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/p16863940/s59141319/84d295ce-a6663644-1ccdea32-9875ec34-9ecd970c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19727619/s53081976/786354ed-2bcf3b9f-86954df0-bc9ebdb4-ab0b874f.jpg	patchy opacities in the right and left lower lobes are most likely pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14494004/s55591829/b7ce2646-6e2afab3-2a6442c5-3a427f04-de345591.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18707520/s58429044/e9279cc8-06b5ed06-590155e8-8736f817-e734f917.jpg	in comparison with the study of , there is increasing opacification at the right base that again is worrisome for right lower lobe pneumonia. cardiac silhouette appears slightly more prominent and there is indistinctness of pulmonary vessels, suggesting some component of vascular congestion that may be asymmetric and more prominent on the right.
MIMIC-CXR-JPG/2.0.0/files/p15085810/s53659039/110e9ec6-4e71a4cd-709b3abf-efeb9c39-56e18e7f.jpg	no pneumonia, edema, or effusion.
MIMIC-CXR-JPG/2.0.0/files/p18519732/s50854947/8b9159ce-a12e69aa-30ccf53f-8f129ccb-9a22400f.jpg	no evidence of pneumonia. equivocal left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13318285/s56994859/4f92a240-48b2dae6-21b1af38-62f3e437-7daed468.jpg	new focal left lower lobe consolidation which could represent pneumonia in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p16578063/s55058160/60e448ab-19fdabbc-87936d1f-3a9326a1-717e56aa.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17164417/s55572157/96c368ee-b1db56ba-86997529-2f87312f-85a48c88.jpg	patchy mid left lung lower opacities could be pneumonia in the correct clinical setting, otherwise, may represent atelectasis. cholelithiasis. slight small bowel distension.
MIMIC-CXR-JPG/2.0.0/files/p16995509/s50634733/59b6fd2e-9ad2d192-4f5c0835-80c3648c-2c16a8c3.jpg	in comparison with the study of , there is further increase in the large right pleural effusion. the known right hilar mass and postradiation changes were much better demonstrated on the ct examination of. in view of the extensive changes in the lower half of the right lung, it would be impossible to exclude superimposed pneumonia in the appropriate clinical setting, especially in the absence of a lateral view. there is apical pleural capping on the right but no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16977449/s53304058/00800f98-a1cd8583-1fe0ca1d-abde4bff-b2c41f8a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19507539/s50267636/cf449a1e-963fcbca-b725b8dd-9e9fd356-8f6c4e26.jpg	lung volumes are lower. severe infiltrative pulmonary abnormality has not worsened since. heart is normal size. pleural effusions are small if any. no pneumothorax. left pic line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p14208464/s56635969/e0af63a8-2fa4ffc5-8889f8db-a9e9922b-bc2fc3fe.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11617629/s58675699/8625da27-24d906a2-d3a6443b-986c0614-02126460.jpg	cardiomegaly is substantial, unchanged. pacemaker defibrillator tip terminates in the right ventricle. right pigtail catheter has been placed with no substantial change in the right pleural effusion. right internal jugular line tip is at the level of superior svc. pulmonary edema is noted, bilateral, moderate.
MIMIC-CXR-JPG/2.0.0/files/p14486358/s54165271/01cad606-fc87d6ba-3fe05efa-6ae8aa84-2aad7338.jpg	pa and lateral chest compared to : tiny punctate opacities in the lower lungs are probably pulmonary granulomata. lateral view suggests granulomatous calcifications in the left hilus. there are no larger soft tissue nodules identified with certainty in the lungs, but ct scanning would be required to exclude them, particularly if there is concern about pulmonary metastasis. there is no evidence of central lymph node enlargement or consolidation. lateral view shows a small right pleural effusion, new since. the indentation on the right side of the cervical trachea is most commonly due to an enlarged thyroid, but lymphadenopathy is an alternative explanation. heart size is normal. dr i discussed these findings by telephone at the time of dictation.
MIMIC-CXR-JPG/2.0.0/files/p16040005/s55219861/e416ba54-74784ab2-363b67c1-3640f93c-36522beb.jpg	no definite focal consolidation. no displaced rib fracture identified. if clinical concern persists, dedicated rib series or ct is more sensitive.
MIMIC-CXR-JPG/2.0.0/files/p16847583/s53667329/2a306be5-cb04db7e-10ec1c5f-fbcb454c-c284e3d5.jpg	no previous images. 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/p13320192/s51062120/f6381209-96189682-1ee8af79-91a2e729-03f9f4f9.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13272023/s50448325/416da723-6cfdce7b-03baeaa7-d7063625-f00045a9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18278969/s56926717/fc9fd911-7f76a3f8-f1f3310c-3ed2d319-6e516342.jpg	likely left lower lobe pneumonia. recommend follow up in weeks to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p18906989/s53197527/1b8aaa75-35bd8b79-27340a34-299064ba-b92d3897.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p11449781/s57606605/5170f9d7-d42e0d60-17febc25-69d7235f-7f3cf51c.jpg	left chest tube in place without evidence of residual pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10454455/s54038361/9a0503f8-52f28e1f-f008b6dc-8ec7af69-6b931726.jpg	as compared to radiograph from <num> hr earlier, a large right pneumothorax has substantially decreased in size, with residual moderate pneumothorax remaining, with right pigtail pleural catheter in place. along with partial re-expansion of the right lung, atelectasis in the right mid and lower lung have partially improved. within the left lung, a small left apical pneumothorax is again demonstrated, along with improving left basilar atelectasis. no other relevant changes since recent study.
MIMIC-CXR-JPG/2.0.0/files/p14003369/s51423589/f05f9141-03897970-70c3cb87-0838f1e9-4c836907.jpg	trace right-sided pleural effusion, otherwise no significant change.
MIMIC-CXR-JPG/2.0.0/files/p16314334/s50419953/25189844-0f2a401d-cf6649d8-ab78c995-a9912eec.jpg	right basilar consolidation with associated small right pleural effusion. findings may be due to pneumonia in the proper clinical setting. rounded region of consolidation in the region of the right middle lobe for which additional imaging is recommended after treatment to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p15818607/s52846729/5f3b30b3-51ca2b88-d6719d47-d1deb894-f04b8bfa.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is substantial enlargement of the cardiac silhouette without pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17220978/s50136478/3adc2862-e7854fd0-7e108a66-65432a27-d31e0e7b.jpg	moderate right pneumothorax. right-sided chest tube with the tip outside of the thoracic cage. nearly complete opacification of both lung fields may be related to edema, inflammation, hemorrhage or a combination of these. discussed with dr after discovery by dr phone on at am.
MIMIC-CXR-JPG/2.0.0/files/p17198431/s52342764/b5d774c5-c95f7562-f6476e38-7925b3b4-f6d25b0f.jpg	mild pulmonary vascular congestion. cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16800099/s51440017/07942d5c-f822a743-dbf5a604-cef3384e-8c19083e.jpg	postoperative changes in the right lung. no pulmonary edema. hazy opacity in the right lung base could reflect atelectasis or progression of chronic interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p16107052/s59127902/5bc41dce-5ff431c5-be874df4-ef1725b9-0ca2d612.jpg	no acute intrathoracic process. port-a-cath noted in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p13365150/s53920002/f6ddbec8-10ae2b97-8c60a98f-4fcc0e2f-1fc49a1d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17381162/s59611199/512e1e20-c86f1132-a9601df1-d1d5b068-19ce63e5.jpg	no acute pulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p15911213/s54696033/db1e1560-f34f04b0-cc7c099e-1cc4db71-18055acd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18111896/s52290738/5796f0cd-7bb820e2-b7d2a961-80fc83aa-23d6644d.jpg	significant improvement in pulmonary edema. mild edema persists. new small left pleural effusion. previously coiled swan-ganz catheter is now in the proper position.
MIMIC-CXR-JPG/2.0.0/files/p17903556/s58038030/b4c9d621-097f306c-82cab391-670e43f3-65641928.jpg	no acute cardiopulmonary process. no evidence of a fracture.
MIMIC-CXR-JPG/2.0.0/files/p12953903/s50262150/5d1c7eb7-8daa49e3-0d900d73-3e1253d6-2a497b06.jpg	no signs of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p15110036/s57944745/82b4224c-be9f256e-04fa756d-949aa5dd-03e83dc9.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p19928034/s54815285/fe4e5801-16bdf50c-5fdff58e-51c9bd85-64ec1e2f.jpg	heart size is normal. mediastinum is normal. lungs are clear within the limitations of chest radiograph technique. there is no pleural effusion. there is no pneumothorax. if clinically warranted, correlation with chest ct to exclude the possibility of radiographically occult neutropenic pneumonia is to be considered.
MIMIC-CXR-JPG/2.0.0/files/p10488677/s52981560/4b57ab2e-16ac7199-881420c6-4ba64cc8-cb92959a.jpg	compared to chest radiographs since , most recently. previous mild pulmonary edema has resolved. no evidence of pneumonia. severe cardiomegaly persists. fullness in the right lower paratracheal station of the mediastinum is probably due to a chronically distended azygos vein, demonstrated by chest cta on there is no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12251785/s51206814/f5fa3a72-ee279214-5ec05356-a312bd43-30acb868.jpg	mild interstitial pulmonary edema and small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17074965/s59968385/a3aec071-8447aabb-778af883-946a5bb9-4b0425ce.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18711108/s59245458/38902d3c-8207de0d-0fee0381-c848248e-3d345183.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16090882/s57280282/dbab119f-5951961e-dfa08e66-da98d331-7cd1f6d4.jpg	no evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16805727/s57708626/81dee019-b362e75b-25a404bf-8a0746a8-1a1ece1b.jpg	findings consistent with pneumonia. follow-up radiographs are recommended to show resolution within eight weeks.
MIMIC-CXR-JPG/2.0.0/files/p10930646/s52104503/038a3394-8fd03a8d-333ea74e-69be1b2a-91403987.jpg	in comparison with study of , there has been a substantial increase in the left pleural effusion and a moderate increase in the right pleural effusion. obscuration of the hemidiaphragms is consistent with substantial volume loss in the lower lobes, especially on the left. the pulmonary vascularity may be mildly elevated. no evidence of acute focal pneumonia, though this would be difficult to exclude given the extensive enlargement the cardiac silhouette effusions. degenerative changes are again seen in the thoracic spine with loss of height of a mid dorsal vertebra. of incidental note again are calcific opacifications consistent with joint bodies in the region of the right shoulder.
MIMIC-CXR-JPG/2.0.0/files/p17400716/s53073225/875a005c-6b5ab64f-8cc0d5f3-b7777024-cc8879e3.jpg	pulmonary edema. more confluent area of opacification in the right infrahilar region may relate to prominent vasculature, although in the appropriate clinical setting underlying consolidation not be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11012243/s56539684/0144a886-c042f0ce-58c29777-3b107a90-57246e01.jpg	decreased right pleural effusion, in part likely related to semiupright position query whether there has been interval thoracentesis. stable small to moderate left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14045846/s52758350/eabd1642-7e1326b9-3bcc1af3-f40aaac7-eae3bfcd.jpg	right picc line tip is in the proximal right atrium and should be pulled back <num> cm to secure it position above the cavoatrial junction. there is substantial interval improvement in the right upper lobe consolidation and left perihilar opacity with still present left basal opacity potentially representing residua of the infectious process. minimal opacity is still remaining in the right upper lobe. continued surveillance is recommended. no appreciable pleural effusion is seen. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11185907/s59903705/fef024d9-afaab076-fa07bd05-5422ffc1-073ff37e.jpg	the heart remains stably enlarged. both lungs are overall hyperinflated consistent with underlying emphysema. pulmonary arteries are prominent raising the possibility of underlying pulmonary arterial hypertension. more focal nodular opacity at the right lung base is unchanged and may reflect a nipple shadow as no corresponding abnormality is seen in this location on the ct dated. there is a stable left-sided apical pneumothorax. left chest tube remains in place with subcutaneous emphysema in the left lateral chest wall. a left pleural effusion with retrocardiac consolidation is unchanged. left-sided multiple posterolateral rib fractures are again seen. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18586018/s54267108/ccd4b02e-ccef384a-d9bc2fb4-5974e951-767975c0.jpg	there has been interval development of a retrocardiac opacity which is likely due to atelectasis, however a superimposed infection cannot be excluded. the cardiomediastinal silhouette is unchanged. there are likely small bilateral pleural effusions. there is no pneumothorax. the right ij approach central venous catheter appears to terminate within the proximal right atrium. if positioning within the cavoatrial junction is desired it may be pulled back by <num> to <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p18090640/s55215555/73d47742-9db0f4ec-7872b23f-c9cbee27-0c5708a9.jpg	right apical opacity seen on exam, is not visualized on ap view. apical lordotic view demonstrates a small stellate scar in the right lung apex.
MIMIC-CXR-JPG/2.0.0/files/p18157502/s54201694/0d8ac8d3-8166ea7b-5b7ad90f-8de38b7f-85510398.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12491671/s53175381/9b33241d-13bc0a12-173c060b-856e1659-2fd2f5ae.jpg	no comparison. the patient has undergone esophageal dilatation. the neo esophagus is unremarkable. no evidence of pneumothorax or pneumomediastinum. atelectatic opacities on the right and on the left are visualized. normal size of the heart. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15246600/s54973074/d4e9e727-91d8ac3c-b8491b7e-1d5c06ac-389a59f0.jpg	no acute cardiopulmonary process. persistent elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p17475607/s59623857/761342f1-86d10b51-6a36d35d-4b89a893-88029853.jpg	clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p16387539/s51991772/58f8ee21-4a739428-edf64287-b0237d85-d6169a87.jpg	dobhoff tube tip isout of view, below the diaphragm. moderate pulmonary edema has increased. bibasilar opacities have increased consistent with increasing pleural effusions and adjacent atelectasis. fiducial seeds in the right upper lung with adjacent opacities are unchanged. fiducial seed in the left hilum is again noted. there is no pneumothorax. mild cardiomegaly is stable.
MIMIC-CXR-JPG/2.0.0/files/p16455607/s52035573/1466e2b1-898c0508-41fa5e73-c4f8a255-30467995.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17716210/s56845519/82310ee7-bc8b5ea7-8432d7c0-8b47e16d-8e60b03b.jpg	no acute cardiopulmonary process. prominent loops of bowel in the upper abdomen, clinical correlation suggested.
MIMIC-CXR-JPG/2.0.0/files/p17998212/s57691488/7b84d183-4a04042c-b5ca5b14-254a6911-e605c729.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13891513/s54264078/e21dc77e-02d28627-2b0f9387-cb585737-77e5efcd.jpg	no acute cardiopulmonary abnormality. hyperinflated lungs.
MIMIC-CXR-JPG/2.0.0/files/p11483984/s54121171/deaf5044-ca08f998-ee0372b2-a1117ad7-dc3e07b0.jpg	comparison to. no relevant change. normal chest radiograph without evidence of cardiac or lung parenchymal changes.
MIMIC-CXR-JPG/2.0.0/files/p19251329/s53653114/39015d27-33904a0e-12fa2719-56cd8b43-7f14561d.jpg	no definite change in left basilar opacities, streaky in morphology and suggestive of atelectasis based on longer chronicity.
MIMIC-CXR-JPG/2.0.0/files/p16633147/s50939511/c60b841b-8acfcb08-0e84594e-ee666147-30ce8ecf.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12254804/s55809264/2d13fe53-25edc0a4-0888b827-01586733-087171e9.jpg	known left upper lobe lung mass and interval placement of a right port-a-cath with interval decrease in right paratracheal opacification, likely corresponding to known lymphadenopathy, without radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17295976/s54963006/6fed875a-90994fb9-1521bfb6-33ab2c42-800599d8.jpg	as compared to the previous radiograph, no relevant change is seen. no pneumothorax. no pneumonia, no pleural effusions, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10974932/s53898372/8acc0be5-4c4a2b4a-f182b1fe-ec4022e6-3cea453c.jpg	in comparison with the study of , there again are extremely low lung volumes. cardiac silhouette remains enlarged, though the pulmonary vascular congestion has substantially improved.
MIMIC-CXR-JPG/2.0.0/files/p18591903/s54444606/8c2bed39-e1309ffb-6a6b3679-6cc2c436-87dac16e.jpg	copd. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13318093/s54014980/40e28ee1-d2d0f648-93b0fe47-c84aee70-ed11d279.jpg	the patient is rotated to the right. right base opacity is seen which could be due to atelectasis although underlying consolidation is not excluded in the appropriate clinical setting. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen. no large pleural effusion seen.
MIMIC-CXR-JPG/2.0.0/files/p17624257/s50216544/6b9c00b3-1ff40ff1-71e0e179-9d34c684-b3689436.jpg	mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18270774/s57880638/24af482c-1fc07405-9f8d817f-a54317a7-c96053a5.jpg	dobhoff tube in expected location.
MIMIC-CXR-JPG/2.0.0/files/p15689523/s56724942/b6deb20d-abd08e39-9b38f337-ec0dafd1-82837fed.jpg	as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly persists. the extent and severity of the pre-existing parenchymal opacities is constant. unchanged small right pleural effusion. unchanged paramediastinal calcification. unchanged monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p17421215/s54386526/a1650ee1-08e67ee5-21300955-dfe344c0-f6cb8412.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17145096/s56452329/2fa91720-89016049-c41a30ca-a11ed6d7-a6aea4ab.jpg	mild pulmonary edema with stable cardiomegaly. no pleural effusions. unchanged position of pacemaker.
MIMIC-CXR-JPG/2.0.0/files/p16187119/s53881157/ce6c6574-560c75c7-abb8f2c8-d5fcc915-fdfc7665.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10595272/s53466785/49be6e80-3294d444-618d9267-1d61d6e5-be0f6136.jpg	no acute intrathoracic process. infectious findings on concurrent chest ct are not well depicted on this examination.
MIMIC-CXR-JPG/2.0.0/files/p15689523/s56902990/4b3187fe-b7c398e6-e90a157f-73f570f5-181f6ac0.jpg	as compared to the previous image, the patient has undergone right thoracocentesis. the extent of the right pleural effusion has slightly decreased but the effusion is still clearly visible. there is no evidence of pneumothorax. the relatively extensive parenchymal opacities, dominating on the right, and the calcified known paratracheal lymph node is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16341066/s56724533/f9c3ba04-af80a961-acaf6f2b-69a27a83-a0875735.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10058974/s54456726/ab526db5-35fe2dcf-f4076d54-7bd2c43f-ebb6964c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19607507/s51270116/1d042538-ae28f80c-e2680f9f-f1d06d23-cd4b5e1d.jpg	as compared to the previous radiograph, the to drainage devices on the left are in unchanged position. currently there is no evidence of pneumothorax or pneumopericardium. minimally increasing retrocardiac atelectasis. the lung volumes remain low. unchanged normal position of the right picc line
MIMIC-CXR-JPG/2.0.0/files/p17636898/s55923301/0e0b8eaa-6f3ba0df-4fc7f967-47714a64-3c80bddf.jpg	no significant change compared with.
MIMIC-CXR-JPG/2.0.0/files/p16393638/s58767453/5f5e9623-0eed6fff-ffc71593-62fd3f9d-9240ce99.jpg	low lung volumes. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17237379/s58443695/99c52eb4-ca2ff095-1274d409-cf8073a5-3409ced8.jpg	no radiographic evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16692410/s52665766/2e65334a-5ca81c12-31dca878-7102bac3-9b8b0f97.jpg	no evidence of acute disease. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16213706/s55119795/1ba21037-aead6cd7-e0e88151-c8527979-abc6529c.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15067471/s57958761/135bc08f-85edfbf1-d31f1737-3c14f716-6e6a096c.jpg	as compared to the previous radiograph, the right central venous access line has been removed. the nasogastric tube is in unchanged position. the known atelectasis at the left lung bases is improved. there is no new focal parenchymal opacities suggesting pneumonia. no pleural effusions. normal size of the cardiac silhouette. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19211222/s58732636/9a2e6ba4-e225a595-f6f9aa94-5301b38c-60443bf1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19995127/s59803247/5e9cfa24-8f07c8f2-e990d963-214726fc-d0beff57.jpg	slightly increased opacification at the medial right lung base could represent an early developing pneumonia in the appropriate clinical context or, alternatively, atelectasis. left juxtahilar mass corresponding to known small cell carcinoma, better characterized on recent ct of. calcified pleural plaques compatible with prior asbestos exposure.
MIMIC-CXR-JPG/2.0.0/files/p16089800/s55918878/7db0276d-916962f6-131d795f-4c7e7d03-92f13cf1.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14024750/s54950134/e085396d-53b2c815-22d249d5-8b0105b4-4b6d4f6e.jpg	lung volumes are quite low following surgery, and bibasilar opacification is presumably due to substantial atelectasis. aspiration should be considered. upper lungs are clear. mild cardiomegaly is increased. there is no pneumothorax. pleural effusions small if any. et tube is in standard placement. right jugular line ends in the right atrium and would need to be withdrawn <num> cm to reposition it in the low svc, if desired. nasogastric tube ends in the upper portion of a nondistended stomach.
MIMIC-CXR-JPG/2.0.0/files/p14626239/s52856332/661096b0-ca5c169f-2f993574-29c14a7c-5875c87f.jpg	no focal consolidations to suggest pneumonia. stable <num> mm nodular opacity within the right lower lung, likely a vessel on end.
MIMIC-CXR-JPG/2.0.0/files/p14588689/s51279095/8bf0333d-c2ea8389-2e77a007-330b91ca-4caf1f17.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10974611/s51048971/a929d6ac-d1abe287-1bc94962-88f8c169-7c5a5eb1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18995174/s52715833/57215719-e575658d-b184f5b0-6ffa09c2-32c169a1.jpg	as compared to radiograph, single lead icd remains in place terminating in the right ventricle. cardiac silhouette remains markedly enlarged is accompanied by massive enlargement of the main and central pulmonary arteries. asymmetrical diffuse interstitial pattern in the right lung is likely due to asymmetrical pulmonary edema, particularly considering minimal interstitial abnormalities at the left base. small right pleural effusion is also evident.
MIMIC-CXR-JPG/2.0.0/files/p14732249/s59948119/7fed96e2-6b1f5cd6-c00356ba-d983db34-840f4ced.jpg	no significant interval change as the left pleural effusion persists.
MIMIC-CXR-JPG/2.0.0/files/p15181461/s59011424/2e5f593c-2a9b5bf1-2de8498b-05de42a6-17d0fb61.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15522055/s59070266/86fdf861-d3d9a130-7482840f-e1f401af-4076bd61.jpg	there has been interval appearance of diffuse bilateral airspace process with associated peribronchial cuffing. these findings would favor moderate to severe pulmonary edema, although diffuse infectious process could also have this appearance. clinical correlation is advised. the patient is status post median sternotomy with overall stable cardiac mediastinal contours given portable technique and lower lung volumes on the current examination. no pneumothorax is seen. no large effusions can be appreciated.
MIMIC-CXR-JPG/2.0.0/files/p14917569/s54860040/653b3016-53f6c09d-3d6d545b-5daf397b-14367f0a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15331128/s54672641/e1d75e51-6a5c646a-a811eb1d-b779079d-b31026f1.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15655882/s58341385/53389f12-b9ee1092-201c2b0e-7531fc16-0e68646f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19951079/s50098147/8385f1be-96c717a5-786a0fe8-188c5033-313a0008.jpg	no pneumonia.

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no acute cardiopulmonary process.

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patchy opacities in the right and left lower lobes are most likely pneumonia.

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no acute cardiopulmonary process.

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in comparison with the study of , there is increasing opacification at the right base that again is worrisome for right lower lobe pneumonia. cardiac silhouette appears slightly more prominent and there is indistinctness of pulmonary vessels, suggesting some component of vascular congestion that may be asymmetric and more prominent on the right.

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no pneumonia, edema, or effusion.

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no evidence of pneumonia. equivocal left pleural effusion.

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new focal left lower lobe consolidation which could represent pneumonia in the proper clinical setting.

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no acute cardiopulmonary abnormality.

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patchy mid left lung lower opacities could be pneumonia in the correct clinical setting, otherwise, may represent atelectasis. cholelithiasis. slight small bowel distension.

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in comparison with the study of , there is further increase in the large right pleural effusion. the known right hilar mass and postradiation changes were much better demonstrated on the ct examination of. in view of the extensive changes in the lower half of the right lung, it would be impossible to exclude superimposed pneumonia in the appropriate clinical setting, especially in the absence of a lateral view. there is apical pleural capping on the right but no evidence of pneumothorax.

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no acute cardiopulmonary process.

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lung volumes are lower. severe infiltrative pulmonary abnormality has not worsened since. heart is normal size. pleural effusions are small if any. no pneumothorax. left pic line ends in the low svc.

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no acute cardiopulmonary process.

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cardiomegaly is substantial, unchanged. pacemaker defibrillator tip terminates in the right ventricle. right pigtail catheter has been placed with no substantial change in the right pleural effusion. right internal jugular line tip is at the level of superior svc. pulmonary edema is noted, bilateral, moderate.

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pa and lateral chest compared to : tiny punctate opacities in the lower lungs are probably pulmonary granulomata. lateral view suggests granulomatous calcifications in the left hilus. there are no larger soft tissue nodules identified with certainty in the lungs, but ct scanning would be required to exclude them, particularly if there is concern about pulmonary metastasis. there is no evidence of central lymph node enlargement or consolidation. lateral view shows a small right pleural effusion, new since. the indentation on the right side of the cervical trachea is most commonly due to an enlarged thyroid, but lymphadenopathy is an alternative explanation. heart size is normal. dr i discussed these findings by telephone at the time of dictation.

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no definite focal consolidation. no displaced rib fracture identified. if clinical concern persists, dedicated rib series or ct is more sensitive.

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no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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likely left lower lobe pneumonia. recommend follow up in weeks to ensure resolution.

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no acute cardiopulmonary pathology.

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left chest tube in place without evidence of residual pneumothorax.

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as compared to radiograph from <num> hr earlier, a large right pneumothorax has substantially decreased in size, with residual moderate pneumothorax remaining, with right pigtail pleural catheter in place. along with partial re-expansion of the right lung, atelectasis in the right mid and lower lung have partially improved. within the left lung, a small left apical pneumothorax is again demonstrated, along with improving left basilar atelectasis. no other relevant changes since recent study.

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trace right-sided pleural effusion, otherwise no significant change.

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right basilar consolidation with associated small right pleural effusion. findings may be due to pneumonia in the proper clinical setting. rounded region of consolidation in the region of the right middle lobe for which additional imaging is recommended after treatment to document resolution.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is substantial enlargement of the cardiac silhouette without pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.

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moderate right pneumothorax. right-sided chest tube with the tip outside of the thoracic cage. nearly complete opacification of both lung fields may be related to edema, inflammation, hemorrhage or a combination of these. discussed with dr after discovery by dr phone on at am.

MIMIC-CXR-JPG/2.0.0/files/p17198431/s52342764/b5d774c5-c95f7562-f6476e38-7925b3b4-f6d25b0f.jpg

mild pulmonary vascular congestion. cardiomegaly.

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postoperative changes in the right lung. no pulmonary edema. hazy opacity in the right lung base could reflect atelectasis or progression of chronic interstitial lung disease.

MIMIC-CXR-JPG/2.0.0/files/p16107052/s59127902/5bc41dce-5ff431c5-be874df4-ef1725b9-0ca2d612.jpg

no acute intrathoracic process. port-a-cath noted in appropriate position.

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no acute cardiopulmonary process.

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no acute pulmonary process identified.

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no acute intrathoracic process.

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significant improvement in pulmonary edema. mild edema persists. new small left pleural effusion. previously coiled swan-ganz catheter is now in the proper position.

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no acute cardiopulmonary process. no evidence of a fracture.

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no signs of pneumonia or chf.

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no acute cardiopulmonary abnormalities

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heart size is normal. mediastinum is normal. lungs are clear within the limitations of chest radiograph technique. there is no pleural effusion. there is no pneumothorax. if clinically warranted, correlation with chest ct to exclude the possibility of radiographically occult neutropenic pneumonia is to be considered.

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compared to chest radiographs since , most recently. previous mild pulmonary edema has resolved. no evidence of pneumonia. severe cardiomegaly persists. fullness in the right lower paratracheal station of the mediastinum is probably due to a chronically distended azygos vein, demonstrated by chest cta on there is no pleural abnormality.

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mild interstitial pulmonary edema and small left pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence for pneumonia.

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findings consistent with pneumonia. follow-up radiographs are recommended to show resolution within eight weeks.

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in comparison with study of , there has been a substantial increase in the left pleural effusion and a moderate increase in the right pleural effusion. obscuration of the hemidiaphragms is consistent with substantial volume loss in the lower lobes, especially on the left. the pulmonary vascularity may be mildly elevated. no evidence of acute focal pneumonia, though this would be difficult to exclude given the extensive enlargement the cardiac silhouette effusions. degenerative changes are again seen in the thoracic spine with loss of height of a mid dorsal vertebra. of incidental note again are calcific opacifications consistent with joint bodies in the region of the right shoulder.

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pulmonary edema. more confluent area of opacification in the right infrahilar region may relate to prominent vasculature, although in the appropriate clinical setting underlying consolidation not be excluded.

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decreased right pleural effusion, in part likely related to semiupright position query whether there has been interval thoracentesis. stable small to moderate left pleural effusion.

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right picc line tip is in the proximal right atrium and should be pulled back <num> cm to secure it position above the cavoatrial junction. there is substantial interval improvement in the right upper lobe consolidation and left perihilar opacity with still present left basal opacity potentially representing residua of the infectious process. minimal opacity is still remaining in the right upper lobe. continued surveillance is recommended. no appreciable pleural effusion is seen. no pneumothorax.

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the heart remains stably enlarged. both lungs are overall hyperinflated consistent with underlying emphysema. pulmonary arteries are prominent raising the possibility of underlying pulmonary arterial hypertension. more focal nodular opacity at the right lung base is unchanged and may reflect a nipple shadow as no corresponding abnormality is seen in this location on the ct dated. there is a stable left-sided apical pneumothorax. left chest tube remains in place with subcutaneous emphysema in the left lateral chest wall. a left pleural effusion with retrocardiac consolidation is unchanged. left-sided multiple posterolateral rib fractures are again seen. no pulmonary edema.

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there has been interval development of a retrocardiac opacity which is likely due to atelectasis, however a superimposed infection cannot be excluded. the cardiomediastinal silhouette is unchanged. there are likely small bilateral pleural effusions. there is no pneumothorax. the right ij approach central venous catheter appears to terminate within the proximal right atrium. if positioning within the cavoatrial junction is desired it may be pulled back by <num> to <num> cm.

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right apical opacity seen on exam, is not visualized on ap view. apical lordotic view demonstrates a small stellate scar in the right lung apex.

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no acute cardiopulmonary process.

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no comparison. the patient has undergone esophageal dilatation. the neo esophagus is unremarkable. no evidence of pneumothorax or pneumomediastinum. atelectatic opacities on the right and on the left are visualized. normal size of the heart. no pulmonary edema.

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

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clear lungs.

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dobhoff tube tip isout of view, below the diaphragm. moderate pulmonary edema has increased. bibasilar opacities have increased consistent with increasing pleural effusions and adjacent atelectasis. fiducial seeds in the right upper lung with adjacent opacities are unchanged. fiducial seed in the left hilum is again noted. there is no pneumothorax. mild cardiomegaly is stable.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary process. prominent loops of bowel in the upper abdomen, clinical correlation suggested.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. hyperinflated lungs.

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comparison to. no relevant change. normal chest radiograph without evidence of cardiac or lung parenchymal changes.

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no definite change in left basilar opacities, streaky in morphology and suggestive of atelectasis based on longer chronicity.

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no acute intrathoracic abnormality.

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known left upper lobe lung mass and interval placement of a right port-a-cath with interval decrease in right paratracheal opacification, likely corresponding to known lymphadenopathy, without radiographic evidence for acute cardiopulmonary process.

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as compared to the previous radiograph, no relevant change is seen. no pneumothorax. no pneumonia, no pleural effusions, no pulmonary edema.

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in comparison with the study of , there again are extremely low lung volumes. cardiac silhouette remains enlarged, though the pulmonary vascular congestion has substantially improved.

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copd. no focal consolidation to suggest pneumonia.

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the patient is rotated to the right. right base opacity is seen which could be due to atelectasis although underlying consolidation is not excluded in the appropriate clinical setting. the cardiac and mediastinal silhouettes are stable. no pneumothorax is seen. no large pleural effusion seen.

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mild bibasilar atelectasis.

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dobhoff tube in expected location.

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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly persists. the extent and severity of the pre-existing parenchymal opacities is constant. unchanged small right pleural effusion. unchanged paramediastinal calcification. unchanged monitoring and support devices.

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no acute cardiopulmonary process.

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mild pulmonary edema with stable cardiomegaly. no pleural effusions. unchanged position of pacemaker.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process. infectious findings on concurrent chest ct are not well depicted on this examination.

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as compared to the previous image, the patient has undergone right thoracocentesis. the extent of the right pleural effusion has slightly decreased but the effusion is still clearly visible. there is no evidence of pneumothorax. the relatively extensive parenchymal opacities, dominating on the right, and the calcified known paratracheal lymph node is unchanged.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the to drainage devices on the left are in unchanged position. currently there is no evidence of pneumothorax or pneumopericardium. minimally increasing retrocardiac atelectasis. the lung volumes remain low. unchanged normal position of the right picc line

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no significant change compared with.

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low lung volumes. no evidence of pneumonia.

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no radiographic evidence of acute cardiopulmonary process.

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no evidence of acute disease. mild cardiomegaly.

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no pneumonia.

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as compared to the previous radiograph, the right central venous access line has been removed. the nasogastric tube is in unchanged position. the known atelectasis at the left lung bases is improved. there is no new focal parenchymal opacities suggesting pneumonia. no pleural effusions. normal size of the cardiac silhouette. no pulmonary edema.

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no acute cardiopulmonary process.

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slightly increased opacification at the medial right lung base could represent an early developing pneumonia in the appropriate clinical context or, alternatively, atelectasis. left juxtahilar mass corresponding to known small cell carcinoma, better characterized on recent ct of. calcified pleural plaques compatible with prior asbestos exposure.

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no acute intrathoracic process.

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lung volumes are quite low following surgery, and bibasilar opacification is presumably due to substantial atelectasis. aspiration should be considered. upper lungs are clear. mild cardiomegaly is increased. there is no pneumothorax. pleural effusions small if any. et tube is in standard placement. right jugular line ends in the right atrium and would need to be withdrawn <num> cm to reposition it in the low svc, if desired. nasogastric tube ends in the upper portion of a nondistended stomach.

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no focal consolidations to suggest pneumonia. stable <num> mm nodular opacity within the right lower lung, likely a vessel on end.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to radiograph, single lead icd remains in place terminating in the right ventricle. cardiac silhouette remains markedly enlarged is accompanied by massive enlargement of the main and central pulmonary arteries. asymmetrical diffuse interstitial pattern in the right lung is likely due to asymmetrical pulmonary edema, particularly considering minimal interstitial abnormalities at the left base. small right pleural effusion is also evident.

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no significant interval change as the left pleural effusion persists.

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no acute cardiopulmonary abnormality.

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there has been interval appearance of diffuse bilateral airspace process with associated peribronchial cuffing. these findings would favor moderate to severe pulmonary edema, although diffuse infectious process could also have this appearance. clinical correlation is advised. the patient is status post median sternotomy with overall stable cardiac mediastinal contours given portable technique and lower lung volumes on the current examination. no pneumothorax is seen. no large effusions can be appreciated.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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no pneumonia.