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/p16659884/s56307321/4c07c940-c62de8cd-110835d2-4b3b949b-74082bb9.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p13452052/s57856224/cc1b920a-a67e727e-c11791ef-120e6e17-cd29064e.jpg	while atelectasis may explain left basilar opacity in the setting of low lung volumes, similarly decreased lung volumes were present on prior. therefore, this new opacity may represent superimposed infection.
MIMIC-CXR-JPG/2.0.0/files/p17957668/s55252527/1d02ba68-f8b11701-0b1110d7-c75b18cb-3a3a5960.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16387509/s52390426/d2e1c3de-e17e64ed-a6ef4c4b-1ebb1e87-5d265e03.jpg	no evidence of pneumonia. chronic asbestos related pleural plaques. no progressive pleural or pulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17843231/s51385597/660d87f2-2c1aba02-59c6676a-d823a078-ec2e2738.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12357280/s50111838/d103afc2-bd818c49-c451f899-0de76980-231b4a58.jpg	moderate left lower lobe atelectasis and accompanying small left pleural effusion have both improved. cardiomediastinal silhouette has a normal postoperative appearance including small pericardial effusion. there is no pneumothorax or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13885223/s53489773/2148d962-e4f38114-aef99987-b44fd989-36c12014.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17451029/s59536890/47a6d0dd-7c8b00cf-0dddec55-cb47c789-30aaadab.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are of all unchanged as well as substantially elevated left hemidiaphragm. ng tube tip is most likely in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p12553538/s58054446/84b1456c-6f4af0ae-fdaeeabb-b18af93c-ef18bd6f.jpg	mild to moderate pulmonary edema and small right pleural effusion have worsened. large hiatus hernia, transmits at least the stomach, which now occupies greater portion of the left lower chest, displacing the lung. heart size is indeterminate but probably quite large. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11057136/s53842502/0afa2f33-2e31190b-0723f0c8-9538e9cb-8b71c2bd.jpg	there is a right-sided chest tube. there is a tiny right apical pneumothorax similar to the previous study. there is extensive subcutaneous emphysema throughout the chest bilaterally. heart size is within normal limits. surgical clips are seen along the right and left heart borders. atelectasis at the lung bases, right greater than left is again seen.
MIMIC-CXR-JPG/2.0.0/files/p17402093/s55652283/b4bd3bb2-fa6943e1-14302364-54646880-82bbb14a.jpg	no acute cardiopulmonary process. hyperinflation of lungs, suggestive of copd.
MIMIC-CXR-JPG/2.0.0/files/p14194421/s54661618/c3ca44f4-846d7940-ef71c44b-48a16c75-d370573d.jpg	cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. there are mild degenerative changes of bilateral acromioclavicular joints and of the thoracic spine.
MIMIC-CXR-JPG/2.0.0/files/p12760087/s52650269/bd4441f3-1f393499-e3e2963a-7182d973-0c627951.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14675727/s57946532/1590a1d2-46077801-68ece979-e43d2e41-e1240cf3.jpg	mild basilar atelectasis. prominence of the hila may relate to underlying pulmonary hypertension.
MIMIC-CXR-JPG/2.0.0/files/p15263567/s55352848/e2399ba5-7c8974fa-b83be302-e7d8379a-64a5bb20.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11511428/s51750037/b8d55f28-fe10e96c-9c378519-9cbac0d1-39beb79d.jpg	eg tube tip is <num> cm above the carinal. ng tube passes below the diaphragm terminating in the stomach. ecmo catheter has been placed. widespread parenchymal opacities are more pronounced than on the prior study.
MIMIC-CXR-JPG/2.0.0/files/p17313092/s56383430/3fae34ba-358b055b-059092a5-3a88b63a-ec2e85c2.jpg	in comparison with the study of , there is little change. no evidence of pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16970288/s54383400/cb4f9f28-9523c892-1d97c076-5b48c7ca-00718537.jpg	in comparison with the study of , there is little overall change. again there are is linear opacifications especially over the lower lungs that could reflect chronic parenchymal scarring or pleural abnormalities, or both. apical scarring is again seen bilaterally. no convincing evidence of acute pneumonia. hyperexpansion of the lungs is consistent with chronic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18958108/s51814870/930188f8-32c7525b-5b366f1d-90a8c913-e22ce387.jpg	endotracheal tube in standard position. mild pulmonary vascular congestion. patchy opacities in both lung bases and left upper lobe which may reflect infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18852216/s59915380/b64c8e22-4d28b4d1-5ca4ab52-9ed728ed-63311ae7.jpg	ap chest compared to : et tube in standard position, nasogastric tube passes into a nondistended stomach and out of view. right pic line ends at the origin of the svc. no pneumothorax or appreciable pleural effusion. heart size top normal. no edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16722175/s54977367/c1a5713a-f06f0668-689a8821-627a573a-75def20f.jpg	mild pulmonary edema and small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11372911/s53617623/c93e363d-67796bb1-433d4587-5ae9e51c-fe40b954.jpg	pa and lateral chest compared to through : mild interstitial pulmonary abnormality characterized by septal thickening, increased since , probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. thoracic configuration suggests mild hyperinflation, even though recent chest ct scan does not show emphysema. transvenous right ventricular pacer lead is in standard placement. no pneumothorax or appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11828460/s52348986/3eb6b8e0-45ea680b-409b838f-cd902c11-5a31890f.jpg	compared to prior chest radiographs, since , most recently postoperatively on. no pneumothorax pleural effusion or evidence of other postoperative complication. heterogeneous peribronchial opacification predominantly in the lower lobes, and central adenopathy were also present preoperatively. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p18615846/s52127131/a1ff5fa7-a536e477-ca7087a3-2dbd7bbc-957cfaf8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18539425/s55758803/5ec04095-6ca2eb56-970778ad-9f1d017e-2d1af9b8.jpg	satisfactory placement of right picc line with tip in the cavoatrial junction. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16146910/s53307539/f22343e5-0e418739-02d32407-0060afd5-7d54fe10.jpg	mild pulmonary edema is unchanged. consolidation in the right lower lung which improved between and is stable. cardiomegaly is at least moderate. there is no appreciable pleural effusion. metal device projecting over the right mediastinal border is presumably fragment of retained pacer or pacer defibrillator lead.
MIMIC-CXR-JPG/2.0.0/files/p16083444/s55370355/65dafcd1-905fccd3-341c1d00-834f3e4c-4a808d9c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18719577/s56401336/00d0abdc-5225e0d5-f536c69b-0b3178fd-24d2eed7.jpg	mild pulmonary edema with severe underlying emphysema.
MIMIC-CXR-JPG/2.0.0/files/p15057511/s57274983/eda28299-c5c1b90e-e8957150-fe90c133-0dec8105.jpg	linear opacities in the lingula and right middle lobe could be due to infection.
MIMIC-CXR-JPG/2.0.0/files/p19906916/s51122654/b529a9d1-e07ea69a-f1dbb0ba-fdf1554a-7faab713.jpg	no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p12531206/s51239232/c134478a-578bd642-f5e61c94-978cb535-1ed8fdb5.jpg	bibasilar opacities concerning for pneumonia with small bilateral pleural effusions. possible mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p12017918/s54060694/83902d27-9168ef7f-e5d5ce8a-5fb0affc-eee0371d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18040308/s55697669/e0a44aad-9138288d-da26778e-c39a6e89-26b9f0af.jpg	no acute cardiopulmonary abnormality. no free air under the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p12086328/s57082560/c14417d6-0ef946e7-da0e548c-9383b7ae-0637b758.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15625222/s53492309/d6b3b1d1-9f13f611-ec15a42e-e490e50e-7e8b24b8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16006064/s56983770/f3776979-6f753c6b-d2d4a751-b1e9d89d-55468eaf.jpg	in comparison with the earlier study of this date, the left chest tube has been removed and there is some increase in the small apical pneumothorax. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p12938377/s50692381/122ad23b-e4ac1b59-64c565a9-9d8b8081-ea91e1cc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12175942/s55862375/7a3d260d-4ffd4288-74dd05e9-55395a14-ebad3b4c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17288749/s56254695/fce36979-ee5f10c9-53007d7f-3ecbb955-98341b06.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with the clinical diagnosis of pulmonary edema. in view of the extensive pulmonary changes, it would be very difficult to exclude superimposed pneumonia, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p13599462/s54113118/8d753b9b-4c79b2d3-3bac6dea-b48f12f1-50e4f509.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p18895219/s56683120/a5a77460-0cf46793-49ec818a-dbdd4f90-19edf330.jpg	as compared to the previous radiograph, no relevant change is seen. the patient remains intubated, with the tip of the endotracheal tube projecting approximately <num> cm above the carina. the course of the nasogastric tube is unchanged. lung volumes remain low. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14642407/s51291430/57c34086-ab27960f-f94d695e-0f1e2b4f-40a356e1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15107347/s57932984/b47449e0-f597b295-0f3889f7-0ba4ff09-485ad995.jpg	no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p10354217/s50486647/797a6cd8-c80397bc-216d02e8-54efe5ad-f8fa5d7c.jpg	ap chest compared to : both vascular congestion and mild pulmonary edema have improved. moderate-to-severe chronic cardiomegaly has not, and there is still a small volume of bilateral pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14264560/s54542027/b61d6527-00f5806b-7b303b08-e9aa4941-2d4da219.jpg	no evidence of acute cardiopulmonary process. atelectasis at the left lung base.
MIMIC-CXR-JPG/2.0.0/files/p18079777/s53320324/74c167bd-081fd17a-52cefbde-11169bec-44748847.jpg	et tube tip is in the mid thoracic trachea. ng tube tip is in the stomach, with the side port near the ge junction. if tube function is suboptimal, consider advancement.
MIMIC-CXR-JPG/2.0.0/files/p11392654/s50699494/6c8a0180-dd2428ac-190257fd-1fb22531-fe393d97.jpg	mild pulmonary vascular congestion is unchanged. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10483167/s58302364/9e6a349f-65f6bc54-38fe6b9a-412b6753-de314c2c.jpg	retrocardiac opacity concerning for left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p13972277/s56195981/968dd604-6aee40c2-31c9ac26-75ad5824-0b05fbe9.jpg	moderate cardiomegaly and mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15899780/s54090487/84267045-a8eb73d3-64ddbaa0-1ea3feb4-8372fa7b.jpg	no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p17006856/s54494500/b2f9dfee-bdbbce95-9f404ce1-ee7967ce-ad0066e4.jpg	as compared to chest radiograph, bibasilar opacities have worsened, and may reflect atelectasis with or without coexisting aspiration or aspiration pneumonia. within the imaged upper abdomen, moderate gastric distension persists.
MIMIC-CXR-JPG/2.0.0/files/p17900392/s58780395/bce79f6a-f91866c6-3ce73431-b7b9ed3d-b779b23f.jpg	interval advancement of an enteric tube, now folded in the stomach. endotracheal tube terminating <num> cm from the carina.
MIMIC-CXR-JPG/2.0.0/files/p17179037/s53989283/e218be76-c57ca41e-217faa2c-d0a8b987-38fea7f5.jpg	multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12488897/s59491904/952db4ba-107ff2d4-8300cd9a-16aac083-bc009b8b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10978131/s58731936/fc986687-528a582e-c4ef10d0-57f6df4a-15a9e1be.jpg	opacities involving the right upper lobe and right middle lobe are not significantly increased. a left lower lobe opacity is improving from the prior study.
MIMIC-CXR-JPG/2.0.0/files/p12826076/s58159701/4bbafd13-96cf0faf-f8552e39-56085578-61bc2d31.jpg	persistent elevation of the right hemidiaphragm. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12035173/s50198983/d43410c7-2cb1a09d-858654b0-efab1d29-6e485685.jpg	left picc line tip is at the level of superior svc. heart size and mediastinum are unchanged. there is interval improvement of interstitial pulmonary edema. there is still present left pleural effusion and left basal consolidation as well as small amount of right pleural fluid. cervical hardware is partially imaged.
MIMIC-CXR-JPG/2.0.0/files/p15114531/s57132221/939fd73d-90b151b7-0fd1e28a-f74c0f61-e2cb7917.jpg	no acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15129969/s52991379/465e5261-4af33131-7e236f74-b53c0d38-21190522.jpg	increasing left apical mass. developing right upper lung consolidation. stable right hemidiaphragmatic elevation with small-to-moderate pleural effusion and associated atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16326503/s55461738/a76f0996-6b25fe5a-9b071383-cea77976-bad37e3b.jpg	normal postoperative appearance of the mediastinum and right lower lobe atelectasis following esophagectomy and gastric pull-up. upper enteric drainage tube ends at the level of the diaphragm. right pleural and soft neck drains in place. no appreciable pneumothorax. subcutaneous emphysema in the right chest wall and neck, and pneumoperitoneum pneumoperitoneum are expected following abdominal surgery. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p18397715/s52417392/2a5c7c21-bee6294c-0aa94230-3054eddf-79628733.jpg	no definite rib fractures are identified. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14485766/s50406192/4d429917-f3dbc788-42032c85-f8318d09-88d2bffb.jpg	as compared to the previous image, the patient has developed a small right-sided pneumothorax. the pneumothorax has a maximum width of approximately <num> cm. there is no evidence of tension. unchanged appearance of the left lung and of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p14913896/s54353659/0ec377c4-c85637f7-61ae3575-2fec0bd2-b34e73fb.jpg	subtle opacity in the right lateral lung base is concerning for an early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14017493/s54769032/8d0479d2-73636e75-53302333-9202be2a-acbf0ae2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19776338/s59092674/c04069cb-660589b1-6ed3ad53-2a28b28c-2961b08c.jpg	stable hyperinflation of lungs. no focal opacifications. please note chest radiographs are not sensitive for subtle interstitial lung disease or endobronchial lesions. if continued clinical concern, recommend evaluation with hrct.
MIMIC-CXR-JPG/2.0.0/files/p17627463/s59978874/bbadab9c-a5347fe9-006e5ec2-adfcec74-13e0d269.jpg	likely stable bibasilar opacities, but exam is severely limited by superimposition of external structures. recommend repeat chest radiograph for more optimal evaluation. recommendation(s): repeat chest radiograph without superimposed external structures for more optimal evaluation.
MIMIC-CXR-JPG/2.0.0/files/p14449203/s54673884/00161751-07bb12aa-c30b32a9-b72f73fe-6656f065.jpg	compared to chest radiographs since most recently. right pic line ends close to the superior cavoatrial junction. lung volumes are lower exaggerating minimal interstitial pulmonary edema. mild cardiomegaly is long-standing. there is no appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11275654/s50146787/947ebac0-a6a27ebc-a25f7be8-24daf0f1-252a32ac.jpg	no evidence of acute cardiopulmonary disease. status post endotracheal intubation. orogastric tube reaching the stomach, although if clinically indicated, advancing the tube by about -<num> cm could be helpful for better seating and to place the sidehole marker within the stomach.
MIMIC-CXR-JPG/2.0.0/files/p12997624/s56598366/42a33845-5a689dce-82e4caca-8fe8e5b3-5c5cfdd3.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19783776/s59245663/54f2ade4-718169dc-9a0204a3-a03d6bc5-87af4004.jpg	in comparison with the study of , there is retrocardiac opacification consistent with volume loss in the left lower lobe. pulmonary vascular congestion has substantially improved, as have the bilateral pleural effusions. core valve is in place and a temporary right jugular pacer lead extends to the region of the apex of right ventricle.
MIMIC-CXR-JPG/2.0.0/files/p17936886/s52893794/16a6d640-2e86c42b-36e60a01-39e0a5e4-bb18d2bf.jpg	moderate left-sided pleural effusion with substantial suspected atelectasis. no evidence for free air.
MIMIC-CXR-JPG/2.0.0/files/p16386208/s56373387/b81504e6-c94e2849-44698ac0-cfbf2201-80e7e779.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13249077/s53915996/addb0762-46d4d26a-210af702-3ea2500a-df660347.jpg	right middle and lower lobe are collapsed, more severe than previous atelectasis, accompanied by some, indeterminate volume of right pleural effusion. severe cardiomegaly has worsened, mediastinal and pulmonary vasculature are more engorged, indicating cardiac decompensation.
MIMIC-CXR-JPG/2.0.0/files/p11576897/s56363455/83765d51-2c185b8a-226a1f20-18c8530f-90e1f17c.jpg	in comparison with the earlier study of this date, there is increasing bilateral pulmonary opacifications. although much of this probably reflects increasing pulmonary edema, the possibility of superimposed pneumonia should be considered in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14196800/s56221848/753163d2-48d6a2f5-c1a5d695-8a8695a8-68f545e0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18081790/s59358581/27bf3afe-6729c1e7-d4b15350-5e4742da-4540948c.jpg	limited study due to low lung volumes. patchy opacities in lung bases likely reflect atelectasis, though infection cannot be excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14953390/s55390837/df911e22-5c802f68-3e4317aa-874cacac-cb10ad10.jpg	comparison to. no relevant change is noted. stable correct position of the monitoring and support devices. moderate to severe cardiomegaly persists but only mild pulmonary edema is present. mild retrocardiac atelectasis. no larger pleural effusions. no pneumothorax. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11714071/s52121844/4d4d49ce-5cf2c3f9-b6f3c4d9-ba054ae3-76e94633.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19213516/s56376686/efc05fc4-7daa3206-99496095-14946172-e9e09f4b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16537347/s52711389/b25afe79-5b685a9b-becd9801-baebb1a7-c7ebcbe2.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17449903/s57325133/eaaa48c2-94232819-490520a8-c0dd2bdd-c12b9aac.jpg	mild cardiomegaly. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18375223/s50865337/82f0b0f4-ef84574e-889b0519-8ac224fb-54b1f0c6.jpg	in comparison with the earlier study of this date, the opacification in the left upper zone has essentially cleared. the right basilar opacification persists. no definite pneumothorax. the right lung remains essentially clear.
MIMIC-CXR-JPG/2.0.0/files/p17288749/s52692201/cc7071de-95a03c23-9041dcab-84fadd1b-e68fb229.jpg	severe bilateral pulmonary consolidation has improved slightly since. cardiomegaly is severe. pleural effusions are presumed, particularly on the right, but not large. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19229431/s51278245/0b541001-2788ee13-2dfbedf8-ba5f8dfe-cf2281b1.jpg	left basilar atelectasis. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12749689/s55115446/6dc89c41-23f113d3-08fdce90-c1eb1b34-ac5d6f11.jpg	in comparison to chest radiograph, support and monitoring devices remain in standard position, and cardiomediastinal contours are within normal limits. lungs are clear except for minimal bibasilar atelectasis. questionable small pleural effusions. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15447201/s54860656/a06609d8-57f41c76-af85d92f-93c2b1de-217c4189.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11265066/s51269203/5076309d-d7e66f18-3e1f61ea-7c8b60c3-5c7c4cf6.jpg	unchanged moderate cardiomegaly. otherwise, no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12001854/s51877491/7636760d-998f01e0-a0054606-56afd977-af4967b5.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10337896/s57814257/f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5.jpg	the overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19397112/s50396054/beaa326d-79b1f8f6-11528fec-6112e183-9e08b600.jpg	support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are bilateral effusions which are stable. there are lower lung volumes than on the prior study. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p11604900/s59398334/b4c878c0-3e04a577-39f46c56-f0a43de6-87a4df97.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11974183/s53053304/3d30a05b-891b66f6-5ec3f9a9-250bcff5-9fbc683d.jpg	bibasilar opacifications are most consistent with atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11146299/s53450119/4aa12076-7bccd351-3fc93e3e-e5615d3c-b99ad26a.jpg	small bilateral pleural effusions, right greater than left, with adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12426774/s59398228/868ff565-80991fa1-325e2c8f-c98d7351-a5334aa0.jpg	icd in right ventricle.
MIMIC-CXR-JPG/2.0.0/files/p18830695/s57758507/04e74840-168b6197-699627ee-81f7ad69-f8aa3d75.jpg	compared to prior chest radiographs, through. new feeding tube ends in the stomach, advanced from the fundus to the pylorus. prior pulmonary vascular congestion has improved. heart size top-normal. no pleural abnormality. all
MIMIC-CXR-JPG/2.0.0/files/p11765816/s57414559/4d23ccdc-b19d51fc-38818d53-888d13c7-49e9b60e.jpg	ap chest compared to through : heterogeneous opacification in the lower lung suggests bilateral bronchopneumonia. upper lungs clear. heart size normal. no appreciable pleural effusion. et tube in standard position, although the cuff is mildly hyperinflated. right jugular line ends in the mid svc and an upper enteric drainage tube is looped in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p10405772/s54810445/a046e24f-992dae87-5170a619-d3e5d2e5-c43e46ba.jpg	cardiomegaly without superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19530208/s58622986/3c1d9ec1-504c3744-1cf0d457-451c58cf-612a9d2c.jpg	in comparison with the study of , the endotracheal tube remains in position and the tip of the dobhoff tube is in the mid portion of the stomach. the cannula inserted from below appears to extend to the mid to lower portion of the superior vena cava. areas of opacification in the right upper and lower lobes again are worrisome for aspiration pneumonia. the left lung remains essentially clear. the venous stents in the right brachiocephalic vein and superior vena cava are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p12456824/s50050827/4f064b7f-8b900b1e-ef5d7060-2444fa61-5d266c26.jpg	in comparison with the study of , the cardiac silhouette is within normal limits. hyperexpansion of the lungs is consistent with chronic pulmonary disease. there is again prominence of interstitial markings, some of which represents elevation of pulmonary venous pressure, while there may be some component of chronic interstitial lung disease. poor definition of the hemidiaphragms is consistent with small pleural effusions an basilar atelectasis bilaterally. there is an area of increased opacification in the left upper zone, also seen previously, that could represent a focus of consolidation. the area of possible increased opacification the upper zone on the right is not definitely seen on the current study, though it could be hidden be hind the first rib.
MIMIC-CXR-JPG/2.0.0/files/p12070948/s59491417/2bb43bd2-87194a29-e9ca0e79-c8c30368-22ab6b61.jpg	decrease in size and amount of fluid within the neoesophagus (prior esophagectomy with gastric pull-through). no evidence of pneumonia.

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normal chest radiographs.

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while atelectasis may explain left basilar opacity in the setting of low lung volumes, similarly decreased lung volumes were present on prior. therefore, this new opacity may represent superimposed infection.

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no evidence of acute disease.

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no evidence of pneumonia. chronic asbestos related pleural plaques. no progressive pleural or pulmonary abnormality.

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no acute intrathoracic abnormality.

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moderate left lower lobe atelectasis and accompanying small left pleural effusion have both improved. cardiomediastinal silhouette has a normal postoperative appearance including small pericardial effusion. there is no pneumothorax or pulmonary edema.

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no acute cardiopulmonary process.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are of all unchanged as well as substantially elevated left hemidiaphragm. ng tube tip is most likely in the stomach.

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mild to moderate pulmonary edema and small right pleural effusion have worsened. large hiatus hernia, transmits at least the stomach, which now occupies greater portion of the left lower chest, displacing the lung. heart size is indeterminate but probably quite large. no pneumothorax.

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there is a right-sided chest tube. there is a tiny right apical pneumothorax similar to the previous study. there is extensive subcutaneous emphysema throughout the chest bilaterally. heart size is within normal limits. surgical clips are seen along the right and left heart borders. atelectasis at the lung bases, right greater than left is again seen.

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no acute cardiopulmonary process. hyperinflation of lungs, suggestive of copd.

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cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces. there are mild degenerative changes of bilateral acromioclavicular joints and of the thoracic spine.

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no acute cardiopulmonary process.

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mild basilar atelectasis. prominence of the hila may relate to underlying pulmonary hypertension.

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no pneumonia.

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eg tube tip is <num> cm above the carinal. ng tube passes below the diaphragm terminating in the stomach. ecmo catheter has been placed. widespread parenchymal opacities are more pronounced than on the prior study.

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in comparison with the study of , there is little change. no evidence of pneumonia, vascular congestion, or pleural effusion.

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in comparison with the study of , there is little overall change. again there are is linear opacifications especially over the lower lungs that could reflect chronic parenchymal scarring or pleural abnormalities, or both. apical scarring is again seen bilaterally. no convincing evidence of acute pneumonia. hyperexpansion of the lungs is consistent with chronic pulmonary disease.

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endotracheal tube in standard position. mild pulmonary vascular congestion. patchy opacities in both lung bases and left upper lobe which may reflect infection or aspiration.

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ap chest compared to : et tube in standard position, nasogastric tube passes into a nondistended stomach and out of view. right pic line ends at the origin of the svc. no pneumothorax or appreciable pleural effusion. heart size top normal. no edema or pneumonia.

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mild pulmonary edema and small bilateral pleural effusions.

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pa and lateral chest compared to through : mild interstitial pulmonary abnormality characterized by septal thickening, increased since , probably mild pulmonary edema, although heart size is only top normal and there is no appreciable pleural effusion. thoracic configuration suggests mild hyperinflation, even though recent chest ct scan does not show emphysema. transvenous right ventricular pacer lead is in standard placement. no pneumothorax or appreciable pleural effusion.

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compared to prior chest radiographs, since , most recently postoperatively on. no pneumothorax pleural effusion or evidence of other postoperative complication. heterogeneous peribronchial opacification predominantly in the lower lobes, and central adenopathy were also present preoperatively. heart size is normal.

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no acute cardiopulmonary process.

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satisfactory placement of right picc line with tip in the cavoatrial junction. no pneumothorax.

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mild pulmonary edema is unchanged. consolidation in the right lower lung which improved between and is stable. cardiomegaly is at least moderate. there is no appreciable pleural effusion. metal device projecting over the right mediastinal border is presumably fragment of retained pacer or pacer defibrillator lead.

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no acute intrathoracic process.

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mild pulmonary edema with severe underlying emphysema.

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linear opacities in the lingula and right middle lobe could be due to infection.

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no acute cardiopulmonary process seen.

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bibasilar opacities concerning for pneumonia with small bilateral pleural effusions. possible mild interstitial edema.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. no free air under the diaphragms.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the earlier study of this date, the left chest tube has been removed and there is some increase in the small apical pneumothorax. otherwise little change.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the study of , there again is enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with the clinical diagnosis of pulmonary edema. in view of the extensive pulmonary changes, it would be very difficult to exclude superimposed pneumonia, especially in the absence of a lateral view.

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normal chest x-ray.

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as compared to the previous radiograph, no relevant change is seen. the patient remains intubated, with the tip of the endotracheal tube projecting approximately <num> cm above the carina. the course of the nasogastric tube is unchanged. lung volumes remain low. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary abnormalities.

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ap chest compared to : both vascular congestion and mild pulmonary edema have improved. moderate-to-severe chronic cardiomegaly has not, and there is still a small volume of bilateral pleural effusion. no pneumothorax.

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no evidence of acute cardiopulmonary process. atelectasis at the left lung base.

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et tube tip is in the mid thoracic trachea. ng tube tip is in the stomach, with the side port near the ge junction. if tube function is suboptimal, consider advancement.

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mild pulmonary vascular congestion is unchanged. no pneumonia.

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retrocardiac opacity concerning for left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.

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moderate cardiomegaly and mild vascular congestion.

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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.

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as compared to chest radiograph, bibasilar opacities have worsened, and may reflect atelectasis with or without coexisting aspiration or aspiration pneumonia. within the imaged upper abdomen, moderate gastric distension persists.

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interval advancement of an enteric tube, now folded in the stomach. endotracheal tube terminating <num> cm from the carina.

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multifocal pneumonia.

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no acute cardiopulmonary process.

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opacities involving the right upper lobe and right middle lobe are not significantly increased. a left lower lobe opacity is improving from the prior study.

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persistent elevation of the right hemidiaphragm. otherwise, no acute cardiopulmonary process.

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left picc line tip is at the level of superior svc. heart size and mediastinum are unchanged. there is interval improvement of interstitial pulmonary edema. there is still present left pleural effusion and left basal consolidation as well as small amount of right pleural fluid. cervical hardware is partially imaged.

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no acute cardiopulmonary disease.

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increasing left apical mass. developing right upper lung consolidation. stable right hemidiaphragmatic elevation with small-to-moderate pleural effusion and associated atelectasis.

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normal postoperative appearance of the mediastinum and right lower lobe atelectasis following esophagectomy and gastric pull-up. upper enteric drainage tube ends at the level of the diaphragm. right pleural and soft neck drains in place. no appreciable pneumothorax. subcutaneous emphysema in the right chest wall and neck, and pneumoperitoneum pneumoperitoneum are expected following abdominal surgery. heart size normal.

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no definite rib fractures are identified. no evidence of pneumothorax.

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as compared to the previous image, the patient has developed a small right-sided pneumothorax. the pneumothorax has a maximum width of approximately <num> cm. there is no evidence of tension. unchanged appearance of the left lung and of the cardiac silhouette.

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subtle opacity in the right lateral lung base is concerning for an early pneumonia.

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no acute intrathoracic process.

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stable hyperinflation of lungs. no focal opacifications. please note chest radiographs are not sensitive for subtle interstitial lung disease or endobronchial lesions. if continued clinical concern, recommend evaluation with hrct.

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likely stable bibasilar opacities, but exam is severely limited by superimposition of external structures. recommend repeat chest radiograph for more optimal evaluation. recommendation(s): repeat chest radiograph without superimposed external structures for more optimal evaluation.

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compared to chest radiographs since most recently. right pic line ends close to the superior cavoatrial junction. lung volumes are lower exaggerating minimal interstitial pulmonary edema. mild cardiomegaly is long-standing. there is no appreciable pleural effusion.

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no evidence of acute cardiopulmonary disease. status post endotracheal intubation. orogastric tube reaching the stomach, although if clinically indicated, advancing the tube by about -<num> cm could be helpful for better seating and to place the sidehole marker within the stomach.

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normal chest radiograph.

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in comparison with the study of , there is retrocardiac opacification consistent with volume loss in the left lower lobe. pulmonary vascular congestion has substantially improved, as have the bilateral pleural effusions. core valve is in place and a temporary right jugular pacer lead extends to the region of the apex of right ventricle.

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moderate left-sided pleural effusion with substantial suspected atelectasis. no evidence for free air.

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no acute cardiopulmonary process.

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right middle and lower lobe are collapsed, more severe than previous atelectasis, accompanied by some, indeterminate volume of right pleural effusion. severe cardiomegaly has worsened, mediastinal and pulmonary vasculature are more engorged, indicating cardiac decompensation.

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in comparison with the earlier study of this date, there is increasing bilateral pulmonary opacifications. although much of this probably reflects increasing pulmonary edema, the possibility of superimposed pneumonia should be considered in the appropriate clinical setting.

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no acute cardiopulmonary process.

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limited study due to low lung volumes. patchy opacities in lung bases likely reflect atelectasis, though infection cannot be excluded in the correct clinical setting.

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comparison to. no relevant change is noted. stable correct position of the monitoring and support devices. moderate to severe cardiomegaly persists but only mild pulmonary edema is present. mild retrocardiac atelectasis. no larger pleural effusions. no pneumothorax. no pneumonia.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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mild cardiomegaly. no acute intrathoracic process.

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in comparison with the earlier study of this date, the opacification in the left upper zone has essentially cleared. the right basilar opacification persists. no definite pneumothorax. the right lung remains essentially clear.

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severe bilateral pulmonary consolidation has improved slightly since. cardiomegaly is severe. pleural effusions are presumed, particularly on the right, but not large. no pneumothorax.

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left basilar atelectasis. no pneumonia.

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in comparison to chest radiograph, support and monitoring devices remain in standard position, and cardiomediastinal contours are within normal limits. lungs are clear except for minimal bibasilar atelectasis. questionable small pleural effusions. no pneumothorax.

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no acute cardiopulmonary process.

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unchanged moderate cardiomegaly. otherwise, no acute cardiopulmonary abnormality.

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normal chest radiograph.

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the overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.

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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are bilateral effusions which are stable. there are lower lung volumes than on the prior study. no pneumothoraces are seen.

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no acute cardiopulmonary abnormality.

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bibasilar opacifications are most consistent with atelectasis.

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small bilateral pleural effusions, right greater than left, with adjacent atelectasis.

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icd in right ventricle.

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compared to prior chest radiographs, through. new feeding tube ends in the stomach, advanced from the fundus to the pylorus. prior pulmonary vascular congestion has improved. heart size top-normal. no pleural abnormality. all

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ap chest compared to through : heterogeneous opacification in the lower lung suggests bilateral bronchopneumonia. upper lungs clear. heart size normal. no appreciable pleural effusion. et tube in standard position, although the cuff is mildly hyperinflated. right jugular line ends in the mid svc and an upper enteric drainage tube is looped in the stomach.

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cardiomegaly without superimposed acute cardiopulmonary process.

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in comparison with the study of , the endotracheal tube remains in position and the tip of the dobhoff tube is in the mid portion of the stomach. the cannula inserted from below appears to extend to the mid to lower portion of the superior vena cava. areas of opacification in the right upper and lower lobes again are worrisome for aspiration pneumonia. the left lung remains essentially clear. the venous stents in the right brachiocephalic vein and superior vena cava are unchanged.

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in comparison with the study of , the cardiac silhouette is within normal limits. hyperexpansion of the lungs is consistent with chronic pulmonary disease. there is again prominence of interstitial markings, some of which represents elevation of pulmonary venous pressure, while there may be some component of chronic interstitial lung disease. poor definition of the hemidiaphragms is consistent with small pleural effusions an basilar atelectasis bilaterally. there is an area of increased opacification in the left upper zone, also seen previously, that could represent a focus of consolidation. the area of possible increased opacification the upper zone on the right is not definitely seen on the current study, though it could be hidden be hind the first rib.

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decrease in size and amount of fluid within the neoesophagus (prior esophagectomy with gastric pull-through). no evidence of pneumonia.