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/p12368969/s57075647/3771fd38-95eccd2f-4980f733-02cbe8db-ba7cc38b.jpg	no acute cardiopulmonary abnormality. emphysema.
MIMIC-CXR-JPG/2.0.0/files/p10546701/s50506856/75a75994-a91f2740-1b47c031-21a68bbf-97408c18.jpg	new bilateral heterogeneous opacities are likely a combination of atelectasis, aspiration or pneumonia. clinical correlation is requested. no pneumothorax detected. no pneumomediastinum identified. small density in the left upper abdomen adjacent to the spine is compatible with the previously described barium focus. additional contrast noted in in the upper abdomen likely lies within the stomach.
MIMIC-CXR-JPG/2.0.0/files/p11398755/s53909142/05b81588-3d84de39-527e6079-d3e72209-da6179f4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12918606/s57350133/7299631a-f2a2babb-f17ff355-2b01f81b-e5455569.jpg	the lung volumes are low. bilateral pleural effusions, left more than right, with subsequent areas of atelectasis at the lung bases. borderline size of the cardiac silhouette. no overt pulmonary edema. no pneumonia. scoliosis of the thoracic spine causes asymmetry of the ribcage.
MIMIC-CXR-JPG/2.0.0/files/p19131752/s56132868/18ff2d32-9e50c490-1aa35fda-d855265a-e8c59360.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13186655/s53014011/e4785faa-31608cc5-af7566c5-67055a49-1dc81354.jpg	mild left base atelectasis/scarring. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10521666/s51014533/d561bf15-e9b7d4be-7757d135-4f3077ad-d2c16112.jpg	in comparison with the study of , there again are large layering pleural effusions with compressive basilar atelectasis. the endotracheal tube lies at the clavicular level, with the tip approximately <num> cm above the carina. left brachiocephalic catheter is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16183583/s57365548/9d4336cb-16b5d0aa-5e1681e8-59fc3dc8-4082e951.jpg	left chest tube has been discontinued. subcutaneous air appears to be unchanged. left retrocardiac consolidation is noted, overall unchanged since the prior study. small left apical pneumothorax is present. left picc line tip is at the level of lower svc. right basal atelectasis is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15133070/s52234929/de7b6b25-fad89f1c-47e48f63-110b5dc9-a0dc460b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15502354/s53588961/2933db76-303fcb8b-e3ea49c6-50956105-aced1127.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12328467/s59110865/1f00d642-1d3e2ec1-9861c785-8d221ec2-f47932c2.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the cardiac silhouette is within normal limits in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. clips in the lower neck suggest previous thyroid surgery.
MIMIC-CXR-JPG/2.0.0/files/p19214405/s54017402/00688c4b-cfaea97e-2a215257-8b5cd24b-5351db12.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p12661994/s59424586/f1f5325e-b6cee687-b01c9348-cba9a9ba-c3a79d6a.jpg	endotracheal tube tip is <num> cm above the carina. nasogastric tube tip is difficult to visualize due to technical factors. there is a central line on the right and the tip is in the svc. there is no pneumothorax. there is cardiomegaly and pulmonary edema. there is elevation of the right hemidiaphragm and there is a right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10483660/s53575653/3fb3aa28-4640bd6a-0ff91f51-fe4e392c-586ff4c9.jpg	pulmonary edema. cannot exclude underlying pneumonia. followup to resolution is recommended.
MIMIC-CXR-JPG/2.0.0/files/p10989303/s50648091/7f431ed2-9638bcb3-0fa71102-6a12967d-d78850e0.jpg	bilateral airspace opacities are similar to slightly worse when compared to the prior study appear, particularly in the right mid and lower lung.
MIMIC-CXR-JPG/2.0.0/files/p13187609/s59039000/f44159f8-4d754266-0a658159-3a16b19d-1991d84b.jpg	compared to chest radiographs through. large right pleural effusion minimally smaller. no pneumothorax. right lower lobe is substantially atelectatic. left lung grossly clear. left pleural effusion small. heart size normal. right pic line has been repositioned, now ending in the upper svc. transvenous right atrial right ventricular pacer leads are continuous from the left pectoral generator.
MIMIC-CXR-JPG/2.0.0/files/p19170210/s55998625/36f02b07-a784f053-cf69b3eb-a7c00766-49369faa.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17490877/s57351639/7d463058-6aa8d7c7-80dd514c-32660d53-9811d6ed.jpg	no comparison. mild elevation of the left hemidiaphragm. minimal right basilar atelectasis. no pneumonia, no pulmonary edema, no pleural effusions. mild elongation of the descending aorta.
MIMIC-CXR-JPG/2.0.0/files/p19993951/s58361190/d8226252-2e2192be-59cb84c2-e1f0f9a9-4b3cf858.jpg	cardiomegaly without pulmonary edema or other acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18279119/s53756114/4d20ac50-c23159d8-827a4a79-c4b79d5c-8227a422.jpg	pulmonary vascular congestion and bibasilar atelectasis with no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10950205/s59348127/a953020e-3c121e91-78036d9b-f539908d-dc68961d.jpg	right picc line tip is in the proximal right atrium, still <num> distal and should be pulled back approximately <num> cm. there is interval increase in bilateral pleural effusions. similar to is mild vascular congestion and minimal interstitial pulmonary edema. infectious process cannot be excluded in this clinical setup and radiographic appearance. slightly increased retrocardiac opacity is likely a combination of pulmonary edema and atelectasis, without definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16437473/s50428877/8317060d-42e3d4c3-bbe6c05e-7c50d973-6e1842ae.jpg	heterogeneous right middle lobe opacity could represent atelectasis or developing infection. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11266580/s51060244/f89e5b0b-d08e4181-cb38dbbb-afdbe795-e01ab0ca.jpg	no acute cardiopulmonary abnormality. no displaced fractures noted.
MIMIC-CXR-JPG/2.0.0/files/p16621926/s53220849/7278e6da-a1c9cabe-14e39089-76411dbf-857179b8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14065960/s54364029/578cab6b-5bff7ba2-c7a3d850-1580bd80-735b90ab.jpg	healing left sixth rib fracture. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19375763/s55007380/7d3e94ad-c3fd28f2-ecdb42ea-4c8f82f0-9858f382.jpg	prior right pneumonectomy. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10013643/s58785837/7d3d7074-431e6b99-d396d1dd-1724eeac-fb16946c.jpg	previous mild pulmonary edema resolved. small bilateral pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p14690648/s56335795/ec69ebcc-246a628d-c98baa30-b83034eb-113d280c.jpg	endotracheal tube should be withdrawn to a better position.
MIMIC-CXR-JPG/2.0.0/files/p12976207/s59806686/2209ff9d-5b2dca4b-d3ba311b-c7d4abfa-34fc6d50.jpg	bilateral lower lobe consolidation consistent with pneumonia. the previously described right basilar ring shadow is not identified on today's radiographs.
MIMIC-CXR-JPG/2.0.0/files/p12283783/s54654056/d1f7e47f-393f2712-13511008-95883a6f-600b04f7.jpg	streaky bibasilar opacities most likely atelectasis. otherwise no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15127113/s50299679/067c7d67-a156f51a-ebd320ae-59381cc9-dbc7db57.jpg	right internal jugular central venous catheter tip at the junction of the svc and proximal right atrium. no pneumothorax. nondisplaced right <num>st rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p11128113/s56681396/c054433b-1cca8dd5-e86b6293-2bad6358-9d9a3a71.jpg	severe pulmonary edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14224981/s53748559/767cdfe7-cfbdd4d2-11f5b054-56472c2f-a82ad940.jpg	picc with tip in the upper svc as on prior study.
MIMIC-CXR-JPG/2.0.0/files/p14370875/s59164811/7d46d6c8-12103489-cfff00ba-280acd19-f8e9f90c.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p16931776/s58103295/78e16d46-f6748e9f-c7763764-c0c1bc82-d92541f1.jpg	heart size is top-normal is stable. lungs are essentially clear. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p18566607/s51577088/e2135dfe-e1a8f094-e8d0482d-d2665925-6f6b0fcb.jpg	mild pulmonary edema, mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18315784/s57788543/2fe2778e-68eefce7-8bb0f3ed-6f6da1a7-b6e6f1e6.jpg	no acute cardiopulmonary abnormalities right picc tip is at the cavoatrial junction
MIMIC-CXR-JPG/2.0.0/files/p15718107/s58425232/f6a046de-cd31692a-a097a27d-12c0aaac-ecd0440e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16973998/s50128226/83795515-2835c5f0-76080333-e9c900ab-8deabf5a.jpg	moderate cardiomegaly is stable. bibasilar consolidations have been improved, larger on the left side. there is no pneumothorax. small bilateral effusions are stable. component of vascular congestion has improved.
MIMIC-CXR-JPG/2.0.0/files/p17122832/s56286859/fc35c03c-2fc42d3d-37b15423-27c1cf38-5dd4a6f6.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p12860349/s57966410/39821aa1-1a84f9d8-9fcd4182-62fd4e92-62ba98b9.jpg	no radiographic evidence of pneumonia. similar appearance of pulmonary metastases.
MIMIC-CXR-JPG/2.0.0/files/p19291544/s57476763/b8f33cbe-112826a8-7180b7d1-998c355e-cfc1d7ab.jpg	left lower lobe atelectasis or pneumonia, continuing to increase from.
MIMIC-CXR-JPG/2.0.0/files/p10554053/s53037973/2a8e5a1c-699d684d-8627b496-1f59f55c-21ab0a80.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p18642923/s52634356/775d9a16-be05599c-1167280b-bb41bc32-1016822a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19699034/s52849750/c94325b1-bde11ee8-20430c92-a8aa2a53-080f81e2.jpg	unchanged radiograph. patchy bibasilar opacities likely related to atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16094225/s58984980/a2d68430-de0a9339-7ec118a0-88281d9b-f245f798.jpg	increased ap diameter of the chest with flattened diaphragms, consistent with copd. lungs are otherwise clear.
MIMIC-CXR-JPG/2.0.0/files/p16684606/s54823057/1ef060f1-c8edfadb-14a563e2-2c24eed8-430b6a27.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15219971/s55525501/00ff741b-6cad0eed-8f0c4623-fd6499eb-51418e4e.jpg	lower lung volumes and basilar interstitial opacities may represent new interstitial lung disease. recommend further characterization with a high-resolution chest ct. results were discussed with dr at pm on via telephone by dr minutes after the findings were discovered.
MIMIC-CXR-JPG/2.0.0/files/p14960593/s50790200/3f218acf-42b1dcb9-19843b2a-539d028d-59137d9e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17916384/s52231510/d1633fd5-045f486b-faaa11a0-b0e48fad-69766c39.jpg	in comparison with the study of , the central catheter has been removed. the patient has taken a better inspiration and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. mild tortuosity of the thoracic aorta is again seen and there is a streak of atelectasis at the left base.
MIMIC-CXR-JPG/2.0.0/files/p13080214/s51605787/19b7e3e3-dc306237-5ea14082-bbb23488-f203cab6.jpg	in comparison with study of , there is little if any apical pneumothorax with right chest tube in place. no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19785654/s57719522/ab2b3297-3c3103a3-1d545cf4-219ea214-ba18e09a.jpg	findings suggesting pneumonia in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p15128994/s54828001/95097a0e-b48b1a0a-2fb989aa-b4eed2d9-261bfca3.jpg	no appreciable pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18039147/s51851100/8d4cad48-dd00fcae-e49c35c6-9975a8dc-694a145d.jpg	worsening multiloculated right pleural effusion with adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19874791/s52406497/9dd61767-a3387e42-47e0dbcd-f522f7eb-44b46c84.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13126641/s54666778/99aae2f7-5d9ec823-f9b570bd-57c5fd06-95a0085c.jpg	no acute cardiopulmonary process. no intra-abdominal free air seen.
MIMIC-CXR-JPG/2.0.0/files/p12536530/s55076685/ec6dc415-6706f43b-740f8dcc-8f1e5c22-7cc9c932.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10461589/s53457267/68ec872e-61a88dcc-5be9a17a-9d7be8f9-98b06bc3.jpg	comparison to. the feeding tube has been removed. the large known right-sided mass, documented on the ct examination from , is stable in size. there is no evidence for an inflammatory very focal reaction. no pleural effusions. no other parenchymal abnormalities, in particular no evidence of pneumonia. stable normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p18300298/s52200421/3b7e6e0c-6687b44d-afa42b58-3a2478bd-ecc00f83.jpg	moderate to large left pleural effusion with overlying atelectasis. rounded right perihilar opacity appears to project anteriorly on the lateral view, raising concern for pulmonary nodule/mass. recommend further evaluation with non emergent chest ct. recommendation(s): chest ct.
MIMIC-CXR-JPG/2.0.0/files/p16473254/s56552877/b5f6c02f-0fd63040-540586f8-655bb4ca-08728931.jpg	cardiomegaly without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18115853/s52401529/53316932-d89d2322-0228beb4-db218da2-8ba4abdb.jpg	similar to increased prominence of widespread interstitial and nodular opacities, probably representing a metastatic disease. new patchy basilar opacities, particularly in the left lower lung for which pneumonia could be considered in the appropriate clinical setting versus atelectasis. persistent moderate left-sided pleural effusion which is difficult to compare regarding any change in size because of differences in technique.
MIMIC-CXR-JPG/2.0.0/files/p11624270/s58966805/29c258e5-0a33b662-58b0dcfd-c36dd22a-19de1e65.jpg	no radiographic evidence pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16660031/s50934006/91924a7d-97bfdeae-0b3e7ff7-14308d24-ef33f20d.jpg	no acute intrathoracic process. trace fluid on the minor fissure.
MIMIC-CXR-JPG/2.0.0/files/p14432338/s59772386/5e66c049-b8506709-b592601a-e0b21116-09a5daf3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18905773/s58220924/0c2eb44c-226b6636-648b590f-149ba61f-5fd7daab.jpg	bilateral effusions and lower lung opacity is likely atelectasis with mild interstitial edema. markedly limited exam.
MIMIC-CXR-JPG/2.0.0/files/p11132868/s57798125/55d907ac-2276dd08-3a471952-93f89107-70edb4b0.jpg	in comparison with the study of , the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13793701/s50792322/0923d3fe-43620fb8-a4c5c8ae-206493dc-46ce9cba.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17070596/s57948388/654ce1f1-d1898adc-85ee2f8f-3ef58085-f23795c6.jpg	interval removal of left chest tube since. no pneumothorax. left lung abnormality is essentially unchanged since.
MIMIC-CXR-JPG/2.0.0/files/p16077866/s52443228/0853ca23-d8f6790c-599ff34c-8c5d7bec-5ecf702f.jpg	no air under the right hemidiaphragm. no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12223158/s52946041/46d75ba0-a2abd4ac-e3fcc169-14606ffe-a501a4a8.jpg	mildly increased perihilar opacity could represent small airways disease or a viral process. no focal consolidation concerning for bacteria pneumonia is identified.
MIMIC-CXR-JPG/2.0.0/files/p16256635/s54224817/17b8db9c-ff881355-b5f92612-71ba0da1-e8907b3a.jpg	left lower lobe opacity compatible with pneumonia in the appropriate clinical setting. post treatment radiograph is recommended for documentation of resolution.
MIMIC-CXR-JPG/2.0.0/files/p18879282/s58911153/99239108-8684d1d4-1e90a757-f810eac4-451876f9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15785721/s53777997/01b156e8-649bf8d9-45a329ee-76764023-1d3c9a56.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17570754/s58618360/c88b1ed9-d5d94248-8a4959f0-efe39e67-c5427358.jpg	et tube tip is <num> cm above the carinal. ng tube passes below the diaphragm most likely terminating in the stomach. cardiomediastinal silhouette is similar to previous examination including bilateral hilar enlargement. there is substantial interval progression of pulmonary edema. right basal consolidation is asymmetrically progressing and might be concerning for right lower lobe pneumonia. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14010784/s57544668/97c2a08f-ef864e39-b38bcaab-1e609a9f-332973c8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg	subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug.
MIMIC-CXR-JPG/2.0.0/files/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg	no radiographic findings to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17123392/s53259652/19710eee-a2ef83a7-e8777ae2-9ac151e2-65881441.jpg	improved right infrahilar patchy opacity, possibly atelectasis or resolving asymmetric pulmonary edema. unchanged mild left retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11061931/s50539060/e8e342ec-c008f885-a640531d-add2ac56-9ef0d746.jpg	no evidence of acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15774521/s50100905/28d3f386-f85380f1-90298cc9-e7c29adc-d50eb0b9.jpg	no acute cardiopulmonary process. the right ij venous catheter terminates in the lower svc.
MIMIC-CXR-JPG/2.0.0/files/p13527340/s54311832/c0e7bdf4-67651db8-b07fda0b-ee424437-912045a7.jpg	no definite signs of pneumonia on this limited exam.
MIMIC-CXR-JPG/2.0.0/files/p13980146/s51490730/b597f836-f020b103-d936f832-3a0fa991-1d92c6f0.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13679217/s58086261/0006f794-93547e63-3a14d1d3-486c5c6c-6bbac987.jpg	left lower lobe opacities and small effusion. this is suggestive of early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12008474/s54998443/6b823391-b4b93ffe-3a6fe859-e100655f-09cbde0c.jpg	right internal jugular central venous catheter tip at the svc/right atrial junction. no pneumothorax. increased atelectasis in the lung bases in the setting of decreased lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p15063318/s58268091/b44c8fab-473ac7f5-0f6dca99-a95105de-fcb49d23.jpg	no acute cardiopulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p10484456/s54296618/56f13947-006a656b-8bfef3ce-314e74b8-ebd48c4b.jpg	normal heart, lungs, hila, mediastinum, and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p10413783/s55402082/7fc167b8-69c85f35-bec5788b-c572440e-bf9d02bd.jpg	no acute cardiopulmonary abnormality. possible copd. clinical correlation suggested.
MIMIC-CXR-JPG/2.0.0/files/p16196501/s53914194/dd038944-758fe3eb-90e84bfa-a264fe29-06a28735.jpg	normal chest radiograph without evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19244025/s50422359/f6f34e4d-36912415-66a25b78-9e45b78e-d77077fa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13906745/s59765582/328ec482-232be187-8ebd3e55-45a78688-204ea015.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13567471/s51123735/666659bb-20dc6d60-ae36cc8c-77f5f95c-7e1173b6.jpg	ap chest compared to : compared to all recent prior radiographs, severe hyperinflation is worse, and heart size is at its smallest, normal. lungs are clear of focal abnormality aside from severe bullous transformation, and there is no evidence of cardiac decompensation. right pic line ends in the upper svc. no pneumothorax or appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11747893/s59518620/95853e32-2da4de3f-46365f71-6cb827c7-a32f4271.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18557437/s56237220/15c7d1b7-4bb754cc-7d1332a2-d4aa2dc9-28820d21.jpg	no significant interval change when compared to the prior study. bibasal consolidation may reflect pulmonary edema or aspiration/pneumonia. the endotracheal tube does appear to have migrated distally however this may be due to patient positioning. recommend continued attention on followup.
MIMIC-CXR-JPG/2.0.0/files/p17755234/s57142539/e4147b66-5103dfad-c73fa044-444277a2-04bcf41d.jpg	mild pulmonary edema, small left pleural effusion, and pulmonary vascular redistribution. because the heart and mediastinum are not widened, non-cardiac causes of pulmonary edema should be explored. the patient could be empirically treated via diuresis, but if the clinical picture is not in agreement, ct of the chest may be obtained for further characterization.
MIMIC-CXR-JPG/2.0.0/files/p18249046/s53018909/9d190d3e-613c51ae-ca5cab97-518fd7cc-75c22f41.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p13332630/s58340245/d26f1288-1dbca978-9e778e54-d1b738cd-ee48b9dd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11522912/s59741053/ca288679-ca9ffe6a-0d7595c9-7750d945-cca5c28e.jpg	alternance bibasilar atelectasis
MIMIC-CXR-JPG/2.0.0/files/p11747400/s58257179/2c08f183-ff8ba77b-b4f0c889-caefb10b-fe34faf4.jpg	in comparison with the study of , the cardiac silhouette again is at the upper limits of normal or mildly enlarged with tortuosity of the aorta. no evidence of vascular congestion or acute focal pneumonia. blunting the costophrenic angles could reflect some pleural fluid or thickening. there is a small hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p16286157/s56428178/ef77fa8b-31c94f62-6936bd60-27d2de58-1e9dde39.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16282871/s51390989/ce7f81bd-afc9d55e-b69ff11e-670334b6-50f970c3.jpg	as compared to the previous image, the patient has been extubated. the malpositioned right picc line is now in correct position, with the tip projecting over the mid svc. the nasogastric tube has been removed. increase in extent of a pre-existing right pleural effusion with subsequent right basilar atelectasis. no left pleural effusion. moderate cardiomegaly without pulmonary edema. valvular calcifications.

MIMIC-CXR-JPG/2.0.0/files/p12368969/s57075647/3771fd38-95eccd2f-4980f733-02cbe8db-ba7cc38b.jpg

no acute cardiopulmonary abnormality. emphysema.

MIMIC-CXR-JPG/2.0.0/files/p10546701/s50506856/75a75994-a91f2740-1b47c031-21a68bbf-97408c18.jpg

new bilateral heterogeneous opacities are likely a combination of atelectasis, aspiration or pneumonia. clinical correlation is requested. no pneumothorax detected. no pneumomediastinum identified. small density in the left upper abdomen adjacent to the spine is compatible with the previously described barium focus. additional contrast noted in in the upper abdomen likely lies within the stomach.

MIMIC-CXR-JPG/2.0.0/files/p11398755/s53909142/05b81588-3d84de39-527e6079-d3e72209-da6179f4.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12918606/s57350133/7299631a-f2a2babb-f17ff355-2b01f81b-e5455569.jpg

the lung volumes are low. bilateral pleural effusions, left more than right, with subsequent areas of atelectasis at the lung bases. borderline size of the cardiac silhouette. no overt pulmonary edema. no pneumonia. scoliosis of the thoracic spine causes asymmetry of the ribcage.

MIMIC-CXR-JPG/2.0.0/files/p19131752/s56132868/18ff2d32-9e50c490-1aa35fda-d855265a-e8c59360.jpg

no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p13186655/s53014011/e4785faa-31608cc5-af7566c5-67055a49-1dc81354.jpg

mild left base atelectasis/scarring. otherwise, no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10521666/s51014533/d561bf15-e9b7d4be-7757d135-4f3077ad-d2c16112.jpg

in comparison with the study of , there again are large layering pleural effusions with compressive basilar atelectasis. the endotracheal tube lies at the clavicular level, with the tip approximately <num> cm above the carina. left brachiocephalic catheter is unchanged.

MIMIC-CXR-JPG/2.0.0/files/p16183583/s57365548/9d4336cb-16b5d0aa-5e1681e8-59fc3dc8-4082e951.jpg

left chest tube has been discontinued. subcutaneous air appears to be unchanged. left retrocardiac consolidation is noted, overall unchanged since the prior study. small left apical pneumothorax is present. left picc line tip is at the level of lower svc. right basal atelectasis is unchanged.

MIMIC-CXR-JPG/2.0.0/files/p15133070/s52234929/de7b6b25-fad89f1c-47e48f63-110b5dc9-a0dc460b.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15502354/s53588961/2933db76-303fcb8b-e3ea49c6-50956105-aced1127.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12328467/s59110865/1f00d642-1d3e2ec1-9861c785-8d221ec2-f47932c2.jpg

in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the cardiac silhouette is within normal limits in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. clips in the lower neck suggest previous thyroid surgery.

MIMIC-CXR-JPG/2.0.0/files/p19214405/s54017402/00688c4b-cfaea97e-2a215257-8b5cd24b-5351db12.jpg

normal chest x-ray.

MIMIC-CXR-JPG/2.0.0/files/p12661994/s59424586/f1f5325e-b6cee687-b01c9348-cba9a9ba-c3a79d6a.jpg

endotracheal tube tip is <num> cm above the carina. nasogastric tube tip is difficult to visualize due to technical factors. there is a central line on the right and the tip is in the svc. there is no pneumothorax. there is cardiomegaly and pulmonary edema. there is elevation of the right hemidiaphragm and there is a right pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p10483660/s53575653/3fb3aa28-4640bd6a-0ff91f51-fe4e392c-586ff4c9.jpg

pulmonary edema. cannot exclude underlying pneumonia. followup to resolution is recommended.

MIMIC-CXR-JPG/2.0.0/files/p10989303/s50648091/7f431ed2-9638bcb3-0fa71102-6a12967d-d78850e0.jpg

bilateral airspace opacities are similar to slightly worse when compared to the prior study appear, particularly in the right mid and lower lung.

MIMIC-CXR-JPG/2.0.0/files/p13187609/s59039000/f44159f8-4d754266-0a658159-3a16b19d-1991d84b.jpg

compared to chest radiographs through. large right pleural effusion minimally smaller. no pneumothorax. right lower lobe is substantially atelectatic. left lung grossly clear. left pleural effusion small. heart size normal. right pic line has been repositioned, now ending in the upper svc. transvenous right atrial right ventricular pacer leads are continuous from the left pectoral generator.

MIMIC-CXR-JPG/2.0.0/files/p19170210/s55998625/36f02b07-a784f053-cf69b3eb-a7c00766-49369faa.jpg

no acute intrathoracic process

MIMIC-CXR-JPG/2.0.0/files/p17490877/s57351639/7d463058-6aa8d7c7-80dd514c-32660d53-9811d6ed.jpg

no comparison. mild elevation of the left hemidiaphragm. minimal right basilar atelectasis. no pneumonia, no pulmonary edema, no pleural effusions. mild elongation of the descending aorta.

MIMIC-CXR-JPG/2.0.0/files/p19993951/s58361190/d8226252-2e2192be-59cb84c2-e1f0f9a9-4b3cf858.jpg

cardiomegaly without pulmonary edema or other acute intrathoracic abnormality.

MIMIC-CXR-JPG/2.0.0/files/p18279119/s53756114/4d20ac50-c23159d8-827a4a79-c4b79d5c-8227a422.jpg

pulmonary vascular congestion and bibasilar atelectasis with no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10950205/s59348127/a953020e-3c121e91-78036d9b-f539908d-dc68961d.jpg

right picc line tip is in the proximal right atrium, still <num> distal and should be pulled back approximately <num> cm. there is interval increase in bilateral pleural effusions. similar to is mild vascular congestion and minimal interstitial pulmonary edema. infectious process cannot be excluded in this clinical setup and radiographic appearance. slightly increased retrocardiac opacity is likely a combination of pulmonary edema and atelectasis, without definite focal consolidation.

MIMIC-CXR-JPG/2.0.0/files/p16437473/s50428877/8317060d-42e3d4c3-bbe6c05e-7c50d973-6e1842ae.jpg

heterogeneous right middle lobe opacity could represent atelectasis or developing infection. small bilateral pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p11266580/s51060244/f89e5b0b-d08e4181-cb38dbbb-afdbe795-e01ab0ca.jpg

no acute cardiopulmonary abnormality. no displaced fractures noted.

MIMIC-CXR-JPG/2.0.0/files/p16621926/s53220849/7278e6da-a1c9cabe-14e39089-76411dbf-857179b8.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14065960/s54364029/578cab6b-5bff7ba2-c7a3d850-1580bd80-735b90ab.jpg

healing left sixth rib fracture. no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p19375763/s55007380/7d3e94ad-c3fd28f2-ecdb42ea-4c8f82f0-9858f382.jpg

prior right pneumonectomy. no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10013643/s58785837/7d3d7074-431e6b99-d396d1dd-1724eeac-fb16946c.jpg

previous mild pulmonary edema resolved. small bilateral pleural effusions

MIMIC-CXR-JPG/2.0.0/files/p14690648/s56335795/ec69ebcc-246a628d-c98baa30-b83034eb-113d280c.jpg

endotracheal tube should be withdrawn to a better position.

MIMIC-CXR-JPG/2.0.0/files/p12976207/s59806686/2209ff9d-5b2dca4b-d3ba311b-c7d4abfa-34fc6d50.jpg

bilateral lower lobe consolidation consistent with pneumonia. the previously described right basilar ring shadow is not identified on today's radiographs.

MIMIC-CXR-JPG/2.0.0/files/p12283783/s54654056/d1f7e47f-393f2712-13511008-95883a6f-600b04f7.jpg

streaky bibasilar opacities most likely atelectasis. otherwise no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15127113/s50299679/067c7d67-a156f51a-ebd320ae-59381cc9-dbc7db57.jpg

right internal jugular central venous catheter tip at the junction of the svc and proximal right atrium. no pneumothorax. nondisplaced right <num>st rib fracture.

MIMIC-CXR-JPG/2.0.0/files/p11128113/s56681396/c054433b-1cca8dd5-e86b6293-2bad6358-9d9a3a71.jpg

severe pulmonary edema with small bilateral pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p14224981/s53748559/767cdfe7-cfbdd4d2-11f5b054-56472c2f-a82ad940.jpg

picc with tip in the upper svc as on prior study.

MIMIC-CXR-JPG/2.0.0/files/p14370875/s59164811/7d46d6c8-12103489-cfff00ba-280acd19-f8e9f90c.jpg

no acute intrathoracic abnormalities identified.

MIMIC-CXR-JPG/2.0.0/files/p16931776/s58103295/78e16d46-f6748e9f-c7763764-c0c1bc82-d92541f1.jpg

heart size is top-normal is stable. lungs are essentially clear. no pleural effusion or pneumothorax is seen.

MIMIC-CXR-JPG/2.0.0/files/p18566607/s51577088/e2135dfe-e1a8f094-e8d0482d-d2665925-6f6b0fcb.jpg

mild pulmonary edema, mild cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p18315784/s57788543/2fe2778e-68eefce7-8bb0f3ed-6f6da1a7-b6e6f1e6.jpg

no acute cardiopulmonary abnormalities right picc tip is at the cavoatrial junction

MIMIC-CXR-JPG/2.0.0/files/p15718107/s58425232/f6a046de-cd31692a-a097a27d-12c0aaac-ecd0440e.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16973998/s50128226/83795515-2835c5f0-76080333-e9c900ab-8deabf5a.jpg

moderate cardiomegaly is stable. bibasilar consolidations have been improved, larger on the left side. there is no pneumothorax. small bilateral effusions are stable. component of vascular congestion has improved.

MIMIC-CXR-JPG/2.0.0/files/p17122832/s56286859/fc35c03c-2fc42d3d-37b15423-27c1cf38-5dd4a6f6.jpg

no acute cardiopulmonary pathology.

MIMIC-CXR-JPG/2.0.0/files/p12860349/s57966410/39821aa1-1a84f9d8-9fcd4182-62fd4e92-62ba98b9.jpg

no radiographic evidence of pneumonia. similar appearance of pulmonary metastases.

MIMIC-CXR-JPG/2.0.0/files/p19291544/s57476763/b8f33cbe-112826a8-7180b7d1-998c355e-cfc1d7ab.jpg

left lower lobe atelectasis or pneumonia, continuing to increase from.

MIMIC-CXR-JPG/2.0.0/files/p10554053/s53037973/2a8e5a1c-699d684d-8627b496-1f59f55c-21ab0a80.jpg

no acute intrathoracic abnormalities identified.

MIMIC-CXR-JPG/2.0.0/files/p18642923/s52634356/775d9a16-be05599c-1167280b-bb41bc32-1016822a.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p19699034/s52849750/c94325b1-bde11ee8-20430c92-a8aa2a53-080f81e2.jpg

unchanged radiograph. patchy bibasilar opacities likely related to atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p16094225/s58984980/a2d68430-de0a9339-7ec118a0-88281d9b-f245f798.jpg

increased ap diameter of the chest with flattened diaphragms, consistent with copd. lungs are otherwise clear.

MIMIC-CXR-JPG/2.0.0/files/p16684606/s54823057/1ef060f1-c8edfadb-14a563e2-2c24eed8-430b6a27.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15219971/s55525501/00ff741b-6cad0eed-8f0c4623-fd6499eb-51418e4e.jpg

lower lung volumes and basilar interstitial opacities may represent new interstitial lung disease. recommend further characterization with a high-resolution chest ct. results were discussed with dr at pm on via telephone by dr minutes after the findings were discovered.

MIMIC-CXR-JPG/2.0.0/files/p14960593/s50790200/3f218acf-42b1dcb9-19843b2a-539d028d-59137d9e.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17916384/s52231510/d1633fd5-045f486b-faaa11a0-b0e48fad-69766c39.jpg

in comparison with the study of , the central catheter has been removed. the patient has taken a better inspiration and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. mild tortuosity of the thoracic aorta is again seen and there is a streak of atelectasis at the left base.

MIMIC-CXR-JPG/2.0.0/files/p13080214/s51605787/19b7e3e3-dc306237-5ea14082-bbb23488-f203cab6.jpg

in comparison with study of , there is little if any apical pneumothorax with right chest tube in place. no evidence of acute cardiopulmonary disease.

MIMIC-CXR-JPG/2.0.0/files/p19785654/s57719522/ab2b3297-3c3103a3-1d545cf4-219ea214-ba18e09a.jpg

findings suggesting pneumonia in the left lower lobe.

MIMIC-CXR-JPG/2.0.0/files/p15128994/s54828001/95097a0e-b48b1a0a-2fb989aa-b4eed2d9-261bfca3.jpg

no appreciable pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p18039147/s51851100/8d4cad48-dd00fcae-e49c35c6-9975a8dc-694a145d.jpg

worsening multiloculated right pleural effusion with adjacent atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p19874791/s52406497/9dd61767-a3387e42-47e0dbcd-f522f7eb-44b46c84.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13126641/s54666778/99aae2f7-5d9ec823-f9b570bd-57c5fd06-95a0085c.jpg

no acute cardiopulmonary process. no intra-abdominal free air seen.

MIMIC-CXR-JPG/2.0.0/files/p12536530/s55076685/ec6dc415-6706f43b-740f8dcc-8f1e5c22-7cc9c932.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10461589/s53457267/68ec872e-61a88dcc-5be9a17a-9d7be8f9-98b06bc3.jpg

comparison to. the feeding tube has been removed. the large known right-sided mass, documented on the ct examination from , is stable in size. there is no evidence for an inflammatory very focal reaction. no pleural effusions. no other parenchymal abnormalities, in particular no evidence of pneumonia. stable normal size of the cardiac silhouette.

MIMIC-CXR-JPG/2.0.0/files/p18300298/s52200421/3b7e6e0c-6687b44d-afa42b58-3a2478bd-ecc00f83.jpg

moderate to large left pleural effusion with overlying atelectasis. rounded right perihilar opacity appears to project anteriorly on the lateral view, raising concern for pulmonary nodule/mass. recommend further evaluation with non emergent chest ct. recommendation(s): chest ct.

MIMIC-CXR-JPG/2.0.0/files/p16473254/s56552877/b5f6c02f-0fd63040-540586f8-655bb4ca-08728931.jpg

cardiomegaly without acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18115853/s52401529/53316932-d89d2322-0228beb4-db218da2-8ba4abdb.jpg

similar to increased prominence of widespread interstitial and nodular opacities, probably representing a metastatic disease. new patchy basilar opacities, particularly in the left lower lung for which pneumonia could be considered in the appropriate clinical setting versus atelectasis. persistent moderate left-sided pleural effusion which is difficult to compare regarding any change in size because of differences in technique.

MIMIC-CXR-JPG/2.0.0/files/p11624270/s58966805/29c258e5-0a33b662-58b0dcfd-c36dd22a-19de1e65.jpg

no radiographic evidence pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p16660031/s50934006/91924a7d-97bfdeae-0b3e7ff7-14308d24-ef33f20d.jpg

no acute intrathoracic process. trace fluid on the minor fissure.

MIMIC-CXR-JPG/2.0.0/files/p14432338/s59772386/5e66c049-b8506709-b592601a-e0b21116-09a5daf3.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18905773/s58220924/0c2eb44c-226b6636-648b590f-149ba61f-5fd7daab.jpg

bilateral effusions and lower lung opacity is likely atelectasis with mild interstitial edema. markedly limited exam.

MIMIC-CXR-JPG/2.0.0/files/p11132868/s57798125/55d907ac-2276dd08-3a471952-93f89107-70edb4b0.jpg

in comparison with the study of , the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p13793701/s50792322/0923d3fe-43620fb8-a4c5c8ae-206493dc-46ce9cba.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17070596/s57948388/654ce1f1-d1898adc-85ee2f8f-3ef58085-f23795c6.jpg

interval removal of left chest tube since. no pneumothorax. left lung abnormality is essentially unchanged since.

MIMIC-CXR-JPG/2.0.0/files/p16077866/s52443228/0853ca23-d8f6790c-599ff34c-8c5d7bec-5ecf702f.jpg

no air under the right hemidiaphragm. no acute intrathoracic abnormality.

MIMIC-CXR-JPG/2.0.0/files/p12223158/s52946041/46d75ba0-a2abd4ac-e3fcc169-14606ffe-a501a4a8.jpg

mildly increased perihilar opacity could represent small airways disease or a viral process. no focal consolidation concerning for bacteria pneumonia is identified.

MIMIC-CXR-JPG/2.0.0/files/p16256635/s54224817/17b8db9c-ff881355-b5f92612-71ba0da1-e8907b3a.jpg

left lower lobe opacity compatible with pneumonia in the appropriate clinical setting. post treatment radiograph is recommended for documentation of resolution.

MIMIC-CXR-JPG/2.0.0/files/p18879282/s58911153/99239108-8684d1d4-1e90a757-f810eac4-451876f9.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15785721/s53777997/01b156e8-649bf8d9-45a329ee-76764023-1d3c9a56.jpg

no focal consolidation to suggest pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p17570754/s58618360/c88b1ed9-d5d94248-8a4959f0-efe39e67-c5427358.jpg

et tube tip is <num> cm above the carinal. ng tube passes below the diaphragm most likely terminating in the stomach. cardiomediastinal silhouette is similar to previous examination including bilateral hilar enlargement. there is substantial interval progression of pulmonary edema. right basal consolidation is asymmetrically progressing and might be concerning for right lower lobe pneumonia. there is no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p14010784/s57544668/97c2a08f-ef864e39-b38bcaab-1e609a9f-332973c8.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg

subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug.

MIMIC-CXR-JPG/2.0.0/files/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg

no radiographic findings to suggest pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p17123392/s53259652/19710eee-a2ef83a7-e8777ae2-9ac151e2-65881441.jpg

improved right infrahilar patchy opacity, possibly atelectasis or resolving asymmetric pulmonary edema. unchanged mild left retrocardiac atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p11061931/s50539060/e8e342ec-c008f885-a640531d-add2ac56-9ef0d746.jpg

no evidence of acute pulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15774521/s50100905/28d3f386-f85380f1-90298cc9-e7c29adc-d50eb0b9.jpg

no acute cardiopulmonary process. the right ij venous catheter terminates in the lower svc.

MIMIC-CXR-JPG/2.0.0/files/p13527340/s54311832/c0e7bdf4-67651db8-b07fda0b-ee424437-912045a7.jpg

no definite signs of pneumonia on this limited exam.

MIMIC-CXR-JPG/2.0.0/files/p13980146/s51490730/b597f836-f020b103-d936f832-3a0fa991-1d92c6f0.jpg

normal chest radiograph.

MIMIC-CXR-JPG/2.0.0/files/p13679217/s58086261/0006f794-93547e63-3a14d1d3-486c5c6c-6bbac987.jpg

left lower lobe opacities and small effusion. this is suggestive of early pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12008474/s54998443/6b823391-b4b93ffe-3a6fe859-e100655f-09cbde0c.jpg

right internal jugular central venous catheter tip at the svc/right atrial junction. no pneumothorax. increased atelectasis in the lung bases in the setting of decreased lung volumes.

MIMIC-CXR-JPG/2.0.0/files/p15063318/s58268091/b44c8fab-473ac7f5-0f6dca99-a95105de-fcb49d23.jpg

no acute cardiopulmonary process identified.

MIMIC-CXR-JPG/2.0.0/files/p10484456/s54296618/56f13947-006a656b-8bfef3ce-314e74b8-ebd48c4b.jpg

normal heart, lungs, hila, mediastinum, and pleural surfaces.

MIMIC-CXR-JPG/2.0.0/files/p10413783/s55402082/7fc167b8-69c85f35-bec5788b-c572440e-bf9d02bd.jpg

no acute cardiopulmonary abnormality. possible copd. clinical correlation suggested.

MIMIC-CXR-JPG/2.0.0/files/p16196501/s53914194/dd038944-758fe3eb-90e84bfa-a264fe29-06a28735.jpg

normal chest radiograph without evidence of pneumonia

MIMIC-CXR-JPG/2.0.0/files/p19244025/s50422359/f6f34e4d-36912415-66a25b78-9e45b78e-d77077fa.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13906745/s59765582/328ec482-232be187-8ebd3e55-45a78688-204ea015.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13567471/s51123735/666659bb-20dc6d60-ae36cc8c-77f5f95c-7e1173b6.jpg

ap chest compared to : compared to all recent prior radiographs, severe hyperinflation is worse, and heart size is at its smallest, normal. lungs are clear of focal abnormality aside from severe bullous transformation, and there is no evidence of cardiac decompensation. right pic line ends in the upper svc. no pneumothorax or appreciable pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p11747893/s59518620/95853e32-2da4de3f-46365f71-6cb827c7-a32f4271.jpg

no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18557437/s56237220/15c7d1b7-4bb754cc-7d1332a2-d4aa2dc9-28820d21.jpg

no significant interval change when compared to the prior study. bibasal consolidation may reflect pulmonary edema or aspiration/pneumonia. the endotracheal tube does appear to have migrated distally however this may be due to patient positioning. recommend continued attention on followup.

MIMIC-CXR-JPG/2.0.0/files/p17755234/s57142539/e4147b66-5103dfad-c73fa044-444277a2-04bcf41d.jpg

mild pulmonary edema, small left pleural effusion, and pulmonary vascular redistribution. because the heart and mediastinum are not widened, non-cardiac causes of pulmonary edema should be explored. the patient could be empirically treated via diuresis, but if the clinical picture is not in agreement, ct of the chest may be obtained for further characterization.

MIMIC-CXR-JPG/2.0.0/files/p18249046/s53018909/9d190d3e-613c51ae-ca5cab97-518fd7cc-75c22f41.jpg

no evidence of acute disease.

MIMIC-CXR-JPG/2.0.0/files/p13332630/s58340245/d26f1288-1dbca978-9e778e54-d1b738cd-ee48b9dd.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p11522912/s59741053/ca288679-ca9ffe6a-0d7595c9-7750d945-cca5c28e.jpg

alternance bibasilar atelectasis

MIMIC-CXR-JPG/2.0.0/files/p11747400/s58257179/2c08f183-ff8ba77b-b4f0c889-caefb10b-fe34faf4.jpg

in comparison with the study of , the cardiac silhouette again is at the upper limits of normal or mildly enlarged with tortuosity of the aorta. no evidence of vascular congestion or acute focal pneumonia. blunting the costophrenic angles could reflect some pleural fluid or thickening. there is a small hiatal hernia.

MIMIC-CXR-JPG/2.0.0/files/p16286157/s56428178/ef77fa8b-31c94f62-6936bd60-27d2de58-1e9dde39.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16282871/s51390989/ce7f81bd-afc9d55e-b69ff11e-670334b6-50f970c3.jpg

as compared to the previous image, the patient has been extubated. the malpositioned right picc line is now in correct position, with the tip projecting over the mid svc. the nasogastric tube has been removed. increase in extent of a pre-existing right pleural effusion with subsequent right basilar atelectasis. no left pleural effusion. moderate cardiomegaly without pulmonary edema. valvular calcifications.