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/p19699616/s59829352/e9b7356b-cf970c41-6f0769eb-f0ac1b3e-c8f3643f.jpg	the lung volumes are normal. mild cardiomegaly. minimal left pleural effusion. no pulmonary edema. atelectasis in the retrocardiac lung regions. mild elongation of the descending aorta.
MIMIC-CXR-JPG/2.0.0/files/p14171574/s53173646/a345ea60-de730b93-e630d419-cda53673-5b1d7172.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16152603/s57779669/97ba898c-393ee14d-6dbaaca3-028f59cc-4e0a031d.jpg	in comparison with the study of , there has been some decrease in opacification at the right base, though substantial pleural fluid remains on this side with volume loss in the right lower and possibly right middle lobes. the left lung is clear and there is no evidence of vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11689164/s50447923/901cf944-6fce12c4-b326e9e4-f982a978-86ad4396.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15182254/s54005946/009a620f-2036f7f6-9702391f-f311d331-65698da9.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11043981/s55225608/6ef226b6-a440f2c2-eda4b215-e9a88f1a-0a1f35d8.jpg	interstitial edema and increased left sided pleural effusion suggest heart failure.
MIMIC-CXR-JPG/2.0.0/files/p18344931/s59102698/163b1338-25f902e4-cca6cddb-b93df5c2-2ec8a043.jpg	comparison to. in the interval, the patient has developed that <num> cm right apical pneumothorax. no evidence of tension. the air collection in the soft tissues on the right has increased. borderline size of the cardiac silhouette persists. mild left pleural effusion. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11505655/s54584884/6fa692d8-f3bc5f28-3ad56965-4c4ddf61-9bd81254.jpg	streaky opacities in the lung bases are slightly improved from the prior exam and likely reflect atelectasis. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18651091/s50779490/356c0d2b-49d6dff7-585f9d03-8dca3685-19340dda.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12130032/s53391044/2a1d5fd8-f5a931bc-2fc031ba-9a36a422-ef372798.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19837618/s53738368/b8ba5ab5-2c75dafa-b58f0f88-2dbd2727-eb156733.jpg	interval overall decrease in lung volumes with persistent patchy opacity in the left mid and lower lung as well as at the right lung base. some of this likely reflects patchy atelectasis, particularly at the right base, but the left-sided airspace abnormality is essentially unchanged and may represent postobstructive pneumonia. the left hilum remains prominent, raising concern for lymphadenopathy. no pulmonary edema. layering left effusion and no large right effusion. no pneumothorax. overall, heart size is stable given differences in patient positioning.
MIMIC-CXR-JPG/2.0.0/files/p12927984/s59961140/82ab35d0-454d566f-0ed1ffa6-6b17b43f-6e1d84b4.jpg	in comparison with the study of , allowing for increased obliquity of the patient and respiratory motion, there is probably little change. no evidence of pneumothorax or new consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13907635/s53380031/e07bde96-12d7aff9-bc6e9928-f64bb139-fbbfb3de.jpg	minimal left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13086509/s58898590/07044a30-093133ee-e573d6d4-18b3df75-0364f6cc.jpg	pa and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p12097235/s57585869/de0f445d-04051ee1-fa6b1684-acd6e2fc-8536db14.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17477304/s53561327/bad65e6b-59a94a80-72179820-4457c5bc-3d055937.jpg	chronic bibasilar interstitial lung disease. radiodense bodies overlying the abdomen may represent pill fragments or metallic foreign bodies.
MIMIC-CXR-JPG/2.0.0/files/p14482820/s51222003/10848775-a37a1df3-15920443-b4c024fb-f364928e.jpg	no focal consolidation, pneumothorax, or pleural effusion. subtle irregularity projecting over the anterior right fourth rib could be artifactual versus a subacute fracture. correlate with site of point tenderness.
MIMIC-CXR-JPG/2.0.0/files/p14263099/s54009356/05c0a0dd-c055781a-4e9faa5b-5833568b-8d56527f.jpg	small bilateral pleural effusions; improving bibasilar atelectasis. small anterior hydro-pneumothorax seen on the lateral view only.
MIMIC-CXR-JPG/2.0.0/files/p15455844/s57642264/b4e3781f-d5570d51-7a3aa081-4b3ec596-ec03f992.jpg	expected position of support devices. no pneumothorax. persistent retrocardiac opacity possible atelectasis or resolving pneumonia. probable small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15462932/s57271829/6aa472a4-53bb407b-8427c142-7ff4203d-a2eb6425.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg	low lung volumes. findings most consistent with volume overload. however, concurrent infection cannot be excluded. this patient could benefit from a chest ct non-emergently.
MIMIC-CXR-JPG/2.0.0/files/p13031858/s55394625/9fc543be-daf18f8d-6720dada-7a6c5529-bbc3c86d.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. of incidental note is an azygos fissure, of no clinical significance.
MIMIC-CXR-JPG/2.0.0/files/p13857873/s58501069/85685ae8-f2814951-d42f4619-a812de22-84f08210.jpg	post pacemaker placement without evidence of complication.
MIMIC-CXR-JPG/2.0.0/files/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg	left lower lobe collapse and small left pleural effusion. coexisting infection in the left lower lobe is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p15780880/s50930348/0adba4e9-74bf6877-3500bd46-d395ecc6-75dcdc60.jpg	mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12408912/s54256172/deea5eb0-0b1cd350-23f9a5be-18c59ae7-415104bf.jpg	there is no significant change in the consolidation in the left lower lobe. there is no pneumothorax or chf. the picc line tip is in the svc. there is no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p10289279/s54740517/eecf6be5-bc68f0f4-a1485934-b0dd0bba-859da9d6.jpg	pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15443439/s54894542/0b0ab5fb-f7edab0a-c6084635-6beefe20-1f4d1cb6.jpg	large hiatal hernia. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13535187/s53980806/7c79a8d3-3f35b1f2-c2b1fcb9-94763e36-7a457eba.jpg	relatively lower lung volumes. there is a suggestion of some blunting of the right costophrenic angle which could reflect a small effusion, although this is not definitively confirmed on the lateral projection. no airspace consolidation is appreciated. no pulmonary edema or pneumothorax. overall, cardiac and mediastinal contours are stable with the heart being mildly enlarged. degenerative changes in the thoracic spine. if the patient's symptoms persist, followup imaging should be considered.
MIMIC-CXR-JPG/2.0.0/files/p19946593/s50881599/592b428f-c51554ce-f99045dc-f0bf4609-702f178e.jpg	<num> x <num> cm right upper lung nodular opacity is new since the prior study and worrisome for pulmonary lesion. recommend further evaluation with chest ct. right middle lobe consolidation versus atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11286630/s50362032/1159c2e5-8d42fbd1-ad292ecb-14651154-c63b9627.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17357689/s53834548/df90489e-2f3fce13-d75331fe-72800f7a-a3750b33.jpg	comparison to. mild increase in extent of a pre-existing left pleural effusion. a new small right pleural effusion has occurred. areas of atelectasis are proportional to the extent of the effusions. the previous right internal jugular vein catheter has been removed. stable size of the cardiac silhouette of the cabg. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13063772/s54124728/8bf16a41-812dc9b6-f1e1c7f6-09b170be-a58d6b7d.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of hilar or mediastinal adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p14358566/s53334978/d7695fc2-928b95bb-ae5aa049-db69b960-2b6a3eb2.jpg	on a background of mild pulmonary edema, right lower lung pneumonia. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15604729/s59816677/714f0bc1-db0d3089-faf80934-95b8f95d-0442a7a3.jpg	mild interstitial pulmonary edema has worsened, accompanied by new small bilateral pleural effusions. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p18642661/s57632720/6dc232b5-4f62a834-008b316f-ec87af5a-2d030885.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16658805/s55241333/28377cd1-1ef6694f-1a2f9cd0-3b535ab4-a20e3af6.jpg	weighted nasogastric tube is now curled within the stomach. consider additional advancement of the tube to provide some redundency in the stomach if a post-pyloric position is desired.
MIMIC-CXR-JPG/2.0.0/files/p13430469/s50585107/2069a931-1247af3d-209b3244-d6b29944-1bf68d72.jpg	post left chest tube removal. no pneumothorax. stable opacities consistent with multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13603311/s51375036/d1c6e1fa-12e19b3f-3d25cb9d-217de891-7fe0cb7f.jpg	new elevation of the right hemidiaphragm with hazy opacities projecting throughout the mid to lower lung zones. these likely reflect a combination of a pleural effusion and atelectasis/ pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12151569/s56456740/e006419c-60cf794c-27ef9181-1daaddf8-a9d69a00.jpg	ap chest compared to , : a new well-circumscribed opacity has developed at the apex of the right chest, either a hematoma or pseudoaneurysm or both. there is also new left lower lobe atelectasis and possible small left pleural effusion. right lung is clear. mediastinum is not generally widened and the heart is normal size. dr was paged at , one minute following recognition of the findings.
MIMIC-CXR-JPG/2.0.0/files/p12510171/s51217974/3e45bc93-26047a76-d8b4b28f-e484d81e-4028686d.jpg	hyperextending lungs with flattened diaphragms, compatible with copd. bibasilar opacities may represent atelectasis or aspiration with possible trace pleural effusions. tracheal stent is not characterized. further assessment with ct or review of outside ct exams would be helpful, if available.
MIMIC-CXR-JPG/2.0.0/files/p11610140/s55174848/78e1fb70-5ef973bb-c7888216-1e895e4b-1b1e9a0d.jpg	dobbhoff tube coiled back upon itself into the esophagus. findings were discussed with , the ordering clinician at on , by over the phone, approximately <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p17446901/s56006455/73afbb77-5fcaf42c-42260242-aaad6cf4-05f9018a.jpg	no acute process.
MIMIC-CXR-JPG/2.0.0/files/p18845114/s56442670/b41e2e6a-364dd592-30b7c4f9-6c414e60-2c33e579.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15370871/s56121803/e6cf883b-7eb5dd8f-7be9673a-5eb6facf-fbb8ae2a.jpg	in comparison with the study of , the monitoring and support devices are unchanged. the left upper lung opacification process, though it is somewhat more difficult to assess due to overlying structures. the interstitial edema in the right lung is again seen.
MIMIC-CXR-JPG/2.0.0/files/p12240747/s54102529/2c80aabb-57f2873e-ed6ff8f2-56a5d235-82e86ee9.jpg	ap chest compared to : left lower lobe is newly collapsed, large right and small left pleural effusions have increased, although heart size is normal, mediastinal veins indicates hypervolemia. nasogastric drainage tube passes into a mildly distended stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p15605848/s53833763/dbe0da7b-d10b5e58-14a3a4ae-9c5d7d30-f1e0e6b7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18302673/s55558227/25d3c450-40920815-2227fb8b-5a35897e-c64d5671.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17447497/s57561349/d288ce56-93ca6aba-56abbc5d-d0a2a13d-fd6a924b.jpg	diffuse bronchiectasis and airway inflammation with coarse interstitial opacities compatible with chronic atypical infection such as. the presence of increased patchy bibasilar airspace opacities, however, is concerning for superimposed or worsening infection.
MIMIC-CXR-JPG/2.0.0/files/p19169557/s59848680/7c3e4d7c-93d43a6a-ed010e24-31d7957d-890848ae.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11763591/s57856855/e5cfb5cc-5ace3b2e-7af5ff31-071a8218-7384ea75.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10723150/s53570852/93ca5acb-2dc7c853-6676014f-9e83a270-4bf84c0f.jpg	no displaced rib fracture identified. if there is continued concern, dedicated rib radiographs can be obtained.
MIMIC-CXR-JPG/2.0.0/files/p14323578/s55052864/572b1964-567624c0-ffd85235-3559ce4c-b46a09bc.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17400046/s53141939/c1230d2c-56676601-a4c8c1e7-65ebe74f-d216551c.jpg	et tube no less than <num> cm from the carina with the chin down. possible small amount of pneumoperitoneum under the right hemidiaphragm, not definitely present on prior radiographs and increased compared to the most recent prior ct abdomen pelvis. low lung volumes with bibasilar atelectasis but no pleural effusion or pneumonia. recommendation(s): advancement of ett by several cm for more optimal positioning. if there is clinical concern for increasing pneumoperitoneum, ct abdomen is recommended for further evaluation. alternatively, if clinical concern is low, an upright or left lateral decubitus view may be obtained for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11340648/s58023418/e974411f-12a907bd-a1ef5706-2f184f8b-ef4ac3c2.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18395075/s56525740/527d9ea4-55b82862-baba99e9-dd412552-6217aaef.jpg	the patient has undergone thoracocentesis. the pre-existing small pleural effusion on the right is improved. no evidence of pneumothorax. improved ventilation of the right lung base. the large right central mass is unchanged in extent but the surrounding parenchymal opacities appear to have decreased in size. a previously positioned pericardial drain has been removed. no new focal parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p18531743/s58123741/a475adc9-90d36bc0-7983fd30-7da1f9d2-97ca213f.jpg	no free air is seen underneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p19441625/s59301992/dfef73e7-3c721d3e-c6884947-68d6daf1-9413ec21.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13442915/s52785520/08262f0c-1ca2105c-56e56149-e6687013-305adcaa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10246275/s59607159/4bea1923-0bfcd9bc-1501dcc9-c82ff32a-4d16c88b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11227224/s59223653/bd849df8-0f85ddf1-3908c3cc-7e2441e8-5df13f14.jpg	no relevant change as compared to the previous examination. monitoring and support devices are in unchanged position, with the exception of the picc line that shows a tip coiled inwards and potentially positioned in the azygos vein. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p16264442/s52292967/8043ee42-c2ad9721-459c61a5-3331afc2-cb162ab8.jpg	right internal jugular central venous catheter tip at the junction of the svc and right atrium. no pneumothorax. mild pulmonary vascular congestion and bibasilar streaky opacities, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14645920/s55072210/f5bf3632-d32f3e0d-e375fa53-71d64696-b1c4fde3.jpg	chest radiographs within normal limits. no displaced rib fracture or pneumothorax detected.
MIMIC-CXR-JPG/2.0.0/files/p16639614/s59863894/256ee15d-8b37af8e-6207cc95-9acb3b24-2d151a01.jpg	rapidly improving basilar opacities favor atelectasis or aspiration over infectious pneumonia. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10085902/s53924698/77e2538f-0d286553-91c49924-47fece60-d41888fb.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13673131/s51956163/9f875d2e-e08a6260-c0831dce-955d35ee-284d7012.jpg	small basilar pneumothorax without evidence of tension.
MIMIC-CXR-JPG/2.0.0/files/p15621186/s57879668/2eb14179-586874fe-802b19a9-d621b5c4-68cfcd48.jpg	in comparison with the study of , there again are low lung volumes with evidence of elevated pulmonary venous pressure. otherwise, little change.
MIMIC-CXR-JPG/2.0.0/files/p16187793/s52260421/222438ba-8f02a277-ec3c53a4-8240ef51-67a2ed91.jpg	patient has had median sternotomy. heart size is normal, improved since. patient no longer pulmonary edema, but there is somewhat greater opacification in the right lower lobe which could be due to pneumonia, in this patient who has ct findings suggestive of chronic aspiration. pulmonary hyperinflation suggests emphysema. no appreciable pleural effusion is present.
MIMIC-CXR-JPG/2.0.0/files/p16093185/s50268139/90ab6a22-22146785-cd084ba0-1b238e15-ab9b8501.jpg	extensive metastatic disease with tiny right pleural effusion. overall, findings appear grossly stable.
MIMIC-CXR-JPG/2.0.0/files/p10287060/s55939723/713dc85f-bdb5e668-b8fe011f-e9da76e9-13d25b02.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. multiple old healed rib fractures with pleural thickening seen on the right.
MIMIC-CXR-JPG/2.0.0/files/p14939850/s58682366/6f117ccf-af0bd371-ab56ea08-ddce8daf-85a810f6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12788091/s56083586/6d836785-5af7c0bb-154abab1-1d0404bb-8c73aefb.jpg	in comparison with the study of , the monitoring and support devices are stable. continued low lung volumes that accentuate the prominence of the transverse diameter of the heart. no evidence of vascular congestion or definite pleural effusion. silhouetting of the descending aorta is consistent with volume loss posteriorly in the left lower lobe. the hemidiaphragms are more sharply seen, consistent with improved atelectasis and effusion. however, on some of this could merely reflect a more upright position of the patient.
MIMIC-CXR-JPG/2.0.0/files/p19705666/s56394929/3d07faac-dade2bf5-2642cd99-2caa3961-90003edb.jpg	comparison to. the left chest tube is in unchanged position. minimal air inclusion in the pleura at the level of tube insertion. no evidence of tension. borderline size of the cardiac silhouette. no larger pleural effusions. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12278812/s55400927/1f9fb323-4bc2627d-6a1fc8a6-6a006574-30ca2da9.jpg	as compared to radiograph, positioning of the lead pacemaker is unchanged. overall appearance of the chest is similar to the prior study, with normal heart size and well-expanded and clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p17520015/s52250824/72b0af3a-107ef005-efd7bc15-2e04d022-ae8cb888.jpg	right lower lobe peribronchial thickening more likely bronchitis than pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10164309/s50064814/5cde0952-f7347286-0f79ea99-3e275e79-f5b1e7eb.jpg	findings compatible with dislodged tunneled venous catheter. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18799265/s54700358/c8b0b975-37b190c9-991c0542-e17d6431-09eaebb9.jpg	bibasilar linear opacities likely reflecting subsegmental atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14766539/s53941982/db3817f9-617d19fd-5436ef0f-dd4557ab-6ce2c212.jpg	left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14220116/s57919893/5862be94-f5c3df66-3682343a-d2de8790-cead8e43.jpg	low lung volumes with probable bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14078237/s52474599/bfaf15a7-44e938ef-29b10477-21219912-a6cbd901.jpg	new clip in the right lower lobe spiculated nodule. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13686295/s53913046/1b834082-df494b1c-73b9ac2f-312b8db6-15a18c7a.jpg	interval worsening of probably asymmetric edema in the left lung and lower lung volumes. recommendation(s): close interval follow-up with radiograph is advised to exclude aspiration/pneumonia in left lung.
MIMIC-CXR-JPG/2.0.0/files/p11436944/s59356984/aa341e3a-692c1185-8a336106-00a219d0-dab58016.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19684880/s59344045/c37ec5f8-3aa4c505-36e0d679-6fecbf60-01eae6a7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10755296/s52976524/5a35df27-2665bc8c-bdfc3ed9-8b47eb20-049fcc91.jpg	low lung volumes. otherwise normal examination.
MIMIC-CXR-JPG/2.0.0/files/p15985742/s54908742/fd13e2b3-b1f8188f-d3ededfe-56ba705a-56b43850.jpg	compared to chest radiographs since , most recently. hyperinflation reflects severe copd. opacification at projecting over the lateral aspect of the right midlung could be peripheral consolidation due to active pneumonia. there is a <num> mm wide lobulated opacity projecting over anterior right second rib, which has been present, with a somewhat different morphology since at least. there is extensive lobulation at the right lung apex which has grown more radiodense though not larger since. if either of these lesions is due to tuberculosis or malignancy, the opacity in the right lung could be pleural thickening instead. chest ct scanning is recommended. left lung is grossly clear. heart size is normal. no central adenopathy. recommendation(s): chest ct to evaluate abnormalities described above including active pneumonia, reactivation tuberculosis and peripheral lung cancer.
MIMIC-CXR-JPG/2.0.0/files/p18811957/s52772089/7d790e84-8f5af7ae-02dfa9bd-2af35ff9-6d15f70c.jpg	mild pulmonary vascular congestion without pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17779573/s59505925/42284e59-0b3d3806-dcde87b3-29bbfd8f-28aa6162.jpg	relatively low lung volumes, which accentuate the bronchovascular markings. given this, there may be mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18796093/s59317831/de2e848c-386f2ec5-85aa433c-1c62c1be-fb98aa6a.jpg	stable moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15986212/s56374211/d6b71060-1ec7770b-116e6328-608db408-7c818856.jpg	no acute intrathoracic abnormality in this patient with low lung volumes
MIMIC-CXR-JPG/2.0.0/files/p10362899/s50432808/9910ed79-4f51fa09-080e428c-42d222f6-a2385582.jpg	subtle increase opacity in right middle lobe may reflect early bronchopneumonia. follow-up chest radiograph in <num> to <num> weeks after treatment to ensure resolution. recommendation(s): follow-up chest radiograph in weeks after treatment to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p16152141/s58085480/a7ba7899-372fcc42-1dbf92d1-fcac5879-f14a46d5.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12764570/s59694764/0726a446-9b633866-718bf260-46e475a9-0c9da037.jpg	unchanged small right apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18941433/s55188634/a5b5b375-828cff6d-7c0b4f13-488eac11-3169e27f.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p15507650/s57698031/4a0e188d-6b7fa08c-6c9e18cb-b7f1a6fc-ea7518da.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16240427/s54552489/1f09dc39-08e43702-1f41503c-bdef530e-41ef6505.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17000103/s56852836/d2c06203-af9fc488-12a138f1-9a6b4ece-ae383690.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10413276/s58327533/2d6e0244-82446e04-b60ae563-9091d207-54c1ce3d.jpg	possible minimal vascular congestion. top normal cardiac silhouette size.
MIMIC-CXR-JPG/2.0.0/files/p18331406/s51822732/2a6427b7-149eba5a-f83db8ed-4c5ef9d5-cd471d98.jpg	bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17963308/s55812377/7f09b209-ebdb13c5-a2cab536-a71c5a43-2279d56d.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p15761111/s53564460/f4772c8f-75f63844-3c73c2f4-dd2da3ac-71033e96.jpg	since the recent study from earlier the same date, a left pigtail pleural catheter remains in place, with decrease in size of left pleural effusion and improvement in adjacent atelectasis and or consolidation in the left mid and lower lung region. probable persistent small left apical pneumothorax, difficult to assess due to extensive overlying subcutaneous emphysema, which is increased since the prior exam. exam is otherwise unchanged.

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the lung volumes are normal. mild cardiomegaly. minimal left pleural effusion. no pulmonary edema. atelectasis in the retrocardiac lung regions. mild elongation of the descending aorta.

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no acute cardiopulmonary process.

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in comparison with the study of , there has been some decrease in opacification at the right base, though substantial pleural fluid remains on this side with volume loss in the right lower and possibly right middle lobes. the left lung is clear and there is no evidence of vascular congestion.

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no evidence of acute cardiopulmonary disease.

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no acute intrathoracic process.

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interstitial edema and increased left sided pleural effusion suggest heart failure.

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comparison to. in the interval, the patient has developed that <num> cm right apical pneumothorax. no evidence of tension. the air collection in the soft tissues on the right has increased. borderline size of the cardiac silhouette persists. mild left pleural effusion. no pulmonary edema.

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streaky opacities in the lung bases are slightly improved from the prior exam and likely reflect atelectasis. small bilateral pleural effusions.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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interval overall decrease in lung volumes with persistent patchy opacity in the left mid and lower lung as well as at the right lung base. some of this likely reflects patchy atelectasis, particularly at the right base, but the left-sided airspace abnormality is essentially unchanged and may represent postobstructive pneumonia. the left hilum remains prominent, raising concern for lymphadenopathy. no pulmonary edema. layering left effusion and no large right effusion. no pneumothorax. overall, heart size is stable given differences in patient positioning.

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in comparison with the study of , allowing for increased obliquity of the patient and respiratory motion, there is probably little change. no evidence of pneumothorax or new consolidation.

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minimal left basilar atelectasis.

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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces.

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no evidence of acute cardiopulmonary disease.

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chronic bibasilar interstitial lung disease. radiodense bodies overlying the abdomen may represent pill fragments or metallic foreign bodies.

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no focal consolidation, pneumothorax, or pleural effusion. subtle irregularity projecting over the anterior right fourth rib could be artifactual versus a subacute fracture. correlate with site of point tenderness.

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small bilateral pleural effusions; improving bibasilar atelectasis. small anterior hydro-pneumothorax seen on the lateral view only.

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expected position of support devices. no pneumothorax. persistent retrocardiac opacity possible atelectasis or resolving pneumonia. probable small bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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low lung volumes. findings most consistent with volume overload. however, concurrent infection cannot be excluded. this patient could benefit from a chest ct non-emergently.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. of incidental note is an azygos fissure, of no clinical significance.

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post pacemaker placement without evidence of complication.

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left lower lobe collapse and small left pleural effusion. coexisting infection in the left lower lobe is not excluded.

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mild pulmonary vascular congestion.

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there is no significant change in the consolidation in the left lower lobe. there is no pneumothorax or chf. the picc line tip is in the svc. there is no significant interval change.

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pulmonary vascular congestion.

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large hiatal hernia. no acute cardiopulmonary process.

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relatively lower lung volumes. there is a suggestion of some blunting of the right costophrenic angle which could reflect a small effusion, although this is not definitively confirmed on the lateral projection. no airspace consolidation is appreciated. no pulmonary edema or pneumothorax. overall, cardiac and mediastinal contours are stable with the heart being mildly enlarged. degenerative changes in the thoracic spine. if the patient's symptoms persist, followup imaging should be considered.

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<num> x <num> cm right upper lung nodular opacity is new since the prior study and worrisome for pulmonary lesion. recommend further evaluation with chest ct. right middle lobe consolidation versus atelectasis.

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no acute cardiopulmonary process.

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comparison to. mild increase in extent of a pre-existing left pleural effusion. a new small right pleural effusion has occurred. areas of atelectasis are proportional to the extent of the effusions. the previous right internal jugular vein catheter has been removed. stable size of the cardiac silhouette of the cabg. no pneumothorax.

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

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on a background of mild pulmonary edema, right lower lung pneumonia. stable mild cardiomegaly.

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mild interstitial pulmonary edema has worsened, accompanied by new small bilateral pleural effusions. heart size normal.

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no acute cardiopulmonary process.

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weighted nasogastric tube is now curled within the stomach. consider additional advancement of the tube to provide some redundency in the stomach if a post-pyloric position is desired.

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post left chest tube removal. no pneumothorax. stable opacities consistent with multifocal pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p13603311/s51375036/d1c6e1fa-12e19b3f-3d25cb9d-217de891-7fe0cb7f.jpg

new elevation of the right hemidiaphragm with hazy opacities projecting throughout the mid to lower lung zones. these likely reflect a combination of a pleural effusion and atelectasis/ pneumonia.

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ap chest compared to , : a new well-circumscribed opacity has developed at the apex of the right chest, either a hematoma or pseudoaneurysm or both. there is also new left lower lobe atelectasis and possible small left pleural effusion. right lung is clear. mediastinum is not generally widened and the heart is normal size. dr was paged at , one minute following recognition of the findings.

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hyperextending lungs with flattened diaphragms, compatible with copd. bibasilar opacities may represent atelectasis or aspiration with possible trace pleural effusions. tracheal stent is not characterized. further assessment with ct or review of outside ct exams would be helpful, if available.

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dobbhoff tube coiled back upon itself into the esophagus. findings were discussed with , the ordering clinician at on , by over the phone, approximately <num> minutes after discovery.

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no acute process.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the monitoring and support devices are unchanged. the left upper lung opacification process, though it is somewhat more difficult to assess due to overlying structures. the interstitial edema in the right lung is again seen.

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ap chest compared to : left lower lobe is newly collapsed, large right and small left pleural effusions have increased, although heart size is normal, mediastinal veins indicates hypervolemia. nasogastric drainage tube passes into a mildly distended stomach and out of view.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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diffuse bronchiectasis and airway inflammation with coarse interstitial opacities compatible with chronic atypical infection such as. the presence of increased patchy bibasilar airspace opacities, however, is concerning for superimposed or worsening infection.

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no acute cardiopulmonary process.

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no evidence of acute disease.

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no displaced rib fracture identified. if there is continued concern, dedicated rib radiographs can be obtained.

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no acute intrathoracic process

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et tube no less than <num> cm from the carina with the chin down. possible small amount of pneumoperitoneum under the right hemidiaphragm, not definitely present on prior radiographs and increased compared to the most recent prior ct abdomen pelvis. low lung volumes with bibasilar atelectasis but no pleural effusion or pneumonia. recommendation(s): advancement of ett by several cm for more optimal positioning. if there is clinical concern for increasing pneumoperitoneum, ct abdomen is recommended for further evaluation. alternatively, if clinical concern is low, an upright or left lateral decubitus view may be obtained for further evaluation.

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no radiographic evidence of pneumonia.

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the patient has undergone thoracocentesis. the pre-existing small pleural effusion on the right is improved. no evidence of pneumothorax. improved ventilation of the right lung base. the large right central mass is unchanged in extent but the surrounding parenchymal opacities appear to have decreased in size. a previously positioned pericardial drain has been removed. no new focal parenchymal opacities.

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no free air is seen underneath the diaphragms.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no relevant change as compared to the previous examination. monitoring and support devices are in unchanged position, with the exception of the picc line that shows a tip coiled inwards and potentially positioned in the azygos vein. no other relevant changes.

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right internal jugular central venous catheter tip at the junction of the svc and right atrium. no pneumothorax. mild pulmonary vascular congestion and bibasilar streaky opacities, likely atelectasis.

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chest radiographs within normal limits. no displaced rib fracture or pneumothorax detected.

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rapidly improving basilar opacities favor atelectasis or aspiration over infectious pneumonia. small bilateral pleural effusions.

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no evidence of pneumonia.

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small basilar pneumothorax without evidence of tension.

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in comparison with the study of , there again are low lung volumes with evidence of elevated pulmonary venous pressure. otherwise, little change.

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patient has had median sternotomy. heart size is normal, improved since. patient no longer pulmonary edema, but there is somewhat greater opacification in the right lower lobe which could be due to pneumonia, in this patient who has ct findings suggestive of chronic aspiration. pulmonary hyperinflation suggests emphysema. no appreciable pleural effusion is present.

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extensive metastatic disease with tiny right pleural effusion. overall, findings appear grossly stable.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. multiple old healed rib fractures with pleural thickening seen on the right.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the monitoring and support devices are stable. continued low lung volumes that accentuate the prominence of the transverse diameter of the heart. no evidence of vascular congestion or definite pleural effusion. silhouetting of the descending aorta is consistent with volume loss posteriorly in the left lower lobe. the hemidiaphragms are more sharply seen, consistent with improved atelectasis and effusion. however, on some of this could merely reflect a more upright position of the patient.

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comparison to. the left chest tube is in unchanged position. minimal air inclusion in the pleura at the level of tube insertion. no evidence of tension. borderline size of the cardiac silhouette. no larger pleural effusions. no pulmonary edema.

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as compared to radiograph, positioning of the lead pacemaker is unchanged. overall appearance of the chest is similar to the prior study, with normal heart size and well-expanded and clear lungs.

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right lower lobe peribronchial thickening more likely bronchitis than pneumonia.

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findings compatible with dislodged tunneled venous catheter. no pneumothorax or pleural effusion.

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bibasilar linear opacities likely reflecting subsegmental atelectasis.

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left lower lobe pneumonia.

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low lung volumes with probable bibasilar atelectasis.

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new clip in the right lower lobe spiculated nodule. no evidence of pneumothorax.

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interval worsening of probably asymmetric edema in the left lung and lower lung volumes. recommendation(s): close interval follow-up with radiograph is advised to exclude aspiration/pneumonia in left lung.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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low lung volumes. otherwise normal examination.

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compared to chest radiographs since , most recently. hyperinflation reflects severe copd. opacification at projecting over the lateral aspect of the right midlung could be peripheral consolidation due to active pneumonia. there is a <num> mm wide lobulated opacity projecting over anterior right second rib, which has been present, with a somewhat different morphology since at least. there is extensive lobulation at the right lung apex which has grown more radiodense though not larger since. if either of these lesions is due to tuberculosis or malignancy, the opacity in the right lung could be pleural thickening instead. chest ct scanning is recommended. left lung is grossly clear. heart size is normal. no central adenopathy. recommendation(s): chest ct to evaluate abnormalities described above including active pneumonia, reactivation tuberculosis and peripheral lung cancer.

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mild pulmonary vascular congestion without pulmonary edema.

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relatively low lung volumes, which accentuate the bronchovascular markings. given this, there may be mild pulmonary vascular congestion.

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stable moderate right pleural effusion.

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no acute intrathoracic abnormality in this patient with low lung volumes

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subtle increase opacity in right middle lobe may reflect early bronchopneumonia. follow-up chest radiograph in <num> to <num> weeks after treatment to ensure resolution. recommendation(s): follow-up chest radiograph in weeks after treatment to ensure resolution.

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no acute intrathoracic process.

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unchanged small right apical pneumothorax.

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normal chest radiograph.

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no acute intrathoracic process.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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possible minimal vascular congestion. top normal cardiac silhouette size.

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bibasilar atelectasis.

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no acute cardiopulmonary abnormalities

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since the recent study from earlier the same date, a left pigtail pleural catheter remains in place, with decrease in size of left pleural effusion and improvement in adjacent atelectasis and or consolidation in the left mid and lower lung region. probable persistent small left apical pneumothorax, difficult to assess due to extensive overlying subcutaneous emphysema, which is increased since the prior exam. exam is otherwise unchanged.