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/p14142424/s58283351/a5139340-5e1b2aaa-1047ae36-9083caa4-78cb68d8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17889252/s50236588/15e7ddd9-9adc0768-0fb7bf35-5bea8f6c-da693291.jpg	medial right base atelectasis/scarring, similar to prior, without evidence of new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15117669/s52950082/561b61fa-ea6aac8d-a606926d-a91f7f77-97790fdb.jpg	interval worsening, likely pulmonary edema, can't exclude pneumonitis.
MIMIC-CXR-JPG/2.0.0/files/p17759124/s53170051/de6d2568-381cd978-13149266-ae31a877-f06c2544.jpg	increased interstitial markings and small pleural effusions in keeping with mild pulmonary edema. reviewed with dr.
MIMIC-CXR-JPG/2.0.0/files/p14490385/s51860201/c357406c-ef6e6d06-5b82d222-061f17ca-edcb21df.jpg	mild bibasilar opacities are likely atelectasis and/or small pleural effusion. no focal consolidation convincing for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17131877/s55619916/6b51074c-56e9c0df-4b0fae70-8e89d3c7-7c5d3369.jpg	as compared to the previous radiograph, no relevant change is seen. the tracheostomy tube is in correct position. unchanged appearance of the cardiac silhouette, the mediastinum and the lung parenchyma. there is no evidence of pneumothorax or pneumomediastinum. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19475604/s50418351/4f04c08f-ae9c8312-7575c5f4-c04b252f-d88da467.jpg	mild pulmonary edema with trace bilateral effusions.
MIMIC-CXR-JPG/2.0.0/files/p10192747/s59341939/d3139481-f3bd253d-8679919e-faefb563-baf2e9da.jpg	unchanged small right apical pneumothorax in conjunction with multiple acute-on-chronic fractures. the multiplicity of acute-on-chronic fractures as well as possibility of underlying pathologic process was discussed over the telephone with dr by dr at on at time of initial review.
MIMIC-CXR-JPG/2.0.0/files/p16940482/s56515419/62f6fc9a-bdfd60c4-3d3bf944-be116675-61d446a2.jpg	expected postoperative appearance after median sternotomy. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12946587/s50533365/0b91e760-1b29dd7c-5b32040e-059e6303-d1da1a98.jpg	small bilateral pleural effusions, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p13252324/s53188723/f5aa6d40-b58f100d-85d40019-4ed8a4d5-020d3932.jpg	pa and lateral chest compared to : lungs are fully expanded and clear. lateral view shows a new mediastinal abnormality posterior to the heart, probably a hiatus hernia, above which the esophagus is mildly distended with air. there is no pleural effusion or evidence of central lymph node enlargement. the heart is normal size. if this explanation does not fit the clinical profile, ct scanning would be diagnostic.
MIMIC-CXR-JPG/2.0.0/files/p10670818/s59867505/37be5ce4-ee6214e0-f0f5c2ff-db049809-63581267.jpg	moderately severe, pulmonary edema continues to resolve. heart size is normal. bilateral pleural effusion small to moderate on the right, small on the left, unchanged. no pneumothorax. tracheostomy tube, right pic line, esophagogastric drainage tube and right internal jugular line are in standard placements respectively
MIMIC-CXR-JPG/2.0.0/files/p16906565/s58278818/a07bbff2-fbb883b9-e0dc572c-3f8e814d-5a67e442.jpg	there are no acute cardiopulmonary processes. findings were reported to dr by dr at
MIMIC-CXR-JPG/2.0.0/files/p16430675/s53871372/ac142103-e9f65996-de8ac3fc-0b3d249d-92e16f13.jpg	no pneumonia, edema, or effusion.
MIMIC-CXR-JPG/2.0.0/files/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg	likely unchanged small left apical pneumothorax. increased left pleural effusion. unchanged to slightly decreased right pleural effusion. redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.
MIMIC-CXR-JPG/2.0.0/files/p12903377/s56781397/ee07c8cc-8cadbec4-eaa8540c-51cdefbb-ea56b5a7.jpg	lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p16709596/s56854818/d6e05ba3-a18d3732-49aff292-53287a06-1e47c3c9.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18507152/s59237330/2f82f8da-0679157b-b6af9b79-541564fa-1f0eaeb9.jpg	pa and lateral chest compared to : atrial and ventricular pacer leads follow their expected courses to the right atrium and floor of the right ventricle. there is no pneumothorax or pleural effusion. mediastinal widening at the thoracic inlet is longstanding, probably due to an enlarged right thyroid lobe, documented previously by a torso ct. lungs are clear.
MIMIC-CXR-JPG/2.0.0/files/p19577720/s56770021/3d998047-c0af3e08-311a7571-7e705a98-a97b3e82.jpg	severe cardiomegaly with mild pulmonary edema and small right pleural effusion. bibasilar atelectasis. massive pulmonary arteries compatible with pulmonary arterial hypertension.
MIMIC-CXR-JPG/2.0.0/files/p12408912/s55062102/e9864d8a-7c642bd9-d9e057e6-f16ecd20-0d884411.jpg	comparison to. the pre-existing parenchymal opacity in the left lower lung and at the level of the left hilus is moderately improved. the lung volume on the left is returning close to normal. a skin fold over the lateral aspects of the left hemi thorax should not be mistaken for a pneumothorax. no larger pleural effusions. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11550695/s59135774/4aae38e1-ce856b94-cee1900b-58e06a40-5998a2ed.jpg	as compared to the previous image, the bilateral basal pneumonia, combines to mild to moderate pulmonary edema is unchanged. a small right pleural effusion is likely also present. moderate cardiomegaly persists. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13117706/s53476526/bec37048-1d6cb213-0b5e2877-07c6bef5-f45bc379.jpg	after placement of right chest tube, right lung has expanded there is a residual small to moderate pneumothorax. no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p19960377/s53826860/a00ba25c-3ee900d0-ae6c008d-af4edee2-9cfca0d0.jpg	no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p15805011/s53900112/b4095e14-778093ab-03ee9611-e4aab16f-27a234c1.jpg	stable appearance of the chest. no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19139995/s58581435/d3242f0c-f648abd2-ccc441b7-4d6eae11-31808514.jpg	severe left lower lobe atelectasis has worsened and small left pleural effusion may have accumulated since following removal of the left basal pleural tube. <num> sequential radiographs show successive advancement of the feeding tube with the wire stylet in place to the distal stomach and an esophageal drainage tube ending in the upper portion of the stomach. right lung is clear. the large cardiomediastinal silhouette is unchanged since and smaller than it was just after surgery. et tube is in standard placement. right subclavian introducer ends at the origin of the svc.
MIMIC-CXR-JPG/2.0.0/files/p16322333/s59360639/d1a8f2d3-3d7c0ae1-ff2a0904-e3de4e15-6d90ef90.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15122352/s58112655/b33773eb-03e6c44d-2922b8b4-10cfa623-ac246b0f.jpg	no evidence of pneumonia. trace suspected pleural effusions. prominent central pulmonary arteries.
MIMIC-CXR-JPG/2.0.0/files/p16259867/s53408642/95fda2bb-bb607a57-827b29c5-53e909f1-857e3ff9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18081817/s56892058/a39db648-425dce4a-85447d55-37ac6eb1-8da75f1c.jpg	findings most consistent with lobar consolidative pneumonia involving the whole left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10878061/s56744957/2280cd72-556f826e-5653d625-36b23711-8919ccf8.jpg	as compared to the previous radiograph, no relevant change is seen. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p13834915/s59062136/07ca810e-ead22aa1-05138e12-c57d427a-bcd01dae.jpg	in comparison with the study of and the ct of , there again is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. opacification in the right apical region could well be related to overlying bony structures or external artifact, especially as this is unrelated to the area of clinical concern.
MIMIC-CXR-JPG/2.0.0/files/p10064049/s56368658/70fd493e-bf0919e7-33cbbfe7-3185c257-58aa23f7.jpg	prior chest radiographs since , most recently. new consolidation in the right upper lobe probable pneumonia. persistent right lower lobe lung nodule. moderate cardiomegaly is chronic. but there is no pulmonary vascular congestion or edema. no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10168636/s55641026/5f3ae201-a67dc63a-7eb687d3-824b2536-5fe2021e.jpg	stable post-surgical appearance of the mediastinum. minimal left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14718254/s52627706/e96bceb2-64b25396-05081e04-67c65bcd-46c679f4.jpg	chest radiograph is not optimal for evaluation of chest trauma. however, no obvious bony deformity. increased bilateral interstitial lung markings and central pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17064199/s57308350/c39343f6-79fc61b5-8966b1ae-0324a889-b2bc889c.jpg	worsening consolidation in the left lower lobe now extending to involve the left upper lobe with likely a moderate-sized left pleural effusion. unchanged cardiomegaly and postsurgical changes projecting over the mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p14765710/s54876588/72463a73-8381cf8c-e4edceab-37cefc88-80c7261b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12947673/s51559106/aa61809b-2c0d964f-7550d9c4-1fcef1df-727b3aeb.jpg	somewhat limited exam. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15131736/s57495351/fabe7221-766cf8c9-b0580fa0-a0df3ab8-2082dc65.jpg	in comparison to chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p18917761/s58636504/7f7b209b-60f730b2-30595eb6-c60a7587-81a347ca.jpg	no abnormality demonstrated to explain patient's symptoms.
MIMIC-CXR-JPG/2.0.0/files/p17172702/s55066893/168f2a45-32ee937b-207ef775-5369ef7b-9eaa9eea.jpg	cardiomegaly, severe pulmonary edema and small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14018231/s57362399/7511618f-97c0f8a1-204c052f-799096c9-1320e82f.jpg	interval resolution of right pleural effusion and adjacent opacities. borderline enlarged heart size.
MIMIC-CXR-JPG/2.0.0/files/p16560117/s52757826/931be881-2cd785f4-94bfd784-97a2da88-226a1fc7.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p13825137/s56512670/0bc2d4ac-730bcb05-95974706-5f41b2fe-6fe72dd6.jpg	no focal consolidation. low bilateral lung volumes. since the prior radiograph there has been interval retraction of the left picc line as described above.
MIMIC-CXR-JPG/2.0.0/files/p18092965/s55365235/8273b511-9a91c259-0b3706c0-42c4f64f-72a1e780.jpg	compared to radiograph, right pleural catheter remains in place, with a tiny residual apicolateral pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17216531/s51678038/892def8d-b1d700c4-6a2799af-ff22715d-f834b4fe.jpg	in comparison to chest radiograph, cardiomediastinal contours are stable. no definite new or worsening areas of consolidation are identified to suggest a source of infection within the lungs.
MIMIC-CXR-JPG/2.0.0/files/p19432330/s59677266/ff0b736b-8716b341-3787d9ff-181bc133-d98b95bc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17451002/s57658666/fef64433-79343d3a-1dc9a02a-5ac069b0-9b86c337.jpg	pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. nipple shadow should not be mistaken for lung nodules.
MIMIC-CXR-JPG/2.0.0/files/p19288750/s51405285/12d44f90-7ae726d7-f424fcd3-dbee3e22-078a8c5c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14924509/s50213320/9cdf882f-19ca5706-37221be7-21272571-4aeed6ab.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11201441/s55403796/942daebf-10da7f41-1ebdd39c-c2fb5666-f7befbe1.jpg	ap chest compared to , : new feeding tube ends distally in the right lower lobe bronchial tree. subsequent chest radiograph available at the time of this dictation shows successful repositioning in the upper stomach. previous consolidation questioned in the right upper lobe was probably the function of overlying appliances, rather than real abnormality. bibasilar atelectasis, moderate on the left and mild on the right is unchanged but moderate-to-large right pleural effusion has increased. moderate left pleural effusion is stable. et tube in standard placement. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10222587/s55163602/2c445065-0e47ad56-b36c1231-49c7c8b4-d792f301.jpg	as compared to the previous image, no relevant change is seen. low lung volumes. moderate cardiomegaly with signs of mild pulmonary edema. retrocardiac atelectasis and blunting of the left costophrenic sinus, so that a small pleural effusion cannot be excluded. no pneumonia. the monitoring and support devices are constant.
MIMIC-CXR-JPG/2.0.0/files/p16437545/s51465775/64398371-6bf39bf0-476e7506-b296c759-d552ea9e.jpg	appropriately positioned endotracheal and orogastric tubes. improved retrocardiac opacity with persistent linear bibasilar opacities which may represent atelectasis or aspiration. infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p14028996/s55452529/2a5ed4e9-daf7654f-e97efe17-8c0723a8-3743d016.jpg	as compared to the previous radiograph, no relevant change is seen. there is no obvious evidence for the presence of nodules or masses. no pulmonary edema. no pleural effusions. no evidence of pathological changes in lung volume. a small platelike atelectasis or scar at the bases of the right upper lobe is completely unchanged. unchanged normal size of the cardiac silhouette. unchanged normal structure of the hilus. given the post smoking history of the patient, ct should be considered to rule out smoking related lung disease, given the superior sensitivity of this technique.
MIMIC-CXR-JPG/2.0.0/files/p18780736/s58733055/23d09d8f-3f78ed9e-094aeed6-936405b6-71086e71.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12684036/s50070018/074351fc-1d15a6d5-8854a7a1-60b7a207-081109d6.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13660695/s53664828/050a1d97-db447167-61dc109a-7e847e4e-bc4bad12.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16939016/s52594588/7af9cb21-0d96ad8e-a2ac8a67-8e3358b0-bc46bb47.jpg	low position of dialysis catheter, tip situated in the right atrium. please correlate for positional adequacy. persistent mild edema.
MIMIC-CXR-JPG/2.0.0/files/p14398071/s57316386/57131ac2-37473253-fee5a0ad-68e3fd86-bf4299a2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15710368/s52896081/a2fdb0a4-d6b6388e-4717d496-d0e24196-1a1b216d.jpg	partially loculated right pleural effusion. interstitial pulmonary edema. recommend correlation with chest ct from today.
MIMIC-CXR-JPG/2.0.0/files/p15553427/s54993767/e227bb08-6655ace9-9dd8f3f1-ccbb38b4-cd51a771.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p16936322/s58857616/3e46e8d0-27be0b66-fdb9bc7f-87c6faad-ce7f8ead.jpg	no pneumothorax. mild increase in bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12273962/s50488666/edcf7b2e-3f77b93b-b1ee867c-3ed7e2bd-943d9b35.jpg	no acute chest abnormality. left-sided rib fractures, described above, not completely evaluated. these would be better seen with dedicated rib views after placement of a bb marker to mark the site of pain, if present. redemonstration of right distal clavicular fracture, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15143445/s50833014/b4f093c4-6b335799-6438cdac-e2853329-18c9d69b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16443888/s51036411/04948892-63115068-24e13878-f46eebf1-658980e9.jpg	low lung volumes with opacities at the lung bases which may reflect atalectasis but infection cannot be excluded. if indicated, a repeat radiograph with better inspiration may be obtained for improved assessment of the lung bases.
MIMIC-CXR-JPG/2.0.0/files/p15154432/s52473814/0b605151-f326857c-59501a54-6b0996b4-e1d374eb.jpg	as compared to radiograph, pulmonary vascular congestion is accompanied by improving pulmonary edema and decrease in size of left pleural effusion. moderate right pleural effusion is probably unchanged considering positional differences between the exams.
MIMIC-CXR-JPG/2.0.0/files/p10777875/s57389791/22632a30-51651a9a-af04b6ee-1a7c03f8-df38c2fb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14190554/s50383716/b92737ea-e520a23d-dabbec8b-a3159148-964f42ea.jpg	as compared to the previous radiograph, the patient has developed a mild right pleural effusion with subsequent atelectasis at the right lower lobe. postoperative appearance of the right hilus is normal. there is a millimetric right apical pneumothorax. no evidence of tension. normal appearance of the heart and of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p15780658/s57507960/4c4b497c-dd39e74a-0950b628-263622f4-c11948bb.jpg	compared to chest radiographs. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. of note, blunting of a posterior pleural sulcus is unchanged since , not an indication of pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11935224/s53528657/6b2aca97-e9eb6d71-a841473e-a8fc64b4-a3795be9.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15099669/s51427121/691e5710-283b44b4-01444517-3ebe2850-71800df1.jpg	in comparison with the study of , there has been repositioning of the esophageal stent, which now extends from about the upper clavicular level to the hemidiaphragm. remainder the study is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17578072/s51030197/414be35c-f3899204-90882f41-ba8faa14-c6b5932b.jpg	lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p16557374/s53954286/3ec337ee-a43764bc-2db66910-6d61157f-95bc7066.jpg	as compared to the previous image, no relevant change is seen. the lung volumes have increased, with near complete resolution of the pre-existing platelike atelectasis at the lung bases. no evidence of pleural effusions. no pneumonia, no pulmonary edema. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p13122325/s58447440/b7912da3-ab7c31bb-d175a4cf-77ccdb56-5bdf7e78.jpg	no abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10388908/s59702885/a485ddc7-a23b4bc2-750700d9-43e37056-becc7fda.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14572656/s56325371/26ed13b8-351d3867-1773da3d-3a57b884-ad0560bf.jpg	<num>) no acute cardiopulmonary process. <num>) stable central adenopathy
MIMIC-CXR-JPG/2.0.0/files/p19658243/s55911254/0183ccd9-e3e26def-3066f46b-1fa2b8f3-a78bf2d6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14929790/s54431376/bf681def-bed01d02-0f921cb1-f0f7d635-8017e455.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16546662/s54989647/ced31b02-d1112aed-f627a887-fa8a6145-56158386.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15633967/s51208038/2f29f7b8-c5046808-6d031de3-8ff1002c-c7318b20.jpg	no acute cardiopulmonary abnormality. no displaced fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.
MIMIC-CXR-JPG/2.0.0/files/p18062541/s56216835/25b92fa9-7f8b5748-44e046af-288605b2-7c14090d.jpg	mild bronchial wall thickening is seen in the right lower lobe suggestive of mild bronchiectasis. no other acute cardiopulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p18409213/s55060586/f117e2e1-c7520860-bc5802a5-07507428-ada238ba.jpg	no evidence of acute disease. low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg	moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion. in order to exclude pneumonia a repeat pa and lateral chest radiograph once the edema has resolved should be considered as current underlying parenchymal disease limits evaluation. a right picc tip is seen at least up to the low svc.
MIMIC-CXR-JPG/2.0.0/files/p15246600/s56944817/3837cb2a-73c204c0-f690cccc-3fe5fb74-454ebc5a.jpg	new elevation of right hemidiaphragm suggests diaphragmatic dysfunction, including phrenic nerve paralysis. further evaluation by fluoroscopic sniff test or targeted ultrasound can be considered. no evidence of pneumonia. no pleural effusion. recommendations: assess diaphragmatic function with fluoroscopy or ultrasound.
MIMIC-CXR-JPG/2.0.0/files/p19642235/s54878445/ce7669a6-c8f96abe-eea93de3-a9b2f296-42375399.jpg	status post tracheostomy tube placement. low lung volumes with left base atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12945480/s53494269/cf523672-16142b88-bdfea22e-63f7f184-fec9655e.jpg	interval increase in a moderate right and small left pleural effusions and new early interstitial edema in the left lung since <num> day prior. left lower lobe atelectasis persists.
MIMIC-CXR-JPG/2.0.0/files/p14877338/s52460995/b348a034-88545f14-e508d889-a8b42086-def03671.jpg	ap chest compared to through , : nasogastric tube ends in the upper stomach, the most proximal side port barely beyond the gastroesophageal junction. tracheostomy tube in standard placement. right subclavian line ends in the mid to low svc. mild to moderate pulmonary edema has improved slightly, small bilateral pleural effusions remain. heart size top normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15545849/s59561756/5ff5645a-bad181d7-1455fa78-8863e283-5d75b7f0.jpg	left subclavian catheter tip is in the cavoatrial junction. et tube is in standard position. ng tube tip is out of view below the diaphragm. widened mediastinum and cardiomegaly are stable large bilateral pleural effusions larger on the right side with adjacent atelectasis are stable. moderate pulmonary edema has worsened
MIMIC-CXR-JPG/2.0.0/files/p18988061/s53340886/1a008fbe-cef5c710-cb337278-cd393865-5a9c260d.jpg	no pneumothorax and no definite rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s50018968/c1dd96a0-2a01fa31-31495114-b1dd7493-9507ac01.jpg	moderate degree of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17071972/s58076665/499c1c7d-1f0e2ef6-8ce9871a-27e1abd6-4e6eb32c.jpg	in comparison with the study of , postoperative changes are again seen on the right with chest tube in place and no definite pneumothorax. continued relatively low lung volumes with bibasilar atelectatic changes and small pleural effusion. there may be minimal elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p10313183/s55426081/5b69a14b-a6426042-7bf4023c-75dd8aed-0b658a49.jpg	ap chest compared to : nasogastric tube has been repositioned, withdrawn from the right bronchial tree, cannulating the esophagus but looping in the lower chest and terminating at the thoracic inlet. subsequent chest radiograph available at the time of this review shows successful repositioning in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p16076716/s51186474/b7c2842f-84b141c8-a6d8bc98-be881daf-a4a1b37b.jpg	the heart remains stably enlarged, suggestive of cardiomegaly, although pericardial effusion cannot be entirely excluded. there has been interval appearance of a few streaky opacities in the retrocardiac region, which could represent an area of atelectasis, although aspiration or early pneumonia should be considered. clinical correlation is advised. the lungs are otherwise clear. no pulmonary edema, pleural effusions or pneumothorax. mediastinal contours are stable. no large pleural effusions. clips in the right upper quadrant consistent with prior cholecystectomy.
MIMIC-CXR-JPG/2.0.0/files/p13027204/s56765561/84a6b9e3-df6bc857-0a5ce421-568c907c-eedb0a0f.jpg	lateral view slightly suboptimal due to the patient's overlapping arm. no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19343087/s57963092/ebf3cab5-96eb8cf7-315c96e6-4b03a7b2-965db6b7.jpg	no acute cardiopulmonary process. hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p17719188/s50453477/cc8cccb4-bbce83a6-b8dc3ece-c1d690a0-ec9d939e.jpg	ng tube tip isout of view, below the diaphragm. et tube is in standard position. left subclavian catheter tip is in the lower svc. no evident pneumothorax. extensive bilateral consolidations have improved to more so on the left side. cardiomediastinal contours are stable with top moderate cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p19068326/s56650217/59bbe57f-6131d836-17e5dd8d-91ac6e3a-6e2801ad.jpg	mild pulmonary edema, persisting cardiomegaly, small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16052230/s50630432/ac1b2d07-5bda2043-4ed31379-c6fab5ab-ded2ffeb.jpg	as compared to the previous radiograph, the patient has undergone thoracocentesis. despite thoracocentesis, the pleural effusion on the right has substantially increased in extent. it now occupies approximately % of the right hemi thorax. there is mild deviation of the trachea and the heart to the left. the left lung shows signs of minimal fluid overload but is otherwise unremarkable. unchanged position of the right internal jugular vein catheter. the patient has a new dobbhoff catheter, the tip projects over the proximal parts of the stomach and should be advanced by approximately <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p13470788/s50261017/a3695781-bde96ba3-97a9f95b-7886bb1b-6baeae7c.jpg	extremely low lung volumes limit evaluation. left greater than right prominent basilar opacities all potentially due to atelectasis are noted. to exclude consolidation, repeat exam with better inspiratory effort if the patient is amenable.
MIMIC-CXR-JPG/2.0.0/files/p16522734/s57109546/4ef8bb10-fb6c9ebd-985a2730-15df707f-e6d258c6.jpg	compared to chest radiographs since , most recently. right pleural drainage catheter still in place. much of the previous multiloculated large right pleural effusion has resolved. no residual pleural fluid now is at the base of the lung, loculations indeterminate. lungs are hyperinflated but grossly clear. the heart is mildly enlarged but there is no evidence of cardiac decompensation. the as central venous infusion port catheter ends in the low svc. incidental note is made of a moderate to severe pectus deformity of the sternum.
MIMIC-CXR-JPG/2.0.0/files/p10570455/s58777052/cdbe8d2f-e041a61b-8c0ce0ea-677291d0-097dcf59.jpg	in comparison with the study of , the cardiomediastinal silhouette is stable and there is no evidence of pulmonary vascular congestion. atelectatic changes are seen at the bases and in the left mid zone. some irregularity of the right hemidiaphragm could reflect small pleural effusion and atelectatic changes. no evidence of acute focal pneumonia or pneumothorax.

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no acute cardiopulmonary process.

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medial right base atelectasis/scarring, similar to prior, without evidence of new focal consolidation.

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interval worsening, likely pulmonary edema, can't exclude pneumonitis.

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increased interstitial markings and small pleural effusions in keeping with mild pulmonary edema. reviewed with dr.

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mild bibasilar opacities are likely atelectasis and/or small pleural effusion. no focal consolidation convincing for pneumonia.

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as compared to the previous radiograph, no relevant change is seen. the tracheostomy tube is in correct position. unchanged appearance of the cardiac silhouette, the mediastinum and the lung parenchyma. there is no evidence of pneumothorax or pneumomediastinum. no pleural effusions.

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mild pulmonary edema with trace bilateral effusions.

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unchanged small right apical pneumothorax in conjunction with multiple acute-on-chronic fractures. the multiplicity of acute-on-chronic fractures as well as possibility of underlying pathologic process was discussed over the telephone with dr by dr at on at time of initial review.

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expected postoperative appearance after median sternotomy. no acute cardiopulmonary process.

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small bilateral pleural effusions, right greater than left.

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pa and lateral chest compared to : lungs are fully expanded and clear. lateral view shows a new mediastinal abnormality posterior to the heart, probably a hiatus hernia, above which the esophagus is mildly distended with air. there is no pleural effusion or evidence of central lymph node enlargement. the heart is normal size. if this explanation does not fit the clinical profile, ct scanning would be diagnostic.

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moderately severe, pulmonary edema continues to resolve. heart size is normal. bilateral pleural effusion small to moderate on the right, small on the left, unchanged. no pneumothorax. tracheostomy tube, right pic line, esophagogastric drainage tube and right internal jugular line are in standard placements respectively

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there are no acute cardiopulmonary processes. findings were reported to dr by dr at

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no pneumonia, edema, or effusion.

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likely unchanged small left apical pneumothorax. increased left pleural effusion. unchanged to slightly decreased right pleural effusion. redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.

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lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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no evidence of acute cardiopulmonary process.

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pa and lateral chest compared to : atrial and ventricular pacer leads follow their expected courses to the right atrium and floor of the right ventricle. there is no pneumothorax or pleural effusion. mediastinal widening at the thoracic inlet is longstanding, probably due to an enlarged right thyroid lobe, documented previously by a torso ct. lungs are clear.

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severe cardiomegaly with mild pulmonary edema and small right pleural effusion. bibasilar atelectasis. massive pulmonary arteries compatible with pulmonary arterial hypertension.

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comparison to. the pre-existing parenchymal opacity in the left lower lung and at the level of the left hilus is moderately improved. the lung volume on the left is returning close to normal. a skin fold over the lateral aspects of the left hemi thorax should not be mistaken for a pneumothorax. no larger pleural effusions. no pulmonary edema.

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as compared to the previous image, the bilateral basal pneumonia, combines to mild to moderate pulmonary edema is unchanged. a small right pleural effusion is likely also present. moderate cardiomegaly persists. no pneumothorax.

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after placement of right chest tube, right lung has expanded there is a residual small to moderate pneumothorax. no other interval change from prior study.

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no acute cardiopulmonary process seen.

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stable appearance of the chest. no evidence of acute cardiopulmonary disease.

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severe left lower lobe atelectasis has worsened and small left pleural effusion may have accumulated since following removal of the left basal pleural tube. <num> sequential radiographs show successive advancement of the feeding tube with the wire stylet in place to the distal stomach and an esophageal drainage tube ending in the upper portion of the stomach. right lung is clear. the large cardiomediastinal silhouette is unchanged since and smaller than it was just after surgery. et tube is in standard placement. right subclavian introducer ends at the origin of the svc.

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no acute intrathoracic process.

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no evidence of pneumonia. trace suspected pleural effusions. prominent central pulmonary arteries.

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no acute cardiopulmonary process.

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findings most consistent with lobar consolidative pneumonia involving the whole left lower lobe pneumonia.

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as compared to the previous radiograph, no relevant change is seen. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.

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in comparison with the study of and the ct of , there again is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. opacification in the right apical region could well be related to overlying bony structures or external artifact, especially as this is unrelated to the area of clinical concern.

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prior chest radiographs since , most recently. new consolidation in the right upper lobe probable pneumonia. persistent right lower lobe lung nodule. moderate cardiomegaly is chronic. but there is no pulmonary vascular congestion or edema. no pleural effusion.

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stable post-surgical appearance of the mediastinum. minimal left basilar atelectasis.

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chest radiograph is not optimal for evaluation of chest trauma. however, no obvious bony deformity. increased bilateral interstitial lung markings and central pulmonary vascular congestion.

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worsening consolidation in the left lower lobe now extending to involve the left upper lobe with likely a moderate-sized left pleural effusion. unchanged cardiomegaly and postsurgical changes projecting over the mediastinum.

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no acute cardiopulmonary abnormality.

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somewhat limited exam. no acute cardiopulmonary process.

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in comparison to chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent. no other relevant change.

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no abnormality demonstrated to explain patient's symptoms.

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cardiomegaly, severe pulmonary edema and small bilateral pleural effusions.

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interval resolution of right pleural effusion and adjacent opacities. borderline enlarged heart size.

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no evidence of acute disease.

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no focal consolidation. low bilateral lung volumes. since the prior radiograph there has been interval retraction of the left picc line as described above.

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compared to radiograph, right pleural catheter remains in place, with a tiny residual apicolateral pneumothorax.

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in comparison to chest radiograph, cardiomediastinal contours are stable. no definite new or worsening areas of consolidation are identified to suggest a source of infection within the lungs.

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no acute cardiopulmonary process.

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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. nipple shadow should not be mistaken for lung nodules.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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ap chest compared to , : new feeding tube ends distally in the right lower lobe bronchial tree. subsequent chest radiograph available at the time of this dictation shows successful repositioning in the upper stomach. previous consolidation questioned in the right upper lobe was probably the function of overlying appliances, rather than real abnormality. bibasilar atelectasis, moderate on the left and mild on the right is unchanged but moderate-to-large right pleural effusion has increased. moderate left pleural effusion is stable. et tube in standard placement. no pneumothorax.

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as compared to the previous image, no relevant change is seen. low lung volumes. moderate cardiomegaly with signs of mild pulmonary edema. retrocardiac atelectasis and blunting of the left costophrenic sinus, so that a small pleural effusion cannot be excluded. no pneumonia. the monitoring and support devices are constant.

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appropriately positioned endotracheal and orogastric tubes. improved retrocardiac opacity with persistent linear bibasilar opacities which may represent atelectasis or aspiration. infection cannot be excluded.

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as compared to the previous radiograph, no relevant change is seen. there is no obvious evidence for the presence of nodules or masses. no pulmonary edema. no pleural effusions. no evidence of pathological changes in lung volume. a small platelike atelectasis or scar at the bases of the right upper lobe is completely unchanged. unchanged normal size of the cardiac silhouette. unchanged normal structure of the hilus. given the post smoking history of the patient, ct should be considered to rule out smoking related lung disease, given the superior sensitivity of this technique.

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no acute cardiopulmonary abnormality.

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

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no acute intrathoracic abnormality.

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low position of dialysis catheter, tip situated in the right atrium. please correlate for positional adequacy. persistent mild edema.

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no acute intrathoracic process.

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partially loculated right pleural effusion. interstitial pulmonary edema. recommend correlation with chest ct from today.

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no acute intrathoracic process

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no pneumothorax. mild increase in bibasilar atelectasis.

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no acute chest abnormality. left-sided rib fractures, described above, not completely evaluated. these would be better seen with dedicated rib views after placement of a bb marker to mark the site of pain, if present. redemonstration of right distal clavicular fracture, unchanged.

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no acute cardiopulmonary process.

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low lung volumes with opacities at the lung bases which may reflect atalectasis but infection cannot be excluded. if indicated, a repeat radiograph with better inspiration may be obtained for improved assessment of the lung bases.

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as compared to radiograph, pulmonary vascular congestion is accompanied by improving pulmonary edema and decrease in size of left pleural effusion. moderate right pleural effusion is probably unchanged considering positional differences between the exams.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the patient has developed a mild right pleural effusion with subsequent atelectasis at the right lower lobe. postoperative appearance of the right hilus is normal. there is a millimetric right apical pneumothorax. no evidence of tension. normal appearance of the heart and of the left lung.

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compared to chest radiographs. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. of note, blunting of a posterior pleural sulcus is unchanged since , not an indication of pleural effusion.

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no evidence of pneumonia.

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in comparison with the study of , there has been repositioning of the esophageal stent, which now extends from about the upper clavicular level to the hemidiaphragm. remainder the study is unchanged.

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lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits.

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as compared to the previous image, no relevant change is seen. the lung volumes have increased, with near complete resolution of the pre-existing platelike atelectasis at the lung bases. no evidence of pleural effusions. no pneumonia, no pulmonary edema. borderline size of the cardiac silhouette.

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no abnormality.

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no acute cardiopulmonary process.

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<num>) no acute cardiopulmonary process. <num>) stable central adenopathy

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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

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no acute cardiopulmonary abnormality. no displaced fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.

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mild bronchial wall thickening is seen in the right lower lobe suggestive of mild bronchiectasis. no other acute cardiopulmonary process identified.

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no evidence of acute disease. low lung volumes.

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moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion. in order to exclude pneumonia a repeat pa and lateral chest radiograph once the edema has resolved should be considered as current underlying parenchymal disease limits evaluation. a right picc tip is seen at least up to the low svc.

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new elevation of right hemidiaphragm suggests diaphragmatic dysfunction, including phrenic nerve paralysis. further evaluation by fluoroscopic sniff test or targeted ultrasound can be considered. no evidence of pneumonia. no pleural effusion. recommendations: assess diaphragmatic function with fluoroscopy or ultrasound.

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status post tracheostomy tube placement. low lung volumes with left base atelectasis.

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interval increase in a moderate right and small left pleural effusions and new early interstitial edema in the left lung since <num> day prior. left lower lobe atelectasis persists.

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ap chest compared to through , : nasogastric tube ends in the upper stomach, the most proximal side port barely beyond the gastroesophageal junction. tracheostomy tube in standard placement. right subclavian line ends in the mid to low svc. mild to moderate pulmonary edema has improved slightly, small bilateral pleural effusions remain. heart size top normal. no pneumothorax.

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left subclavian catheter tip is in the cavoatrial junction. et tube is in standard position. ng tube tip is out of view below the diaphragm. widened mediastinum and cardiomegaly are stable large bilateral pleural effusions larger on the right side with adjacent atelectasis are stable. moderate pulmonary edema has worsened

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no pneumothorax and no definite rib fracture.

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moderate degree of pulmonary edema.

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in comparison with the study of , postoperative changes are again seen on the right with chest tube in place and no definite pneumothorax. continued relatively low lung volumes with bibasilar atelectatic changes and small pleural effusion. there may be minimal elevation of pulmonary venous pressure.

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ap chest compared to : nasogastric tube has been repositioned, withdrawn from the right bronchial tree, cannulating the esophagus but looping in the lower chest and terminating at the thoracic inlet. subsequent chest radiograph available at the time of this review shows successful repositioning in the stomach.

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the heart remains stably enlarged, suggestive of cardiomegaly, although pericardial effusion cannot be entirely excluded. there has been interval appearance of a few streaky opacities in the retrocardiac region, which could represent an area of atelectasis, although aspiration or early pneumonia should be considered. clinical correlation is advised. the lungs are otherwise clear. no pulmonary edema, pleural effusions or pneumothorax. mediastinal contours are stable. no large pleural effusions. clips in the right upper quadrant consistent with prior cholecystectomy.

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lateral view slightly suboptimal due to the patient's overlapping arm. no definite acute cardiopulmonary process.

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no acute cardiopulmonary process. hiatal hernia.

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ng tube tip isout of view, below the diaphragm. et tube is in standard position. left subclavian catheter tip is in the lower svc. no evident pneumothorax. extensive bilateral consolidations have improved to more so on the left side. cardiomediastinal contours are stable with top moderate cardiomegaly

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mild pulmonary edema, persisting cardiomegaly, small bilateral pleural effusions.

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as compared to the previous radiograph, the patient has undergone thoracocentesis. despite thoracocentesis, the pleural effusion on the right has substantially increased in extent. it now occupies approximately % of the right hemi thorax. there is mild deviation of the trachea and the heart to the left. the left lung shows signs of minimal fluid overload but is otherwise unremarkable. unchanged position of the right internal jugular vein catheter. the patient has a new dobbhoff catheter, the tip projects over the proximal parts of the stomach and should be advanced by approximately <num> cm.

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extremely low lung volumes limit evaluation. left greater than right prominent basilar opacities all potentially due to atelectasis are noted. to exclude consolidation, repeat exam with better inspiratory effort if the patient is amenable.

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compared to chest radiographs since , most recently. right pleural drainage catheter still in place. much of the previous multiloculated large right pleural effusion has resolved. no residual pleural fluid now is at the base of the lung, loculations indeterminate. lungs are hyperinflated but grossly clear. the heart is mildly enlarged but there is no evidence of cardiac decompensation. the as central venous infusion port catheter ends in the low svc. incidental note is made of a moderate to severe pectus deformity of the sternum.

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in comparison with the study of , the cardiomediastinal silhouette is stable and there is no evidence of pulmonary vascular congestion. atelectatic changes are seen at the bases and in the left mid zone. some irregularity of the right hemidiaphragm could reflect small pleural effusion and atelectatic changes. no evidence of acute focal pneumonia or pneumothorax.