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/p15845966/s53272643/b7fb6c7e-ab3e0361-97a2aa14-d3d958bc-dfe2effa.jpg	bibasilar atelectasis without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14136828/s57724999/92461fb6-1ee028fd-969a85cc-887e10cc-85f73d16.jpg	in comparison with the study of , the ij sheath has been removed and replaced with a central catheter that extends to the cavoatrial junction or possibly the upper portion of the right atrium. otherwise, little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p19650721/s58276033/9871b810-1a8da9d7-b6685eda-3c1174a7-c72e962c.jpg	lung hyperinflation, suggestive of copd.
MIMIC-CXR-JPG/2.0.0/files/p16863940/s50587244/464951de-6776f734-395b3684-07e3e423-c6e639d9.jpg	as compared to the previous radiograph, no relevant change is seen. normal lung volumes. borderline size of the cardiac silhouette, without pulmonary edema. mild elongation of the descending aorta. normal hilar and mediastinal structures. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11134598/s57609026/8d48451e-3727feed-504c20c5-cebdf006-ba087b04.jpg	likely anterior mediastinal mass that warrants further evaluation with ct chest. upper thoracic vertebral sclerosis raises concern for metastatic disease, especially given the history of prostate cancer, and also warrants further evaluation with ct chest. no acute pneumonia. recommendation(s): obtain ct chest for further evaluation of vertebral sclerosis and likely anterior mediastinal mass.
MIMIC-CXR-JPG/2.0.0/files/p12882985/s54772710/764df048-8bd57af5-8439518b-1f6969de-1e1da89c.jpg	this examination was presented for review on. tip of the right internal jugular line projects over the mid-to-low svc. nasogastric tube is looped in the lower esophagus and ends at the level of the aortic arch. heart is top normal size, but difficult to assess, because of patient rotation, which also obscures the left lower lobe. small left pleural effusion is likely. right lung and right pleural space normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13383310/s56695987/debf0293-e371b69b-698a570b-8b0ad7e7-95f57bc7.jpg	low lung volumes without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14661372/s58701205/9cb7758c-5a1b695e-f308c800-726bb17f-ddc99e41.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16812723/s54691662/9225ad62-49200968-4604eace-9f9a57cc-388868ae.jpg	improved left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13455616/s51046082/4f1d48cc-70a7be88-9c3c85a1-6c25be4f-eb70bad7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13328863/s59231507/74b1b469-2302a721-20776161-71c676d0-b18adbb8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11356876/s54236342/24690068-362d39fa-88628c2b-a406b86d-88ade6a0.jpg	compared to chest radiographs through. generalized bilateral perihilar pulmonary opacification has worsened over the past several days and could be explained by pulmonary edema alone. dense left lower lobe consolidation could be a combination of edema and atelectasis but pneumonia is not excluded. if pleural effusions are presumed, probably moderate on the left, unchanged. no pneumothorax. mild cardiac enlargement increased slightly. left pic line ends in the azygos vein. feeding tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p17388733/s51436194/7367a8df-984f1688-e8b57907-cc902c18-658199ba.jpg	no focal area of opacity concerning for infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p13105954/s55897913/35af96e3-bf097715-7f5b0b81-08a914bb-3bc44634.jpg	the previously seen right upper to mid lung large consolidation has resolved in the interval. patchy bibasilar opacities persist, could be due to atelectasis or scarring however, residual mild consolidation from pneumonia not entirely excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
MIMIC-CXR-JPG/2.0.0/files/p14353305/s58520298/42ca2ba5-e482da7a-5081af90-77a8d42c-1ed60489.jpg	small left apical pneumothorax without signs of tension. please note, the study was performed on and submitted for interpretation for the first time to this radiologist on.
MIMIC-CXR-JPG/2.0.0/files/p13465746/s54920201/0f8440c4-81802c4c-637af5a9-7644e582-a661fa8e.jpg	no acute cardiac or pulmonary findings. mediastinal mass, fully evaluated on recent ct from.
MIMIC-CXR-JPG/2.0.0/files/p15026018/s50809897/bb10f88f-77a0dca8-eae7ae43-26eab15e-9608bff0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15009233/s54889621/3e66040b-fe842efd-f002dc07-5df068b5-7ecfa163.jpg	in comparison with study of , there is substantial increased opacification at the left base with silhouetting the hemidiaphragm, consistent with volume loss in the left lower lobe and pleural fluid. otherwise little change. continued enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect pulmonary vascular congestion, chronic pulmonary disease, or both.
MIMIC-CXR-JPG/2.0.0/files/p13965528/s52702361/ec2f9236-65658277-15d42690-a278868e-c4f3303f.jpg	small to moderate size right pleural effusion, not substantially changed from the prior radiograph with right atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15472819/s54953459/b7989f62-40a1cbb0-802ea2ef-aea49c5b-7f536565.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14291445/s57824994/cdacca86-cf748b74-8afade8a-189bc5c4-fffbf894.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10723086/s54050905/2aa2f608-6db47d18-6b18a13b-6afa0850-2fe5c9db.jpg	the left hd catheter is unchanged in position and terminates in the right atrium.
MIMIC-CXR-JPG/2.0.0/files/p16697006/s53446555/d2fc7622-0a0dad29-90e9236a-e79b76b8-25a5f085.jpg	hyperexpanded lungs suggestive of copd. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16083444/s56664323/f2b5d685-a3213788-cb74b975-70a5ea67-f739644d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10850048/s56379122/808a68da-c51692e2-e76151c5-b70f4be5-2ae8f4d4.jpg	patchy opacities in the left lung, notably in the left upper lobe with nodular components. the distribution has shifted since the prior study but the type of opacification is somewhat similar. this may indicate recurring aspiration as a possible etiology in addition the possibilitiy of community-acquired bronchopneumonia or atypical infection.
MIMIC-CXR-JPG/2.0.0/files/p12741711/s51188200/424e68ad-48de6c39-d77e196d-baa9ddc7-14a52855.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15779226/s58292271/c1e019f3-35924455-0d1976a5-a6775573-100ab1bb.jpg	no acute cardiopulmonary process seen. no rib fracture seen.
MIMIC-CXR-JPG/2.0.0/files/p14584871/s58742825/cdb52088-9bd8ae45-660ae9f0-84e91e22-d39f140f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18573535/s52690620/69be5046-149f2360-9a4703d6-6f3d0f52-c7d9f00c.jpg	increased opacity in the right middle compared with prior represent atelectasis, however pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11988172/s59279509/11547c92-4d524575-88ddef57-8cb036f4-00aa24f0.jpg	as compared to the previous image, the lung volumes have decreased, with subsequent formation of atelectatic lung portions at both the left and the right lung bases. no pleural effusions. no pneumothorax or other complications after attempted feeding tube placement. unchanged borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p11618548/s59098038/cd47a219-0689541a-901b50da-af21d846-e9e22b5c.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19774387/s54559674/b2da33f5-ad6abbc2-c518b272-97656541-21bffaf0.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14919634/s57770680/42a2cbd9-131f4b5d-8dccc85e-e3b030c9-ec87c5e6.jpg	comparison to. other monitoring and support devices are stable, stable position of the left and right main bronchial stents. parenchymal opacities in the left mid and lower lung are stable.
MIMIC-CXR-JPG/2.0.0/files/p12759187/s52932203/a153c346-b49475e1-e8eb1908-44199c09-27a39b45.jpg	mild to moderate pulmonary edema, increased since the prior exam. severe cardiomegaly, unchanged from the prior exam.
MIMIC-CXR-JPG/2.0.0/files/p12812249/s52336933/6796aa9d-a332b502-b68bca74-18f20568-bf724836.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10432914/s50137177/7f181edd-edee9440-bcfdd1a4-feaf0523-87f526f0.jpg	no pneumonia. more severe cardiomegaly compared to.
MIMIC-CXR-JPG/2.0.0/files/p19375617/s51938006/08502645-68debb17-5e2e8f3b-235295c4-12f5b07c.jpg	no significant change. persistent and stable significant bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15514793/s58566145/b83b0c72-db86c790-cbecd75c-5fc59c14-85f2837c.jpg	no significant interval change with moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16386802/s54352792/9df62f2f-2fdad5b9-7c8da5c9-79482c08-0f039f9f.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17205768/s54345350/41827afa-91461bea-757f88b9-a82e0837-b15a3b3a.jpg	no acute intrathoracic abnormalities identified. no nodules concerning for malignancy identified.
MIMIC-CXR-JPG/2.0.0/files/p19834311/s50484979/9de912cd-5792f989-ef9c85bf-e58cb467-e7ce6799.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11902171/s57550200/ffd6059d-ab237eac-43b05992-142c17f3-bbe0287c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12404693/s57175127/c90e1577-b5ff016f-43b377d2-80fad797-a3aba3c5.jpg	elevation of the right hemidiaphragm with associated right basilar opacity, likely representing atelectasis, less likely pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11287191/s50004887/fec382d2-96ec6c2c-22b26d3f-07264069-5a47d192.jpg	no acute focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p11473436/s59178411/199b3d07-86baf4fd-64f46d1a-761e01d2-336797b9.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11457450/s52118787/55b471e2-315362ac-6d102369-5ddf831d-627a8f77.jpg	no acute cardiopulmonary process. emphysematous changes.
MIMIC-CXR-JPG/2.0.0/files/p11917817/s54768643/7b1dc33a-57d68db9-4680b60e-5d6b6f8b-42695e92.jpg	no acute cardiopulmonary process. minimal left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13442722/s54989472/760cf949-a2b99928-b46ed445-9875c399-cc142276.jpg	no acute intrathoracic process. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p10167294/s57419506/e9134473-eba03765-640cfea1-289a02da-d82a155e.jpg	no pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17283683/s53009684/f3d91a94-49c805ce-9ba3663b-173ae839-ac357e9a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18533492/s59092713/b06502e4-4543343f-28efb923-9e991cff-c101ff37.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17547970/s55477770/819b74bb-2803e306-556cc8fb-4c2c70b6-4cb62f71.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15616996/s50259895/c5879d85-ec26b4aa-7d115b46-69729ede-c8ec5e07.jpg	no acute cardiopulmonary abnormality. compared to , unchanged left port catheter and right dual-lumen hemodialysis catheter positions.
MIMIC-CXR-JPG/2.0.0/files/p17928042/s54667732/55bcd493-4ab3f80a-7cc1d9c3-69d87852-b841d04c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11064721/s53016576/93e0e9cb-29b18f15-959285a5-97693753-4fff5561.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10916461/s59806730/99122886-3baceec3-a97c13f5-e9e45591-30896a6d.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15075859/s55016944/bcbaf8d4-870b134e-ebcc6a7c-b1717cef-02f22850.jpg	comparison to ,. with the left chest tube now on waterseal, the dimension of the known left pneumothorax is constant. no evidence of tension. unchanged moderate cardiomegaly with mild pulmonary edema and the presence of a small to moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10216097/s58218519/f24e6086-6d4a4768-9fe643b5-229f63ab-5760b139.jpg	there is substantial interval increase in right pleural effusion with the leftward shift of the mediastinum. no substantial left pleural effusion demonstrated. no definitive pulmonary edema is seen. no pneumothorax is present.
MIMIC-CXR-JPG/2.0.0/files/p18969221/s58178074/cb0d6a8e-7a50eac6-3f93e4fc-89b441d2-67a03344.jpg	right lower lobe atelectasis is largely cleared. no appreciable right pneumothorax or pleural effusion. thoracostomy tube is fissural and its continued function needs to be carefully observed. other lines and tubes in standard placements, including swan-ganz catheter just beyond the pulmonic valve. small left pleural effusion increased, left lower lobe collapse unchanged. mild pulmonary vascular congestion and normal postoperative appearance of the cardiomediastinal silhouette unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19894323/s58441161/abd707b1-ffae8288-c5dcd862-278bfea2-279d5f6e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15989444/s56011422/87aac26d-a01fe2ae-d52e3bd7-febdae54-ad92e450.jpg	possible left lower lobe pneumonia in the appropriate clinical context.
MIMIC-CXR-JPG/2.0.0/files/p18933476/s54612167/7ba47c4a-baf6a271-8cc2d788-a4309147-09eec6a2.jpg	interval placement of left chest tube with appearance of a small left apical and lateral pneumothorax. there continues to be retrocardiac consolidation with a probable associated small effusion likely reflecting partial lower lobe atelectasis, although pneumonia or aspiration should also be considered in the correct clinical setting. the right chest tube and right subclavian line are unchanged in position. no right-sided pneumothorax is appreciated. however, there is right apical lateral pleural thickening which may represent a component of loculated fluid. patchy opacity at the right base favors atelectasis ,although again pneumonia or aspiration cannot be excluded. there is widening of the superior mediastinum on the left in the region of the distal portion of the chest tube with obliteration of the aortic knob. this could represent an area of left upper upper lobe atelectasis, although hemorrhage related to chest tube placement should also be considered. this can be better assessed on followup imaging. the heart remains stably enlarged.
MIMIC-CXR-JPG/2.0.0/files/p12709147/s55313984/92d18a02-02e937ff-9008bda9-eb60c098-b23659de.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10101070/s52909222/f027f2f7-5c16855c-6e786186-8a97044e-8bae9caf.jpg	increasing bilateral pleural effusions and interstitial edema. no consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10064390/s53483779/2bc1faf8-e986c1c3-da21cf21-08d61b1e-47bd61a9.jpg	compared to prior chest radiographs and :<num>. previous moderate pulmonary edema has improved. given the lung volumes are greater, there is more consolidation at the left lung base, presumably atelectasis. the severity of right basal consolidation is stable. this is either atelectasis or pneumonia. small pleural effusions are presumed. heart size normal. et tube in standard placement.
MIMIC-CXR-JPG/2.0.0/files/p11020545/s50113336/9e3bcf0d-257b65ea-748f894d-8e73ced0-3c7a0be8.jpg	no acute cardiopulmonary abnormalitiesfree air is visualized under the left hemidiaphragm compatible with recent abdominal surgery
MIMIC-CXR-JPG/2.0.0/files/p10993373/s57253767/779e35fc-fe674ef9-bd1f75dc-ed7b8c81-83b526a3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg	stable appearance of the chest without evidence for acute abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p16950272/s54762587/ab852575-1911c97f-1aa0be9f-ac0b2c1b-28f567cf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11078430/s55673635/2a6f9ac6-fbc32f10-78a41c15-87db4cc0-f0dbc46a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18762761/s53762989/1f83a4f7-7bf5db77-cf09cd77-39892511-15cccaa6.jpg	moderate cardiomegaly is a stable. right lower lobe opacity a combination of atelectasis and effusion is a stable. retrocardiac opacities have improved also a combination of pleural effusion and adjacent atelectasis. vascular congestion has improved. there is no evident pneumothorax. patient has known emphysema. right ij catheter tip is in the mid svc
MIMIC-CXR-JPG/2.0.0/files/p11304916/s53785697/5e0a8107-cda510df-ab9bad88-d4028819-06094ea6.jpg	no evidence of subdiaphragmatic free air.
MIMIC-CXR-JPG/2.0.0/files/p15934572/s52424414/b4a5dcee-51a02655-a6f48325-07bb3400-dd0b2342.jpg	ap chest compared to , : mild pulmonary edema has improved in the left lung. right lung is partially obscured by increasing moderate right pleural effusion, but probably not worse. moderate cardiomegaly stable. right jugular line ends close to the superior cavoatrial junction. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18449040/s51632747/9e6c4431-a4def7b3-49c87afe-e0663e3a-dc9153af.jpg	streaky atelectasis in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p19562990/s59434572/b137c260-17225284-473f678d-31772bfb-12ccceb0.jpg	on the lateral view, there is equivocal opacity projecting over the posterior lung base, not well substantiated on the frontal view. findings could be due to atelectasis although an underlying consolidation is not entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p11885477/s58885377/872b12eb-baff5339-a5b75aeb-e1c61ac9-37b28c84.jpg	unremarkable chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p17818524/s56301048/0a0b5388-f492c45b-7b2aef5b-57e84a2e-0b79c4bf.jpg	mild increase in vascular congestion since prior radiograph. mild hazy opacity at the left base may represent developing pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11146837/s55344709/fec75815-b2aa0578-bd4ce4d2-6e01332c-34956bda.jpg	no evidence of pneumonia. persistent pulmonary vascular congestion and mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p10163676/s56436205/57f4f3b7-0626b0f5-d2fd0a73-1d0c0d01-e79a51bc.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16205152/s52629577/aeccfea4-796066b1-1594629c-b49b8586-cb9cce14.jpg	as compared to the previous radiograph, the lung volumes have decreased. moderate cardiomegaly with enlargement of the left ventricle. mild tortuosity of the thoracic aorta. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17109146/s55147007/47832412-c185417b-e04ea006-55f724e1-519e9a1c.jpg	no evidence of parenchymal disease.
MIMIC-CXR-JPG/2.0.0/files/p18207287/s53819081/3de8a98e-c1064f96-b3a78585-0315916c-8f574d84.jpg	stable mild cardiomegaly and vascular congestion. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18083755/s56191635/dee749cb-fc531502-3e762a0c-5729a78c-76e0d112.jpg	interval resolution of bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11715641/s50195536/39b313af-508786da-5067242f-930eb911-ef68c706.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13596225/s52237137/771b99e5-dd741982-ac042a4d-fa36f6f8-10a6b444.jpg	thoracic aortic aneurysm, better assessed on the prior reference ct, with small left pleural effusion. left basilar subsegmental atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10850433/s53065095/eaf4bb8e-9a40fb57-79d0e67f-11575e7b-afdd64be.jpg	in comparison with the study of , there is again enlargement of the cardiac silhouette with substantial left pleural effusion. no definite vascular congestion. scattered atelectatic changes at the right base with evidence of an old healed rib fracture in the right mid zone.
MIMIC-CXR-JPG/2.0.0/files/p10518030/s51847507/55922cf7-85912afd-2dd01a2d-5de2aefd-b37e0f96.jpg	mildly enlarged cardiac silhouette. no pulmonary edema or focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14281337/s55969695/8ab34b55-fdf39178-d74ddd99-9300d5e3-4f08d573.jpg	et tube in satisfactory position. moderate-sized bilateral effusions with underlying collapse and/or consolidation progressed significantly compared with one day earlier. multiple lines and tubes as described. outlining of a loop of small bowel in the mid abdomen is noted. this may be due to overlying gastric bubble. the differential diagnosis includes intra-abdominal air -- as there been a recent procedure to account for this?
MIMIC-CXR-JPG/2.0.0/files/p15353817/s50505400/c93e6986-f4aa94c4-fcd63f95-dca9b9d6-b22078ca.jpg	in comparison with the earlier study of this date, there has been placement of a pigtail catheter on the right with drainage of substantial amount of pleural effusion. no evidence of post procedure pneumothorax. remainder the study is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10624517/s55966911/376805aa-8ed9b25e-e5025ef1-517ab451-8fa964bb.jpg	endotracheal tube and right internal jugular central line unchanged in position. nasogastric tube is seen coursing below the diaphragm with the tip not identify. persistent layering bilateral pleural effusions. however, there is improving pulmonary edema compared to the prior study. overall stable cardiac and mediastinal contours given differences in patient positioning. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19052229/s53378555/b9a7d57a-e814a24d-8760bd6b-15221c07-46360c89.jpg	low lung volumes and atelectasis without focal consolidation seen.
MIMIC-CXR-JPG/2.0.0/files/p11440070/s50080231/f4f85e79-d79a49d1-24558a0e-d6651e7e-2c8b5b9d.jpg	as compared to the previous image, the extent of the known right pneumothorax is constant. no evidence of tension. better apparent than on previous images is a slightly displaced fracture of the ninth and tenth rib on the right. normal appearance of the left lung
MIMIC-CXR-JPG/2.0.0/files/p13536747/s52465223/ddf14201-2858b2c3-7fb6f156-df77f330-88d545aa.jpg	tiny left apical pneumothorax persists, left apical pleural tube in place. no appreciable right pneumothorax. moderate bilateral pleural effusions stable. leftward mediastinal shift is indirect evidence that bibasilar atelectasis in the left lower lobe is worse than the right. heart is moderately enlarged but unchanged. there is no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14808031/s56546638/58abf4fd-72cf8ec7-5d1a9ab3-12f09c05-6c039131.jpg	there is less air and may be more fluid in the widened lower mediastinum. small right pleural loculation is unchanged. upper lungs are grossly clear. multiple left rib fractures, substantially displaced, unchanged. no appreciable pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10054277/s58951907/9134fb40-a31ddd8e-07eb612f-07fea2ef-36d4e049.jpg	as compared to the previous radiograph, the right rib fixations are in unchanged position. on the left, a pre-existing pleural effusion and elevation of the hemidiaphragm has decreased in severity. however, the left hemidiaphragm is still elevated and areas of atelectasis and, potentially, a small left pleural effusion are still present. retrocardiac atelectasis is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p12993146/s56316967/fc87f431-11acc172-e4a77b7b-f2626c85-15680b81.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette and with tortuosity of the aorta and brachiocephalic vessels and some prominence of the central pulmonary vessels which could reflect some pulmonary arterial hypertension. however, there is no convincing evidence of pulmonary vascular congestion or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19776632/s54216545/a59106c7-fc157578-2a78f60a-b8646d88-7c38f982.jpg	the tracheostomy tube remains in satisfactory position. there continues to be bilateral diffuse parenchymal opacities with more focal confluent area in the left upper lung. overall, the aeration may have slightly improved in the left upper lung when compared to the most recent prior study. no pleural effusions. no large pneumothorax, although the sensitivity to detect pneumothorax is diminished given supine technique. overall cardiac and mediastinal contours are unchanged given patient rotation.
MIMIC-CXR-JPG/2.0.0/files/p10150980/s58504461/6cf1f9b1-b896be2f-495edfc7-436e5963-4bb86e29.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12890323/s51420141/2e72ee77-22f94934-957fd56e-aec31d70-22db4b10.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15756536/s59900692/5a520c1c-45905da5-d1876e41-1db43af2-1ab3b9a7.jpg	increasing moderate right apical and lateral pneumothorax with a fluid component consistent with a basilar hydropneumothorax. there continues to be pneumoperitoneum, which is likely not significantly changed given differences in positioning. overall cardiac and mediastinal contours are stable. small bilateral layering pleural effusions. lungs are better inflated with improvement in aeration at both bases and no evidence of pulmonary edema. results were communicated by phone to dr at am at the time of discovery.

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bibasilar atelectasis without evidence of pneumonia.

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in comparison with the study of , the ij sheath has been removed and replaced with a central catheter that extends to the cavoatrial junction or possibly the upper portion of the right atrium. otherwise, little change in the appearance of the heart and lungs.

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lung hyperinflation, suggestive of copd.

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as compared to the previous radiograph, no relevant change is seen. normal lung volumes. borderline size of the cardiac silhouette, without pulmonary edema. mild elongation of the descending aorta. normal hilar and mediastinal structures. no pleural effusions. no pneumonia.

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likely anterior mediastinal mass that warrants further evaluation with ct chest. upper thoracic vertebral sclerosis raises concern for metastatic disease, especially given the history of prostate cancer, and also warrants further evaluation with ct chest. no acute pneumonia. recommendation(s): obtain ct chest for further evaluation of vertebral sclerosis and likely anterior mediastinal mass.

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this examination was presented for review on. tip of the right internal jugular line projects over the mid-to-low svc. nasogastric tube is looped in the lower esophagus and ends at the level of the aortic arch. heart is top normal size, but difficult to assess, because of patient rotation, which also obscures the left lower lobe. small left pleural effusion is likely. right lung and right pleural space normal. no pneumothorax.

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low lung volumes without acute cardiopulmonary process.

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no acute cardiopulmonary process.

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improved left lower lobe pneumonia.

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no acute intrathoracic process.

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no acute cardiopulmonary abnormality.

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compared to chest radiographs through. generalized bilateral perihilar pulmonary opacification has worsened over the past several days and could be explained by pulmonary edema alone. dense left lower lobe consolidation could be a combination of edema and atelectasis but pneumonia is not excluded. if pleural effusions are presumed, probably moderate on the left, unchanged. no pneumothorax. mild cardiac enlargement increased slightly. left pic line ends in the azygos vein. feeding tube passes into the stomach and out of view.

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no focal area of opacity concerning for infiltrate.

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the previously seen right upper to mid lung large consolidation has resolved in the interval. patchy bibasilar opacities persist, could be due to atelectasis or scarring however, residual mild consolidation from pneumonia not entirely excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.

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small left apical pneumothorax without signs of tension. please note, the study was performed on and submitted for interpretation for the first time to this radiologist on.

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no acute cardiac or pulmonary findings. mediastinal mass, fully evaluated on recent ct from.

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no acute cardiopulmonary process.

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in comparison with study of , there is substantial increased opacification at the left base with silhouetting the hemidiaphragm, consistent with volume loss in the left lower lobe and pleural fluid. otherwise little change. continued enlargement of the cardiac silhouette with prominence of interstitial markings that could reflect pulmonary vascular congestion, chronic pulmonary disease, or both.

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small to moderate size right pleural effusion, not substantially changed from the prior radiograph with right atelectasis.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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the left hd catheter is unchanged in position and terminates in the right atrium.

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hyperexpanded lungs suggestive of copd. no evidence of pneumonia.

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no acute intrathoracic process.

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patchy opacities in the left lung, notably in the left upper lobe with nodular components. the distribution has shifted since the prior study but the type of opacification is somewhat similar. this may indicate recurring aspiration as a possible etiology in addition the possibilitiy of community-acquired bronchopneumonia or atypical infection.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process seen. no rib fracture seen.

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no acute cardiopulmonary process.

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increased opacity in the right middle compared with prior represent atelectasis, however pneumonia cannot be excluded.

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as compared to the previous image, the lung volumes have decreased, with subsequent formation of atelectatic lung portions at both the left and the right lung bases. no pleural effusions. no pneumothorax or other complications after attempted feeding tube placement. unchanged borderline size of the cardiac silhouette.

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no evidence of acute cardiopulmonary disease.

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no acute intrathoracic process.

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comparison to. other monitoring and support devices are stable, stable position of the left and right main bronchial stents. parenchymal opacities in the left mid and lower lung are stable.

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mild to moderate pulmonary edema, increased since the prior exam. severe cardiomegaly, unchanged from the prior exam.

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no acute intrathoracic process.

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no pneumonia. more severe cardiomegaly compared to.

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no significant change. persistent and stable significant bibasilar atelectasis.

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no significant interval change with moderate right pleural effusion.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic abnormalities identified. no nodules concerning for malignancy identified.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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elevation of the right hemidiaphragm with associated right basilar opacity, likely representing atelectasis, less likely pneumonia.

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no acute focal consolidation.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process. emphysematous changes.

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no acute cardiopulmonary process. minimal left basilar atelectasis.

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no acute intrathoracic process. stable mild cardiomegaly.

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no pneumonia or pneumothorax.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. compared to , unchanged left port catheter and right dual-lumen hemodialysis catheter positions.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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comparison to ,. with the left chest tube now on waterseal, the dimension of the known left pneumothorax is constant. no evidence of tension. unchanged moderate cardiomegaly with mild pulmonary edema and the presence of a small to moderate right pleural effusion.

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there is substantial interval increase in right pleural effusion with the leftward shift of the mediastinum. no substantial left pleural effusion demonstrated. no definitive pulmonary edema is seen. no pneumothorax is present.

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right lower lobe atelectasis is largely cleared. no appreciable right pneumothorax or pleural effusion. thoracostomy tube is fissural and its continued function needs to be carefully observed. other lines and tubes in standard placements, including swan-ganz catheter just beyond the pulmonic valve. small left pleural effusion increased, left lower lobe collapse unchanged. mild pulmonary vascular congestion and normal postoperative appearance of the cardiomediastinal silhouette unchanged.

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no acute cardiopulmonary process.

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possible left lower lobe pneumonia in the appropriate clinical context.

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interval placement of left chest tube with appearance of a small left apical and lateral pneumothorax. there continues to be retrocardiac consolidation with a probable associated small effusion likely reflecting partial lower lobe atelectasis, although pneumonia or aspiration should also be considered in the correct clinical setting. the right chest tube and right subclavian line are unchanged in position. no right-sided pneumothorax is appreciated. however, there is right apical lateral pleural thickening which may represent a component of loculated fluid. patchy opacity at the right base favors atelectasis ,although again pneumonia or aspiration cannot be excluded. there is widening of the superior mediastinum on the left in the region of the distal portion of the chest tube with obliteration of the aortic knob. this could represent an area of left upper upper lobe atelectasis, although hemorrhage related to chest tube placement should also be considered. this can be better assessed on followup imaging. the heart remains stably enlarged.

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no pneumonia.

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increasing bilateral pleural effusions and interstitial edema. no consolidation to suggest pneumonia.

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compared to prior chest radiographs and :<num>. previous moderate pulmonary edema has improved. given the lung volumes are greater, there is more consolidation at the left lung base, presumably atelectasis. the severity of right basal consolidation is stable. this is either atelectasis or pneumonia. small pleural effusions are presumed. heart size normal. et tube in standard placement.

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no acute cardiopulmonary abnormalitiesfree air is visualized under the left hemidiaphragm compatible with recent abdominal surgery

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no acute cardiopulmonary process.

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stable appearance of the chest without evidence for acute abnormalities.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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moderate cardiomegaly is a stable. right lower lobe opacity a combination of atelectasis and effusion is a stable. retrocardiac opacities have improved also a combination of pleural effusion and adjacent atelectasis. vascular congestion has improved. there is no evident pneumothorax. patient has known emphysema. right ij catheter tip is in the mid svc

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no evidence of subdiaphragmatic free air.

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ap chest compared to , : mild pulmonary edema has improved in the left lung. right lung is partially obscured by increasing moderate right pleural effusion, but probably not worse. moderate cardiomegaly stable. right jugular line ends close to the superior cavoatrial junction. no pneumothorax.

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streaky atelectasis in the left lower lobe.

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on the lateral view, there is equivocal opacity projecting over the posterior lung base, not well substantiated on the frontal view. findings could be due to atelectasis although an underlying consolidation is not entirely excluded.

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unremarkable chest radiographic examination.

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mild increase in vascular congestion since prior radiograph. mild hazy opacity at the left base may represent developing pneumonia.

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no evidence of pneumonia. persistent pulmonary vascular congestion and mild interstitial edema.

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no evidence of acute cardiopulmonary disease.

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as compared to the previous radiograph, the lung volumes have decreased. moderate cardiomegaly with enlargement of the left ventricle. mild tortuosity of the thoracic aorta. no pleural effusions. no pneumonia, no pulmonary edema.

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no evidence of parenchymal disease.

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stable mild cardiomegaly and vascular congestion. no focal consolidation.

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interval resolution of bilateral pleural effusions.

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no acute cardiopulmonary process.

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thoracic aortic aneurysm, better assessed on the prior reference ct, with small left pleural effusion. left basilar subsegmental atelectasis.

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in comparison with the study of , there is again enlargement of the cardiac silhouette with substantial left pleural effusion. no definite vascular congestion. scattered atelectatic changes at the right base with evidence of an old healed rib fracture in the right mid zone.

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mildly enlarged cardiac silhouette. no pulmonary edema or focal consolidation.

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et tube in satisfactory position. moderate-sized bilateral effusions with underlying collapse and/or consolidation progressed significantly compared with one day earlier. multiple lines and tubes as described. outlining of a loop of small bowel in the mid abdomen is noted. this may be due to overlying gastric bubble. the differential diagnosis includes intra-abdominal air -- as there been a recent procedure to account for this?

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in comparison with the earlier study of this date, there has been placement of a pigtail catheter on the right with drainage of substantial amount of pleural effusion. no evidence of post procedure pneumothorax. remainder the study is unchanged.

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endotracheal tube and right internal jugular central line unchanged in position. nasogastric tube is seen coursing below the diaphragm with the tip not identify. persistent layering bilateral pleural effusions. however, there is improving pulmonary edema compared to the prior study. overall stable cardiac and mediastinal contours given differences in patient positioning. no pneumothorax.

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low lung volumes and atelectasis without focal consolidation seen.

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as compared to the previous image, the extent of the known right pneumothorax is constant. no evidence of tension. better apparent than on previous images is a slightly displaced fracture of the ninth and tenth rib on the right. normal appearance of the left lung

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tiny left apical pneumothorax persists, left apical pleural tube in place. no appreciable right pneumothorax. moderate bilateral pleural effusions stable. leftward mediastinal shift is indirect evidence that bibasilar atelectasis in the left lower lobe is worse than the right. heart is moderately enlarged but unchanged. there is no pulmonary edema.

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there is less air and may be more fluid in the widened lower mediastinum. small right pleural loculation is unchanged. upper lungs are grossly clear. multiple left rib fractures, substantially displaced, unchanged. no appreciable pneumothorax.

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as compared to the previous radiograph, the right rib fixations are in unchanged position. on the left, a pre-existing pleural effusion and elevation of the hemidiaphragm has decreased in severity. however, the left hemidiaphragm is still elevated and areas of atelectasis and, potentially, a small left pleural effusion are still present. retrocardiac atelectasis is unchanged.

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in comparison with the study of , there again is enlargement of the cardiac silhouette and with tortuosity of the aorta and brachiocephalic vessels and some prominence of the central pulmonary vessels which could reflect some pulmonary arterial hypertension. however, there is no convincing evidence of pulmonary vascular congestion or pleural effusion.

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the tracheostomy tube remains in satisfactory position. there continues to be bilateral diffuse parenchymal opacities with more focal confluent area in the left upper lung. overall, the aeration may have slightly improved in the left upper lung when compared to the most recent prior study. no pleural effusions. no large pneumothorax, although the sensitivity to detect pneumothorax is diminished given supine technique. overall cardiac and mediastinal contours are unchanged given patient rotation.

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no evidence of pneumonia.

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no acute cardiopulmonary abnormality.

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increasing moderate right apical and lateral pneumothorax with a fluid component consistent with a basilar hydropneumothorax. there continues to be pneumoperitoneum, which is likely not significantly changed given differences in positioning. overall cardiac and mediastinal contours are stable. small bilateral layering pleural effusions. lungs are better inflated with improvement in aeration at both bases and no evidence of pulmonary edema. results were communicated by phone to dr at am at the time of discovery.