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/p14470944/s54594836/26517f4c-a3ebb449-6de43306-67d2d653-0a63e821.jpg	no pneumonia. large right pulmonary nodules and masses are stable compared to.
MIMIC-CXR-JPG/2.0.0/files/p12882274/s55297338/7479c422-4aa5f928-7611b0e4-2a13fddd-7d37294b.jpg	probable mild edema.
MIMIC-CXR-JPG/2.0.0/files/p16686345/s51987909/d1adcf2d-2cc117ec-5e7548d7-f778dd36-259cb1b9.jpg	no acute cardiopulmonary abnormality. unchanged chronic rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p17006872/s55850329/0c76db15-31603629-ab7feb12-4a3fb9ab-f0fc3113.jpg	minimal residual right apical pneumothorax is unchanged since prior radiograph from. both lungs are well expanded.
MIMIC-CXR-JPG/2.0.0/files/p14660612/s53204162/36261241-13292497-0bbab657-94c7c879-e7bd224e.jpg	no evidence of acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11851442/s54452329/ebafeebf-18906d6e-c16d2241-eee966ed-ae73e532.jpg	no definite acute cardiopulmonary process. if high clinical concern dedicated rib series can be performed.
MIMIC-CXR-JPG/2.0.0/files/p19284781/s57548193/72ef9b42-492619f7-5787cdc2-2e2d98dd-506abe4f.jpg	no interval change.
MIMIC-CXR-JPG/2.0.0/files/p18673976/s58086177/4fead51c-94abb216-0e81889a-017415e9-58d31b74.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg	no acute cardiopulmonary process, specifically no evidence of heart failure. rounded opacity within the right upper lobe concerning for carcinoma.
MIMIC-CXR-JPG/2.0.0/files/p19668026/s59771181/10b93615-9c0d201d-aacd3ab5-f3d78a69-0196baac.jpg	no acute intrathoracic abnormality. no definite fracture identified.
MIMIC-CXR-JPG/2.0.0/files/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg	nerve stimulating device is seen overlying the lateral left upper lung. right apical pneumothorax appears stable. patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded. the left lung is essentially clear with the exception of a linear opacity in the retrocardiac region which may represent an area of subsegmental atelectasis or scarring. no evidence of pulmonary edema. no pleural effusions. multiple right-sided rib fractures with associated pleural thickening are again noted.
MIMIC-CXR-JPG/2.0.0/files/p12298456/s59427351/5ba45d4e-90a6abb3-d5bebe09-29aa6a53-d14e2e8a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13051530/s59424550/e2886252-939924ce-0856971c-ff5f0bdb-5232317a.jpg	cardiomegaly without overt signs of edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17899681/s54687293/e231e9ca-617722f6-a6e789d0-57124075-a9e62666.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15593172/s57548076/d12b68de-cc9045a7-a4508506-dbd4a63b-7f358080.jpg	stable exam without definite signs of pneumonia or progression of disease.
MIMIC-CXR-JPG/2.0.0/files/p18798806/s59794047/6b6d0bcb-74da0e63-053b3ee2-ff1b3b01-98c742d1.jpg	probable calcified lymph nodes at the hila. no acute cardiopulmonary process seen
MIMIC-CXR-JPG/2.0.0/files/p15038651/s58036971/6182eed5-350a7fa2-ee440ccf-5337f849-867baeb5.jpg	no definite acute cardiopulmonary process. lower lung volumes on the current exam with probable bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16178830/s59316494/49c01775-16587141-f480197a-e4b37dd0-8c402d30.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16789054/s58325457/5b238172-6b15e6b3-30241786-ad1578f6-211f5c5c.jpg	no significant interval change in chronic lung findings.
MIMIC-CXR-JPG/2.0.0/files/p15459210/s54502488/b290630c-2bb4604c-602e868f-705cb38e-aeef82c7.jpg	left lower lobe atelectasis with small pleural effusion. mild cardiomegaly. all the monitoring devices are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11407341/s57021762/96528530-be67a50d-2b2711ee-bd92fd4b-1f7fa736.jpg	increased patchy opacity within the right lung base is likely atelectasis, although, a developing pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18055482/s58521485/753e73b1-a0fbfff8-270b6918-c2bba6b2-690290f8.jpg	overall the appearance of the lungs is similar compared to that of the prior day.
MIMIC-CXR-JPG/2.0.0/files/p11648387/s57225591/89fd7005-d3eeac77-462df5fd-a9ec56ff-0aa83f17.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12349570/s54800174/9defc750-06a8963e-e5a897b8-c0482e4d-c07fc58b.jpg	low lung volumes with patchy atelectasis in the lung bases. no definite displaced rib fracture is identified, but if there is continued concern, a dedicated rib series may be helpful.
MIMIC-CXR-JPG/2.0.0/files/p19017884/s51096740/c97ced2e-cbce7d6c-c8e33149-c2eda335-a74e7627.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16646862/s58853487/a9fedd8b-8a2ba3ea-14f14d9e-9746a908-e12b2d5b.jpg	mild pulmonary edema, small bilateral pleural effusions, and mildly enlarged heart. hyperinflated lungs consistent with copd.
MIMIC-CXR-JPG/2.0.0/files/p13115959/s58713163/6d4d9dda-69905676-d8405ac9-583c9deb-724d6e52.jpg	interval placement of right-sided chest tube with decreased size of right pneumothorax, now small. right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11529572/s58721161/c910929e-55a4ff0c-93ad8b94-2ddb9b68-02d6628c.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10362783/s50967788/90a9f9e8-0c0e3f57-433acf57-a64131bd-043eb5bc.jpg	hyperinflation. increased interstitial markings throughout the lungs could be due to chronic interstitial changes although a component of interstitial edema is possible especially in the setting of small bilateral effusions and moderate cardiomegaly. age-indeterminate upper lumbar compression deformity.
MIMIC-CXR-JPG/2.0.0/files/p10600683/s50927559/5f061383-56c14482-3b0bf429-7b7f13a8-974c8dee.jpg	mild cardiomegaly and pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18571488/s58037979/d2593852-aadf2175-430f2fcc-7d9cbc8e-68d58efb.jpg	substantial interval progression of multiple metastasis within the lungs is demonstrated. in addition there is a left lower lobe consolidation which is highly concerning for interval development of pneumonia. hemorrhage is another possibility. minimal amount of left pleural effusion is present. heart size and mediastinum are unchanged including the presence of right aortic arch
MIMIC-CXR-JPG/2.0.0/files/p13887214/s54306527/534e7426-ba8281d2-427ee087-d59be71f-8c40a2dd.jpg	mild pulmonary edema with probable bilateral small pleural effusions. recommend follow-up radiographs after treatment to assess for interval improvement in basilar opacities and mediastinal contours.
MIMIC-CXR-JPG/2.0.0/files/p13096774/s53106116/71d290fe-82042f84-9f7e19a2-800c2cc8-82458d18.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14674146/s59136823/53910ab7-976411ae-a771ba99-de75a028-4f763afd.jpg	hyperexpanded lungs without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13566153/s55921658/600b3cec-ba05dd77-da085619-b42603ed-8c7f384f.jpg	stable chest findings, no interval change since in this patient with diagnosis of nodular sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p11106524/s59786052/a60640cb-9ba38e5f-c307591c-e54e3fad-ee8b1fda.jpg	sequential radiographs obtained for feeding tube placement demonstrate the tube terminating within the stomach on the final image of the series. cardiomediastinal contours are normal. lungs are clear except for linear right basilar atelectasis versus scar.
MIMIC-CXR-JPG/2.0.0/files/p18477137/s55343698/87073bee-8c1c9429-9a9e862e-7a9c9f83-50175b38.jpg	interval placement of biventricular pacemaker with leads projecting over the expected locations of the right and left ventricles.
MIMIC-CXR-JPG/2.0.0/files/p11551014/s50198931/a1a22d8d-03ab0393-b9f8198d-fdc3574b-add24d19.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18727840/s53884735/2c2e8a9d-71c6609f-f7ab5571-26aac32a-4b9069f7.jpg	increased pleural fluid status post right vats wedge resection. small amount of pleural air at the right apex.
MIMIC-CXR-JPG/2.0.0/files/p15660619/s54073556/7d902355-2032a3b5-7d3f61b9-ce4512f2-b57d3764.jpg	small bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded.
MIMIC-CXR-JPG/2.0.0/files/p19596527/s50950634/03909fe9-5a638b9c-f2c46e42-daa82855-e131d7be.jpg	heart size and mediastinum are stable. lungs are overall clear except for minimal left basal atelectasis. there is no appreciable pleural effusion. there is no pneumothorax. substantial degenerative changes in the right humerus are noted.
MIMIC-CXR-JPG/2.0.0/files/p10414638/s56867669/fae370f0-4ec2848b-2eca967b-9cbc0e38-4b985f7a.jpg	no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p16759341/s59937175/2feae990-a3d8ab6d-b531ed37-956b915f-f10c88d4.jpg	in comparison with the study , the patient has taken a much better inspiration. endotracheal and orogastric tubes have been removed. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15938425/s59942815/a5a870ff-e71c75f4-4c696941-8b9d8dbf-45df068f.jpg	no previous images. in comparison with the study of , there is again enlargement of cardiac silhouette with tortuosity of the aorta in this patient with intact midline sternal wires following cardiac surgery. there is mild indistinctness of pulmonary vessels, which could reflect mild elevation of pulmonary venous pressure. no definite pleural effusion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16993214/s57611054/c8af8ac4-4d4abcf6-3b2695d8-eb3695e2-b445810e.jpg	no evidence of acute infiltrates or pulmonary congestion in this female patient with history of cough and shortness of breath.
MIMIC-CXR-JPG/2.0.0/files/p12100656/s55224651/5e869ea9-1b85ddd5-4b2b7ff2-cfc03671-766c8e89.jpg	as compared to the previous radiograph, the lung volumes have decreased. there is a focal area of parenchymal opacity at the right lung base, likely reflecting atelectasis, but coexisting pneumonia cannot be excluded. an area of consolidated lung in the retrocardiac lung region is not substantially changed. moderate cardiomegaly persists. no larger pleural effusion. the monitoring and support devices are constant.
MIMIC-CXR-JPG/2.0.0/files/p12807200/s59631492/0812ebf0-268a2f3c-8383c37e-d21b904c-2ac993c5.jpg	right picc line was in the proximal right atrium and should be pulled back <num> cm. double tube passes below the diaphragm most likely terminating in the stomach or distally. et tube tip is <num> cm above the carinal. bibasal, right more than left atelectasis/consolidations are unchanged. upper lungs are overall clear. there is no pneumothorax. there is mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12976207/s55623947/540df860-07222f2a-314506a5-1bfbfa8f-1bacae57.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. there is increasing opacification at the right base, which could reflect developing pneumonia. the left hemidiaphragm is again not well seen, consistent with volume loss in the left lower lobe and associated pleural effusion. cardiac silhouette remains mildly enlarged with little change in the degree of pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11733600/s59356243/1d10e1f8-a98345da-195cddee-2fe3970b-3333b9d2.jpg	some improvement in the aeration on the right but worsened appearance on the left
MIMIC-CXR-JPG/2.0.0/files/p14313245/s50178236/5755501c-7f42dca8-02b1fc70-f52458bb-f710ff57.jpg	ap chest compared to : endotracheal tube has been withdrawn from the carina to standard positioning. lungs remain low in volume, but clear of any focal abnormality. the heart size is normal. right subclavian line ends in the mid svc and an upper enteric drainage tube is looped in the upper stomach, with the tip reentering the gastroesophageal junction.
MIMIC-CXR-JPG/2.0.0/files/p15390826/s53461741/2c143630-643f3da0-749bb34a-522eea4d-8080d5ed.jpg	pulmonary infiltrates, suggest bilateral pneumonia. trace pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p14497209/s50166537/af8e4704-696836bc-fc2587cd-d77ba603-961087c5.jpg	in comparison with the study of , all of the monitoring and support devices have been removed. specifically, no evidence of pneumothorax after chest tube removal. and atelectatic changes with probable effusion at the left base, with substantially less changes at the right base.
MIMIC-CXR-JPG/2.0.0/files/p11836669/s57797193/07b16607-efc4465e-a3bb5d43-3407d696-703aa3f4.jpg	new mild vascular congestion and bibasilar opacities, likely from a combination of mild to moderate atelectasis and small pleural effusions, since.
MIMIC-CXR-JPG/2.0.0/files/p13545713/s53507832/760476b1-b517ae9f-0cb23a0e-7f24432b-567704cc.jpg	pa and lateral chest compared to : bilateral pleural effusion, small on the left, moderate on the right, has decreased since. right lower lobe is probably collapsed, as before. cardiac silhouette is slightly larger, raising concern for worsening cardiomegaly and/or pericardial effusion, but pulmonary vasculature and borderline interstitial edema have improved slightly. there is no pneumothorax. findings were discussed by telephone with dr at <num>
MIMIC-CXR-JPG/2.0.0/files/p13165800/s54604869/bd4c979e-f3fcb954-74c95635-7d5cfe5e-abce9fa9.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10030487/s57391561/8e7dbd7f-c1a8fddb-25f0865d-b998abf5-7c496c7c.jpg	patchy retrocardiac opacity, likely atelectasis. please note that infection is not excluded in the correct clinical setting. possible trace left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19663837/s51685862/1d73a4e3-0d70712f-d8478b7b-02552d37-c26a262d.jpg	as compared to the previous radiograph, the pre-existing platelike atelectasis at the left lung bases has completely resolved. no new opacities. otherwise unchanged appearance of the cardiac silhouette and of the lung parenchyma.
MIMIC-CXR-JPG/2.0.0/files/p16149982/s54489651/bf27f753-47695c20-9dd7704c-4fcb718d-5f7c3d66.jpg	no evidence of acute cardiopulmonary process. although no other fracture is identified, this study is suboptimal for the detection of rib fractures. if there is further clinical concern dedicated rib views should be obtained.
MIMIC-CXR-JPG/2.0.0/files/p18656167/s56120060/79466fb0-f6773094-4dbed0de-223c426c-faa75c45.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14933902/s51814653/8d87b7e0-4327de90-dc0f97ac-f4ca4a1c-e2c9d9bb.jpg	bony prominence in the distal of the left clavicle, probably due to an old fracture. no other osseous abnormalities are identified.
MIMIC-CXR-JPG/2.0.0/files/p12520640/s55265561/284b74fc-47124e3e-fa2d4c35-0c1bfb75-bbbb23cb.jpg	unchanged right-sided small pleural effusion. no evidence of a pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15234957/s53050268/7d5686a6-3c52bb2f-b1508bbc-28e37ae5-bac39bc9.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15910090/s50493414/1c5d0798-53772dbe-3f672803-f8bc747e-bac93852.jpg	yesterday's chest ct documents the large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung. compared to , pet left upper lobe nodular opacity pleural fluid loculation, left paramediastinal atelectasis, and lymphatic engorgement in the left lung have improved, though still very abnormal. right lung is clear. heart is not enlarged but mediastinum is shifted markedly to the left and partially obscured by abnormalities in the left hemi thorax.
MIMIC-CXR-JPG/2.0.0/files/p10583236/s51484216/62c42ed1-1c3dc966-0f9e077f-820d550e-312edcb9.jpg	trace pleural effusions. top-normal heart size.
MIMIC-CXR-JPG/2.0.0/files/p18096479/s51419163/a7de4502-7f11e89c-a3315398-cc5b794f-9b0c3d66.jpg	moderate sized right-sided pleural effusion with associated basal atelectasis. interval improvement in the previously noted pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15789720/s53081598/88dcb014-6276b086-a127fdcd-2f397155-e7648a6e.jpg	opacity silhouetting the left cardiac margin in part due to prominent pericardial fat pad although is more prominent when compared to remote prior exam which raises the possibility of superimposed parenchymal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18383611/s55034767/58238258-1f58deb4-b62ef188-40c378a1-94b0ead9.jpg	patchy bibasilar opacities, probably compatible with atelectasis, although pneumonia is difficult to entirely exclude. the findings are not very typical of aspiration pneumonia. nonspecific air-fluid levels in the right upper quadrant, probably colonic. moderate relative elevation of the right hemidiaphragm. enlarged main pulmonary artery, which may be associated with pulmonary hypertension.
MIMIC-CXR-JPG/2.0.0/files/p14691641/s54094332/a80ae56a-7fe500cc-ef2d93fa-67955de7-558c6e29.jpg	compared to prior chest radiographs through. left lower lobe has been densely consolidated since at least , presumably atelectasis. somewhat asymmetric peribronchovascular opacification worse around the left hilus is largely pulmonary edema, worsened today since. moderate cardiomegaly and small left pleural effusion is larger. mediastinal veins are mildly engorged. no pneumothorax. et tube in standard placement. feeding tube is looped in the stomach and the tip points to the gastroesophageal junction from the low. right jugular sheath ends just above the origin of the svc.
MIMIC-CXR-JPG/2.0.0/files/p17473651/s59747101/0c80efa0-89093c1f-581a77e0-7288e807-73093ab9.jpg	right picc tip in proximal svc, similar to the prior exam. trace right pleural effusion versus pleural thickening. apparent new nodular opacity in left upper lung is potentially due to a structure external to the patient. repeat radiograph following removal or repositioning of external devices may be helpful in this regard.
MIMIC-CXR-JPG/2.0.0/files/p18055482/s54336106/6cf0410f-d20ec0a4-14c2fa05-cc5b3f96-2abc90bb.jpg	increased pulmonary edema and probably bibasilar atelectasis. in the appropriate clinical setting, superimposed pneumonia would be difficult to exclude, but there is no definite worsened pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12153629/s57202721/fe0b22c2-97263028-859c5696-9d1eb2f7-0ffb8255.jpg	increased bibasilar opacities may represent atelectasis or aspiration. moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17788370/s51624001/8c4fdcf7-61f76cf5-31527407-b3fc9d7a-21673746.jpg	compared to chest radiographs through. small right pleural effusion is probably larger common despite the basal pigtail pleural drain which is probably more tightly coiled at the base of the right hemi thorax today than it was earlier. no pneumothorax. left lung is clear. pulmonary vascular congestion has nearly resolved. heart size top-normal. left pic line ends in the mid to low svc.
MIMIC-CXR-JPG/2.0.0/files/p18634361/s50603406/73815585-f5f97dc1-04e8fa6c-08012c67-a5cd68a9.jpg	ap chest read in conjunction with fluoroscopic documentation of transbronchial biopsy and three previous chest radiograph, : left lower lobe mass is barely visible on this single frontal view. at the lateral margin of it, roughly <num> cm from the the lesion is a fiducial marker. there is no pneumothorax or appreciable pleural effusion. the patient has heavy asbestos-related pleural plaque and calcification and probably mild pulmonary fibrosis as well as emphysema. heart is moderately enlarged. thoracic aorta is generally tortuous. head and neck vessels widened the upper mediastinum, particularly to the right of midline.
MIMIC-CXR-JPG/2.0.0/files/p13484161/s55799349/d45a4f1c-aa9b0b1d-714e476e-b6f28f01-34d6bcdc.jpg	enlarged cardiac silhouette and moderate interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p12133655/s52341565/a97daa32-bd5c15d5-94770bd7-f92581bf-2932580c.jpg	the tip of the endotracheal tube is <num> cm above the carina, appropriately sited. there is a right sided central venous line with distal tip in the mid svc. there is an enteric tube with sideport and tip below the ge junction. there is a left-sided pacemaker with a single lead tip in the right ventricle. heart size is enlarged. there are diffuse airspace opacities similar to the prior study. there is mild improved aeration of the right base. this may represent multifocal pneumonia; however, superimposed pulmonary edema is also possible. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p12120769/s58026762/1e5ee5f1-e4b72017-519ee8e0-0673cd95-40ae93f1.jpg	ap chest read in conjunction with imaging of the chest on a torso ct,. there are large bands of atelectasis at both lung bases and on the right a wedge-shaped region of consolidation which could be either more atelectasis or an early pneumonia. there is no evidence of pneumonia elsewhere in the lungs. pleural effusions are small if any. heart size is normal, exaggerated by low lung volumes. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17330586/s53281519/430483dc-1c6243c4-8fb6dd88-9ef3bc7d-586e317b.jpg	possible small right pleural effusion and right basal atelectasis, seen on the lateral view. lungs otherwise clear. heart size normal. ascending thoracic aorta mildly dilated or tortuous.
MIMIC-CXR-JPG/2.0.0/files/p17981003/s55678166/cbc38280-2c763d2d-57a67af0-51ff0cce-26f069d4.jpg	interval removal of lines and tubes. increased bibasilar opacities suggestive of atelectasis and/or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18300298/s53694988/b244753e-34230b4f-30303ac2-c73f8a34-09c0087b.jpg	in comparison with the study of , there is little overall change in the degree of left apical pneumothorax. continued opacification at the left base most likely represents a combination of atelectatic changes and pleural fluid, though in the appropriate clinical setting superimposed consolidation could be considered. the right lung is clear and there is no evidence of vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19261953/s50688489/bffce04c-2266c453-7d59ae24-4adc2d7e-6864680f.jpg	multiple pulmonary nodules are again seen consistent with known metastatic disease. bilateral effusions with adjacent patchy opacity likely reflecting atelectasis. no new airspace consolidation is seen to suggest pneumonia. overall cardiac and mediastinal contours are stable. no evidence of pulmonary edema. left internal jugular port-a-cath has its tip in the proximal right atrium.
MIMIC-CXR-JPG/2.0.0/files/p19497735/s58327605/25633c8e-168d29cb-b6236fd5-af288715-89d4640b.jpg	decreased right effusion
MIMIC-CXR-JPG/2.0.0/files/p12582300/s55729376/757cb89a-e81248d5-b65ad385-e4027386-37f900c0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10580208/s54794964/43fe7b33-07803c3a-c3cdc4b6-7a8f7f94-e7e6e01a.jpg	mild-to-moderate pulmonary edema with bilateral pleural effusions, left greater than right. cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11450291/s53054274/eff154ee-6884c817-62a94f66-ca100893-1a88c374.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10585788/s56696473/27db04bc-5a889bde-8dd11f73-903d09b2-cfb08511.jpg	stable chest findings, no evidence of acute infection, cardiac infiltrates, or pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p10203235/s59904210/0cc2674f-8298209f-25792271-246af867-f6d8e314.jpg	mild interstitial pulmonary edema, worse in the interval.
MIMIC-CXR-JPG/2.0.0/files/p10111112/s56361327/574fd5c3-cedae441-72e38aa6-c69d567a-4a9597a5.jpg	multifocal opacifications, similar to prior ct, which may indicate an ongoing multifocal pneumonia or more likely a new developing process.
MIMIC-CXR-JPG/2.0.0/files/p17598702/s56705565/d9a2b2cf-3fb000c5-816e67e5-cf1f9ff6-cf1e521b.jpg	mild pulmonary edema with small bilateral pleural effusions. cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15953464/s58164048/bf5c043a-3cdd4235-57956cc1-8f7c283e-05b4a5d2.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11251715/s55613555/2f10d0c4-12288bde-062690b3-73bc003a-bf4b2c53.jpg	stable findings associated with moderately severe interstitial disease.
MIMIC-CXR-JPG/2.0.0/files/p13390013/s50853377/dbfa43e4-b3878738-446796ff-9da79497-04deeec6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14627938/s56664502/14f6a701-4fcf8254-2c4ebbba-34707bf1-d08aaa7f.jpg	no focal consolidation. mild emphysema moderate hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p14432338/s59772386/ccd5c598-ddc113ea-792cb266-b8cc2350-88e3eae4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15584013/s57749854/730ac1af-3955adbd-dbef8bfd-248e4f6d-bf0e50f9.jpg	port-a-cath catheter. terminates at the level of lower svc, unchanged. compared to both previous chest radiograph in chest ct there is substantial increase in widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to progression of multifocal infection that has been mentioned on the previous chest ct. some of the areas particularly nodular, for example in the right mid lung, lateral to the projection of the port-a-cath port and does fungal infection is a high possibility. more consolidative appearance seen projecting over the spine on the lateral view, new and potentially might represent additional substantially areas of infection, either fungal or bacterial. no pleural effusion or pneumothorax is seen. recommendation(s): further assessment with chest ct is required for pre size characterization of this finding, highly concerning for infectious process.
MIMIC-CXR-JPG/2.0.0/files/p18597863/s50958362/e574e8ee-fd53a2e5-a6b489fb-6483a5d2-200696a3.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14050349/s56076522/7272ef10-7339cde5-6d9ad731-e809238f-5afee217.jpg	cardiomegaly with possible hilar congestion. no frank edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19495094/s57671067/f76d339c-ad1ea199-bdac373e-bdfb6c11-3ea7047b.jpg	there is no pneumothorax. right lower lobe atelectasis have improved. no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p17079643/s50959578/eeec2293-426e10e1-28972b55-903905b8-c9f04b1f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19292638/s52282451/6838e0ce-818e0352-d38a521b-01fdae92-76475ce9.jpg	comparison to. the right pigtail catheter is in unchanged position. there is no evidence for the presence of a right pneumothorax. the right pleural effusion has not re occurred. stable normal appearance of the cardiac silhouette and of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p10030579/s54313667/95cb031c-446d983b-ba927663-f6a90d13-68da31da.jpg	no acute cardiopulmonary process.

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no pneumonia. large right pulmonary nodules and masses are stable compared to.

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probable mild edema.

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no acute cardiopulmonary abnormality. unchanged chronic rib fractures.

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minimal residual right apical pneumothorax is unchanged since prior radiograph from. both lungs are well expanded.

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no evidence of acute intrathoracic process.

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no definite acute cardiopulmonary process. if high clinical concern dedicated rib series can be performed.

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no interval change.

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no acute findings in the chest.

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no acute cardiopulmonary process, specifically no evidence of heart failure. rounded opacity within the right upper lobe concerning for carcinoma.

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no acute intrathoracic abnormality. no definite fracture identified.

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nerve stimulating device is seen overlying the lateral left upper lung. right apical pneumothorax appears stable. patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded. the left lung is essentially clear with the exception of a linear opacity in the retrocardiac region which may represent an area of subsegmental atelectasis or scarring. no evidence of pulmonary edema. no pleural effusions. multiple right-sided rib fractures with associated pleural thickening are again noted.

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no acute cardiopulmonary process.

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cardiomegaly without overt signs of edema or pneumonia.

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no acute cardiopulmonary process.

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stable exam without definite signs of pneumonia or progression of disease.

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probable calcified lymph nodes at the hila. no acute cardiopulmonary process seen

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no definite acute cardiopulmonary process. lower lung volumes on the current exam with probable bibasilar atelectasis.

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

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no significant interval change in chronic lung findings.

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left lower lobe atelectasis with small pleural effusion. mild cardiomegaly. all the monitoring devices are unchanged.

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increased patchy opacity within the right lung base is likely atelectasis, although, a developing pneumonia cannot be excluded.

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overall the appearance of the lungs is similar compared to that of the prior day.

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no acute cardiopulmonary abnormality.

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low lung volumes with patchy atelectasis in the lung bases. no definite displaced rib fracture is identified, but if there is continued concern, a dedicated rib series may be helpful.

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no evidence of acute cardiopulmonary process.

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mild pulmonary edema, small bilateral pleural effusions, and mildly enlarged heart. hyperinflated lungs consistent with copd.

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interval placement of right-sided chest tube with decreased size of right pneumothorax, now small. right basilar atelectasis.

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no acute cardiopulmonary abnormality.

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hyperinflation. increased interstitial markings throughout the lungs could be due to chronic interstitial changes although a component of interstitial edema is possible especially in the setting of small bilateral effusions and moderate cardiomegaly. age-indeterminate upper lumbar compression deformity.

MIMIC-CXR-JPG/2.0.0/files/p10600683/s50927559/5f061383-56c14482-3b0bf429-7b7f13a8-974c8dee.jpg

mild cardiomegaly and pulmonary vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p18571488/s58037979/d2593852-aadf2175-430f2fcc-7d9cbc8e-68d58efb.jpg

substantial interval progression of multiple metastasis within the lungs is demonstrated. in addition there is a left lower lobe consolidation which is highly concerning for interval development of pneumonia. hemorrhage is another possibility. minimal amount of left pleural effusion is present. heart size and mediastinum are unchanged including the presence of right aortic arch

MIMIC-CXR-JPG/2.0.0/files/p13887214/s54306527/534e7426-ba8281d2-427ee087-d59be71f-8c40a2dd.jpg

mild pulmonary edema with probable bilateral small pleural effusions. recommend follow-up radiographs after treatment to assess for interval improvement in basilar opacities and mediastinal contours.

MIMIC-CXR-JPG/2.0.0/files/p13096774/s53106116/71d290fe-82042f84-9f7e19a2-800c2cc8-82458d18.jpg

no acute cardiopulmonary abnormality.

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hyperexpanded lungs without evidence of pneumonia.

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stable chest findings, no interval change since in this patient with diagnosis of nodular sarcoidosis.

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sequential radiographs obtained for feeding tube placement demonstrate the tube terminating within the stomach on the final image of the series. cardiomediastinal contours are normal. lungs are clear except for linear right basilar atelectasis versus scar.

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interval placement of biventricular pacemaker with leads projecting over the expected locations of the right and left ventricles.

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no definite acute cardiopulmonary process.

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increased pleural fluid status post right vats wedge resection. small amount of pleural air at the right apex.

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small bilateral pleural effusions with overlying atelectasis, underlying consolidation not excluded.

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heart size and mediastinum are stable. lungs are overall clear except for minimal left basal atelectasis. there is no appreciable pleural effusion. there is no pneumothorax. substantial degenerative changes in the right humerus are noted.

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no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.

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in comparison with the study , the patient has taken a much better inspiration. endotracheal and orogastric tubes have been removed. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.

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no previous images. in comparison with the study of , there is again enlargement of cardiac silhouette with tortuosity of the aorta in this patient with intact midline sternal wires following cardiac surgery. there is mild indistinctness of pulmonary vessels, which could reflect mild elevation of pulmonary venous pressure. no definite pleural effusion or acute focal pneumonia.

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no evidence of acute infiltrates or pulmonary congestion in this female patient with history of cough and shortness of breath.

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as compared to the previous radiograph, the lung volumes have decreased. there is a focal area of parenchymal opacity at the right lung base, likely reflecting atelectasis, but coexisting pneumonia cannot be excluded. an area of consolidated lung in the retrocardiac lung region is not substantially changed. moderate cardiomegaly persists. no larger pleural effusion. the monitoring and support devices are constant.

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right picc line was in the proximal right atrium and should be pulled back <num> cm. double tube passes below the diaphragm most likely terminating in the stomach or distally. et tube tip is <num> cm above the carinal. bibasal, right more than left atelectasis/consolidations are unchanged. upper lungs are overall clear. there is no pneumothorax. there is mild vascular congestion.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. there is increasing opacification at the right base, which could reflect developing pneumonia. the left hemidiaphragm is again not well seen, consistent with volume loss in the left lower lobe and associated pleural effusion. cardiac silhouette remains mildly enlarged with little change in the degree of pulmonary vascular congestion.

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some improvement in the aeration on the right but worsened appearance on the left

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ap chest compared to : endotracheal tube has been withdrawn from the carina to standard positioning. lungs remain low in volume, but clear of any focal abnormality. the heart size is normal. right subclavian line ends in the mid svc and an upper enteric drainage tube is looped in the upper stomach, with the tip reentering the gastroesophageal junction.

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pulmonary infiltrates, suggest bilateral pneumonia. trace pleural effusion

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in comparison with the study of , all of the monitoring and support devices have been removed. specifically, no evidence of pneumothorax after chest tube removal. and atelectatic changes with probable effusion at the left base, with substantially less changes at the right base.

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new mild vascular congestion and bibasilar opacities, likely from a combination of mild to moderate atelectasis and small pleural effusions, since.

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pa and lateral chest compared to : bilateral pleural effusion, small on the left, moderate on the right, has decreased since. right lower lobe is probably collapsed, as before. cardiac silhouette is slightly larger, raising concern for worsening cardiomegaly and/or pericardial effusion, but pulmonary vasculature and borderline interstitial edema have improved slightly. there is no pneumothorax. findings were discussed by telephone with dr at <num>

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no acute cardiac or pulmonary process.

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patchy retrocardiac opacity, likely atelectasis. please note that infection is not excluded in the correct clinical setting. possible trace left pleural effusion.

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as compared to the previous radiograph, the pre-existing platelike atelectasis at the left lung bases has completely resolved. no new opacities. otherwise unchanged appearance of the cardiac silhouette and of the lung parenchyma.

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no evidence of acute cardiopulmonary process. although no other fracture is identified, this study is suboptimal for the detection of rib fractures. if there is further clinical concern dedicated rib views should be obtained.

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no acute intrathoracic process.

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bony prominence in the distal of the left clavicle, probably due to an old fracture. no other osseous abnormalities are identified.

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unchanged right-sided small pleural effusion. no evidence of a pneumothorax.

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no acute intrathoracic process.

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yesterday's chest ct documents the large mass in the left upper lobe, extensive left pleural thickening and lymphangitic tumor extension throughout the left lung. compared to , pet left upper lobe nodular opacity pleural fluid loculation, left paramediastinal atelectasis, and lymphatic engorgement in the left lung have improved, though still very abnormal. right lung is clear. heart is not enlarged but mediastinum is shifted markedly to the left and partially obscured by abnormalities in the left hemi thorax.

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trace pleural effusions. top-normal heart size.

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moderate sized right-sided pleural effusion with associated basal atelectasis. interval improvement in the previously noted pulmonary edema.

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opacity silhouetting the left cardiac margin in part due to prominent pericardial fat pad although is more prominent when compared to remote prior exam which raises the possibility of superimposed parenchymal consolidation.

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patchy bibasilar opacities, probably compatible with atelectasis, although pneumonia is difficult to entirely exclude. the findings are not very typical of aspiration pneumonia. nonspecific air-fluid levels in the right upper quadrant, probably colonic. moderate relative elevation of the right hemidiaphragm. enlarged main pulmonary artery, which may be associated with pulmonary hypertension.

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compared to prior chest radiographs through. left lower lobe has been densely consolidated since at least , presumably atelectasis. somewhat asymmetric peribronchovascular opacification worse around the left hilus is largely pulmonary edema, worsened today since. moderate cardiomegaly and small left pleural effusion is larger. mediastinal veins are mildly engorged. no pneumothorax. et tube in standard placement. feeding tube is looped in the stomach and the tip points to the gastroesophageal junction from the low. right jugular sheath ends just above the origin of the svc.

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right picc tip in proximal svc, similar to the prior exam. trace right pleural effusion versus pleural thickening. apparent new nodular opacity in left upper lung is potentially due to a structure external to the patient. repeat radiograph following removal or repositioning of external devices may be helpful in this regard.

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increased pulmonary edema and probably bibasilar atelectasis. in the appropriate clinical setting, superimposed pneumonia would be difficult to exclude, but there is no definite worsened pneumonia.

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increased bibasilar opacities may represent atelectasis or aspiration. moderate cardiomegaly.

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compared to chest radiographs through. small right pleural effusion is probably larger common despite the basal pigtail pleural drain which is probably more tightly coiled at the base of the right hemi thorax today than it was earlier. no pneumothorax. left lung is clear. pulmonary vascular congestion has nearly resolved. heart size top-normal. left pic line ends in the mid to low svc.

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ap chest read in conjunction with fluoroscopic documentation of transbronchial biopsy and three previous chest radiograph, : left lower lobe mass is barely visible on this single frontal view. at the lateral margin of it, roughly <num> cm from the the lesion is a fiducial marker. there is no pneumothorax or appreciable pleural effusion. the patient has heavy asbestos-related pleural plaque and calcification and probably mild pulmonary fibrosis as well as emphysema. heart is moderately enlarged. thoracic aorta is generally tortuous. head and neck vessels widened the upper mediastinum, particularly to the right of midline.

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enlarged cardiac silhouette and moderate interstitial edema.

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the tip of the endotracheal tube is <num> cm above the carina, appropriately sited. there is a right sided central venous line with distal tip in the mid svc. there is an enteric tube with sideport and tip below the ge junction. there is a left-sided pacemaker with a single lead tip in the right ventricle. heart size is enlarged. there are diffuse airspace opacities similar to the prior study. there is mild improved aeration of the right base. this may represent multifocal pneumonia; however, superimposed pulmonary edema is also possible. there are no pneumothoraces.

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ap chest read in conjunction with imaging of the chest on a torso ct,. there are large bands of atelectasis at both lung bases and on the right a wedge-shaped region of consolidation which could be either more atelectasis or an early pneumonia. there is no evidence of pneumonia elsewhere in the lungs. pleural effusions are small if any. heart size is normal, exaggerated by low lung volumes. no pneumothorax.

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possible small right pleural effusion and right basal atelectasis, seen on the lateral view. lungs otherwise clear. heart size normal. ascending thoracic aorta mildly dilated or tortuous.

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interval removal of lines and tubes. increased bibasilar opacities suggestive of atelectasis and/or consolidation.

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in comparison with the study of , there is little overall change in the degree of left apical pneumothorax. continued opacification at the left base most likely represents a combination of atelectatic changes and pleural fluid, though in the appropriate clinical setting superimposed consolidation could be considered. the right lung is clear and there is no evidence of vascular congestion.

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multiple pulmonary nodules are again seen consistent with known metastatic disease. bilateral effusions with adjacent patchy opacity likely reflecting atelectasis. no new airspace consolidation is seen to suggest pneumonia. overall cardiac and mediastinal contours are stable. no evidence of pulmonary edema. left internal jugular port-a-cath has its tip in the proximal right atrium.

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decreased right effusion

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no acute cardiopulmonary process.

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mild-to-moderate pulmonary edema with bilateral pleural effusions, left greater than right. cardiomegaly.

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no radiographic evidence for acute cardiopulmonary process.

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stable chest findings, no evidence of acute infection, cardiac infiltrates, or pulmonary vascular congestion.

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mild interstitial pulmonary edema, worse in the interval.

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multifocal opacifications, similar to prior ct, which may indicate an ongoing multifocal pneumonia or more likely a new developing process.

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mild pulmonary edema with small bilateral pleural effusions. cardiomegaly.

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no pneumonia.

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stable findings associated with moderately severe interstitial disease.

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no acute cardiopulmonary abnormality.

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no focal consolidation. mild emphysema moderate hiatal hernia.

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no acute cardiopulmonary process.

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port-a-cath catheter. terminates at the level of lower svc, unchanged. compared to both previous chest radiograph in chest ct there is substantial increase in widespread parenchymal opacities nodular and reticular, with slightly more peripheral than central predominance, highly concerning to progression of multifocal infection that has been mentioned on the previous chest ct. some of the areas particularly nodular, for example in the right mid lung, lateral to the projection of the port-a-cath port and does fungal infection is a high possibility. more consolidative appearance seen projecting over the spine on the lateral view, new and potentially might represent additional substantially areas of infection, either fungal or bacterial. no pleural effusion or pneumothorax is seen. recommendation(s): further assessment with chest ct is required for pre size characterization of this finding, highly concerning for infectious process.

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

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cardiomegaly with possible hilar congestion. no frank edema or pneumonia.

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there is no pneumothorax. right lower lobe atelectasis have improved. no other interval change from prior study.

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no acute cardiopulmonary process.

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comparison to. the right pigtail catheter is in unchanged position. there is no evidence for the presence of a right pneumothorax. the right pleural effusion has not re occurred. stable normal appearance of the cardiac silhouette and of the left lung.

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no acute cardiopulmonary process.