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/p10922424/s51102305/555d53b0-5185371a-15b54498-5f77bd47-beeac001.jpg	no acute pulmonary process. please see comment.
MIMIC-CXR-JPG/2.0.0/files/p10355745/s58499552/a403cffd-601fd59e-603e762d-21a99a3e-25794ec6.jpg	adequate positioning of the tracheostomy tube but with a tracheal cuff inflated wider than the diameter of the trachea itself. this may represent overinflation of the cuff or pretracheal positioning of the cuff. results were discussed over the telephone with dr by at on at time of initial review.
MIMIC-CXR-JPG/2.0.0/files/p18568518/s51353314/621a711e-2e195387-db84439f-963bba99-b964f9ad.jpg	no new focal consolidation to suggest pneumonia. emphysema.
MIMIC-CXR-JPG/2.0.0/files/p13250432/s52617360/a1c4bd2e-b0e31da5-e67d462d-928d73a4-1b3ea532.jpg	streaky opacities at the lung bases most likely reflective of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19997367/s59310942/0421eb2c-79ace2bd-337f9e10-374b6d29-bd680632.jpg	persistent moderate size loculated right pleural collection with adjacent atelectasis. ct could be considered for additional evaluation.
MIMIC-CXR-JPG/2.0.0/files/p10596356/s53893166/52c03d4c-7022aa39-5484576e-7995081c-900f8d75.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17226920/s58459534/7fb6dc9c-a660b219-d352d0fe-c2060698-e5712a71.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10789227/s56946249/7ca88050-8c0919d3-06b5e1cb-937bbb92-9e1961fa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16074678/s54668443/60a09f49-3030187e-71ea40d1-f9ccae0a-11e6ec06.jpg	support lines and tubes are unchanged in position. there is unchanged cardiomegaly. there are low lung volumes and a left retrocardiac opacity. there is mild pulmonary interstitial edema. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14841017/s58885911/5721ce95-262285ad-fc60eb1c-3567ab68-a9922053.jpg	heart size and mediastinum are stable. coronary stents are noted, in both native and bypass vessels. lungs are clear. there is no pleural effusion or pneumothorax. the patient is after replacement of aortic valve.
MIMIC-CXR-JPG/2.0.0/files/p16309666/s54497741/d33c6b49-5233b6de-fb68cb1e-bd980c35-2243eb92.jpg	compared to chest radiographs since , most recently. persistently large lung volumes suggest chronic obstructive pulmonary disease. no focal pulmonary abnormality. pulmonary vasculature is substantially more engorged today than in and borderline interstitial edema suggest acute cardiac decompensation. pleural effusion small if any. heart size top-normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10079431/s56577485/30d4e7fa-e66871ba-d8a3897f-70ba907e-b6296e2f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17885958/s59582640/3fc61d0d-5a60e195-36487c46-496415e4-5e6ebd94.jpg	swan-ganz catheter tip is at the level of the right lower lobe pulmonary artery and should be pulled back. heart size and mediastinum are stable in appearance. there is substantial interval decrease in the left pleural effusion with no evidence of pneumothorax and left basal areas of atelectasis. there is new wall right lower lobe consolidation and giving therapy vd is most likely consistent with aspiration. new pneumonia or hemorrhage would be less likely. no right pneumothorax noted.
MIMIC-CXR-JPG/2.0.0/files/p18297847/s54913136/918c7f64-43b70966-4c5b8faa-67da1725-99c2df16.jpg	mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15020653/s53631275/5a583416-fc9d8e6e-9185d34a-5833b909-de5008f9.jpg	multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18252941/s54017028/c512e576-32140a02-c4e74770-b1b2bbf0-6bfef71c.jpg	previously described left-sided pneumothorax is not visualized. multiple left rib fractures and hemothorax.
MIMIC-CXR-JPG/2.0.0/files/p11503474/s59064148/3991927e-31ee9f4a-f4f7fb5f-dd7d67cc-85a639bf.jpg	-in comparison to radiograph from , there are again low lung volumes, with likely bibasilar atelectasis. increased interstitial prominence with a central predominance may be slightly increased in appearance since prior, possibly secondary to very low lung volumes, however it would be difficult to exclude pulmonary vascular congestion mild pulmonary edema in the appropriate clinical setting. no new focal consolidation. -likely small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17473651/s59392132/26a9e768-8c6a8a42-0523b709-7a6e27f3-12e3df6e.jpg	left basilar opacity appears posterior on the lateral view and may relate to a bochdalek hernia, which can be confirmed on ct. prominence of the ascending aorta could relate to tortuosity. however, dilatation is not excluded and recommend further evaluation with nonurgent chest ct with iv contrast if no clinical contraindication. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15658016/s59059190/cc119d23-6ac9ad90-81b139df-82ebb40f-03833016.jpg	comparison to. there is no evidence for the presence of a pneumothorax. stable low lung volumes. no pleural effusions. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p12320457/s52905766/e09822f9-e0e2035f-50bad782-0bacb84d-3415f602.jpg	no acute cardiopulmonary process. radiopaque density projects over the left axilla for which clinical correlation is suggested.
MIMIC-CXR-JPG/2.0.0/files/p10906758/s57240950/88052f9b-8e0e3add-adc5308f-18fed2e5-b578a706.jpg	no acute intrapulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12764445/s56590503/6c62f5d8-07ccf47c-3b6047d4-23ece95f-0bd94d00.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16571136/s58541394/3d45cd71-16cb3152-c0602392-c2006e34-4bf15f67.jpg	stable appearance of right suprahilar mass and fiducial clip without a new pulmonary or pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11668873/s54752955/4e923876-480de240-ce2bc437-dba55b04-36b3be06.jpg	severe cardiomegaly is unchanged. no pulmonary edema is seen. no new focal consolidations are present. no pleural effusion is present. calcified pericardial nodule is better characterized on recent ct abdomen.
MIMIC-CXR-JPG/2.0.0/files/p19795174/s58201784/62f6817e-cdb19886-823b63da-c780f8b6-cc942cca.jpg	as compared to the prior study of , there are no new areas of consolidation in the lungs to suggest the presence of pneumonia. stable cardiomegaly and tortuosity of the thoracic aorta. no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11963545/s55449362/61f070b9-819f5afc-aba5524b-9f23b4ce-e9fe62d5.jpg	in comparison with the study , the monitoring and support devices have been removed. obliquity of the patient makes it somewhat difficult to compare the appearance of the heart and lungs. cardiac silhouette is enlarged and there is mild indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. opacification at the left base is consistent with pleural fluid atelectatic changes. there is the suggestion of patchy areas of opacification in the mid and lower lung on the left when compared to the opposite side. in view of the clinical history, the possibility of superimposed aspiration would be impossible to exclude. if the condition of the patient permits, a full pa and lateral chest series would be most helpful.
MIMIC-CXR-JPG/2.0.0/files/p18209122/s57310690/79461558-cf29ad79-53aa9126-802c5ef4-1988bf57.jpg	no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p10397575/s54180139/a1185fc4-a37bd74d-31128991-dc017017-463000eb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10109015/s59808200/101a6278-8ca54590-41145a6f-ce4c0484-deb6daba.jpg	opacity at the right lung base could reflect atelectasis, infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p13467916/s52755901/9be233fb-2e0df6b2-fba06177-6f54ec0a-452467ac.jpg	as compared to the previous radiograph, the extent of the known right apical pneumothorax is unchanged. the right basal parenchymal opacities are constant in appearance. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of tension.
MIMIC-CXR-JPG/2.0.0/files/p12775358/s56200652/54fc408b-c6c7ac65-9c108929-576072c8-2f17348a.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10584942/s55691313/4146cf1b-bd33f679-5349c8b6-f7f8bcd8-71d0f220.jpg	mildly hyperexpanded lungs without evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15672987/s51846667/e4c3bc12-cb41e3fe-bb617205-c2cfb92a-cb6d1a0c.jpg	in comparison with study of , the malpositioned nasogastric tube has been removed. endotracheal tube also is been removed. continued moderate hiatal hernia. little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p15426182/s51587583/33613d9e-e7d02ad8-9c850b35-faa8da84-b7e8af3e.jpg	interval extubation and removal of the nasogastric tube. a right internal jugular central line remains in place with its tip in the mid-to-distal svc. lung volumes are diminished and there is diffuse bilateral parenchymal abnormality. there are likely layering effusions. no pneumothorax is appreciated. overall cardiac and mediastinal contours are difficult to assess given the diffuse airspace process. when compared to the prior study, the airspace process is likely not significantly changed but appears more pronounced due to differences in lung volumes. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17750118/s56624138/aaaee426-a4050da2-73cf7765-8b5b1f3c-596d6ed4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10933609/s57290683/9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06.jpg	persistent biapical fibrosis without superimposed acute consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12035507/s52706333/7ff0871c-a37c6912-a4bfa6db-489a9ed8-5585fe47.jpg	comparison to. stable appearance of the elevated left hemidiaphragm, with a small left pleural effusion and a substantial left retrocardiac and left basal atelectasis. stable moderate cardiomegaly. no evidence of pneumonia in the well ventilated areas of the lung parenchyma. stable correct position of the right-sided picc line.
MIMIC-CXR-JPG/2.0.0/files/p16924675/s54154639/fe30b082-f0396e8f-03947b37-5c86759c-f3467a94.jpg	interval enlargement of the cardiac silhouette which given the short interval is concerning for development of a pericardial effusion. correlate with echocardiogram.
MIMIC-CXR-JPG/2.0.0/files/p12347563/s55721715/3b6e526b-857632e0-3985b93d-1677cedb-0dd916ab.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15937283/s52705599/0ad90746-881b377f-1facef59-0c639cdf-110745ad.jpg	unchanged right basilar opacity when compared to prior compatible with patient's history of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14888840/s51983880/8e678ca1-57760155-1bb20adc-9a9e62ed-d7f90b95.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p11000183/s57084339/d758e92f-24e2f317-376bb959-6c95ff9e-12781712.jpg	compared to chest radiographs since , most recently. mild pulmonary edema is new. marked elevation right hemidiaphragm is chronic responsible for adjacent atelectasis. the parenchymal abnormality in the right lower lobe lung is more pronounced today than earlier and pneumonia in that location should be considered. heart size is normal. right pic line ends in the region of the superior cavoatrial junction. infusion port catheter ends higher in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13295878/s52806703/1c97d7b1-b9f82476-4d7917b5-7b468826-243ee2bf.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17340686/s56598807/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg	right-sided tunnel dialysis catheter terminates in the right atrium. increased bilateral lung opacities reflect growing nodules. new region of consolidation above the minor fissure is concerning for an acute infectious process. short interval followup recommended.
MIMIC-CXR-JPG/2.0.0/files/p12616113/s50772129/11be6bd9-02dedad2-6a64c7d2-b36b7118-ff61d62a.jpg	as compared to the previous radiograph, the left pleural drain has been removed. there is no evidence for the presence of a left pneumothorax. no left-sided pleural effusion the appearance of the extensive parenchymal and pleural changes on the right is constant. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg	as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects approximately <num> cm above the carinal. the course of the nasogastric tube is unremarkable, the tip projects over the middle parts of the stomach. the right internal jugular venous introduction sheet is unchanged. increasing atelectasis at the left lung bases. unchanged appearance of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p17141595/s53954969/65a7b516-de8ecd53-4bb40fe4-40a67433-06bc18c4.jpg	no acute cardiopulmonary process. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16454913/s54486409/03eb61b2-a370310d-6620ac24-e2c25319-8300ef0a.jpg	increased right upper lobe opacity with marked increase of left pleural effusion. minimal improvement of the right base ventilation mainly for reduced vascular congestion. findings were discussed by dr at pm with dr
MIMIC-CXR-JPG/2.0.0/files/p15353701/s55731550/b8ba1183-2448ea31-0644bea0-1dfbfddb-c8f1d447.jpg	right internal jugular line tip is at the cavoatrial junction. left picc line tip is at the level of the mid svc. bilateral pleural effusions have increased. right mid lung atelectasis is unchanged. mild pulmonary edema is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14571320/s58982724/e1d561ee-6d4af903-f7e47437-df699dfe-1fad3921.jpg	as compared to the previous radiograph, there is unchanged evidence of right hilar elevation, combines to ro mediastinal fibrosis and thickening of the right apical and paramediastinal soft tissues. also unchanged is a calcified <num> cm lesion in the anterior mediastinum, seen on the lateral radiograph only. there currently is no evidence for an acute lung disease such as pneumonia or pulmonary edema. no pleural effusions. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p12251429/s52584177/989d2cf3-5234d418-2cb26df6-1d04efdb-eb9f4422.jpg	left lung base opacities are likely atelectasis, although, pneumonia should be considered.
MIMIC-CXR-JPG/2.0.0/files/p11517525/s50685832/fce03393-43fefd9d-46ceb64e-b60b2c58-6a7584d6.jpg	pa and lateral chest compared to most recent prior chest radiograph, : lungs are well expanded and clear. the heart is moderately enlarged. peripheral pulmonary vasculature is normal. both hila are enlarged and lobulated, reflecting adenopathy that has been present according to ct findings, since at least. extent of mediastinal adenopathy at that time is consistent with current radiologic findings. there is no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10698312/s50603853/df8b3af8-fa11c760-41a508b9-b5c27548-5baf7be8.jpg	left picc tip is in theupper svc. multifocal consolidations have almost completely resolved. cardiomegaly and tortuous aorta are stable. there is no pneumothorax. if any there is a small left effusion. there is persistent enlargement of the right hilum, this is worrisome for perihilar mass
MIMIC-CXR-JPG/2.0.0/files/p17675730/s51107665/c28deb6d-b2236e9a-5c95e111-e065b079-3fd39401.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10504711/s59756072/f7bd4c4f-a0620625-9ae992ee-a7af3bb8-9bde0782.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13249211/s56518051/91b44f56-ac9d14a5-51f09ebe-4800cde2-f459b0a1.jpg	small to moderate left apical pneumothorax is new, following left lung biopsy. the extent of leftward mediastinal shift due to the previous left upper lobectomy is stable. heart size is normal. there is no evidence of pulmonary hemorrhage or hemo thorax. right lung is hyperinflated but clear. multiple right rib fractures noted.
MIMIC-CXR-JPG/2.0.0/files/p19511048/s50007625/e541b009-7b89c34e-fb8156b8-d13e3509-4725a84b.jpg	mildly increased interstitial markings compared to previous exam suggesting mild pulmonary vascular congestion. linear bibasilar opacities which have the appearance of atelectasis however clinical correlation is suggested regarding possibility of early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12736960/s50580746/9711e28b-56d77e0b-11179e46-9369501c-e11e9755.jpg	bilateral pleural effusions with associated atelectasis noting that infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p17555879/s59574383/4c2e6880-d7bd5fd2-5125bd65-abb8a0df-8627ec7d.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18066639/s57677821/3af5518f-d1e62671-b88d6aad-c0e6b00e-562ec2be.jpg	endotracheal and enteric tube tips in standard positions. mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10423783/s58902891/c885be34-9ef5cd2e-71270d07-860f7190-2ebb75ce.jpg	no acute cardiopulmonary process. no aspiration or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11706906/s58295730/dc9ec5c0-74cb16c1-6e8e017e-482c4010-92f16ab6.jpg	there is either a new small right pleural effusion or tense peripheral consolidation in the right lower lung. mild somewhat asymmetrically distributed pulmonary edema is grossly unchanged. mild cardiomegaly stable. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19021076/s54169726/ebe0b03b-0612fe18-867607d5-c43cb1c6-2dae5fd8.jpg	no radiographic evidence of pneumonia or other explanation for cough.
MIMIC-CXR-JPG/2.0.0/files/p16364285/s50597486/8b612390-4c1aafba-9f01e7e2-d9e9bc6b-39fe2269.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16228467/s56855951/ce59fb57-0a0f39e7-13869672-2bbf7d01-a92fa872.jpg	no evidence of acute disease; unchanged appearance.
MIMIC-CXR-JPG/2.0.0/files/p19306047/s53751302/c0cd7774-4fddc23f-ceba5073-e42fd8cb-ce55ac65.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16568324/s52571064/2b86c588-63c3a1c6-e6777d37-61a815c5-b3e09180.jpg	enteric tube tip remains in the distal esophagus and should be advanced for optimal positioning.
MIMIC-CXR-JPG/2.0.0/files/p17224335/s58301256/93b196af-c48393fd-bbfc16e2-c36fbb01-44d44782.jpg	unchanged large left pleural effusion. small improving right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11179775/s54809124/7288f735-4a8a9b52-d0fb8fe7-e3d23a2f-44f0b47c.jpg	no focal consolidation. hyperinflated lungs, suggest copd.
MIMIC-CXR-JPG/2.0.0/files/p12527107/s52558569/3dc76a57-189adc53-1acc0f91-05378205-c0555766.jpg	in comparison with the study of , there is little overall change. low lung volumes accentuate the enlargement of the cardiac silhouette. widespread pulmonary edema is essentially unchanged. the iabp position is slightly lower, approximately <num> cm below the transverse arch of the aorta. it could be pushed forward about <num> cm for more optimal positioning.
MIMIC-CXR-JPG/2.0.0/files/p17041931/s56663790/6db8b618-976ad3d2-ed43f991-daeabcd0-cc6ed1e9.jpg	compared to chest radiographs through. mild pulmonary edema has worsened and severe cardiomegaly is larger. left lower lobe remains airless, due in part to moderate left pleural effusion, increasing along with small right pleural effusion. no endotracheal or nasogastric tube is identified. patient has had median sternotomy and at least mitral valve surgery. transvenous right atrial biventricular pacer defibrillator leads are unchanged in their respective positions. dual channel left trans jugular central venous catheter ends in the mid and low svc.
MIMIC-CXR-JPG/2.0.0/files/p19359802/s53447110/5b347d8a-e1bc4945-19db07d2-481125ac-7def097d.jpg	moderate cardiomegaly. pulmonary htn and mild edema.
MIMIC-CXR-JPG/2.0.0/files/p10642542/s51042439/19959e79-268a6f88-fb29e54c-728d231f-bc6184b5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14674928/s57313699/1290ef6d-f97f232b-a84d4577-594370b7-8ebcf91e.jpg	ap chest compared to : dobbhoff tube is folded in the mid esophagus and needs to be replaced. dr was paged at <num> , <num> seconds after the findings were recognized and we discussed the findings one minute later. right internal jugular line ends above the origin of the svc. upper mediastinal widening is unchanged since at least. lungs are clear, and there is no pleural effusion or pneumothorax. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p18252941/s54299356/4c955833-4dd091e8-7ebfd70b-28b34be4-761a58b6.jpg	heart size and mediastinum are stable in appearance including tortuous descending aorta. right pleural effusion has increased since the prior study, currently moderate. there is no pneumothorax. surgical clips are projecting over the right hemi thorax, unchanged
MIMIC-CXR-JPG/2.0.0/files/p13181123/s54814774/fe07069d-e20b746b-a7b3c2fa-7309dce9-835955d4.jpg	right base atelectasis. anterior eventration/ elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p17669020/s58124891/98b68a78-7e64dcaf-16f75b2f-d82f818b-c7e6b380.jpg	no evidence of acute injury.
MIMIC-CXR-JPG/2.0.0/files/p12896985/s50942857/65e71ca8-80e35214-0a211570-f1d8ba33-ca819cb4.jpg	mild cardiomegaly. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14849280/s51395418/67d9a926-276b32ea-15d7c517-e4116987-c42f7933.jpg	as compared to the previous radiograph, no relevant change is seen. unchanged position of the right internal jugular vein catheter, with the tip at the cavoatrial junction. unchanged extent of bilateral pleural effusions, whereby the left pleural effusion could have minimally increased. bilateral areas of atelectasis. mild fluid overload. unchanged mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18495088/s53154738/7586a5fe-e7b8f81c-5e18dc39-0982d609-736dba13.jpg	mild cardiomegaly. hyperinflation without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11884698/s57072281/48d6a173-9a999be9-3e93a71d-8412ffec-9fa6bdab.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17429794/s51106560/185968c2-df6cc593-217fbc64-d0238622-b13699ea.jpg	interval placement of a right subclavian picc line which has its tip in the distal svc at the cavoatrial junction <num> cm below the carina. interval removal of the left subclavian picc line. there is circumferential right pleural opacity with substantial volume loss of the right lung which most likely reflects an enlarging pleural effusion or hemorrhage with partial collapse of the right middle and lower lobes. clinical correlation is recommended. the left lung is grossly clear. cardiac mediastinal contours are difficult to assess due to the right sided opacification. the pulmonary vasculature is prominent but there is no overt pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17710225/s59794514/04fcc7b5-96fda4d5-0b069a27-70b98412-80c0317f.jpg	left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12370706/s51734465/86c89a3d-2197f593-72e7295b-27c7f72a-bba37a1e.jpg	right upper lobe pneumonia. opacity projecting over the lateral left lung and medial left scapula warrants attention on follow-up. recommendation(s): recommend follow-up pa and lateral chest radiographs in <num> <num> weeks to ensure resolution of the right upper lobe pneumonia and to re-evaluate the above-described left lung opacity.
MIMIC-CXR-JPG/2.0.0/files/p14814693/s57151728/bdcf2401-31a75ec2-5e0d4d26-ec59f06f-98d6e658.jpg	left lower lobe opacity in the superior and posterior basal segments with substantial volume loss. although potentially due to an acute infectious pneumonia with a component of atelectasis from mucous plugging, a post obstructive process from obstructing neoplasm such as carcinoid may have a similar radiographic appearance. depending on clinical presentation, short-term follow-up chest radiograph in <num> weeks after antibiotic therapy or immediate chest ct with contrast is recommended. the latter would be suggested if the patient has been experiencing recurrent symptoms or if the process fails to substantially improved after treatment. recommendation(s): either short-term follow-up with chest radiograph in <num> weeks after completion of antibiotic therapy or chest ct with contrast is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15227454/s55208016/e40aae04-45245606-e067e31d-ea9f5ff0-ae1d2b12.jpg	moderate right hilar congestion without overt pulmonary edema. re-demonstrated right-sided pulmonary nodules and subtle ground glass opacities, better assessed on prior ct. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17373149/s58462181/d3973cb0-1a6b540b-77a3aa26-2f39b8e5-ab98acfa.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18637097/s52514552/ea593b08-61349fe8-d4182474-ee899f41-8b25810f.jpg	no acute cardiopulmonary process. bibasilar atelectasis. unchanged chronic interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p14901863/s54527078/6abdca44-30e219ba-36dc35dd-7c24dca0-6dd9b5f5.jpg	right subclavian central line has its tip in the proximal svc. endotracheal tube continues to have its tip at the thoracic inlet. a nasogastric tube is seen coursing distally with the tip not identified on the current study. there continue to be bibasilar airspace opacities, which have slightly worsened on the left when compared to the prior study and most likely represent bibasilar atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. possible small layering left effusion. no pneumothorax. overall, cardiac and mediastinal contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11197408/s51895477/13465667-b391df20-57265da4-239bd007-4714fabc.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19511048/s57870436/23582dcd-e5ec3f6c-46b406af-25f81ba0-871b49ab.jpg	patchy bilateral pulmonary opacities, most prominently in the mid-to-lower lung zones, worrisome for multifocal pneumonia. a component of superimposed pulmonary edema may be present. recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p11735449/s57250233/8cf622c7-bf705261-9c665aef-48ff31b1-09f22732.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17167982/s58389484/66d8d348-e0e9f22b-b75e9283-9d17e116-d607e115.jpg	as compared to the previous radiograph, no relevant change is seen. fibrotic lesions at the lateral aspect of the right hemi thorax. the right chest tube is in unchanged position. unchanged right picc line and tracheostomy tube. the areas of scarring along the minor fissure and at the right and left lung apex are constant. constant appearance of <num> cm rounded lesion projecting over the posterior aspect of the sixth rib on the left. moderate cardiomegaly with bilateral areas of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14319319/s55468075/c1227be3-f510adf2-23e88c3f-8cbe4a6d-9b42b6ac.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13329600/s55278364/3ea0ce39-6e483c14-cb861fa1-71ff5c5c-0ff95283.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17636548/s54076783/78ad01e8-112aede4-9ac7c64c-b1e7a5e0-0f98106e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15942634/s55784111/db4936c6-e31d3e46-8623998b-64b9131e-18c51d98.jpg	interval placement of a left-sided picc line, which is curled in the lower left brachiocephalic vein with its tip terminating at the mid left subclavian vein. unchanged cardiac silhouette enlargement with poorly defined vascular markings particularly on the right, suggesting elevated pulmonary venous pressure or in the appropriate clinical setting, a pneumonia could be considered.
MIMIC-CXR-JPG/2.0.0/files/p12106117/s51886766/dad49840-40eea4b5-66f0d482-39b94022-2b891c2b.jpg	increased vascular congestion since prior. persistent cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14374967/s52840832/7a2c7d8c-3f5b6551-db83f7b6-28742d0e-ba8fed20.jpg	multifocal pneumonia, possible hilar congestion.
MIMIC-CXR-JPG/2.0.0/files/p15201393/s57396149/5c44b1cc-62f5726c-8b239af5-9d625440-a65778c5.jpg	no acute cardiopulmonary process.

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no acute pulmonary process. please see comment.

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adequate positioning of the tracheostomy tube but with a tracheal cuff inflated wider than the diameter of the trachea itself. this may represent overinflation of the cuff or pretracheal positioning of the cuff. results were discussed over the telephone with dr by at on at time of initial review.

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no new focal consolidation to suggest pneumonia. emphysema.

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streaky opacities at the lung bases most likely reflective of atelectasis.

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persistent moderate size loculated right pleural collection with adjacent atelectasis. ct could be considered for additional evaluation.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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support lines and tubes are unchanged in position. there is unchanged cardiomegaly. there are low lung volumes and a left retrocardiac opacity. there is mild pulmonary interstitial edema. there are no pneumothoraces.

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heart size and mediastinum are stable. coronary stents are noted, in both native and bypass vessels. lungs are clear. there is no pleural effusion or pneumothorax. the patient is after replacement of aortic valve.

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compared to chest radiographs since , most recently. persistently large lung volumes suggest chronic obstructive pulmonary disease. no focal pulmonary abnormality. pulmonary vasculature is substantially more engorged today than in and borderline interstitial edema suggest acute cardiac decompensation. pleural effusion small if any. heart size top-normal. no pneumothorax.

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no acute cardiopulmonary process.

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swan-ganz catheter tip is at the level of the right lower lobe pulmonary artery and should be pulled back. heart size and mediastinum are stable in appearance. there is substantial interval decrease in the left pleural effusion with no evidence of pneumothorax and left basal areas of atelectasis. there is new wall right lower lobe consolidation and giving therapy vd is most likely consistent with aspiration. new pneumonia or hemorrhage would be less likely. no right pneumothorax noted.

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mild bibasilar atelectasis.

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multifocal pneumonia.

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previously described left-sided pneumothorax is not visualized. multiple left rib fractures and hemothorax.

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-in comparison to radiograph from , there are again low lung volumes, with likely bibasilar atelectasis. increased interstitial prominence with a central predominance may be slightly increased in appearance since prior, possibly secondary to very low lung volumes, however it would be difficult to exclude pulmonary vascular congestion mild pulmonary edema in the appropriate clinical setting. no new focal consolidation. -likely small left pleural effusion.

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left basilar opacity appears posterior on the lateral view and may relate to a bochdalek hernia, which can be confirmed on ct. prominence of the ascending aorta could relate to tortuosity. however, dilatation is not excluded and recommend further evaluation with nonurgent chest ct with iv contrast if no clinical contraindication. no focal consolidation.

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comparison to. there is no evidence for the presence of a pneumothorax. stable low lung volumes. no pleural effusions. normal size of the cardiac silhouette.

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no acute cardiopulmonary process. radiopaque density projects over the left axilla for which clinical correlation is suggested.

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no acute intrapulmonary process.

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no acute intrathoracic process.

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stable appearance of right suprahilar mass and fiducial clip without a new pulmonary or pleural abnormality.

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severe cardiomegaly is unchanged. no pulmonary edema is seen. no new focal consolidations are present. no pleural effusion is present. calcified pericardial nodule is better characterized on recent ct abdomen.

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as compared to the prior study of , there are no new areas of consolidation in the lungs to suggest the presence of pneumonia. stable cardiomegaly and tortuosity of the thoracic aorta. no pleural effusion or pneumothorax.

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in comparison with the study , the monitoring and support devices have been removed. obliquity of the patient makes it somewhat difficult to compare the appearance of the heart and lungs. cardiac silhouette is enlarged and there is mild indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. opacification at the left base is consistent with pleural fluid atelectatic changes. there is the suggestion of patchy areas of opacification in the mid and lower lung on the left when compared to the opposite side. in view of the clinical history, the possibility of superimposed aspiration would be impossible to exclude. if the condition of the patient permits, a full pa and lateral chest series would be most helpful.

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no pneumothorax

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no acute cardiopulmonary process.

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opacity at the right lung base could reflect atelectasis, infection or aspiration.

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as compared to the previous radiograph, the extent of the known right apical pneumothorax is unchanged. the right basal parenchymal opacities are constant in appearance. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of tension.

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no evidence of acute cardiopulmonary process.

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mildly hyperexpanded lungs without evidence of acute cardiopulmonary process.

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in comparison with study of , the malpositioned nasogastric tube has been removed. endotracheal tube also is been removed. continued moderate hiatal hernia. little change in the appearance of the heart and lungs.

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interval extubation and removal of the nasogastric tube. a right internal jugular central line remains in place with its tip in the mid-to-distal svc. lung volumes are diminished and there is diffuse bilateral parenchymal abnormality. there are likely layering effusions. no pneumothorax is appreciated. overall cardiac and mediastinal contours are difficult to assess given the diffuse airspace process. when compared to the prior study, the airspace process is likely not significantly changed but appears more pronounced due to differences in lung volumes. no pneumothorax.

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no acute cardiopulmonary abnormality.

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persistent biapical fibrosis without superimposed acute consolidation.

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comparison to. stable appearance of the elevated left hemidiaphragm, with a small left pleural effusion and a substantial left retrocardiac and left basal atelectasis. stable moderate cardiomegaly. no evidence of pneumonia in the well ventilated areas of the lung parenchyma. stable correct position of the right-sided picc line.

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interval enlargement of the cardiac silhouette which given the short interval is concerning for development of a pericardial effusion. correlate with echocardiogram.

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no acute cardiopulmonary process.

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unchanged right basilar opacity when compared to prior compatible with patient's history of pneumonia.

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no evidence of acute disease.

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compared to chest radiographs since , most recently. mild pulmonary edema is new. marked elevation right hemidiaphragm is chronic responsible for adjacent atelectasis. the parenchymal abnormality in the right lower lobe lung is more pronounced today than earlier and pneumonia in that location should be considered. heart size is normal. right pic line ends in the region of the superior cavoatrial junction. infusion port catheter ends higher in the svc. no pneumothorax.

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no focal consolidation to suggest pneumonia.

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right-sided tunnel dialysis catheter terminates in the right atrium. increased bilateral lung opacities reflect growing nodules. new region of consolidation above the minor fissure is concerning for an acute infectious process. short interval followup recommended.

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as compared to the previous radiograph, the left pleural drain has been removed. there is no evidence for the presence of a left pneumothorax. no left-sided pleural effusion the appearance of the extensive parenchymal and pleural changes on the right is constant. normal size of the cardiac silhouette.

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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects approximately <num> cm above the carinal. the course of the nasogastric tube is unremarkable, the tip projects over the middle parts of the stomach. the right internal jugular venous introduction sheet is unchanged. increasing atelectasis at the left lung bases. unchanged appearance of the right lung.

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no acute cardiopulmonary process. no pneumothorax.

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increased right upper lobe opacity with marked increase of left pleural effusion. minimal improvement of the right base ventilation mainly for reduced vascular congestion. findings were discussed by dr at pm with dr

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right internal jugular line tip is at the cavoatrial junction. left picc line tip is at the level of the mid svc. bilateral pleural effusions have increased. right mid lung atelectasis is unchanged. mild pulmonary edema is unchanged.

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as compared to the previous radiograph, there is unchanged evidence of right hilar elevation, combines to ro mediastinal fibrosis and thickening of the right apical and paramediastinal soft tissues. also unchanged is a calcified <num> cm lesion in the anterior mediastinum, seen on the lateral radiograph only. there currently is no evidence for an acute lung disease such as pneumonia or pulmonary edema. no pleural effusions. normal size of the cardiac silhouette.

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left lung base opacities are likely atelectasis, although, pneumonia should be considered.

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pa and lateral chest compared to most recent prior chest radiograph, : lungs are well expanded and clear. the heart is moderately enlarged. peripheral pulmonary vasculature is normal. both hila are enlarged and lobulated, reflecting adenopathy that has been present according to ct findings, since at least. extent of mediastinal adenopathy at that time is consistent with current radiologic findings. there is no pneumonia.

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left picc tip is in theupper svc. multifocal consolidations have almost completely resolved. cardiomegaly and tortuous aorta are stable. there is no pneumothorax. if any there is a small left effusion. there is persistent enlargement of the right hilum, this is worrisome for perihilar mass

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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small to moderate left apical pneumothorax is new, following left lung biopsy. the extent of leftward mediastinal shift due to the previous left upper lobectomy is stable. heart size is normal. there is no evidence of pulmonary hemorrhage or hemo thorax. right lung is hyperinflated but clear. multiple right rib fractures noted.

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mildly increased interstitial markings compared to previous exam suggesting mild pulmonary vascular congestion. linear bibasilar opacities which have the appearance of atelectasis however clinical correlation is suggested regarding possibility of early pneumonia.

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bilateral pleural effusions with associated atelectasis noting that infection cannot be excluded.

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no acute cardiopulmonary abnormality.

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endotracheal and enteric tube tips in standard positions. mild bibasilar atelectasis.

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no acute cardiopulmonary process. no aspiration or pneumonia.

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there is either a new small right pleural effusion or tense peripheral consolidation in the right lower lung. mild somewhat asymmetrically distributed pulmonary edema is grossly unchanged. mild cardiomegaly stable. no pneumothorax.

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no radiographic evidence of pneumonia or other explanation for cough.

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no acute cardiopulmonary process.

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no evidence of acute disease; unchanged appearance.

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no acute cardiopulmonary process.

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enteric tube tip remains in the distal esophagus and should be advanced for optimal positioning.

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unchanged large left pleural effusion. small improving right pleural effusion.

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no focal consolidation. hyperinflated lungs, suggest copd.

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in comparison with the study of , there is little overall change. low lung volumes accentuate the enlargement of the cardiac silhouette. widespread pulmonary edema is essentially unchanged. the iabp position is slightly lower, approximately <num> cm below the transverse arch of the aorta. it could be pushed forward about <num> cm for more optimal positioning.

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compared to chest radiographs through. mild pulmonary edema has worsened and severe cardiomegaly is larger. left lower lobe remains airless, due in part to moderate left pleural effusion, increasing along with small right pleural effusion. no endotracheal or nasogastric tube is identified. patient has had median sternotomy and at least mitral valve surgery. transvenous right atrial biventricular pacer defibrillator leads are unchanged in their respective positions. dual channel left trans jugular central venous catheter ends in the mid and low svc.

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moderate cardiomegaly. pulmonary htn and mild edema.

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no acute cardiopulmonary process.

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ap chest compared to : dobbhoff tube is folded in the mid esophagus and needs to be replaced. dr was paged at <num> , <num> seconds after the findings were recognized and we discussed the findings one minute later. right internal jugular line ends above the origin of the svc. upper mediastinal widening is unchanged since at least. lungs are clear, and there is no pleural effusion or pneumothorax. heart size normal.

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heart size and mediastinum are stable in appearance including tortuous descending aorta. right pleural effusion has increased since the prior study, currently moderate. there is no pneumothorax. surgical clips are projecting over the right hemi thorax, unchanged

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right base atelectasis. anterior eventration/ elevation of the right hemidiaphragm.

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no evidence of acute injury.

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mild cardiomegaly. no evidence of pulmonary edema.

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as compared to the previous radiograph, no relevant change is seen. unchanged position of the right internal jugular vein catheter, with the tip at the cavoatrial junction. unchanged extent of bilateral pleural effusions, whereby the left pleural effusion could have minimally increased. bilateral areas of atelectasis. mild fluid overload. unchanged mild cardiomegaly.

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mild cardiomegaly. hyperinflation without acute cardiopulmonary process.

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no acute cardiopulmonary process.

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interval placement of a right subclavian picc line which has its tip in the distal svc at the cavoatrial junction <num> cm below the carina. interval removal of the left subclavian picc line. there is circumferential right pleural opacity with substantial volume loss of the right lung which most likely reflects an enlarging pleural effusion or hemorrhage with partial collapse of the right middle and lower lobes. clinical correlation is recommended. the left lung is grossly clear. cardiac mediastinal contours are difficult to assess due to the right sided opacification. the pulmonary vasculature is prominent but there is no overt pulmonary edema. no pneumothorax.

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left lower lobe pneumonia.

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right upper lobe pneumonia. opacity projecting over the lateral left lung and medial left scapula warrants attention on follow-up. recommendation(s): recommend follow-up pa and lateral chest radiographs in <num> <num> weeks to ensure resolution of the right upper lobe pneumonia and to re-evaluate the above-described left lung opacity.

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left lower lobe opacity in the superior and posterior basal segments with substantial volume loss. although potentially due to an acute infectious pneumonia with a component of atelectasis from mucous plugging, a post obstructive process from obstructing neoplasm such as carcinoid may have a similar radiographic appearance. depending on clinical presentation, short-term follow-up chest radiograph in <num> weeks after antibiotic therapy or immediate chest ct with contrast is recommended. the latter would be suggested if the patient has been experiencing recurrent symptoms or if the process fails to substantially improved after treatment. recommendation(s): either short-term follow-up with chest radiograph in <num> weeks after completion of antibiotic therapy or chest ct with contrast is recommended.

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moderate right hilar congestion without overt pulmonary edema. re-demonstrated right-sided pulmonary nodules and subtle ground glass opacities, better assessed on prior ct. stable moderate cardiomegaly.

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no acute intrathoracic process.

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no acute cardiopulmonary process. bibasilar atelectasis. unchanged chronic interstitial lung disease.

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right subclavian central line has its tip in the proximal svc. endotracheal tube continues to have its tip at the thoracic inlet. a nasogastric tube is seen coursing distally with the tip not identified on the current study. there continue to be bibasilar airspace opacities, which have slightly worsened on the left when compared to the prior study and most likely represent bibasilar atelectasis, although pneumonia cannot be entirely excluded. no evidence of pulmonary edema. possible small layering left effusion. no pneumothorax. overall, cardiac and mediastinal contours are unchanged.

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no acute cardiopulmonary abnormality.

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patchy bilateral pulmonary opacities, most prominently in the mid-to-lower lung zones, worrisome for multifocal pneumonia. a component of superimposed pulmonary edema may be present. recommend followup to resolution.

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no pneumonia.

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as compared to the previous radiograph, no relevant change is seen. fibrotic lesions at the lateral aspect of the right hemi thorax. the right chest tube is in unchanged position. unchanged right picc line and tracheostomy tube. the areas of scarring along the minor fissure and at the right and left lung apex are constant. constant appearance of <num> cm rounded lesion projecting over the posterior aspect of the sixth rib on the left. moderate cardiomegaly with bilateral areas of atelectasis.

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no evidence of pneumonia.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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interval placement of a left-sided picc line, which is curled in the lower left brachiocephalic vein with its tip terminating at the mid left subclavian vein. unchanged cardiac silhouette enlargement with poorly defined vascular markings particularly on the right, suggesting elevated pulmonary venous pressure or in the appropriate clinical setting, a pneumonia could be considered.

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increased vascular congestion since prior. persistent cardiomegaly.

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multifocal pneumonia, possible hilar congestion.

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no acute cardiopulmonary process.