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/p18054826/s55622222/42f65b2e-f6cdb6c8-b8d32762-111ef751-31097d52.jpg	comparison to. the parenchymal opacities have increased. mild increase in fluid overload. borderline size of the cardiac silhouette. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19147139/s55648341/1685b1b7-c5e25881-3b1b11cf-e6dd71d1-0e8ddf40.jpg	no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p19259206/s50166513/90279d7b-8c83cbb8-35d22c01-a88b8dc2-6d1b40a1.jpg	mild cardiomegaly without pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17970081/s59297971/7ba9016d-101d85a7-20d1ae60-03f3f199-bde994c3.jpg	emphysema without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10364180/s58995456/2d0f476e-7b664cc3-60cd9a9a-012429f2-2f38f3a6.jpg	increasing right lower lobe consolidation. likely mild pulmonary edema is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15160486/s56286020/ba3826d8-4351c008-7520b8aa-a02f5aea-0aa56e7f.jpg	right pleurx catheter again is seen at the base with the tip located inferomedially. the right subpulmonic pneumothorax is unchanged if not slightly smaller. there is a small amount of subcutaneous emphysema laterally on the right. overall, the right mid and lower lung opacity is stable, part of which represents a known lung mass. there is a stable right apical and lateral pleural thickening which could reflect pleural fluid, chronic pleural thickening and/or pleural metastasis. left lung remains grossly clear but hyperinflated consistent with underlying emphysema. the aorta is calcified consistent with atherosclerosis. overall, heart is unchanged in size. degenerative changes of the right acromioclavicular and right glenohumeral joint. no acute bony abnormality appreciated.
MIMIC-CXR-JPG/2.0.0/files/p10803232/s50070086/9c3fa426-f006b12a-0c179a8c-8790e7ad-fba07721.jpg	cardiomegaly is obscured by a adjacent pleuro parenchymal abnormalities. moderate bilateral effusions with adjacent atelectasis have increased on the left. mild to moderate pulmonary edema has increased. left picc tip is not clearly visualized due to technique.
MIMIC-CXR-JPG/2.0.0/files/p12939030/s51772314/8e0a4017-96dabb82-4b24678c-d4edf5d6-53f4c1e6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14663313/s51614141/fb1ce4ef-4e089899-1b9473bf-05078606-4d638fc3.jpg	basilar atelectasis without focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10062692/s58442156/90555fbe-b257e6b5-be0384a8-b67aa95a-d5238bc1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11885997/s54310726/5b2f04a1-ea310309-ad37c345-b142e297-cfd11a5c.jpg	small right apical pneumothorax, with a right chest tube in place, and chronic elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16728891/s56213964/1a455e42-e51f6292-c8600a87-f36aff16-4d0e8916.jpg	no definite focal consolidation identified. low lung volumes cause bronchovascular crowding and accentuation of the heart size. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14339742/s53814403/d1e5e822-98d9963b-994611a8-d2160db3-64f60b54.jpg	no evidence of active or latent pulmonary tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p15385925/s52283504/357c8470-158373b0-dadc85d2-35c5457b-9398efbe.jpg	cardiomegaly is substantial, unchanged. mediastinum is stable. pacemaker leads terminate in the expected location of the right ventricle. vascular congestion is noted, most likely chronic. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p19148353/s57145158/85b728e4-89adbac7-649a6081-84c15922-cde503e2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17094218/s53432845/e5ce8e94-1f3a1126-7fdfd75a-16e061f1-c1ddab27.jpg	massively dilated esophagus. no evidence of pneumomediastinum. stable, dense left lower lobe consolidation. findings may represent adjacent atelectasis, although underlying infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p13329216/s54207261/941cfe5b-5934902a-8b703df6-b4f406c5-e354249c.jpg	scattered right greater than left opacities are redemonstrated, unchanged on the right, improved on left. small bilateral pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14517129/s54104586/280620e2-dff9ced8-f3ed374a-c2e46804-1afbb970.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19169078/s53635599/8c8b41e2-5399e7c5-7d9391a9-e002fe33-7c928462.jpg	mild biapical pleural thickening. no evidence to suggest active tb.
MIMIC-CXR-JPG/2.0.0/files/p18231043/s52359368/0d4972da-1e94b7d0-2fd4ee08-1b6b45dd-ee7ad8b5.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11934843/s59751286/98fc6eec-f1381492-3190f932-02a36044-92d7e711.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14915616/s58528039/83aa7127-e35ce876-94edad21-f5ea5ef0-77ff475e.jpg	in comparison with the study of , the area of coalescent opacification is not appreciated at this time. again there are low lung volumes with enlargement of the cardiac silhouette and mild elevation of pulmonary venous pressure. the left hemidiaphragm is more sharply seen, consistent with a either improving effusion or a more upright position of the patient.
MIMIC-CXR-JPG/2.0.0/files/p10570063/s51863625/db805a71-e67c0a7d-5b2ee4c5-7fd03d18-3c300fe2.jpg	left upper lobe consolidation has minimally decreased. small left effusion has decreased. left pigtail catheter remains in place. there is no pneumothorax. mild cardiomegaly is stable.
MIMIC-CXR-JPG/2.0.0/files/p17019564/s53095292/e5406e98-09daf1e3-a89dd8b7-61d4ef90-0ce2d3ad.jpg	dot of catheter shows a normal course. the tip is not visualized on the image but is in post pyloric position. no evidence of complications.
MIMIC-CXR-JPG/2.0.0/files/p18036909/s59619795/c89502cd-0ebfb7b3-1205a33b-c23170f6-a171021b.jpg	low lung volumes, but no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18628296/s58251249/9505f998-ac392336-b649c363-15400f26-8c9c838f.jpg	right internal jugular central line, endotracheal tube and nasogastric tube are unchanged in position. overall cardiac and mediastinal contours are stable. no pulmonary edema. increasing patchy opacity at the left base could reflect worsening atelectasis, but given the focality, would be concerning for aspiration or pneumonia. right lung is grossly clear. possible small layering left effusion. no pneumothorax, although the sensitivity to detect pneumothorax is diminished given semi-supine technique.
MIMIC-CXR-JPG/2.0.0/files/p18596560/s50908291/9fcc1bfe-e7c23a0e-72005504-a4e57c77-94cc2d4c.jpg	in comparison with the study , there has been clearing of the right upper lobe pneumonia. no evidence of acute pneumonia, vascular congestion, or pleural effusion at this time.
MIMIC-CXR-JPG/2.0.0/files/p14255342/s53964035/bad8e1d7-37ef6e4f-cd74388e-4beed331-2d4d0906.jpg	slight interval progression of interstitial lung disease without superimposed acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16620850/s51955346/0ffda538-0eff1325-e394ca63-8f7a19e3-bed6a641.jpg	no acute cardiopulmonary process. specifically, no evidence of cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18916144/s51636568/dd5f383d-ec103384-7e0b766e-1d6a5dd3-2deee699.jpg	hyperexpanded lungs. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13894338/s53919487/cf78e136-10b0540a-ff4462e2-572860ae-7abcaf9d.jpg	compared to prior chest radiographs through. previous mild pulmonary vascular congestion has resolved. small bilateral pleural effusions persist. heart size normal. normal postoperative cardiomediastinal silhouette. tiny right apical pneumothorax and adjacent postoperative pleural thickening are stable.
MIMIC-CXR-JPG/2.0.0/files/p13845179/s57716841/67728bd8-d4555829-8a683453-4e76336f-1f59be24.jpg	heart size is normal. mediastinum is stable in appearance. lungs are slightly hyperinflated. there are bibasal opacities better appreciated on the lateral view, partially seen on ct abdomen, concerning for infectious process. followup of the patient <num> weeks after completion of antibiotic therapy is recommended in addition there is evidence of diffuse interstitial prominence, nonspecific, that potentially might reflect infectious process point cystic interstitial lung disease. either findings at persistent after antibiotic therapy, correlation with chest ct might be considered
MIMIC-CXR-JPG/2.0.0/files/p15438504/s55103194/d16141ea-3b2b4f51-d40b5953-824ddd0e-00dd2e30.jpg	no acute cardiopulmonary process. left pulmonary nodule as seen on recent ct scan.
MIMIC-CXR-JPG/2.0.0/files/p13702880/s50682556/ec2d55d2-7c482746-4ba33b1f-b684bfca-4e3c8fff.jpg	bibasilar atelectasis. no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16132860/s57039163/b44a2e17-92ec7bc2-203be348-d989a802-4450efe5.jpg	decrease in size of right pleural effusion with pigtail catheter in place. small pneumothorax at the right lung base laterally.
MIMIC-CXR-JPG/2.0.0/files/p17887233/s52719438/367363a5-3f890768-64add2c2-4720813d-840c4a93.jpg	presumed clearing of right middle lobe pneumonia. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19765086/s55477410/c9a9cbe6-8ef77279-b058b08c-57024193-ddd6c0fd.jpg	severe widespread infiltrative pulmonary abnormality, probably a combination of edema and multi focal pneumonia, has not improved over the past several days. there is no pneumothorax. pleural effusion is presumed, but not large. enlargement of the cardiac silhouette may have decreased. right pic line ends in the upper right atrium, at a level <num> cm below the carina and would need to be withdrawn <num> cm to reposition it in the low svc, if desired. tracheostomy tube in standard placement.
MIMIC-CXR-JPG/2.0.0/files/p11327260/s58636061/e91fec5b-e4517dab-54a63bb5-21c6c151-8afbc40a.jpg	comparison to. no relevant change. normal lung volumes. normal size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19726957/s58823460/5a063d62-5b53d582-b7443409-020abe68-3a6a6712.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19689659/s50133742/f42b04bc-17815125-51f92a5d-07937e4d-66b0999c.jpg	no acute intrathoracic pathology.
MIMIC-CXR-JPG/2.0.0/files/p18411832/s50148628/d5ce5430-81c3848f-d3ed7279-e5ac31de-186e6d80.jpg	very small right apical pneumothorax, pleural drain in place. no appreciable right pleural effusion. no mediastinal widening. normal postoperative appearance to cardiomediastinal silhouette. lungs clear.
MIMIC-CXR-JPG/2.0.0/files/p15517908/s55791439/6a29e3ec-8a265724-e69be045-7247ad00-7a305056.jpg	compared to , previously noted small pleural effusions have either significantly improved or completely resolved, and bibasilar atelectasis has essentially resolved. no acute cardiopulmonary abnormalities are seen.
MIMIC-CXR-JPG/2.0.0/files/p12408912/s52141737/cffd1fc7-bf3a73a6-cf1fc143-cea93ebf-d4709eec.jpg	left upper lobe pneumonia is improved, small left pleural effusion has resolved, small right pleural effusion is unchanged, and residual atelectasis is stable since. unchanged left perihilar consolidation in the region of known lung cancer.
MIMIC-CXR-JPG/2.0.0/files/p18981283/s51766136/2d6aa8e1-c956d3cb-e6a145f0-63db707e-814bf413.jpg	stable right-sided pleural effusion. however, in the appropriate clinical setting, a superimposed pneumonia cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p19243807/s54463168/deb7f6d2-a904caec-69dbf4f1-89dd3509-4884d185.jpg	no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s59418152/dcf941d1-1407f53e-96ba34a2-536e6a71-ae3a5e0b.jpg	overall stable position of the right-sided central venous catheters. indistinct right hemidiaphragm, which may be related to atelectasis and layering pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18311173/s56345425/8526e61a-2ebf9310-489a4ac3-c5a43689-b3d20d93.jpg	mild left lung base atelectasis. otherwise, normal study.
MIMIC-CXR-JPG/2.0.0/files/p10514722/s53148676/393b5486-c804e312-6ecb706d-592bf896-22180c87.jpg	no acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s50165807/75e77956-1127fe37-364d6f1c-9623828d-72994209.jpg	compared to prior chest radiographs, through. large right and moderate left pleural effusion have increased obscuring much of the lower lungs, mild edema has developed in the upper lungs, and there may be a new region of right suprahilar consolidation due to pneumonia. heart size top-normal. no pneumothorax. left central venous infusion port ends in the svc.
MIMIC-CXR-JPG/2.0.0/files/p16164188/s51852434/e719bff1-bd49f8f4-bbe76118-157e9646-b54fd457.jpg	no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p14610106/s55116312/5113b5e4-78edeb60-8fc39873-3bd34e04-1861eb74.jpg	little overall change.
MIMIC-CXR-JPG/2.0.0/files/p11864106/s52870261/7afe1ee5-d80338a3-e661de0b-12be489f-0dc29769.jpg	stable large left pleural effusion. consolidation in the left mid lung zone with air bronchograms concerning for pneumonia, comparable to recent ct findings. no pneumothorax. these findings were entered into the critical results dashboard by dr at <num>pm.
MIMIC-CXR-JPG/2.0.0/files/p17369390/s51018078/a63c3bd6-216d252e-b1d00f7a-14d218ac-893777e4.jpg	moderate hiatal hernia. no definite superimposed acute cardiopulmonary process. bibasilar opacities likely due to atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18314031/s51606487/6e19f3c2-92ab6e7a-11da12ad-c0d22f48-561004f7.jpg	basilar interstitial opacities of uncertain etiology, though likely atypical infection or chronic interstitial lung disease. correlation with prior imaging would be helpful. biapical scarring, left greater than right, possibly due to prior tuberculosis exposure. heart size at the upper limits of normal. no pneumothorax or acute fracture.
MIMIC-CXR-JPG/2.0.0/files/p14439027/s53124821/bad6d745-647546b3-0a40c535-7e571b31-5bc5b03c.jpg	subtle patchy left base opacity best seen on the frontal view may be due to atelectasis or subtle pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15144601/s51402047/d907338a-a801ad0e-17b83327-63562979-3b5039f9.jpg	compared to chest radiographs since the , most recently. severe cardiomegaly, pulmonary vascular congestion, and interstitial abnormality with a basilar predominance are all chronic. comparing the appearance of the right lower lung on serial frontal radiographs shows a mild increase today. this could be either a mild pneumonia or early acute edema. there is no appreciable pleural effusion and no evidence of pneumothorax. thoracic aorta is heavily calcified and tortuous but not focally aneurysmal. indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in positions and continuous from the left pectoral generator.
MIMIC-CXR-JPG/2.0.0/files/p19499595/s55937788/af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43.jpg	no interval change to multiple fractured sternal wires. recommend chest ct to localize a posteriorly displaced wire fragment of the superior third sternal wire.
MIMIC-CXR-JPG/2.0.0/files/p14009425/s50499679/cc162ae2-44bde49a-4ce8c48c-a84eae6b-ad7f25e5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13559396/s50025568/70ed37ba-b0fafbe1-048d0686-fd1e47df-dc7d79b4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13021836/s56065767/137af978-affd72e3-7d4094f0-27ffbd34-c6ff981e.jpg	blunting of the posterior costophrenic angles seen on the lateral view could be due to trace pleural effusions. mild pulmonary vascular congestion. patchy right base opacity may be partly due to vascular congestion, underlying consolidation from aspiration or infection not excluded.
MIMIC-CXR-JPG/2.0.0/files/p16203314/s58917642/be1e17bc-12cd3b63-f92c93b5-7ef88e0c-15e25571.jpg	new pleural effusions and patchy right lower lung opacity, which could be seen with atelectasis although in the appropriate setting pneumonia is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p12697739/s50723041/bc34eabb-de475b78-e27dfe4b-3754cdf9-ccbda349.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12500505/s54722802/e56fe36b-d9de3c37-7214cda8-4d9c2b98-1eb6bee2.jpg	no focal consolidation to suggest pneumonia. low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p15772791/s50480232/ad0e3502-726754a0-01ca299a-0cc7ce5d-ce4f6bf2.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p15610663/s53766727/1df37723-e82bb174-af8d0717-84214e22-ba7999a8.jpg	ap chest compared to at : tip of the pic line is partially obscured by ekg lead, as it was earlier this morning, but then it could be seen that the wire stylet in the line ended at or just above the level of the superior cavoatrial junction. current study after removal of the wire shows the tip may be just beyond the superior cavoatrial junction now, at a level <num> cm below the carina. i would withdraw it <num> cm to move it unequivocally into the low svc. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p15577719/s53048843/a450f094-ebafd59a-6b4acf89-03a9aa23-dc7aa0fa.jpg	no acute intrathoracic process. resolution of prior left lower lobe opacity.
MIMIC-CXR-JPG/2.0.0/files/p12125137/s54134323/f83b5923-4c7f685b-40b687ba-6795f3f8-e4660f2c.jpg	left retrocardiac opacity which could represent atelectasis or pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p18927881/s53980705/5192199f-0936cdca-bc1ed342-130bae08-bd6b08dc.jpg	bilateral pleural effusions with left lower lobe collapse and mild right base atelectasis largely unchanged from the prior study.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s54898759/39e946fa-79f8079c-01f82659-b841d742-741638c1.jpg	no significant change. no pneumothorax seen.
MIMIC-CXR-JPG/2.0.0/files/p10867166/s59572179/dbf9aa53-08618568-9988da78-8d5964de-a7902b55.jpg	as compared to radiograph, heart size has decreased and interstitial edema has resolved. nonspecific bibasilar opacities have also improved with no new or worsening areas of opacification to suggest the presence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18975498/s55767576/38b3e391-6aa5d2b1-1f1037e4-417ed7e0-e9aa8e7e.jpg	minimal left apical pneumothorax is suspected. left chest tube is in unchanged position. the rest of the findings are identical to radiograph obtained and
MIMIC-CXR-JPG/2.0.0/files/p14510234/s57480112/cd50728e-40acb54c-0f680eee-2b544b52-d5eb7e05.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17022017/s53990954/7929fdfd-ab67b294-df0f4a90-bb9b0076-c1ec1f72.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10491761/s59570638/57d07ff3-018f5673-546087d5-8ed4dc0d-d32a406e.jpg	no evidence of acute cardiopulmonary process. stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11885477/s59527161/7b0b9701-8706bc60-c49b61fd-6b7c811f-3c3d0bcd.jpg	previously seen left mid lung consolidation has significantly decreased in the interval with possible minimal residua remaining. no new focal consolidation seen.
MIMIC-CXR-JPG/2.0.0/files/p13563423/s58065187/faba5de9-8179a5af-94f2508e-f69bc3cd-99b2a82c.jpg	cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15370871/s54199732/53ce8c06-a2cf4d57-da8228c0-7b44762d-6772d8c4.jpg	as compared to the previous radiograph, no relevant change is seen. minimally improved. ventilation of the retrocardiac lung regions. unchanged left apical postoperative changes. the diffuse parenchymal opacities on the right are also constant.
MIMIC-CXR-JPG/2.0.0/files/p10161682/s58552636/1f0a1d9b-8c9c8699-86b1dc7a-aa5524c0-797037f4.jpg	as compared to the previous radiograph, taking into account a different patient position, no relevant change has occurred. moderate right pleural effusion and right apical parenchymal opacity. borderline size of the cardiac silhouette. mild fluid overload but no overt pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13332086/s55433351/6a77f09f-4ec078a2-9f95c067-5446a8fc-11a85156.jpg	patchy opacity in the left lung base, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18754270/s55045131/724a2260-a7253d17-78cb0d1d-15199fe9-c886d67d.jpg	no substantial change in cardiomegaly, mediastinal widening due to lymphadenopathy and pulmonary artery enlargement and predominantly peripheral and basal interstitial opacities have been demonstrated. no superimposed consolidations noted. no interval development of pleural effusion is seen.
MIMIC-CXR-JPG/2.0.0/files/p13392322/s59074111/610fdcb6-9d618ba7-7d0877c8-21381162-5c45ff61.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg	interval resolution of the left upper lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15042495/s51158709/7a8d7391-3913bb7f-0b03a7d3-4f844eea-87bbf6a4.jpg	left basilar aspiration pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10730662/s56360511/663deab5-8c671901-7b3f8bf0-fcedeaba-2033e538.jpg	significantly widened mediastinum for which ct is recommended to further evaluate.
MIMIC-CXR-JPG/2.0.0/files/p19219660/s50149343/3f08c983-380cdd28-606f1d91-dd6b2670-833f341e.jpg	effusion catheter in the low svc. otherwise unremarkable chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p19674707/s53431195/e4ce403a-71c4010d-d35166c6-27459cd0-e3e7fe4f.jpg	in comparison with the study , the monitoring and support devices have been removed except for the right ij catheter, which extends to the lower svc. no evidence of pneumothorax following chest tube removal. there is increased opacification of the left base most likely reflecting volume loss in the lower lobe. however, in the appropriate clinical setting, superimposed pneumonia would have to be considered.
MIMIC-CXR-JPG/2.0.0/files/p12145137/s54833205/61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2.jpg	findings consistent with known intrathoracic malignancy. no evidence of infection or other acute process.
MIMIC-CXR-JPG/2.0.0/files/p10090919/s56770344/e57b4f01-0659d933-1758ec48-b215c002-14b2ed75.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11452828/s50051143/0f260c34-5013ef6f-2c0413e1-73d03f27-1e696f21.jpg	compared to prior chest radiographs since , most recently and. previous mild pulmonary edema and pulmonary vascular engorgement have resolved, mild cardiomegaly has decreased. a band of atelectasis at the left lung base is smaller. upper lungs are entirely clear. there is no pneumothorax. the small residual right pleural effusion is likely. feeding tube with the wire stylet in place ends in the upper stomach.
MIMIC-CXR-JPG/2.0.0/files/p12002163/s53492461/d4555eb7-7e25b570-de073322-12fc9961-efe25f16.jpg	persistent though improved streaky perihilar opacities likely reflect residual pneumonia. possible mild superimposed pulmonary edema. trace bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17912286/s57880739/97c9b042-b08281c0-be2c7102-9254faf2-8b0e36f7.jpg	subsegmental atelectasis versus linear scar with otherwise clear lungs. possible copd.
MIMIC-CXR-JPG/2.0.0/files/p12486000/s54045155/c6a6873c-12695849-a614923f-0afdcd37-8eda4641.jpg	no acute cardiopulmonary process; please refer to the report from chest cta performed on the same day.
MIMIC-CXR-JPG/2.0.0/files/p10193372/s52413904/baf49a8f-c4b6453a-0262b493-2636d4e2-7c974196.jpg	pa and lateral chest compared to through : lung volumes have improved and pulmonary edema has cleared since. a small residual of bilateral pleural effusion remains. cardiomediastinal silhouette has a normal postoperative appearance.
MIMIC-CXR-JPG/2.0.0/files/p17978664/s51046651/cafa3dcc-e1745737-8b9a70d3-960294bc-0f254c92.jpg	in comparison with the study of , there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. there are lower lung volumes with continued enlargement of the cardiac silhouette and probable mild elevation of pulmonary venous pressure. opacification at the left base again could represent merely atelectasis. however, in the appropriate clinical setting, superimposed pneumonia would have to be considered.
MIMIC-CXR-JPG/2.0.0/files/p16969063/s50922999/14ecab5c-651a6129-d659ff7e-29536552-50818218.jpg	ap chest, two views, compared to : lungs are clear and there is no pleural effusion. heart size normal. right pic line ends low in the svc. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11086611/s57205922/5884d811-5f1accd4-ceee1192-9c58ce5c-185faee7.jpg	no abnormality demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p11939778/s53187094/5da4d263-424a5faf-c60ec519-e60f3e1a-26f21c6e.jpg	orogastric tube terminating in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p19103939/s50789912/6daed187-7d98891b-446da4ad-135f270b-a11370f4.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p10317946/s51836952/5a0081b3-0e2e0409-3161ec87-8f3ac7c2-dbe8da14.jpg	right upper lobe pneumonia. followup radiographs are recommended after treatment to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p11797570/s52406795/23ed3348-da754876-d9689686-f15cc67e-fc899cca.jpg	interval progression of the bibasal airspace opacification (left more than right) with an associated small left-sided pleural effusion. these findings most likely represent atelectasis, but in this clinical setting an infective process with or without aspiration should be considered.

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comparison to. the parenchymal opacities have increased. mild increase in fluid overload. borderline size of the cardiac silhouette. no pleural effusions.

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no acute cardiopulmonary process

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mild cardiomegaly without pulmonary edema.

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emphysema without superimposed pneumonia.

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increasing right lower lobe consolidation. likely mild pulmonary edema is unchanged.

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right pleurx catheter again is seen at the base with the tip located inferomedially. the right subpulmonic pneumothorax is unchanged if not slightly smaller. there is a small amount of subcutaneous emphysema laterally on the right. overall, the right mid and lower lung opacity is stable, part of which represents a known lung mass. there is a stable right apical and lateral pleural thickening which could reflect pleural fluid, chronic pleural thickening and/or pleural metastasis. left lung remains grossly clear but hyperinflated consistent with underlying emphysema. the aorta is calcified consistent with atherosclerosis. overall, heart is unchanged in size. degenerative changes of the right acromioclavicular and right glenohumeral joint. no acute bony abnormality appreciated.

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cardiomegaly is obscured by a adjacent pleuro parenchymal abnormalities. moderate bilateral effusions with adjacent atelectasis have increased on the left. mild to moderate pulmonary edema has increased. left picc tip is not clearly visualized due to technique.

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no acute cardiopulmonary process.

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basilar atelectasis without focal consolidation.

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no acute cardiopulmonary process.

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small right apical pneumothorax, with a right chest tube in place, and chronic elevation of the right hemidiaphragm.

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no definite focal consolidation identified. low lung volumes cause bronchovascular crowding and accentuation of the heart size. no evidence of pneumothorax.

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no evidence of active or latent pulmonary tuberculosis.

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cardiomegaly is substantial, unchanged. mediastinum is stable. pacemaker leads terminate in the expected location of the right ventricle. vascular congestion is noted, most likely chronic. no pleural effusion or pneumothorax is seen.

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no acute intrathoracic process.

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massively dilated esophagus. no evidence of pneumomediastinum. stable, dense left lower lobe consolidation. findings may represent adjacent atelectasis, although underlying infection is not excluded.

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scattered right greater than left opacities are redemonstrated, unchanged on the right, improved on left. small bilateral pleural effusion.

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no acute cardiopulmonary process.

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mild biapical pleural thickening. no evidence to suggest active tb.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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in comparison with the study of , the area of coalescent opacification is not appreciated at this time. again there are low lung volumes with enlargement of the cardiac silhouette and mild elevation of pulmonary venous pressure. the left hemidiaphragm is more sharply seen, consistent with a either improving effusion or a more upright position of the patient.

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left upper lobe consolidation has minimally decreased. small left effusion has decreased. left pigtail catheter remains in place. there is no pneumothorax. mild cardiomegaly is stable.

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dot of catheter shows a normal course. the tip is not visualized on the image but is in post pyloric position. no evidence of complications.

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low lung volumes, but no acute cardiopulmonary process.

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right internal jugular central line, endotracheal tube and nasogastric tube are unchanged in position. overall cardiac and mediastinal contours are stable. no pulmonary edema. increasing patchy opacity at the left base could reflect worsening atelectasis, but given the focality, would be concerning for aspiration or pneumonia. right lung is grossly clear. possible small layering left effusion. no pneumothorax, although the sensitivity to detect pneumothorax is diminished given semi-supine technique.

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in comparison with the study , there has been clearing of the right upper lobe pneumonia. no evidence of acute pneumonia, vascular congestion, or pleural effusion at this time.

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slight interval progression of interstitial lung disease without superimposed acute pneumonia.

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no acute cardiopulmonary process. specifically, no evidence of cardiomegaly.

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hyperexpanded lungs. no evidence of pneumonia.

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compared to prior chest radiographs through. previous mild pulmonary vascular congestion has resolved. small bilateral pleural effusions persist. heart size normal. normal postoperative cardiomediastinal silhouette. tiny right apical pneumothorax and adjacent postoperative pleural thickening are stable.

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heart size is normal. mediastinum is stable in appearance. lungs are slightly hyperinflated. there are bibasal opacities better appreciated on the lateral view, partially seen on ct abdomen, concerning for infectious process. followup of the patient <num> weeks after completion of antibiotic therapy is recommended in addition there is evidence of diffuse interstitial prominence, nonspecific, that potentially might reflect infectious process point cystic interstitial lung disease. either findings at persistent after antibiotic therapy, correlation with chest ct might be considered

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no acute cardiopulmonary process. left pulmonary nodule as seen on recent ct scan.

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bibasilar atelectasis. no radiographic evidence of pneumonia.

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decrease in size of right pleural effusion with pigtail catheter in place. small pneumothorax at the right lung base laterally.

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presumed clearing of right middle lobe pneumonia. no acute intrathoracic process.

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severe widespread infiltrative pulmonary abnormality, probably a combination of edema and multi focal pneumonia, has not improved over the past several days. there is no pneumothorax. pleural effusion is presumed, but not large. enlargement of the cardiac silhouette may have decreased. right pic line ends in the upper right atrium, at a level <num> cm below the carina and would need to be withdrawn <num> cm to reposition it in the low svc, if desired. tracheostomy tube in standard placement.

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comparison to. no relevant change. normal lung volumes. normal size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions.

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no acute cardiopulmonary process.

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no acute intrathoracic pathology.

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very small right apical pneumothorax, pleural drain in place. no appreciable right pleural effusion. no mediastinal widening. normal postoperative appearance to cardiomediastinal silhouette. lungs clear.

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compared to , previously noted small pleural effusions have either significantly improved or completely resolved, and bibasilar atelectasis has essentially resolved. no acute cardiopulmonary abnormalities are seen.

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left upper lobe pneumonia is improved, small left pleural effusion has resolved, small right pleural effusion is unchanged, and residual atelectasis is stable since. unchanged left perihilar consolidation in the region of known lung cancer.

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stable right-sided pleural effusion. however, in the appropriate clinical setting, a superimposed pneumonia cannot be entirely excluded.

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no focal consolidation concerning for pneumonia.

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overall stable position of the right-sided central venous catheters. indistinct right hemidiaphragm, which may be related to atelectasis and layering pleural effusion.

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mild left lung base atelectasis. otherwise, normal study.

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no acute cardiopulmonary disease.

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compared to prior chest radiographs, through. large right and moderate left pleural effusion have increased obscuring much of the lower lungs, mild edema has developed in the upper lungs, and there may be a new region of right suprahilar consolidation due to pneumonia. heart size top-normal. no pneumothorax. left central venous infusion port ends in the svc.

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no acute cardiopulmonary process

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little overall change.

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stable large left pleural effusion. consolidation in the left mid lung zone with air bronchograms concerning for pneumonia, comparable to recent ct findings. no pneumothorax. these findings were entered into the critical results dashboard by dr at <num>pm.

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moderate hiatal hernia. no definite superimposed acute cardiopulmonary process. bibasilar opacities likely due to atelectasis.

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basilar interstitial opacities of uncertain etiology, though likely atypical infection or chronic interstitial lung disease. correlation with prior imaging would be helpful. biapical scarring, left greater than right, possibly due to prior tuberculosis exposure. heart size at the upper limits of normal. no pneumothorax or acute fracture.

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subtle patchy left base opacity best seen on the frontal view may be due to atelectasis or subtle pneumonia.

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compared to chest radiographs since the , most recently. severe cardiomegaly, pulmonary vascular congestion, and interstitial abnormality with a basilar predominance are all chronic. comparing the appearance of the right lower lung on serial frontal radiographs shows a mild increase today. this could be either a mild pneumonia or early acute edema. there is no appreciable pleural effusion and no evidence of pneumothorax. thoracic aorta is heavily calcified and tortuous but not focally aneurysmal. indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in positions and continuous from the left pectoral generator.

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no interval change to multiple fractured sternal wires. recommend chest ct to localize a posteriorly displaced wire fragment of the superior third sternal wire.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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blunting of the posterior costophrenic angles seen on the lateral view could be due to trace pleural effusions. mild pulmonary vascular congestion. patchy right base opacity may be partly due to vascular congestion, underlying consolidation from aspiration or infection not excluded.

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new pleural effusions and patchy right lower lung opacity, which could be seen with atelectasis although in the appropriate setting pneumonia is not excluded.

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no acute cardiopulmonary process.

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no focal consolidation to suggest pneumonia. low lung volumes.

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no acute intrathoracic abnormalities identified.

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ap chest compared to at : tip of the pic line is partially obscured by ekg lead, as it was earlier this morning, but then it could be seen that the wire stylet in the line ended at or just above the level of the superior cavoatrial junction. current study after removal of the wire shows the tip may be just beyond the superior cavoatrial junction now, at a level <num> cm below the carina. i would withdraw it <num> cm to move it unequivocally into the low svc. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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no acute intrathoracic process. resolution of prior left lower lobe opacity.

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left retrocardiac opacity which could represent atelectasis or pneumonia in the appropriate clinical setting.

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bilateral pleural effusions with left lower lobe collapse and mild right base atelectasis largely unchanged from the prior study.

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no significant change. no pneumothorax seen.

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as compared to radiograph, heart size has decreased and interstitial edema has resolved. nonspecific bibasilar opacities have also improved with no new or worsening areas of opacification to suggest the presence of pneumonia.

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minimal left apical pneumothorax is suspected. left chest tube is in unchanged position. the rest of the findings are identical to radiograph obtained and

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no pneumonia.

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normal chest radiograph.

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no evidence of acute cardiopulmonary process. stable cardiomegaly.

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previously seen left mid lung consolidation has significantly decreased in the interval with possible minimal residua remaining. no new focal consolidation seen.

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cardiomegaly.

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as compared to the previous radiograph, no relevant change is seen. minimally improved. ventilation of the retrocardiac lung regions. unchanged left apical postoperative changes. the diffuse parenchymal opacities on the right are also constant.

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as compared to the previous radiograph, taking into account a different patient position, no relevant change has occurred. moderate right pleural effusion and right apical parenchymal opacity. borderline size of the cardiac silhouette. mild fluid overload but no overt pulmonary edema. no pneumothorax.

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patchy opacity in the left lung base, likely atelectasis.

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no substantial change in cardiomegaly, mediastinal widening due to lymphadenopathy and pulmonary artery enlargement and predominantly peripheral and basal interstitial opacities have been demonstrated. no superimposed consolidations noted. no interval development of pleural effusion is seen.

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no acute cardiopulmonary process.

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interval resolution of the left upper lobe pneumonia.

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left basilar aspiration pneumonia.

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significantly widened mediastinum for which ct is recommended to further evaluate.

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effusion catheter in the low svc. otherwise unremarkable chest radiographs.

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in comparison with the study , the monitoring and support devices have been removed except for the right ij catheter, which extends to the lower svc. no evidence of pneumothorax following chest tube removal. there is increased opacification of the left base most likely reflecting volume loss in the lower lobe. however, in the appropriate clinical setting, superimposed pneumonia would have to be considered.

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findings consistent with known intrathoracic malignancy. no evidence of infection or other acute process.

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no acute cardiopulmonary process.

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compared to prior chest radiographs since , most recently and. previous mild pulmonary edema and pulmonary vascular engorgement have resolved, mild cardiomegaly has decreased. a band of atelectasis at the left lung base is smaller. upper lungs are entirely clear. there is no pneumothorax. the small residual right pleural effusion is likely. feeding tube with the wire stylet in place ends in the upper stomach.

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persistent though improved streaky perihilar opacities likely reflect residual pneumonia. possible mild superimposed pulmonary edema. trace bilateral pleural effusions.

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subsegmental atelectasis versus linear scar with otherwise clear lungs. possible copd.

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no acute cardiopulmonary process; please refer to the report from chest cta performed on the same day.

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pa and lateral chest compared to through : lung volumes have improved and pulmonary edema has cleared since. a small residual of bilateral pleural effusion remains. cardiomediastinal silhouette has a normal postoperative appearance.

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in comparison with the study of , there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. there are lower lung volumes with continued enlargement of the cardiac silhouette and probable mild elevation of pulmonary venous pressure. opacification at the left base again could represent merely atelectasis. however, in the appropriate clinical setting, superimposed pneumonia would have to be considered.

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ap chest, two views, compared to : lungs are clear and there is no pleural effusion. heart size normal. right pic line ends low in the svc. no pneumothorax or pleural effusion.

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no abnormality demonstrated.

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orogastric tube terminating in the stomach.

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no acute findings in the chest.

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right upper lobe pneumonia. followup radiographs are recommended after treatment to ensure resolution of this finding.

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interval progression of the bibasal airspace opacification (left more than right) with an associated small left-sided pleural effusion. these findings most likely represent atelectasis, but in this clinical setting an infective process with or without aspiration should be considered.