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/p16746253/s52873553/876d52cc-19261844-1e208c07-3e180581-e66a9fc7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16223998/s58912733/8ee73004-eae89b70-db29bf15-37ce69f7-cbc0f18f.jpg	<num> mm faint rounded opacity within the left lung apex, new from prior exams. this finding is nonspecific and may reflect an inflammatory or infectious process, and a follow up radiograph after treatment is recommended to ensure resolution of this finding. if this finding persists, a chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15457995/s59529951/552fde2f-c506ed16-9bcebea2-a0049e32-a13a45cc.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13087521/s50242237/90ddd04e-7975a574-454ad9d1-0267fa0c-98b0aaeb.jpg	compared to prior chest radiographs since , most recently. <num> round, cm size radio opacities project over the right lung and anterior fifth rib. one is the right nipple, and the other could be a calcification in the costal cartilage. i would recommend shallow oblique views with nipple markers to exclude a lung nodule, even though no corresponding abnormality is seen on the lateral view. lungs are otherwise fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. recommendation(s): shallow oblique views with nipple markers. these should be shown to radiologist before the patient leaves the radiology department.
MIMIC-CXR-JPG/2.0.0/files/p16207995/s55211543/7995e7d3-c98ff302-b8552d6e-ada991c7-4be5a5b7.jpg	pa and lateral chest compared to : lung volumes have improved substantially over the past month and previous interstitial pulmonary abnormality has cleared. a mild hilar adenopathy, has improved since. there is no pleural effusion and the heart is normal size. senile kyphosis explains curvature of the spine. there is no compression fracture.
MIMIC-CXR-JPG/2.0.0/files/p17865089/s52898864/7b2d5dd8-ec542082-9dd3e57e-7b4fd924-711bc4da.jpg	slight enlargement of moderate left pleural effusion. stable moderate right pleural effusion. stable left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11651801/s52898147/f580e812-bf6a5985-bef72d8a-5d10c404-a7030b74.jpg	no evidence of pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p19544520/s58503275/fac75e9b-dfdff710-9dbe071b-c5aad243-ca7cad9c.jpg	ap and lateral views of chest show normal lung volume with new posterior left lower lobe opacity compatible either with atelectasis or pleural effusion. right lung is clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10068304/s59277690/bf43ed24-695eeecc-dfa43d63-26abd435-245989c1.jpg	unchanged moderate cardiomegaly. normal alignment of the sternal wires. unchanged mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19103929/s58849041/67e40569-87f91105-3663d625-bbf184c8-ff1db307.jpg	ap chest compared to at : endotracheal tube ends no less than <num> cm above the carina and could be withdrawn <num> cm to avoid unilateral intubation in the future. there is no pneumothorax; right skin fold which should not be mistaken for a pleural edge. very mild interstitial edema may be present in the right lung. consolidation at the left base, largely pneumonia is unchanged. heart size is top normal. pleural effusions are small if any. no pneumothorax. severe emphysema is chronic.
MIMIC-CXR-JPG/2.0.0/files/p12652642/s56279964/f0f027d7-00d80f40-090e6190-2565c758-6ed4e4cd.jpg	stable cardiomegaly and upper zone vascular redistribution without frank pulmonary edema. small amount of pleural fluid in the minor fissure without substantial pleural fluid in the dependent costophrenic sulci.
MIMIC-CXR-JPG/2.0.0/files/p19140218/s55487947/f226ec10-0e8cae01-69e3c8f4-ee6c6bee-8f3bd7b8.jpg	left-sided port terminates in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p15553257/s56319211/886c62bc-500345dc-6fa1bb42-e4a091a1-56082976.jpg	slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion versus pleural thickening. basilar atelectasis with possible involvement of the right middle lobe.
MIMIC-CXR-JPG/2.0.0/files/p13300396/s53115659/f39099ab-1d72bc38-7f24e99e-89193a2d-36545dca.jpg	endotracheal tube and nasogastric tube are appropriately positioned. pulmonary vascular congestion and minimal interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p18855302/s56263222/bc797820-ccba7664-9bc08fc7-10f077bc-d1b5cc59.jpg	no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. on this single frontal view, no definite focal pneumonia is appreciated, though there is some asymmetric opacification at the right base that could merely represent prominent vessels. if clinically possible, a pa and lateral view would be most helpful to demonstrate or exclude superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19855099/s51729881/59f3f3d2-e70fdaf1-68f9410d-c6a216b8-896c9cb2.jpg	mild pulmonary vascular congestion. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10404505/s51555661/a0c3d580-03befb59-bc4cbeeb-d3e67c2c-c964526c.jpg	increased interstitial markings bilaterally which could be due to interstitial edema although given chronicity of this finding, a chronic underlying interstitial process is possible as is atypical infection.
MIMIC-CXR-JPG/2.0.0/files/p19313943/s53270105/e4ba6dcc-01c7df94-a9e3212f-f7331a6f-4392a25c.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18570563/s52521181/6a46097b-a0843739-406dfe4c-3c85d177-a060f8c2.jpg	mild pulmonary edema. bibasilar opacities likely due to pleural effusions with atelectasis, but cannot exclude underlying pneumonia in these regions.
MIMIC-CXR-JPG/2.0.0/files/p11700849/s59200855/d431932c-b626b7d0-125d50d4-65b47ae7-6a6127a8.jpg	comparison to. no relevant change. small left pleural effusion with subsequent atelectasis at the left lung bases. moderate scoliosis borderline size of the heart. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19696084/s51794891/3101358f-ff0386fe-113df550-624cac20-74e8e2f2.jpg	mild-to-moderate pulmonary edema is improved from the prior evening's film. retrocardiac opacity can be better assessed with radiograph after diuresis.
MIMIC-CXR-JPG/2.0.0/files/p19495630/s52109585/cd32dba3-040e5d20-d20513b8-fcd712d6-ab823ab6.jpg	left perihilar opacities, new since the prior study are concerning for pneumonia. followup radiographs after treatment are recommended.
MIMIC-CXR-JPG/2.0.0/files/p11240642/s58076133/277494c1-64e358ea-7b02b06b-a21c1e2c-91369dcf.jpg	unremarkable chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p16393314/s50786797/2b185b05-e3db51e4-f9b5dd24-9d30feea-59259b15.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13333713/s58536659/8a8c1ac1-c2daa7a3-5941125b-2ff6bdf2-6f1c118e.jpg	endotracheal tube is visualized with the tip in the mid trachea. an enteric tube is visualized with the tip coiled within the stomach. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15700387/s52600284/9c25eb70-f08bf06f-67ffe750-8ab7a12d-f0c46a43.jpg	heart size is top-normal. substantial dilatation of the aorta, most likely including ascending and descending portion is present, as better appreciated on the previous ct from. lungs are essentially clear. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p14867461/s57276692/e4510f24-32bc1ce1-8bfa75b4-5a0cbeca-a4255ca5.jpg	comparison to. status post bronchoalveolar lavage and lymph node dissection. the soft tissue air collection in the right chest wall has completely resolved. there is an unchanged remnant right apical pneumothorax without evidence of tension, with a diameter of approximately <num> cm. mild elevation of the right hemidiaphragm and consolidation at the right lung base, unchanged to the previous examination. constant normal appearance of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p17653729/s52435945/d914768f-bfc08b87-286e40a9-e533ecf4-1fb32ceb.jpg	limited exam without definite signs for acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17295976/s54001412/d86a4454-0b3067b3-28772859-480d9ef5-b435c73b.jpg	comparison to. tracheostomy tube in stable position. normal alignment of the sternal wires. low lung volumes persist. moderate cardiomegaly. no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13299285/s57123610/a6979893-4430b0ab-49304a53-a76e4ec9-05404d43.jpg	no significant interval change when compared to prior study.
MIMIC-CXR-JPG/2.0.0/files/p18637590/s53156790/13ac1be4-4b89ec1c-1614e5c7-ccacbf40-30800a13.jpg	appropriate position of right-sided chest tube with interval improvement in right apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12823036/s50788960/2878ae2b-ba2d2447-a0a70e35-4254ec96-35651982.jpg	hyperinflated, but clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p10737201/s57762258/2d79cd9f-b3b434e2-ff55c915-e45494cc-ccc40bf1.jpg	no acute cardiopulmonary process. enlarged right and left main pulmonary arteries, likely reflecting pulmonary arterial hypertension. minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.
MIMIC-CXR-JPG/2.0.0/files/p14134178/s51721244/415d3a41-b83222a1-6ccabfa6-57cb274a-955025fb.jpg	no significant lymphadenopathy. right line is in atrium. bilateral moderate effusions with associated atelectasis
MIMIC-CXR-JPG/2.0.0/files/p18533492/s54132085/0b4a0f3a-0dd26288-917b9dae-93d714f7-c895fc2b.jpg	as compared to the previous radiograph, no relevant change is seen. elevation of the left hemidiaphragm with subsequent retrocardiac atelectasis. small platelike atelectasis at the right lung bases. normal size of the cardiac silhouette. no pneumonia. no pleural effusions. the right pectoral port-a-cath is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p13859181/s54051265/7019edec-116339d0-a6d8103a-b8c71945-f90a7647.jpg	improvement of mild pulmonary edema and vascular congestion since. unchanged small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13273041/s50167240/f6289608-4caefffa-b93f625f-862b9f21-3996e61a.jpg	in comparison with the earlier study of this date, the right chest tube has been removed there is no significant pneumothorax. otherwise, little change. there is a collection of opacification adjacent to the midportion of the left lateral chest wall with configuration suggesting loculated pleural effusion. adjacent to a it is an area of increased opacification is somewhat ill defined. this could possibly represent a region of pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p15521644/s59980665/61c537d7-0b4cde9a-b37be848-b45099bc-613e7654.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18581612/s57891750/e9612849-962a383b-b8adb0cb-df679b42-9d61dcab.jpg	normal chest radiograph. note is made that this study neither confirms nor excludes the possibility of aortic dissection in appropriate clinical context and if clinically warranted, correlation with ct angiography should be performed.
MIMIC-CXR-JPG/2.0.0/files/p14358282/s50688347/00fc5932-f25c0b50-ff28cd19-8af5f7cb-c4577cae.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11626997/s53127019/40cc0272-d3facaaf-dc5a9a48-c3815f95-3d318902.jpg	mild interstitial edema and severe cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19355999/s52861294/a2d532f6-cc0152e5-25a04011-9d412616-bf9e4283.jpg	right ij central line in place.
MIMIC-CXR-JPG/2.0.0/files/p19795174/s53115392/ed8be396-aa2e2a5d-f5ab02fc-2f9b5546-302a5fc7.jpg	trace right pleural effusion. subtle opacity at the left lower lung may represent overlap of structures or focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14773076/s57422594/53e45063-df2f4994-0aee0640-fc6de472-6f5aa841.jpg	no evidence of acute cardiopulmonary process or fracture. if clinically indicated, dedicated views can be obtained for better assessment of the ribs as this study is not tailored for detection of rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p10109398/s57416957/b5f4b672-358fd4e5-1f44c626-268c8c87-0b438ab1.jpg	moderate cardiomegaly. limited study but no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15569537/s59613756/31dbf8ad-442865a6-ae2980d6-5c95adc5-487a6a2c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19106853/s52491062/b51f86f8-99f3b0e0-0f7f0f79-d1736b66-29420d43.jpg	no evidence of mediastinal lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p12376720/s56846936/ae339dd4-77344ca7-09174b2c-9f8317a8-f63cf277.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12382393/s52454860/8e0e8a4b-c1426957-e0940e0b-83dc623a-603dd354.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13415410/s54139060/271bcf97-e86902dd-b4c116b8-da5309ef-803e3bda.jpg	in comparison with the study of , the patchy area of opacification involving the right lung and left base are less prominent. coarse interstitial markings again are consistent with chronic pulmonary disease and history of chronic aspiration. cardiac silhouette is within normal limits and there no vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12281725/s55741160/8f192a61-0d13ca0a-3d386566-58fca670-14e7bb86.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19855099/s59038176/86fadb7a-69c21ac9-b3d77bad-7a093b81-74a8d847.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19583369/s51289724/8eedd189-04bc834c-f25667e9-a146c8a8-74fd54d1.jpg	as compared to the previous radiograph, no relevant change is seen. platelike atelectasis, visualized on the lateral radiograph only. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia, no pneumothorax. clips are projecting over the left axillary region.
MIMIC-CXR-JPG/2.0.0/files/p15589845/s52423980/5cfb57d7-448f3fb8-91058d8e-1dc9a4d3-6fb97da5.jpg	no evidence of pneumonia. nodular opacity on the lateral view requires further evaluation with nonemergent ct of the chest.
MIMIC-CXR-JPG/2.0.0/files/p10569231/s51507599/08895756-28628f43-7bb6fa61-72737637-e90ef342.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11784093/s53640870/1b5f661f-aed40b55-45993b8f-339b4723-59c3cf9b.jpg	increasing mild pulmonary edema and pulmonary vascular engorgement likely due to heart failure.
MIMIC-CXR-JPG/2.0.0/files/p13016981/s51622852/b251cbd8-8d0ebbd2-2f6e9f66-75c2aca9-aaf8ea80.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17304251/s56073007/bb34102c-a0f7cbc7-3efb9a1a-094b0d35-03e1f0e3.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19143018/s56332748/48125ddf-e5d76b69-f34598a6-f5050c3d-12b73b94.jpg	interval extubation. decreased lung volumes with patchy bibasilar opacities likely reflecting atelectasis. crowding of the vasculature with no evidence of pulmonary edema. no large effusions. no pneumothorax. overall cardiac and mediastinal contours are likely stable given differences in patient positioning and inspiratory effort.
MIMIC-CXR-JPG/2.0.0/files/p14588689/s57308159/90b580a2-abb65249-9822bfbb-e4088c6e-803cdb40.jpg	new left lower lobe collapse. be caused by aspiration. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19321265/s53113362/887618e0-b3bb6207-135b9147-904e9cff-37230ef7.jpg	resolution of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13540340/s55264152/98f5946e-934d34c6-ce4f8ff9-91270542-0934461c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15154432/s52798295/9407d860-da443504-724055af-1ddab864-2d859e8d.jpg	worsened fluid status
MIMIC-CXR-JPG/2.0.0/files/p16744121/s59724476/b34a0a25-7828fa7c-04860ece-5e1db2b4-7cdd9cb5.jpg	in comparison with the study of , the left hemidiaphragm is more sharply seen. this is consistent with improved aeration of the left lower lobe, possibly related to the at expectoration of a mucous plug. no evidence of acute pneumonia or vascular congestion. the endotracheal tube has been removed.
MIMIC-CXR-JPG/2.0.0/files/p13224377/s57479493/6355bc78-a277f84f-04f8f9a1-2418f599-3a5e0481.jpg	developing opacities in the left mid lung and right base could represent aspiration in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19682346/s51766511/f58aefce-a42d4f41-4541c795-3d7d5666-8c12751b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16773335/s56456741/65cc2d22-b5fde1dc-e370d619-53e20c76-67d1aa3f.jpg	because mild pulmonary edema is improving, perhaps the multifocal consolidation which is also improving is asymmetric edema. alternatively both edema and pneumonia are resolving independently. moderate left pleural effusion however is larger. this moderate to severe cardiomegaly is chronic. right pic line ends in the mid svc. no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p13983645/s54563949/ff06e107-67536b19-4fde98e2-d6098ac8-3d4c7b72.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18291658/s51926527/eea49347-7481c1e5-5091d089-ff59f1b3-586e9319.jpg	in comparison with the study , there is little change in the right basilar opacification most likely representing pneumonia. retrocardiac opacification with obscuration of the left hemidiaphragm is again consistent with volume loss in the left lower lobe and pleural effusion. the tip of the port-a-cath again extends to the lower svc or cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p18950662/s56196357/7d94aae1-cd3024e6-ddba26ca-f21fd653-fc9535bb.jpg	left lower lobe opacity, suspicious for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12852411/s55532219/605a1019-1c139c28-86076301-47dda287-244d1014.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15434390/s59491026/d539dc2f-936b7b57-d8b9ed51-217af0c9-624ac3be.jpg	mild bibasilar atelectasis and possible minimal bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15862014/s54188781/d17ee6e5-c582aee0-ac9992e7-549a097a-1e5b2814.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette with prominence of the mediastinum and some elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p19402079/s59447369/ff4d1ff7-bc90ae38-67faa25a-d6b0fb69-60435d29.jpg	pa and lateral chest compared to : frontal views suggest new consolidation in the left lower lobe, but that is not really confirmed on the lateral. as such, it would be reasonable to obtain (left anterior oblique) views to get a better look at the left lower lobe. the lungs are otherwise clear. mild-to-moderate cardiomegaly is chronic. pleural effusion minimal if any. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14135978/s59881533/2cd23299-d6fbd4f8-ec31f20a-2627021b-ec33e7c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19489758/s55526795/4b19b614-c01aa87e-c30fd890-4d7a6494-f5797f48.jpg	no acute cardiopulmonary process. the mediastinum is not widened.
MIMIC-CXR-JPG/2.0.0/files/p12109233/s59648634/22b1b29c-e505988a-c37895ea-6a6668f3-b310393d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16967171/s51952630/02017255-b1d98ef7-f2a16ae4-c821468e-d26c7e14.jpg	no definite signs of pneumonia. lateral view may aid in overall assessment if there is strong clinical concern.
MIMIC-CXR-JPG/2.0.0/files/p17006856/s53447485/373ab56a-33f01a86-515b2477-08fb2b1d-651446f4.jpg	the patient is markedly rotated to her left. the heart remains enlarged. mediastinal contours are likely unchanged. right internal jugular central line, endotracheal tube, nasogastric tube are likely unchanged in position. there is persistent confluent airspace disease in the left mid upper lung and both lung bases which is likely not significantly changed, but may reflect pneumonia or pulmonary edema. clinical correlation is advised. there are likely layering effusions. no pneumothorax is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p18339865/s50318469/e93e013a-0595aee9-c74fab6e-f15e5f1c-583dde99.jpg	pa and lateral chest compared to : a strand-like opacity in the lingula, new since is most likely atelectasis, and could be distal to a small mucoid impaction, which one would not expect to see on conventional study. lateral view shows two additional areas of presumed atelectasis. there is no particular evidence of esophageal distention on this study although that was feature of the chest ct on. heart size is normal. there is no pleural effusion or central adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p17702558/s55270996/dbe65df6-c8a537d4-64636a7f-d1a63cb8-9d4d50cf.jpg	with the earlier study of this date, there has been further aeration of the left upper lung with the pleurx catheter in place, though a substantial effusion and volume loss in the left lung process. no definite pneumothorax. the right lung remains clear.
MIMIC-CXR-JPG/2.0.0/files/p18227470/s54128940/d1c00da6-9df3954b-69eae830-c991e1bc-96bc0418.jpg	bilateral hila are slightly more prominent than studies dating back to , but are not markedly increased compared to more recent studies. recommendation(s): if further evaluation is clinically warranted, a ct chest can be obtained.
MIMIC-CXR-JPG/2.0.0/files/p13852412/s53246088/224467c1-688df5d2-09333929-ed3a5615-ae6e449b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17388366/s56450665/20b75c76-82b7227f-a7738d51-90561699-d4e0cf5d.jpg	in comparison with the study , the endotracheal tube and nasogastric tube have been removed. otherwise, little overall change. there is again enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. band of opacification at the left base is consistent with atelectasis and possible small effusion.
MIMIC-CXR-JPG/2.0.0/files/p10977846/s59769420/d869c0c0-4ea77668-a2af41d6-c0973209-6bdadd03.jpg	no definite acute fracture is seen, although if concern for rib fracture is high, suggest rib series.
MIMIC-CXR-JPG/2.0.0/files/p14014677/s50071614/31c54c5a-2f8ddedb-9cee3b64-52314cc9-50561105.jpg	comparison to. no relevant change is noted. stable hiatal hernia. stable right pectoral port-a-cath. borderline size of the heart. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14290075/s53858670/a79d2903-1d7f21f4-a401e2e0-b686775d-02eca8a4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18743111/s56700602/633eef44-ad7da7a6-cc83e8dc-ba02f5f8-7c6e3a55.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15386471/s52914279/a55880bd-450f34ae-8c1ad8e1-8203abd5-f4487281.jpg	as compared to the previous image from , the left lung base is minimally better ventilated than on the previous image. mild cardiomegaly and low lung volumes persist. the monitoring and support devices are in constant position. there is no evidence for new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p11482361/s56338562/2879bd91-094a4bce-b246cca7-ee930483-323b5677.jpg	no acute cardiopulmonary process. left shoulder dislocation better assessed on dedicated left shoulder radiographs. no definite rib fracture identified.
MIMIC-CXR-JPG/2.0.0/files/p15190257/s59617499/465dfa27-7994969f-fb1ac690-6d76636c-4f093c32.jpg	in comparison with the study of , the right ij catheter is been removed replaced with a sheath. endotracheal and nasogastric tubes remain in good position. continued haziness of the right hemithorax consistent with layering effusion and mild atelectatic changes. the left base shows only minimal atelectatic change. cardiac silhouette is within normal limits and there is no vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15411028/s56824982/5993581a-46b55aac-8781264a-41f20b0e-a072d434.jpg	increased retrocarciac opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11653727/s52133466/b84aaa80-c7698f55-e4d188ca-4002d7c5-aa6fab8f.jpg	no evidence pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s53886103/c6f33731-073a5ab2-4dc167f8-d76163cd-1c938b86.jpg	more vague opacity in the right lower lung; although a component of this opacity appears typical for atelectasis, findings are concerning for pneumonia in the appropriate setting.
MIMIC-CXR-JPG/2.0.0/files/p10805461/s55899272/356d987a-b9e990bc-fc70a246-0ea7cce6-2231064b.jpg	increased interstitial markings likely represent mild interstitial edema or atypical infection. bibasilar scarring or atelectasis is similar to prior study.
MIMIC-CXR-JPG/2.0.0/files/p14605976/s58045519/73710f94-e9efd5d4-5f24f15c-a2f589fb-27c1dc16.jpg	unremarkable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14928790/s58434162/f25fc2c1-66da5e95-25a6a1f5-22edf71a-9d0e3aa2.jpg	slight interval decrease in the size of small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14175995/s57207655/e3c4133a-e327cf1e-12f514e4-b8cc7185-e10b0a30.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p15892671/s58509761/641a27e1-c2d2a51c-f385213d-959d100a-38edac62.jpg	findings concerning for multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11008298/s53682842/7ff6f454-12c37e81-9e2e598c-607d5f08-a941202a.jpg	small bilateral pleural effusions and interstitial edema. enlarged cardiac silhouette. bibasilar opacities likely represent combination of edema and pleural effusions, however, infectious process or aspiration not excluded in the appropriate clinical setting.

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no acute intrathoracic process.

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<num> mm faint rounded opacity within the left lung apex, new from prior exams. this finding is nonspecific and may reflect an inflammatory or infectious process, and a follow up radiograph after treatment is recommended to ensure resolution of this finding. if this finding persists, a chest ct is recommended.

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no acute cardiopulmonary abnormality.

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compared to prior chest radiographs since , most recently. <num> round, cm size radio opacities project over the right lung and anterior fifth rib. one is the right nipple, and the other could be a calcification in the costal cartilage. i would recommend shallow oblique views with nipple markers to exclude a lung nodule, even though no corresponding abnormality is seen on the lateral view. lungs are otherwise fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. recommendation(s): shallow oblique views with nipple markers. these should be shown to radiologist before the patient leaves the radiology department.

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pa and lateral chest compared to : lung volumes have improved substantially over the past month and previous interstitial pulmonary abnormality has cleared. a mild hilar adenopathy, has improved since. there is no pleural effusion and the heart is normal size. senile kyphosis explains curvature of the spine. there is no compression fracture.

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slight enlargement of moderate left pleural effusion. stable moderate right pleural effusion. stable left basilar atelectasis.

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no evidence of pneumoperitoneum.

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ap and lateral views of chest show normal lung volume with new posterior left lower lobe opacity compatible either with atelectasis or pleural effusion. right lung is clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.

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unchanged moderate cardiomegaly. normal alignment of the sternal wires. unchanged mild pulmonary edema.

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ap chest compared to at : endotracheal tube ends no less than <num> cm above the carina and could be withdrawn <num> cm to avoid unilateral intubation in the future. there is no pneumothorax; right skin fold which should not be mistaken for a pleural edge. very mild interstitial edema may be present in the right lung. consolidation at the left base, largely pneumonia is unchanged. heart size is top normal. pleural effusions are small if any. no pneumothorax. severe emphysema is chronic.

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stable cardiomegaly and upper zone vascular redistribution without frank pulmonary edema. small amount of pleural fluid in the minor fissure without substantial pleural fluid in the dependent costophrenic sulci.

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left-sided port terminates in the low svc.

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slight blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion versus pleural thickening. basilar atelectasis with possible involvement of the right middle lobe.

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endotracheal tube and nasogastric tube are appropriately positioned. pulmonary vascular congestion and minimal interstitial edema.

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no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. on this single frontal view, no definite focal pneumonia is appreciated, though there is some asymmetric opacification at the right base that could merely represent prominent vessels. if clinically possible, a pa and lateral view would be most helpful to demonstrate or exclude superimposed pneumonia.

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mild pulmonary vascular congestion. no focal consolidation.

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increased interstitial markings bilaterally which could be due to interstitial edema although given chronicity of this finding, a chronic underlying interstitial process is possible as is atypical infection.

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no evidence of acute cardiopulmonary process.

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mild pulmonary edema. bibasilar opacities likely due to pleural effusions with atelectasis, but cannot exclude underlying pneumonia in these regions.

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comparison to. no relevant change. small left pleural effusion with subsequent atelectasis at the left lung bases. moderate scoliosis borderline size of the heart. no pneumonia, no pulmonary edema, no pleural effusions.

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mild-to-moderate pulmonary edema is improved from the prior evening's film. retrocardiac opacity can be better assessed with radiograph after diuresis.

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left perihilar opacities, new since the prior study are concerning for pneumonia. followup radiographs after treatment are recommended.

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unremarkable chest radiographic examination.

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normal chest radiograph.

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endotracheal tube is visualized with the tip in the mid trachea. an enteric tube is visualized with the tip coiled within the stomach. no acute cardiopulmonary process.

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heart size is top-normal. substantial dilatation of the aorta, most likely including ascending and descending portion is present, as better appreciated on the previous ct from. lungs are essentially clear. no pleural effusion or pneumothorax is seen.

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comparison to. status post bronchoalveolar lavage and lymph node dissection. the soft tissue air collection in the right chest wall has completely resolved. there is an unchanged remnant right apical pneumothorax without evidence of tension, with a diameter of approximately <num> cm. mild elevation of the right hemidiaphragm and consolidation at the right lung base, unchanged to the previous examination. constant normal appearance of the left lung.

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limited exam without definite signs for acute pneumonia.

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comparison to. tracheostomy tube in stable position. normal alignment of the sternal wires. low lung volumes persist. moderate cardiomegaly. no pulmonary edema, no pleural effusions.

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no significant interval change when compared to prior study.

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appropriate position of right-sided chest tube with interval improvement in right apical pneumothorax.

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hyperinflated, but clear lungs.

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no acute cardiopulmonary process. enlarged right and left main pulmonary arteries, likely reflecting pulmonary arterial hypertension. minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.

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no significant lymphadenopathy. right line is in atrium. bilateral moderate effusions with associated atelectasis

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as compared to the previous radiograph, no relevant change is seen. elevation of the left hemidiaphragm with subsequent retrocardiac atelectasis. small platelike atelectasis at the right lung bases. normal size of the cardiac silhouette. no pneumonia. no pleural effusions. the right pectoral port-a-cath is in unchanged position.

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improvement of mild pulmonary edema and vascular congestion since. unchanged small left pleural effusion.

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in comparison with the earlier study of this date, the right chest tube has been removed there is no significant pneumothorax. otherwise, little change. there is a collection of opacification adjacent to the midportion of the left lateral chest wall with configuration suggesting loculated pleural effusion. adjacent to a it is an area of increased opacification is somewhat ill defined. this could possibly represent a region of pneumonia in the appropriate clinical setting.

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no acute cardiopulmonary process.

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normal chest radiograph. note is made that this study neither confirms nor excludes the possibility of aortic dissection in appropriate clinical context and if clinically warranted, correlation with ct angiography should be performed.

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no acute cardiopulmonary process.

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mild interstitial edema and severe cardiomegaly.

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right ij central line in place.

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trace right pleural effusion. subtle opacity at the left lower lung may represent overlap of structures or focal pneumonia.

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no evidence of acute cardiopulmonary process or fracture. if clinically indicated, dedicated views can be obtained for better assessment of the ribs as this study is not tailored for detection of rib fractures.

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moderate cardiomegaly. limited study but no definite acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence of mediastinal lymphadenopathy.

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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 patchy area of opacification involving the right lung and left base are less prominent. coarse interstitial markings again are consistent with chronic pulmonary disease and history of chronic aspiration. cardiac silhouette is within normal limits and there no vascular congestion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, no relevant change is seen. platelike atelectasis, visualized on the lateral radiograph only. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia, no pneumothorax. clips are projecting over the left axillary region.

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no evidence of pneumonia. nodular opacity on the lateral view requires further evaluation with nonemergent ct of the chest.

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no acute cardiopulmonary abnormality.

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increasing mild pulmonary edema and pulmonary vascular engorgement likely due to heart failure.

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no acute cardiopulmonary process.

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no evidence of pneumonia.

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interval extubation. decreased lung volumes with patchy bibasilar opacities likely reflecting atelectasis. crowding of the vasculature with no evidence of pulmonary edema. no large effusions. no pneumothorax. overall cardiac and mediastinal contours are likely stable given differences in patient positioning and inspiratory effort.

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new left lower lobe collapse. be caused by aspiration. no evidence of pneumonia.

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resolution of pneumonia.

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no acute cardiopulmonary process.

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worsened fluid status

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in comparison with the study of , the left hemidiaphragm is more sharply seen. this is consistent with improved aeration of the left lower lobe, possibly related to the at expectoration of a mucous plug. no evidence of acute pneumonia or vascular congestion. the endotracheal tube has been removed.

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developing opacities in the left mid lung and right base could represent aspiration in the correct clinical setting.

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no acute intrathoracic process.

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because mild pulmonary edema is improving, perhaps the multifocal consolidation which is also improving is asymmetric edema. alternatively both edema and pneumonia are resolving independently. moderate left pleural effusion however is larger. this moderate to severe cardiomegaly is chronic. right pic line ends in the mid svc. no pneumothorax

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no acute cardiopulmonary process.

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in comparison with the study , there is little change in the right basilar opacification most likely representing pneumonia. retrocardiac opacification with obscuration of the left hemidiaphragm is again consistent with volume loss in the left lower lobe and pleural effusion. the tip of the port-a-cath again extends to the lower svc or cavoatrial junction.

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left lower lobe opacity, suspicious for pneumonia.

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no acute cardiopulmonary process.

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mild bibasilar atelectasis and possible minimal bilateral pleural effusions.

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in comparison with the study of , there again is enlargement of the cardiac silhouette with prominence of the mediastinum and some elevation of pulmonary venous pressure.

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pa and lateral chest compared to : frontal views suggest new consolidation in the left lower lobe, but that is not really confirmed on the lateral. as such, it would be reasonable to obtain (left anterior oblique) views to get a better look at the left lower lobe. the lungs are otherwise clear. mild-to-moderate cardiomegaly is chronic. pleural effusion minimal if any. no pneumothorax.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. the mediastinum is not widened.

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no acute cardiopulmonary process.

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no definite signs of pneumonia. lateral view may aid in overall assessment if there is strong clinical concern.

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the patient is markedly rotated to her left. the heart remains enlarged. mediastinal contours are likely unchanged. right internal jugular central line, endotracheal tube, nasogastric tube are likely unchanged in position. there is persistent confluent airspace disease in the left mid upper lung and both lung bases which is likely not significantly changed, but may reflect pneumonia or pulmonary edema. clinical correlation is advised. there are likely layering effusions. no pneumothorax is appreciated.

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pa and lateral chest compared to : a strand-like opacity in the lingula, new since is most likely atelectasis, and could be distal to a small mucoid impaction, which one would not expect to see on conventional study. lateral view shows two additional areas of presumed atelectasis. there is no particular evidence of esophageal distention on this study although that was feature of the chest ct on. heart size is normal. there is no pleural effusion or central adenopathy.

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with the earlier study of this date, there has been further aeration of the left upper lung with the pleurx catheter in place, though a substantial effusion and volume loss in the left lung process. no definite pneumothorax. the right lung remains clear.

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bilateral hila are slightly more prominent than studies dating back to , but are not markedly increased compared to more recent studies. recommendation(s): if further evaluation is clinically warranted, a ct chest can be obtained.

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no acute cardiopulmonary process.

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in comparison with the study , the endotracheal tube and nasogastric tube have been removed. otherwise, little overall change. there is again enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure. band of opacification at the left base is consistent with atelectasis and possible small effusion.

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no definite acute fracture is seen, although if concern for rib fracture is high, suggest rib series.

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comparison to. no relevant change is noted. stable hiatal hernia. stable right pectoral port-a-cath. borderline size of the heart. no pneumonia, no pulmonary edema, no pleural effusions.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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as compared to the previous image from , the left lung base is minimally better ventilated than on the previous image. mild cardiomegaly and low lung volumes persist. the monitoring and support devices are in constant position. there is no evidence for new parenchymal opacities.

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no acute cardiopulmonary process. left shoulder dislocation better assessed on dedicated left shoulder radiographs. no definite rib fracture identified.

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in comparison with the study of , the right ij catheter is been removed replaced with a sheath. endotracheal and nasogastric tubes remain in good position. continued haziness of the right hemithorax consistent with layering effusion and mild atelectatic changes. the left base shows only minimal atelectatic change. cardiac silhouette is within normal limits and there is no vascular congestion.

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increased retrocarciac opacity concerning for pneumonia.

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no evidence pneumonia.

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more vague opacity in the right lower lung; although a component of this opacity appears typical for atelectasis, findings are concerning for pneumonia in the appropriate setting.

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increased interstitial markings likely represent mild interstitial edema or atypical infection. bibasilar scarring or atelectasis is similar to prior study.

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unremarkable chest radiograph.

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slight interval decrease in the size of small bilateral pleural effusions.

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no significant interval change.

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findings concerning for multifocal pneumonia.

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small bilateral pleural effusions and interstitial edema. enlarged cardiac silhouette. bibasilar opacities likely represent combination of edema and pleural effusions, however, infectious process or aspiration not excluded in the appropriate clinical setting.