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/p18662708/s58078245/2bb34acc-f128a72f-36916350-f8aaf001-9112639b.jpg	overall little change compared to the most recent prior study. left basilar atelectasis with probable small left pleural effusion is again seen.
MIMIC-CXR-JPG/2.0.0/files/p17710225/s52808186/5830bfed-3f6b263d-f4d7ffea-6a33cac3-054ae7fe.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11089745/s57814691/08b8eb50-d2c5e49f-884c1ae6-56306604-3a382dfb.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13787816/s54820594/b82ef9d4-97d9ec39-0d47251e-5b3dbdb3-23f7dc5c.jpg	compared to at. previous pic line has been removed. moderate pulmonary edema has worsened, partially obscuring the multiple lung nodules due to metastasis or widespread infection. more severe consolidation in the left lower lobe looks like pneumonia. mild cardiomegaly has worsened. pleural effusions are presumed, but not large. no pneumothorax. tip of the endotracheal tube at the upper margin of the clavicles is no less than <num> cm from the carina an should not be withdrawn any further. nasogastric drainage tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p13686283/s50687572/90fcc27d-3fd4b409-2c163426-987f6423-71fefa39.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15553427/s58122624/8be9eb43-d598049e-4b97024a-f4d81336-0660f9a1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16283431/s54995191/69de4f83-dadca38e-98287cb0-5fee4510-3ed3cb18.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18997544/s58367930/20ff70ea-595798d7-584ddf0a-87287154-ef0972ea.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16577271/s57519620/c8dfa7b4-d15d3e66-206288d0-e46e0b7c-562f7431.jpg	improved lung volumes with mild bibasilar atelectasis, right greater than left. no pleural effusion, pulmonary edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17231257/s58803539/23e2a0b7-7b01cb3d-03fe5c2c-4b59b18e-13535871.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15598102/s55803334/e48854a3-8d9f2d05-eba3f44e-bcccaa06-70926f68.jpg	bilateral small pleural effusions. no overt edema.
MIMIC-CXR-JPG/2.0.0/files/p12917695/s55714736/0c3faab3-ee38a6e5-b2c4acd1-4a47869c-cee9b3a1.jpg	no evidence of past or present tb.
MIMIC-CXR-JPG/2.0.0/files/p19337808/s59471164/922ebd7a-0db51ef6-514fe913-ec369b9c-24b5b898.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p18858088/s59964963/0ec892a7-eb7feaeb-a4e875c8-6bcea87d-5dee7ac4.jpg	hazy opacification over the left mid and lower lung fields are presumably due to overlying soft tissue. this could be further assessed with a dedicated pa and lateral view of the chest.
MIMIC-CXR-JPG/2.0.0/files/p16678690/s55699820/a35d1cf3-35c1fffe-eed73a76-c9b8fd28-df75eec8.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13010075/s54402264/0f923b8f-0df5cf21-ebb320cf-b15066eb-d95db277.jpg	in comparison with the study of , there is again substantial enlargement of the cardiac silhouette without pulmonary vascular congestion. this appearance raises the possibility of underlying cardiomyopathy or pericardial effusion. retrocardiac opacification is again consistent with volume loss or consolidation involving the left lower lung. if clinically possible, a lateral view would be most helpful.
MIMIC-CXR-JPG/2.0.0/files/p16434063/s59960932/1a7fb088-02507a63-8fb75f5f-f11f3b8b-7d479d74.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16483229/s58439175/3f006095-3aa088d4-3d66dad8-ab51748a-bae724d1.jpg	hyperinflation without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10976461/s53361499/76836bbf-26e05eab-5607386f-9a1731f7-5f8d4ddd.jpg	compared to chest radiographs since , most recently. bibasilar consolidation has not improved but right midlung abnormality has decreased in a third region of infection. heart size normal. et tube, right pic line, nasogastric drainage tube in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p11539240/s59215452/d5bc3615-9b28f744-0b233679-639d31ba-6a43495d.jpg	cardiomegaly, probable mild edema with small-to-moderate bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15390073/s58105094/391cd0b8-d39fe2c6-6276427a-7969b29a-95eac6ba.jpg	bilateral heterogeneous lower lobe opacities are concerning for pneumonia or aspiration pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17716210/s50732080/ff5cf016-d9a9d59d-6d1c98ca-39282884-52bbba02.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19326866/s50905876/23add5fd-d89ba4aa-06eb19e2-6ea2a726-2a98319c.jpg	repositioned nasogastric tube with side port now distal to the gastroesophageal junction.
MIMIC-CXR-JPG/2.0.0/files/p16311647/s54788864/a88088d3-cd5af787-4ab4dc4e-010a5fb8-9502e333.jpg	retrocardiac opacity concerning for a left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17716301/s58440920/4766eca1-4e9ec88b-bcc91b4c-484937a2-52a77f92.jpg	no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. endotracheal tube tip is at the upper clavicular level, approximately <num> cm above the carina. nasogastric tube extends well into the stomach. of incidental note is a cervical fusion device in place.
MIMIC-CXR-JPG/2.0.0/files/p13424439/s58716793/ab116013-65636685-869084b8-daf1985b-18349f17.jpg	lung volumes are appreciably lower accounting in part for greater radiodensity throughout the lungs, but there is also an increase in pulmonary vascular caliber in the upper lungs suggesting this could be edema. previous pneumo mediastinum has not progressed and there is less subcutaneous air in the deep tissues of the neck and no pneumothorax. small left pleural effusion may have developed.
MIMIC-CXR-JPG/2.0.0/files/p14990450/s58853567/f817540a-6c74fee3-c0433068-355312f2-2f199835.jpg	normal postoperative cardiomediastinal silhouette. no appreciable atelectasis. small right pleural effusion unchanged since. pneumatocele on the right midlung is continuing to involute. left lung clear.
MIMIC-CXR-JPG/2.0.0/files/p11227224/s51279937/b4a141cf-6a734e20-a717947c-82d73c13-0aad2d7c.jpg	severe consolidation left lower lobe has worsened since , probably lobar collapse, accompanied by new small left pleural effusion. small right pleural effusion on changed. upper lungs clear. moderate cardiomegaly stable. there is no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16013292/s53510184/1a796191-12c8bb83-eaf4255c-7069865c-3f9e4ef0.jpg	no relevant change as compared to. status post sternotomy. borderline size of the cardiac silhouette. no pleural effusions. no pulmonary edema. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11817853/s56340999/e11d440e-9de0ea1d-151bddf3-d43b8ac3-78785833.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17463554/s52714754/e330b251-22121d88-d654599d-6990cb6f-3590da0c.jpg	compared to chest radiographs. previous severe pulmonary edema continues to clear, with mild to moderate residual. there is no appreciable pleural effusion or evidence of pneumothorax. heart size normal. et tube in standard placement.
MIMIC-CXR-JPG/2.0.0/files/p16442524/s55566490/6fd75929-944b7911-efce89ff-c61fd17c-a89910d3.jpg	in comparison with the study. there again are diffuse bilateral pulmonary opacifications that may be increased since the previous study. cardiac silhouette is at the upper limits of normal in size. the lung changes could reflect some combination of pulmonary edema and multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15570051/s55401413/9a8f6a80-430c8b00-49cfa607-abb0bb7b-e840b480.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10447634/s54498889/67f0a40a-0be11dda-57bae285-83bcaf20-d56663a3.jpg	suggestiong of trace pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15566609/s53549770/7bc7afb8-814782e4-67ff9f64-d64ae792-126dd3c5.jpg	no relevant change as compared to the previous examination. low lung volumes. small right pleural effusion. retrocardiac atelectasis. mild fluid overload but no overt pulmonary edema. the right chest tube and the additional median drains are in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p10139719/s52556264/ebb66c71-ddfb6931-28d7dfa1-a2789d9a-c5e7d2d6.jpg	clear lungs. if continued concern for mass or pulmonary hemorrhage, could be further assessed with ct. possible underlying emphysema.
MIMIC-CXR-JPG/2.0.0/files/p13260103/s53169484/8222390f-cdfd6433-74a649ee-a28aeae9-88fd56fe.jpg	bilateral pleural thickening with possible small pleural effusions. bibasilar atelectasis and possible minimal pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18026603/s52520584/d8a91eab-c489f7f5-7dd165ac-4316b529-89b38ce5.jpg	evidence for pulmonary vascular congestion. follow-up examination in the upright position with a better inspiratory effort is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15263884/s53181916/5eb9795d-2ec5f5e2-431391df-fbf1eb3b-3500070e.jpg	previous pulmonary edema has not recurred. there is substantial atelectasis in both lower lungs accompanied by at least small pleural effusions. upper lungs are clear. heart size normal. et tube tip in standard placement. esophageal drainage tube is looped in the hypopharynx alongside an intended esophageal probe, then passes below the diaphragm and out of view. house staff have been notified a after reading of a subsequent chest radiograph earlier this morning. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10119992/s56689718/c0110acc-436ea549-4f4a460a-dbdaac28-56539529.jpg	interval mild improvement.
MIMIC-CXR-JPG/2.0.0/files/p12233384/s51870725/485e59f5-2146e051-07667af0-89706760-d73a8c20.jpg	low lung volumes with possible component of superimposed vascular congestion vs chronic lung disease.
MIMIC-CXR-JPG/2.0.0/files/p12291041/s54232545/a3215706-9426e3a0-a2d7c2af-0d85e51a-f1cc5809.jpg	in comparison with the study of , there has been placement of a nasogastric tube that appears to have its tip just above the midportion of the left hemidiaphragm, in a large hiatal hernia. the remainder the study is essentially unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16014771/s58313005/7d577039-a0cc2c3e-cfaf49a4-882bfad4-53313000.jpg	no substantial change compared to the prior examination and no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15606926/s52734751/5edf1a6a-a3bea55c-203bbbc9-7fac3a3e-b2b7a404.jpg	low lung volumes, with a small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12459657/s55385370/e931e69a-e18a93da-4533a622-6ef05cbb-b43f697e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18780219/s57374017/7f55d2af-bc6f510a-8c7a3ec4-885b1b1b-cdd6a5b3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14145716/s56227026/c48cb6c9-5f96a3b1-43c0c965-619388ba-5df16e5d.jpg	normal chest x-ray. specifically, no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17944918/s57226968/cacf9e6b-4007b182-04e8d2bf-173c1ca1-725fd971.jpg	mild to moderate cardiomegaly with bibasilar atelectasis, mostly unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19765086/s59992045/be90fb0e-2e9d87bc-e2be0672-78d8ae74-4d534651.jpg	continued interval improvement in bilateral pleural effusions. support lines and devices are appropriately positioned.
MIMIC-CXR-JPG/2.0.0/files/p19292638/s52249658/741a4756-060c29da-8611dd7b-7e564764-49c566ba.jpg	the right pigtail catheter has changed in position, and some of the side ports are now external to the pleural space. associated accumulation of a small right pleural effusion and worsening right lower lobe atelectasis. minimal subcutaneous emphysema of the soft tissues overlying the lateral right seventh and eighth rib fractures. recommendation(s): discussed findings with at via telephone conversation (). the impression and recommendation above was entered by dr on at into the department of radiology critical communications system for direct communication to the referring provider.
MIMIC-CXR-JPG/2.0.0/files/p18490450/s51378895/d16cee49-41575390-76b9ebea-2e5b939d-1bb55d24.jpg	lung fields clear.
MIMIC-CXR-JPG/2.0.0/files/p12927172/s55080410/50ff0b60-6afc9707-9e09b826-01e8f74b-4f3a90f9.jpg	no relevant change as compared to the previous image. the feeding tube is in unchanged position. low lung volumes. retrocardiac atelectasis. minimal left pleural effusion. on the right, the lung bases is minimally better ventilated than on the previous image. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14530916/s50562798/03a3f52c-de8c70ce-938469df-b015b116-f99f291e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16042873/s50535827/b5108f8e-44d6f599-ac8e3b16-6d8b2e9e-739c0aa8.jpg	lung zone volume but clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. et tube and left subclavian line are in standard placements respectively.
MIMIC-CXR-JPG/2.0.0/files/p12420277/s50914678/535f19e4-5a543fac-8384dcbb-ede3246a-3102e866.jpg	unremarkable chest radiographic examination. no rib fractures are identified. please note that this study is not tailored for accurate assessment of the ribs. if there is further clinical suspicion, dedicated rib views should be obtained.
MIMIC-CXR-JPG/2.0.0/files/p19599279/s59151099/27f5cc69-df5b1e3f-8179f16b-0425268f-ee110ead.jpg	the feeding tube courses below the diaphragm with the tip not identified. right internal jugular central line has its tip proximal to mid in the svc. prominent hilar contours may represent engorged vessels, although lymphadenopathy cannot be excluded. there has been interval worsening of mild pulmonary edema. linear opacity in the left mid lung likely reflects scarring or subsegmental atelectasis. probable small layering left effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18271444/s55641320/c1168e18-299c04c1-21561539-00531a26-5398c66d.jpg	ap chest compared to , most recently : greater opacification of the lung bases is due largely to increasing small-to-moderate bilateral pleural effusions, atelectasis and mild dependent edema in the setting of very low lung volumes. the upper lungs do not have the appearance of pulmonary edema and the heart is not enlarged. mediastinal veins are mildly dilated. et tube is in standard placement. sharp definition of the upper margin of the tracheal cuff suggests pooling secretions. nasogastric tube has been partially withdrawn, with the side port now just above the gastroesophageal junction warranting advancement by several centimeters. right jugular line ends low in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19544020/s58897086/b2976640-56de3a83-d3fcc421-b1715fab-ea9d6427.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12363889/s54535429/5a782154-aeae6e6a-d7724847-f51bbd00-0441bfc9.jpg	resolution of bibasilar atelectasis. trace bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19407881/s53437998/70b1485e-16fbb50e-dd491a17-205dac81-cfc01899.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15592981/s51746771/1ed55941-61880c43-e3f95910-5670af44-b66b84d3.jpg	pa and lateral chest compared to and : the patient has a narrow ap diameter, exaggerating of the hila. they are probably normal. lungs are clear. no pleural effusion. no findings to suggest pneumonia. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p18606760/s52894662/b765c7ad-52931841-ebc27195-0a75f936-9922a614.jpg	no evidence for acute cardiopulmonary disease or free air.
MIMIC-CXR-JPG/2.0.0/files/p10570455/s58777052/6334261a-48421bb4-6baaca12-7240e070-5bab85b7.jpg	in comparison with the study of , the cardiomediastinal silhouette is stable and there is no evidence of pulmonary vascular congestion. atelectatic changes are seen at the bases and in the left mid zone. some irregularity of the right hemidiaphragm could reflect small pleural effusion and atelectatic changes. no evidence of acute focal pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17608795/s55832842/efb92553-72fce5cc-1b46b835-61732168-c4fb18eb.jpg	unchanged left basilar consolidation. trace small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg	pa and lateral chest compared to most recent prior chest radiographs, : lungs are clear. right lung base is elevated, probably due to a moderate amount of subpulmonic right pleural effusion. lateral view shows a tiny left pleural effusion as well. there is no subpulmonic free air.
MIMIC-CXR-JPG/2.0.0/files/p15969841/s57588219/c106d826-e83d773d-30411b31-41cfc75c-9c198fd9.jpg	removal of bilateral chest tubes with no pneumothorax. improved atelectasis at the bases and decreased small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14393618/s51134350/09c65621-baafed77-9ae52f8e-11417b74-49f294fb.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17416654/s58911433/d1a44f0e-10f2c904-1e446c9d-e130e4d2-e98d7650.jpg	focal left lower lobe pneumonia. findings entered into radiology communications dashboard on date of study along with recommendations for followup chest x-ray in four weeks after completion of antibiotic therapy.
MIMIC-CXR-JPG/2.0.0/files/p13031383/s56365078/8465870c-3ed9153d-236d146e-1d88ed96-619f2eba.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15892352/s53710102/2ff125b2-fb82c878-908c8b7c-9d827d7f-f7c3821e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11442039/s54889965/f086c561-9ee26e41-62786cc5-de4c7709-13df81fa.jpg	no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. there is mild scoliosis of the thoracic spine convex to the right.
MIMIC-CXR-JPG/2.0.0/files/p19889178/s54377053/48e1e47f-3b1d265c-7d476409-7732e7fb-d5fb593c.jpg	persistent moderate right pleural effusion. no definite superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18465470/s55722401/552cc749-52b5f6bc-02845a8b-58107049-4736f26e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10262096/s56889725/f8cd9886-97678140-466de7d0-79482454-223392f4.jpg	right subclavian picc line tip in the mid svc. nasogastric tube is seen coursing below the diaphragm, coiled within the stomach. endotracheal tube has been removed. low lung volumes with probable layering bilateral effusions. bibasilar patchy opacities are seen which may reflect partial lower lobe atelectasis, although pneumonia cannot be excluded. crowding of the pulmonary vasculature with no evidence of overt pulmonary edema. no pneumothorax. overall, cardiac and mediastinal contours are likely stable. calcification of the aorta consistent with atherosclerosis. mild thoracolumbar curvature with associated degenerative changes. no acute bony abnormality appreciated.
MIMIC-CXR-JPG/2.0.0/files/p18230852/s53109075/25a342fb-197f4682-1f5afe93-0484f3db-3ba9b2a3.jpg	compared to chest radiographs since , most recently and. consolidation has worsened in the right middle and lower lobes, and is still present at the left base. although atelectasis is possible, lack of volume loss is more consistent with multifocal pneumonia. there is no pulmonary edema. pleural effusion is small, on the right. no pneumothorax. heart size normal. et tube, right pic line are in standard placements. nasogastric drainage tube ends in the upper stomach and would need to be advanced at least <num> cm to move all the side ports below the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p15129946/s58194943/85132cc2-d4ce73bf-3f3bb649-1b5b6f29-7c3a7000.jpg	no definite acute cardiopulmonary process. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18320253/s57357079/e126f57e-e987a6e0-424b023c-5c8268d9-3b441d00.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15582327/s52038511/d384401e-b3d31777-1a6b7280-9d04a66b-9062c6e9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15403852/s53876063/23f23e56-ebfe0e13-76ab33c0-2a97a8fb-c3f7e323.jpg	in comparison to previous radiograph of <num> day earlier, a a small to moderate left pleural effusion has increased in size with adjacent worsening left basilar atelectasis and or consolidation. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p11097412/s52644969/9f2c2043-cac8748f-3c9fc2f2-cfa246d6-3e3e9d77.jpg	appropriate position of ng tube.
MIMIC-CXR-JPG/2.0.0/files/p17014171/s56044855/934f8afa-cca0ddff-112f91df-62a2569d-c949f829.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10954823/s53100641/2653820c-235680e5-8f7c3f0b-637a4791-2edcb670.jpg	mild bronchial inflammation, chronicity indeterminate. otherwise no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18026823/s53253839/4970a04b-be1e0901-d1afabe1-64fb2dcd-504580e9.jpg	in comparison with the study of , the area of increased opacification at the left base has essentially cleared. no evidence of acute pneumonia or vascular congestion at this time.
MIMIC-CXR-JPG/2.0.0/files/p11356031/s50561706/3ef1bec1-5cb7b682-291b4614-102f98df-b7e13db4.jpg	no pneumomediastinum or pneumothorax. apart from ill-defined opacity in the left suprahilar region which corresponds to left lower lobe superior segment lesion, better evaluated on chest ct dated. no new opacities in the lungs.
MIMIC-CXR-JPG/2.0.0/files/p19336651/s53678454/13f7a022-077eae64-276219e1-286fc63c-c36b8692.jpg	new moderate pulmonary edema. retrocardiac atelectasis. small left pleural effusion and moderate cardiomegaly. the alignment of the sternal wires is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11831046/s57866684/bf6cbdfb-56c4f12c-1b66ec3b-b0432f76-1367ed63.jpg	bibasilar atelectasis, unchanged since. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15254879/s51757402/ab7429fb-c4b76fef-ac5a8f9d-6e8c273b-44606982.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14264182/s50350828/256d477a-329e444c-a0e2316c-ea85dfa6-c3defdc5.jpg	as compared to , mild cardiomegaly is a persistent finding. small left pleural effusion is unchanged, but a moderate right pleural effusion has slightly decreased in size. linear bibasilar atelectasis is present, and note is made of moderate gastric distension.
MIMIC-CXR-JPG/2.0.0/files/p11133256/s58802907/dae4e7c7-46cc7811-a7e32f57-faa0675a-2c1f7d3a.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18554235/s52951406/ee7be22d-15ae6c1c-6556bdc3-3197da41-b68ccae2.jpg	pulmonary edema which cleared between and has recurred, accompanied by increase pulmonary and mediastinal vascular engorgement and new borderline cardiomegaly. greater opacification in the left lower lobe has worsened again, presumably atelectasis, but raising concern for aspiration. there is no pneumothorax. et tube and nasogastric tube are in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p12278660/s57730828/5904d1d0-87d9d334-a15766cf-38d1e961-4cb05f70.jpg	no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10326191/s50866651/c9f9fd8a-968edc31-921ed529-fab56e96-22fef1a8.jpg	there is perhaps minimal clearing of opacity at the right base. otherwise there is no appreciable change. monitoring and support devices remain in stable position. no pneumothorax. giving the is substantial deformity of the chest, slight changes may be overload and if clinically warranted, correlation with chest ct might be considered
MIMIC-CXR-JPG/2.0.0/files/p12855476/s57223871/a9e1cc9b-6e86f8ee-f15133b5-fc3959d0-d9f39b7f.jpg	increased airspace opacification in bilateral lower lungs is consistent with multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16003661/s57969826/f1c046bc-5a44c5fd-ce5b0525-dbdf599f-4f04ab0e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11798500/s57666354/b65dc513-7f4fd3b1-7a480a62-f75a0e69-c4e478f0.jpg	persistent, minimally changed, severe pneumomediastinum and diffuse subcutaneous emphysema. moderately-severe of a diffuse, mixed airspace and interstitial abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16897045/s57244411/650c58ef-978b589e-8d99f1b0-dea4f041-0da39feb.jpg	no acute cardiopulmonary process. no visualized free intraperitoneal air.
MIMIC-CXR-JPG/2.0.0/files/p18891030/s54535221/c8e75f4a-9e0a67e3-fd3c4308-0ad97459-d184ee7e.jpg	compared to chest radiographs through. lung volumes remain quite low. severe pulmonary vascular engorgement has worsened, moderate right pleural effusion is still present. consolidation or atelectasis is moderate in the left lower lobe, unchanged, but may have worsened on the right. et tube in standard placement. nasogastric tube ends in the distal stomach.
MIMIC-CXR-JPG/2.0.0/files/p19531936/s52937980/02f28271-e4ebe1ac-463c8e01-9f4f4b29-d1e7d206.jpg	right upper lobe calcified granuloma. otherwise normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17521159/s56814308/1e9017ee-d89ac077-4077bf50-3f90ddc4-c45a215a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18084430/s57451984/50455047-d611cb52-2cd5da9b-8af50a3f-71a68396.jpg	pa and lateral chest compared to : severe hyperinflation due to emphysema is unchanged. right apical pleural parenchymal scarring is slightly more pronounced than the left, as before, and unchanged in the interim. cardiomediastinal and hilar silhouettes are unremarkable. there are no focal pulmonary abnormalities, and no findings to suggest active infection or malignancy.

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overall little change compared to the most recent prior study. left basilar atelectasis with probable small left pleural effusion is again seen.

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no evidence of pneumonia.

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no acute cardiopulmonary abnormality.

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compared to at. previous pic line has been removed. moderate pulmonary edema has worsened, partially obscuring the multiple lung nodules due to metastasis or widespread infection. more severe consolidation in the left lower lobe looks like pneumonia. mild cardiomegaly has worsened. pleural effusions are presumed, but not large. no pneumothorax. tip of the endotracheal tube at the upper margin of the clavicles is no less than <num> cm from the carina an should not be withdrawn any further. nasogastric drainage tube passes into the stomach and out of view.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no acute intrathoracic abnormality.

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no acute cardiopulmonary process.

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improved lung volumes with mild bibasilar atelectasis, right greater than left. no pleural effusion, pulmonary edema or pneumonia.

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no evidence of acute cardiopulmonary process.

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bilateral small pleural effusions. no overt edema.

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no evidence of past or present tb.

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no evidence of acute disease.

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hazy opacification over the left mid and lower lung fields are presumably due to overlying soft tissue. this could be further assessed with a dedicated pa and lateral view of the chest.

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normal chest radiograph.

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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette without pulmonary vascular congestion. this appearance raises the possibility of underlying cardiomyopathy or pericardial effusion. retrocardiac opacification is again consistent with volume loss or consolidation involving the left lower lung. if clinically possible, a lateral view would be most helpful.

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no acute cardiopulmonary process.

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hyperinflation without superimposed pneumonia.

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compared to chest radiographs since , most recently. bibasilar consolidation has not improved but right midlung abnormality has decreased in a third region of infection. heart size normal. et tube, right pic line, nasogastric drainage tube in standard placements.

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cardiomegaly, probable mild edema with small-to-moderate bilateral pleural effusions.

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bilateral heterogeneous lower lobe opacities are concerning for pneumonia or aspiration pneumonia.

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no acute cardiopulmonary process.

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repositioned nasogastric tube with side port now distal to the gastroesophageal junction.

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retrocardiac opacity concerning for a left lower lobe pneumonia.

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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. endotracheal tube tip is at the upper clavicular level, approximately <num> cm above the carina. nasogastric tube extends well into the stomach. of incidental note is a cervical fusion device in place.

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lung volumes are appreciably lower accounting in part for greater radiodensity throughout the lungs, but there is also an increase in pulmonary vascular caliber in the upper lungs suggesting this could be edema. previous pneumo mediastinum has not progressed and there is less subcutaneous air in the deep tissues of the neck and no pneumothorax. small left pleural effusion may have developed.

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normal postoperative cardiomediastinal silhouette. no appreciable atelectasis. small right pleural effusion unchanged since. pneumatocele on the right midlung is continuing to involute. left lung clear.

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severe consolidation left lower lobe has worsened since , probably lobar collapse, accompanied by new small left pleural effusion. small right pleural effusion on changed. upper lungs clear. moderate cardiomegaly stable. there is no pulmonary edema.

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no relevant change as compared to. status post sternotomy. borderline size of the cardiac silhouette. no pleural effusions. no pulmonary edema. no pneumonia.

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no acute cardiopulmonary process.

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compared to chest radiographs. previous severe pulmonary edema continues to clear, with mild to moderate residual. there is no appreciable pleural effusion or evidence of pneumothorax. heart size normal. et tube in standard placement.

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in comparison with the study. there again are diffuse bilateral pulmonary opacifications that may be increased since the previous study. cardiac silhouette is at the upper limits of normal in size. the lung changes could reflect some combination of pulmonary edema and multifocal pneumonia.

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no pneumonia.

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suggestiong of trace pleural effusions.

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no relevant change as compared to the previous examination. low lung volumes. small right pleural effusion. retrocardiac atelectasis. mild fluid overload but no overt pulmonary edema. the right chest tube and the additional median drains are in unchanged position.

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clear lungs. if continued concern for mass or pulmonary hemorrhage, could be further assessed with ct. possible underlying emphysema.

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bilateral pleural thickening with possible small pleural effusions. bibasilar atelectasis and possible minimal pulmonary vascular congestion.

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evidence for pulmonary vascular congestion. follow-up examination in the upright position with a better inspiratory effort is recommended.

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previous pulmonary edema has not recurred. there is substantial atelectasis in both lower lungs accompanied by at least small pleural effusions. upper lungs are clear. heart size normal. et tube tip in standard placement. esophageal drainage tube is looped in the hypopharynx alongside an intended esophageal probe, then passes below the diaphragm and out of view. house staff have been notified a after reading of a subsequent chest radiograph earlier this morning. no pneumothorax.

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interval mild improvement.

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low lung volumes with possible component of superimposed vascular congestion vs chronic lung disease.

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in comparison with the study of , there has been placement of a nasogastric tube that appears to have its tip just above the midportion of the left hemidiaphragm, in a large hiatal hernia. the remainder the study is essentially unchanged.

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no substantial change compared to the prior examination and no evidence of pneumonia.

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low lung volumes, with a small bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary abnormality.

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normal chest x-ray. specifically, no pneumonia.

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mild to moderate cardiomegaly with bibasilar atelectasis, mostly unchanged.

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continued interval improvement in bilateral pleural effusions. support lines and devices are appropriately positioned.

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the right pigtail catheter has changed in position, and some of the side ports are now external to the pleural space. associated accumulation of a small right pleural effusion and worsening right lower lobe atelectasis. minimal subcutaneous emphysema of the soft tissues overlying the lateral right seventh and eighth rib fractures. recommendation(s): discussed findings with at via telephone conversation (). the impression and recommendation above was entered by dr on at into the department of radiology critical communications system for direct communication to the referring provider.

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lung fields clear.

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no relevant change as compared to the previous image. the feeding tube is in unchanged position. low lung volumes. retrocardiac atelectasis. minimal left pleural effusion. on the right, the lung bases is minimally better ventilated than on the previous image. no pneumothorax.

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no acute cardiopulmonary process.

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lung zone volume but clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. et tube and left subclavian line are in standard placements respectively.

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unremarkable chest radiographic examination. no rib fractures are identified. please note that this study is not tailored for accurate assessment of the ribs. if there is further clinical suspicion, dedicated rib views should be obtained.

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the feeding tube courses below the diaphragm with the tip not identified. right internal jugular central line has its tip proximal to mid in the svc. prominent hilar contours may represent engorged vessels, although lymphadenopathy cannot be excluded. there has been interval worsening of mild pulmonary edema. linear opacity in the left mid lung likely reflects scarring or subsegmental atelectasis. probable small layering left effusion. no pneumothorax.

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ap chest compared to , most recently : greater opacification of the lung bases is due largely to increasing small-to-moderate bilateral pleural effusions, atelectasis and mild dependent edema in the setting of very low lung volumes. the upper lungs do not have the appearance of pulmonary edema and the heart is not enlarged. mediastinal veins are mildly dilated. et tube is in standard placement. sharp definition of the upper margin of the tracheal cuff suggests pooling secretions. nasogastric tube has been partially withdrawn, with the side port now just above the gastroesophageal junction warranting advancement by several centimeters. right jugular line ends low in the svc. no pneumothorax.

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no acute cardiopulmonary process.

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resolution of bibasilar atelectasis. trace bilateral pleural effusions.

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no acute cardiopulmonary process.

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pa and lateral chest compared to and : the patient has a narrow ap diameter, exaggerating of the hila. they are probably normal. lungs are clear. no pleural effusion. no findings to suggest pneumonia. heart size normal.

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no evidence for acute cardiopulmonary disease or free air.

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in comparison with the study of , the cardiomediastinal silhouette is stable and there is no evidence of pulmonary vascular congestion. atelectatic changes are seen at the bases and in the left mid zone. some irregularity of the right hemidiaphragm could reflect small pleural effusion and atelectatic changes. no evidence of acute focal pneumonia or pneumothorax.

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unchanged left basilar consolidation. trace small bilateral pleural effusions.

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pa and lateral chest compared to most recent prior chest radiographs, : lungs are clear. right lung base is elevated, probably due to a moderate amount of subpulmonic right pleural effusion. lateral view shows a tiny left pleural effusion as well. there is no subpulmonic free air.

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removal of bilateral chest tubes with no pneumothorax. improved atelectasis at the bases and decreased small left pleural effusion.

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no acute intrathoracic process.

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focal left lower lobe pneumonia. findings entered into radiology communications dashboard on date of study along with recommendations for followup chest x-ray in four weeks after completion of antibiotic therapy.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. there is mild scoliosis of the thoracic spine convex to the right.

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persistent moderate right pleural effusion. no definite superimposed acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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right subclavian picc line tip in the mid svc. nasogastric tube is seen coursing below the diaphragm, coiled within the stomach. endotracheal tube has been removed. low lung volumes with probable layering bilateral effusions. bibasilar patchy opacities are seen which may reflect partial lower lobe atelectasis, although pneumonia cannot be excluded. crowding of the pulmonary vasculature with no evidence of overt pulmonary edema. no pneumothorax. overall, cardiac and mediastinal contours are likely stable. calcification of the aorta consistent with atherosclerosis. mild thoracolumbar curvature with associated degenerative changes. no acute bony abnormality appreciated.

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compared to chest radiographs since , most recently and. consolidation has worsened in the right middle and lower lobes, and is still present at the left base. although atelectasis is possible, lack of volume loss is more consistent with multifocal pneumonia. there is no pulmonary edema. pleural effusion is small, on the right. no pneumothorax. heart size normal. et tube, right pic line are in standard placements. nasogastric drainage tube ends in the upper stomach and would need to be advanced at least <num> cm to move all the side ports below the diaphragm.

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no definite acute cardiopulmonary process. small left pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison to previous radiograph of <num> day earlier, a a small to moderate left pleural effusion has increased in size with adjacent worsening left basilar atelectasis and or consolidation. no other relevant changes.

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appropriate position of ng tube.

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no acute cardiopulmonary process.

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mild bronchial inflammation, chronicity indeterminate. otherwise no evidence of acute cardiopulmonary process.

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in comparison with the study of , the area of increased opacification at the left base has essentially cleared. no evidence of acute pneumonia or vascular congestion at this time.

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no pneumomediastinum or pneumothorax. apart from ill-defined opacity in the left suprahilar region which corresponds to left lower lobe superior segment lesion, better evaluated on chest ct dated. no new opacities in the lungs.

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new moderate pulmonary edema. retrocardiac atelectasis. small left pleural effusion and moderate cardiomegaly. the alignment of the sternal wires is unchanged.

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bibasilar atelectasis, unchanged since. no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to , mild cardiomegaly is a persistent finding. small left pleural effusion is unchanged, but a moderate right pleural effusion has slightly decreased in size. linear bibasilar atelectasis is present, and note is made of moderate gastric distension.

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no evidence of acute cardiopulmonary disease.

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pulmonary edema which cleared between and has recurred, accompanied by increase pulmonary and mediastinal vascular engorgement and new borderline cardiomegaly. greater opacification in the left lower lobe has worsened again, presumably atelectasis, but raising concern for aspiration. there is no pneumothorax. et tube and nasogastric tube are in standard placements.

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no focal consolidation concerning for pneumonia.

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there is perhaps minimal clearing of opacity at the right base. otherwise there is no appreciable change. monitoring and support devices remain in stable position. no pneumothorax. giving the is substantial deformity of the chest, slight changes may be overload and if clinically warranted, correlation with chest ct might be considered

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increased airspace opacification in bilateral lower lungs is consistent with multifocal pneumonia.

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no acute intrathoracic process.

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persistent, minimally changed, severe pneumomediastinum and diffuse subcutaneous emphysema. moderately-severe of a diffuse, mixed airspace and interstitial abnormality.

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no acute cardiopulmonary process. no visualized free intraperitoneal air.

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compared to chest radiographs through. lung volumes remain quite low. severe pulmonary vascular engorgement has worsened, moderate right pleural effusion is still present. consolidation or atelectasis is moderate in the left lower lobe, unchanged, but may have worsened on the right. et tube in standard placement. nasogastric tube ends in the distal stomach.

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right upper lobe calcified granuloma. otherwise normal chest radiograph.

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no acute cardiopulmonary process.

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pa and lateral chest compared to : severe hyperinflation due to emphysema is unchanged. right apical pleural parenchymal scarring is slightly more pronounced than the left, as before, and unchanged in the interim. cardiomediastinal and hilar silhouettes are unremarkable. there are no focal pulmonary abnormalities, and no findings to suggest active infection or malignancy.