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/p12265028/s55210547/4ef38339-21d6e9fb-105e80d8-4cc424d4-a2908144.jpg	the ng tube passes below the diaphragm terminating in the stomach. rest of the tubes and lines are unchanged as well as the appearance of the lungs but there is interval improvement in the left lower lobe consolidation and persistent right basal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17148127/s51090581/ad78f638-6e988499-40d02052-be0830fd-c2e76b39.jpg	a subtle opacity at the right lung base in the appropriate clinical setting could represent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17649217/s52472162/580b1f53-046ade26-881cc384-ae18cb49-214d6ad9.jpg	endotracheal tube has its tip <num> cm above the carina. right subclavian central line has its tip in the distal svc, unchanged. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. interval reduction of lung volumes with bilateral airspace process which could reflect pulmonary edema. more focal retrocardiac opacity is also again identified which may reflect lower lobe collapse, although pneumonia cannot be entirely excluded. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14681456/s58130829/7176a801-f592ca33-4b2fe071-e9219b13-8a75edda.jpg	no pneumoperitoneum. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10901772/s55721697/074c03c3-3451527a-c519aeb4-da100307-1ec21e35.jpg	combination of widespread interstitial abnormality, probably pulmonary edema and large scale right upper lobe consolidation which worsened between and is slightly worse today. heart is mildly enlarged, unchanged but slightly larger than in. right upper lobe appearance suggests concurrent pneumonia, but occasionally mitral regurgitation can present with pulmonary edema much worse in the right upper lobe than elsewhere. small right pleural effusion is stable. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15497465/s56635300/832011ab-fac3db90-3c04a955-f14a32e2-ccc8f551.jpg	congestive heart failure with mild pulmonary edema, cardiomegaly and small pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p10956814/s57537791/ce4b9107-0e2420d6-f3b13fd0-13e65936-d5c16494.jpg	mild edema. stable mild cardiomegaly. small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13645282/s53247285/a8372382-cb415577-05904be7-52d16b87-8aec63bc.jpg	ng tube tip is in the stomach. cardiomediastinal silhouette is unchanged. bilateral pleural effusions are unchanged as well as bibasal atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18964292/s51688116/3f0484b6-9586545a-c43bffed-7a0d2e8f-792c3930.jpg	small bilateral pleural effusions. pulmonary vascular congestion and mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p17862556/s54130854/94ce85ff-64a14dfb-dd3485ea-c1836424-0f81f0fe.jpg	new bilateral pleural effusions, left greater than right. no evidence of pneumonia. dr was paged at , on the day of the examination, by dr.
MIMIC-CXR-JPG/2.0.0/files/p16236068/s53571742/435914a8-dfb44629-858113a4-15d20d3b-de0bcd9b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14093782/s52778484/a410e785-d114d5e0-5d1a66c3-ab48d42f-4ebfb33b.jpg	as compared to , there is unchanged moderate elevation of the right hemidiaphragm. no larger pleural effusions are currently seen. unchanged appearance of the cardiac silhouette and of the right pectoral pacemaker.
MIMIC-CXR-JPG/2.0.0/files/p16505030/s54349530/aa6c58e0-08e587c7-506a4cae-4e1174ec-21d9ae6c.jpg	bibasilar opacities likely represent a combination of atelectasis and consolidation as can be seen in the setting of aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18143542/s56843095/0e054256-132dd6c1-8888cf53-42c4c8e4-7f0df180.jpg	in comparison with the study of , the monitoring and support devices are stable. the left picc line again is coiled in the region of the left axilla and extends only to the brachiocephalic vein. little overall change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p10011365/s53459647/f6fccc21-ded29731-2a7419a6-961566fe-710630d3.jpg	diffuse bilateral multifocal consolidations have improved. reflects improved component of pulmonary edema superimposed of multifocal pneumonia. cardiac size is top-normal. et tube is in standard position. there is no pneumothorax or enlarging pleural effusions. there is severe s-shaped scoliosis.
MIMIC-CXR-JPG/2.0.0/files/p11040709/s58653785/99cf8715-46845f16-60334cfd-dd1b8273-83bd0b64.jpg	residual left pneumothorax is very small, with a small apical component and a medial component outlining the aortic knob. left pleural drain still in place. bilateral pleural effusions are small to moderate and there is substantial bibasilar atelectasis, not appreciably changed over the past several days. heart is normal size. large lung volumes indicate emphysema. tracheostomy tube in standard placement. right pic line ends in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p19578341/s51276604/28762001-19369be4-e997a1c5-39c61b6a-88610ce1.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18481231/s55759209/c7b7bdb9-14b3300f-62e936f4-36199826-27c2dbbd.jpg	no evidence of a pneumothorax. interval improvement of left lower lobe atelectasis with a residual small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15149227/s51358518/b938f72d-767d9113-469a35f2-bafd70eb-0aa7fe2f.jpg	in comparison with the study of , there again are low lung volumes. cardiac silhouette is within upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14885862/s57739906/25618299-fdcb2e98-2818a0db-66dcd1ba-13d76f8f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18191079/s57709906/f7de76dc-335a960c-0a8616e6-e61bcd82-ecbc26ed.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18698956/s51718389/265ace5a-76636c97-cb3b392e-856dcca4-83f435b6.jpg	no radiographic evidence for chronic granulomatous disease or acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19303239/s56409110/6ebc4294-5d024ed8-ca7ea3f7-71e64324-102b669e.jpg	improving right pneumonia with new bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14605826/s54721606/31b30869-e544fd2d-55b64c61-43f631a4-1db74459.jpg	as compared to the previous radiograph, there is unchanged evidence of a small right apical pneumothorax. the monitoring and support devices are constant. constant diffuse severe bilateral parenchymal opacities. no larger pleural effusions. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p11688671/s51183242/55210afc-f90e0b97-86a5b0ee-38194e75-3b5779a8.jpg	normal radiograph of the chest.
MIMIC-CXR-JPG/2.0.0/files/p18878814/s51883842/56d393df-39166413-1265aec0-d0bdfc41-5c2b2436.jpg	emphysema, scarring, and atelectasis. no evidence pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16177747/s54997809/1c0a05ca-8c8b9f21-fc3e4d98-1264eb95-fbe87193.jpg	cardiomegaly, not significantly changed since prior exams. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19589747/s52174205/cfaef971-cb60c598-2af79dd3-f3bbce4c-0c45069c.jpg	no evidence of acute intrathoracic injury.
MIMIC-CXR-JPG/2.0.0/files/p18417736/s51770298/75fb592f-fa339a63-a4fe782e-d03e7558-cbf162f0.jpg	mild cardiomegaly and moderate pulmonary edema. small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg	pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15353701/s55788114/d7de7767-13e301af-5bdd565f-ca94a020-affacdb6.jpg	in comparison to recent radiograph of <num> day earlier, right internal jugular catheter is been removed, with no visible pneumothorax. large right and moderate left layering pleural effusions appear increased compared to prior study, but positional differences limit comparison. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p15107347/s54330506/69d64071-2780539f-75d87902-19d63fc4-491c23f5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17041931/s50681821/4c1e1ec5-4c372617-40f0f54c-05ccd7d2-bc2b8490.jpg	in comparison with the study of , there again is extensive enlargement of the cardiac silhouette with triple lead pacer with unchanged position. moderate asymmetric pulmonary edema is again seen. opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe. no definite evidence of amiodarone related toxicity, though in view of the extensive pulmonary changes it would be difficult to detect basilar interstitial prominence.
MIMIC-CXR-JPG/2.0.0/files/p16893529/s53099209/5a891f66-8b84f0ec-d3888a52-75125831-d22dc0b5.jpg	highly limited exam by body habitus and underpenetration. severe cardiomegaly. no definite pulmonary pathology. please refer to subsequent ct abd/pelvis for additional details.
MIMIC-CXR-JPG/2.0.0/files/p15187487/s53945155/845dbe09-60b23e8a-ea4f7a81-4c73113d-656e1cc6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13073758/s54804416/6a80520c-7dff10eb-4ce1cc90-f6ac5b38-849bb8a5.jpg	right lung base opacity, consistent with pneumonia or atelectasis. retrocardiac density, most compatible with a hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p18198177/s50044223/d8e587f5-6711a203-2789b089-9fdee724-8a95e69e.jpg	small left-sided effusion.
MIMIC-CXR-JPG/2.0.0/files/p12238407/s58328113/cdb79ed0-534d7a81-0215d63a-32a4dc3e-072550f2.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are unchanged. distension of the azygos vein is re- demonstrated and although potentially might represent vasculature engorgement, lymphadenopathy in this location cannot be excluded and giving the persistence of this finding, correlation with chest ct is justified. bibasal opacities are present and currently there is more nodular appearance in the left lower lobe again would be justified to assess with chest ct.
MIMIC-CXR-JPG/2.0.0/files/p16745340/s56980527/54bf7b34-629ecd73-f9f5aab9-cb547277-5a8b9865.jpg	there no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. there is no pleural effusion. there is greater lucency at the periphery of the right lung compared to the left, and although there is no discrete pleural line, there could be pneumothorax. the preliminary interpretation performed when the patient was receiving medical attention in the emergency department did not mention this finding. recommendation(s): repeat chest radiographs, supplemented by expiratory frontal view if there is still concern for pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p18381400/s59671378/fe5bdad8-a78de8fe-22f82474-d1b6a1fb-0db2e72c.jpg	nasogastric tube in good position. stable left small pleural effusion and adjacent atelectasis. mild pulmonary vascular congestion without overt interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p19986715/s58966827/0acdc445-afc389b5-ebc775b1-44097ed8-2dd24e3f.jpg	duct of tube tip is in the stomach. heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p15663758/s55542693/bc0ece12-031b1a27-a6c66f9f-a49b4456-3aba5138.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15280028/s50405281/7cbd8d8e-8265f9a2-685a047d-766df7b4-ef8e92c3.jpg	interval improvement. no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p19741755/s54607557/8dde4c35-c992d674-97d4d850-a96b2caf-4ca90b73.jpg	no evidence of malignancy on chest x-ray however if patient is qualified, recommend further evaluation with chest ct. emphysematous changes. pulmonary hypertension likely secondary to copd.
MIMIC-CXR-JPG/2.0.0/files/p11679585/s57271402/ba85e4d1-c02dcd1a-5de61239-20f752e6-6acc0348.jpg	no free air seen below the diaphragm. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10296921/s50926840/fcfc7794-921945b9-6ec81cb4-ff7afe0f-f7b2e555.jpg	in comparison with the study of , the dobhoff tube has been pushed forward so that the tip lies in the region of the antrum. the tube initially appears to extend to the distal stomach, be for looping on itself to extend to the fundus and than the looping on itself again with the tip in the distal stomach. substantial right pleural effusion is again seen.
MIMIC-CXR-JPG/2.0.0/files/p14835486/s51708873/04f96005-54402c76-147e0ae4-1527e07b-bb4999ad.jpg	chronic scarring within the right lung base without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16496388/s57666426/1c6c6303-175c384c-21147f5e-301658c2-31e5a32c.jpg	mild cardiomegaly with no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14151671/s59268920/093a0897-b3fee42a-36684611-89cb6f2f-29caf6fb.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15104675/s59605888/e8fce122-f2726afc-b3235c76-3993c273-891d6eac.jpg	in comparison with the study of , there is probably mild increase in the left pleural effusion with compressive atelectasis at the base, although this could merely be related to change in patient position. otherwise, little change.
MIMIC-CXR-JPG/2.0.0/files/p18583363/s59807761/32ac7762-ccb7ed9e-c95a4934-529ef0e2-595f6251.jpg	no evidence of acute cardiopulmonary process. allowing for decreased lung volumes grossly stable chronic interstitial disease and emphysema.
MIMIC-CXR-JPG/2.0.0/files/p11766045/s50855930/ed7c6d6e-ac2296a5-fffc29c1-791dbf3b-344a4824.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15308316/s53785701/5cedbada-6ebb443a-21ec3439-cc105f8c-7e581c88.jpg	mild bibasilar opacities, left greater than right, which could represent atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17808216/s53402515/eab6d1dc-e1b1976f-1967b18c-e0eaceeb-073e8806.jpg	as compared to the previous radiograph, signs of mild pulmonary edema have overall decreased in severity. however, there are new parenchymal opacities with air bronchograms at the bases of the left lung. this could be infectious in origin. calcified pleural plaques are present. moderate cardiomegaly. clips projecting over the right hilus. the presence of small pleural effusions is likely. performance of a repeat radiograph after diuresis is recommended to further evaluate potential pleural changes and the morphology at the right postoperative hilus.
MIMIC-CXR-JPG/2.0.0/files/p17155697/s51843981/818639b9-4c334faa-9fa8be97-75fd8538-0dd44586.jpg	stable post-operative chest findings.
MIMIC-CXR-JPG/2.0.0/files/p10718501/s56453130/efd4e544-f3f1c2a6-0e346fee-3a91aac0-e6a31fc8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15796056/s57936942/097a3913-5ed6b8a1-603e3271-8a1de2d8-54497091.jpg	low-lying endotracheal tube, terminating <num> cm above the carina. mild pulmonary vascular congestion, with small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14744254/s57600202/26dd7e95-cc2d0202-ee3bb3d1-543cfe30-b3b9e678.jpg	unremarkable chest radiographic examination. no evidence of subdiaphragmatic free air.
MIMIC-CXR-JPG/2.0.0/files/p18785670/s57885868/b1e8e169-deb5ed1e-bac1df33-1ebfcdf0-c1e07e67.jpg	as compared to the previous radiograph, the course of the nasogastric tube is unchanged. the tip is not included on the image, the course of the device is unremarkable. no pneumothorax. normal size of the cardiac silhouette. normal position of the pacemaker leads.
MIMIC-CXR-JPG/2.0.0/files/p11372027/s58646264/63be7b16-e126dd65-52d923b6-6259ebb5-c8c01d5b.jpg	no evidence of acute injury.
MIMIC-CXR-JPG/2.0.0/files/p10670966/s57599813/5fbea29f-564e04de-53202572-fc873a6e-47a0b147.jpg	top normal to mildly enlarged cardiac silhouette without overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15743148/s56076913/b97ace91-58b772b1-2e899e4f-fe7dca91-7956e6ca.jpg	bibasilar patchy atelectasis superimposed upon a background of chronic interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p19020115/s55856318/5ee8d2b7-54f2b88e-560e93b3-450e439d-5b3ac5fe.jpg	in comparison with the study of this and placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube again extends to the upper to mid stomach. cardiac silhouette is within normal limits and there is no appreciable vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16993110/s50735495/36a00097-3a4b02d6-0f71f485-d6fa5956-2d7f8ab1.jpg	left upper lobe and left lower lobe pneumonia. recommend followup radiograph after treatment to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p10215095/s58447474/337a0d87-a9ff923b-703540ef-d506d6a9-5f7fccf6.jpg	compared to chest radiographs since , most recently. right basal atelectasis and small right pleural effusion have increased periods severe chronic cardiomegaly is unchanged. pulmonary vasculature is mildly engorged, but there is no edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17675016/s54685653/32808b9f-a6808f21-dfec6424-5d94b0bf-2f7af988.jpg	ap chest compared to : mild pulmonary edema and severe left lower lobe atelectasis are unchanged. the heart is enlarged and mediastinal veins dilated, probably indicating a volume overload. small bilateral pleural effusions are present. right pleural drain unchanged in the apex. no appreciable pneumothorax. the position of the tracheostomy tube with regard to the trachea is indeterminate because the airway is not clearly identified.
MIMIC-CXR-JPG/2.0.0/files/p19647041/s54660985/c4221a25-d6f8d8cc-9a2c7322-75d8405b-1d10e852.jpg	interval improvement of the right basilar opacity. stable small right pleural effusion. stable lower left lung atelectasis and small pleural effusion. no evidence of worsening or new focal consolidations.
MIMIC-CXR-JPG/2.0.0/files/p18854374/s52501050/921adc41-381b0481-88470674-e34f492a-ae617f2d.jpg	no pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19566772/s59935370/e0a464d4-a4997ae4-22825605-3dd54a23-563ff1e1.jpg	et and enteric tubes in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p19395626/s56327634/2125ec1c-15b59aff-08752cb9-ba5b9000-e7870fa5.jpg	no evidence of pneumonia. possible small pleural effusion is seen on the lateral view only, side indeterminate.
MIMIC-CXR-JPG/2.0.0/files/p10705459/s59860588/9e2a7174-1e3a05bf-9ed0c56f-c69f6148-8f920872.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17827425/s58244942/777d3d6e-d2217014-88e35cfe-8a836ca4-a6419fff.jpg	metastatic lung cancer without evidence of underlying acute process. stable small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14283371/s57448983/5303dfdf-0986278a-d7640d43-d037d4e2-bfcf7d4e.jpg	right apical opacity corresponds to known extrapulmonary disease extension as seen on the prior pet-ct. unchanged fullness of the right hilum corresponding to known mass. no new focal consolidation to suggest pneumonia and no pneumothorax identified.
MIMIC-CXR-JPG/2.0.0/files/p18574585/s58181978/a34148ca-ff50f09e-05b22f5c-f3462add-bd0d3d44.jpg	persistent right upper lobe collapse and less severe left upper lobe atelectasis around central tumors. bilateral large pleural effusions have slightly increased in size since the prior exam. no new consolidation to suggest a new pneumonia. numerous small lung metastases.
MIMIC-CXR-JPG/2.0.0/files/p18274437/s54747199/4838b6fb-4ae54a82-44cd970b-da5fa6cf-f2bffe89.jpg	no acute cardiopulmonary process although study limited by underpenetration.
MIMIC-CXR-JPG/2.0.0/files/p12064183/s50760736/f3f6245e-9ec309fe-1c7f990e-03a33608-4bb3ee87.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15894036/s53933040/a0441b02-42076eb5-21ca36ac-9476843d-785baa47.jpg	in comparison with the study of , the endotracheal tube has been pulled back so that the tip now lies approximately <num> cm above the carina. there is substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions. its the left hemidiaphragm is completely obscured, consistent with substantial volume loss in the left lower lobe. monitoring and support devices are otherwise unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13070145/s55873211/3c488e4d-24efd85e-e0dc82f0-a004cc1a-dbf3fae8.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p12004822/s56803143/1e09f142-62ad9b89-5e1f8d7f-a780d308-d867e9f0.jpg	subtle right upper lobe opacity could represent pneumonia. consider lordotic views if possible, or short interval followup radiograph following treatment for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12112745/s52046003/570b6677-dbd95d59-14415bc1-ec3291ca-ef40abba.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17427285/s57895303/cd89998e-8dff6490-cf22aacb-53b693f0-dc962493.jpg	moderate right pleural effusion with probable significant associated atelectasis. any concurrent infection is possible in the appropriate clinical situation and can not be well assessed in the setting of an effusion.
MIMIC-CXR-JPG/2.0.0/files/p17810617/s59001861/168879e8-9b4ad98e-3599baa5-e8a99167-4e96d19f.jpg	large hiatal hernia with no sign of consolidation/aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18948084/s56661310/133d9a3e-ab5a90a6-080060ca-cddd33f0-57cd0bb2.jpg	worsening pulmonary vascular congestion and interstitial edema, with enlarged moderate right pleural effusion. possible pericardial effusion.
MIMIC-CXR-JPG/2.0.0/files/p18012429/s51001738/646febc9-79e0434c-786feb0b-8c2b534c-a6d13ae4.jpg	small right apical pneumothorax post biopsy.
MIMIC-CXR-JPG/2.0.0/files/p14687797/s56315578/ed75a1a6-1e9abac8-cf5f7eb9-de9a73cc-0997cae4.jpg	no acute intrathoracic abnormality. no focal opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15243738/s56191356/1ffca31b-20a20e58-657f951d-2ce8d01f-5b70d7e2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16600921/s55230437/4d469335-3a3b6cf4-65d01d05-d6ddedc1-76c38457.jpg	ap chest compared to : mild pulmonary edema and small right pleural effusion is new, pulmonary vascular congestion is more pronounced, and moderate cardiomegaly is stable. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17117850/s58943980/0c72c342-a0b11e6f-b51498c5-53ee3802-b24e3906.jpg	heart is mildly enlarged but the pulmonary vasculature is normal and there is no edema or pleural effusion. lungs are clear of focal abnormality or other evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10144359/s51101501/3da3a8d1-1d04bff6-c84d0002-6d8a5c3c-62a17713.jpg	low lung volumes with patchy opacities in the lung bases most likely reflective of atelectasis. infection, particularly atypical pneumonia however, is not completely excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg	ap chest compared to : collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. a pleurx catheter projects over the right diaphragmatic region. right picc line ends in the upper svc. no pneumothorax on the left.
MIMIC-CXR-JPG/2.0.0/files/p15995784/s50223477/f40d18d4-2c6bc360-56e60d82-b4fbfe40-ce254b8b.jpg	interval resolution of the previously noted left perihilar opacity.
MIMIC-CXR-JPG/2.0.0/files/p13192224/s55621489/55be6933-f6311447-c4423668-3850a942-05fb0d2a.jpg	comparison to. no relevant change. the parenchymal opacity at the right lung basis and in the right perihilar areas is stable in severity. no cardiomegaly. low lung volumes persist. monitoring and support devices are in stable correct position.
MIMIC-CXR-JPG/2.0.0/files/p15689523/s57058286/57a726ab-a9678c14-b4988cef-b4f0a1fb-0844e76a.jpg	tracheostomy is in place. right picc line and right central venous line are in unchanged location. cardiomediastinal silhouette is stable. parenchymal opacities have improved most likely consistent with decrease in pulmonary edema. calcified mediastinal lymph nodes are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19361508/s51773860/fa0d0310-716cd5eb-1af69378-9f1ed2f7-2c35844b.jpg	unchanged right apical pneumothorax with chest tube in place. unchanged subcutaneous emphysema.
MIMIC-CXR-JPG/2.0.0/files/p12860576/s56244494/d8f1ac41-9e9af65a-436664dc-0b2192fc-33a4d4d5.jpg	no acute intrathoracic process with unchanged blunting of the costophrenic sulci due to pleural thickening or trace effusions. sensitivity for chest radiographs is low for incisional herniae. consider cross-sectional imaging if diagnostic uncertainty persists.
MIMIC-CXR-JPG/2.0.0/files/p15482660/s50238304/ac614066-e1f2ce6e-eb75344b-25240c8c-04758dcb.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p14814421/s50039363/d8b47c1a-c2383c63-03b7502e-e46835eb-4917cf61.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19624082/s53820586/2bcbc0f4-4790a472-4116b5da-f755a3e1-a8daaa9b.jpg	there is new platelike atelectasis of the base of the left lung. mild interstitial abnormality which it developed between and has improved. no evidence of new infection. heart size normal. no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10692509/s56425809/2c6c011b-7f29a9c7-060d5031-2afd7608-8f312ba3.jpg	no acute cardiopulmonary process. left upper lung nodular opacity on the frontal view not seen on prior may represent underlying lung nodule and dedicated nonurgent chest ct is suggested if further evaluation for possible nodule is desired.
MIMIC-CXR-JPG/2.0.0/files/p19520616/s57270300/de56e5dd-fd1d6237-ead1bdc1-2f0c64ab-6681b164.jpg	no focal consolidation concerning for pneumonia.

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the ng tube passes below the diaphragm terminating in the stomach. rest of the tubes and lines are unchanged as well as the appearance of the lungs but there is interval improvement in the left lower lobe consolidation and persistent right basal consolidation.

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a subtle opacity at the right lung base in the appropriate clinical setting could represent pneumonia.

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endotracheal tube has its tip <num> cm above the carina. right subclavian central line has its tip in the distal svc, unchanged. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. interval reduction of lung volumes with bilateral airspace process which could reflect pulmonary edema. more focal retrocardiac opacity is also again identified which may reflect lower lobe collapse, although pneumonia cannot be entirely excluded. no pneumothorax.

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no pneumoperitoneum. no acute cardiopulmonary process.

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combination of widespread interstitial abnormality, probably pulmonary edema and large scale right upper lobe consolidation which worsened between and is slightly worse today. heart is mildly enlarged, unchanged but slightly larger than in. right upper lobe appearance suggests concurrent pneumonia, but occasionally mitral regurgitation can present with pulmonary edema much worse in the right upper lobe than elsewhere. small right pleural effusion is stable. no pneumothorax.

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congestive heart failure with mild pulmonary edema, cardiomegaly and small pleural effusions

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mild edema. stable mild cardiomegaly. small pleural effusions.

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ng tube tip is in the stomach. cardiomediastinal silhouette is unchanged. bilateral pleural effusions are unchanged as well as bibasal atelectasis.

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small bilateral pleural effusions. pulmonary vascular congestion and mild interstitial edema.

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new bilateral pleural effusions, left greater than right. no evidence of pneumonia. dr was paged at , on the day of the examination, by dr.

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no acute cardiopulmonary process.

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as compared to , there is unchanged moderate elevation of the right hemidiaphragm. no larger pleural effusions are currently seen. unchanged appearance of the cardiac silhouette and of the right pectoral pacemaker.

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bibasilar opacities likely represent a combination of atelectasis and consolidation as can be seen in the setting of aspiration.

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in comparison with the study of , the monitoring and support devices are stable. the left picc line again is coiled in the region of the left axilla and extends only to the brachiocephalic vein. little overall change in the appearance of the heart and lungs.

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diffuse bilateral multifocal consolidations have improved. reflects improved component of pulmonary edema superimposed of multifocal pneumonia. cardiac size is top-normal. et tube is in standard position. there is no pneumothorax or enlarging pleural effusions. there is severe s-shaped scoliosis.

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residual left pneumothorax is very small, with a small apical component and a medial component outlining the aortic knob. left pleural drain still in place. bilateral pleural effusions are small to moderate and there is substantial bibasilar atelectasis, not appreciably changed over the past several days. heart is normal size. large lung volumes indicate emphysema. tracheostomy tube in standard placement. right pic line ends in the mid svc.

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no evidence of acute cardiopulmonary disease.

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no evidence of a pneumothorax. interval improvement of left lower lobe atelectasis with a residual small left pleural effusion.

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in comparison with the study of , there again are low lung volumes. cardiac silhouette is within upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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no acute cardiopulmonary process.

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no pneumonia.

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no radiographic evidence for chronic granulomatous disease or acute cardiopulmonary process.

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improving right pneumonia with new bilateral pleural effusions.

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as compared to the previous radiograph, there is unchanged evidence of a small right apical pneumothorax. the monitoring and support devices are constant. constant diffuse severe bilateral parenchymal opacities. no larger pleural effusions. normal size of the cardiac silhouette.

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normal radiograph of the chest.

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emphysema, scarring, and atelectasis. no evidence pneumonia.

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cardiomegaly, not significantly changed since prior exams. no focal consolidation.

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no evidence of acute intrathoracic injury.

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mild cardiomegaly and moderate pulmonary edema. small right pleural effusion.

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pulmonary edema.

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in comparison to recent radiograph of <num> day earlier, right internal jugular catheter is been removed, with no visible pneumothorax. large right and moderate left layering pleural effusions appear increased compared to prior study, but positional differences limit comparison. no other relevant change.

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no acute cardiopulmonary process.

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in comparison with the study of , there again is extensive enlargement of the cardiac silhouette with triple lead pacer with unchanged position. moderate asymmetric pulmonary edema is again seen. opacification at the left base is consistent with pleural fluid and volume loss in the left lower lobe. no definite evidence of amiodarone related toxicity, though in view of the extensive pulmonary changes it would be difficult to detect basilar interstitial prominence.

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highly limited exam by body habitus and underpenetration. severe cardiomegaly. no definite pulmonary pathology. please refer to subsequent ct abd/pelvis for additional details.

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no acute cardiopulmonary abnormality.

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right lung base opacity, consistent with pneumonia or atelectasis. retrocardiac density, most compatible with a hiatal hernia.

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small left-sided effusion.

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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 unchanged. distension of the azygos vein is re- demonstrated and although potentially might represent vasculature engorgement, lymphadenopathy in this location cannot be excluded and giving the persistence of this finding, correlation with chest ct is justified. bibasal opacities are present and currently there is more nodular appearance in the left lower lobe again would be justified to assess with chest ct.

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there no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. there is no pleural effusion. there is greater lucency at the periphery of the right lung compared to the left, and although there is no discrete pleural line, there could be pneumothorax. the preliminary interpretation performed when the patient was receiving medical attention in the emergency department did not mention this finding. recommendation(s): repeat chest radiographs, supplemented by expiratory frontal view if there is still concern for pneumothorax

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nasogastric tube in good position. stable left small pleural effusion and adjacent atelectasis. mild pulmonary vascular congestion without overt interstitial edema.

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duct of tube tip is in the stomach. heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is seen.

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no radiographic evidence of pneumonia.

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interval improvement. no pneumothorax

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no evidence of malignancy on chest x-ray however if patient is qualified, recommend further evaluation with chest ct. emphysematous changes. pulmonary hypertension likely secondary to copd.

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no free air seen below the diaphragm. no acute cardiopulmonary process.

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in comparison with the study of , the dobhoff tube has been pushed forward so that the tip lies in the region of the antrum. the tube initially appears to extend to the distal stomach, be for looping on itself to extend to the fundus and than the looping on itself again with the tip in the distal stomach. substantial right pleural effusion is again seen.

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chronic scarring within the right lung base without acute cardiopulmonary process.

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mild cardiomegaly with no acute cardiopulmonary process.

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no acute intrathoracic abnormality.

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in comparison with the study of , there is probably mild increase in the left pleural effusion with compressive atelectasis at the base, although this could merely be related to change in patient position. otherwise, little change.

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no evidence of acute cardiopulmonary process. allowing for decreased lung volumes grossly stable chronic interstitial disease and emphysema.

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no acute cardiopulmonary process.

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mild bibasilar opacities, left greater than right, which could represent atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting.

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as compared to the previous radiograph, signs of mild pulmonary edema have overall decreased in severity. however, there are new parenchymal opacities with air bronchograms at the bases of the left lung. this could be infectious in origin. calcified pleural plaques are present. moderate cardiomegaly. clips projecting over the right hilus. the presence of small pleural effusions is likely. performance of a repeat radiograph after diuresis is recommended to further evaluate potential pleural changes and the morphology at the right postoperative hilus.

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stable post-operative chest findings.

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no acute cardiopulmonary abnormality.

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low-lying endotracheal tube, terminating <num> cm above the carina. mild pulmonary vascular congestion, with small left pleural effusion.

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unremarkable chest radiographic examination. no evidence of subdiaphragmatic free air.

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as compared to the previous radiograph, the course of the nasogastric tube is unchanged. the tip is not included on the image, the course of the device is unremarkable. no pneumothorax. normal size of the cardiac silhouette. normal position of the pacemaker leads.

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no evidence of acute injury.

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top normal to mildly enlarged cardiac silhouette without overt pulmonary edema.

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bibasilar patchy atelectasis superimposed upon a background of chronic interstitial lung disease.

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in comparison with the study of this and placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube again extends to the upper to mid stomach. cardiac silhouette is within normal limits and there is no appreciable vascular congestion, pleural effusion, or acute focal pneumonia.

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left upper lobe and left lower lobe pneumonia. recommend followup radiograph after treatment to document resolution.

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compared to chest radiographs since , most recently. right basal atelectasis and small right pleural effusion have increased periods severe chronic cardiomegaly is unchanged. pulmonary vasculature is mildly engorged, but there is no edema. no pneumothorax.

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ap chest compared to : mild pulmonary edema and severe left lower lobe atelectasis are unchanged. the heart is enlarged and mediastinal veins dilated, probably indicating a volume overload. small bilateral pleural effusions are present. right pleural drain unchanged in the apex. no appreciable pneumothorax. the position of the tracheostomy tube with regard to the trachea is indeterminate because the airway is not clearly identified.

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interval improvement of the right basilar opacity. stable small right pleural effusion. stable lower left lung atelectasis and small pleural effusion. no evidence of worsening or new focal consolidations.

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no pneumonia

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et and enteric tubes in appropriate position.

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no evidence of pneumonia. possible small pleural effusion is seen on the lateral view only, side indeterminate.

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no acute intrathoracic process.

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metastatic lung cancer without evidence of underlying acute process. stable small left pleural effusion.

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right apical opacity corresponds to known extrapulmonary disease extension as seen on the prior pet-ct. unchanged fullness of the right hilum corresponding to known mass. no new focal consolidation to suggest pneumonia and no pneumothorax identified.

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persistent right upper lobe collapse and less severe left upper lobe atelectasis around central tumors. bilateral large pleural effusions have slightly increased in size since the prior exam. no new consolidation to suggest a new pneumonia. numerous small lung metastases.

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no acute cardiopulmonary process although study limited by underpenetration.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the endotracheal tube has been pulled back so that the tip now lies approximately <num> cm above the carina. there is substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions. its the left hemidiaphragm is completely obscured, consistent with substantial volume loss in the left lower lobe. monitoring and support devices are otherwise unchanged.

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no acute intrathoracic abnormalities identified.

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subtle right upper lobe opacity could represent pneumonia. consider lordotic views if possible, or short interval followup radiograph following treatment for pneumonia.

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no evidence of acute cardiopulmonary process.

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moderate right pleural effusion with probable significant associated atelectasis. any concurrent infection is possible in the appropriate clinical situation and can not be well assessed in the setting of an effusion.

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large hiatal hernia with no sign of consolidation/aspiration.

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worsening pulmonary vascular congestion and interstitial edema, with enlarged moderate right pleural effusion. possible pericardial effusion.

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small right apical pneumothorax post biopsy.

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no acute intrathoracic abnormality. no focal opacity concerning for pneumonia.

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no acute cardiopulmonary process.

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ap chest compared to : mild pulmonary edema and small right pleural effusion is new, pulmonary vascular congestion is more pronounced, and moderate cardiomegaly is stable. no pneumothorax.

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heart is mildly enlarged but the pulmonary vasculature is normal and there is no edema or pleural effusion. lungs are clear of focal abnormality or other evidence of pneumonia.

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low lung volumes with patchy opacities in the lung bases most likely reflective of atelectasis. infection, particularly atypical pneumonia however, is not completely excluded in the correct clinical setting.

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ap chest compared to : collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. a pleurx catheter projects over the right diaphragmatic region. right picc line ends in the upper svc. no pneumothorax on the left.

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interval resolution of the previously noted left perihilar opacity.

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comparison to. no relevant change. the parenchymal opacity at the right lung basis and in the right perihilar areas is stable in severity. no cardiomegaly. low lung volumes persist. monitoring and support devices are in stable correct position.

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tracheostomy is in place. right picc line and right central venous line are in unchanged location. cardiomediastinal silhouette is stable. parenchymal opacities have improved most likely consistent with decrease in pulmonary edema. calcified mediastinal lymph nodes are unchanged.

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unchanged right apical pneumothorax with chest tube in place. unchanged subcutaneous emphysema.

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no acute intrathoracic process with unchanged blunting of the costophrenic sulci due to pleural thickening or trace effusions. sensitivity for chest radiographs is low for incisional herniae. consider cross-sectional imaging if diagnostic uncertainty persists.

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no acute findings.

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no acute cardiopulmonary process.

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there is new platelike atelectasis of the base of the left lung. mild interstitial abnormality which it developed between and has improved. no evidence of new infection. heart size normal. no pleural effusion.

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no acute cardiopulmonary process. left upper lung nodular opacity on the frontal view not seen on prior may represent underlying lung nodule and dedicated nonurgent chest ct is suggested if further evaluation for possible nodule is desired.

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no focal consolidation concerning for pneumonia.