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/p11807924/s50038713/315c390e-3a14cee9-6812480e-4a12732b-0d1357f3.jpg	stable granuloma. resolution of prior left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19197537/s51525664/a4c544b1-85ee7ac0-8833ee9d-13db0712-dc1f379b.jpg	multifocal pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10805746/s52468352/db700df3-661ac2fd-434fe150-88099d92-88509af7.jpg	significant improvement in extent of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14436564/s50205445/7ce3943a-2dd1e179-0f8866f5-840533d5-ca8467ca.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19601779/s59858566/a4b420bd-04c6f210-b89accdd-1b874c22-604a691a.jpg	heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10373824/s54855167/0b4c8c20-27ce7ca9-8a82829d-8274714c-0ff89908.jpg	little change.
MIMIC-CXR-JPG/2.0.0/files/p16589824/s55513635/f0e805aa-3590f2ca-22a2dbcc-a77bbc50-39b4e3af.jpg	no acute cardiopulmonary findings.
MIMIC-CXR-JPG/2.0.0/files/p19830951/s56524400/7e2a83e3-7070324d-de08550c-71d5e568-572ed650.jpg	cardiomegaly and marked enlargement of central pulmonary arteries; pulmonary vascular congestion appears very mild, however. opacities at the lung bases probably due to atelectasis with a small left-sided pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17669276/s58950601/44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3.jpg	persistent moderate enlargement of the cardiac silhouette. bilateral pleural effusions, likely slightly increased. increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting. left basilar opacity may represent combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p10665449/s58601005/372ca531-d61840a6-f9805ecb-ea7b317d-ca7306ff.jpg	interval placement of right internal jugular central venous catheter terminating at the cavoatrial junction without evidence of pneumothorax. enteric tube grossly courses below the level of the diaphragm, inferior aspect not included on the image.
MIMIC-CXR-JPG/2.0.0/files/p12242969/s51610157/1131c0d9-e880d95f-ba0984ad-c75db0d0-77e16a16.jpg	no acute cardiopulmonary process present.
MIMIC-CXR-JPG/2.0.0/files/p14494263/s55286788/d18311f1-a10148c6-54fc4415-9dd1b822-c75a59b5.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p13306609/s59886816/9dfd10ab-54cc5cf9-d48d8a42-5e6dbd80-cd7a39c3.jpg	increased moderate cardiomegaly with mild pulmonary vascular congestion and bibasilar patchy opacities, likely atelectasis. trace left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18131108/s53669872/3997f5e9-77570617-e3853156-c9260e0b-b3c12512.jpg	new small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13958191/s54430856/b9816770-31a2523a-c458ac31-d10defc3-78959e8a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10377151/s53002177/0b065cf1-df978e57-f64bd959-504500be-8678e987.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12921170/s52445988/bc6a38d4-fea629c0-85a423bc-328d65f3-655d48ee.jpg	no acute cardiopulmonary process. no displaced fracture is seen. if clinical concern for rib fracture persists, suggest dedicated rib series.
MIMIC-CXR-JPG/2.0.0/files/p17142218/s51914220/097386c4-9a6f379d-b58b94f6-1692e562-9d5f2c64.jpg	unremarkable portable chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p11208075/s58464664/1b6a0c6b-1895fd3f-8a12f4fb-a41d5fe7-f86e5f9e.jpg	in comparison with the study of earlier in this date, the degree of apical pneumothorax is more prominent, though still relatively small. the diffuse opacification of the hemi thoraces is much less, consistent with improvement in pleural effusion, though it is much of this could be related to a more erect position of the patient. more focal opacification is again seen in the right upper zone. pulmonary vascular congestion is relatively mild.
MIMIC-CXR-JPG/2.0.0/files/p11995273/s55294910/1dd48dbf-8454710e-723b335b-7275f2a0-ec872bf8.jpg	faint opacity projecting in the left perihilar region likely correspond to pneumonia followup is recommended after treatment
MIMIC-CXR-JPG/2.0.0/files/p16533299/s52341888/c3f01520-4c29aead-dcf04fa6-905bf1bd-606b5595.jpg	no focal pneumonia. bibasilar atelectasis, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p10238956/s52003226/d294f6a7-431061d8-7c487c8c-99775e98-d4c43783.jpg	no relevant change as compared to the previous radiograph. moderate scoliosis with subsequent asymmetry of the ribcage. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12419181/s52048554/df8c16ac-30ca7a63-67ff944c-3550aa58-6a6b78a4.jpg	ap chest compared to : heterogeneous opacification in the right lung at the apex, and increasing at the right base could be due to pneumonia. there is a new triangular opacity filling the left lateral pleural sulcus, with a shape suggesting pulmonary infarction. dr was paged at , one minute after recognition, to discuss this new finding, and he directed me to page the acute care service who did not respond to the initial page at. i discussed the findings by telephone with dr at pm. heart size is normal. left internal jugular line ends at the junction of brachiocephalic veins. nasogastric tube loops in the stomach and passes out of view. normal cardiomediastinal and hilar silhouettes. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13999829/s50223234/41d8b3da-c748291c-0b2d46ec-f1e222ee-04a7e124.jpg	there is new right lower lung opacity, not seen on the prior study, extensive, predominantly alveolar, a adjacent and above to the known right lower lobe mass, concerning for interval development or pneumonia or potentially aspiration. parenchymal hemorrhage is another possibility. the right lower lung mass, multiple pulmonary nodules and left lower lobe consolidation are unchanged as well as cardiomediastinal silhouette.
MIMIC-CXR-JPG/2.0.0/files/p14223573/s52328394/4fb8b630-a324957f-ed49ac9e-81613342-af8ad5cc.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p17736320/s50762469/c5db8a5c-309d8804-1f395164-680002f1-98d82516.jpg	cardiomegaly with pulmonary vascular congestion. right mid and lower lung heterogeneous consolidation may represent pneumonia or asymmetrical edema, likely superimposed upon chronic underlying fibrotic lung disease. recommend short term follow up pa and lateral chest radiograph following diuresis. hrct may be helpful for more complete characterization of the interstitium.
MIMIC-CXR-JPG/2.0.0/files/p11647220/s55624505/b04f62e8-98e39766-604cb514-0e7e4b4c-f57d60c2.jpg	comparison to. no relevant change is noted. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14319319/s54489741/2ae82330-8aa965f5-a811c7b7-73cf5c80-f2006ab9.jpg	left perihilar and right lower lobe opacities concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12408912/s52946428/4830c4f2-71c92b48-130ce504-ce95798d-797d8c85.jpg	in comparison with the study of , there has been placement of a left bronchial stent. patchy opacification at the left base is would be consistent with consolidation distal to the previously described obstruction. areas of increased opacification at the right base could well represent consolidation on this side is well. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10312300/s59920627/6673c64a-893b115a-ae701d1a-005a761a-9c2af2cf.jpg	in comparison with the the monitoring and support devices have been removed except for the right ij catheter that extends to the right atrium. following chest tube removal, study of , there appears to be a tiny apical pneumothorax. otherwise, only minimal atelectatic changes at the bases.
MIMIC-CXR-JPG/2.0.0/files/p11673948/s55011686/c97d3493-abb1b43d-c412174e-d867f08b-b887698d.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14731574/s53950465/6c003f07-1afde137-9c1edc6c-130e23f6-be767843.jpg	new trace right pleural effusion. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10781561/s58210067/b1558763-7523973d-b42dcdf0-bdf97fb2-cce6aedf.jpg	left lower lobe pneumonia. repeat after treatment to document resolution. these findings were communicated to dr by dr on at <num> am immediately after discovery of the findings via phone.
MIMIC-CXR-JPG/2.0.0/files/p15028952/s50227837/06b3d293-65b8003f-4b43ad68-d4303faf-41026eee.jpg	patient is no longer in pulmonary edema. small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. no pneumothorax or mediastinal widening. heart size top-normal unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17065289/s57430299/b4614f7f-0b6679d6-cdee7f6a-96a06e39-db140bec.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p19561931/s59938755/59814e98-8a76c0ec-7ba3f12a-be4e3eba-de141768.jpg	no acute chest pathology. if there is further concern for rib fracture, recommend repeat dedicated views with a bb marker to mark the site of pain.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s50442775/9c5ad403-89479b70-7a2dfa05-14899fb2-f379b77f.jpg	insertion of a left chest tube and re-expansion of the left lung. no appreciable pneumothorax on the left. clear right lung.
MIMIC-CXR-JPG/2.0.0/files/p18449040/s55939757/afe51fee-e2c17d2a-30ed5866-861ad05b-dbcc6b74.jpg	no evidence of pneumonia. interval resolution of bilateral, small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10060204/s53765730/caadec37-7b8f0b1b-f7090b0f-ea995b46-de2bb23b.jpg	there is prominence of the central pulmonary vasculature. subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. no lobar consolidation is seen
MIMIC-CXR-JPG/2.0.0/files/p19519825/s55175334/1e33139b-860d7e12-5cd52650-e74fad05-0ff638f3.jpg	port-a-cath catheter tip is at the level of mid svc. heart size and mediastinum are stable. large left pleural effusion is present, unchanged. no pneumothorax is seen. no new consolidations demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p15963174/s53185915/70c925f8-07c154cf-b1a1d30a-5163308e-ee81408e.jpg	no evidence of acute cardiopulmonary abnormality. borderline cardiomegaly, which may be of significance in this age group; correlation with any history of cardiac or vascular disease is recommended.
MIMIC-CXR-JPG/2.0.0/files/p19878468/s55340633/9d79748e-faa5c5cd-6f1b37e3-9b3f049e-08317596.jpg	left lower lobe pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18448263/s53752174/1a3f55a2-f34145a7-33016fcb-d848625b-98d29801.jpg	ap chest compared to : very mild interstitial abnormality at the lung bases could be edema. there is a small region of confluence just inferior to the left hilus, which should be monitored for possible early consolidation. no pleural effusion. heart size normal. left central venous infusion port ends in the svc.
MIMIC-CXR-JPG/2.0.0/files/p13439794/s58347248/4ef0bdf6-8ca4282f-c4d11e05-cd662bdf-29baddd4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16683512/s54880424/a1464fdb-35740159-d068b6ed-c52971e2-513b63ca.jpg	comparison to. unchanged position of a left pectoral pacemaker. normal size of the cardiac silhouette. no evidence of pulmonary fibrosis or other diffuse lung disease. no pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10795507/s58460854/83b6a8f2-6ce8ae90-69b02971-04c8583c-bfb1019f.jpg	reticular opacity projecting over the right superior paramediastinal region, possibly an infectious focus. recommend further evaluation with an ap lordotic radiograph. this finding and recommendation was discussed with dr by dr at via telephone on the day of the study. interval near-complete resolution of bibasilar opacities seen on the prior radiograph from. decreased small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11320771/s50269328/dc072182-e4f554ff-fc52f4d8-fe87564a-e3ef8a4a.jpg	low lung volumes, accentuating bronchovascular markings. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14998736/s50199039/a2164486-41b10a1e-4e54064f-8e283705-f54cbc9b.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17624772/s57800456/196499f7-e2e25822-6826b1b6-1062333a-465af097.jpg	subtle nodular opacity projecting over the left upper and lower lobes as well as possibly over the right upper lung are nonspecific and not well assessed on this study. no prior available for comparison. recommend comparison with prior radiographs, if available, if not, chest ct for further evaluation for underlying pulmonary nodule. no definite focal consolidation. no radiographic evidence of hilar or mediastinal lymphadenopathy. recommendation(s): recommend comparison with prior radiographs, if available, if not, chest ct for further evaluation for underlying pulmonary nodule.
MIMIC-CXR-JPG/2.0.0/files/p13196499/s59855103/83f2b06b-d4cd805f-8be61172-ecbf48bd-39b6c7bb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11922236/s54516756/2208c6e6-3865f334-91bc87b8-008a3d22-4e39df7b.jpg	low lung volumes. no evidence of heart failure or volume overload.
MIMIC-CXR-JPG/2.0.0/files/p18580382/s59858661/037fa38f-66c928dd-faa6639f-d9b13278-00974599.jpg	moderate cardiomegaly, but no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10388348/s50135106/7e7b762d-0d0c5d18-9cb2a57d-0d1cff65-d08dff38.jpg	limited exam without definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13451992/s50860819/af751b89-abcd619f-31bb5bb9-350299e0-2f5db055.jpg	allowing for differences in technique, there has not been a relevant change in the appearance of the chest since recent study of <num> day earlier.
MIMIC-CXR-JPG/2.0.0/files/p10866343/s57943117/946ea5bc-c892ee9b-841eb7b5-6255e09e-673ebaaa.jpg	clear lungs. no pulmonary edema. possible prior fracture of the posterior lateral left <num>th rib. expansion of the distal right clavicle, not well evaluated, correlate for history of prior trauma at this site.
MIMIC-CXR-JPG/2.0.0/files/p19705230/s54877697/313deb9f-1d4aa0cb-ec93878a-9471e5a8-140bec7b.jpg	predominately basal residual of previously global pulmonary edema is moderate, left greater than right, not changed since. heart size is normal. pleural effusions are small if any. no pneumothorax. et tube and left internal jugular line are in standard placements respectively. an esophageal drainage tube can be traced as far as the low esophagus but the tip is indistinct.
MIMIC-CXR-JPG/2.0.0/files/p18083755/s53281652/dc8d06b3-5bfa064a-97044e18-ce5d563e-e41abf42.jpg	there is a small right apical pneumothorax. left chest tube has been placed.
MIMIC-CXR-JPG/2.0.0/files/p14610917/s55010852/348073a6-39e5a640-7c2a4d4f-54d837df-aa02f18e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12544332/s53796881/a1c39c74-faf5b823-2cd94e0b-a7d49ee6-0db8a9b0.jpg	no acute cardiopulmonary process, such as pneumonia or free air.
MIMIC-CXR-JPG/2.0.0/files/p12904593/s50275803/efe06a55-6248d998-2a295e98-13a968d7-cfe86b3d.jpg	left internal jugular central venous line and right hemodialysis port in appropriate position, as described above. no evidence of complication. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14324689/s59027067/8ec8761b-5c94a9c0-3c16039c-8c0850e0-517ae83d.jpg	heterogeneous right lower lobe opacity may represent atelectasis or aspiration in the appropriate clinical setting. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning. within this limitation, there is minimal inferior subluxation of the distal end of the left clavicle relative to the adjacent acromion process. associated fractures are not clearly visualized on this single view and if there is focal bony tenderness in this region additional imaging by cross-sectional exams such as a ct is recommended. recommendation(s): please correlate with clinical exam findings to evaluate the left acromioclavicular joint. if there is focal bony tenderness in this region further evaluation by cross-sectional exams such as a chest ct should be considered
MIMIC-CXR-JPG/2.0.0/files/p16879858/s51923008/78c3839a-5cc60e31-9fa8acb2-2f7f814c-94a7beba.jpg	right picc terminates in the distal svc. a large, loculated right pleural effusion is increased from the prior examination. retrocardiac opacity is suggestive of atelectasis, new from the prior examination. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14309697/s53937203/fd464453-10d7d61c-72645f85-819d0f8d-5610fd4b.jpg	no focal consolidations concerning for pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p12504921/s51433548/37379d1d-88c796e1-9a9d3105-69ea6cb0-fd813907.jpg	minimal bibasilar atelectasis and small left pleural effusion. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19885929/s53728849/dd2b91de-25405ee8-8690b2a3-581f12b5-a87f3e72.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16666819/s51001260/066cb4ab-727893d0-123d6d52-8159affb-20a83315.jpg	no acute cardiac or pulmonary process. no free air under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10965345/s53123639/36b2abdb-9cf4d1f5-7f4f55bf-828e515f-49e01745.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19972371/s54856948/6d2b1a3b-ddcd2957-2b3a6a6b-df4c6f94-e31495fa.jpg	no evidence of acute intracranial cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15211758/s59752758/f90f7ef7-7f385bce-31257c8a-4fa68a7d-0df8fadd.jpg	unchanged left basilar atelectasis and small bilateral pleural effusions. unchanged moderate cardiomegaly. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18718699/s56155304/026931a2-19e21e73-20284670-31c7c2c7-dbdc7846.jpg	no substantial residual pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10477829/s50227139/b1bb156b-5870563f-3f745d55-457e1ab3-6c5891ef.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12713061/s52937647/dae150f2-fb82f366-d711259a-86fbffad-508a69e0.jpg	decreased moderate right pleural effusion following pigtail catheter drainage. right lung airspace opacities may be due to pulmonary hemorrhage or edema. a ct scan would be helpful in determining whether there is a central mass and to assess airway patency, and should be done with intravenous contrast. recommendation(s): a ct scan would be helpful in determining whether there is a central mass and to assess airway patency, and should be done with intravenous contrast.
MIMIC-CXR-JPG/2.0.0/files/p19845120/s53638180/1f907bd6-2322f913-dbec6e34-4cfdcd0c-4c717019.jpg	right picc ends deep in the right atrium and could be pulled back by approximately <num> cm to be in the lower svc stable moderate enlargement of the cardiac silhouette with a configuration that could suggest pericardial effusion. recommend correlation with echocardiogram if not recently performed.
MIMIC-CXR-JPG/2.0.0/files/p16776336/s50092035/e8d3e8b2-3f127a5f-7eb9944a-8c226a61-4528970e.jpg	large left and small right pleural effusions, larger in the interval. bibasilar opacities may reflect atelectasis but infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p16132012/s53254975/c5b6d3c7-5bc5e0ae-f48591a3-2fb632b7-4573b992.jpg	in comparison with the study , the monitoring and support devices are essentially unchanged. cardiac silhouette is at the upper limits of normal in size. diffuse bilateral pulmonary opacifications are little changed, consistent with the clinical diagnosis of multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13869899/s54626685/6e583b00-65e930c3-98257239-520fbbf4-f61dd875.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12746489/s51289993/8da1cb81-92188d38-8289f569-d1bcae56-3dc78668.jpg	moderate-to-marked enlargement of the cardiac silhouette. blunting of the costophrenic angles may be seen in small bilateral pleural effusions. prominence of the vasculature suggests at least moderate vascular congestion. no evidence of free air beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p16762436/s54320007/4582cf20-6c02ac26-6bf55722-90b2446b-e042f5a7.jpg	no evidence of pneumonia or pneumothorax. left upper lobe nodular opacities, a nonemergent chest ct can be obtained for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p12263025/s51165949/140cb70a-4bf57470-1c0f5a79-a17dff58-65635d11.jpg	right greater than left bibasilar atelectasis. no definite focal consolidation. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12135283/s54846880/3e48c2e7-d64bf83a-727afff3-33e0394e-014613be.jpg	as compared to the previous radiograph, the lung volumes are not substantially changed. mild increase in diameter of the aortic arch. this increase in diameter is seen on both the frontal and the lateral view. in addition, the vessels at the upper aspect of the right hilus appears slightly increased in caliber. unchanged size of the cardiac silhouette. unchanged elongation of the descending aorta. no pleural effusions. no evidence of pulmonary edema. for evaluation of potential changes at the level of the aorta, ct should be performed. the recommendation and observation was entered into the radiology dashboard system at the time of dictation and observation.
MIMIC-CXR-JPG/2.0.0/files/p17914730/s53806889/db9428f7-a152d8bf-69b22bbf-ca5085a1-bc3e3aab.jpg	hardware is now seen overlying the cervical spine consistent with recent surgery. lungs appear diminished in volume but are without evidence of focal airspace consolidation to suggest pneumonia. no large effusions. no evidence of pneumothorax. overall cardiac and mediastinal contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19620042/s51343055/aafef4d3-43d458b8-4b55be92-ae752148-c6cde883.jpg	ap chest compared to : tip of the endotracheal tube is at the upper margin of the clavicles, no less than <num> cm from the carina. right internal jugular line also ends at the thoracic inlet. lung volumes remain severely low, and there is substantial bibasilar atelectasis unchanged. pulmonary vasculature is more engorged now than on the earlier examination and mild-to-moderate cardiomegaly has increased, but there is no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17365311/s52915972/9f11bd60-75209ddb-9cacb13d-49a4b09b-6cd3323f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15853547/s54469293/ab1336a4-0df6054f-723dde2b-1edeb5e3-7a0b049e.jpg	cardiomediastinal silhouette is unchanged including cardiomegaly, left ventricular aneurysm. and pericardial calcifications/ retained leads. no pulmonary edema is seen. no evidence of acute process currently noted.
MIMIC-CXR-JPG/2.0.0/files/p17645301/s50204130/ff9139f9-a1fc4dc0-efdbfff4-22e680b7-5006bddd.jpg	no evidence of pneumonia. no evidence of pericardial effusion.
MIMIC-CXR-JPG/2.0.0/files/p16128696/s57368024/d3cb7a18-099bebe0-edd14e63-78029fe2-e8f3f4ee.jpg	focal consolidation in the left lower lung, most consistent with acute pneumonia given the clinical history.
MIMIC-CXR-JPG/2.0.0/files/p16327028/s57379334/8af07b57-85d7af4b-f2bf1c35-4f4d5757-cc7c8008.jpg	allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since a recent study
MIMIC-CXR-JPG/2.0.0/files/p19703830/s58504392/7c0d0a8a-ae80d5dc-352db500-518a57b7-dcd8fb83.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p11028216/s55850300/80dc6a74-b6404be8-79f56955-914637d7-1fda7c47.jpg	large right and moderate to large left pleural effusions have increased. small bubble of gas in the right pleural effusion laterally is unchanged. bibasilar atelectasis is considerable. mild edema has developed in the aerated upper lungs. heart is moderately enlarged. transvenous right atrial right ventricular pacer leads unchanged in their respective positions. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14953236/s52198915/7ea04ad1-11b7e7ff-52a803ae-bf1c6fac-b1b6d3b7.jpg	right-sided basal posterior scattered infiltrates indicative of bronchopneumonic processes. followup examination in about two to three weeks after treatment is recommended.
MIMIC-CXR-JPG/2.0.0/files/p10345069/s50423767/165dfc61-29879add-3678aafb-492b6afa-ac0e0f78.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14632617/s53014453/73f24d53-aede98ed-4187027f-2dedd0ce-7f255a06.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18065731/s50542762/e2562d43-fc235b97-d1e9a473-f3ca17a7-f411c2bc.jpg	ap chest reviewed in the absence of prior chest radiographs: right apical pleural tube in standard position. no pneumothorax or appreciable pleural effusion. left lower lobe collapsed. heart size top normal, exaggerated by low lung volumes. stomach severely distended with gas and fluid.
MIMIC-CXR-JPG/2.0.0/files/p19048729/s54502198/2fa3400f-cc96f8f4-3f454ad1-bb2cb3e9-61c19051.jpg	continued increase in bilateral pulmonary opacities, possibly/pulmonary edema or ards, although multifocal pneumonia is also a consideration in the right clinical setting. new small to moderate right pleural effusion. of note, pleural effusions are less commonly seen in ards.
MIMIC-CXR-JPG/2.0.0/files/p15939762/s53369518/a8dcbc4a-e953004a-147aeef5-64125ef1-eed2185c.jpg	streaky atelectasis of the lung bases. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p11180953/s50621244/5315d5ec-1830786b-26194dc4-86378c40-cf78889f.jpg	interval removal of endotracheal tube, enteric tube, and left chest tube with no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16670685/s53031134/efab19e4-c917d4a2-124947f7-03cfe6ea-455b1e1b.jpg	clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p15418352/s57345241/ded6c7cb-ee322969-36b82113-a9545b36-0ad1eaa6.jpg	mild cardiomegaly and pulmonary vascular congestion without overt edema. right ij central catheter terminates in the mid svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15099669/s54059525/0d135158-63c1caa0-03a08b09-2cffa240-a4357548.jpg	status post removal of a right chest tube with some air within the subcutaneous tissues consistent with subcutaneous emphysema. there has been interval appearance of a small right apicolateral pneumothorax. followup imaging would be recommended to assess for stability. there is patchy opacity at both lung bases most consistent with partial lower lobe atelectasis, although superimposed pneumonia cannot be excluded. there is no pulmonary edema. overall cardiac and mediastinal contours are likely stable status post median sternotomy. distended stomach with large air-fluid level best appreciated on the lateral projection. there are likely small bilateral effusions. results of this examination were communicated to the patient's nurse, , by phone on at at the time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p13716770/s57134341/1842bcdc-48bec809-89d9899e-cd9a6795-d23433bb.jpg	no evidence of acute disease.

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stable granuloma. resolution of prior left lower lobe pneumonia.

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multifocal pneumonia

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significant improvement in extent of pulmonary edema.

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no acute cardiopulmonary process.

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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.

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little change.

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no acute cardiopulmonary findings.

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cardiomegaly and marked enlargement of central pulmonary arteries; pulmonary vascular congestion appears very mild, however. opacities at the lung bases probably due to atelectasis with a small left-sided pleural effusion.

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persistent moderate enlargement of the cardiac silhouette. bilateral pleural effusions, likely slightly increased. increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting. left basilar opacity may represent combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.

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interval placement of right internal jugular central venous catheter terminating at the cavoatrial junction without evidence of pneumothorax. enteric tube grossly courses below the level of the diaphragm, inferior aspect not included on the image.

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no acute cardiopulmonary process present.

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no acute intrathoracic process

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increased moderate cardiomegaly with mild pulmonary vascular congestion and bibasilar patchy opacities, likely atelectasis. trace left pleural effusion.

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new small bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process. no displaced fracture is seen. if clinical concern for rib fracture persists, suggest dedicated rib series.

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unremarkable portable chest x-ray.

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in comparison with the study of earlier in this date, the degree of apical pneumothorax is more prominent, though still relatively small. the diffuse opacification of the hemi thoraces is much less, consistent with improvement in pleural effusion, though it is much of this could be related to a more erect position of the patient. more focal opacification is again seen in the right upper zone. pulmonary vascular congestion is relatively mild.

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faint opacity projecting in the left perihilar region likely correspond to pneumonia followup is recommended after treatment

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no focal pneumonia. bibasilar atelectasis, right greater than left.

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no relevant change as compared to the previous radiograph. moderate scoliosis with subsequent asymmetry of the ribcage. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema.

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ap chest compared to : heterogeneous opacification in the right lung at the apex, and increasing at the right base could be due to pneumonia. there is a new triangular opacity filling the left lateral pleural sulcus, with a shape suggesting pulmonary infarction. dr was paged at , one minute after recognition, to discuss this new finding, and he directed me to page the acute care service who did not respond to the initial page at. i discussed the findings by telephone with dr at pm. heart size is normal. left internal jugular line ends at the junction of brachiocephalic veins. nasogastric tube loops in the stomach and passes out of view. normal cardiomediastinal and hilar silhouettes. no pneumothorax.

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there is new right lower lung opacity, not seen on the prior study, extensive, predominantly alveolar, a adjacent and above to the known right lower lobe mass, concerning for interval development or pneumonia or potentially aspiration. parenchymal hemorrhage is another possibility. the right lower lung mass, multiple pulmonary nodules and left lower lobe consolidation are unchanged as well as cardiomediastinal silhouette.

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no evidence of acute disease.

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cardiomegaly with pulmonary vascular congestion. right mid and lower lung heterogeneous consolidation may represent pneumonia or asymmetrical edema, likely superimposed upon chronic underlying fibrotic lung disease. recommend short term follow up pa and lateral chest radiograph following diuresis. hrct may be helpful for more complete characterization of the interstitium.

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comparison to. no relevant change is noted. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions. no pneumothorax.

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left perihilar and right lower lobe opacities concerning for pneumonia.

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in comparison with the study of , there has been placement of a left bronchial stent. patchy opacification at the left base is would be consistent with consolidation distal to the previously described obstruction. areas of increased opacification at the right base could well represent consolidation on this side is well. no evidence of pneumothorax.

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in comparison with the the monitoring and support devices have been removed except for the right ij catheter that extends to the right atrium. following chest tube removal, study of , there appears to be a tiny apical pneumothorax. otherwise, only minimal atelectatic changes at the bases.

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no acute cardiopulmonary abnormality.

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new trace right pleural effusion. no evidence of pneumonia.

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left lower lobe pneumonia. repeat after treatment to document resolution. these findings were communicated to dr by dr on at <num> am immediately after discovery of the findings via phone.

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patient is no longer in pulmonary edema. small symmetric bilateral pleural effusion probably reflects recent congestive heart failure, preceding insertion of the pacer defibrillator lead which follows the expected course to the distal right ventricle. no pneumothorax or mediastinal widening. heart size top-normal unchanged.

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no significant interval change.

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no acute chest pathology. if there is further concern for rib fracture, recommend repeat dedicated views with a bb marker to mark the site of pain.

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insertion of a left chest tube and re-expansion of the left lung. no appreciable pneumothorax on the left. clear right lung.

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no evidence of pneumonia. interval resolution of bilateral, small pleural effusions.

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there is prominence of the central pulmonary vasculature. subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. no lobar consolidation is seen

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port-a-cath catheter tip is at the level of mid svc. heart size and mediastinum are stable. large left pleural effusion is present, unchanged. no pneumothorax is seen. no new consolidations demonstrated.

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no evidence of acute cardiopulmonary abnormality. borderline cardiomegaly, which may be of significance in this age group; correlation with any history of cardiac or vascular disease is recommended.

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left lower lobe pneumonia

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ap chest compared to : very mild interstitial abnormality at the lung bases could be edema. there is a small region of confluence just inferior to the left hilus, which should be monitored for possible early consolidation. no pleural effusion. heart size normal. left central venous infusion port ends in the svc.

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no acute cardiopulmonary process.

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comparison to. unchanged position of a left pectoral pacemaker. normal size of the cardiac silhouette. no evidence of pulmonary fibrosis or other diffuse lung disease. no pulmonary edema. no pleural effusions.

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reticular opacity projecting over the right superior paramediastinal region, possibly an infectious focus. recommend further evaluation with an ap lordotic radiograph. this finding and recommendation was discussed with dr by dr at via telephone on the day of the study. interval near-complete resolution of bibasilar opacities seen on the prior radiograph from. decreased small left pleural effusion.

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low lung volumes, accentuating bronchovascular markings. no acute cardiopulmonary process.

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normal chest radiograph.

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subtle nodular opacity projecting over the left upper and lower lobes as well as possibly over the right upper lung are nonspecific and not well assessed on this study. no prior available for comparison. recommend comparison with prior radiographs, if available, if not, chest ct for further evaluation for underlying pulmonary nodule. no definite focal consolidation. no radiographic evidence of hilar or mediastinal lymphadenopathy. recommendation(s): recommend comparison with prior radiographs, if available, if not, chest ct for further evaluation for underlying pulmonary nodule.

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no acute cardiopulmonary process.

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low lung volumes. no evidence of heart failure or volume overload.

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moderate cardiomegaly, but no pulmonary edema.

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limited exam without definite acute cardiopulmonary process.

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allowing for differences in technique, there has not been a relevant change in the appearance of the chest since recent study of <num> day earlier.

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clear lungs. no pulmonary edema. possible prior fracture of the posterior lateral left <num>th rib. expansion of the distal right clavicle, not well evaluated, correlate for history of prior trauma at this site.

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predominately basal residual of previously global pulmonary edema is moderate, left greater than right, not changed since. heart size is normal. pleural effusions are small if any. no pneumothorax. et tube and left internal jugular line are in standard placements respectively. an esophageal drainage tube can be traced as far as the low esophagus but the tip is indistinct.

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there is a small right apical pneumothorax. left chest tube has been placed.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process, such as pneumonia or free air.

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left internal jugular central venous line and right hemodialysis port in appropriate position, as described above. no evidence of complication. mild cardiomegaly.

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heterogeneous right lower lobe opacity may represent atelectasis or aspiration in the appropriate clinical setting. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning. within this limitation, there is minimal inferior subluxation of the distal end of the left clavicle relative to the adjacent acromion process. associated fractures are not clearly visualized on this single view and if there is focal bony tenderness in this region additional imaging by cross-sectional exams such as a ct is recommended. recommendation(s): please correlate with clinical exam findings to evaluate the left acromioclavicular joint. if there is focal bony tenderness in this region further evaluation by cross-sectional exams such as a chest ct should be considered

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right picc terminates in the distal svc. a large, loculated right pleural effusion is increased from the prior examination. retrocardiac opacity is suggestive of atelectasis, new from the prior examination. no pneumothorax.

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no focal consolidations concerning for pneumonia identified.

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minimal bibasilar atelectasis and small left pleural effusion. no pulmonary edema.

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no acute cardiopulmonary process.

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no acute cardiac or pulmonary process. no free air under the diaphragm.

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no acute cardiopulmonary process.

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no evidence of acute intracranial cardiopulmonary process.

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unchanged left basilar atelectasis and small bilateral pleural effusions. unchanged moderate cardiomegaly. no pulmonary edema.

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no substantial residual pleural effusion.

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no acute cardiopulmonary abnormality.

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decreased moderate right pleural effusion following pigtail catheter drainage. right lung airspace opacities may be due to pulmonary hemorrhage or edema. a ct scan would be helpful in determining whether there is a central mass and to assess airway patency, and should be done with intravenous contrast. recommendation(s): a ct scan would be helpful in determining whether there is a central mass and to assess airway patency, and should be done with intravenous contrast.

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right picc ends deep in the right atrium and could be pulled back by approximately <num> cm to be in the lower svc stable moderate enlargement of the cardiac silhouette with a configuration that could suggest pericardial effusion. recommend correlation with echocardiogram if not recently performed.

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large left and small right pleural effusions, larger in the interval. bibasilar opacities may reflect atelectasis but infection cannot be excluded.

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in comparison with the study , the monitoring and support devices are essentially unchanged. cardiac silhouette is at the upper limits of normal in size. diffuse bilateral pulmonary opacifications are little changed, consistent with the clinical diagnosis of multifocal pneumonia.

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no acute cardiopulmonary process.

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moderate-to-marked enlargement of the cardiac silhouette. blunting of the costophrenic angles may be seen in small bilateral pleural effusions. prominence of the vasculature suggests at least moderate vascular congestion. no evidence of free air beneath the diaphragms.

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no evidence of pneumonia or pneumothorax. left upper lobe nodular opacities, a nonemergent chest ct can be obtained for further evaluation.

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right greater than left bibasilar atelectasis. no definite focal consolidation. no pulmonary edema.

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as compared to the previous radiograph, the lung volumes are not substantially changed. mild increase in diameter of the aortic arch. this increase in diameter is seen on both the frontal and the lateral view. in addition, the vessels at the upper aspect of the right hilus appears slightly increased in caliber. unchanged size of the cardiac silhouette. unchanged elongation of the descending aorta. no pleural effusions. no evidence of pulmonary edema. for evaluation of potential changes at the level of the aorta, ct should be performed. the recommendation and observation was entered into the radiology dashboard system at the time of dictation and observation.

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hardware is now seen overlying the cervical spine consistent with recent surgery. lungs appear diminished in volume but are without evidence of focal airspace consolidation to suggest pneumonia. no large effusions. no evidence of pneumothorax. overall cardiac and mediastinal contours are unchanged.

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ap chest compared to : tip of the endotracheal tube is at the upper margin of the clavicles, no less than <num> cm from the carina. right internal jugular line also ends at the thoracic inlet. lung volumes remain severely low, and there is substantial bibasilar atelectasis unchanged. pulmonary vasculature is more engorged now than on the earlier examination and mild-to-moderate cardiomegaly has increased, but there is no pulmonary edema. no pneumothorax.

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no acute cardiopulmonary process.

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cardiomediastinal silhouette is unchanged including cardiomegaly, left ventricular aneurysm. and pericardial calcifications/ retained leads. no pulmonary edema is seen. no evidence of acute process currently noted.

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no evidence of pneumonia. no evidence of pericardial effusion.

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focal consolidation in the left lower lung, most consistent with acute pneumonia given the clinical history.

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allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since a recent study

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no evidence of acute disease.

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large right and moderate to large left pleural effusions have increased. small bubble of gas in the right pleural effusion laterally is unchanged. bibasilar atelectasis is considerable. mild edema has developed in the aerated upper lungs. heart is moderately enlarged. transvenous right atrial right ventricular pacer leads unchanged in their respective positions. no pneumothorax.

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right-sided basal posterior scattered infiltrates indicative of bronchopneumonic processes. followup examination in about two to three weeks after treatment is recommended.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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ap chest reviewed in the absence of prior chest radiographs: right apical pleural tube in standard position. no pneumothorax or appreciable pleural effusion. left lower lobe collapsed. heart size top normal, exaggerated by low lung volumes. stomach severely distended with gas and fluid.

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continued increase in bilateral pulmonary opacities, possibly/pulmonary edema or ards, although multifocal pneumonia is also a consideration in the right clinical setting. new small to moderate right pleural effusion. of note, pleural effusions are less commonly seen in ards.

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streaky atelectasis of the lung bases. no focal consolidation.

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interval removal of endotracheal tube, enteric tube, and left chest tube with no evidence of pneumothorax.

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clear lungs.

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mild cardiomegaly and pulmonary vascular congestion without overt edema. right ij central catheter terminates in the mid svc. no pneumothorax.

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status post removal of a right chest tube with some air within the subcutaneous tissues consistent with subcutaneous emphysema. there has been interval appearance of a small right apicolateral pneumothorax. followup imaging would be recommended to assess for stability. there is patchy opacity at both lung bases most consistent with partial lower lobe atelectasis, although superimposed pneumonia cannot be excluded. there is no pulmonary edema. overall cardiac and mediastinal contours are likely stable status post median sternotomy. distended stomach with large air-fluid level best appreciated on the lateral projection. there are likely small bilateral effusions. results of this examination were communicated to the patient's nurse, , by phone on at at the time of discovery.

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no evidence of acute disease.