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/p13637136/s59167440/3d888606-77058b99-0530f301-2538697c-84de358f.jpg	bilateral moderate pulmonary edema. please correlate clinically to exclude possibility of infection. repeat after treatment suggested to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p10594556/s58972715/8ef22c07-27607f8d-49765e3a-55c48e70-4a800408.jpg	interval placement of left-sided chest tube with decrease in size of pneumothorax which may persist medially.
MIMIC-CXR-JPG/2.0.0/files/p18156009/s59812173/32f8cf00-43211006-d4166175-aace4fb5-2b1754e6.jpg	persistent, but improved right lower lung opacity.
MIMIC-CXR-JPG/2.0.0/files/p18371155/s55441237/0d58b652-3af03b24-656ac8e6-0b4eec28-ff4eda5f.jpg	in the appropriate clinical setting, density in the retrocardiac region could reflect developing pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18686254/s57871359/6bcf7bdd-06110be7-74706403-81557207-cc0ba754.jpg	worsening patchy ill-defined opacities within the lung apices and the right lung base concerning for infection. streaky opacity in the left lung base appears improved compared to the prior study, and could reflect an area of atelectasis. small left pleural effusion persists.
MIMIC-CXR-JPG/2.0.0/files/p12416024/s57755522/28b1171f-4d5ff4b1-c68ab063-cce44b03-27f7c4b2.jpg	no evidence of acute cardiopulmonary disease or old tuberculous disease.
MIMIC-CXR-JPG/2.0.0/files/p10431794/s58140417/aa8cb5ea-14d624a5-e7068a8c-0753c531-b93162bd.jpg	mild left base atelectasis. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13588863/s58605290/c7a9c657-f5b30512-2ec0f0f7-96f2215d-ab070b94.jpg	no evidence of acute pneumothorax following interventional biopsy procedure.
MIMIC-CXR-JPG/2.0.0/files/p18616499/s58262674/104d3522-978136fc-cc0ed5f8-8cba486d-0b3ad91e.jpg	multiple nodular and branching opacities in the right lung could represent multifocal pneumonia in the appropriate clinical setting, or a component of newly-developed bronchiectasis. right hilar prominence is non-specific but may due to lymphadenopathy or vascular structures. if further characteriztion is required, a contrast-enhanced ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p14382425/s57485462/d7e70d87-26c376eb-a5c544a1-aece5150-23a31311.jpg	as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly persists. mild fluid overload but no overt pulmonary edema. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18217141/s50007930/46d6dfe4-51cbf46b-b2fb2318-f982bb2d-524893f0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10125262/s53069173/280d2a32-dade7877-ef83ecb8-ddf06576-f7fa4c0e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12183714/s51993603/26367e3a-98b43d74-1c792b71-7922b974-079595d0.jpg	ett is too high and should be advanced by several cm for more optimal positioning. persistent bulbous opacity at the left lung base, which may represent a mass or abscess. recommendation(s): conventional chest radiography or ct is recommended for further evaluation of the left base opacity if it continues to persist.
MIMIC-CXR-JPG/2.0.0/files/p11969967/s54351395/94657ccf-ef2e503e-0323c45c-7d2c7ede-02d58613.jpg	no pneumonia. normal mediastinal contour.
MIMIC-CXR-JPG/2.0.0/files/p12043836/s50168099/321eb66c-da082f1e-7c18f678-081988aa-3568a2e7.jpg	interval decrease in right pleural effusion. continued right lung base consolidation. interval increase in right pneumothorax, still small.
MIMIC-CXR-JPG/2.0.0/files/p19940078/s51969791/b0060aa3-a028a786-4a1b06f8-3b7b2bb1-609320ae.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17382655/s56581233/deea7a4d-e27fe9a0-c000c18f-a5fadb0c-e76521e5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13365077/s53485206/ca71ad3d-3108f2d4-1ec454b8-5486ca86-6212bd1e.jpg	mild left basal atelectasis with small left pleural effusion, not significantly changed from prior exam.
MIMIC-CXR-JPG/2.0.0/files/p13560719/s53602437/3a91061a-3f2b63a6-75ebfd02-ad57f627-f3cefca0.jpg	large density projecting along the lower posterior chest on the lateral view, probably to the right of midline. although a hiatal hernia with associated atelectasis or scarring could be considered, it is not possible to exclude a mass or consolidation. comparison to prior radiographs may be helpful if clinically appropriate. a chest ct is suggested to evaluate further when clinically appropriate.
MIMIC-CXR-JPG/2.0.0/files/p12897175/s51386439/96c61119-21b337e5-bdf369a8-97e7114f-cb103d35.jpg	mild hyperinflation. no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p10008493/s54180175/81791c39-946a2aaa-fd27f78d-48400e77-610e2ae2.jpg	streaky left lower lobe opacity may reflect atelectasis, though infection is not completely excluded in the correct clinical setting. trace left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13561687/s59236111/7baee284-d7130f8d-67e46e7a-774cd1c0-1adbe6a7.jpg	dense band-like opacities in the lower lungs which have a morphology most suggestive of atelectasis. if pneumonia is a continuing possible clinical concern, a short-term followup radiographs may be helpful and pneumonia is not entiredly excluded.
MIMIC-CXR-JPG/2.0.0/files/p19299595/s54032506/dc9d248e-1832a175-7af21316-aac09eda-c25959cf.jpg	no acute findings in chest. picc line appropriately positioned.
MIMIC-CXR-JPG/2.0.0/files/p14111050/s50086924/c3cc8bbb-98fb1c2b-7764a089-063b0604-2c1d9f65.jpg	no pneumonia, edema, or effusion.
MIMIC-CXR-JPG/2.0.0/files/p15001834/s56269673/4e8a3d81-c91fddbf-bb0c839d-839b2f30-6c2a7cdc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13199697/s53486940/efc97f71-dc5015e2-f84f4d20-d46247e4-a83c3e7f.jpg	in comparison with the earlier study of this date, there has been placement of a nasojejunal tube, which appears to extend beyond the ligament of treitz into the jejunum. however, an abdominal study would be necessary to optimally follow the course of the tube. mild atelectatic changes and probable small effusion are again seen on the left. right subclavian catheter again extends to the mid to lower portion of the svc.
MIMIC-CXR-JPG/2.0.0/files/p12046779/s50021500/fa29f439-d9348810-0659574c-0bb435bd-6eb56fde.jpg	no radiographic evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16403314/s56685458/7ad72f07-13b2cc39-3cdec54a-e559a657-afdd57fc.jpg	ng tube side port is probably at the ge junction could be advanced slightly more to be in the stomach. otherwise, no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p10146904/s53005628/96899d1a-e9cd86e4-66eb4a95-fc3b49d0-c7ac3a94.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16026480/s57964004/e379fc28-df7f1be8-4b6fbe66-dcf4693f-8e3b4347.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p14042163/s59025037/a03acee3-4b8c3eed-fa31fdc7-4404f803-8e45413c.jpg	large right and moderate left pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13110443/s50622496/084da3f0-bd67c3c7-6386a5af-50035dab-4f0ece67.jpg	no relevant change as compared to the previous examination. monitoring and support devices are constant. lung volumes are low with, bilateral, areas of atelectasis at the lung bases. moderate cardiomegaly. mild pulmonary edema. no new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p16452187/s50334706/72e41ab2-d57e972e-20fe6504-60e84795-30e8f532.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. dual-channel pacer device remains in place with well-positioned leads. no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of interstitial changes to radiographically suggest amiodarone toxicity.
MIMIC-CXR-JPG/2.0.0/files/p19438782/s58652883/ea7ac975-100aba76-f96b05c2-0dccbae9-b3155228.jpg	exact position of tip of nasogastric tube cannot be determined.
MIMIC-CXR-JPG/2.0.0/files/p15173584/s59402930/be4b69fd-225b9fe6-cf98e597-e6824865-9f292b48.jpg	no focal consolidation. dilated or torturous aorta is of uncertain chronicity given lack of prior imaging.
MIMIC-CXR-JPG/2.0.0/files/p17449808/s54382556/56718992-6f18a406-f95e9f4d-05a8f227-e58d2484.jpg	ap chest compared to : lateral aspect left lower chest and upper abdomen is excluded from the study. there is no free subdiaphragmatic gas. mediastinal configuration reflects previous right upper lobectomy. lungs are clear. heart size normal. no pleural abnormality. upper enteric drainage tube passes into the stomach and out of view. left subclavian line ends in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p18712674/s57342864/94d34cb0-7964d6b3-cc524f9d-376fb8d4-30acfb75.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17542257/s57147017/5c7867ee-e6e93f87-4374198f-4953ab5f-c1ca130d.jpg	increased size of right middle lobe lung lesion. mild right basilar atelectasis. persistent mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12510856/s52658641/981aa051-92b87b0d-44342681-d4aee51c-027fee40.jpg	left picc is coiled in the region of the left subclavian and terminates at the svc/ brachiocephalic junction, higher in position as compared to the prior study. query whether this same picc as on chest radiograph from and it has migrated or whether a new line has been placed in the interval. does picc function appropriately or need to be repositioned? clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s51186158/767a6eac-f4a23321-a8d56d1f-200aca0b-bfb8d809.jpg	as compared to radiograph, left chest tube remains in place. endobronchial bowels are again demonstrated in the left perihilar region. collapsed left upper lobe is surrounded by prominent lucency which could reflect a small residual pneumothorax. exam is otherwise remarkable for slight worsening subcutaneous emphysema in the left chest wall.
MIMIC-CXR-JPG/2.0.0/files/p15002645/s57365926/3b51c1a3-77736e4c-ec41eef7-e0aab67c-b9904e8e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17079941/s51207119/167f6ad6-eaf9f687-3f62eb53-a0e123b5-fd617e9b.jpg	appropriately positioned lines and tubes. no significant interval change in widespread bilateral lung interstitial opacities, likely interstitial edema. moderate left retrocardiac atelectasis, not significantly changed.
MIMIC-CXR-JPG/2.0.0/files/p19639613/s54735839/82c1ff8b-5ca4ab4f-ce111391-6041f83b-2294dc25.jpg	no evidence of acute chest abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg	no decrease in massive cardiomegaly or pulmonary artery dilatation. echocardiography is recommended to further evaluate this finding. these findings were reported to physician assistant, ms. , at via phone by.
MIMIC-CXR-JPG/2.0.0/files/p12770631/s58810713/48a0533d-bb678d13-874ceb85-3d6782d9-e2b3aa53.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17477876/s50333519/3af58dd7-9056d041-4b5746b5-8e081b5a-3eeaf8c8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19612309/s59731270/b9bf6b1c-cf7bd16e-c2546bef-34756345-5d7ce27b.jpg	in comparison with the study , there is little change in the appearance of the neo esophagus on the right. pleural thickening is again seen along the right lateral chest wall. no evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13309508/s57924289/c0915a42-1935c1b0-64f667de-3c4a1015-8c1b1340.jpg	as compared to the previous exam, there is a minimal decrease in extent of the known right pleural effusion. the areas of subsequent atelectasis are unchanged. unchanged appearance of the cardiac silhouette, unchanged appearance of the left lung. no overt pulmonary edema but signs of mild fluid overload are present.
MIMIC-CXR-JPG/2.0.0/files/p10265482/s53500001/63f120b9-5aa45ee6-a8963812-4a13e15c-b7885fd8.jpg	as compared to previous radiograph from several hr earlier, the patient has been intubated and a nasogastric tube is been placed, both in standard position. cardiomegaly and pulmonary vascular congestion persist. bibasilar opacities have slightly worsened, right greater than left, and may be due to aspiration or evolving aspiration pneumonia. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p14413277/s50623461/2db30540-59680473-3880bd8f-81a1bc75-992e5550.jpg	mild cardiomegaly with mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17595401/s59450902/2df18d27-a89f7acb-6255008b-0c8965b1-91a8ceec.jpg	in comparison with the study of , the right subclavian catheter has been replaced with one that extends to the mid to lower portion of the svc. there are extremely low lung volumes with opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. posterior fusion device in the thoracic spine is again seen.
MIMIC-CXR-JPG/2.0.0/files/p12351807/s56544974/f0d8ce2d-908165e6-5bb79909-efe30247-cb909632.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19623574/s53763621/942880b8-43a83ff1-bd4f9a6f-5e2f2e06-590dfe86.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12722180/s50963662/e0a9e2a8-99dd2c70-e8782f6b-31308909-d53ff14c.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16528352/s51091019/28ea37ef-2b5d6c50-c01a1095-6cd4a4ba-8fefafe7.jpg	mild interstitial pneumonia and cardiomegaly has progressed since exam. small right pleural effusion persists.
MIMIC-CXR-JPG/2.0.0/files/p18335994/s59562298/2435378a-285248f8-a58482f3-0632c0cd-b6b667fe.jpg	chronic obstructive airways disease. right lower lobe subsegmental atelectasis or potentially early pneumonia in the appropriate settin.
MIMIC-CXR-JPG/2.0.0/files/p16302059/s51889361/0ca04cf5-4a2912df-4b2a05da-97ea7a47-376b98ef.jpg	mild pulmonary edema has worsened since. heart size is top-normal. no definite pulmonary consolidation or pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10398209/s58418853/7172e956-f546276c-2d8534b9-83ce580d-ca2d1344.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p14775533/s59250118/5c7c6991-d8c628c6-7dd6ca56-cde7051d-a480e2a5.jpg	increasing atelectasis in the right lower lobe. no pulmonary edema. stable mediastinal contour
MIMIC-CXR-JPG/2.0.0/files/p12275102/s59839230/b4d94bfd-801723cb-773913be-d10d5723-17c627ac.jpg	heart size is normal. mediastinum is normal. lungs are essentially clear. there is no pleural effusion. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15368249/s52689454/cbd65bf7-a0773ca2-d3b24e4d-a10fd837-d73dfd1e.jpg	comparison to. no relevant change is seen. small platelike scar in the right lung. borderline size of the heart. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11617629/s54804229/edf64ded-1f52a2fb-4463c3da-75d95959-9451b110.jpg	mild interstitial edema, slightly improved. stable support lines and tubes. no significant pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15455515/s57438511/78b19b21-0b525c28-3c20bc3c-cdfb1c2f-e4232e7b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11058749/s59854973/e07407f6-4055057a-a42eea91-0c35b672-4c4aa715.jpg	the heart is within normal limits in size and there is mild tortuosity of the aorta. minimal atelectatic changes at the left base. no evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19044899/s59193967/4ea8643d-af9b54a9-d5f91ee3-a7744759-eda28345.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17336284/s57628729/bb97098d-1c32c3f0-9d2f3838-69cbb7cd-45bf4c38.jpg	signs of congestive heart failure with new pulmonary edema and increased cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19650702/s55287511/277c86ee-e1a714db-b01c0792-96276954-efaf1c0a.jpg	peripheral opacity in the right apex and apical pleural cap are persistent, could be loculated fluid with adjacent atelectasis. bibasilar atelectasis have improved.
MIMIC-CXR-JPG/2.0.0/files/p18217695/s57112910/153ddb97-e420bf08-1ee11e1e-256fcaa5-c5884720.jpg	left lower lobe opacity compatible with pneumonia in the proper clinical setting, recommend repeat after treatment to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p13941091/s58379472/95a41809-37b70597-76ebc1a5-cc588000-8fa35852.jpg	as compared to chest radiograph, cardiac silhouette has further increased in size and is accompanied by pulmonary vascular congestion and development of mild pulmonary edema which appears asymmetrical, predominantly right-sided. considering marked difference in size and shape of cardiac silhouette compared to , the possibility of pericardial effusion she be considered. small to moderate right pleural effusion and small left pleural effusion have slightly increased in size.
MIMIC-CXR-JPG/2.0.0/files/p13224650/s50294359/ecba1bdd-8c7bd006-e48af819-16c874fa-2ccb63e4.jpg	interval removal of the endotracheal and enteric tubes. diffuse bilateral opacities seen on the prior radiograph, which was likely due to pulmonary edema, have nearly resolved.
MIMIC-CXR-JPG/2.0.0/files/p10233307/s53485960/1885a3a7-0712e568-b52dcaed-698249f4-3d46fcf2.jpg	comparison to. new parenchymal opacity in the right upper lobe, with air bronchograms. the changes could be due to both pneumonia or atelectasis. the lung volumes remain low. moderate cardiomegaly persists. the known retrocardiac opacity is not substantially changed. unchanged monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p13934236/s57475426/40b81aa0-2fa12376-b3d11232-f7b59527-ee8ba423.jpg	mild facet congestion and trace edema. some increased density compared to the prior at the posterior base on lateral view only which may represent atelectasis. infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p19247836/s59185383/7067f425-cd7a873e-2d96c3a3-1c85f39f-f4174166.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16316072/s56902731/a3c4efbe-e49c0063-e045aef4-761404e1-7bd26157.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13206514/s56374333/ea8920b7-4a12d486-5d9ddcb8-4ae78917-70f02704.jpg	top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and cabg. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17453847/s59988548/41b0528c-bca2a7c8-1a934d00-a99ab515-ce109399.jpg	moderate cardiomegaly is stable. pacer leads are in standard position. right picc tip is in the upper svc. there is no pneumothorax. new small bilateral effusions are unchanged. bibasilar atelectasis have minimally increased. there is no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14697956/s52489885/2445ec7e-e60bcf12-b4260895-f63e4ea0-8a5de1c5.jpg	known displaced left posterior ninth rib fracture, without evidence of pneumothorax. no pleural effusion or focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19611269/s55897849/d0b19ea5-0c3f9c5a-e76d1541-6800bd9b-756a9224.jpg	no evidence of pneumothorax in this single frontal chest radiograph. patchy left retrocardiac opacity could reflect atelectasis versus aspiration. if clinical concern, dedicated chest radiograph with a lateral view can be considered for more complete evaluation and to help exclude the possibility of a developing infectious pneumonia at this site.
MIMIC-CXR-JPG/2.0.0/files/p16827631/s55506294/6e8f64a8-58722d22-e27d386d-f4f93d97-663fadf5.jpg	pulmonary edema is moderately severe. greater opacification at the lung bases is probably a combination of dependent edema and atelectasis as well as the small left and moderate right pleural effusions. cardiomegaly is mild. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19946592/s56653214/5a9edda4-0b3165c2-80b54be7-d79a8536-d3c0e025.jpg	increased markings throughout the lungs which could be chronic, although superimposed interstitial edema is also suspected.
MIMIC-CXR-JPG/2.0.0/files/p16869590/s57387581/c0ba6a33-858e15c5-36fc0ae8-22a34e6b-a00cf315.jpg	no acute cardiothoracic process including no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13145906/s59508608/e8b7b9e8-78b3bca0-2f6d1d04-aff8adf3-9b9dedcc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15868448/s57232596/66456615-26d1b16b-9869f46a-8ade265a-ca979fd0.jpg	small left effusion is new. bibasilar patchy opacities similar, possibly slightly worse at the left base.
MIMIC-CXR-JPG/2.0.0/files/p17348615/s57812169/d1c8d87e-1e9b4037-54637e4e-1d6167f7-26c26554.jpg	vague posterior basilar opacity, probably atelectasis; etiologies such as aspiration and infectious bronchopneumonia are not excluded, however. short-term follow-up radiographs may be appropriate to reassess.
MIMIC-CXR-JPG/2.0.0/files/p12715853/s55386122/1f462ce4-f6e620b3-6f44a2ea-20bac2b2-708dad87.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p13080456/s55252148/f6d44798-4eb29118-df872fb1-03ac9cdb-d1896e7f.jpg	a in comparison with the study of , the patient is substantially oblique, making it difficult to compare the appearance of the heart and lungs. the port-a-cath remains in place. there is suggestion of some increased opacification at the left base. in the appropriate clinical setting, this could represent a developing consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13729424/s55732941/835669c8-337011b1-870eca40-9ae23af2-dfe6dc1c.jpg	no evidence of pneumonia. lateral left costophrenic angle blunting, which likely represents pleural thickening and less likely a small pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14796340/s57702924/9e1e239a-6bae140a-bb22bd18-da23a8f7-3b41cac1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13165812/s51638412/06e0fb3b-a2a5891a-250fcac4-6c082d39-b55e0938.jpg	persistent moderate bilateral pleural effusions are not significantly changed since recent ct reticulated opacity in the mid and upper right lung is worse concerning for persistent pneumonia
MIMIC-CXR-JPG/2.0.0/files/p11218867/s50395674/a3c0a22a-676069d4-3c92fc2a-b02316ac-711d92e6.jpg	right port-a-cath terminating at the right upper atrium, unchanged in position since the spot fluorographs from this morning.
MIMIC-CXR-JPG/2.0.0/files/p14526311/s50377207/64fd717f-fe39c795-5f47aefa-21996e5a-d32c5e43.jpg	stable right upper lobe and left sixth rib masses. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11811720/s54374292/1a98bac9-6c421eff-001856e0-0588d965-61e1661f.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16578228/s51008579/a4b8fcb0-1b4dccf6-415ec3b3-70896226-d3cae431.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15480653/s51450836/e76b162b-5fc118c2-8e805188-8e15d1c5-35c99f0b.jpg	no radiographic evidence of an acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13150735/s59357423/f59f666a-6b28c3f8-c2ed894e-de801ef8-5187936e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19609862/s55173146/7e56e539-74242d8c-1206c73d-93891672-04333928.jpg	unchanged chronic interstitial lung disease. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13487797/s56025904/21576da0-02d8ab52-1bc96ace-5882c192-af8a03df.jpg	the abnormality on yesterday's chest radiograph raising concern for new left pleural effusion is smaller today. some of the improvement is due to a decrease in the volume of left pleural effusion, now small, and some is probably due to improvement in left lower lobe atelectasis. transvenous right atrial pacer and right ventricular pacer defibrillator lead are continuous from the left pectoral generator. mild cardiomegaly is still present, exaggerated by very low lung volumes. right lung is grossly clear and there is no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15002957/s50480029/7454ecde-2db09326-3a341030-c2cd4693-484742cd.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16901707/s54982619/ba3fe99d-64f00300-95284272-20b328d0-21cd83c3.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10330900/s51484326/e6d4a9ee-8b85e143-69de1cd0-e197387e-8a670cf9.jpg	<num> cm rounded opacity projecting over the left anterior second rib. dedicated ct is recommended for further evaluation. no pneumonia. recommendation(s): chest ct for further evaluation of the <num> cm opacity.

MIMIC-CXR-JPG/2.0.0/files/p13637136/s59167440/3d888606-77058b99-0530f301-2538697c-84de358f.jpg

bilateral moderate pulmonary edema. please correlate clinically to exclude possibility of infection. repeat after treatment suggested to document resolution.

MIMIC-CXR-JPG/2.0.0/files/p10594556/s58972715/8ef22c07-27607f8d-49765e3a-55c48e70-4a800408.jpg

interval placement of left-sided chest tube with decrease in size of pneumothorax which may persist medially.

MIMIC-CXR-JPG/2.0.0/files/p18156009/s59812173/32f8cf00-43211006-d4166175-aace4fb5-2b1754e6.jpg

persistent, but improved right lower lung opacity.

MIMIC-CXR-JPG/2.0.0/files/p18371155/s55441237/0d58b652-3af03b24-656ac8e6-0b4eec28-ff4eda5f.jpg

in the appropriate clinical setting, density in the retrocardiac region could reflect developing pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18686254/s57871359/6bcf7bdd-06110be7-74706403-81557207-cc0ba754.jpg

worsening patchy ill-defined opacities within the lung apices and the right lung base concerning for infection. streaky opacity in the left lung base appears improved compared to the prior study, and could reflect an area of atelectasis. small left pleural effusion persists.

MIMIC-CXR-JPG/2.0.0/files/p12416024/s57755522/28b1171f-4d5ff4b1-c68ab063-cce44b03-27f7c4b2.jpg

no evidence of acute cardiopulmonary disease or old tuberculous disease.

MIMIC-CXR-JPG/2.0.0/files/p10431794/s58140417/aa8cb5ea-14d624a5-e7068a8c-0753c531-b93162bd.jpg

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

MIMIC-CXR-JPG/2.0.0/files/p13588863/s58605290/c7a9c657-f5b30512-2ec0f0f7-96f2215d-ab070b94.jpg

no evidence of acute pneumothorax following interventional biopsy procedure.

MIMIC-CXR-JPG/2.0.0/files/p18616499/s58262674/104d3522-978136fc-cc0ed5f8-8cba486d-0b3ad91e.jpg

multiple nodular and branching opacities in the right lung could represent multifocal pneumonia in the appropriate clinical setting, or a component of newly-developed bronchiectasis. right hilar prominence is non-specific but may due to lymphadenopathy or vascular structures. if further characteriztion is required, a contrast-enhanced ct is recommended.

MIMIC-CXR-JPG/2.0.0/files/p14382425/s57485462/d7e70d87-26c376eb-a5c544a1-aece5150-23a31311.jpg

as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly persists. mild fluid overload but no overt pulmonary edema. no pleural effusions. no pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18217141/s50007930/46d6dfe4-51cbf46b-b2fb2318-f982bb2d-524893f0.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10125262/s53069173/280d2a32-dade7877-ef83ecb8-ddf06576-f7fa4c0e.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12183714/s51993603/26367e3a-98b43d74-1c792b71-7922b974-079595d0.jpg

ett is too high and should be advanced by several cm for more optimal positioning. persistent bulbous opacity at the left lung base, which may represent a mass or abscess. recommendation(s): conventional chest radiography or ct is recommended for further evaluation of the left base opacity if it continues to persist.

MIMIC-CXR-JPG/2.0.0/files/p11969967/s54351395/94657ccf-ef2e503e-0323c45c-7d2c7ede-02d58613.jpg

no pneumonia. normal mediastinal contour.

MIMIC-CXR-JPG/2.0.0/files/p12043836/s50168099/321eb66c-da082f1e-7c18f678-081988aa-3568a2e7.jpg

interval decrease in right pleural effusion. continued right lung base consolidation. interval increase in right pneumothorax, still small.

MIMIC-CXR-JPG/2.0.0/files/p19940078/s51969791/b0060aa3-a028a786-4a1b06f8-3b7b2bb1-609320ae.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p17382655/s56581233/deea7a4d-e27fe9a0-c000c18f-a5fadb0c-e76521e5.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13365077/s53485206/ca71ad3d-3108f2d4-1ec454b8-5486ca86-6212bd1e.jpg

mild left basal atelectasis with small left pleural effusion, not significantly changed from prior exam.

MIMIC-CXR-JPG/2.0.0/files/p13560719/s53602437/3a91061a-3f2b63a6-75ebfd02-ad57f627-f3cefca0.jpg

large density projecting along the lower posterior chest on the lateral view, probably to the right of midline. although a hiatal hernia with associated atelectasis or scarring could be considered, it is not possible to exclude a mass or consolidation. comparison to prior radiographs may be helpful if clinically appropriate. a chest ct is suggested to evaluate further when clinically appropriate.

MIMIC-CXR-JPG/2.0.0/files/p12897175/s51386439/96c61119-21b337e5-bdf369a8-97e7114f-cb103d35.jpg

mild hyperinflation. no acute cardiopulmonary process seen.

MIMIC-CXR-JPG/2.0.0/files/p10008493/s54180175/81791c39-946a2aaa-fd27f78d-48400e77-610e2ae2.jpg

streaky left lower lobe opacity may reflect atelectasis, though infection is not completely excluded in the correct clinical setting. trace left pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p13561687/s59236111/7baee284-d7130f8d-67e46e7a-774cd1c0-1adbe6a7.jpg

dense band-like opacities in the lower lungs which have a morphology most suggestive of atelectasis. if pneumonia is a continuing possible clinical concern, a short-term followup radiographs may be helpful and pneumonia is not entiredly excluded.

MIMIC-CXR-JPG/2.0.0/files/p19299595/s54032506/dc9d248e-1832a175-7af21316-aac09eda-c25959cf.jpg

no acute findings in chest. picc line appropriately positioned.

MIMIC-CXR-JPG/2.0.0/files/p14111050/s50086924/c3cc8bbb-98fb1c2b-7764a089-063b0604-2c1d9f65.jpg

no pneumonia, edema, or effusion.

MIMIC-CXR-JPG/2.0.0/files/p15001834/s56269673/4e8a3d81-c91fddbf-bb0c839d-839b2f30-6c2a7cdc.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13199697/s53486940/efc97f71-dc5015e2-f84f4d20-d46247e4-a83c3e7f.jpg

in comparison with the earlier study of this date, there has been placement of a nasojejunal tube, which appears to extend beyond the ligament of treitz into the jejunum. however, an abdominal study would be necessary to optimally follow the course of the tube. mild atelectatic changes and probable small effusion are again seen on the left. right subclavian catheter again extends to the mid to lower portion of the svc.

MIMIC-CXR-JPG/2.0.0/files/p12046779/s50021500/fa29f439-d9348810-0659574c-0bb435bd-6eb56fde.jpg

no radiographic evidence of acute pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p16403314/s56685458/7ad72f07-13b2cc39-3cdec54a-e559a657-afdd57fc.jpg

ng tube side port is probably at the ge junction could be advanced slightly more to be in the stomach. otherwise, no significant interval change.

MIMIC-CXR-JPG/2.0.0/files/p10146904/s53005628/96899d1a-e9cd86e4-66eb4a95-fc3b49d0-c7ac3a94.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16026480/s57964004/e379fc28-df7f1be8-4b6fbe66-dcf4693f-8e3b4347.jpg

no significant interval change.

MIMIC-CXR-JPG/2.0.0/files/p14042163/s59025037/a03acee3-4b8c3eed-fa31fdc7-4404f803-8e45413c.jpg

large right and moderate left pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p13110443/s50622496/084da3f0-bd67c3c7-6386a5af-50035dab-4f0ece67.jpg

no relevant change as compared to the previous examination. monitoring and support devices are constant. lung volumes are low with, bilateral, areas of atelectasis at the lung bases. moderate cardiomegaly. mild pulmonary edema. no new parenchymal opacities.

MIMIC-CXR-JPG/2.0.0/files/p16452187/s50334706/72e41ab2-d57e972e-20fe6504-60e84795-30e8f532.jpg

in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. dual-channel pacer device remains in place with well-positioned leads. no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of interstitial changes to radiographically suggest amiodarone toxicity.

MIMIC-CXR-JPG/2.0.0/files/p19438782/s58652883/ea7ac975-100aba76-f96b05c2-0dccbae9-b3155228.jpg

exact position of tip of nasogastric tube cannot be determined.

MIMIC-CXR-JPG/2.0.0/files/p15173584/s59402930/be4b69fd-225b9fe6-cf98e597-e6824865-9f292b48.jpg

no focal consolidation. dilated or torturous aorta is of uncertain chronicity given lack of prior imaging.

MIMIC-CXR-JPG/2.0.0/files/p17449808/s54382556/56718992-6f18a406-f95e9f4d-05a8f227-e58d2484.jpg

ap chest compared to : lateral aspect left lower chest and upper abdomen is excluded from the study. there is no free subdiaphragmatic gas. mediastinal configuration reflects previous right upper lobectomy. lungs are clear. heart size normal. no pleural abnormality. upper enteric drainage tube passes into the stomach and out of view. left subclavian line ends in the mid svc.

MIMIC-CXR-JPG/2.0.0/files/p18712674/s57342864/94d34cb0-7964d6b3-cc524f9d-376fb8d4-30acfb75.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17542257/s57147017/5c7867ee-e6e93f87-4374198f-4953ab5f-c1ca130d.jpg

increased size of right middle lobe lung lesion. mild right basilar atelectasis. persistent mild cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p12510856/s52658641/981aa051-92b87b0d-44342681-d4aee51c-027fee40.jpg

left picc is coiled in the region of the left subclavian and terminates at the svc/ brachiocephalic junction, higher in position as compared to the prior study. query whether this same picc as on chest radiograph from and it has migrated or whether a new line has been placed in the interval. does picc function appropriately or need to be repositioned? clear lungs.

MIMIC-CXR-JPG/2.0.0/files/p10286521/s51186158/767a6eac-f4a23321-a8d56d1f-200aca0b-bfb8d809.jpg

as compared to radiograph, left chest tube remains in place. endobronchial bowels are again demonstrated in the left perihilar region. collapsed left upper lobe is surrounded by prominent lucency which could reflect a small residual pneumothorax. exam is otherwise remarkable for slight worsening subcutaneous emphysema in the left chest wall.

MIMIC-CXR-JPG/2.0.0/files/p15002645/s57365926/3b51c1a3-77736e4c-ec41eef7-e0aab67c-b9904e8e.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17079941/s51207119/167f6ad6-eaf9f687-3f62eb53-a0e123b5-fd617e9b.jpg

appropriately positioned lines and tubes. no significant interval change in widespread bilateral lung interstitial opacities, likely interstitial edema. moderate left retrocardiac atelectasis, not significantly changed.

MIMIC-CXR-JPG/2.0.0/files/p19639613/s54735839/82c1ff8b-5ca4ab4f-ce111391-6041f83b-2294dc25.jpg

no evidence of acute chest abnormality.

MIMIC-CXR-JPG/2.0.0/files/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg

no decrease in massive cardiomegaly or pulmonary artery dilatation. echocardiography is recommended to further evaluate this finding. these findings were reported to physician assistant, ms. , at via phone by.

MIMIC-CXR-JPG/2.0.0/files/p12770631/s58810713/48a0533d-bb678d13-874ceb85-3d6782d9-e2b3aa53.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17477876/s50333519/3af58dd7-9056d041-4b5746b5-8e081b5a-3eeaf8c8.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p19612309/s59731270/b9bf6b1c-cf7bd16e-c2546bef-34756345-5d7ce27b.jpg

in comparison with the study , there is little change in the appearance of the neo esophagus on the right. pleural thickening is again seen along the right lateral chest wall. no evidence of acute pneumonia or vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p13309508/s57924289/c0915a42-1935c1b0-64f667de-3c4a1015-8c1b1340.jpg

as compared to the previous exam, there is a minimal decrease in extent of the known right pleural effusion. the areas of subsequent atelectasis are unchanged. unchanged appearance of the cardiac silhouette, unchanged appearance of the left lung. no overt pulmonary edema but signs of mild fluid overload are present.

MIMIC-CXR-JPG/2.0.0/files/p10265482/s53500001/63f120b9-5aa45ee6-a8963812-4a13e15c-b7885fd8.jpg

as compared to previous radiograph from several hr earlier, the patient has been intubated and a nasogastric tube is been placed, both in standard position. cardiomegaly and pulmonary vascular congestion persist. bibasilar opacities have slightly worsened, right greater than left, and may be due to aspiration or evolving aspiration pneumonia. no other relevant changes.

MIMIC-CXR-JPG/2.0.0/files/p14413277/s50623461/2db30540-59680473-3880bd8f-81a1bc75-992e5550.jpg

mild cardiomegaly with mild pulmonary vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p17595401/s59450902/2df18d27-a89f7acb-6255008b-0c8965b1-91a8ceec.jpg

in comparison with the study of , the right subclavian catheter has been replaced with one that extends to the mid to lower portion of the svc. there are extremely low lung volumes with opacification at the left base consistent with volume loss in the lower lobe and pleural effusion. posterior fusion device in the thoracic spine is again seen.

MIMIC-CXR-JPG/2.0.0/files/p12351807/s56544974/f0d8ce2d-908165e6-5bb79909-efe30247-cb909632.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19623574/s53763621/942880b8-43a83ff1-bd4f9a6f-5e2f2e06-590dfe86.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p12722180/s50963662/e0a9e2a8-99dd2c70-e8782f6b-31308909-d53ff14c.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p16528352/s51091019/28ea37ef-2b5d6c50-c01a1095-6cd4a4ba-8fefafe7.jpg

mild interstitial pneumonia and cardiomegaly has progressed since exam. small right pleural effusion persists.

MIMIC-CXR-JPG/2.0.0/files/p18335994/s59562298/2435378a-285248f8-a58482f3-0632c0cd-b6b667fe.jpg

chronic obstructive airways disease. right lower lobe subsegmental atelectasis or potentially early pneumonia in the appropriate settin.

MIMIC-CXR-JPG/2.0.0/files/p16302059/s51889361/0ca04cf5-4a2912df-4b2a05da-97ea7a47-376b98ef.jpg

mild pulmonary edema has worsened since. heart size is top-normal. no definite pulmonary consolidation or pleural effusion. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p10398209/s58418853/7172e956-f546276c-2d8534b9-83ce580d-ca2d1344.jpg

no acute intrathoracic abnormalities identified.

MIMIC-CXR-JPG/2.0.0/files/p14775533/s59250118/5c7c6991-d8c628c6-7dd6ca56-cde7051d-a480e2a5.jpg

increasing atelectasis in the right lower lobe. no pulmonary edema. stable mediastinal contour

MIMIC-CXR-JPG/2.0.0/files/p12275102/s59839230/b4d94bfd-801723cb-773913be-d10d5723-17c627ac.jpg

heart size is normal. mediastinum is normal. lungs are essentially clear. there is no pleural effusion. there is no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p15368249/s52689454/cbd65bf7-a0773ca2-d3b24e4d-a10fd837-d73dfd1e.jpg

comparison to. no relevant change is seen. small platelike scar in the right lung. borderline size of the heart. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p11617629/s54804229/edf64ded-1f52a2fb-4463c3da-75d95959-9451b110.jpg

mild interstitial edema, slightly improved. stable support lines and tubes. no significant pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p15455515/s57438511/78b19b21-0b525c28-3c20bc3c-cdfb1c2f-e4232e7b.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11058749/s59854973/e07407f6-4055057a-a42eea91-0c35b672-4c4aa715.jpg

the heart is within normal limits in size and there is mild tortuosity of the aorta. minimal atelectatic changes at the left base. no evidence of acute pneumonia or vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p19044899/s59193967/4ea8643d-af9b54a9-d5f91ee3-a7744759-eda28345.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17336284/s57628729/bb97098d-1c32c3f0-9d2f3838-69cbb7cd-45bf4c38.jpg

signs of congestive heart failure with new pulmonary edema and increased cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p19650702/s55287511/277c86ee-e1a714db-b01c0792-96276954-efaf1c0a.jpg

peripheral opacity in the right apex and apical pleural cap are persistent, could be loculated fluid with adjacent atelectasis. bibasilar atelectasis have improved.

MIMIC-CXR-JPG/2.0.0/files/p18217695/s57112910/153ddb97-e420bf08-1ee11e1e-256fcaa5-c5884720.jpg

left lower lobe opacity compatible with pneumonia in the proper clinical setting, recommend repeat after treatment to document resolution.

MIMIC-CXR-JPG/2.0.0/files/p13941091/s58379472/95a41809-37b70597-76ebc1a5-cc588000-8fa35852.jpg

as compared to chest radiograph, cardiac silhouette has further increased in size and is accompanied by pulmonary vascular congestion and development of mild pulmonary edema which appears asymmetrical, predominantly right-sided. considering marked difference in size and shape of cardiac silhouette compared to , the possibility of pericardial effusion she be considered. small to moderate right pleural effusion and small left pleural effusion have slightly increased in size.

MIMIC-CXR-JPG/2.0.0/files/p13224650/s50294359/ecba1bdd-8c7bd006-e48af819-16c874fa-2ccb63e4.jpg

interval removal of the endotracheal and enteric tubes. diffuse bilateral opacities seen on the prior radiograph, which was likely due to pulmonary edema, have nearly resolved.

MIMIC-CXR-JPG/2.0.0/files/p10233307/s53485960/1885a3a7-0712e568-b52dcaed-698249f4-3d46fcf2.jpg

comparison to. new parenchymal opacity in the right upper lobe, with air bronchograms. the changes could be due to both pneumonia or atelectasis. the lung volumes remain low. moderate cardiomegaly persists. the known retrocardiac opacity is not substantially changed. unchanged monitoring and support devices.

MIMIC-CXR-JPG/2.0.0/files/p13934236/s57475426/40b81aa0-2fa12376-b3d11232-f7b59527-ee8ba423.jpg

mild facet congestion and trace edema. some increased density compared to the prior at the posterior base on lateral view only which may represent atelectasis. infection cannot be excluded.

MIMIC-CXR-JPG/2.0.0/files/p19247836/s59185383/7067f425-cd7a873e-2d96c3a3-1c85f39f-f4174166.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16316072/s56902731/a3c4efbe-e49c0063-e045aef4-761404e1-7bd26157.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p13206514/s56374333/ea8920b7-4a12d486-5d9ddcb8-4ae78917-70f02704.jpg

top-normal to mildly enlarged cardiac silhouette in this patient status post median sternotomy and cabg. no focal consolidation to suggest pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p17453847/s59988548/41b0528c-bca2a7c8-1a934d00-a99ab515-ce109399.jpg

moderate cardiomegaly is stable. pacer leads are in standard position. right picc tip is in the upper svc. there is no pneumothorax. new small bilateral effusions are unchanged. bibasilar atelectasis have minimally increased. there is no evidence of pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p14697956/s52489885/2445ec7e-e60bcf12-b4260895-f63e4ea0-8a5de1c5.jpg

known displaced left posterior ninth rib fracture, without evidence of pneumothorax. no pleural effusion or focal consolidation.

MIMIC-CXR-JPG/2.0.0/files/p19611269/s55897849/d0b19ea5-0c3f9c5a-e76d1541-6800bd9b-756a9224.jpg

no evidence of pneumothorax in this single frontal chest radiograph. patchy left retrocardiac opacity could reflect atelectasis versus aspiration. if clinical concern, dedicated chest radiograph with a lateral view can be considered for more complete evaluation and to help exclude the possibility of a developing infectious pneumonia at this site.

MIMIC-CXR-JPG/2.0.0/files/p16827631/s55506294/6e8f64a8-58722d22-e27d386d-f4f93d97-663fadf5.jpg

pulmonary edema is moderately severe. greater opacification at the lung bases is probably a combination of dependent edema and atelectasis as well as the small left and moderate right pleural effusions. cardiomegaly is mild. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p19946592/s56653214/5a9edda4-0b3165c2-80b54be7-d79a8536-d3c0e025.jpg

increased markings throughout the lungs which could be chronic, although superimposed interstitial edema is also suspected.

MIMIC-CXR-JPG/2.0.0/files/p16869590/s57387581/c0ba6a33-858e15c5-36fc0ae8-22a34e6b-a00cf315.jpg

no acute cardiothoracic process including no evidence of pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p13145906/s59508608/e8b7b9e8-78b3bca0-2f6d1d04-aff8adf3-9b9dedcc.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15868448/s57232596/66456615-26d1b16b-9869f46a-8ade265a-ca979fd0.jpg

small left effusion is new. bibasilar patchy opacities similar, possibly slightly worse at the left base.

MIMIC-CXR-JPG/2.0.0/files/p17348615/s57812169/d1c8d87e-1e9b4037-54637e4e-1d6167f7-26c26554.jpg

vague posterior basilar opacity, probably atelectasis; etiologies such as aspiration and infectious bronchopneumonia are not excluded, however. short-term follow-up radiographs may be appropriate to reassess.

MIMIC-CXR-JPG/2.0.0/files/p12715853/s55386122/1f462ce4-f6e620b3-6f44a2ea-20bac2b2-708dad87.jpg

no acute cardiopulmonary pathology.

MIMIC-CXR-JPG/2.0.0/files/p13080456/s55252148/f6d44798-4eb29118-df872fb1-03ac9cdb-d1896e7f.jpg

a in comparison with the study of , the patient is substantially oblique, making it difficult to compare the appearance of the heart and lungs. the port-a-cath remains in place. there is suggestion of some increased opacification at the left base. in the appropriate clinical setting, this could represent a developing consolidation.

MIMIC-CXR-JPG/2.0.0/files/p13729424/s55732941/835669c8-337011b1-870eca40-9ae23af2-dfe6dc1c.jpg

no evidence of pneumonia. lateral left costophrenic angle blunting, which likely represents pleural thickening and less likely a small pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p14796340/s57702924/9e1e239a-6bae140a-bb22bd18-da23a8f7-3b41cac1.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13165812/s51638412/06e0fb3b-a2a5891a-250fcac4-6c082d39-b55e0938.jpg

persistent moderate bilateral pleural effusions are not significantly changed since recent ct reticulated opacity in the mid and upper right lung is worse concerning for persistent pneumonia

MIMIC-CXR-JPG/2.0.0/files/p11218867/s50395674/a3c0a22a-676069d4-3c92fc2a-b02316ac-711d92e6.jpg

right port-a-cath terminating at the right upper atrium, unchanged in position since the spot fluorographs from this morning.

MIMIC-CXR-JPG/2.0.0/files/p14526311/s50377207/64fd717f-fe39c795-5f47aefa-21996e5a-d32c5e43.jpg

stable right upper lobe and left sixth rib masses. no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p11811720/s54374292/1a98bac9-6c421eff-001856e0-0588d965-61e1661f.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p16578228/s51008579/a4b8fcb0-1b4dccf6-415ec3b3-70896226-d3cae431.jpg

no evidence of acute cardiopulmonary disease.

MIMIC-CXR-JPG/2.0.0/files/p15480653/s51450836/e76b162b-5fc118c2-8e805188-8e15d1c5-35c99f0b.jpg

no radiographic evidence of an acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13150735/s59357423/f59f666a-6b28c3f8-c2ed894e-de801ef8-5187936e.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p19609862/s55173146/7e56e539-74242d8c-1206c73d-93891672-04333928.jpg

unchanged chronic interstitial lung disease. no focal consolidation.

MIMIC-CXR-JPG/2.0.0/files/p13487797/s56025904/21576da0-02d8ab52-1bc96ace-5882c192-af8a03df.jpg

the abnormality on yesterday's chest radiograph raising concern for new left pleural effusion is smaller today. some of the improvement is due to a decrease in the volume of left pleural effusion, now small, and some is probably due to improvement in left lower lobe atelectasis. transvenous right atrial pacer and right ventricular pacer defibrillator lead are continuous from the left pectoral generator. mild cardiomegaly is still present, exaggerated by very low lung volumes. right lung is grossly clear and there is no pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p15002957/s50480029/7454ecde-2db09326-3a341030-c2cd4693-484742cd.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16901707/s54982619/ba3fe99d-64f00300-95284272-20b328d0-21cd83c3.jpg

no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p10330900/s51484326/e6d4a9ee-8b85e143-69de1cd0-e197387e-8a670cf9.jpg

<num> cm rounded opacity projecting over the left anterior second rib. dedicated ct is recommended for further evaluation. no pneumonia. recommendation(s): chest ct for further evaluation of the <num> cm opacity.