considered most likely. differential diagnosis includes cryptogenic organizing pneumonia, eosinophilic pneumonia, and pulmonary hemorrhage/vasculitis.
MIMIC-CXR-JPG/2.0.0/files/p18052885/s50611764/ce697c62-67fe25d7-947ad551-760de626-1b65d5b6.jpg	comparison to. the patient has received an endotracheal tube. the tip of the tube projects <num> cm above the carina. the tip of the newly placed feeding tube projects over the bottom of a known large hiatal hernia. a minimal atelectasis at the right lung base is unchanged. no pneumothorax or other complications.
MIMIC-CXR-JPG/2.0.0/files/p12458552/s53641499/ccc5882e-42cb24cb-0a0a4285-725920f3-4b38efa6.jpg	no significant change.
MIMIC-CXR-JPG/2.0.0/files/p19017194/s57927757/b8524d25-417c0c89-569e8040-5ce75f29-522fb452.jpg	comparison to. the patient has been extubated and the feeding tube was removed. moderate cardiomegaly with bilateral areas of atelectasis persists. no evidence of pneumonia. no pulmonary edema. no larger pleural effusions. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19150427/s51511674/dec32ede-aaf40bbe-0fce59bb-15629b05-e23aff4c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18378740/s51105941/9ca953d0-a0db314c-cf84a611-73899c09-3f874358.jpg	mild silhouetting of the left heart border, which could potentially represent an early lingular pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12046588/s57732967/e3fd7093-dc275044-a192637e-9b7c2860-7f229bed.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19365016/s58124714/42d48688-36dfde35-5f144e33-b256bf11-17aa26fd.jpg	copd without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17242059/s54424024/a4413dec-ee54378d-570d68d9-facf64d0-45b28b0a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15876666/s59002160/0f200906-8364d4ab-e1d7724c-b8ba31f9-1b7774e8.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19670448/s52157131/da96a013-b8039b4f-0b125d58-259ae343-4fd61e8a.jpg	improving bibasilar atelectasis and decreasing bilateral effusions.
MIMIC-CXR-JPG/2.0.0/files/p14676380/s54843147/47e2b829-f5ee77bb-98ff11f8-948d0469-e90cec0c.jpg	lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. previous moderate left pleural effusion has resolved.
MIMIC-CXR-JPG/2.0.0/files/p11055110/s58777516/67b6bc69-626ec06f-95ad5af9-deb95d4c-604579bb.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11213912/s54235938/d3f95bf3-9094c953-9fded539-04ea73c7-d78ea2f7.jpg	in comparison with the study of , the monitoring and support devices remain in place. there is again enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. bilateral pleural effusions persist, more prominent on the left, with compressive basilar atelectasis. more focal area of opacification remains in the right perihilar and suprahilar region. retrocardiac opacification again is consistent with substantial volume loss in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p13775111/s55443605/7cec1618-20f579d4-c5fd8f8c-647e8f94-bda0a88a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16319688/s51235717/a28024e6-1b941115-d97ce7ca-2c224953-c4fea0c5.jpg	no acute cardiopulmonary process, specifically, there is a normal appearing mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p15838918/s57273838/1fa45330-25b94ba2-63204822-6edc014a-a08c607c.jpg	pneumomediastinum likely secondary to pulmonary interstitial emphysema which can be seen in the setting of asthma exacerbation. no evidence of pneumonia. comment: findings were emailed to the "ed qa nurses" by dr at am on to be communicated directly with the patient's primary care provider.
MIMIC-CXR-JPG/2.0.0/files/p15876666/s50483816/9b32c828-ef4f7a12-4577e10a-9088ca9e-51bbb6e5.jpg	substantial improvement in multifocal opacities over the past <num> days, which may represent resolving infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p16887254/s52230015/1f1ed827-9b1b60c7-b0f95b1d-dd2e8b80-9d9d35f6.jpg	tortuous and enlarged aortic contour compatible with known ruptured aortic arch aneurysm.
MIMIC-CXR-JPG/2.0.0/files/p19247265/s55387979/830d5616-d5683880-04f53222-1fc43f8c-52c41982.jpg	clear lungs. stable moderate hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p14300144/s57700188/bf789d46-092d271a-0d096b20-6b1f38ad-d7e6889a.jpg	moderate cardiomegaly is stable. pacer leads are in standard position. there is no pulmonary edema, pneumothorax or large effusions. there are low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p10213765/s53853009/0af91961-27dade1b-f6bf4929-65ddb84a-532d06fd.jpg	as compared to the previous image, there is no substantial change in dimension of the right apical pneumothorax. the patient shows no evidence of tension. the pre described subtle right lower lung parenchymal opacity has completely resolved, a small atelectasis in the infra hilar right lung regions persists. unremarkable left lung. normal size of the cardiac silhouette. no pneumonia or pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14616169/s52289579/a3e5c023-890ebb44-377e9ba0-b829869c-24c9104d.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16517135/s55940114/5278d101-2b3e09f9-e7383e98-7377a84d-901c71e1.jpg	no pneumonia or effusion. right perihilar atelectasis. followup is recommended to document resolution as well as better evaluation of possibly obscured right lung lesions.
MIMIC-CXR-JPG/2.0.0/files/p13688170/s52216539/55b8f6e0-fdbc8fe7-f0b2b4eb-2ced397a-30ba385f.jpg	no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19403960/s54858211/77c6f18c-b843fb65-8531454a-68f064e2-44d08495.jpg	bilateral pleural effusions, small to moderate on the right and small on the left with bibasilar atelectasis. moderate size pericardial effusion, better assessed on the chest ct obtained earlier in the day.
MIMIC-CXR-JPG/2.0.0/files/p11646309/s54130395/83e6a07c-aab459fd-1f9a4ea7-337d04fd-2bcb5133.jpg	low lung volumes and right basilar atelectasis, with elevation of the right lung base likely the result of a subdiaphragmatic process rather than subpulmonic effusion.
MIMIC-CXR-JPG/2.0.0/files/p17336284/s56369511/3c350506-63d0ff30-996f09ba-ab2516fc-e95a54cf.jpg	persistent lung hyperinflation and severe cardiomegaly. mild pulmonary vascular congestion is likely, but there is no new focal consolidation or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11778436/s53966134/95379078-0961f44e-10723712-987628cb-9adbba05.jpg	small right lung base pneumothorax is minimally larger compared to <num> hr ago, likely a due to change in distribution. right chest tube is in unchanged position. if clinically indicated, the position of the chest tube can be better evaluated with ct which will be helpful to rule out the possibility of its position in the fissure. stable extensive subcutaneous emphysema.
MIMIC-CXR-JPG/2.0.0/files/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg	comparison to. the known left basal parenchymal opacity is unchanged in extent and severity. the pre-existing right basal opacity is also stable. the lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. moderate cardiomegaly is unchanged. the monitoring and support devices are constant.
MIMIC-CXR-JPG/2.0.0/files/p15541773/s57619787/f85acf0b-4d8be182-0ddc4915-b89c04a3-9913afbf.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11666315/s58420648/25e464a8-c750b3c1-1be9aadc-1b50c746-631a0806.jpg	streaky left basilar opacity, potentially atelectasis noting infection or aspiration is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p11994822/s51307379/3224b3fa-2ae498fd-c133ff2c-afbcb8ee-036c40c1.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18823293/s57843866/3cee4eb4-9073ae1f-0b11c8a8-b3807cd6-7fa715bc.jpg	as compared to , cardiomegaly and pulmonary vascular congestion are accompanied by a resolving interstitial edema. residual asymmetrical opacity in right infrahilar region may reflect resolving asymmetrical edema, secondary process such as infection is also possible in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12728628/s53873575/1f2dc116-f6158fb6-e45f73f0-d6a08add-4d9f6f74.jpg	compared to prior chest radiographs through. combination of consolidation and atelectasis in the right lower lobe is unchanged. there are no new regions of pulmonary abnormality. moderate cardiomegaly has increased but there is no pulmonary edema. pulmonary vascular caliber is probably physiologic for non erect positioning. no pneumothorax or appreciable pleural effusion. tracheostomy tube midline. left jugular line ends in the upper svc.
MIMIC-CXR-JPG/2.0.0/files/p15350933/s58954484/d4252aee-62785ced-32d3e81b-85172c71-eb554588.jpg	subtle retrocardiac opacity on the lateral view make subtle aspiration difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p15889426/s58124569/2df0f649-feea37d2-5fc8a411-ea7f5ca1-caeebd9e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15413165/s58171899/85486c2d-0d140a05-993029bf-23923f68-061805ea.jpg	no acute cardiopulmonary process. ]
MIMIC-CXR-JPG/2.0.0/files/p18638427/s59380880/bf5bcab4-b68f6b75-41a9f7ab-cd8a18d7-526f99a8.jpg	large right pleural effusion with right middle lobe and right lower lobe collapse. the left lung is clear.
MIMIC-CXR-JPG/2.0.0/files/p18948084/s55719027/0f16d15d-91b219aa-8a7931eb-a46ae8f3-7dbba6d6.jpg	no pneumonia. findings most consistent with mild to moderate pulmonary edema including a small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14753567/s56348584/dca1d384-66161066-f6156590-2a132306-50b67a44.jpg	no definite acute cardiopulmonary process. the emergency medicine team queried whether presence of ground glass opacities. no definite ground-glass opacity is seen, please note that chest ct is more sensitive in the detection of such.
MIMIC-CXR-JPG/2.0.0/files/p10363799/s51608961/222d895a-27ee4fbc-5d504024-62a37516-18a2dde9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15897499/s56985812/ea829a3e-989034af-078f4bd0-61b97405-e7a9333c.jpg	no acute findings. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15172072/s50658985/88fa6549-e68095e2-202899c5-5194cc48-de99c9da.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10616316/s57602522/d2e3d375-7ef36abc-6e284285-62072b2f-dac7d377.jpg	prominence of interstitial markings may represent viral or atypical infection. pulmonary congestion is difficult to exclude given the patient's cardiac history.
MIMIC-CXR-JPG/2.0.0/files/p15808118/s50527797/de3b7b12-a2288052-09e76dfd-f5621052-e775ec5d.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16421543/s54611243/be51e12c-da57db38-56afa812-a5e89639-d59088dd.jpg	right hilar enlargement suspicious for underlying mass, new in the interval, with multiple nodular opacities in the right mid lung field. recommendation(s): findings are concerning for a neoplastic process and further assessment with chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p18549459/s54874894/c9b0e5f6-3d3ae539-b10f2c8b-0876a7ca-6397b220.jpg	progression of left lower lobe opacity which may reflect infection in the correct clinical context or worsening atelectasis. small left pleural effusion, new from prior.
MIMIC-CXR-JPG/2.0.0/files/p13455228/s52359236/3aee3c54-0a53f61f-5d07c960-521a73c2-def01755.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15197783/s54553656/0af190fb-9935c923-51f2d0d9-6f808c74-38fb141b.jpg	low lung volumes and bibasilar atelectasis/ scarring. no significant interval change as compared to the prior study. , md
MIMIC-CXR-JPG/2.0.0/files/p12452974/s57344131/4ce637b0-7de78428-edb75326-9e9fe9d6-f2d30fc5.jpg	small bilateral pleural effusions. dilated loops of small bowel. these are better seen on concurrent abdominal x-ray from today. no free air.
MIMIC-CXR-JPG/2.0.0/files/p11760978/s57982537/1831d411-c8bc0fc1-e8b4b735-6791db8d-2ea2123f.jpg	focal opacities within the right upper lobe and streak left lower lobe opacity are concerning for pneumonia. probable small bilateral pleural effusions. followup radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p12433486/s59746372/fbbd87d1-2f742693-ae2a9f30-75af42a2-ae1410ef.jpg	no acute cardiopulmonary abnormality. bilateral calcified pleural plaques suggestive of prior asbestos exposure.
MIMIC-CXR-JPG/2.0.0/files/p14464782/s50249735/a6dafc0c-21f5d99f-4020704f-c9019136-7827f85c.jpg	trace bilateral pleural effusions and pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15086518/s52239270/b9cbde15-130cdaba-1391ec80-8eeeaf07-3518ec4c.jpg	new/developing right perihilar opacity compatible with infection in the proper clinical setting. repeat after treatment suggested to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p10670818/s54356377/7cd72fa2-1bff1a26-ba5f7e70-7a3471cb-ac3c28aa.jpg	as compared to the previous radiograph, there is a slight increase in extent of the bilateral pleural effusions, with subsequent increase in areas of atelectasis. unchanged position of the monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p15986215/s59998136/b141b068-d38d46ef-b7a853ba-fefb2d2e-1b768aa7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14795148/s53549841/65e595a8-63a8b0f0-60d0f867-6d26b6f9-8f959c6a.jpg	worsening right effusion, now large in size. pulmonary ground-glass opacity compatible with pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18376335/s54833637/ae8c5992-68e711e0-aaa2b415-6e2b9993-5ed033ce.jpg	no acute cardiopulmonary radiographic abnormality. incompletely imaged bowel distention in upper abdomen. if symptoms are referable to the abdomen, dedicated abdominal radiographs would be suggested.
MIMIC-CXR-JPG/2.0.0/files/p17180653/s51211390/da189855-d3000b73-130128de-f1027fed-90af4693.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16624458/s58431651/c65065be-fef0f230-acf42144-7540250e-debc53a4.jpg	ap chest compared to , a feeding tube loops in the stomach at the pylorus, terminating in the fundus. a right picc line ends in the region of the superior cavoatrial junction. lung apices excluded from the examination. the imaged portions of the lungs and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p13777833/s59835092/a445540b-91aa5369-5c6dc870-15f628f3-1d3ebd54.jpg	no acute cardiopulmonary process. large hiatal hernia is again seen.
MIMIC-CXR-JPG/2.0.0/files/p13627314/s59859605/aa593624-89384708-85105eb3-df857db2-938e44db.jpg	heterogeneous left lower lobe interstitial prominence may represent a developing infection in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p13503962/s51047794/dc54666c-048fb6c8-31b9f221-0a09d838-9cdf773c.jpg	minimal bibasilar atelectasis. no acute process
MIMIC-CXR-JPG/2.0.0/files/p13382892/s57022597/48c3d5ae-ccb6f9db-2b7f5fef-76deb0d1-ac9a9281.jpg	mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11692081/s52612720/4d8bebad-84a457c2-47bb3c42-8cc0707f-62c2b292.jpg	no evidence for significant change or acute disease.
MIMIC-CXR-JPG/2.0.0/files/p17012909/s59214894/46a47808-9309303b-1a1476d0-289ff656-1aba0492.jpg	increased right pleural effusion with increased atelectasis of the right middle and lower lobes. mild edema.
MIMIC-CXR-JPG/2.0.0/files/p16840013/s53431466/8562a747-64f386ac-58426c7f-029da0a3-2126123b.jpg	endotracheal tube now has its tip approximately <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is persistent patchy opacity at the right base which has slightly improved aeration suggesting resolving atelectasis or aspiration pneumonia. clinical correlation is advised. the left lung is grossly clear. no evidence of pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14643671/s56055420/ad22024b-04658d09-8f31f1c2-9b200583-abc3c00d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12716528/s51733245/32527469-33106dec-6632346a-4e6fa7af-bb9260ec.jpg	new mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10675468/s59914053/1968ca08-0148f69a-7d3cf0f6-3dbd490e-9b963230.jpg	a single lead left-sided pacer remains in place. the heart remains enlarged with prominent mitral annular calcifications. patchy opacity at the right base is not significantly changed favoring atelectasis in the setting of a chronically elevated right hemidiaphragm. however, there is increasing retrocardiac consolidation and likely an associated effusion, which although this could reflect atelectasis raises the possibility of pneumonia or aspiration. clinical correlation is advised. in addition, the perihilar vasculature is more prominent suggesting a fluid replete state, no overt pulmonary edema is evident. calcifications at the left apex are stable and may be pleural in etiology. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13183817/s51661008/53cc881d-21aa0fee-066a4d68-53cc100d-3964cc50.jpg	minimal atelectasis in the right lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p18760108/s51572322/b2cb9718-48f6a519-82119ef4-852a9f17-db63beb5.jpg	no acute cardiopulmonary process. stable right upper lobe mass. stable left mid lung zone pleural-based nodule.
MIMIC-CXR-JPG/2.0.0/files/p13035993/s59797698/29dc7e76-8f8a3253-0fd168a1-fc68f297-ebe9752e.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16093185/s52829935/0cf9e652-af6acf0a-2a83ec98-a43eca88-87f03ba9.jpg	diffuse metastatic disease. additional left basilar opacity silhouetting the hemidiaphragm, new since prior could represent superimposed infection.
MIMIC-CXR-JPG/2.0.0/files/p17037515/s55495169/c4feee04-5dff19cf-f03e98d7-0963f7f2-b4f775ea.jpg	changes of emphysema with mild superimposed pulmonary edema. if continued concern for pneumonia, consider diuresis and repeat imaging.
MIMIC-CXR-JPG/2.0.0/files/p15819821/s53502231/a4e87f27-ba107b49-943a747d-6e963f3a-4978ccb1.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13295971/s59758233/3133a47a-a4e2342a-0266549a-d5bd8fdc-80d7ba54.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11388341/s54782054/4618d030-1a6fdd3a-a436832e-f44b6b6c-1ac9aad7.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right internal jugular line tip is at the level of superior svc. cardiomegaly is substantial but unchanged. there is resolution of left lower lung opacity. no pneumothorax is demonstrated on the right. minimal right apical pneumothorax is noted. replaced mitral valve is in expected position
MIMIC-CXR-JPG/2.0.0/files/p13485127/s52676044/bf090aef-2a60fd9e-2a38d568-9bedca21-f32a81bc.jpg	no focal consolidation. persistent prominence of the hila which may be due to pulmonary arterial enlargement, which could be confirmed with nonemergent chest ct.
MIMIC-CXR-JPG/2.0.0/files/p11939974/s53298831/a396cecb-34c980d5-e7a4b7cf-d6164445-ca54baa4.jpg	no acute process seen. hyperinflation
MIMIC-CXR-JPG/2.0.0/files/p17366072/s51020073/365de5b9-61501a9f-b8810a2a-d12fe5d5-32fed520.jpg	mild pulmonary vascular congestion with small bilateral pleural effusions. persistently elevated left hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p13075690/s54534407/3d429c6e-e1e4a71c-23bc1b2b-6dfb7c78-09e2e319.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19737892/s55010857/015620ca-e2b5bd9d-4ce8d10c-da71f552-1a209986.jpg	interval removal of the left-sided chest tube with no evidence of pneumothorax. small left-sided pleural effusion, an overlying consolidation cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p17727273/s51052670/29dabf85-a18c8837-5c74c2ab-ec980caa-ab50a3d3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13835070/s55024843/2d8309c8-2983e367-d3e9898b-001d0f5e-0ceeb552.jpg	no evidence of injury.
MIMIC-CXR-JPG/2.0.0/files/p19758044/s51348247/02f667df-d4f61e9b-41b2b2ee-2025ba23-9621455a.jpg	comparison to ,. the <num> right-sided chest tubes are in stable position. the small right effusion and the right apical lateral pleural thickening are stable. no pneumothorax. in the interval, the previously correctly position picc line has flipped into the internal jugular vein and needs to be flushed or repositioned.
MIMIC-CXR-JPG/2.0.0/files/p11148536/s51144459/a74e55f8-df01bec1-8c37f7c2-584269ac-41df2303.jpg	mild cardiomegaly with hilar congestion.
MIMIC-CXR-JPG/2.0.0/files/p15245907/s57339183/e4fca24f-407b0240-ee4ca46e-b74c1e22-0d34be0a.jpg	in comparison with the earlier study of this date, the monitor and support devices are unchanged. diffuse bilateral pulmonary opacifications persist. the tip of the endotracheal tube is at the clavicular level, approximately <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p12389333/s51122742/4626c372-7d29895a-5a9b1dee-24291b19-7e52603d.jpg	no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p11147531/s52782968/63b319c3-6009c691-f72c7dd9-9cd4e595-95f84a06.jpg	as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly. no overt pulmonary edema. known postoperative right basal changes. no larger pleural effusions. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13117065/s52243740/ef3a08a0-92f7147f-6ddf509a-a6bcaa02-e45eede7.jpg	loculated left-sided pneumothorax, mostly occupying mediastinal area of pleural space (shown on ct), difficult to identify on routine pa and chest examination. the present examination suggests regression, thus no evidence of new abnormalities. further followup is recommended related to patient's symptomatology. continuously well-aerated left lung does not call for placement of a chest tube at this time. telephone contact with referring physician,. was established at <num> and again at <num>
MIMIC-CXR-JPG/2.0.0/files/p16860006/s54708840/99dd164f-46beb91a-50473d1e-308e3232-321a9854.jpg	no radiopaque foreign body is noted within the chest or upper abdomen.
MIMIC-CXR-JPG/2.0.0/files/p15549843/s59824711/10e7623f-8974d1ad-134c73eb-2a96b1e2-145eb631.jpg	no definite acute cardiopulmonary process. nodular opacities in the lungs which have persisted and a dedicated chest ct is suggested
MIMIC-CXR-JPG/2.0.0/files/p12324075/s59813852/14ed380b-1041e8b2-79a01b24-0d98c852-c71d982c.jpg	new ng tube has been placed with tip ending in distal gastric cavity. right picc is unchanged with tip ending in upper svc. tracheostomy tube is unchanged and in standard position. unchanged appearance of the cervical spinal fixation hardware. persists bibasilar atelectasis, larger to the right than to the left, with small right pleural effusion. cardiomediastinal silhouette is unchanged. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12293631/s59354463/bd720aeb-d52e3b27-ed63d85d-54784264-f6816df7.jpg	no pneumothorax or displaced rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p16600119/s56152256/1418de70-a641bc48-b6ea7308-0cf3a4bb-927ce5f0.jpg	findings compatible with left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17316017/s54716746/f38dc161-678f2195-ed3487e7-615249e6-5b99aa3c.jpg	suspected patchy posterior opacity, not specific and probably compatible with atelectasis; pneumonia or even a lung nodule is not excluded, however, and correlation with planned ct is suggested.
MIMIC-CXR-JPG/2.0.0/files/p14017754/s57216553/8562b045-897a6699-ca89eda2-222f6baf-f9cf12cb.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12294892/s55079014/8d03e90a-57d25a8e-117c533f-1172e8cb-592adad8.jpg	no pneumothorax.

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persistent multifocal consolidation and ground glass opacities, most severe in the right upper lobe. worsening right upper lobe volume loss, but no evidence of obstructing central lesion on recent ct. considering infectious symptoms and the rapid progression between and , a multilobar pneumonia is considered most likely. differential diagnosis includes cryptogenic organizing pneumonia, eosinophilic pneumonia, and pulmonary hemorrhage/vasculitis.

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comparison to. the patient has received an endotracheal tube. the tip of the tube projects <num> cm above the carina. the tip of the newly placed feeding tube projects over the bottom of a known large hiatal hernia. a minimal atelectasis at the right lung base is unchanged. no pneumothorax or other complications.

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no significant change.

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comparison to. the patient has been extubated and the feeding tube was removed. moderate cardiomegaly with bilateral areas of atelectasis persists. no evidence of pneumonia. no pulmonary edema. no larger pleural effusions. no pneumothorax.

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no acute cardiopulmonary process.

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mild silhouetting of the left heart border, which could potentially represent an early lingular pneumonia.

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no evidence of acute cardiopulmonary disease.

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copd without superimposed pneumonia.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process.

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improving bibasilar atelectasis and decreasing bilateral effusions.

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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. previous moderate left pleural effusion has resolved.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the monitoring and support devices remain in place. there is again enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. bilateral pleural effusions persist, more prominent on the left, with compressive basilar atelectasis. more focal area of opacification remains in the right perihilar and suprahilar region. retrocardiac opacification again is consistent with substantial volume loss in the left lower lobe.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process, specifically, there is a normal appearing mediastinum.

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pneumomediastinum likely secondary to pulmonary interstitial emphysema which can be seen in the setting of asthma exacerbation. no evidence of pneumonia. comment: findings were emailed to the "ed qa nurses" by dr at am on to be communicated directly with the patient's primary care provider.

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substantial improvement in multifocal opacities over the past <num> days, which may represent resolving infection or aspiration.

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tortuous and enlarged aortic contour compatible with known ruptured aortic arch aneurysm.

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clear lungs. stable moderate hiatal hernia.

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moderate cardiomegaly is stable. pacer leads are in standard position. there is no pulmonary edema, pneumothorax or large effusions. there are low lung volumes.

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as compared to the previous image, there is no substantial change in dimension of the right apical pneumothorax. the patient shows no evidence of tension. the pre described subtle right lower lung parenchymal opacity has completely resolved, a small atelectasis in the infra hilar right lung regions persists. unremarkable left lung. normal size of the cardiac silhouette. no pneumonia or pleural effusions.

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no acute cardiopulmonary abnormality.

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no pneumonia or effusion. right perihilar atelectasis. followup is recommended to document resolution as well as better evaluation of possibly obscured right lung lesions.

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no focal consolidation concerning for pneumonia.

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bilateral pleural effusions, small to moderate on the right and small on the left with bibasilar atelectasis. moderate size pericardial effusion, better assessed on the chest ct obtained earlier in the day.

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low lung volumes and right basilar atelectasis, with elevation of the right lung base likely the result of a subdiaphragmatic process rather than subpulmonic effusion.

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persistent lung hyperinflation and severe cardiomegaly. mild pulmonary vascular congestion is likely, but there is no new focal consolidation or pleural effusion.

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small right lung base pneumothorax is minimally larger compared to <num> hr ago, likely a due to change in distribution. right chest tube is in unchanged position. if clinically indicated, the position of the chest tube can be better evaluated with ct which will be helpful to rule out the possibility of its position in the fissure. stable extensive subcutaneous emphysema.

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comparison to. the known left basal parenchymal opacity is unchanged in extent and severity. the pre-existing right basal opacity is also stable. the lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. moderate cardiomegaly is unchanged. the monitoring and support devices are constant.

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no acute cardiopulmonary abnormality.

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streaky left basilar opacity, potentially atelectasis noting infection or aspiration is not excluded.

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no acute intrathoracic process.

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as compared to , cardiomegaly and pulmonary vascular congestion are accompanied by a resolving interstitial edema. residual asymmetrical opacity in right infrahilar region may reflect resolving asymmetrical edema, secondary process such as infection is also possible in the appropriate clinical setting.

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compared to prior chest radiographs through. combination of consolidation and atelectasis in the right lower lobe is unchanged. there are no new regions of pulmonary abnormality. moderate cardiomegaly has increased but there is no pulmonary edema. pulmonary vascular caliber is probably physiologic for non erect positioning. no pneumothorax or appreciable pleural effusion. tracheostomy tube midline. left jugular line ends in the upper svc.

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subtle retrocardiac opacity on the lateral view make subtle aspiration difficult to exclude.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. ]

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large right pleural effusion with right middle lobe and right lower lobe collapse. the left lung is clear.

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no pneumonia. findings most consistent with mild to moderate pulmonary edema including a small right pleural effusion.

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no definite acute cardiopulmonary process. the emergency medicine team queried whether presence of ground glass opacities. no definite ground-glass opacity is seen, please note that chest ct is more sensitive in the detection of such.

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no acute cardiopulmonary process.

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no acute findings. stable mild cardiomegaly.

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no acute cardiopulmonary process.

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prominence of interstitial markings may represent viral or atypical infection. pulmonary congestion is difficult to exclude given the patient's cardiac history.

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no evidence of acute cardiopulmonary process.

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right hilar enlargement suspicious for underlying mass, new in the interval, with multiple nodular opacities in the right mid lung field. recommendation(s): findings are concerning for a neoplastic process and further assessment with chest ct is recommended.

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progression of left lower lobe opacity which may reflect infection in the correct clinical context or worsening atelectasis. small left pleural effusion, new from prior.

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no acute cardiopulmonary process.

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low lung volumes and bibasilar atelectasis/ scarring. no significant interval change as compared to the prior study. , md

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small bilateral pleural effusions. dilated loops of small bowel. these are better seen on concurrent abdominal x-ray from today. no free air.

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focal opacities within the right upper lobe and streak left lower lobe opacity are concerning for pneumonia. probable small bilateral pleural effusions. followup radiographs after treatment are recommended to ensure resolution of this finding.

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no acute cardiopulmonary abnormality. bilateral calcified pleural plaques suggestive of prior asbestos exposure.

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trace bilateral pleural effusions and pulmonary vascular congestion.

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new/developing right perihilar opacity compatible with infection in the proper clinical setting. repeat after treatment suggested to document resolution.

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as compared to the previous radiograph, there is a slight increase in extent of the bilateral pleural effusions, with subsequent increase in areas of atelectasis. unchanged position of the monitoring and support devices.

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no acute cardiopulmonary process.

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worsening right effusion, now large in size. pulmonary ground-glass opacity compatible with pulmonary edema.

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no acute cardiopulmonary radiographic abnormality. incompletely imaged bowel distention in upper abdomen. if symptoms are referable to the abdomen, dedicated abdominal radiographs would be suggested.

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no acute cardiopulmonary process.

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ap chest compared to , a feeding tube loops in the stomach at the pylorus, terminating in the fundus. a right picc line ends in the region of the superior cavoatrial junction. lung apices excluded from the examination. the imaged portions of the lungs and pleural surfaces are normal.

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no acute cardiopulmonary process. large hiatal hernia is again seen.

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heterogeneous left lower lobe interstitial prominence may represent a developing infection in the proper clinical setting.

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minimal bibasilar atelectasis. no acute process

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mild pulmonary vascular congestion.

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no evidence for significant change or acute disease.

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increased right pleural effusion with increased atelectasis of the right middle and lower lobes. mild edema.

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endotracheal tube now has its tip approximately <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is persistent patchy opacity at the right base which has slightly improved aeration suggesting resolving atelectasis or aspiration pneumonia. clinical correlation is advised. the left lung is grossly clear. no evidence of pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are unchanged.

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no acute cardiopulmonary process.

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new mild pulmonary edema.

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a single lead left-sided pacer remains in place. the heart remains enlarged with prominent mitral annular calcifications. patchy opacity at the right base is not significantly changed favoring atelectasis in the setting of a chronically elevated right hemidiaphragm. however, there is increasing retrocardiac consolidation and likely an associated effusion, which although this could reflect atelectasis raises the possibility of pneumonia or aspiration. clinical correlation is advised. in addition, the perihilar vasculature is more prominent suggesting a fluid replete state, no overt pulmonary edema is evident. calcifications at the left apex are stable and may be pleural in etiology. no pneumothorax.

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minimal atelectasis in the right lower lobe.

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no acute cardiopulmonary process. stable right upper lobe mass. stable left mid lung zone pleural-based nodule.

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no acute cardiothoracic process.

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diffuse metastatic disease. additional left basilar opacity silhouetting the hemidiaphragm, new since prior could represent superimposed infection.

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changes of emphysema with mild superimposed pulmonary edema. if continued concern for pneumonia, consider diuresis and repeat imaging.

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no evidence of acute cardiopulmonary process.

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no focal consolidation to suggest pneumonia.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right internal jugular line tip is at the level of superior svc. cardiomegaly is substantial but unchanged. there is resolution of left lower lung opacity. no pneumothorax is demonstrated on the right. minimal right apical pneumothorax is noted. replaced mitral valve is in expected position

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no focal consolidation. persistent prominence of the hila which may be due to pulmonary arterial enlargement, which could be confirmed with nonemergent chest ct.

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no acute process seen. hyperinflation

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mild pulmonary vascular congestion with small bilateral pleural effusions. persistently elevated left hemidiaphragm.

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no definite acute cardiopulmonary process.

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interval removal of the left-sided chest tube with no evidence of pneumothorax. small left-sided pleural effusion, an overlying consolidation cannot be excluded.

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no acute cardiopulmonary process.

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no evidence of injury.

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comparison to ,. the <num> right-sided chest tubes are in stable position. the small right effusion and the right apical lateral pleural thickening are stable. no pneumothorax. in the interval, the previously correctly position picc line has flipped into the internal jugular vein and needs to be flushed or repositioned.

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mild cardiomegaly with hilar congestion.

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in comparison with the earlier study of this date, the monitor and support devices are unchanged. diffuse bilateral pulmonary opacifications persist. the tip of the endotracheal tube is at the clavicular level, approximately <num> cm above the carina.

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no evidence of acute cardiopulmonary abnormalities.

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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly. no overt pulmonary edema. known postoperative right basal changes. no larger pleural effusions. no evidence of pneumonia.

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loculated left-sided pneumothorax, mostly occupying mediastinal area of pleural space (shown on ct), difficult to identify on routine pa and chest examination. the present examination suggests regression, thus no evidence of new abnormalities. further followup is recommended related to patient's symptomatology. continuously well-aerated left lung does not call for placement of a chest tube at this time. telephone contact with referring physician,. was established at <num> and again at <num>

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no radiopaque foreign body is noted within the chest or upper abdomen.

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no definite acute cardiopulmonary process. nodular opacities in the lungs which have persisted and a dedicated chest ct is suggested

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new ng tube has been placed with tip ending in distal gastric cavity. right picc is unchanged with tip ending in upper svc. tracheostomy tube is unchanged and in standard position. unchanged appearance of the cervical spinal fixation hardware. persists bibasilar atelectasis, larger to the right than to the left, with small right pleural effusion. cardiomediastinal silhouette is unchanged. there is no pneumothorax.

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no pneumothorax or displaced rib fractures.

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findings compatible with left lower lobe pneumonia.

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suspected patchy posterior opacity, not specific and probably compatible with atelectasis; pneumonia or even a lung nodule is not excluded, however, and correlation with planned ct is suggested.

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no acute intrathoracic process.

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no pneumothorax.