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/p10251081/s51641086/c110b813-02738e8d-5d17f4d2-eee426c7-705fa62a.jpg	large left pleural effusion mild pulmonary edema seen primarily in the right lung. the heart appears minimally increased in size from the prior examination which may reflect a small pericardial effusion or rightward displacement from the large left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12331840/s57904601/f8dfd826-c7e357ff-e9fcc1c5-32c5c861-fdcfc1b3.jpg	as compared to the previous radiograph, the areas of atelectasis at the lung bases have slightly increased in extent. otherwise, the radiograph is unchanged, with known moderate cardiomegaly but without pulmonary edema, the known vertebral stabilization devices as well as the right pectoral port-a-cath.
MIMIC-CXR-JPG/2.0.0/files/p19578000/s56527235/9292a0a1-35dc1007-16d1463c-5df5ed25-191de348.jpg	there are layering bilateral effusions with increasing consolidation at the bases suggestive of partial lower lobe atelectasis. the more wedge-shaped opacity in the right upper lung on the previous study has resolved. findings suggest fluctuating but slightly worse pulmonary edema. overall cardiac and mediastinal contours are stable. interval removal of right internal jugular central line. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10394897/s58175830/811e29d3-2fbf9cde-45dbed22-61763312-581629ff.jpg	stable cardiomegaly. otherwise, unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p18536624/s58872394/1d01bd22-422dfa0a-8b8364e0-68924d73-beb6f4dc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13762217/s58319673/8718524c-9bab61a5-1af86436-0f5e0db0-a3d5df4e.jpg	double tube tip is in the proximal stomach. heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is present. slight advancement of that up of catheter is to be considered
MIMIC-CXR-JPG/2.0.0/files/p14068639/s52922827/f1a04fa1-dca7f654-2cbe25c9-f36ee93d-24ff5781.jpg	a swan-ganz catheter again terminates deep within a right pulmonary artery. a ventricular loop has been resolved. there remains a smaller loop likely within the main pulmonary artery.
MIMIC-CXR-JPG/2.0.0/files/p17032538/s58656783/c4927232-cfa74c6c-fb8d8e6f-931f938a-bf0ca6de.jpg	ap chest submitted for review at : moderate pulmonary edema unchanged since. emphysema, right pleural thickening and pleural calcification have been discussed on prior and subsequent radiographic reports. heart size is normal. et tube in standard placement.
MIMIC-CXR-JPG/2.0.0/files/p16780307/s56684178/faa7e2bc-3469dcf8-1496a014-c68ec8ca-4ed8390a.jpg	right chest wall port-a-cath in unchanged position ending in the mid svc new mild pulmonary vascular congestion
MIMIC-CXR-JPG/2.0.0/files/p19316784/s54801065/afdc88b5-e074de33-c2772add-c8c92b1e-e746a243.jpg	no focal infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p16426302/s51191626/8668d9b6-9486bf36-19c68ef4-5cbd4236-da5db59d.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15947558/s58093460/194f5d52-41a127b6-b75be5da-6a36f1ba-442a4341.jpg	ap chest compared to through : although new pulmonary edema is mild, it could have considerable physiologic impact in a patient with severe copd and marked upper lobe scarring. right upper lobe mass, previously cavitated in , is unchanged in overall size. small bilateral pleural effusions reflect cardiac decompensation. heart size is normal. the patient has had left upper lobe resection.
MIMIC-CXR-JPG/2.0.0/files/p16800987/s57448462/a5d8512b-6cdfee91-2eab51f2-76920676-9010fe32.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18237778/s55183640/41c015f3-34c73211-38782deb-0e081e6a-10eb0a2c.jpg	no acute intrathoracic process identified.
MIMIC-CXR-JPG/2.0.0/files/p19292638/s57857031/26b8a684-bcc1cb14-2710a58f-cdff5b07-0d60b6ca.jpg	there is a right basilar pigtail catheter. there is a tiny pleural effusion versus scarring which is unchanged. lungs are grossly clear. heart size is within normal limits. no pneumothoraces are seen. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p15868141/s58538628/17761252-3f0ea2a9-a2756894-15142f0b-4a36b644.jpg	small left pleural effusion. no evidence of congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p12200493/s54305493/28b7179f-c748b4f3-60314060-0c80e96c-da4f974f.jpg	normal chest radiograph. no displaced rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p14068639/s59868269/3bafbec4-2d64c2ed-ebe577a9-8567f1f2-eea63d0d.jpg	aicd is unchanged. there is mild improved aeration of the right upper lobe. there remains a left retrocardiac opacity and moderate pulmonary edema. small bilateral effusions are seen. there are low lung volumes
MIMIC-CXR-JPG/2.0.0/files/p15614063/s52983837/d0b50a99-ae808cea-c678ca94-dbbb2401-09f7194e.jpg	small bilateral pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15970734/s53499437/896ee8c4-7e68f07f-a658c0fd-d0ce876b-961acafb.jpg	heart size and mediastinum are stable. mild vascular congestion is demonstrated. pacemaker leads terminate in right atrium and ventricle as expected.
MIMIC-CXR-JPG/2.0.0/files/p16335352/s52088073/92e7db92-7a086e36-15643715-fc6f3543-0960d5bf.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19804374/s50998777/9d926f4c-982b4cc9-afa20d72-902b44f6-31bf34a4.jpg	normal chest radiograph. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12763937/s55729375/64b6320b-9b99c6cb-764a84bd-baeb7baa-aea64c0c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13975682/s53663198/d8c9c3c5-bcc50552-a347a334-6adca667-f57b6eca.jpg	limited study due to patient rotation and low lung volumes. mild pulmonary edema and bibasilar atelectasis. infection in the lung bases however cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p15782061/s54275982/5003dcae-dd553a1a-eff44d9c-25d41003-a1bdb98f.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15862493/s58938704/9ddcb5d0-83a0547a-3f3baf2c-cdc3cb98-56973433.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12538793/s52068877/527e60a5-d1a59773-ae514895-0484ed53-7c54d7d1.jpg	compared to chest radiographs since , most recently. previous interstitial abnormality has resolved, probably mild pulmonary edema. lungs are fully expanded and clear. heart size normal. probable small bilateral pleural effusion. no pneumothorax. ascending thoracic aorta is tortuous or mildly dilated.
MIMIC-CXR-JPG/2.0.0/files/p19969031/s50515411/7190dec5-5f64262a-8755b304-ed144553-12e85ec2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13516771/s53237930/731df7b8-9941627a-ee45d49c-32edd913-3381de15.jpg	the lung volumes are normal. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia. no other lung parenchymal changes. <num> mm calcified granuloma in the right lung apex, projecting behind the clavicle and between the posterior aspect 's of the third and fourth rib.
MIMIC-CXR-JPG/2.0.0/files/p10331864/s56316814/cc902dd1-e357e647-7c428849-a26a32a0-5705394c.jpg	stable moderate cardiomegaly. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15025560/s58126134/4ffa9895-8e055f94-17cf91d1-d97bb540-19ed791b.jpg	comparison to. no relevant change. low lung volumes. unchanged moderate to severe pulmonary edema and cardiac silhouette small retrocardiac atelectasis. unchanged position of the nasogastric tube, unchanged alignment of the sternal wires.
MIMIC-CXR-JPG/2.0.0/files/p16893042/s51582004/38c475ce-db495b13-8130f025-bc6d7507-b64f6bf6.jpg	there is an endotracheal tube whose tip is <num> cm above the carina. there is a nasogastric tube whose sideport is just past the ge junction. there are low lung volumes with atelectasis at the lung bases. there is a left retrocardiac opacity and left-sided pleural effusion. no pneumothoraces are identified.
MIMIC-CXR-JPG/2.0.0/files/p10945254/s59336087/b7959e38-ebe675f4-cbad7ed2-60eae4a0-874185f6.jpg	worsening diffuse bilateral interstitial and nodular opacities may represent worsening metastatic disease however superimposed atypical infection or mild interstitial pulmonary edema cannot be excluded. small right-sided pleural effusion is slightly increased.
MIMIC-CXR-JPG/2.0.0/files/p17020795/s57754443/00e4a649-4aa071ba-2949fdd9-d90dcdc5-7ee96ab7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19100084/s57764643/01820027-fee4f3e4-a347b3a2-2520f6d5-1132438e.jpg	retrocardiac opacity, question pneumonia versus aspiration. no overt edema.
MIMIC-CXR-JPG/2.0.0/files/p18095948/s57350884/2c6cecbe-cc5419aa-0c866b0e-5835e146-886342c3.jpg	no pneumothorax. small left pleural effusion and bilateral lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13255997/s57458670/9a1e697c-a26994db-0cb6e05a-7d611f7a-b4d1beb7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17517983/s57072116/73435534-4de324e3-6ca5ea43-073de04b-a1a099db.jpg	increased mild pulmonary edema, most prominent lung bases, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p18143326/s51219575/d5e034d5-304f7c0b-680b119a-061dd149-6a3c7e90.jpg	there no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p14693832/s52927887/2c5b8a1e-bfd527de-ec91978b-7e385dd4-32fc41e6.jpg	as compared to , there is an increasing right perihilar and lower lung parenchymal opacity, consistent with aspiration pneumonia in the appropriate clinical setting, there also is an increasing left lower lobe atelectasis. coexisting pneumonia, however, cannot be excluded. mild pulmonary edema is present. moderate cardiomegaly. tracheostomy tube is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p19697979/s55146372/3e014aff-89b8175b-a14519d2-098e7c51-93c4d65a.jpg	as compared to the previous radiograph, no relevant change is seen. the nasogastric tube has been removed. the endotracheal tube is in unchanged position. unchanged evidence of small bilateral pleural effusions. bilateral areas of basilar atelectasis. mild pulmonary edema persists. no convincing evidence for pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11372768/s56428568/8505e533-3256464d-27548789-d0cd5e4d-c505ad7a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19507787/s54097613/63f1c395-2e08a0ed-4f1838bc-330da059-f069e28c.jpg	mild generalized interstitial pulmonary abnormality persists. previous heterogeneous consolidation right lower lobe, probably pneumonia, has improved. small right pleural effusion persists. borderline cardiomegaly unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19596157/s59072203/4d063def-9ad53676-9be8095e-d27ee2b3-29b896b2.jpg	mild interstitial edema and new right-sided pleural effusion in the setting of chronic congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p15515941/s52281454/c4a32dbb-67b813c2-761c3276-874d2be7-5ee4f132.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15015775/s59604927/5d66022c-3c982b3b-0e952b7c-df7d51e4-de88de01.jpg	prior chest radiographs, and. postinflammatory pneumatocele, and/or bronchiectasis, left midlung, unchanged since. no other focal pulmonary abnormality. no pleural thickening or effusion. recommendation(s): rib detail views of the specified region of clinical findings.
MIMIC-CXR-JPG/2.0.0/files/p16625317/s53083070/a307f148-a57daf2e-da88d4c6-80348382-d795400e.jpg	new opacities seen in the right mid-lung field, and probably also the left mid-lung, which are concerning for aspiration or infection.
MIMIC-CXR-JPG/2.0.0/files/p13070964/s57295356/71f8a026-1702d0c6-d46931b8-49a01eaf-8dcaff55.jpg	mild cardiomegaly without overt signs of edema.
MIMIC-CXR-JPG/2.0.0/files/p12739742/s58024342/9f893af6-dc7b92c6-61787170-0a655f15-566c392f.jpg	no new infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p17572294/s58259050/693f4f8d-4d2fcec1-55d5aba6-1995baea-c88854a9.jpg	in comparison with the study of , there is increased size of the cardiac silhouette with evidence of pulmonary vascular congestion and bilateral pleural effusions with mild atelectatic change at the bases. no definite acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12231290/s56722856/e8088023-3adac8e9-84a2bd38-efc4fbb8-130b0e41.jpg	near complete opacification at the left base likely associated diffusion essentially not significantly changed since , which could represent an area of pneumonia, although atelectasis with an associated effusion could also give this appearance. clinical correlation is advised. the lung volumes are also relatively low. no evidence of pulmonary edema or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13346506/s53324788/16d8aa25-288047f7-267bddc2-4689cac3-895303f0.jpg	slightly increased lucency within the right lung base along the right heart border suggests a small pneumothorax. please see subsequent ct of the torso for further details.
MIMIC-CXR-JPG/2.0.0/files/p11332558/s52729252/a17306f1-aafdc847-57f7a2d0-f929b0cf-8dd51901.jpg	in comparison with the study of , there again are very low lung volumes which accentuate the prominence of the transverse diameter of the heart. substantial elevation of the right hemidiaphragm is unchanged. the costophrenic angle is more sharply seen, which could reflect some decrease in pleural fluid and compressive atelectasis, though this appearance may merely be a manifestation of a more upright position of the patient. left lung is essentially clear and there is no definite vascular congestion. multiple surgical clips are again seen in the left axilla.
MIMIC-CXR-JPG/2.0.0/files/p15563657/s54934445/a2eae3cb-31a78b29-30d84a76-473d3b11-2326f40a.jpg	ap chest compared to : reticular interstitial abnormality in the lower lungs has improved slightly on the left since , but has been present to a substantial degree since. this could be edema, but i suspect it is largely a chronic infiltrative pulmonary disease, including possible pulmonary fibrosis. lung volumes have improved following tracheal extubation. heart size is top normal. pleural effusions are minimal if any. no pneumothorax. left jugular line ends at the junction of the brachiocephalic veins.
MIMIC-CXR-JPG/2.0.0/files/p10382912/s53870471/f01c5c2c-02e5fe0a-bdf284cc-15f15421-aa93f19d.jpg	subtle opacity in the left mid-to-lower lung may represent overlapping osseous structures, although possibility of pneumonia impossible to exclude. recommend oblique views to clarify.
MIMIC-CXR-JPG/2.0.0/files/p16093185/s57023829/3cc6a10d-cf70f429-0115f273-8de09afd-a8bef7e0.jpg	extensive pulmonary metastases have not worsened since. there is suggestion of new cavitation in some areas which could be a treatment effect. alternatively sepsis and superinfection may have developed. heart is normal size. small pleural effusions are clinically insignificant. extensive lytic and blastic pulmonary metastases involve most of the vertebral bodies, but i see no definite compression fracture. right jugular central venous infusion port ends in the right atrium.
MIMIC-CXR-JPG/2.0.0/files/p18637097/s57341780/bdf3885d-f1ee1b7d-97849a2b-c088e99c-7ed68455.jpg	no focal consolidations concerning for pneumonia identified. stable chronic interstitial lung disease bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p11798125/s56996719/b5d49d79-4b51bf07-d821afe3-2c7985f8-dc95ec6a.jpg	resolution of the previously seen pulmonary edema and right pleural effusion. trace left pleural effusion. otherwise, no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19680815/s50792859/d9d71c68-dcbde3c4-9a717e1a-d91f6d84-d135a91f.jpg	known infection with mild bronchiectasis in the right middle lobe and lingula. no new acute abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16006064/s53565300/e30238d2-3b586818-a8a154a8-fa56a33e-e1a8af7c.jpg	in comparison with the earlier study of this date, there is little change in the appearance of the small left apical pneumothorax. the basilar atelectatic changes appear less prominent on both sides.
MIMIC-CXR-JPG/2.0.0/files/p15314618/s52816728/ed74bfd9-226becb1-c87d8f7f-8a873f25-cd052374.jpg	no acute cardiopulmonary abnormality. gaseous distention of several loops of small bowel in the upper abdomen.
MIMIC-CXR-JPG/2.0.0/files/p12678882/s54505581/1b807825-3e00c337-b8872ae7-52c17234-6f1e9c8a.jpg	moderate cardiomegaly and pulmonary vascular engorgement, minimally increased from.
MIMIC-CXR-JPG/2.0.0/files/p16079206/s50504291/2ca30958-38c580bd-c8873d68-5607a0c8-2592b2f5.jpg	pulmonary vascular congestion without focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19660235/s52644891/0a3bb6d2-dc626ed7-18086d22-e3c98f60-3757ee04.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18302978/s51517596/a073efb7-164cff50-4baf1ebd-5e5a6cde-cc847f7f.jpg	focal convexity inferior to the aortic arch at the level of the ap window may reflect a vascular structure or other mediastinal lesion, and further assessment with contrast-enhanced ct is recommended. streaky opacities in the retrocardiac region which tracking suggestive of bronchiectasis.
MIMIC-CXR-JPG/2.0.0/files/p17496226/s52181465/e9139459-5952dc77-4802799f-579cddad-3b629fb2.jpg	in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. <num>-lead pacer device is in place with the leads in in good position.
MIMIC-CXR-JPG/2.0.0/files/p13462752/s59438455/d523f4a7-a3d74f09-db54774d-7bd7f546-f4e275eb.jpg	somewhat limited exam. increased opacity in the left lower lobe which could represent pneumonia in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19201973/s56157781/1855c9c3-cf14b4ba-9340f08d-66ee73f6-24f85c9f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15405794/s55328786/e3df4df0-94e5c980-8fb4dcb6-2358531b-2a295c3d.jpg	<num> x <num> cm opacity which is either in the anterior mediastinum or anterior right middle lobe. the differential diagnosis includes a fat pad, cardiogenic /pericardial cyst, lymph node, or thymic abnormality. ct chest, preferably with contrast, is recommended for further evaluation. these findings were discussed via telephone by , md, with , np, at on , immediately upon discovery.
MIMIC-CXR-JPG/2.0.0/files/p14402678/s52530206/55211b2f-f1980393-65a703c8-2ba2647b-ea2ec531.jpg	ap chest compared to preoperative chest radiograph, : left hemithorax is relatively stable, no pneumothorax or pleural effusion, three pleural tubes in place. new atelectasis and small effusion at the base of the right chest. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p12513827/s59002367/bff8b83f-aedf94b8-dbce9095-110865cd-e6bbcfb5.jpg	as compared to previous study of <num> day earlier, support and monitoring devices are in standard position. cardiomegaly is accompanied by pulmonary vascular congestion and new mild edema as well as accompanying bilateral small pleural effusions, left greater than right and adjacent retrocardiac atelectasis. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p17447554/s58610831/af89fb06-0ed2a6cf-6f6152ce-3e177860-21de8ab6.jpg	stable mild cardiomegaly without acute consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15262628/s57747513/42c33002-6a18a00e-046368a6-6376593a-6ef058bf.jpg	in comparison with study , the patient has taken a much better inspiration. cardiac silhouette is enlarged and there is mild tortuosity of the aorta. mild engorgement of pulmonary vessels, but no pneumonia or pleural effusion. the right ij catheter is been removed.
MIMIC-CXR-JPG/2.0.0/files/p17452392/s57581107/290d94fe-f39ae845-142ce047-199c1327-7571c882.jpg	no acute cardiopulmonary process. bibasilar opacities are likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15087376/s57292988/21c30880-25dec13c-deea44ee-fc77ce61-2d67cc2e.jpg	findings suggestive of copd or emphysema. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15691899/s53312688/af4bfc34-08c609c2-3cb2cc33-bb856613-cb735430.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17391510/s52302564/d6c0f614-f41c3ac6-9e4784fe-9c45a199-4920365e.jpg	no acute cardiopulmonary process. recommendation(s): findings were relayed by dr to , np by phone at on ( min after discovery).
MIMIC-CXR-JPG/2.0.0/files/p17644567/s59068186/73ffb10d-951aef32-2f564278-c9d6c944-b1fc79cc.jpg	small bilateral pleural effusions with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16533979/s53215762/57f4558e-142481b3-9f2f6f6a-ed3b2c1f-31951423.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12716978/s56643385/772c841d-7a9d69e3-55ffae99-10d7a0d1-c60772e0.jpg	unremarkable study.
MIMIC-CXR-JPG/2.0.0/files/p10833363/s57757672/0bbf3a11-84777eef-67f88c33-8c59c3f9-f988c370.jpg	small hiatal hernia. otherwise, normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11665789/s55114734/88385b98-8c537236-e3fd0752-dfa92250-26696758.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10297774/s52137603/76f6f0bf-e9f9346c-af83fe21-ca8c34c4-850863c4.jpg	there is improved aeration. there remains a left retrocardiac opacity and left basilar subsegmental atelectasis. the left-sided aicd and left ij central line are unchanged position. no pulmonary edema is seen.
MIMIC-CXR-JPG/2.0.0/files/p10893121/s55688652/09f8f62f-6f4fc94d-7cbf8643-6d85ab2a-155c5e12.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11213912/s50720027/2bf8fb07-b7876bd5-2e861107-077806c9-7cecc316.jpg	in comparison with the earlier study of this date, the tip of the endotracheal tube remains about <num> cm above the carina. orogastric tube again extends into the stomach, though the side-hole is at or above the level of the esophagogastric junction. there again are diffuse bilateral airspace consolidations, which according to the clinical history is consistent with pulmonary edema. in the appropriate clinical setting, superimposed pneumonia would have to be considered. hazy opacification at the bases is consistent with layering effusions. retrocardiac opacification is consistent with substantial volume loss in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p18340313/s54733647/1f7eb98e-1979dbb7-d81a436d-f4ad3cf2-132e7e08.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10468541/s58387468/cd58068f-494669ec-763245e0-7b22c8a1-0a3cf8bd.jpg	bibasilar opacit atelectasis without definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11418635/s53386707/bb71d74f-8b2717b1-192dd532-ebc86528-1ce50010.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12784119/s56296248/a3ada0d1-2da3f415-1ee986ca-8ed4874e-146139bc.jpg	left peak tail thoracostomy catheter remains in place. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable. there is blunting of both costophrenic angles which are consistent with small effusions as evident on recent chest ct. there is an evolving opacity in the right upper lobe which would be concerning for pneumonia or aspiration and likely correlates to an opacity on the recent chest ct as well. in addition, there are streaky opacities in the left mid and lower lung which could represent other areas of infection or possibly atelectasis. clinical correlation is advised. no pneumothorax. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17028661/s57102080/50ca77c4-93d92d15-09db5f38-06530247-d8ce3014.jpg	the tip of the endotracheal tube is <num> cm above the carina. there is a feeding tube whose tip and side port are below the ge junction. cardiomediastinal silhouette is within normal limits. there are unchanged bibasilar opacities. small left-sided pleural effusion is present, stable. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p13972095/s51367526/22719121-ec6055ad-8ba6febb-9a005797-b62e0633.jpg	et tube terminates <num> cm above the carina. increased left pleural effusion these findings were discussed by dr with dr at via telephone on the day of the study.
MIMIC-CXR-JPG/2.0.0/files/p11885477/s55608114/1a5bf557-310e679d-7d13c4c2-f55f4c32-297516d2.jpg	no acute cardiopulmonary process or evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s55863172/4f8c47f8-97f59738-045f6523-a1d4b44d-915ef3c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10969205/s57676763/bb677b5b-b2ce7e87-0998489b-b843df6a-c09cca55.jpg	lines and tubes as described, similar to old <num> day earlier. diffuse opacities in both lungs, with possible minimal improvement in the right mid zone. the differential diagnosis is extensive and includes infection, atypical pulmonary edema, inflammatory infiltrates, and, in the appropriate clinical setting, ards. while the patient may have background chronic changes, given history of ipf, the appearance has progressed compared with , suggesting a superimposed process.
MIMIC-CXR-JPG/2.0.0/files/p14008877/s51681523/ca612753-ffe93bcc-3d085e3a-8a690ef7-caf75e66.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11194186/s51231094/6f02890b-4874132d-5746af99-096a1222-878a1fc5.jpg	dilation of the ascending aorta could be related to hypertension or aortic stenosis, correlate clinically. no acute pulmonary process
MIMIC-CXR-JPG/2.0.0/files/p13725275/s53922588/2efb141e-4eece434-e1d0a684-91032b71-77b277e5.jpg	small left pleural effusion with probable adjacent atelectasis, improved compared to.
MIMIC-CXR-JPG/2.0.0/files/p11955908/s55634344/3d554569-13cc7c6a-61d4073f-cd695d44-b0fffed9.jpg	slight worsening of moderate cardiomegaly, with probable pulmonary hypertension. no pulmonary edema. lung parenchyma is not able to be completely evaluated due to technical limitations. if concerned for parenchymal abnormality, recommend ct chest for further evaluation. recommendation(s): recommend ct chest for further evaluation of lung parenchyma if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p12547073/s58944801/e220c592-0f914448-3a71835a-721f7285-36a0c17d.jpg	subtle opacity projecting over the spine on the lateral view is likely atelectasis or confluence of shadows, however, pneumonia is also a possibility. if further clarification is needed, oblique views would be useful. attempt to page these findings to dr by dr at on were unsuccessful. as such, findings were placed on the critical results dashboard.
MIMIC-CXR-JPG/2.0.0/files/p10027100/s59445954/605a9d27-78b0f5bc-7ce2bfe9-acd6e66d-f316ce90.jpg	no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10251081/s51641086/c110b813-02738e8d-5d17f4d2-eee426c7-705fa62a.jpg

large left pleural effusion mild pulmonary edema seen primarily in the right lung. the heart appears minimally increased in size from the prior examination which may reflect a small pericardial effusion or rightward displacement from the large left pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p12331840/s57904601/f8dfd826-c7e357ff-e9fcc1c5-32c5c861-fdcfc1b3.jpg

as compared to the previous radiograph, the areas of atelectasis at the lung bases have slightly increased in extent. otherwise, the radiograph is unchanged, with known moderate cardiomegaly but without pulmonary edema, the known vertebral stabilization devices as well as the right pectoral port-a-cath.

MIMIC-CXR-JPG/2.0.0/files/p19578000/s56527235/9292a0a1-35dc1007-16d1463c-5df5ed25-191de348.jpg

there are layering bilateral effusions with increasing consolidation at the bases suggestive of partial lower lobe atelectasis. the more wedge-shaped opacity in the right upper lung on the previous study has resolved. findings suggest fluctuating but slightly worse pulmonary edema. overall cardiac and mediastinal contours are stable. interval removal of right internal jugular central line. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p10394897/s58175830/811e29d3-2fbf9cde-45dbed22-61763312-581629ff.jpg

stable cardiomegaly. otherwise, unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p18536624/s58872394/1d01bd22-422dfa0a-8b8364e0-68924d73-beb6f4dc.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13762217/s58319673/8718524c-9bab61a5-1af86436-0f5e0db0-a3d5df4e.jpg

double tube tip is in the proximal stomach. heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is present. slight advancement of that up of catheter is to be considered

MIMIC-CXR-JPG/2.0.0/files/p14068639/s52922827/f1a04fa1-dca7f654-2cbe25c9-f36ee93d-24ff5781.jpg

a swan-ganz catheter again terminates deep within a right pulmonary artery. a ventricular loop has been resolved. there remains a smaller loop likely within the main pulmonary artery.

MIMIC-CXR-JPG/2.0.0/files/p17032538/s58656783/c4927232-cfa74c6c-fb8d8e6f-931f938a-bf0ca6de.jpg

ap chest submitted for review at : moderate pulmonary edema unchanged since. emphysema, right pleural thickening and pleural calcification have been discussed on prior and subsequent radiographic reports. heart size is normal. et tube in standard placement.

MIMIC-CXR-JPG/2.0.0/files/p16780307/s56684178/faa7e2bc-3469dcf8-1496a014-c68ec8ca-4ed8390a.jpg

right chest wall port-a-cath in unchanged position ending in the mid svc new mild pulmonary vascular congestion

MIMIC-CXR-JPG/2.0.0/files/p19316784/s54801065/afdc88b5-e074de33-c2772add-c8c92b1e-e746a243.jpg

no focal infiltrate.

MIMIC-CXR-JPG/2.0.0/files/p16426302/s51191626/8668d9b6-9486bf36-19c68ef4-5cbd4236-da5db59d.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15947558/s58093460/194f5d52-41a127b6-b75be5da-6a36f1ba-442a4341.jpg

ap chest compared to through : although new pulmonary edema is mild, it could have considerable physiologic impact in a patient with severe copd and marked upper lobe scarring. right upper lobe mass, previously cavitated in , is unchanged in overall size. small bilateral pleural effusions reflect cardiac decompensation. heart size is normal. the patient has had left upper lobe resection.

MIMIC-CXR-JPG/2.0.0/files/p16800987/s57448462/a5d8512b-6cdfee91-2eab51f2-76920676-9010fe32.jpg

no radiographic evidence for acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18237778/s55183640/41c015f3-34c73211-38782deb-0e081e6a-10eb0a2c.jpg

no acute intrathoracic process identified.

MIMIC-CXR-JPG/2.0.0/files/p19292638/s57857031/26b8a684-bcc1cb14-2710a58f-cdff5b07-0d60b6ca.jpg

there is a right basilar pigtail catheter. there is a tiny pleural effusion versus scarring which is unchanged. lungs are grossly clear. heart size is within normal limits. no pneumothoraces are seen. there are no pneumothoraces.

MIMIC-CXR-JPG/2.0.0/files/p15868141/s58538628/17761252-3f0ea2a9-a2756894-15142f0b-4a36b644.jpg

small left pleural effusion. no evidence of congestive heart failure.

MIMIC-CXR-JPG/2.0.0/files/p12200493/s54305493/28b7179f-c748b4f3-60314060-0c80e96c-da4f974f.jpg

normal chest radiograph. no displaced rib fracture.

MIMIC-CXR-JPG/2.0.0/files/p14068639/s59868269/3bafbec4-2d64c2ed-ebe577a9-8567f1f2-eea63d0d.jpg

aicd is unchanged. there is mild improved aeration of the right upper lobe. there remains a left retrocardiac opacity and moderate pulmonary edema. small bilateral effusions are seen. there are low lung volumes

MIMIC-CXR-JPG/2.0.0/files/p15614063/s52983837/d0b50a99-ae808cea-c678ca94-dbbb2401-09f7194e.jpg

small bilateral pleural effusions. no pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p15970734/s53499437/896ee8c4-7e68f07f-a658c0fd-d0ce876b-961acafb.jpg

heart size and mediastinum are stable. mild vascular congestion is demonstrated. pacemaker leads terminate in right atrium and ventricle as expected.

MIMIC-CXR-JPG/2.0.0/files/p16335352/s52088073/92e7db92-7a086e36-15643715-fc6f3543-0960d5bf.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p19804374/s50998777/9d926f4c-982b4cc9-afa20d72-902b44f6-31bf34a4.jpg

normal chest radiograph. no evidence of pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p12763937/s55729375/64b6320b-9b99c6cb-764a84bd-baeb7baa-aea64c0c.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13975682/s53663198/d8c9c3c5-bcc50552-a347a334-6adca667-f57b6eca.jpg

limited study due to patient rotation and low lung volumes. mild pulmonary edema and bibasilar atelectasis. infection in the lung bases however cannot be completely excluded.

MIMIC-CXR-JPG/2.0.0/files/p15782061/s54275982/5003dcae-dd553a1a-eff44d9c-25d41003-a1bdb98f.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p15862493/s58938704/9ddcb5d0-83a0547a-3f3baf2c-cdc3cb98-56973433.jpg

no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12538793/s52068877/527e60a5-d1a59773-ae514895-0484ed53-7c54d7d1.jpg

compared to chest radiographs since , most recently. previous interstitial abnormality has resolved, probably mild pulmonary edema. lungs are fully expanded and clear. heart size normal. probable small bilateral pleural effusion. no pneumothorax. ascending thoracic aorta is tortuous or mildly dilated.

MIMIC-CXR-JPG/2.0.0/files/p19969031/s50515411/7190dec5-5f64262a-8755b304-ed144553-12e85ec2.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13516771/s53237930/731df7b8-9941627a-ee45d49c-32edd913-3381de15.jpg

the lung volumes are normal. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia. no other lung parenchymal changes. <num> mm calcified granuloma in the right lung apex, projecting behind the clavicle and between the posterior aspect 's of the third and fourth rib.

MIMIC-CXR-JPG/2.0.0/files/p10331864/s56316814/cc902dd1-e357e647-7c428849-a26a32a0-5705394c.jpg

stable moderate cardiomegaly. no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p15025560/s58126134/4ffa9895-8e055f94-17cf91d1-d97bb540-19ed791b.jpg

comparison to. no relevant change. low lung volumes. unchanged moderate to severe pulmonary edema and cardiac silhouette small retrocardiac atelectasis. unchanged position of the nasogastric tube, unchanged alignment of the sternal wires.

MIMIC-CXR-JPG/2.0.0/files/p16893042/s51582004/38c475ce-db495b13-8130f025-bc6d7507-b64f6bf6.jpg

there is an endotracheal tube whose tip is <num> cm above the carina. there is a nasogastric tube whose sideport is just past the ge junction. there are low lung volumes with atelectasis at the lung bases. there is a left retrocardiac opacity and left-sided pleural effusion. no pneumothoraces are identified.

MIMIC-CXR-JPG/2.0.0/files/p10945254/s59336087/b7959e38-ebe675f4-cbad7ed2-60eae4a0-874185f6.jpg

worsening diffuse bilateral interstitial and nodular opacities may represent worsening metastatic disease however superimposed atypical infection or mild interstitial pulmonary edema cannot be excluded. small right-sided pleural effusion is slightly increased.

MIMIC-CXR-JPG/2.0.0/files/p17020795/s57754443/00e4a649-4aa071ba-2949fdd9-d90dcdc5-7ee96ab7.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19100084/s57764643/01820027-fee4f3e4-a347b3a2-2520f6d5-1132438e.jpg

retrocardiac opacity, question pneumonia versus aspiration. no overt edema.

MIMIC-CXR-JPG/2.0.0/files/p18095948/s57350884/2c6cecbe-cc5419aa-0c866b0e-5835e146-886342c3.jpg

no pneumothorax. small left pleural effusion and bilateral lower lobe atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p13255997/s57458670/9a1e697c-a26994db-0cb6e05a-7d611f7a-b4d1beb7.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17517983/s57072116/73435534-4de324e3-6ca5ea43-073de04b-a1a099db.jpg

increased mild pulmonary edema, most prominent lung bases, right greater than left.

MIMIC-CXR-JPG/2.0.0/files/p18143326/s51219575/d5e034d5-304f7c0b-680b119a-061dd149-6a3c7e90.jpg

there no prior chest radiographs available for review. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

MIMIC-CXR-JPG/2.0.0/files/p14693832/s52927887/2c5b8a1e-bfd527de-ec91978b-7e385dd4-32fc41e6.jpg

as compared to , there is an increasing right perihilar and lower lung parenchymal opacity, consistent with aspiration pneumonia in the appropriate clinical setting, there also is an increasing left lower lobe atelectasis. coexisting pneumonia, however, cannot be excluded. mild pulmonary edema is present. moderate cardiomegaly. tracheostomy tube is in unchanged position.

MIMIC-CXR-JPG/2.0.0/files/p19697979/s55146372/3e014aff-89b8175b-a14519d2-098e7c51-93c4d65a.jpg

as compared to the previous radiograph, no relevant change is seen. the nasogastric tube has been removed. the endotracheal tube is in unchanged position. unchanged evidence of small bilateral pleural effusions. bilateral areas of basilar atelectasis. mild pulmonary edema persists. no convincing evidence for pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p11372768/s56428568/8505e533-3256464d-27548789-d0cd5e4d-c505ad7a.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19507787/s54097613/63f1c395-2e08a0ed-4f1838bc-330da059-f069e28c.jpg

mild generalized interstitial pulmonary abnormality persists. previous heterogeneous consolidation right lower lobe, probably pneumonia, has improved. small right pleural effusion persists. borderline cardiomegaly unchanged.

MIMIC-CXR-JPG/2.0.0/files/p19596157/s59072203/4d063def-9ad53676-9be8095e-d27ee2b3-29b896b2.jpg

mild interstitial edema and new right-sided pleural effusion in the setting of chronic congestive heart failure.

MIMIC-CXR-JPG/2.0.0/files/p15515941/s52281454/c4a32dbb-67b813c2-761c3276-874d2be7-5ee4f132.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15015775/s59604927/5d66022c-3c982b3b-0e952b7c-df7d51e4-de88de01.jpg

prior chest radiographs, and. postinflammatory pneumatocele, and/or bronchiectasis, left midlung, unchanged since. no other focal pulmonary abnormality. no pleural thickening or effusion. recommendation(s): rib detail views of the specified region of clinical findings.

MIMIC-CXR-JPG/2.0.0/files/p16625317/s53083070/a307f148-a57daf2e-da88d4c6-80348382-d795400e.jpg

new opacities seen in the right mid-lung field, and probably also the left mid-lung, which are concerning for aspiration or infection.

MIMIC-CXR-JPG/2.0.0/files/p13070964/s57295356/71f8a026-1702d0c6-d46931b8-49a01eaf-8dcaff55.jpg

mild cardiomegaly without overt signs of edema.

MIMIC-CXR-JPG/2.0.0/files/p12739742/s58024342/9f893af6-dc7b92c6-61787170-0a655f15-566c392f.jpg

no new infiltrate.

MIMIC-CXR-JPG/2.0.0/files/p17572294/s58259050/693f4f8d-4d2fcec1-55d5aba6-1995baea-c88854a9.jpg

in comparison with the study of , there is increased size of the cardiac silhouette with evidence of pulmonary vascular congestion and bilateral pleural effusions with mild atelectatic change at the bases. no definite acute pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12231290/s56722856/e8088023-3adac8e9-84a2bd38-efc4fbb8-130b0e41.jpg

near complete opacification at the left base likely associated diffusion essentially not significantly changed since , which could represent an area of pneumonia, although atelectasis with an associated effusion could also give this appearance. clinical correlation is advised. the lung volumes are also relatively low. no evidence of pulmonary edema or pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p13346506/s53324788/16d8aa25-288047f7-267bddc2-4689cac3-895303f0.jpg

slightly increased lucency within the right lung base along the right heart border suggests a small pneumothorax. please see subsequent ct of the torso for further details.

MIMIC-CXR-JPG/2.0.0/files/p11332558/s52729252/a17306f1-aafdc847-57f7a2d0-f929b0cf-8dd51901.jpg

in comparison with the study of , there again are very low lung volumes which accentuate the prominence of the transverse diameter of the heart. substantial elevation of the right hemidiaphragm is unchanged. the costophrenic angle is more sharply seen, which could reflect some decrease in pleural fluid and compressive atelectasis, though this appearance may merely be a manifestation of a more upright position of the patient. left lung is essentially clear and there is no definite vascular congestion. multiple surgical clips are again seen in the left axilla.

MIMIC-CXR-JPG/2.0.0/files/p15563657/s54934445/a2eae3cb-31a78b29-30d84a76-473d3b11-2326f40a.jpg

ap chest compared to : reticular interstitial abnormality in the lower lungs has improved slightly on the left since , but has been present to a substantial degree since. this could be edema, but i suspect it is largely a chronic infiltrative pulmonary disease, including possible pulmonary fibrosis. lung volumes have improved following tracheal extubation. heart size is top normal. pleural effusions are minimal if any. no pneumothorax. left jugular line ends at the junction of the brachiocephalic veins.

MIMIC-CXR-JPG/2.0.0/files/p10382912/s53870471/f01c5c2c-02e5fe0a-bdf284cc-15f15421-aa93f19d.jpg

subtle opacity in the left mid-to-lower lung may represent overlapping osseous structures, although possibility of pneumonia impossible to exclude. recommend oblique views to clarify.

MIMIC-CXR-JPG/2.0.0/files/p16093185/s57023829/3cc6a10d-cf70f429-0115f273-8de09afd-a8bef7e0.jpg

extensive pulmonary metastases have not worsened since. there is suggestion of new cavitation in some areas which could be a treatment effect. alternatively sepsis and superinfection may have developed. heart is normal size. small pleural effusions are clinically insignificant. extensive lytic and blastic pulmonary metastases involve most of the vertebral bodies, but i see no definite compression fracture. right jugular central venous infusion port ends in the right atrium.

MIMIC-CXR-JPG/2.0.0/files/p18637097/s57341780/bdf3885d-f1ee1b7d-97849a2b-c088e99c-7ed68455.jpg

no focal consolidations concerning for pneumonia identified. stable chronic interstitial lung disease bilaterally.

MIMIC-CXR-JPG/2.0.0/files/p11798125/s56996719/b5d49d79-4b51bf07-d821afe3-2c7985f8-dc95ec6a.jpg

resolution of the previously seen pulmonary edema and right pleural effusion. trace left pleural effusion. otherwise, no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p19680815/s50792859/d9d71c68-dcbde3c4-9a717e1a-d91f6d84-d135a91f.jpg

known infection with mild bronchiectasis in the right middle lobe and lingula. no new acute abnormality.

MIMIC-CXR-JPG/2.0.0/files/p16006064/s53565300/e30238d2-3b586818-a8a154a8-fa56a33e-e1a8af7c.jpg

in comparison with the earlier study of this date, there is little change in the appearance of the small left apical pneumothorax. the basilar atelectatic changes appear less prominent on both sides.

MIMIC-CXR-JPG/2.0.0/files/p15314618/s52816728/ed74bfd9-226becb1-c87d8f7f-8a873f25-cd052374.jpg

no acute cardiopulmonary abnormality. gaseous distention of several loops of small bowel in the upper abdomen.

MIMIC-CXR-JPG/2.0.0/files/p12678882/s54505581/1b807825-3e00c337-b8872ae7-52c17234-6f1e9c8a.jpg

moderate cardiomegaly and pulmonary vascular engorgement, minimally increased from.

MIMIC-CXR-JPG/2.0.0/files/p16079206/s50504291/2ca30958-38c580bd-c8873d68-5607a0c8-2592b2f5.jpg

pulmonary vascular congestion without focal consolidation.

MIMIC-CXR-JPG/2.0.0/files/p19660235/s52644891/0a3bb6d2-dc626ed7-18086d22-e3c98f60-3757ee04.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18302978/s51517596/a073efb7-164cff50-4baf1ebd-5e5a6cde-cc847f7f.jpg

focal convexity inferior to the aortic arch at the level of the ap window may reflect a vascular structure or other mediastinal lesion, and further assessment with contrast-enhanced ct is recommended. streaky opacities in the retrocardiac region which tracking suggestive of bronchiectasis.

MIMIC-CXR-JPG/2.0.0/files/p17496226/s52181465/e9139459-5952dc77-4802799f-579cddad-3b629fb2.jpg

in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. <num>-lead pacer device is in place with the leads in in good position.

MIMIC-CXR-JPG/2.0.0/files/p13462752/s59438455/d523f4a7-a3d74f09-db54774d-7bd7f546-f4e275eb.jpg

somewhat limited exam. increased opacity in the left lower lobe which could represent pneumonia in the proper clinical setting.

MIMIC-CXR-JPG/2.0.0/files/p19201973/s56157781/1855c9c3-cf14b4ba-9340f08d-66ee73f6-24f85c9f.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15405794/s55328786/e3df4df0-94e5c980-8fb4dcb6-2358531b-2a295c3d.jpg

<num> x <num> cm opacity which is either in the anterior mediastinum or anterior right middle lobe. the differential diagnosis includes a fat pad, cardiogenic /pericardial cyst, lymph node, or thymic abnormality. ct chest, preferably with contrast, is recommended for further evaluation. these findings were discussed via telephone by , md, with , np, at on , immediately upon discovery.

MIMIC-CXR-JPG/2.0.0/files/p14402678/s52530206/55211b2f-f1980393-65a703c8-2ba2647b-ea2ec531.jpg

ap chest compared to preoperative chest radiograph, : left hemithorax is relatively stable, no pneumothorax or pleural effusion, three pleural tubes in place. new atelectasis and small effusion at the base of the right chest. heart size normal.

MIMIC-CXR-JPG/2.0.0/files/p12513827/s59002367/bff8b83f-aedf94b8-dbce9095-110865cd-e6bbcfb5.jpg

as compared to previous study of <num> day earlier, support and monitoring devices are in standard position. cardiomegaly is accompanied by pulmonary vascular congestion and new mild edema as well as accompanying bilateral small pleural effusions, left greater than right and adjacent retrocardiac atelectasis. no other relevant change.

MIMIC-CXR-JPG/2.0.0/files/p17447554/s58610831/af89fb06-0ed2a6cf-6f6152ce-3e177860-21de8ab6.jpg

stable mild cardiomegaly without acute consolidation.

MIMIC-CXR-JPG/2.0.0/files/p15262628/s57747513/42c33002-6a18a00e-046368a6-6376593a-6ef058bf.jpg

in comparison with study , the patient has taken a much better inspiration. cardiac silhouette is enlarged and there is mild tortuosity of the aorta. mild engorgement of pulmonary vessels, but no pneumonia or pleural effusion. the right ij catheter is been removed.

MIMIC-CXR-JPG/2.0.0/files/p17452392/s57581107/290d94fe-f39ae845-142ce047-199c1327-7571c882.jpg

no acute cardiopulmonary process. bibasilar opacities are likely atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p15087376/s57292988/21c30880-25dec13c-deea44ee-fc77ce61-2d67cc2e.jpg

findings suggestive of copd or emphysema. stable mild cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p15691899/s53312688/af4bfc34-08c609c2-3cb2cc33-bb856613-cb735430.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p17391510/s52302564/d6c0f614-f41c3ac6-9e4784fe-9c45a199-4920365e.jpg

no acute cardiopulmonary process. recommendation(s): findings were relayed by dr to , np by phone at on ( min after discovery).

MIMIC-CXR-JPG/2.0.0/files/p17644567/s59068186/73ffb10d-951aef32-2f564278-c9d6c944-b1fc79cc.jpg

small bilateral pleural effusions with mild pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p16533979/s53215762/57f4558e-142481b3-9f2f6f6a-ed3b2c1f-31951423.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12716978/s56643385/772c841d-7a9d69e3-55ffae99-10d7a0d1-c60772e0.jpg

unremarkable study.

MIMIC-CXR-JPG/2.0.0/files/p10833363/s57757672/0bbf3a11-84777eef-67f88c33-8c59c3f9-f988c370.jpg

small hiatal hernia. otherwise, normal chest radiograph.

MIMIC-CXR-JPG/2.0.0/files/p11665789/s55114734/88385b98-8c537236-e3fd0752-dfa92250-26696758.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10297774/s52137603/76f6f0bf-e9f9346c-af83fe21-ca8c34c4-850863c4.jpg

there is improved aeration. there remains a left retrocardiac opacity and left basilar subsegmental atelectasis. the left-sided aicd and left ij central line are unchanged position. no pulmonary edema is seen.

MIMIC-CXR-JPG/2.0.0/files/p10893121/s55688652/09f8f62f-6f4fc94d-7cbf8643-6d85ab2a-155c5e12.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11213912/s50720027/2bf8fb07-b7876bd5-2e861107-077806c9-7cecc316.jpg

in comparison with the earlier study of this date, the tip of the endotracheal tube remains about <num> cm above the carina. orogastric tube again extends into the stomach, though the side-hole is at or above the level of the esophagogastric junction. there again are diffuse bilateral airspace consolidations, which according to the clinical history is consistent with pulmonary edema. in the appropriate clinical setting, superimposed pneumonia would have to be considered. hazy opacification at the bases is consistent with layering effusions. retrocardiac opacification is consistent with substantial volume loss in the left lower lobe.

MIMIC-CXR-JPG/2.0.0/files/p18340313/s54733647/1f7eb98e-1979dbb7-d81a436d-f4ad3cf2-132e7e08.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10468541/s58387468/cd58068f-494669ec-763245e0-7b22c8a1-0a3cf8bd.jpg

bibasilar opacit atelectasis without definite acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11418635/s53386707/bb71d74f-8b2717b1-192dd532-ebc86528-1ce50010.jpg

no focal consolidation to suggest pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12784119/s56296248/a3ada0d1-2da3f415-1ee986ca-8ed4874e-146139bc.jpg

left peak tail thoracostomy catheter remains in place. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable. there is blunting of both costophrenic angles which are consistent with small effusions as evident on recent chest ct. there is an evolving opacity in the right upper lobe which would be concerning for pneumonia or aspiration and likely correlates to an opacity on the recent chest ct as well. in addition, there are streaky opacities in the left mid and lower lung which could represent other areas of infection or possibly atelectasis. clinical correlation is advised. no pneumothorax. no pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p17028661/s57102080/50ca77c4-93d92d15-09db5f38-06530247-d8ce3014.jpg

the tip of the endotracheal tube is <num> cm above the carina. there is a feeding tube whose tip and side port are below the ge junction. cardiomediastinal silhouette is within normal limits. there are unchanged bibasilar opacities. small left-sided pleural effusion is present, stable. no pneumothoraces are seen.

MIMIC-CXR-JPG/2.0.0/files/p13972095/s51367526/22719121-ec6055ad-8ba6febb-9a005797-b62e0633.jpg

et tube terminates <num> cm above the carina. increased left pleural effusion these findings were discussed by dr with dr at via telephone on the day of the study.

MIMIC-CXR-JPG/2.0.0/files/p11885477/s55608114/1a5bf557-310e679d-7d13c4c2-f55f4c32-297516d2.jpg

no acute cardiopulmonary process or evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p16662316/s55863172/4f8c47f8-97f59738-045f6523-a1d4b44d-915ef3c6.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10969205/s57676763/bb677b5b-b2ce7e87-0998489b-b843df6a-c09cca55.jpg

lines and tubes as described, similar to old <num> day earlier. diffuse opacities in both lungs, with possible minimal improvement in the right mid zone. the differential diagnosis is extensive and includes infection, atypical pulmonary edema, inflammatory infiltrates, and, in the appropriate clinical setting, ards. while the patient may have background chronic changes, given history of ipf, the appearance has progressed compared with , suggesting a superimposed process.

MIMIC-CXR-JPG/2.0.0/files/p14008877/s51681523/ca612753-ffe93bcc-3d085e3a-8a690ef7-caf75e66.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p11194186/s51231094/6f02890b-4874132d-5746af99-096a1222-878a1fc5.jpg

dilation of the ascending aorta could be related to hypertension or aortic stenosis, correlate clinically. no acute pulmonary process

MIMIC-CXR-JPG/2.0.0/files/p13725275/s53922588/2efb141e-4eece434-e1d0a684-91032b71-77b277e5.jpg

small left pleural effusion with probable adjacent atelectasis, improved compared to.

MIMIC-CXR-JPG/2.0.0/files/p11955908/s55634344/3d554569-13cc7c6a-61d4073f-cd695d44-b0fffed9.jpg

slight worsening of moderate cardiomegaly, with probable pulmonary hypertension. no pulmonary edema. lung parenchyma is not able to be completely evaluated due to technical limitations. if concerned for parenchymal abnormality, recommend ct chest for further evaluation. recommendation(s): recommend ct chest for further evaluation of lung parenchyma if clinically indicated.

MIMIC-CXR-JPG/2.0.0/files/p12547073/s58944801/e220c592-0f914448-3a71835a-721f7285-36a0c17d.jpg

subtle opacity projecting over the spine on the lateral view is likely atelectasis or confluence of shadows, however, pneumonia is also a possibility. if further clarification is needed, oblique views would be useful. attempt to page these findings to dr by dr at on were unsuccessful. as such, findings were placed on the critical results dashboard.

MIMIC-CXR-JPG/2.0.0/files/p10027100/s59445954/605a9d27-78b0f5bc-7ce2bfe9-acd6e66d-f316ce90.jpg

no acute cardiopulmonary process.