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/p16383592/s50581836/840aa7db-0e5fd4b6-475a576e-1c20b211-cb2778d9.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11811707/s58757242/15eab320-b8fc8115-265fe51a-5aff4fa7-45568d64.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15351278/s53735480/3c40326c-cd3cf75c-6005d9c4-3ea374ee-d95514bf.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19574873/s57509368/1d5f9463-49fa276b-20fa4a32-98b58847-0cc7b07e.jpg	no acute abnormalities identified within the lungs. stable right lung base pleural and parenchymal scars.
MIMIC-CXR-JPG/2.0.0/files/p16897590/s56004305/d7c9b7be-253a2084-8516f5ff-580c84f0-16123626.jpg	there is a small pneumothorax on the right. the right chest tube tip is in the right lung base. there is no pneumothorax on the left. there is atelectasis/ consolidation in the right lung base. there is cardiomegaly. there is no chf.
MIMIC-CXR-JPG/2.0.0/files/p17596014/s59082272/b779a5e4-fc6b41dd-f8802450-1500e4f3-f752e99a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19865076/s55665877/d74670ae-ba25e713-0349905e-8c12e8f5-15d338a3.jpg	as compared to the previous image, all monitoring and support devices, except for the swan-ganz catheter, have been removed. the lung volumes have increased, likely reflecting improved ventilation. no pleural effusions. no pulmonary edema. no pneumonia. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16278720/s57692885/639bf738-0dd95605-dc6da460-0234678e-be0c78af.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14856789/s50508016/c082bbb6-4ad948eb-d4ee4c9d-43488e2d-fd0cdaa2.jpg	stable emphysematous changes. no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14913407/s56786534/98d8c12e-ddfde206-e95c053a-4bc98a48-42161f0f.jpg	no acute cardiopulmonary process. stable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19526288/s55880629/e88e5d12-be7c2048-21fe2b10-aac2ba87-a241a3e7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14587635/s53832715/81254316-5f15250b-acfd2219-405fdd13-804e3dd8.jpg	lungs are fully expanded and clear. there is no pleural abnormality. cardiomediastinal and hilar silhouettes are normal. healed fractures lateral aspects right middle ribs are unchanged since at least.
MIMIC-CXR-JPG/2.0.0/files/p13959102/s57624264/d16e8c41-97a9e0f7-19e35b15-070fde31-d8050bea.jpg	slightly low lying et tube may be withdrawn by <num> cm for more optimal ventilation. side port of nasogastric tube the ge junction. advancement by <num> cm is advised.
MIMIC-CXR-JPG/2.0.0/files/p17976305/s53455659/f7cf5b2a-96a3c444-bb1b391f-7950c95f-27c08619.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14734513/s54991963/16c190b3-816c53d1-37d8574c-07eeed85-f6b40a85.jpg	pa and lateral chest compared to through : moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. radiographic worsening, such as on compared to was probably due to concurrent pulmonary edema which cleared by. today, it may have recurred, or alternatively there may be pneumonia in the right lower lobe and anterior segment in the upper lobe. it would be reasonable to treat the patient for pulmonary edema and see what remains. no pneumothorax. dr was paged.
MIMIC-CXR-JPG/2.0.0/files/p12951308/s56513622/42ec8901-0fe89455-07872c2a-8518ee0b-5d4111c3.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12245786/s58602717/957a6949-f082d18e-a6550948-6eff75d3-4c1b4a76.jpg	no acute intrathoracic process. stable mild cardiomegaly. no evidence of chf.
MIMIC-CXR-JPG/2.0.0/files/p17673221/s53742619/094aacaf-6056a9ef-f247bcfa-ea84a832-a5f52c3d.jpg	ap chest compared to : mild edema developed in the left lung between and and has not changed. right lung shows a far greater opacification, due in part to increasing overlying moderate right pleural effusion. the interval increase in caliber of moderate cardiomegaly and mediastinal veins suggests strong component of volume overload, asymmetric edema may explain right lung findings, although pneumonia cannot be excluded. tracheostomy tube and left subclavian line are in standard placements. a supraclavicular central venous dialysis set ends in the mid-to-low right atrium. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17860497/s55393252/64549e30-15b19f6e-644c2639-d83cce55-96c0bcd9.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18570152/s52210901/8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc.jpg	suspected left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg	small left apical pneumothorax. interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. these findings were communicated via telephone by dr to dr at on , min after discovery.
MIMIC-CXR-JPG/2.0.0/files/p17203614/s52446963/079ae943-68cd10cf-721d1f72-a4be47ff-1f462847.jpg	bibasilar atelectasis, with interval improvement in left mid lung airspace abnormality consistent with improved aspiration pneumonitis. there is new bibasilar atelectasis and right parahilar airspace opacity.
MIMIC-CXR-JPG/2.0.0/files/p16605495/s55555796/0fd4ca23-f4c5ae1c-dba00a6a-cdde96f2-4e8e9ca4.jpg	low lung volumes with bibasilar, left greater than right, opacities, most consistent with atelectasis and possible chronic aspiration, better assessed on same-day ct abdomen and pelvis. recommendation(s): clinical correlation recommended to assess for infection.
MIMIC-CXR-JPG/2.0.0/files/p13391297/s57698868/c4b7fba9-249b0390-40211fbc-30f1bc5e-a3c86103.jpg	low lung volumes and bibasilar atelectasis. posterior basilar opacity seen on the lateral view may relate to atelectasis, however consolidation due to pneumonia is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p14373353/s54730944/bf5f1c9e-7052e29b-06f4b5f8-9d25e8e9-bc0d1060.jpg	slight blunting of the posterior right costophrenic angle could be due to a trace pleural effusion or pleural thickening. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18663142/s50488182/139bdebb-b249c593-538d69b5-90f6e4cd-bc1207b2.jpg	mild vascular plethora similar to the prior study. doubt overt chf. hazy opacity both lung bases slightly improved. minimal blunting of right greater the left costophrenic angles, also slightly improved. cardiac silhouette appears smaller on the current film.
MIMIC-CXR-JPG/2.0.0/files/p15246843/s52714235/02287d34-b2c05f78-5b7553dc-bfe6c176-9b04acc3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16194323/s51132906/c0e635d8-71feab69-f096dfa5-2a136a3a-fe7f258a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13890200/s56285860/7aceb0ad-f1c07263-0893c79b-1d1c051f-0720f63a.jpg	new infiltrate in right lower lobe suspicious for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13747567/s54035765/b9c2d572-44450a33-a26750d5-3f7d2968-f28a39ab.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18270774/s54325940/74e68e3e-5b616e6e-3c07bca8-55239574-d4c29f02.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. dobbhoff tube extends at least to the lower stomach where it crosses the lower margin of the image.
MIMIC-CXR-JPG/2.0.0/files/p19806884/s52968827/622fd1a2-af70d0dd-966185b8-746033d6-30e1b57d.jpg	small right apical pneumothorax post thoracentesis.
MIMIC-CXR-JPG/2.0.0/files/p18874830/s53684333/0a0f60d6-707064a5-828e58b1-f2487506-a63a8869.jpg	left basilar linear atelectasis and possible trace pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19083272/s54122764/08131efc-67325bae-4ca341b9-639e41cc-cc647add.jpg	significant improvement in previously severe pulmonary edema. moderate right and small left pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12969820/s58794205/128a03c2-5373ee5b-2dfa5ec4-dbaf7a7d-9b663afb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10484768/s57401471/8b292ed7-17e62b99-998e0bad-692df366-bd244dec.jpg	opacities most consistent with linear bibasilar atelectasis, without pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16632462/s57102531/28a27d2d-3d428b52-2af92ca5-8e5e78ac-482ce069.jpg	diffusely increased reticulation pattern. <num> mm nodule in the right apex. recommend ct for further evaluation of both findings.
MIMIC-CXR-JPG/2.0.0/files/p11689839/s56472011/b417737a-11b3cdb3-1d132652-da5df54c-dbf41cb7.jpg	no evidence of acute cardiopulmonary process. no free air under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p17331402/s57122610/c2bc275d-322cb0fb-c21521c6-f3c49ec0-f6fbebe3.jpg	moderate to severe cardiomegaly and/or pericardial effusion. telephone notification to dr by dr at on at time of review of the study.
MIMIC-CXR-JPG/2.0.0/files/p17020795/s57754443/cb2ec567-509ee9ae-4afea791-bc84658e-67341288.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19466928/s54468413/1dbaf5af-eb882ce1-7337cc4b-b64c9c97-4fe67bf3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13744239/s50543746/042fb46e-b023e434-3d2b0e89-6e59061d-989b77f7.jpg	in comparison with the study of , the patient has taken a better inspiration. continued increased opacification at the right base medially. although this could merely represent atelectatic changes, in the appropriate clinical setting superimposed pneumonia could be considered. the cardiac silhouette is within normal limits. minimal indistinctness of pulmonary vessels could reflect minimal elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p13773609/s50361197/673dce23-f08ee2a9-d5bddf1b-059292d1-1d5f212f.jpg	segment of the right costophrenic angle could be due to trace pleural effusion or pleural thickening. stable ovoid dense focus in the right lower lung stable since.
MIMIC-CXR-JPG/2.0.0/files/p16874100/s52929815/e6b692d1-9dbed300-e23071f3-875e1629-6cb48364.jpg	near complete resolution of the previous pattern of mild pulmonary vascular congestion. no new focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17094631/s59025112/d69283da-bef47eab-5adf4432-d3024d01-6d200e00.jpg	innumerable pulmonary metastases. no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18258847/s59576292/de89fdde-7d9eeb6a-97db4473-8bc6cbbc-a210f30c.jpg	cardiomegaly, but doubt overt chf. previously seen chf findings are markedly improved. small left effusion and underlying collapse and/or consolidation is similar to. right base changes are also improved, with only a small residual pleural effusion. marked lucency at both lung apices, of uncertain significance. this is probably artifactual due to a combination of apical pleural thickening and attenuated vessels. no definite pneumothorax. no displaced rib fracture identified on these lung technique films.
MIMIC-CXR-JPG/2.0.0/files/p19624082/s58589684/30706892-c679726d-acd6d06f-7a5649dd-e6cc56cc.jpg	slight right lateral pleural thickening which may be seen after trauma inflammation or infection; new but not very striking. contour irregularity to the right lateral seventh rib, new since prior studies and consistent with a non-displaced fracture although otherwise of uncertain acuity.
MIMIC-CXR-JPG/2.0.0/files/p15146454/s54335976/c3e3ec9d-1b0ef6d5-e37e4ed3-5683629a-b2aba2dc.jpg	no radiographic evidence of pulmonary tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p18096479/s51468458/7aa05074-673131cd-6f2922bd-d6ffac1c-3964b6ea.jpg	no acute intrathoracic process. stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17207751/s52353233/79399fe7-61a84f8a-e032e74e-d54db76c-c94682c2.jpg	improvement in left pleural effusion since recent prior.
MIMIC-CXR-JPG/2.0.0/files/p18202111/s59474774/d5371d5f-da4caead-7e33ce5c-ec54b880-70314385.jpg	small right pleural effusion has recurred. there is no pneumothorax. nodules in the left lung are long-standing, attributed to rheumatoid arthritis. there is no pneumonia or appreciable atelectasis. cardiomediastinal and hilar silhouettes and right pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p12176298/s59811810/17b1a01a-83240b67-340820c5-d9866d7b-056304b0.jpg	ap chest compared to through. pulmonary edema which worsened considerably on has improved minimally, now moderate through the left lung. there may be new consolidation at the base of the left lower lobe, obviously either a combination of atelectasis and edema or new pneumonia. the post-operative right lung is small, compromised by a large collection of fluid at the apex, despite the right pigtail pleural drain which ends in the medial hemithorax as before. heart is mildly to moderately enlarged, and unchanged. et tube is in standard placement and an upper enteric drainage tube ends in the mid portion of a non-distended stomach. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10069960/s58309740/b54883bd-4a580306-8f7842d4-d150a8ee-0406faff.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13352893/s51759121/497b32c3-1193d5f2-7479b0cf-838fac9c-03a9abf5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14084349/s59137249/f000fca6-03e46a4f-5597d25b-0bd28635-c85f5c42.jpg	interval mild improvement.
MIMIC-CXR-JPG/2.0.0/files/p14818024/s53182031/ed65bf56-dde57711-ac356e2c-a51d9108-76676b6d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18043096/s58914031/6ccca3d9-7e261d54-816c1279-13ed622a-0424a10a.jpg	in comparison with the study of , there is increasing opacification at the right base, worrisome for aspiration pneumonia. monitoring and support devices are stable, as is the appearance of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p12665955/s50261338/d1c24e28-7bf18992-ed8d3ead-aa80ba6b-04e82a25.jpg	<num>) no evidence of acute cardiopulmonary process. <num>) asymteric pleural thickening at the left apex which is likely related to prior trauma given adjacent healed rib and clavicular fracture. however, if there is concern for a paraneoplastic process causing siad, this should be evaluated with chest ct.
MIMIC-CXR-JPG/2.0.0/files/p16420745/s59884485/c8039483-5aa21af2-5caf9266-6efd22fd-5aecf1d1.jpg	no acute cardiopulmonary process. stable right hemidiaphragm eventration.
MIMIC-CXR-JPG/2.0.0/files/p13990946/s58272228/8001690e-8acd2c8a-b499ee73-a4467ad4-0872fec0.jpg	persistently low lung volumes, but slight interval improvement in degree of aeration of the lungs. patchy bibasilar airspace opacities likely reflective of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12889171/s58858040/54d8163f-db52d4a4-f0cc36f8-10719c49-b8b6187a.jpg	lower lung opacities concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11959178/s59941572/678903f5-50a4271b-20d5b38f-f2678701-73069f7f.jpg	unusual right mediastinal contour, potentially reflective of a prominent ascending aorta, which can be further assessed with ct. otherwise, no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18490309/s56423202/82d5770b-0896a68c-17e51c5e-e0f9e67c-ec6a2e7c.jpg	in comparison with the study of , there appears to be slow clearing of the lingular and left lower lobe opacifications. new streak of atelectasis is seen at the right base. the multiple pulmonary nodules seen on ct are difficult to appreciate on this study.
MIMIC-CXR-JPG/2.0.0/files/p12278084/s56296635/dc2bb7d8-ab704e75-ae2d30a7-dadb7ad5-58c8b1ed.jpg	no evidence of acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17037392/s59622287/b1557343-55f58dfb-260cb45b-d4195888-c7059482.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12789116/s51974111/b720a3e8-16184d69-819359b3-49cbbce6-2e0b94c2.jpg	low lung volumes with associated bronchovascular crowding and atelectasis. a equivocal opacity within the right medial lower lung zone for which infectious process cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p12410201/s58157237/fd707db8-50c69315-fdc4f92d-e538b092-900a2190.jpg	no significant interval change. no convincing evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14822228/s57140298/052bc2f0-98873c62-1cc2fd15-51380013-09c4c8c2.jpg	mild interstitial edema. mild cardiomegaly. moderate hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p11437035/s59979873/ea7ab2c9-ffeb6607-777e2f76-8c01d40c-fba6b9e7.jpg	no acute cardiopulmonary process. slight interval increase in size of nodular opacity in the right upper lobe. lordotic chest radiographs are recommended to help determine if this represents a pulmonary nodule or a bone island. updated findings were communicated via the ed nurses at on.
MIMIC-CXR-JPG/2.0.0/files/p11062044/s55836076/f8dfa144-7224328d-a949083a-de2929f5-4b22dd2f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12658584/s54766893/65691efb-7f4fd402-46d5effb-ad72d8a4-8f077398.jpg	congestive heart failure, likely acute. acute myocardial infarction should be ruled out as the cause of failure given patient's young age and acuity of presentation. the patient was transferred to the emergency department for further evaluation. dr in the ed was contacted by dr telephone on at.
MIMIC-CXR-JPG/2.0.0/files/p15237286/s57605865/80b53346-b087a177-21610ff9-db637bda-c3c6314f.jpg	mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p14307251/s52694216/bb729c65-98921be8-3162ff7d-9a385cf0-7151cebc.jpg	worsened appearance to the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p17839768/s57258008/807e6ea5-268613e2-276cd0a4-71001f47-517e0b1f.jpg	no evidence of chf.
MIMIC-CXR-JPG/2.0.0/files/p16061352/s56847949/826e408c-16345121-0498567c-fe0f2d10-19912cf5.jpg	moderately severe pulmonary edema has improved, moderate to large left pleural effusion has increased. heart size partially obscured by left pleural effusion is at least mildly enlarged. mediastinal veins are still engorged. left lower lobe still atelectatic. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18295542/s51589086/3ea30b3d-b639d0b0-68a613b0-0bbfe1e1-f268bf5c.jpg	mild improvement in bilateral lower lung aeration. small bilateral pleural effusions persist, left greater than right.
MIMIC-CXR-JPG/2.0.0/files/p11314316/s55836624/639d4f9c-65e92f25-80ef184e-b13cb7e3-bb390e6e.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12265028/s50793162/19d90a4c-a598be67-c4ab2838-a375a6e6-bdb26476.jpg	no appreciable change in bibasilar airspace opacities which may be due to aspiration or multifocal pneumonia. stable moderate layering bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15042599/s50988434/8b1abbbd-88c86a72-3dde86e0-0da7cf9a-f6e2c4a5.jpg	mild bilateral interstitial abnormality, which may be secondary to pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16524961/s51659512/1ec1f872-4b1a213b-ef45cd09-417ce0ed-94837e57.jpg	mild interstitial pulmonary edema. moderate-to-large hiatal hernia with improved aeration of the left lung base, likely representing residual atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10625523/s51541132/e7aea6b8-f8766a66-41adba24-2ddfb72a-199c2ffc.jpg	slight interval improvement in moderate widespread pulmonary edema. numerous opacities likely related to widespread infection and edema. slight interval improvement in the small left-sided pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18371155/s51143881/4aa4f3f7-996b2abc-d7008919-b385fbc8-291c75bc.jpg	a comparison 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/p12346809/s57093205/d9e09bb9-1f281a38-6f243a9a-aad1d1df-24378ca0.jpg	no acute cardiopulmonary abnormality including no definite evidence of pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p13935870/s56688522/3775cd78-a526967f-1ebfd966-0d1a532e-00daea4d.jpg	large left pleural effusion with adjacent substantial left lung atelectasis. potential etiologies of a large pleural effusion include malignancy, infection, and, in the appropriate clinical setting, a hemothorax.
MIMIC-CXR-JPG/2.0.0/files/p15631692/s57300155/756281d0-562022b8-15578050-41b66a30-51d2e0f4.jpg	grossly clear lungs. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p13638768/s52145412/bd57349d-83c65c96-90cc39eb-ff05a15e-b9f15f68.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17269824/s51373029/d3cd5449-6426d270-b2ae8ee9-e632a8bd-164e4c86.jpg	no evidence of intrathoracic infection, recurrent or new malignancy.
MIMIC-CXR-JPG/2.0.0/files/p13575070/s52476127/8782d2ac-bbaa5ac8-ac5828f0-7bd37d76-c29e39af.jpg	no evidence of pneumonia. severe copd
MIMIC-CXR-JPG/2.0.0/files/p17420936/s50061455/1517bad9-30c9c238-7c55400d-24885f53-24adf7de.jpg	hazy left mid lung opacity laterally which would be compatible with pneumonia in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p16872031/s59544754/9fdec746-c4375a69-55da9fb8-c39809ba-6bc41e3e.jpg	since there has been a decrease in the now small, dependent, right pleural effusion following insertion of the basal pleurx catheter. no pneumothorax. atelectasis, as expected at at the base of the right lung. small left pleural effusion has increased. heart size is probably enlarged but substantially obscured by pleural effusion. left chest cage shows multiple healed rib fractures and pleural thickening. vascular configuration of the right upper lobe reflect emphysema.
MIMIC-CXR-JPG/2.0.0/files/p11199188/s55123642/70b8f3e2-e9975691-bd35f216-7b467bc1-d78a65c0.jpg	pulled rib overinflation. decubitus the distension devices. right apical opacity caused by the known lung neoplasm better documented on the ct examination from. the lung parenchyma loops otherwise unremarkable. no pulmonary edema. no pneumonia, no pleural effusions. normal size of the cardiac silhouette appears
MIMIC-CXR-JPG/2.0.0/files/p19943755/s59822348/09eac1a9-0bbcda48-78899b47-3a16abca-45ff76cd.jpg	small-to-moderate residual right pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15923118/s57643387/35b04046-0e40fd79-0fe56eae-1b054250-2edc4c10.jpg	when compared to chest radiograph, the left chest tube has been removed. there are no complications seen, in particular there is no pneumothorax. mild improvement of pulmonary vascular congestion and bilateral interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p17112205/s58790361/40d34002-353499e0-e16a694b-0f869ac3-2bbac822.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11021643/s56624985/ee58f79a-74eb049a-44866791-c6196312-851670f5.jpg	findings suggesting mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18181309/s58224884/a293c06a-1b70c36f-62f886e7-5b941b72-6f12fe03.jpg	mild pulmonary edema, increased compared to prior
MIMIC-CXR-JPG/2.0.0/files/p11453961/s58341073/3e479dae-25282566-aa196f46-faa3fa1c-f2e142b4.jpg	ap chest compared to :<num>: new upper enteric drainage tube ends in the distal stomach. lungs are low in volume but clear. no pleural abnormality. heart size top normal.
MIMIC-CXR-JPG/2.0.0/files/p11441946/s50824857/6e9bc916-cb8b0f36-0411318d-aabb83a5-0ae8b619.jpg	as compared to chest radiograph, there is been interval improved aeration at both lung bases with residual atelectasis greater on the left than the right as well as near resolution of pleural effusions. no new or worsening areas of opacity are evident to suggest the presence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14073575/s52525668/bc409461-24852e3e-51416da9-9e63d580-6cdfdd85.jpg	mild pulmonary edema, new from prior exam. bilateral pleural effusions. cardiomegaly, similar prior exam.
MIMIC-CXR-JPG/2.0.0/files/p13069266/s54547706/75f232ad-e8f3f44d-142ce124-d2eb3ce6-ee8f9173.jpg	no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no acute abnormalities identified within the lungs. stable right lung base pleural and parenchymal scars.

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there is a small pneumothorax on the right. the right chest tube tip is in the right lung base. there is no pneumothorax on the left. there is atelectasis/ consolidation in the right lung base. there is cardiomegaly. there is no chf.

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no acute cardiopulmonary abnormality.

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as compared to the previous image, all monitoring and support devices, except for the swan-ganz catheter, have been removed. the lung volumes have increased, likely reflecting improved ventilation. no pleural effusions. no pulmonary edema. no pneumonia. borderline size of the cardiac silhouette.

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no acute intrathoracic process.

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stable emphysematous changes. no radiographic evidence for acute cardiopulmonary process.

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no acute cardiopulmonary process. stable chest radiograph.

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no acute cardiopulmonary process.

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lungs are fully expanded and clear. there is no pleural abnormality. cardiomediastinal and hilar silhouettes are normal. healed fractures lateral aspects right middle ribs are unchanged since at least.

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slightly low lying et tube may be withdrawn by <num> cm for more optimal ventilation. side port of nasogastric tube the ge junction. advancement by <num> cm is advised.

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no acute cardiopulmonary process.

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pa and lateral chest compared to through : moderate cardiomegaly and pulmonary vascular congestion are longstanding, so is a generalized interstitial pulmonary abnormality probably due to independent interstitial lung disease. radiographic worsening, such as on compared to was probably due to concurrent pulmonary edema which cleared by. today, it may have recurred, or alternatively there may be pneumonia in the right lower lobe and anterior segment in the upper lobe. it would be reasonable to treat the patient for pulmonary edema and see what remains. no pneumothorax. dr was paged.

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no acute intrathoracic process.

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no acute intrathoracic process. stable mild cardiomegaly. no evidence of chf.

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ap chest compared to : mild edema developed in the left lung between and and has not changed. right lung shows a far greater opacification, due in part to increasing overlying moderate right pleural effusion. the interval increase in caliber of moderate cardiomegaly and mediastinal veins suggests strong component of volume overload, asymmetric edema may explain right lung findings, although pneumonia cannot be excluded. tracheostomy tube and left subclavian line are in standard placements. a supraclavicular central venous dialysis set ends in the mid-to-low right atrium. no pneumothorax.

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no pneumonia.

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suspected left lower lobe pneumonia.

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small left apical pneumothorax. interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. these findings were communicated via telephone by dr to dr at on , min after discovery.

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bibasilar atelectasis, with interval improvement in left mid lung airspace abnormality consistent with improved aspiration pneumonitis. there is new bibasilar atelectasis and right parahilar airspace opacity.

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low lung volumes with bibasilar, left greater than right, opacities, most consistent with atelectasis and possible chronic aspiration, better assessed on same-day ct abdomen and pelvis. recommendation(s): clinical correlation recommended to assess for infection.

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low lung volumes and bibasilar atelectasis. posterior basilar opacity seen on the lateral view may relate to atelectasis, however consolidation due to pneumonia is not excluded.

MIMIC-CXR-JPG/2.0.0/files/p14373353/s54730944/bf5f1c9e-7052e29b-06f4b5f8-9d25e8e9-bc0d1060.jpg

slight blunting of the posterior right costophrenic angle could be due to a trace pleural effusion or pleural thickening. no focal consolidation.

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mild vascular plethora similar to the prior study. doubt overt chf. hazy opacity both lung bases slightly improved. minimal blunting of right greater the left costophrenic angles, also slightly improved. cardiac silhouette appears smaller on the current film.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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new infiltrate in right lower lobe suspicious for pneumonia.

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no radiographic evidence of pneumonia.

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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. dobbhoff tube extends at least to the lower stomach where it crosses the lower margin of the image.

MIMIC-CXR-JPG/2.0.0/files/p19806884/s52968827/622fd1a2-af70d0dd-966185b8-746033d6-30e1b57d.jpg

small right apical pneumothorax post thoracentesis.

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left basilar linear atelectasis and possible trace pleural effusions.

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significant improvement in previously severe pulmonary edema. moderate right and small left pleural effusions.

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no acute cardiopulmonary process.

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opacities most consistent with linear bibasilar atelectasis, without pneumonia or pneumothorax.

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diffusely increased reticulation pattern. <num> mm nodule in the right apex. recommend ct for further evaluation of both findings.

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no evidence of acute cardiopulmonary process. no free air under the diaphragm.

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moderate to severe cardiomegaly and/or pericardial effusion. telephone notification to dr by dr at on at time of review of the study.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the study of , the patient has taken a better inspiration. continued increased opacification at the right base medially. although this could merely represent atelectatic changes, in the appropriate clinical setting superimposed pneumonia could be considered. the cardiac silhouette is within normal limits. minimal indistinctness of pulmonary vessels could reflect minimal elevation of pulmonary venous pressure.

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segment of the right costophrenic angle could be due to trace pleural effusion or pleural thickening. stable ovoid dense focus in the right lower lung stable since.

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near complete resolution of the previous pattern of mild pulmonary vascular congestion. no new focal consolidation to suggest pneumonia.

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innumerable pulmonary metastases. no radiographic evidence for pneumonia.

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cardiomegaly, but doubt overt chf. previously seen chf findings are markedly improved. small left effusion and underlying collapse and/or consolidation is similar to. right base changes are also improved, with only a small residual pleural effusion. marked lucency at both lung apices, of uncertain significance. this is probably artifactual due to a combination of apical pleural thickening and attenuated vessels. no definite pneumothorax. no displaced rib fracture identified on these lung technique films.

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slight right lateral pleural thickening which may be seen after trauma inflammation or infection; new but not very striking. contour irregularity to the right lateral seventh rib, new since prior studies and consistent with a non-displaced fracture although otherwise of uncertain acuity.

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no radiographic evidence of pulmonary tuberculosis.

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no acute intrathoracic process. stable cardiomegaly.

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improvement in left pleural effusion since recent prior.

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small right pleural effusion has recurred. there is no pneumothorax. nodules in the left lung are long-standing, attributed to rheumatoid arthritis. there is no pneumonia or appreciable atelectasis. cardiomediastinal and hilar silhouettes and right pleural surfaces are normal.

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ap chest compared to through. pulmonary edema which worsened considerably on has improved minimally, now moderate through the left lung. there may be new consolidation at the base of the left lower lobe, obviously either a combination of atelectasis and edema or new pneumonia. the post-operative right lung is small, compromised by a large collection of fluid at the apex, despite the right pigtail pleural drain which ends in the medial hemithorax as before. heart is mildly to moderately enlarged, and unchanged. et tube is in standard placement and an upper enteric drainage tube ends in the mid portion of a non-distended stomach. no pneumothorax.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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interval mild improvement.

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no acute cardiopulmonary process.

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in comparison with the study of , there is increasing opacification at the right base, worrisome for aspiration pneumonia. monitoring and support devices are stable, as is the appearance of the left lung.

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<num>) no evidence of acute cardiopulmonary process. <num>) asymteric pleural thickening at the left apex which is likely related to prior trauma given adjacent healed rib and clavicular fracture. however, if there is concern for a paraneoplastic process causing siad, this should be evaluated with chest ct.

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no acute cardiopulmonary process. stable right hemidiaphragm eventration.

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persistently low lung volumes, but slight interval improvement in degree of aeration of the lungs. patchy bibasilar airspace opacities likely reflective of atelectasis.

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lower lung opacities concerning for pneumonia.

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unusual right mediastinal contour, potentially reflective of a prominent ascending aorta, which can be further assessed with ct. otherwise, no acute cardiopulmonary abnormality.

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in comparison with the study of , there appears to be slow clearing of the lingular and left lower lobe opacifications. new streak of atelectasis is seen at the right base. the multiple pulmonary nodules seen on ct are difficult to appreciate on this study.

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no evidence of acute pulmonary process.

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no acute cardiopulmonary abnormality.

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low lung volumes with associated bronchovascular crowding and atelectasis. a equivocal opacity within the right medial lower lung zone for which infectious process cannot be entirely excluded.

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no significant interval change. no convincing evidence of acute cardiopulmonary process.

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mild interstitial edema. mild cardiomegaly. moderate hiatal hernia.

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no acute cardiopulmonary process. slight interval increase in size of nodular opacity in the right upper lobe. lordotic chest radiographs are recommended to help determine if this represents a pulmonary nodule or a bone island. updated findings were communicated via the ed nurses at on.

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no acute cardiopulmonary process.

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congestive heart failure, likely acute. acute myocardial infarction should be ruled out as the cause of failure given patient's young age and acuity of presentation. the patient was transferred to the emergency department for further evaluation. dr in the ed was contacted by dr telephone on at.

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mild vascular congestion.

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worsened appearance to the left lower lobe.

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no evidence of chf.

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moderately severe pulmonary edema has improved, moderate to large left pleural effusion has increased. heart size partially obscured by left pleural effusion is at least mildly enlarged. mediastinal veins are still engorged. left lower lobe still atelectatic. no pneumothorax.

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mild improvement in bilateral lower lung aeration. small bilateral pleural effusions persist, left greater than right.

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no evidence of pneumonia.

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no appreciable change in bibasilar airspace opacities which may be due to aspiration or multifocal pneumonia. stable moderate layering bilateral pleural effusions.

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mild bilateral interstitial abnormality, which may be secondary to pulmonary edema.

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mild interstitial pulmonary edema. moderate-to-large hiatal hernia with improved aeration of the left lung base, likely representing residual atelectasis.

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slight interval improvement in moderate widespread pulmonary edema. numerous opacities likely related to widespread infection and edema. slight interval improvement in the small left-sided pleural effusion.

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

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no acute cardiopulmonary abnormality including no definite evidence of pneumomediastinum.

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large left pleural effusion with adjacent substantial left lung atelectasis. potential etiologies of a large pleural effusion include malignancy, infection, and, in the appropriate clinical setting, a hemothorax.

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grossly clear lungs. stable moderate cardiomegaly.

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no acute cardiopulmonary process.

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no evidence of intrathoracic infection, recurrent or new malignancy.

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no evidence of pneumonia. severe copd

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hazy left mid lung opacity laterally which would be compatible with pneumonia in the proper clinical setting.

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since there has been a decrease in the now small, dependent, right pleural effusion following insertion of the basal pleurx catheter. no pneumothorax. atelectasis, as expected at at the base of the right lung. small left pleural effusion has increased. heart size is probably enlarged but substantially obscured by pleural effusion. left chest cage shows multiple healed rib fractures and pleural thickening. vascular configuration of the right upper lobe reflect emphysema.

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pulled rib overinflation. decubitus the distension devices. right apical opacity caused by the known lung neoplasm better documented on the ct examination from. the lung parenchyma loops otherwise unremarkable. no pulmonary edema. no pneumonia, no pleural effusions. normal size of the cardiac silhouette appears

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small-to-moderate residual right pleural effusion. no pneumothorax.

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when compared to chest radiograph, the left chest tube has been removed. there are no complications seen, in particular there is no pneumothorax. mild improvement of pulmonary vascular congestion and bilateral interstitial edema.

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no acute cardiopulmonary abnormality.

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findings suggesting mild vascular congestion.

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mild pulmonary edema, increased compared to prior

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ap chest compared to :<num>: new upper enteric drainage tube ends in the distal stomach. lungs are low in volume but clear. no pleural abnormality. heart size top normal.

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as compared to chest radiograph, there is been interval improved aeration at both lung bases with residual atelectasis greater on the left than the right as well as near resolution of pleural effusions. no new or worsening areas of opacity are evident to suggest the presence of pneumonia.

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mild pulmonary edema, new from prior exam. bilateral pleural effusions. cardiomegaly, similar prior exam.

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no acute cardiopulmonary process.