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/p17677110/s51459661/7f1f4ba2-196b8553-94156df4-3b6922cc-6c2cd948.jpg	in comparison with the study of a, the cardiac silhouette is at the upper limits of normal or mildly enlarged. no definite pleural effusion at this time. no vascular congestion or acute focal pneumonia. minimal atelectatic changes at the bases. the right port-a-cath and picc line are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14244969/s56961951/a6536985-f72c90df-bb77bab6-a1e1bea9-5c5e56fe.jpg	no focal consolidations concerning for pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p19019784/s59047548/425c9af6-9c56afb6-0794fe64-efc3071e-7b46c4bb.jpg	moderate cardiomegaly with mild pulmonary vascular congestion and interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p13380468/s59405630/d347c93c-742b00c9-8b0e33a5-2c40d255-69244bf3.jpg	in comparison with the earlier study of this date, there is a right ij sheath that extends to the upper svc. sharp angulation of the catheter in the neck maybe at the insertion site into the scan. enteric tube extends at least to the upper stomach where it crosses the lower margin of the image. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p10183012/s57291160/efaa6056-90773e05-2b4f2be5-ddf280cc-59d0db68.jpg	no acute intrathoracic process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19380754/s59931718/27ab81a1-db3bb6ba-5e3d7043-95332e73-2d28617b.jpg	slight increase in diffuse pulmonary vascular congestion and increased small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17825043/s53427940/e2376296-942bf39d-9e018725-e20e734f-d0b2f5ef.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12336227/s52962695/0a2b61f7-76b639a2-5b9c07bf-d4f1de99-4c7d678b.jpg	marked improvement in right upper lobe opacification and volume loss, with no definite evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18052969/s56194833/9605cbb5-510646db-2aad3049-b927111d-45bd88c7.jpg	no acute cardiopulmonary abnormality. incidental note of right sided aortic arch.
MIMIC-CXR-JPG/2.0.0/files/p14720260/s59702192/b5763b67-0469a6f0-021b0d24-083e6a5e-82029e3f.jpg	dobbhoff tube terminating in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p17098658/s50041449/10c2ce69-c45f7b82-bdc43912-ddf5a6bc-ee2d6d86.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10105017/s54150425/b2c0dc34-3d63209b-66a44fae-d12aa253-e518d9fb.jpg	multiple pulmonary nodules concerning for metastatic disease. small pleural effusions with lower lobe consolidation concerning for atelectasis versus pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19238215/s52274063/c288a8f7-f982f3ef-95110666-9c2839f9-1694c1e2.jpg	comparison to. other patient remains intubated, the nasogastric tube is unchanged in course. the severity and extent of the known pulmonary edema has not substantially changed. however, the lung volumes have increased and the cardiac silhouette has decreased in size. unchanged retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13117944/s57702465/29e6ab03-449c6d9e-d2f71cfe-d25fa7f1-5c84349a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16016920/s50801751/65873fd9-1fa871eb-35707d56-b18bf2ee-76f6ed78.jpg	persistent cardiomegaly. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15591999/s50977177/b334d2a3-d83d6a41-6deaa972-73459c8c-3ff1d649.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg	et tube tip is <num> cm above the carinal. ng tube tip passes below the diaphragm terminating in the stomach. cardiomediastinal silhouette is unchanged. left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. left lower lobe atelectasis is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15907903/s52850714/f2d2624b-80298a6e-f5681b39-91226ebb-a61f23e4.jpg	compared to chest radiograph,. moderate cardiomegaly is stable. mediastinal and hilar contours and pleural surfaces are unremarkable. persistent pulmonary hyperinflation suggests chronic obstructive lung disease.
MIMIC-CXR-JPG/2.0.0/files/p14435614/s58178390/2739b21c-e28272ea-83844d98-d026b067-9331a615.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13656933/s53207450/8cd9dd51-79aa6d52-d2925f90-ddfed032-4fb52d49.jpg	moderate interstitial edema and pulmonary vascular congestion consistent with volume overload.
MIMIC-CXR-JPG/2.0.0/files/p17135687/s50288300/f5660911-28396899-875b5098-6fa27c3e-22d88b63.jpg	in comparison with the earlier study of this date, the right chest tube has been removed and there is no evidence of pneumothorax. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p10655970/s56940487/b04ec57e-862d76d4-f5492cf2-6fb1067d-0c517cc4.jpg	no acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19033560/s52350475/6c6688ae-762ebea9-dccc30c9-94ae56a1-febee266.jpg	ap chest compared to : aside from linear atelectasis at the left base, lungs are clear. heart size is top normal. there is no appreciable pleural effusion. healed right middle rib fracture is noted. bilateral central venous lines end in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p10564151/s51066756/af4fc0e6-dc3ee5f0-abacf87a-46cde03b-584131e1.jpg	worsening bilateral lower lobe opacification is partially due to worsening atelectasis and pleural effusion. however, the right side is worrisome for pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10516213/s53950851/3eb26297-c353b8c9-7c5d7ff2-969cd7e9-00e4f9eb.jpg	left picc tip in the lower svc.
MIMIC-CXR-JPG/2.0.0/files/p16962402/s52787388/e125611a-9c3c9e2a-46cf9de2-60404576-8c45651c.jpg	right infrahilar opacity might represent early pneumonia. mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13071437/s56856202/66edc238-1e6b022f-f11e004b-c8a8eec6-58bf99c9.jpg	lungs clear.
MIMIC-CXR-JPG/2.0.0/files/p17692815/s59772143/c04db511-4eec4c5a-fa1b12de-51c6fa3a-ea9828e3.jpg	as compared to radiograph, the patient has been intubated, with endotracheal tube terminating <num> cm above the carina. there is been further interval improvement in pulmonary edema, which is nearly resolved, with associated resolving right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10131429/s56137078/39e74602-4ccac9fb-6ed976cb-7c31f8a2-5e581ef7.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10354450/s58809675/59c92cf0-61d4957f-ba08a6cf-8f547d21-62595147.jpg	compared to chest radiographs through. lung volumes are lower exaggerating increase in moderate right pleural effusion and new, mild pulmonary edema. moderate cardiomegaly and mediastinal vascular engorgement have also worsened. no pneumothorax. with the chin down, tip of the et tube <num> cm from the carina is standard position. indwelling right jugular line ends in the mid right atrium.
MIMIC-CXR-JPG/2.0.0/files/p15082577/s53402747/3c4d7610-2064ad75-b0b7c522-e1446124-dc420ca4.jpg	small bilateral pleural effusions. moderate to large hiatal hernia with basilar atelectasis has not changed, best seen on abdominal ct dated.
MIMIC-CXR-JPG/2.0.0/files/p14873669/s51961670/c6bcccd2-12d0abf4-b1048bdd-d3658773-3957a848.jpg	new right picc line with tip in the lower svc. slight worsening of left lower lobe atelectasis and left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17816289/s56870716/b85919b4-0b42a7d8-fdd8616a-45ad4ac7-fabd9bc8.jpg	small left costophrenic angle opacity consistent with atelectasis. probable left atrial enlargement.
MIMIC-CXR-JPG/2.0.0/files/p10834276/s53693883/6800ca0b-bfff6cc2-a9b672ce-7a95f1b0-6cebb8d6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14174955/s54364093/0240ef8a-6370edfb-d373b76a-f46660d9-bb4d3f46.jpg	compared to chest radiographs through :<num>. moderate right pleural effusion is probably smaller. previous pulmonary vascular congestion has improved. left lung is clear. there is no left pleural abnormality. moderate enlargement of cardiac silhouette is improved, but the heart still obscures the right lower lobe, which is largely atelectatic or consolidated. no pneumothorax. et tube and other cardiopulmonary support devices in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p18070922/s58669522/334d990b-79270607-18108d9b-f03cc9b2-f2af3b36.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14575807/s53829962/3344b089-4fc814d8-0495d09d-8370a28f-6349fb89.jpg	normal chest radiographic examination
MIMIC-CXR-JPG/2.0.0/files/p18672361/s52133506/f9cc33cf-523a435c-5f513783-1a426ed5-ffa36cd4.jpg	right picc tip in the mid svc. low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p19897794/s51544104/b3ba7d70-a19b9350-fec25899-e43eeb39-9286bc17.jpg	et tube tip <num> cm from the carina. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17588906/s59665151/a51981d0-11683cb0-495f28ac-a33293ed-eaddc428.jpg	stable radiographic appearance of the chest, with no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15168170/s50027699/705f0a6e-c83c9307-b9ed7f45-3d0d5e5c-8b74da2c.jpg	calcified granuloma in the right midzone of no active concern.
MIMIC-CXR-JPG/2.0.0/files/p16225551/s51674603/757af649-319e8d82-a81ac8da-acbba9f8-dea182be.jpg	large hiatal hernia containing bowel. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10871939/s58365725/18172cce-7a045510-0ff21ae4-2973ce76-57336106.jpg	no acute cardiopulmonary process. hyperexpanded lungs and flattening of the diaphragm, suggestive of copd.
MIMIC-CXR-JPG/2.0.0/files/p14480845/s59797948/0b1a9e2c-1fe73070-543a5d45-1a166756-8e0e139e.jpg	mild cardiomegaly. possible right pleural effusion, although assessment is limited. pa and lateral views with better inspiration could be obtained for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p12036096/s52719822/05b65c00-bee69a56-bbff2d08-6b340866-4b297b7b.jpg	no acute intrathoracic process identified.
MIMIC-CXR-JPG/2.0.0/files/p14884845/s53022433/3e5a076f-ce93e319-c74db8d0-8e49cd42-3ce73ae2.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17106724/s52277665/72e258c3-c5431e4b-5959beea-cd9fea15-b63b4d33.jpg	comparison to ,. on the second of <num> images, a new top of catheter is securely positioned in the middle parts of the stomach. no complications, notably no pneumothorax. the other monitoring and support devices are constant. lung volumes remain low, with small to moderate bilateral pleural effusions. moderate cardiomegaly. moderate bilateral basal areas of atelectasis and mild fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p19445048/s56372902/1705afda-15100095-a882a481-3186d92c-dbe991d8.jpg	no acute cardiopulmonary process. no radiographic evidence of interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p11249512/s50284811/88764891-5ced6c17-819c2e66-e7fc68f4-c48d08cc.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10078805/s52741797/fd90fdea-f6078759-4b840de9-007a1d7d-a7c63c9c.jpg	pa and lateral chest reviewed in the absence of prior chest radiographs: lung volumes are low, but clear. heart size normal. no pleural abnormality. extensive degenerative change in the thoracic spine is consistent with loss of height, kyphosis, osteophyte formation and disc space narrowing.
MIMIC-CXR-JPG/2.0.0/files/p12351481/s51957440/6961afce-c8a11716-ac53d464-cab57f3d-5cd5809b.jpg	persistent lower lung and perihilar opacities remain concerning for pneumonia with slight improvement from prior recent exam. small bilateral pleural effusions. recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p12643668/s59986960/d62570c6-646a6a89-2af77e2a-f038d19f-c970af15.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16204626/s52913622/b03c51df-0956db52-55a98d1e-28059913-44937b84.jpg	there is tiny left apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12883763/s56410836/55e299d4-14432e61-e199f7f5-955f7625-d5c917ff.jpg	right internal jugular central line and endotracheal tube are unchanged in position. interval placement of a nasogastric tube which has its tip projecting below the diaphragm and the side port near the gastroesophageal junction. a intestinal feeding tube remains in place with the tip not identified. an ivc filter is unchanged in position. catheters are also again seen overlying the abdomen. lung volumes remain low with slight elevation of the right hemidiaphragm. there is crowding of the pulmonary vasculature but no overt pulmonary edema. bibasilar patchy opacities likely reflect atelectasis. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p18638427/s55060347/be3eef52-2773ef9d-bb3feade-08c5f144-56938df3.jpg	small right pleural effusion, likely right lower lung atelectasis, difficult to exclude pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19556851/s57005205/c800a342-68783397-8c532895-df451cba-71f22077.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11047227/s52208818/d5eeb3d1-4aa46afb-cd207cbf-342106e9-41466abf.jpg	in comparison with the study of , there is again evidence of enlargement of the cardiac silhouette with mild improvement in pulmonary vascular congestion. the hazy opacification is at the bases, especially on the right, is less prominent. this is consistent with decreasing layering pleural effusions, though some of this apparent improvement may be related to a more upright position of the patient. retrocardiac opacification is consistent with volume loss in the lower lobe. old healed fracture of the proximal right humerus is again seen.
MIMIC-CXR-JPG/2.0.0/files/p13668295/s54828804/a837a415-00a48e81-6492cde4-692773ef-c0c5df7f.jpg	compared to prior chest radiographs and. previous mild pulmonary edema has resolved. heart size has decreased. mild bibasilar atelectasis with now visible. there is no pneumothorax. severe subcutaneous emphysema and pneumomediastinum is unchanged. left subclavian line ends in the mid svc. esophageal feeding tube ends in the upper stomach.
MIMIC-CXR-JPG/2.0.0/files/p12029075/s55630959/c61503a3-334a7472-67d2c8d2-d46167c5-43824f86.jpg	small left base opacification likely secondary to pneumonia. recommend treatment with antibiotics and repeat radiographs after treatment to assess for resolution.
MIMIC-CXR-JPG/2.0.0/files/p16939345/s58206188/78ef6810-ba99cb97-76c96c78-94e46808-ace1c25f.jpg	as compared to the previous radiograph, there is unchanged evidence of an opacity in the right middle lobe as well as a small left pleural effusion. retrocardiac atelectasis persists. mild fluid overload is unchanged. unchanged right internal jugular vein catheter. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16139035/s59071789/995eca3d-fb198eb7-12048602-a9c646b0-3d88ecd8.jpg	comparison to ,. the known left-sided pneumothorax has increased in severity. the apical dimension of the pneumothorax is now <num> cm. the left chest tube is in unchanged position. no evidence of tension.
MIMIC-CXR-JPG/2.0.0/files/p11463165/s50629481/e1b999fe-9798ea33-bcfd78ba-145a6f7a-053935ea.jpg	pacemaker leads terminate in the expected location of right atrium and right ventricle. heart size is enlarged, unchanged. lungs are essentially clear. no pleural effusion or pneumothorax is seen. compression fracture of the mid thoracic vertebral bodies are unchanged as compared to previous examination, multiple
MIMIC-CXR-JPG/2.0.0/files/p14250520/s52566047/461e05b3-61401a0e-85a9fd7d-bbe06672-cd8e051d.jpg	stable chest radiograph with no new focal consolidations.
MIMIC-CXR-JPG/2.0.0/files/p13068947/s59169971/e77d2d70-0f4408bc-bca3d2dc-92dd4fe6-4d5a7b29.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p19261528/s54574166/412a68da-5b256266-08cb31a3-c3abcb74-3d3a7212.jpg	in comparison with the study of , the monitoring and support devices remain in place. there are lower lung volumes, but again diffuse bilateral pulmonary opacifications.
MIMIC-CXR-JPG/2.0.0/files/p19742427/s59767262/c7521e83-158c323e-ce45ec88-816ad50a-8c37ffd7.jpg	interval placement of nasogastric tube with its tip projecting over the expected location of the stomach. the proximal portion of bilateral ureteral stents are seen. there is a small layering right effusion with no focal airspace consolidation to suggest pneumonia. no pulmonary edema. no pneumothorax. stable <num> mm calcified nodule in the right upper lobe likely representing a granuloma. overall, cardiac and mediastinal contours are likely stable, given differences in positioning between studies. note that the patient's mandible obscures portion of the apices.
MIMIC-CXR-JPG/2.0.0/files/p18949819/s57127622/fefb5509-50d133fb-48d01633-4765cacd-fa037ef4.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p17661489/s57706065/765e9fd1-9eeeaf2f-a5cf88a0-830b0bd0-75402d90.jpg	ngt extends below the diaphragm, with the tip likely in the body of the stomach chronic atelectasis within the medial left lower lobe. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17259996/s50230502/346b9505-0ba5a1a6-91ddc721-eadd7c5f-a5170c65.jpg	no pneumonia or edema. possible tiny left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11763439/s51515214/ae382673-535737a6-051ac2b1-c6e38644-6f7e2baa.jpg	least moderate-sized bilateral pleural effusions, right greater than left, are stable in size compared to.
MIMIC-CXR-JPG/2.0.0/files/p13989970/s50949786/f269f8eb-82d5bf82-869694e4-caa3716a-8859aa60.jpg	no relevant change as compared to the previous image. the swan-ganz catheter has been minimally pulled back. moderate cardiomegaly of the cardiac surgery persists. no focal parenchymal opacities suggesting pneumonia or pulmonary edema. no pneumothorax, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13340770/s57239488/1830c5ae-4a26a93f-c79260c2-dbb8639e-03c12744.jpg	cardiac size is top-normal. large bibasilar atelectasis have increased on the right. there is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18177160/s51595960/aa2e04f6-9fe8ac62-3ed069d4-96b59348-546fdb11.jpg	as compared to prior radiograph from , there appears to be a new slightly triangular-shaped opacity projecting over the periphery of the left mid lung field. if possible dedicated pa and lateral views are recommended to further delineate if findings are truly intraparenchymal or secondary to overlying soft tissue.
MIMIC-CXR-JPG/2.0.0/files/p14498233/s53148752/c40a4e92-f98259fd-f4591ef8-27e63e7e-ee7353ba.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14246614/s59391564/32ae56f8-8b917037-13e8a9c3-89a7f588-4d78709a.jpg	stable mild cardiomegaly. left-sided tunneled line ends in the mid svc. no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11411362/s54588874/dced8001-39fa5fdf-69f72d65-1be2f008-e1984e96.jpg	no significant change in left basal consolidation, representing a combination of small to moderate pleural effusion and atelectasis. minimal improvement in mild to moderate pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13791947/s57269226/c7c2b810-6188c817-66c51495-eb052a5d-29bbe6d8.jpg	ng tube terminate in ge junction. right mid lung opacity has improved likely atelectasis. persistent right lower lung consolidation, at least partially atelectasis. pneumonia cannot be ruled out.
MIMIC-CXR-JPG/2.0.0/files/p19707837/s52372315/e89bc7f2-1a3330aa-8a5d4730-65128588-4c3dc8c0.jpg	no acute cardiopulmonary process. known diffuse osseous lesions better seen on prior exam.
MIMIC-CXR-JPG/2.0.0/files/p11070517/s52906797/66d7c8dc-0e3d12f7-cda8faa5-5d5a7ddf-ea6741ca.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14342881/s57298598/a362cc97-05ea7034-8b61b2a2-512a3c1c-e6509ddd.jpg	status post left pectoral pacemaker placement with leads appropriately positioned in the right atrium and right ventricle and no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p16387058/s59219841/57b947b1-7aefe1b4-cd59fc69-38b88070-e003a1d1.jpg	mild bibasilar atelectasis. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18404883/s50377998/a63b1903-976f9e96-59f4b32f-011ddb1b-71122a48.jpg	no rib fracture identified. recommendation(s): dedicated rib series may be performed if further evaluation is desired.
MIMIC-CXR-JPG/2.0.0/files/p16628963/s53344192/ccd23081-ddb5e949-18dfb3cd-734e28c0-53c1b34a.jpg	no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. no gross evidence of rib fracture or pneumothorax. blunting of the left costophrenic angle is seen. several opacifications in the left upper zone are consistent with old granulomatous disease.
MIMIC-CXR-JPG/2.0.0/files/p16623461/s51715873/6d509836-44ac6b4e-761af231-4a84c360-b8e3d2ac.jpg	no acute cardiopulmonary process. no evidence of free air underneath the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p13004288/s57734186/4682c518-02cb4e61-a7ca6080-0261d3d9-283cb6e7.jpg	bibasilar atelectasis without other acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16159544/s53516801/258c84cb-3740b8e9-19eca04c-27be49d0-ac248fc1.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11626035/s55691957/d4a24a01-fcf82272-6c04e75f-1cb82060-1df98805.jpg	new left effusion.
MIMIC-CXR-JPG/2.0.0/files/p15473766/s58716153/b56ae7a2-372eb201-b257f594-2c537513-e4d30042.jpg	in comparison with the study of , there is little change in the larger right apical pleural abnormality consisting of a collection of fluid and small loculation of gas. again the right heart border is obscured, which has been a constant appearance of since prior surgery. no evidence of acute focal pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18344931/s51275075/77dd3fa9-f086b714-0dd02095-4014e01a-9b75ee06.jpg	there is a right-sided apical pigtail pleural catheter. there remains a moderate right apical pneumothorax, stable. there is prominent right chest wall subcutaneous emphysema which has improved slightly. there is right basilar atelectasis and possibly small pleural effusion. the left lung is clear.
MIMIC-CXR-JPG/2.0.0/files/p10309859/s51464642/eb7b4260-da15db8f-74e04611-06897567-6854a92c.jpg	no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11646042/s59441516/9212ba7e-c845d4de-f389bd31-f1e05714-995cbbfe.jpg	endotracheal and orogastric tubes positioned appropriately. progression in multifocal opacities which remain concerning for pneumonia. partial collapse of the right lower lobe. possible small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12914034/s51408245/29b255f8-8508b102-d68b70ac-73457b10-86f5bbc2.jpg	no radiographic acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19687154/s50058586/2fc2b231-ee146b45-0ca398ac-2729df7a-07cc321e.jpg	lingula and left upper lobe opacities concerning for pneumonia. close imaging follow up after treatment, within no more than <num> month, is recommended to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p17978373/s50413859/f49a11ca-2dda838a-77e96c07-d97446e3-3f0bbcc8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14774414/s53741096/8f83d094-06537ab1-cd948388-cb1917d9-1a3d1a24.jpg	<num>) upper zone redistribution, unchanged. doubt overt chf. <num>) mild bibasilar atelectasis, which is new. no frank consolidation. <num>) icd device. stable cardiomegaly. calcifications along left ventricular wall suggestive of prior infarct -- see also abdominal ct from. <num>) stable prominence of hila - ? pulmonary hypertension.
MIMIC-CXR-JPG/2.0.0/files/p14244535/s58195422/7b6f6653-8ca3de36-499a8c9d-1bcc918c-b9e6b87a.jpg	as compared to the previous radiograph, all monitoring and support devices are removed. borderline size of the cardiac silhouette without pulmonary edema. old retrocardiac peribronchial scarring but no evidence of or recent changes. in particular, there is no evidence of pneumonia or pulmonary edema. no pleural effusions. no hilar or mediastinal adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p10712190/s54273520/3800c2d1-9cde2faf-c0131132-a348169f-5f692172.jpg	cardiomegaly with minimal pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11472206/s58518786/11d6b1a2-06f762fa-ce987d77-0d1ab080-9147550b.jpg	satisfactory et tube position. new moderate pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18785569/s59216656/f6d5ec37-73ce9a20-5e3bad4b-938ddcc6-414e7ecb.jpg	increased right moderate and unchanged left small pleural effusions with accompanying atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18008471/s51682720/8d07e467-46490235-9d87da24-8bf46f1d-8826e029.jpg	normal chest.

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in comparison with the study of a, the cardiac silhouette is at the upper limits of normal or mildly enlarged. no definite pleural effusion at this time. no vascular congestion or acute focal pneumonia. minimal atelectatic changes at the bases. the right port-a-cath and picc line are unchanged.

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no focal consolidations concerning for pneumonia identified.

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moderate cardiomegaly with mild pulmonary vascular congestion and interstitial edema.

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in comparison with the earlier study of this date, there is a right ij sheath that extends to the upper svc. sharp angulation of the catheter in the neck maybe at the insertion site into the scan. enteric tube extends at least to the upper stomach where it crosses the lower margin of the image. otherwise little change.

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no acute intrathoracic process. mild cardiomegaly.

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slight increase in diffuse pulmonary vascular congestion and increased small bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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marked improvement in right upper lobe opacification and volume loss, with no definite evidence for pneumonia.

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no acute cardiopulmonary abnormality. incidental note of right sided aortic arch.

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dobbhoff tube terminating in the stomach.

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no acute cardiopulmonary process.

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multiple pulmonary nodules concerning for metastatic disease. small pleural effusions with lower lobe consolidation concerning for atelectasis versus pneumonia.

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comparison to. other patient remains intubated, the nasogastric tube is unchanged in course. the severity and extent of the known pulmonary edema has not substantially changed. however, the lung volumes have increased and the cardiac silhouette has decreased in size. unchanged retrocardiac atelectasis.

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no acute intrathoracic process.

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persistent cardiomegaly. no focal consolidation to suggest pneumonia.

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no acute intrathoracic process.

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et tube tip is <num> cm above the carinal. ng tube tip passes below the diaphragm terminating in the stomach. cardiomediastinal silhouette is unchanged. left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. left lower lobe atelectasis is unchanged.

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compared to chest radiograph,. moderate cardiomegaly is stable. mediastinal and hilar contours and pleural surfaces are unremarkable. persistent pulmonary hyperinflation suggests chronic obstructive lung disease.

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no acute cardiopulmonary abnormality.

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moderate interstitial edema and pulmonary vascular congestion consistent with volume overload.

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in comparison with the earlier study of this date, the right chest tube has been removed and there is no evidence of pneumothorax. otherwise little change.

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no acute pneumonia.

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ap chest compared to : aside from linear atelectasis at the left base, lungs are clear. heart size is top normal. there is no appreciable pleural effusion. healed right middle rib fracture is noted. bilateral central venous lines end in the mid svc.

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worsening bilateral lower lobe opacification is partially due to worsening atelectasis and pleural effusion. however, the right side is worrisome for pneumonia. no pneumothorax.

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left picc tip in the lower svc.

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right infrahilar opacity might represent early pneumonia. mild interstitial pulmonary edema.

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lungs clear.

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as compared to radiograph, the patient has been intubated, with endotracheal tube terminating <num> cm above the carina. there is been further interval improvement in pulmonary edema, which is nearly resolved, with associated resolving right pleural effusion.

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no evidence of acute disease.

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compared to chest radiographs through. lung volumes are lower exaggerating increase in moderate right pleural effusion and new, mild pulmonary edema. moderate cardiomegaly and mediastinal vascular engorgement have also worsened. no pneumothorax. with the chin down, tip of the et tube <num> cm from the carina is standard position. indwelling right jugular line ends in the mid right atrium.

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small bilateral pleural effusions. moderate to large hiatal hernia with basilar atelectasis has not changed, best seen on abdominal ct dated.

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new right picc line with tip in the lower svc. slight worsening of left lower lobe atelectasis and left pleural effusion.

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small left costophrenic angle opacity consistent with atelectasis. probable left atrial enlargement.

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no acute cardiopulmonary process.

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compared to chest radiographs through :<num>. moderate right pleural effusion is probably smaller. previous pulmonary vascular congestion has improved. left lung is clear. there is no left pleural abnormality. moderate enlargement of cardiac silhouette is improved, but the heart still obscures the right lower lobe, which is largely atelectatic or consolidated. no pneumothorax. et tube and other cardiopulmonary support devices in standard placements.

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no acute cardiopulmonary process.

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normal chest radiographic examination

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right picc tip in the mid svc. low lung volumes.

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et tube tip <num> cm from the carina. no acute cardiopulmonary process.

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stable radiographic appearance of the chest, with no acute cardiopulmonary abnormality.

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calcified granuloma in the right midzone of no active concern.

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large hiatal hernia containing bowel. no focal consolidation.

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no acute cardiopulmonary process. hyperexpanded lungs and flattening of the diaphragm, suggestive of copd.

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mild cardiomegaly. possible right pleural effusion, although assessment is limited. pa and lateral views with better inspiration could be obtained for further evaluation.

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no acute intrathoracic process identified.

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no evidence of pneumonia.

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comparison to ,. on the second of <num> images, a new top of catheter is securely positioned in the middle parts of the stomach. no complications, notably no pneumothorax. the other monitoring and support devices are constant. lung volumes remain low, with small to moderate bilateral pleural effusions. moderate cardiomegaly. moderate bilateral basal areas of atelectasis and mild fluid overload.

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no acute cardiopulmonary process. no radiographic evidence of interstitial lung disease.

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mild pulmonary edema.

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pa and lateral chest reviewed in the absence of prior chest radiographs: lung volumes are low, but clear. heart size normal. no pleural abnormality. extensive degenerative change in the thoracic spine is consistent with loss of height, kyphosis, osteophyte formation and disc space narrowing.

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persistent lower lung and perihilar opacities remain concerning for pneumonia with slight improvement from prior recent exam. small bilateral pleural effusions. recommend followup to resolution.

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no acute intrathoracic process.

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there is tiny left apical pneumothorax.

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right internal jugular central line and endotracheal tube are unchanged in position. interval placement of a nasogastric tube which has its tip projecting below the diaphragm and the side port near the gastroesophageal junction. a intestinal feeding tube remains in place with the tip not identified. an ivc filter is unchanged in position. catheters are also again seen overlying the abdomen. lung volumes remain low with slight elevation of the right hemidiaphragm. there is crowding of the pulmonary vasculature but no overt pulmonary edema. bibasilar patchy opacities likely reflect atelectasis. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable.

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small right pleural effusion, likely right lower lung atelectasis, difficult to exclude pneumonia.

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no acute cardiopulmonary process.

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in comparison with the study of , there is again evidence of enlargement of the cardiac silhouette with mild improvement in pulmonary vascular congestion. the hazy opacification is at the bases, especially on the right, is less prominent. this is consistent with decreasing layering pleural effusions, though some of this apparent improvement may be related to a more upright position of the patient. retrocardiac opacification is consistent with volume loss in the lower lobe. old healed fracture of the proximal right humerus is again seen.

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compared to prior chest radiographs and. previous mild pulmonary edema has resolved. heart size has decreased. mild bibasilar atelectasis with now visible. there is no pneumothorax. severe subcutaneous emphysema and pneumomediastinum is unchanged. left subclavian line ends in the mid svc. esophageal feeding tube ends in the upper stomach.

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small left base opacification likely secondary to pneumonia. recommend treatment with antibiotics and repeat radiographs after treatment to assess for resolution.

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as compared to the previous radiograph, there is unchanged evidence of an opacity in the right middle lobe as well as a small left pleural effusion. retrocardiac atelectasis persists. mild fluid overload is unchanged. unchanged right internal jugular vein catheter. no pneumothorax.

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comparison to ,. the known left-sided pneumothorax has increased in severity. the apical dimension of the pneumothorax is now <num> cm. the left chest tube is in unchanged position. no evidence of tension.

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pacemaker leads terminate in the expected location of right atrium and right ventricle. heart size is enlarged, unchanged. lungs are essentially clear. no pleural effusion or pneumothorax is seen. compression fracture of the mid thoracic vertebral bodies are unchanged as compared to previous examination, multiple

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stable chest radiograph with no new focal consolidations.

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no significant interval change.

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in comparison with the study of , the monitoring and support devices remain in place. there are lower lung volumes, but again diffuse bilateral pulmonary opacifications.

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interval placement of nasogastric tube with its tip projecting over the expected location of the stomach. the proximal portion of bilateral ureteral stents are seen. there is a small layering right effusion with no focal airspace consolidation to suggest pneumonia. no pulmonary edema. no pneumothorax. stable <num> mm calcified nodule in the right upper lobe likely representing a granuloma. overall, cardiac and mediastinal contours are likely stable, given differences in positioning between studies. note that the patient's mandible obscures portion of the apices.

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no acute findings.

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ngt extends below the diaphragm, with the tip likely in the body of the stomach chronic atelectasis within the medial left lower lobe. small left pleural effusion.

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no pneumonia or edema. possible tiny left pleural effusion.

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least moderate-sized bilateral pleural effusions, right greater than left, are stable in size compared to.

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no relevant change as compared to the previous image. the swan-ganz catheter has been minimally pulled back. moderate cardiomegaly of the cardiac surgery persists. no focal parenchymal opacities suggesting pneumonia or pulmonary edema. no pneumothorax, no pleural effusions.

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cardiac size is top-normal. large bibasilar atelectasis have increased on the right. there is no pneumothorax or pleural effusion.

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as compared to prior radiograph from , there appears to be a new slightly triangular-shaped opacity projecting over the periphery of the left mid lung field. if possible dedicated pa and lateral views are recommended to further delineate if findings are truly intraparenchymal or secondary to overlying soft tissue.

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no acute intrathoracic process.

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stable mild cardiomegaly. left-sided tunneled line ends in the mid svc. no evidence of acute cardiopulmonary process.

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no significant change in left basal consolidation, representing a combination of small to moderate pleural effusion and atelectasis. minimal improvement in mild to moderate pulmonary edema.

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ng tube terminate in ge junction. right mid lung opacity has improved likely atelectasis. persistent right lower lung consolidation, at least partially atelectasis. pneumonia cannot be ruled out.

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no acute cardiopulmonary process. known diffuse osseous lesions better seen on prior exam.

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no acute cardiopulmonary process.

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status post left pectoral pacemaker placement with leads appropriately positioned in the right atrium and right ventricle and no pneumothorax

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mild bibasilar atelectasis. otherwise, no acute cardiopulmonary process.

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no rib fracture identified. recommendation(s): dedicated rib series may be performed if further evaluation is desired.

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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. no gross evidence of rib fracture or pneumothorax. blunting of the left costophrenic angle is seen. several opacifications in the left upper zone are consistent with old granulomatous disease.

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no acute cardiopulmonary process. no evidence of free air underneath the diaphragm.

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bibasilar atelectasis without other acute intrathoracic abnormality.

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normal chest radiograph.

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new left effusion.

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in comparison with the study of , there is little change in the larger right apical pleural abnormality consisting of a collection of fluid and small loculation of gas. again the right heart border is obscured, which has been a constant appearance of since prior surgery. no evidence of acute focal pneumonia or vascular congestion.

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there is a right-sided apical pigtail pleural catheter. there remains a moderate right apical pneumothorax, stable. there is prominent right chest wall subcutaneous emphysema which has improved slightly. there is right basilar atelectasis and possibly small pleural effusion. the left lung is clear.

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no acute pulmonary process.

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endotracheal and orogastric tubes positioned appropriately. progression in multifocal opacities which remain concerning for pneumonia. partial collapse of the right lower lobe. possible small right pleural effusion.

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no radiographic acute cardiopulmonary abnormality.

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lingula and left upper lobe opacities concerning for pneumonia. close imaging follow up after treatment, within no more than <num> month, is recommended to document resolution.

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no acute cardiopulmonary process.

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<num>) upper zone redistribution, unchanged. doubt overt chf. <num>) mild bibasilar atelectasis, which is new. no frank consolidation. <num>) icd device. stable cardiomegaly. calcifications along left ventricular wall suggestive of prior infarct -- see also abdominal ct from. <num>) stable prominence of hila - ? pulmonary hypertension.

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as compared to the previous radiograph, all monitoring and support devices are removed. borderline size of the cardiac silhouette without pulmonary edema. old retrocardiac peribronchial scarring but no evidence of or recent changes. in particular, there is no evidence of pneumonia or pulmonary edema. no pleural effusions. no hilar or mediastinal adenopathy.

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cardiomegaly with minimal pulmonary vascular congestion.

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satisfactory et tube position. new moderate pulmonary edema.

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increased right moderate and unchanged left small pleural effusions with accompanying atelectasis.

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normal chest.