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/p16496770/s56949587/576e9d9a-01a2b76a-62768e98-961597c8-3933f681.jpg	an intra-aortic balloon pump is seen with the tip <num> cm below the top of the aortic knob. no pulmonary edema. no focal airspace consolidation to suggest pneumonia. no pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits given portable technique.
MIMIC-CXR-JPG/2.0.0/files/p11106897/s56417641/b933f66a-a6cbb4c2-9a30f32a-7a63e065-aec0b23c.jpg	increase consolidation in the right upper and lower lungs concerning for pneumonia. probable superimposed pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15506972/s54891401/c04c8c38-5fc50681-1398fd41-41ef6ec2-4330e146.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p11692070/s58171477/75943f9d-f9938ae9-7593a3ef-203050de-10ac353c.jpg	unchanged chest radiograph without radiographic evidence of sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p13318908/s55751350/cf34b8b8-d4e13fb9-2d589730-6f402164-0ef8ffdd.jpg	interval retraction of the right internal jugular central venous line, now projecting over the upper svc.
MIMIC-CXR-JPG/2.0.0/files/p15958901/s50372596/edadf0e3-8021af91-1e71bcfb-d135c3b5-f9ffac57.jpg	normal chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p17554670/s55580372/fabf2f53-997938ac-b0b468cd-4ef44797-f894481c.jpg	comparison to. moderate cardiomegaly persists. signs of pulmonary edema have mildly decreased in extent. the edema is now mild. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10876693/s58263464/c4d532a3-f1f0119f-04dbd2ad-b45d104f-da4f4d02.jpg	continued large right pleural effusion with associated atelectasis. unable to rule out pneumonia. initial findings were conveyed to dr telephone on at approximately immediately following review by dr.
MIMIC-CXR-JPG/2.0.0/files/p12375824/s55528474/cee98a97-da0253fb-3d788a8e-fbb6b640-c18c7249.jpg	the tip of the feeding tube is in the first portion of the duodenum. no acute lung pathology.
MIMIC-CXR-JPG/2.0.0/files/p11208426/s51085944/4a16c272-5438bc6c-e4fa8d65-b31fef44-1081035a.jpg	unchanged small right and increased small left pleural effusions with chronic changes related to known chest wall mass and severe emphysema.
MIMIC-CXR-JPG/2.0.0/files/p10928135/s59708012/a5844c2d-9e0be405-d83af54f-f545cdc1-4a244538.jpg	stable elevation of the left hemidiaphragm with mild left basal atelectasis. no acute abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16204536/s56270723/8e33ace1-067d97ae-76e3ce75-fdc3c191-65de50c5.jpg	moderate to large right pneumothorax with mild leftward shift of mediastinal structures concerning for an element of tension.
MIMIC-CXR-JPG/2.0.0/files/p12110838/s59754991/1ed44ee8-cf0a7b0a-3aa292ec-30a062b2-dd28cd16.jpg	right internal jugular central line continues to have its tip in the right atrium. nasogastric tube is seen coursing below the diaphragm. there is a prominent amount of gas within the stomach. surgical skin are seen overlying the mid abdomen. lung volumes remain markedly diminished. there are likely small bilateral effusions. since the previous study, there is more patchy opacity at the right base, which could represent patchy atelectasis or an evolving pneumonia. followup imaging would be advised. there has been interval removal of the endotracheal tube. no evidence of pulmonary edema or pneumothorax. overall, heart is stable in size. mediastinal contours are likely unchanged given differences in patient positioning and rotation between studies.
MIMIC-CXR-JPG/2.0.0/files/p17257279/s52167431/0b733d36-a8d6a719-e61d0fe6-d7226fb9-10d0d72e.jpg	striking cardiomegaly; true cardiac enlargement or the possibility of a pericardial effusion, or perhaps both, could be considered. prominent main pulmonary artery contour. findings suggesting mild vascular congestion. status post endotracheal intubation, with relatively high lying endotracheal tube, which could be advanced by approximately <num> cm for more optimal positioning, if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p18044793/s58873442/2b9f85af-5930a5d9-82f20f8c-e15ab635-4527c1ea.jpg	in comparison with the study of , the monitoring and support devices are unchanged. there is continued enlargement of the cardiac silhouette with tortuosity of the aorta. increased opacification at the bases with poor definition of the hemidiaphragms suggests layering pleural effusions and compressive atelectasis. no evidence of pneumothorax. some residual subcutaneous gas is seen, primarily along the right upper abdomen.
MIMIC-CXR-JPG/2.0.0/files/p14202902/s54228717/bb1f4b06-d7d5645b-14db8704-c8cbfd2d-775ae152.jpg	mild pulmonary edema and trace bilateral pleural effusions. multinodular thyroid goiter.
MIMIC-CXR-JPG/2.0.0/files/p10955604/s50509154/4a1a3e22-a9aabcbb-b8c23d13-23589420-ccd29e59.jpg	no evidence of pulmonary edema. chronic prominence of the interstitial lung markings, worse on the left, are stable from.
MIMIC-CXR-JPG/2.0.0/files/p13383248/s57743302/dccd1317-e8ce7d06-3a3061b7-f9623c31-86e1b8eb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15845141/s50275000/8559ba61-e33dd889-e96b97d5-d9b49040-589344c7.jpg	there are no prior chest radiographs available for review. marked elevation of the right hemidiaphragm is chronic, demonstrated by abdomen ct in. lungs are clear. there is no pneumothorax or pleural effusion. normal cardiomediastinal and hilar silhouettes. et tube in standard placement. nasogastric drainage tube passes below the diaphragm and out of view.
MIMIC-CXR-JPG/2.0.0/files/p16194056/s58184400/a526adce-53836d78-b76035ca-6e2c045f-c03d26be.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11356876/s58019695/4b1ace4b-c9abb7d9-615492d6-31d7e5b9-a337c9c1.jpg	compared to chest radiographs through. pulmonary edema improved substantially on , but has worsened today. the accompanying increase in lung volume when the lungs had partially cleared suggests that could have been a function of increase positive pressure ventilator support rather than real clinical improvement. bilateral perihilar severity of the abnormality suggests a component of aspiration perhaps aspiration pneumonia. mild cardiomegaly has worsened. no pneumothorax. pleural effusions small on the left if any. cardiopulmonary support devices in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p16060826/s52531090/68f46717-1b011d39-0431b877-e9ecbb4b-ad65aa66.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17933668/s50582107/e70a61ee-466ad319-b40eb8f5-b6edc3dc-f368b095.jpg	compared to the only prior chest radiograph,. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p17786366/s50953021/b9735fbc-785a747f-60acc81c-5b977faf-0c57c2bc.jpg	no focal consolidation or evidence of pulmonary edema. severe interstitial lung disease / fibrosis. very prominent right hilus likely reflecting an enlarged pulmonary artery or presence of lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p19002113/s50971825/bbea0bc4-34b1bb0b-58c74132-e22eddd0-e5eb364d.jpg	no definite evidence of pneumonia. new bibasilar opacities are likely atelectasis. recommend a repeat chest radiograph later today or tomorrow to ensure the opacities are not increasing.
MIMIC-CXR-JPG/2.0.0/files/p19243474/s51077446/b06fffcc-27ace0b5-4bb93a6a-b91167ac-f85c47e8.jpg	interval increase in the left-sided pleural effusion with associated atelectasis. superimposed infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p15319241/s53161336/540f9ecf-8c0708d3-deebe744-e81291c6-62d88542.jpg	moderate right pleural effusion, small left pleural effusion unchanged since and. mild right basal atelectasis stable. left lower lobe atelectasis is cleared. no pneumothorax. vascular pattern in the left lung suggests emphysema. moderate cardiac enlargement is stable postoperatively. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15068958/s59684049/88362bf0-12eb2e81-84f98441-a07de661-dd457c8d.jpg	subtle patchy right lower lobe opacity raises concern for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14659758/s57073409/36e6fffa-ab79baaf-04403e58-873b9580-f57bcd72.jpg	compared to prior chest radiographs through. chest radiograph is unchanged since. bibasilar consolidation could be pneumonia, particular on the right, or atelectasis. heart is normal size. upper lungs clear. pleural effusion small if any. feeding tube passes into the jejunum and out of view.
MIMIC-CXR-JPG/2.0.0/files/p15774521/s53401924/cf16e7d0-c871b27a-1c7bfad0-1228ec66-67fe5aa8.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. continued substantial enlargement of the cardiac silhouette with only mild vascular congestion, a discordance the raises the possibility of cardiomyopathy or pericardial he fusion.
MIMIC-CXR-JPG/2.0.0/files/p16075171/s52863767/7c0fc35b-37bb5e87-a61d6b82-ca6410d9-318a628d.jpg	no definite acute cardiopulmonary process. chronic lung changes without definite consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10542941/s56083477/b83364d5-1c9ea93f-0dfb2ec7-a451b50a-536a0979.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10039272/s55751631/20ec6e8c-be58004d-d686a2c6-5ee52b4f-a81668cc.jpg	compared to most recent prior chest radiographs,. small left pleural effusion and the extent of nodular pleural thickening along the left lower costal pleural surface are unchanged. there is no pneumothorax. new rib views, to be reported separately, show no obvious bone destruction, but early invasion from the pleural surface might not be apparent on conventional chest radiographs but would require ct scanning instead. moderate enlargement of cardiac silhouette is unchanged. aside from a calcified right lower lobe granuloma, small region of right apical scarring, and stable left basal atelectasis, lungs are clear. thoracic aorta is tortuous and the lower esophagus is distended.
MIMIC-CXR-JPG/2.0.0/files/p11248852/s53052905/a9266294-48cbd457-ca357201-68a31857-05adefbc.jpg	borderline cardiomegaly, unchanged. otherwise, unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p14744455/s50296393/b25462d6-d120ef72-c7c7cfe2-c804639c-1212e9d7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16861844/s54691510/091e9e06-ce7fc4bd-bc72e340-9d6fcd93-76c25ddf.jpg	the lungs are clear and there is no pneumothorax. elevation of the left hemidiaphragm is chronic, however, eventation of the left hemidiaphragm has increased since. findings were telephoned to dr by dr at pm.
MIMIC-CXR-JPG/2.0.0/files/p16216686/s52486991/e5690e77-f984d2fa-08e28305-b11c857e-76dc35c1.jpg	as compared to the previous radiograph from less than <num> hr earlier, the endotracheal tube has been withdrawn a few cm, now terminating <num> cm above the carina. this could be advanced a few cm for standard positioning. exam is otherwise remarkable for slight improvement in bibasilar atelectasis and persistent bilateral pleural effusions. no visible pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18134008/s54556152/a08b017d-5378609f-b6f6d6de-f9fb9442-4fee43ce.jpg	stable bibasilar opacities, likely secondary to atelectasis or aspiration and small left-sided pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16824843/s51060386/5310c701-af8e4116-ca922763-8836abc2-f51416e2.jpg	ap chest compared to : despite the designation of this study as an "upright" view there is new thickening of the lateral costal pleural margin which is most readily explained by nondependent pleural fluid. multifocal consolidation in the right lung was shown by the chest ct on and what is probably pneumonia is still present. infrahilar left lower lobe was substantially atelectatic on the chest ct and that has not changed. heart is mildly enlarged. widening of the mediastinum at the level of the aortic arch is due to combination of mediastinal fat deposition and enlarged lymph nodes. right subclavian or pic line ends in the lowest third of the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14864294/s59433192/b742d8e1-9c97ab7a-59945f47-a36a58e7-9df39a29.jpg	focal opacity in the right upper lobe which could be pneumonia in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14849725/s58223095/d8a402ba-2d8f8ba9-cd63a454-a2d388df-547af8bd.jpg	right basilar subsegmental atelectasis
MIMIC-CXR-JPG/2.0.0/files/p12877392/s57132231/76f9f960-12806af5-7980c62c-a1c64571-6e959301.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17326223/s57811038/fb84939c-f1c2d08f-d036fecc-b02bb05f-d696334b.jpg	right lower lobe consolidation, suspicious for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13922987/s53207950/e5659c89-b8bd995a-0ab695a3-bac768e2-eb4c6d63.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right internal jugular line tip is at the cavoatrial junction. heart size and mediastinum are unchanged. multifocal consolidations are extensive, severe and unchanged
MIMIC-CXR-JPG/2.0.0/files/p15495411/s53247892/db81ac2a-2f4ab600-65d64470-bb21a7f0-43124942.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p12547073/s56395081/2d341c50-0854f90f-5ea840dc-40f42de2-1992a160.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14198487/s57079205/27eba09f-823688c9-59d5aa99-47154202-a0edba58.jpg	in comparison with study of , there is little change in the appearance of the heart and lungs with no acute pneumonia, vascular congestion, or pleural effusion. right subclavian picc line again extends to the mid to lower portion of the svc.
MIMIC-CXR-JPG/2.0.0/files/p12218062/s55190740/ba884696-3704ef62-553b34f6-c389b5d3-aaae3041.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17209226/s55238606/ca90f353-bf83f126-b4426259-0d80627e-f74e4393.jpg	stable appearance of the cardiomediastinal silhouette without evidence of acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13962573/s59342440/9c4375a0-b4a11c16-d41691ab-fc02097e-43fa52ce.jpg	the right picc has been pulled back now terminating in the mid svc, previously at the cavoatrial junction. persistent moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions.
MIMIC-CXR-JPG/2.0.0/files/p14461680/s52753562/97426959-43420c6f-83fecd94-9804beb7-0f7c30be.jpg	interim removal of pericardial drain. expected positions of leads
MIMIC-CXR-JPG/2.0.0/files/p15226652/s50070674/8ede3a9c-d00ed7c9-2e4a161c-2435c93f-583f90aa.jpg	heart size is normal. mediastinum is normal. there is new opacity lateral to the right hilus most likely representing infectious process. rest of the lungs are clear. no pleural effusion or pneumothorax is seen. followup of the patient <num> weeks after completion of antibiotic therapy is recommended for documentation of resolution.
MIMIC-CXR-JPG/2.0.0/files/p10803232/s54189067/c348573b-3eecd2aa-8aeeff7d-c7eefca7-f925835a.jpg	bilateral pleural effusions are large but decreased on the right after thoracocentesis with no definitive evidence of pneumothorax. mild vascular congestion is unchanged, cardiomediastinal silhouette is unchanged
MIMIC-CXR-JPG/2.0.0/files/p12605265/s56223986/2317ce6d-98e8483e-288eb0c5-75915158-68d32b83.jpg	no acute cardiopulmonary process. chronic interstitial lung disease is similar to before.
MIMIC-CXR-JPG/2.0.0/files/p13655179/s54760995/23f95fe0-8385e5d8-f3f4f421-f940ca07-d32bb089.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10760386/s58688936/12efa0ec-6d49d062-6290f2f0-899891eb-3da6b317.jpg	only partial improvement of left lung abnormalities since. chest ct is recommended for further characterization as entered into radiology communications dashboard on.
MIMIC-CXR-JPG/2.0.0/files/p14206119/s55863403/330dc201-1e767db2-4a683910-431dbb2a-8dd34784.jpg	no pneumothorax. lungs are clear, with persistent tiny left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14260897/s53053502/0b7b94cd-7b2e4719-1a17bb1d-2b6a1373-291279fb.jpg	as compared to the previous radiograph, a pre-existing right upper lobe pneumonia has completely resolved. no remnants or complications such as pleural effusions or abscesses. no pulmonary edema. normal size of the cardiac silhouette. normal hilar and mediastinal structures on both the frontal and the lateral image.
MIMIC-CXR-JPG/2.0.0/files/p19229684/s50738715/af6c27d0-2e755ac2-04b472cc-2608e919-a3dc8d77.jpg	unchanged trace bilateral pleural effusions. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12851972/s52036846/0137ff90-08513920-4c1b91ac-678dda1b-9862612c.jpg	ap chest compared to through. mild pulmonary edema is worse today than it was on. small bilateral pleural effusions persist. heart is mildly enlarged. there may be a mild-to-moderate degree of left basal atelectasis. of note, baseline chest radiographs show severe hyperinflation, but concurrent chest ct does not show emphysema. therefore, small airways obstruction is presumed.
MIMIC-CXR-JPG/2.0.0/files/p15275743/s51073445/3e259f99-dbd1dbcb-7db90e1d-80e943bf-847aaeac.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17038041/s53366950/f9952564-5a42db15-82964d23-e9f558b2-de5a11da.jpg	high in position right picc. recommend repositioning. right lower lobe opacity worrisome for consolidation due to infection and/ or aspiration with possible right pleural effusion and right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11371987/s55536793/f7303b1e-62df8aa2-bd9b7724-4adb8f14-3f7a95e5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s57169965/b9a5dc46-323eaed8-5aa1ebcf-6be4745d-d9f91f6c.jpg	urge to prior chest radiographs since most recently. moderate bilateral pleural effusions and basal atelectasis have worsened since. mild cardiomegaly is stable. no pneumothorax. tracheostomy tube midline. left pic line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p11116453/s55091372/a5bf395f-8e4abbdd-3bec1c47-8a1416df-e1ddfc60.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg	multifocal opacities worrisome for pneumonia superimposed on severe underlying interstitial lung disease; although recent prior radiographs are not available for comparison and progression of chronic lung disease could be considered as an alternative, acute superimposed pneumonia seems most likely.
MIMIC-CXR-JPG/2.0.0/files/p14436564/s50205445/594eb451-762b8148-9ed90414-ae06f52a-7205f149.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14952873/s51394333/52e32f36-f735572e-42d3fcb8-e5d65622-a9d953c7.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p19826828/s52580787/8aff7e0b-3268eb54-e685640c-67e27ba3-78b79443.jpg	opacities suggesting pneumonia, particularly within the left lower lobe including retrocardiac opacification. within eight weeks, following treatment, follow-up radiographs are suggested to show resolution.
MIMIC-CXR-JPG/2.0.0/files/p11596805/s53334654/bd112c0f-9ed35c90-35a4822f-80bfc2df-1cc41387.jpg	in comparison with the study , the left chest tube remains in place and there no definite pneumothorax. hazy opacification in the left mid and lower zones most likely represents a combination of pleural effusion and volume loss. the right lung is essentially clear.
MIMIC-CXR-JPG/2.0.0/files/p17749188/s57963619/3bb4ec7f-16b269cc-922ffe84-7b223fe3-0c9fdc6e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13059205/s56134404/88775887-5380ff05-144220b8-79bafeda-272924e9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19156000/s53515793/37ea69b2-e4c9bec4-cd0dbe46-38875932-b4f6d3f8.jpg	new mild cardiomegaly and/or pericardial effusion. mild right basilar atelectasis with no other acute process. change from initial interpretation emailed to ed qa nurses.
MIMIC-CXR-JPG/2.0.0/files/p10167784/s50141150/5d4875b3-75afd37e-daa729c9-2770c8b6-b5a6d56f.jpg	right picc line tip is deep in the right atrium and should be pulled back <num> cm. ng tube tip is in the stomach. heart size and mediastinum are stable. left more than right basal consolidations appear to be improved as
MIMIC-CXR-JPG/2.0.0/files/p16199928/s56675537/85678f0f-e20ef06a-92fcccff-5b9025f6-0408b3a3.jpg	compared to chest radiographs through. moderately severe pulmonary edema and moderate right pleural effusion have increased. severe cardiomegaly is stable. tip of the endotracheal tube is at the upper margin of the clavicles, no less than <num> cm from the carina. it should not be withdrawn any further. swan-ganz catheter ends in the right pulmonary artery. nasogastric drainage tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p11218867/s53371363/4c77cff9-74ec06e9-6bcea8f3-4514d72b-745d891a.jpg	subtle increased right lower lobe opacity could be due to early infection versus atelectasis in the appropriate clinical setting. widened superior mediastinum corresponds to underlying lymphadenopathy as seen on recent prior pet-ct from.
MIMIC-CXR-JPG/2.0.0/files/p17533213/s52650697/684f9d63-c75ae20c-fe3172be-e2a76fde-d04ec0b5.jpg	in comparison with the study of , the right ij catheter is been removed. monitoring scratch then little change in the triple-lead pacer device. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15275001/s50077472/57208ea6-19a3c6be-fc614422-cfeb30f5-793e21dc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13365915/s55083734/52b613d8-f5f964ae-c3169481-1f84594a-32045691.jpg	the alignment of the sternal wires is unchanged. the right internal jugular vein catheter is constant. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17054851/s59475113/f3a8e99d-b5287da1-b69f27d0-790cd0f5-350e6fb9.jpg	no definite focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14002928/s54006091/7c8a4954-dba81403-b26bc232-4df68b0e-4840bd01.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19793438/s57839064/7545c20e-b5fbfd20-03d7a612-f6305538-2b897b74.jpg	normal chest radiograph without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13569498/s57889652/7bff57ad-56aeff01-13334581-2a434f23-32046eae.jpg	resolving opacities in the lower lung.
MIMIC-CXR-JPG/2.0.0/files/p18056245/s57047830/bc6165d1-f7ae3641-a7aeed21-db92f835-1c07fe2a.jpg	mild pulmonary vascular congestion without overt edema or effusion.
MIMIC-CXR-JPG/2.0.0/files/p18864852/s59540148/4d53d5bc-4dc75be0-3628a8e0-d1983078-fb6bf716.jpg	no acute findings. please refer to subsequent ct chest for further details.
MIMIC-CXR-JPG/2.0.0/files/p17046924/s50726834/875f2e5e-a602f848-5a93fd70-57ca25cd-6a5f6320.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13744378/s55571787/6bdfadea-3fee05fe-0563ad98-4cab6ec0-271cb697.jpg	no evidence of active or latent tuberculosis in lungs as seen on chest examination.
MIMIC-CXR-JPG/2.0.0/files/p14376669/s56046009/c088aa81-b9b7ac8f-a6a829b9-2099768e-4dcf47f7.jpg	the nasogastric tube is positioned with its tip in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p17904545/s59922435/9980be18-2ff9d524-8feaa68d-bea70488-50fb1e2e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13013082/s59909424/cf4168cf-5a166834-01409aa8-ae773ad9-3b4e8e66.jpg	ng tube positioned appropriately. moderate bilateral pleural effusions with probable compressive lower lobe atelectasis. picc line unchanged in position.
MIMIC-CXR-JPG/2.0.0/files/p17967970/s55126798/74120698-137d3bb7-ad30b908-c0a00b68-7eec533f.jpg	right hydropneumothorax, mildly improved right basilar pneumothorax component.
MIMIC-CXR-JPG/2.0.0/files/p15094914/s50089048/56ed2a0c-2acf1df6-160cf289-d0589e5d-da224fe3.jpg	no evidence of cardiomegaly. previously seen <num>-mm left lower lung nodule is not well visualized on the current exam. mild left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17907922/s55838328/89ae5712-8fdf7010-ea1db653-c061b275-85206705.jpg	large left apical pneumothorax, despite thoracostomy tube in place. no appreciable left pleural effusion. large region of atelectasis or hematoma, operative site, left lower lobe. borderline interstitial edema right lung. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p14077346/s59234363/721bd39b-170664c8-910642d4-fe420a0e-14059f45.jpg	in comparison with the study of , there is no interval change or evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg	new right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion pe interval improvement of pulmonary vascular congestion, now mild.
MIMIC-CXR-JPG/2.0.0/files/p13895517/s53369428/c610db0b-ed6cd01c-b028ff08-e6e9a325-9dc74d55.jpg	there is marked change in the chest x-ray findings as compared to the earlier study. there is opacification of the lower of the left hemithorax and there is abrupt cut off of the left mainstem bronchus approximately <num> cm from the carina. there is mediastinal shift to the left and this is consistent with atelectasis, possibly related to a mucous plug. the right lung is clear. there is no pneumothorax. nasogastric tube tip is in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p19867995/s55143110/e485e7bf-6a6f1c0f-62c315bf-d0a5d411-744698ea.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15748140/s51962496/17c8f68c-33377391-c8188a9e-0ed9da57-e30a666d.jpg	further interval improvement in the right lower lobe and lingular opacity.
MIMIC-CXR-JPG/2.0.0/files/p15677786/s55466439/61ef4f1b-d1922891-e7091057-6b97ff60-44125615.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17106724/s58073730/911da110-6c2d186e-2bc3e238-6c39fcc8-887d19af.jpg	no previous images. endotracheal tube tip lies approximately <num> cm above the carina. there are low lung volumes with opacification at the bases most likely reflecting, a combination of pleural effusion atelectasis. nasogastric tube extends at least to the distal stomach.

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an intra-aortic balloon pump is seen with the tip <num> cm below the top of the aortic knob. no pulmonary edema. no focal airspace consolidation to suggest pneumonia. no pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits given portable technique.

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increase consolidation in the right upper and lower lungs concerning for pneumonia. probable superimposed pulmonary edema.

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no evidence of acute cardiopulmonary disease.

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unchanged chest radiograph without radiographic evidence of sarcoidosis.

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interval retraction of the right internal jugular central venous line, now projecting over the upper svc.

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normal chest radiographic examination.

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comparison to. moderate cardiomegaly persists. signs of pulmonary edema have mildly decreased in extent. the edema is now mild. no pleural effusions. no pneumonia.

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continued large right pleural effusion with associated atelectasis. unable to rule out pneumonia. initial findings were conveyed to dr telephone on at approximately immediately following review by dr.

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the tip of the feeding tube is in the first portion of the duodenum. no acute lung pathology.

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unchanged small right and increased small left pleural effusions with chronic changes related to known chest wall mass and severe emphysema.

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stable elevation of the left hemidiaphragm with mild left basal atelectasis. no acute abnormality.

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moderate to large right pneumothorax with mild leftward shift of mediastinal structures concerning for an element of tension.

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right internal jugular central line continues to have its tip in the right atrium. nasogastric tube is seen coursing below the diaphragm. there is a prominent amount of gas within the stomach. surgical skin are seen overlying the mid abdomen. lung volumes remain markedly diminished. there are likely small bilateral effusions. since the previous study, there is more patchy opacity at the right base, which could represent patchy atelectasis or an evolving pneumonia. followup imaging would be advised. there has been interval removal of the endotracheal tube. no evidence of pulmonary edema or pneumothorax. overall, heart is stable in size. mediastinal contours are likely unchanged given differences in patient positioning and rotation between studies.

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striking cardiomegaly; true cardiac enlargement or the possibility of a pericardial effusion, or perhaps both, could be considered. prominent main pulmonary artery contour. findings suggesting mild vascular congestion. status post endotracheal intubation, with relatively high lying endotracheal tube, which could be advanced by approximately <num> cm for more optimal positioning, if clinically indicated.

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in comparison with the study of , the monitoring and support devices are unchanged. there is continued enlargement of the cardiac silhouette with tortuosity of the aorta. increased opacification at the bases with poor definition of the hemidiaphragms suggests layering pleural effusions and compressive atelectasis. no evidence of pneumothorax. some residual subcutaneous gas is seen, primarily along the right upper abdomen.

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mild pulmonary edema and trace bilateral pleural effusions. multinodular thyroid goiter.

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no evidence of pulmonary edema. chronic prominence of the interstitial lung markings, worse on the left, are stable from.

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no acute cardiopulmonary process.

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there are no prior chest radiographs available for review. marked elevation of the right hemidiaphragm is chronic, demonstrated by abdomen ct in. lungs are clear. there is no pneumothorax or pleural effusion. normal cardiomediastinal and hilar silhouettes. et tube in standard placement. nasogastric drainage tube passes below the diaphragm and out of view.

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no acute intrathoracic process.

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compared to chest radiographs through. pulmonary edema improved substantially on , but has worsened today. the accompanying increase in lung volume when the lungs had partially cleared suggests that could have been a function of increase positive pressure ventilator support rather than real clinical improvement. bilateral perihilar severity of the abnormality suggests a component of aspiration perhaps aspiration pneumonia. mild cardiomegaly has worsened. no pneumothorax. pleural effusions small on the left if any. cardiopulmonary support devices in standard placements.

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no acute cardiothoracic process.

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compared to the only prior chest radiograph,. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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no focal consolidation or evidence of pulmonary edema. severe interstitial lung disease / fibrosis. very prominent right hilus likely reflecting an enlarged pulmonary artery or presence of lymphadenopathy.

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no definite evidence of pneumonia. new bibasilar opacities are likely atelectasis. recommend a repeat chest radiograph later today or tomorrow to ensure the opacities are not increasing.

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interval increase in the left-sided pleural effusion with associated atelectasis. superimposed infection cannot be excluded.

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moderate right pleural effusion, small left pleural effusion unchanged since and. mild right basal atelectasis stable. left lower lobe atelectasis is cleared. no pneumothorax. vascular pattern in the left lung suggests emphysema. moderate cardiac enlargement is stable postoperatively. no pulmonary edema.

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subtle patchy right lower lobe opacity raises concern for pneumonia.

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compared to prior chest radiographs through. chest radiograph is unchanged since. bibasilar consolidation could be pneumonia, particular on the right, or atelectasis. heart is normal size. upper lungs clear. pleural effusion small if any. feeding tube passes into the jejunum and out of view.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued substantial enlargement of the cardiac silhouette with only mild vascular congestion, a discordance the raises the possibility of cardiomyopathy or pericardial he fusion.

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no definite acute cardiopulmonary process. chronic lung changes without definite consolidation.

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no acute cardiopulmonary process.

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compared to most recent prior chest radiographs,. small left pleural effusion and the extent of nodular pleural thickening along the left lower costal pleural surface are unchanged. there is no pneumothorax. new rib views, to be reported separately, show no obvious bone destruction, but early invasion from the pleural surface might not be apparent on conventional chest radiographs but would require ct scanning instead. moderate enlargement of cardiac silhouette is unchanged. aside from a calcified right lower lobe granuloma, small region of right apical scarring, and stable left basal atelectasis, lungs are clear. thoracic aorta is tortuous and the lower esophagus is distended.

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borderline cardiomegaly, unchanged. otherwise, unremarkable.

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no acute intrathoracic process.

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the lungs are clear and there is no pneumothorax. elevation of the left hemidiaphragm is chronic, however, eventation of the left hemidiaphragm has increased since. findings were telephoned to dr by dr at pm.

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as compared to the previous radiograph from less than <num> hr earlier, the endotracheal tube has been withdrawn a few cm, now terminating <num> cm above the carina. this could be advanced a few cm for standard positioning. exam is otherwise remarkable for slight improvement in bibasilar atelectasis and persistent bilateral pleural effusions. no visible pneumothorax.

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stable bibasilar opacities, likely secondary to atelectasis or aspiration and small left-sided pleural effusion. no pneumothorax.

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ap chest compared to : despite the designation of this study as an "upright" view there is new thickening of the lateral costal pleural margin which is most readily explained by nondependent pleural fluid. multifocal consolidation in the right lung was shown by the chest ct on and what is probably pneumonia is still present. infrahilar left lower lobe was substantially atelectatic on the chest ct and that has not changed. heart is mildly enlarged. widening of the mediastinum at the level of the aortic arch is due to combination of mediastinal fat deposition and enlarged lymph nodes. right subclavian or pic line ends in the lowest third of the svc. no pneumothorax.

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focal opacity in the right upper lobe which could be pneumonia in the proper clinical setting.

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right basilar subsegmental atelectasis

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no acute cardiopulmonary process.

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right lower lobe consolidation, suspicious for pneumonia.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. right internal jugular line tip is at the cavoatrial junction. heart size and mediastinum are unchanged. multifocal consolidations are extensive, severe and unchanged

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no acute findings in the chest.

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no acute cardiopulmonary process.

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in comparison with study of , there is little change in the appearance of the heart and lungs with no acute pneumonia, vascular congestion, or pleural effusion. right subclavian picc line again extends to the mid to lower portion of the svc.

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no acute cardiopulmonary process.

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stable appearance of the cardiomediastinal silhouette without evidence of acute intrathoracic abnormality.

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the right picc has been pulled back now terminating in the mid svc, previously at the cavoatrial junction. persistent moderate to severe cardiomegaly, mild pulmonary edema and small bilateral effusions.

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interim removal of pericardial drain. expected positions of leads

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heart size is normal. mediastinum is normal. there is new opacity lateral to the right hilus most likely representing infectious process. rest of the lungs are clear. no pleural effusion or pneumothorax is seen. followup of the patient <num> weeks after completion of antibiotic therapy is recommended for documentation of resolution.

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bilateral pleural effusions are large but decreased on the right after thoracocentesis with no definitive evidence of pneumothorax. mild vascular congestion is unchanged, cardiomediastinal silhouette is unchanged

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no acute cardiopulmonary process. chronic interstitial lung disease is similar to before.

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no acute cardiopulmonary process.

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only partial improvement of left lung abnormalities since. chest ct is recommended for further characterization as entered into radiology communications dashboard on.

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no pneumothorax. lungs are clear, with persistent tiny left pleural effusion.

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as compared to the previous radiograph, a pre-existing right upper lobe pneumonia has completely resolved. no remnants or complications such as pleural effusions or abscesses. no pulmonary edema. normal size of the cardiac silhouette. normal hilar and mediastinal structures on both the frontal and the lateral image.

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unchanged trace bilateral pleural effusions. otherwise, no acute cardiopulmonary process.

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ap chest compared to through. mild pulmonary edema is worse today than it was on. small bilateral pleural effusions persist. heart is mildly enlarged. there may be a mild-to-moderate degree of left basal atelectasis. of note, baseline chest radiographs show severe hyperinflation, but concurrent chest ct does not show emphysema. therefore, small airways obstruction is presumed.

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no acute cardiopulmonary process.

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high in position right picc. recommend repositioning. right lower lobe opacity worrisome for consolidation due to infection and/ or aspiration with possible right pleural effusion and right basilar atelectasis.

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no acute cardiopulmonary process.

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urge to prior chest radiographs since most recently. moderate bilateral pleural effusions and basal atelectasis have worsened since. mild cardiomegaly is stable. no pneumothorax. tracheostomy tube midline. left pic line ends in the low svc.

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no acute cardiopulmonary process.

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multifocal opacities worrisome for pneumonia superimposed on severe underlying interstitial lung disease; although recent prior radiographs are not available for comparison and progression of chronic lung disease could be considered as an alternative, acute superimposed pneumonia seems most likely.

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no acute cardiopulmonary process.

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no acute findings.

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opacities suggesting pneumonia, particularly within the left lower lobe including retrocardiac opacification. within eight weeks, following treatment, follow-up radiographs are suggested to show resolution.

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in comparison with the study , the left chest tube remains in place and there no definite pneumothorax. hazy opacification in the left mid and lower zones most likely represents a combination of pleural effusion and volume loss. the right lung is essentially clear.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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new mild cardiomegaly and/or pericardial effusion. mild right basilar atelectasis with no other acute process. change from initial interpretation emailed to ed qa nurses.

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right picc line tip is deep in the right atrium and should be pulled back <num> cm. ng tube tip is in the stomach. heart size and mediastinum are stable. left more than right basal consolidations appear to be improved as

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compared to chest radiographs through. moderately severe pulmonary edema and moderate right pleural effusion have increased. severe cardiomegaly is stable. tip of the endotracheal tube is at the upper margin of the clavicles, no less than <num> cm from the carina. it should not be withdrawn any further. swan-ganz catheter ends in the right pulmonary artery. nasogastric drainage tube passes into the stomach and out of view.

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subtle increased right lower lobe opacity could be due to early infection versus atelectasis in the appropriate clinical setting. widened superior mediastinum corresponds to underlying lymphadenopathy as seen on recent prior pet-ct from.

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in comparison with the study of , the right ij catheter is been removed. monitoring scratch then little change in the triple-lead pacer device. no pneumonia, vascular congestion, or pleural effusion.

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no acute cardiopulmonary process.

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the alignment of the sternal wires is unchanged. the right internal jugular vein catheter is constant. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema. no pleural effusions.

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no definite focal consolidation to suggest pneumonia.

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no acute cardiopulmonary process.

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normal chest radiograph without evidence of pneumonia.

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resolving opacities in the lower lung.

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mild pulmonary vascular congestion without overt edema or effusion.

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no acute findings. please refer to subsequent ct chest for further details.

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no acute cardiopulmonary process.

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no evidence of active or latent tuberculosis in lungs as seen on chest examination.

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the nasogastric tube is positioned with its tip in the stomach.

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no acute cardiopulmonary process.

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ng tube positioned appropriately. moderate bilateral pleural effusions with probable compressive lower lobe atelectasis. picc line unchanged in position.

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right hydropneumothorax, mildly improved right basilar pneumothorax component.

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no evidence of cardiomegaly. previously seen <num>-mm left lower lung nodule is not well visualized on the current exam. mild left pleural effusion.

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large left apical pneumothorax, despite thoracostomy tube in place. no appreciable left pleural effusion. large region of atelectasis or hematoma, operative site, left lower lobe. borderline interstitial edema right lung. heart size normal.

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

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new right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion pe interval improvement of pulmonary vascular congestion, now mild.

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there is marked change in the chest x-ray findings as compared to the earlier study. there is opacification of the lower of the left hemithorax and there is abrupt cut off of the left mainstem bronchus approximately <num> cm from the carina. there is mediastinal shift to the left and this is consistent with atelectasis, possibly related to a mucous plug. the right lung is clear. there is no pneumothorax. nasogastric tube tip is in the stomach.

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no acute cardiopulmonary process.

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further interval improvement in the right lower lobe and lingular opacity.

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no acute cardiopulmonary abnormality.

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no previous images. endotracheal tube tip lies approximately <num> cm above the carina. there are low lung volumes with opacification at the bases most likely reflecting, a combination of pleural effusion atelectasis. nasogastric tube extends at least to the distal stomach.