ChayanM/MIMIC-Impression-Dataset · Datasets at Hugging Face

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MIMIC-CXR-JPG/2.0.0/files/p14717765/s52809656/7bb516da-6f7079c0-a5745cee-703b7539-10ab7c14.jpg	possible left lower lobe pneumonia, new since. persistent mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p10577647/s55049554/23942e96-ff838654-0a4a657a-22ed6026-b84ead8a.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19891610/s51282577/dd561d17-201076c1-a48caa83-f70d45f3-4bd0ae0b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19385219/s58398696/d0f92efd-b337c285-bd97ee9c-8f64d7f2-33dcdc94.jpg	comparison. no relevant change. the hydrothorax on the right is of unchanged radiologic appearance. mild to moderate pulmonary edema is present. moderate cardiomegaly. no evidence of pneumonia. the right picc line is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p14720260/s56654470/848e654e-0d7ee751-a43fecf0-6d8d0ffb-5d548f04.jpg	right picc tip is in themid svc. cardiac size is normal. right lower lobe consolidation has minimally worsened. mild vascular congestion is present. there is no pneumothorax. if any there is a small right effusion.
MIMIC-CXR-JPG/2.0.0/files/p10708404/s52428729/52c38ae5-92f63029-f309ac19-64924c27-7d22de72.jpg	pa and lateral chest compared to : appearance of the right lower chest on the frontal view is consistent with either basal consolidation or pleural effusion. the lateral projection today shows that the finding is primarily due to severe consolidation of all the basal segments on the right, generally a finding of atelectasis rather than pneumonia. there may be a small accompanying pleural effusion commonly seen with basal atelectasis. findings do point to aspiration or retained secretions. left lung is clear. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p13137491/s57381269/c725d853-77f6aa00-1ff890fe-30a0bd49-8cd9749e.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19837618/s58815353/996bc14f-d8da90e8-52865b30-26b0fd1b-f4d2a9c3.jpg	findings in the left hemithorax concerning for malignancy and correlation with ct is strongly advised.
MIMIC-CXR-JPG/2.0.0/files/p17960078/s54724433/96256347-630c427f-dd71e5aa-514b1ddc-c893274a.jpg	ap chest compared to : lung volumes are lower today. transvenous pacemaker leads are continuous from the left axillary pacemaker to the right atrium and right ventricle respectively. heart size is normal. thoracic aorta is tortuous and calcified but not dilated. trachea is displaced by tortuous vasculature at the thoracic inlet. lungs grossly clear. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13739802/s53109312/56c6d2e4-26caea94-d5716512-e9b5db96-93c8c9f2.jpg	increased interstitial markings at the bilateral bases is likely due to mild pulmonary edema superimposed on underlying lung disease. new small bilateral pleural effusions. severe emphysematous disease.
MIMIC-CXR-JPG/2.0.0/files/p11403703/s53293376/70e133eb-b0a75f02-5450fe4e-86f715ff-c8f7505c.jpg	no acute cardiopulmonary abnormality. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14988548/s53355697/7cce5580-9ef943f7-82c3fe25-0a2c6379-e5ffb53a.jpg	nodular opacity projecting over the left lung base; nonemergent ct chest may be performed to further assess.
MIMIC-CXR-JPG/2.0.0/files/p10787788/s50429396/ffc5ef41-c7936e33-ac7176cc-2200f97b-dd57ac77.jpg	left upper lobe pulmonary nodule measuring up to <num> cm is new since. nonurgent chest ct is recommended. recommendation(s): nonurgent chest ct.
MIMIC-CXR-JPG/2.0.0/files/p10920214/s56512471/475454e1-010db184-484392f7-31f8425d-033a7de6.jpg	in comparison with the study of , the apical pneumothorax on the right is not definitely seen. otherwise, little change. no evidence of acute pneumonia or vascular congestion in this patient with intact midline sternal wires following cabg procedure. fixation device about the distal right clavicle is again seen.
MIMIC-CXR-JPG/2.0.0/files/p16703304/s51820282/02ad4937-37a41237-27dcd46e-8b76898e-8cbccb3f.jpg	mild cardiomegaly is stable. small bilateral effusions associated with adjacent atelectasis are larger on the right side. there is no pulmonary edema or evident pneumothorax. patient is status post mvr. there are low lung volumes
MIMIC-CXR-JPG/2.0.0/files/p16412660/s59087735/f2eb0bd3-70a0481f-5bd40e77-c1daa9c9-d61d3b4f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16603630/s50628417/2e2b27cf-1c4ae5d4-25336771-ad974f36-ed306777.jpg	<num> cm left apical nodular opacity peer recommend initial further evaluation with apical lordotic chest radiograph to confirm and better localize this finding. if it is confirmed to be within the lung parenchyma, ct would be recommended to assess for possible lung neoplasm.
MIMIC-CXR-JPG/2.0.0/files/p16428261/s53929960/f23af921-5b8b841a-04af88de-a3cbaa7c-4189cfd8.jpg	mild pulmonary edema, new in the interval, with increased size of small bilateral pleural effusions, larger on the right. worsening bibasilar airspace opacities may reflect atelectasis, but infection or aspiration cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p14690931/s58166926/c78c808a-67dca80b-6332f28d-17cd1974-a715daf9.jpg	copd with tiny nodular opacity in the right lower lung, for which non-emergent ct of the chest is recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17503812/s55433201/989f2f74-337c8c7f-5fc194da-3f806660-c072d45d.jpg	there are no prior chest radiographs available for review. lungs low in volume but clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p19594281/s56400786/0dc18ac4-15f93cd4-d4036873-c4fb7ce8-147834e6.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16572462/s56438603/62d07f9d-292464d8-ef1d10ca-07f46244-c41d0f65.jpg	worsening congestive heart failure. no residual pneumothorax identified.
MIMIC-CXR-JPG/2.0.0/files/p10070226/s56372514/de4a5594-0a6acb9c-de880795-030611d6-e01fcfda.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17820387/s54819320/ccb8b04a-ada9580e-0e2c8f69-34006a76-96fb4824.jpg	heart size and mediastinum are unremarkable. minimal bibasal areas of atelectasis are present. no pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p18689476/s57496689/b9572025-c6fc02b0-35fae863-e48fbe42-e308eae7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15974128/s50954903/2dc15d95-0d7deb1c-ae6566b8-ebf09eea-3ab4bfe5.jpg	there is stable cardiomegaly. there is slight worsening of the pulmonary edema. there is a persistent left retrocardiac opacity. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p13582491/s58115566/4c4fa89d-6622bb96-93d15920-0bba8aa3-21ee2a5b.jpg	ap chest compared to : feeding tube with a wire stylet in place ends in the upper stomach. pulmonary vascular engorgement is mild, along with borderline cardiomegaly, both unchanged. no pulmonary edema, consolidation or appreciable pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18686554/s53603595/bf258582-151ecc4a-b135c854-77370fff-bf426df8.jpg	streaky left basilar opacity could reflect early infection or atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10306486/s51938186/e1f85e2a-98a78994-687392fc-8a1dd0f8-7de2ac44.jpg	persistent mild cardiomegaly. no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18830937/s53258128/980fbf1f-d56622b8-a9f46a5b-7b90b7b5-cb52ba51.jpg	slight decrease in the right basal pleural effusion. otherwise, no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p17821621/s51723681/91e32f2a-8d772ba1-80be2691-a7341a27-791d680f.jpg	acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16257239/s58056600/841aef16-f2c60096-94216bbb-ebfe8584-1a4513db.jpg	small left apical pneumothorax with stable left apical opacity consistent with pulmonary contusion.
MIMIC-CXR-JPG/2.0.0/files/p12947971/s58716883/ce2beaed-a72b84ed-65ed0a4f-671366ae-4dfc51b1.jpg	heart size is normal. mediastinal silhouette is unremarkable except for prominence of the azygos vein that might be consistent with volume overload in conjunction with mild upper zone re- distribution. there is no pleural effusion or pneumothorax. no focal lesions that can explain hemoptysis demonstrated. if symptoms persist, correlation with ct chest is to be considered
MIMIC-CXR-JPG/2.0.0/files/p19544020/s52514919/b9deeeda-8b71d4a4-ac8d05ee-5cd2108a-0030508c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16461545/s58413508/fa752ea1-490d408e-653d2eff-5b7c9b5b-ca3cc9c1.jpg	relatively low lung volumes which accentuate the bronchovascular markings. given this, somewhat linear right base opacity is felt to more likely represent atelectasis rather than consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16863735/s59066213/6dd223f1-ed88552e-1b361838-72914dc0-4a7e7264.jpg	possible left pneumothorax, less likely skin fold. right lateral decubitus or expiratory chest radiograph could be performed to confirm this finding. these findings and recommendations were discussed with by by telephone at on at the time of discovery of these findings.
MIMIC-CXR-JPG/2.0.0/files/p15270331/s51753544/d4142d75-94e9529c-eafa5ddd-1b7c4e75-2f4738ef.jpg	re-demonstration of multiple pulmonary metastasis bilaterally, and a superimposed infection cannot be fully excluded.
MIMIC-CXR-JPG/2.0.0/files/p15152983/s50811401/f208159c-a539daef-d70e954e-5d6bbdc6-dc33d756.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg	no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p14371035/s55091510/989f3415-f733b13d-761c89cf-0e0ff9d7-720ba5b8.jpg	nasogastric tube as described. interval improvement in extent of bibasilar atelectasis and persistent elevation right hemidiaphragm
MIMIC-CXR-JPG/2.0.0/files/p15803890/s54191059/a7430dba-ac5e0ad9-dced4b12-81721cda-7531238a.jpg	no evidence of congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p14456616/s51721902/e1872422-6137747d-b3085662-6a21764b-d65fc11b.jpg	increased moderate right pleural effusion, may be loculated. new small left pleural effusion. no evidence of rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p17591410/s55754652/2d7e6e63-362bf4e6-e745aa43-a9179d8f-cd1627fa.jpg	comparison <num>. stable left pneumothorax. mild left pleural effusion. moderate cardiomegaly persists. the appearance of the right lung, with signs of mild fluid overload, is stable.
MIMIC-CXR-JPG/2.0.0/files/p16186978/s59744547/26a1ca6f-71431269-73426f0e-ff76e7b4-ef3f42d6.jpg	compared to prior chest radiographs through. chronic hyperinflation reflects c opd. lungs are clear of focal abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. new tracheostomy tube is midline. the tip is at the same level as the preceding ett, more than half the distance from the stoma to the carina. clinical assessment is appropriate. no mediastinal widening, pneumothorax or pneumomediastinum. right jugular line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s58029168/d06f7644-b7844e2d-bdb4e939-c647c30e-f2df6349.jpg	hyperinflated lungs consistent with copd. bibasilar atelectasis. no definite pneumonic infiltrate. linear band projecting over the cardiac silhouette on the lateral view. the appearance is suggestive of recurrent collapse involving the lingula. the etiology for this remains unclear.
MIMIC-CXR-JPG/2.0.0/files/p15903550/s50914396/ba8db216-686506f0-c68c4727-13517408-96e9e411.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14122388/s57109538/16fc3aba-dd49d161-076530ce-59c79486-8f42a7b4.jpg	hyperinflated lungs without focal consolidation. anterior substernal lucency is likely artifactual. repeat lateral radiograph is recommended to exclude an anterior pneumothorax if there is high clinical suspicion.
MIMIC-CXR-JPG/2.0.0/files/p17780753/s59718904/1801e923-e7b1da87-62a22e4a-0997ea1a-e4f3d742.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19310285/s52307410/43285f46-097ed784-4f12fbe3-22520e54-562d8d40.jpg	ap chest compared to : previous mediastinal and pulmonary vascular engorgement and borderline cardiomegaly have all resolved. there is no pneumothorax or mediastinal widening. lungs are clear.
MIMIC-CXR-JPG/2.0.0/files/p13790217/s55634472/99278f5e-dae9c7d2-d3c94adf-20ee428c-a8113fef.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11729508/s58396330/e7cd9eab-fd7716ff-d451574f-5f858b53-f28c02b8.jpg	significantly limited study with probably unchanged mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12128253/s52175996/247e9c02-31e77d61-36d64dea-82c5415a-2958079d.jpg	endotracheal tube now lies approximately <num> cm above the carina and should be advanced approximately <num> cm to place the tip at the thoracic inlet. right internal jugular central line and left internal jugular central line are unchanged in position. right picc line terminates in the mid axillary region. there are layering bilateral effusions, left much greater than right. there is persistent consolidation in the retrocardiac region as well as patchy opacity at the right base which would be consistent with partial lower lobe atelectasis, although superimposed pneumonia cannot be excluded. mild pulmonary edema has improved. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p16674342/s56744142/4818dd9a-5820575b-d79380cb-4a215111-56af94fa.jpg	cardiomegaly. no signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16539194/s57594020/b3979327-42085ace-7f863b3b-d7a36b7a-83d0202a.jpg	the nasogastric tube extends below the diaphragm with the tip in the body of the stomach with the side port at the gastroesophageal junction. this must be advanced if the side port is desired to be within the stomach. mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12283830/s53601209/d2f47e18-d7d8b2f2-c88a54bc-ba148683-5a2be9a8.jpg	mild interstitial edema. eventration of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p11766333/s59633458/035311ba-4de1994e-d6c97a5d-ff9e8d6d-923b5be2.jpg	mild bilateral pulmonary edema and small right pleural effusion consistent with cardiac decompensation. findings are communicated with dr by dr telephone min after observation at on.
MIMIC-CXR-JPG/2.0.0/files/p15456778/s55755092/24f46e63-9ac8a952-17fb68fe-f291862f-b6eb8e83.jpg	slightly increased pulmonary edema. unchanged right lower lobe collapse and moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12810135/s54423763/68357b9a-c391fe0e-c46ceb11-56f5225f-0a5da9a3.jpg	in comparison with the earlier study of this date, there is little change. specifically, no evidence of pneumothorax or displacement of pacer leads, which extend to the right atrium and apex of the right ventricle.
MIMIC-CXR-JPG/2.0.0/files/p15906963/s58138969/0474b537-7d948d32-922ed356-2c7d8c35-bc4aa502.jpg	there is only min slight decrease in moderate the volume of residual right pleural effusion since insertion of the basal small bore drainage catheter. the bulk of the fluid lies along the lateral costal pleural surface in the lower chest. mild to moderate pulmonary edema in the lower lungs continues to improve, little by little. there is no appreciable pneumothorax. cardiomediastinal silhouette is unremarkable. tip of the et tube is at the level of the upper clavicles, approximately <num> cm from the carina, should be advanced <num> cm for more secure seating.
MIMIC-CXR-JPG/2.0.0/files/p11422357/s51929606/f707527e-aee9bbfa-f4d16e60-6b6d3ef6-04507f6c.jpg	similar to perhaps slightly increased interstitial abnormality which may reflect acute on chronic vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12226373/s57339766/afaf19b2-a31f2aad-8871b729-dbc29651-a8c50226.jpg	in comparison with the study of , there is little change. again there is enlargement of the cardiac silhouette without definite vascular congestion, pleural effusion, or acute focal pneumonia. mild hyperexpansion of the lungs suggests some underlying chronic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p11845905/s52048875/a3967f02-11df7885-9c42ed18-e2e112d9-d08e0e93.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15977876/s53111905/bd918532-7fe42514-2d937b42-a62cb1db-21462647.jpg	ill-defined right upper lung zone nodule. a ct examination could be obtained for further evaluation. a followup ct was performed shortly afterwards at -- please refer to that examination for further details regarding the right upper lung nodule.
MIMIC-CXR-JPG/2.0.0/files/p18230428/s54529722/3167cca6-d09fcf06-cce76090-6bf8f042-c0aff77f.jpg	increase in size of left apical cavitary lesion with new left upper lobe and lingular consolidation. these findings are highly suggestive of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15584013/s58220744/da708e12-bdd811f2-c403a00e-72d75464-3483b20c.jpg	since , significantly improvement and resolved right upper lobe pneumonia. probable emphysematous changes in left lung.
MIMIC-CXR-JPG/2.0.0/files/p12125342/s59968370/ec65521f-c8313b1a-1ef133c0-f3009cb7-c9e5d3f6.jpg	no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17843033/s56992174/79a73eb3-3503ba39-16fd0823-25a0b070-7776539c.jpg	ap chest compared to and : basal consolidation and volume of moderate right pleural effusion have both improved since. severe cardiomegaly is chronic. pulmonary vascular congestion is not accompanied by pulmonary edema. thoracic aorta is heavily calcified but not clearly aneurysmal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13505111/s51102989/37f43c44-c88f1a88-1d17d82e-7f09c07a-8ae7cfb7.jpg	no acute cardiopulmonary process. et tube in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p17762094/s53854644/139e8993-2891664b-12d4d5f0-c681b0b1-deabddb5.jpg	previous moderate pulmonary edema has improved since :<num>. small region of now more focal consolidation in the right lower lobe is concerning for pneumonia. left infrahilar consolidation could be pneumonia or atelectasis. small left pleural effusion unchanged. heart size normal. et tube, right internal jugular line are in standard placements. nasogastric tube ends in the mid to low the esophagus at least <num> cm above the ge junction. no pneumothorax. new left upper quadrant drainage catheter.
MIMIC-CXR-JPG/2.0.0/files/p10126619/s58455595/f8fa5883-78b9ce9c-c815cad4-f6271427-833a6eeb.jpg	comparison to. stable moderate scoliosis. normal size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17347874/s58408136/eb82a188-4ece8357-101075c2-a8c89748-6b29861c.jpg	as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. normal appearance of the hilar and mediastinal structures. no evidence of pneumonia, pulmonary edema or pleural effusions. no lung nodules or masses.
MIMIC-CXR-JPG/2.0.0/files/p19771110/s54696159/74263121-35f23b3c-f386ec0f-456b9e4e-6960a8fa.jpg	as compared to the previous radiograph, the patient has received a right venous access device, in preparation for ecmo. the other monitoring and support devices are in constant position. extensive air collection in the soft tissues. the lung volumes remain low. borderline size of the cardiac silhouette. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15018113/s55025769/5cd28426-1efaac9b-42c6063a-8c776a45-926198d8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14413855/s51352798/3f5e332b-abcfbb20-9c2b07f7-35c00d74-c27ce1a2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13411526/s59543419/1c66e31e-f2fa8e10-90a5e6dc-e8d24be5-2841a9dc.jpg	no radiographic evidence for acute cardiopulmonary process. nonspecific abdominal air-fluid level, probably within the distal stomach. abdominal radiographs are recommended for further evaluation. findings and recommendations were discussed with by by telephone at on at the time of discovery of these findings.
MIMIC-CXR-JPG/2.0.0/files/p11966397/s56015440/64d9e3fc-ddf2b1db-3ae291c1-8d4c286a-d630fefb.jpg	in comparison with the study of , the subcutaneous gas has cleared. the areas of increased opacification in the right perihilar and lower lung zone are substantially decreased. postsurgical changes on in the left apex processed and there are atelectatic changes at the left base.
MIMIC-CXR-JPG/2.0.0/files/p15366293/s53820090/7b2aa560-5251ac83-40977957-cd550788-a4ccb5e9.jpg	comparison to. no relevant change. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17074965/s59968385/2f5dad47-8b79c8ca-5e2c8620-eb5e651e-0799149c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17943151/s59093102/822162e2-aa62d259-2fb29ebc-cd4679d2-d6607dfe.jpg	findings consistent with bronchitis, more focal opacity in the right upper lobe could correspond to an early infectious process/pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12452357/s52228154/757d614a-a0947281-b6d7c635-e48dedef-1c50e61d.jpg	improved aeration of left lower lobe with decreased left pleural effusion and left lower lobe atelectasis. stable right lower lobe opacity most consistent with atelectasis. stable mild cardiomegaly. right ij cvl tip in the lower right atrium, unchanged since prior examination.
MIMIC-CXR-JPG/2.0.0/files/p11551927/s58416815/66505931-fab3c428-a092579d-bfeb9c13-d6ceee8c.jpg	see above.
MIMIC-CXR-JPG/2.0.0/files/p12889171/s58858040/41e5b311-5b0229f6-56053f72-27bf7006-ab594346.jpg	lower lung opacities concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10224171/s50666732/9759f943-c356c888-e207a60b-f0324a2a-ec86434e.jpg	as compared to the previous image there is substantial improvement in expansion of the postoperative right lung. however, a basal right postoperative opacity, associated with a small right pleural effusion, persists. the right picc line has been removed. the sternal wires are unchanged. unchanged appearance of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p14630494/s53060800/60be0c3e-8c032cdd-a97596a7-7d5e2e25-f62fd708.jpg	right apical pleural drain still in place. no appreciable right pneumothorax. there is at least a small right pleural effusion. right lower lobe collapse has worsened. left upper lung clear. left infrahilar atelectasis or pneumonia is new. left pleural effusion small. no left pneumothorax. heart size normal. mediastinal contour unremarkable. right subclavian central venous line ends in the region of the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p19116910/s55431925/1101000d-23821850-08511bda-1fd85ed6-f826b8a5.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17639355/s51759196/b1d21e3d-0426aebc-549d20f2-20d1c7ed-7be17cad.jpg	stable, mild, biapical pleural scarring. no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10743336/s58720354/38d254cd-17ebab5e-eaa8cd05-5df3e544-f276f43b.jpg	small right pleural effusion has decreased substantially since :<num>. no pneumothorax. right basal atelectasis is moderately severe. left lung is entirely clear. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p16731058/s59069362/3994368b-54310e35-98615320-ec3ba851-8574db50.jpg	no acute cardiopulmonary process. no pleural effusion to suggest hemothorax.
MIMIC-CXR-JPG/2.0.0/files/p18218940/s52076504/12646eac-acdc6f8b-7d59ad11-e1b15792-f4d24110.jpg	no focal consolidation concerning for infection.
MIMIC-CXR-JPG/2.0.0/files/p13543584/s50717923/8e1d5ed0-cd6ab0c3-97089cfc-a9815be5-0e890fb3.jpg	in comparison to study of , there has been a small amount of clearing of the retrocardiac opacification consistent with volume loss in the left lower lobe. the streak of opacification consistent with atelectasis in the right mid zone has decreased. monitoring and support devices are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19318303/s52337341/68d4b0eb-d7f4b96c-2655cbd8-e984a218-75cdd8fd.jpg	in comparison with the study of , the right central catheter has been pushed forward an lies in the lower portion of the svc. dense streaks of atelectasis are seen at both bases. there is continued blunting of the left costophrenic angle. no evidence of acute focal pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12261049/s50416794/43ff4f43-ca34c3fc-3500e0b5-8a06813b-a043f25d.jpg	streaky left base retrocardiac opacity could be due to atelectasis or pneumonia. no evidence of free air beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p14097764/s58666431/9a774730-09b79c08-e0525881-e47aecde-891f9759.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17906524/s59417148/b03e7059-519a3a9c-9e6ff5dc-f1307097-7afdbb10.jpg	findings concerning for right lower lobe pneumonia and follow up radiographs are recommended after treatment to ensure resolution of this finding. small bilateral pleural effusions with mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13133075/s57183476/439d3ae3-5081b602-8e8d49f8-ecfbd9c3-36b66fd1.jpg	no evidence of significant cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s56364267/747d64ae-7794cd0f-01e26abf-45a6d870-91485673.jpg	status post bronchial coiling on the left. expected left volume loss. no evidence of pneumothorax. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the heart.
MIMIC-CXR-JPG/2.0.0/files/p18933099/s53228678/c1c640e2-63c6b04d-81facd4c-3ff8d320-39840dcb.jpg	heart size is enlarged. mediastinum is stable. right lung extensive consolidation has slightly improved since the prior study. there is no interval increase in pleural effusion. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16047854/s52904270/6f0af5e5-a8fc9525-ff8b8c53-648dac8a-beaf0669.jpg	normal chest.
MIMIC-CXR-JPG/2.0.0/files/p13650734/s54187989/107a162b-bfb9fe4a-757c6f01-465bdf92-c1f56ab7.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17425647/s53450620/138b9961-9937ddc5-36b24dc1-32b9cca9-327a4976.jpg	increased right pleural effusion, increased opacity in the right mid to upper lung concerning for worsening metastatic disease, less likely pneumonia.

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possible left lower lobe pneumonia, new since. persistent mild cardiomegaly.

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no focal consolidation to suggest pneumonia.

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no acute cardiopulmonary process.

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comparison. no relevant change. the hydrothorax on the right is of unchanged radiologic appearance. mild to moderate pulmonary edema is present. moderate cardiomegaly. no evidence of pneumonia. the right picc line is in unchanged position.

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right picc tip is in themid svc. cardiac size is normal. right lower lobe consolidation has minimally worsened. mild vascular congestion is present. there is no pneumothorax. if any there is a small right effusion.

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pa and lateral chest compared to : appearance of the right lower chest on the frontal view is consistent with either basal consolidation or pleural effusion. the lateral projection today shows that the finding is primarily due to severe consolidation of all the basal segments on the right, generally a finding of atelectasis rather than pneumonia. there may be a small accompanying pleural effusion commonly seen with basal atelectasis. findings do point to aspiration or retained secretions. left lung is clear. heart size is normal.

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no focal consolidation.

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findings in the left hemithorax concerning for malignancy and correlation with ct is strongly advised.

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ap chest compared to : lung volumes are lower today. transvenous pacemaker leads are continuous from the left axillary pacemaker to the right atrium and right ventricle respectively. heart size is normal. thoracic aorta is tortuous and calcified but not dilated. trachea is displaced by tortuous vasculature at the thoracic inlet. lungs grossly clear. no pleural abnormality.

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increased interstitial markings at the bilateral bases is likely due to mild pulmonary edema superimposed on underlying lung disease. new small bilateral pleural effusions. severe emphysematous disease.

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no acute cardiopulmonary abnormality. no evidence of pneumonia.

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nodular opacity projecting over the left lung base; nonemergent ct chest may be performed to further assess.

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left upper lobe pulmonary nodule measuring up to <num> cm is new since. nonurgent chest ct is recommended. recommendation(s): nonurgent chest ct.

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in comparison with the study of , the apical pneumothorax on the right is not definitely seen. otherwise, little change. no evidence of acute pneumonia or vascular congestion in this patient with intact midline sternal wires following cabg procedure. fixation device about the distal right clavicle is again seen.

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mild cardiomegaly is stable. small bilateral effusions associated with adjacent atelectasis are larger on the right side. there is no pulmonary edema or evident pneumothorax. patient is status post mvr. there are low lung volumes

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no acute cardiopulmonary process.

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<num> cm left apical nodular opacity peer recommend initial further evaluation with apical lordotic chest radiograph to confirm and better localize this finding. if it is confirmed to be within the lung parenchyma, ct would be recommended to assess for possible lung neoplasm.

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mild pulmonary edema, new in the interval, with increased size of small bilateral pleural effusions, larger on the right. worsening bibasilar airspace opacities may reflect atelectasis, but infection or aspiration cannot be excluded.

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copd with tiny nodular opacity in the right lower lung, for which non-emergent ct of the chest is recommended for further evaluation.

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there are no prior chest radiographs available for review. lungs low in volume but clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.

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no acute intrathoracic process.

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worsening congestive heart failure. no residual pneumothorax identified.

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no acute cardiopulmonary abnormality.

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heart size and mediastinum are unremarkable. minimal bibasal areas of atelectasis are present. no pneumothorax is seen.

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no acute cardiopulmonary process.

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there is stable cardiomegaly. there is slight worsening of the pulmonary edema. there is a persistent left retrocardiac opacity. there are no pneumothoraces.

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ap chest compared to : feeding tube with a wire stylet in place ends in the upper stomach. pulmonary vascular engorgement is mild, along with borderline cardiomegaly, both unchanged. no pulmonary edema, consolidation or appreciable pleural effusion. no pneumothorax.

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streaky left basilar opacity could reflect early infection or atelectasis.

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persistent mild cardiomegaly. no evidence of acute cardiopulmonary process.

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slight decrease in the right basal pleural effusion. otherwise, no significant interval change.

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acute cardiopulmonary process.

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small left apical pneumothorax with stable left apical opacity consistent with pulmonary contusion.

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heart size is normal. mediastinal silhouette is unremarkable except for prominence of the azygos vein that might be consistent with volume overload in conjunction with mild upper zone re- distribution. there is no pleural effusion or pneumothorax. no focal lesions that can explain hemoptysis demonstrated. if symptoms persist, correlation with ct chest is to be considered

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no acute cardiopulmonary process.

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relatively low lung volumes which accentuate the bronchovascular markings. given this, somewhat linear right base opacity is felt to more likely represent atelectasis rather than consolidation.

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possible left pneumothorax, less likely skin fold. right lateral decubitus or expiratory chest radiograph could be performed to confirm this finding. these findings and recommendations were discussed with by by telephone at on at the time of discovery of these findings.

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re-demonstration of multiple pulmonary metastasis bilaterally, and a superimposed infection cannot be fully excluded.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary abnormalities.

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nasogastric tube as described. interval improvement in extent of bibasilar atelectasis and persistent elevation right hemidiaphragm

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no evidence of congestive heart failure.

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increased moderate right pleural effusion, may be loculated. new small left pleural effusion. no evidence of rib fracture.

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comparison <num>. stable left pneumothorax. mild left pleural effusion. moderate cardiomegaly persists. the appearance of the right lung, with signs of mild fluid overload, is stable.

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compared to prior chest radiographs through. chronic hyperinflation reflects c opd. lungs are clear of focal abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. new tracheostomy tube is midline. the tip is at the same level as the preceding ett, more than half the distance from the stoma to the carina. clinical assessment is appropriate. no mediastinal widening, pneumothorax or pneumomediastinum. right jugular line ends in the low svc.

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hyperinflated lungs consistent with copd. bibasilar atelectasis. no definite pneumonic infiltrate. linear band projecting over the cardiac silhouette on the lateral view. the appearance is suggestive of recurrent collapse involving the lingula. the etiology for this remains unclear.

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no acute cardiopulmonary process.

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hyperinflated lungs without focal consolidation. anterior substernal lucency is likely artifactual. repeat lateral radiograph is recommended to exclude an anterior pneumothorax if there is high clinical suspicion.

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normal chest radiograph.

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ap chest compared to : previous mediastinal and pulmonary vascular engorgement and borderline cardiomegaly have all resolved. there is no pneumothorax or mediastinal widening. lungs are clear.

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no acute intrathoracic process.

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significantly limited study with probably unchanged mild pulmonary edema.

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endotracheal tube now lies approximately <num> cm above the carina and should be advanced approximately <num> cm to place the tip at the thoracic inlet. right internal jugular central line and left internal jugular central line are unchanged in position. right picc line terminates in the mid axillary region. there are layering bilateral effusions, left much greater than right. there is persistent consolidation in the retrocardiac region as well as patchy opacity at the right base which would be consistent with partial lower lobe atelectasis, although superimposed pneumonia cannot be excluded. mild pulmonary edema has improved. overall cardiac and mediastinal contours are stable.

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cardiomegaly. no signs of pneumonia.

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the nasogastric tube extends below the diaphragm with the tip in the body of the stomach with the side port at the gastroesophageal junction. this must be advanced if the side port is desired to be within the stomach. mild pulmonary vascular congestion.

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mild interstitial edema. eventration of the right hemidiaphragm.

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mild bilateral pulmonary edema and small right pleural effusion consistent with cardiac decompensation. findings are communicated with dr by dr telephone min after observation at on.

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slightly increased pulmonary edema. unchanged right lower lobe collapse and moderate cardiomegaly.

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in comparison with the earlier study of this date, there is little change. specifically, no evidence of pneumothorax or displacement of pacer leads, which extend to the right atrium and apex of the right ventricle.

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there is only min slight decrease in moderate the volume of residual right pleural effusion since insertion of the basal small bore drainage catheter. the bulk of the fluid lies along the lateral costal pleural surface in the lower chest. mild to moderate pulmonary edema in the lower lungs continues to improve, little by little. there is no appreciable pneumothorax. cardiomediastinal silhouette is unremarkable. tip of the et tube is at the level of the upper clavicles, approximately <num> cm from the carina, should be advanced <num> cm for more secure seating.

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similar to perhaps slightly increased interstitial abnormality which may reflect acute on chronic vascular congestion.

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in comparison with the study of , there is little change. again there is enlargement of the cardiac silhouette without definite vascular congestion, pleural effusion, or acute focal pneumonia. mild hyperexpansion of the lungs suggests some underlying chronic pulmonary disease.

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no definite acute cardiopulmonary process.

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ill-defined right upper lung zone nodule. a ct examination could be obtained for further evaluation. a followup ct was performed shortly afterwards at -- please refer to that examination for further details regarding the right upper lung nodule.

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increase in size of left apical cavitary lesion with new left upper lobe and lingular consolidation. these findings are highly suggestive of pneumonia.

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since , significantly improvement and resolved right upper lobe pneumonia. probable emphysematous changes in left lung.

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no radiographic evidence for pneumonia.

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ap chest compared to and : basal consolidation and volume of moderate right pleural effusion have both improved since. severe cardiomegaly is chronic. pulmonary vascular congestion is not accompanied by pulmonary edema. thoracic aorta is heavily calcified but not clearly aneurysmal. no pneumothorax.

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no acute cardiopulmonary process. et tube in appropriate position.

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previous moderate pulmonary edema has improved since :<num>. small region of now more focal consolidation in the right lower lobe is concerning for pneumonia. left infrahilar consolidation could be pneumonia or atelectasis. small left pleural effusion unchanged. heart size normal. et tube, right internal jugular line are in standard placements. nasogastric tube ends in the mid to low the esophagus at least <num> cm above the ge junction. no pneumothorax. new left upper quadrant drainage catheter.

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comparison to. stable moderate scoliosis. normal size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.

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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. normal appearance of the hilar and mediastinal structures. no evidence of pneumonia, pulmonary edema or pleural effusions. no lung nodules or masses.

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as compared to the previous radiograph, the patient has received a right venous access device, in preparation for ecmo. the other monitoring and support devices are in constant position. extensive air collection in the soft tissues. the lung volumes remain low. borderline size of the cardiac silhouette. no larger pleural effusions.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no radiographic evidence for acute cardiopulmonary process. nonspecific abdominal air-fluid level, probably within the distal stomach. abdominal radiographs are recommended for further evaluation. findings and recommendations were discussed with by by telephone at on at the time of discovery of these findings.

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in comparison with the study of , the subcutaneous gas has cleared. the areas of increased opacification in the right perihilar and lower lung zone are substantially decreased. postsurgical changes on in the left apex processed and there are atelectatic changes at the left base.

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comparison to. no relevant change. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.

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no acute cardiopulmonary process.

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findings consistent with bronchitis, more focal opacity in the right upper lobe could correspond to an early infectious process/pneumonia.

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improved aeration of left lower lobe with decreased left pleural effusion and left lower lobe atelectasis. stable right lower lobe opacity most consistent with atelectasis. stable mild cardiomegaly. right ij cvl tip in the lower right atrium, unchanged since prior examination.

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see above.

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lower lung opacities concerning for pneumonia.

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as compared to the previous image there is substantial improvement in expansion of the postoperative right lung. however, a basal right postoperative opacity, associated with a small right pleural effusion, persists. the right picc line has been removed. the sternal wires are unchanged. unchanged appearance of the left lung.

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right apical pleural drain still in place. no appreciable right pneumothorax. there is at least a small right pleural effusion. right lower lobe collapse has worsened. left upper lung clear. left infrahilar atelectasis or pneumonia is new. left pleural effusion small. no left pneumothorax. heart size normal. mediastinal contour unremarkable. right subclavian central venous line ends in the region of the superior cavoatrial junction.

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no acute intrathoracic process.

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stable, mild, biapical pleural scarring. no acute cardiopulmonary abnormality.

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small right pleural effusion has decreased substantially since :<num>. no pneumothorax. right basal atelectasis is moderately severe. left lung is entirely clear. heart size normal.

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no acute cardiopulmonary process. no pleural effusion to suggest hemothorax.

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no focal consolidation concerning for infection.

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in comparison to study of , there has been a small amount of clearing of the retrocardiac opacification consistent with volume loss in the left lower lobe. the streak of opacification consistent with atelectasis in the right mid zone has decreased. monitoring and support devices are unchanged.

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in comparison with the study of , the right central catheter has been pushed forward an lies in the lower portion of the svc. dense streaks of atelectasis are seen at both bases. there is continued blunting of the left costophrenic angle. no evidence of acute focal pneumonia or vascular congestion.

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streaky left base retrocardiac opacity could be due to atelectasis or pneumonia. no evidence of free air beneath the diaphragms.

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no acute intrathoracic process.

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findings concerning for right lower lobe pneumonia and follow up radiographs are recommended after treatment to ensure resolution of this finding. small bilateral pleural effusions with mild pulmonary vascular congestion.

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no evidence of significant cardiopulmonary abnormality.

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status post bronchial coiling on the left. expected left volume loss. no evidence of pneumothorax. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the heart.

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heart size is enlarged. mediastinum is stable. right lung extensive consolidation has slightly improved since the prior study. there is no interval increase in pleural effusion. there is no pneumothorax.

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normal chest.

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no evidence of pneumonia.

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increased right pleural effusion, increased opacity in the right mid to upper lung concerning for worsening metastatic disease, less likely pneumonia.