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/p17908281/s53793025/c73bd4ad-44c6e604-ad61fb43-1e4a575c-4db21ce6.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18033251/s53629992/abaa87b8-a83c5210-445a998d-e5c0b94c-28241fc6.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16777182/s56257399/96bcff77-b5897465-e116741b-d8ced09e-91ba9589.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14177696/s59500918/ee8022e1-4fdf93a4-7d73455a-8c72dfe9-c1bf259b.jpg	nasogastric tube can be traced to the lower esophagus but the tip is indistinct and cannot be localized. repeat imaging with conventional radiograph for further evaluation is recommended prior to use. recommendation(s): repeat imaging with conventional radiograph for further evaluation is recommended prior to use.
MIMIC-CXR-JPG/2.0.0/files/p12298456/s56195948/c98816f3-d0cbb12c-bf091cfb-5644c89b-0c0bdd3a.jpg	left basilar linear opacity likely reflecting scarring or subsegmental atelectasis. hyperinflation suggesting underlying emphysema. no evidence of focal pneumonia or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16877397/s51601570/f046ec1d-35d0bb9f-10ca8386-e9977b1c-da2ac22d.jpg	bilateral pleural effusions which have decreased in size from the prior radiograph. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16130030/s53315704/5dd86946-821be97b-f0939f76-60b4c1c5-2d1f9ac2.jpg	bibasilar atelectasis. stable cardiomegaly. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15564148/s52382672/b5c1c4a7-790f713a-1b374c60-e2fb76e9-c6c7bf2f.jpg	in comparison with the study of , there are again low lung volumes. continued small pleural effusions, more prominent on the right, with associated compressive atelectasis. the cardiac silhouette remains enlarged and there may be mild elevation of pulmonary venous pressure. monitoring and support devices are unchanged and there is no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19101100/s59011456/78f1d063-b48ce84a-0759428a-e346f45d-326c04ec.jpg	mild vascular congestion with small right pleural effusion and persistent enlargement of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p18203021/s54421329/c3c4f886-6f3cf67a-0ad3a3f3-89224106-03e76aa4.jpg	lungs are fully expanded and essentially clear. there is no pleural abnormality, and heart size is normal. there is a suggestion of greater mediastinal fullness and opacification in the mediastinum adjacent to the indwelling right central venous catheter which ends low in the svc. differential diagnosis includes adenopathy or more likely edema in the setting of venous thrombosis. clinical evaluation is necessary.
MIMIC-CXR-JPG/2.0.0/files/p18871238/s56099104/ccb4d235-041b7c2f-6da505f1-f596149b-b1ed3fc5.jpg	hilar prominence with perihilar opacity concerning for atypical infection versus edema.
MIMIC-CXR-JPG/2.0.0/files/p17560235/s51352715/7a8a0a0b-68a2446c-df467487-c2968855-16ff0351.jpg	no acute cardiopulmonary process. no evidence of active or latent tb.
MIMIC-CXR-JPG/2.0.0/files/p18210204/s53671574/ce450469-f14523bb-d6c70eb8-5e42b407-bf3bffab.jpg	the heart is mildly enlarged and upper lobe pulmonary vasculature equal to the lower lobe, but there is no pulmonary edema or pleural effusion. hilar and mediastinal contours are unremarkable. gastric banding is noted. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19624478/s59696612/08b30bee-4f164229-1d70c7b0-64d2bd24-2146c14a.jpg	in comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube extends at least to the upper to mid body of the stomach, where it crosses the lower margin of the image. opacification in the left lower lung is consistent with volume loss in the lower lobe and pleural effusion. in the appropriate clinical setting, superimposed pneumonia would have to be considered. right basilar atelectatic changes also seen with small effusion.
MIMIC-CXR-JPG/2.0.0/files/p14177035/s57631280/d0dff02b-544a62ef-b1615efa-e10fef5d-014905a5.jpg	normal chest radiograph. no pneumothorax or effusion.
MIMIC-CXR-JPG/2.0.0/files/p11027112/s51812333/59a2a542-986c07a4-ec46a195-288f8509-824e41a7.jpg	there is no evident pneumothorax after chest tube removal. no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p12409853/s55935895/f5a0226e-c63dea0d-27c7bcb3-198f4fda-d1497d12.jpg	as compared to the previous radiograph, no relevant change is seen. small bilateral pleural effusions, left more than right. subsequent areas of atelectasis at the left lung base. retrocardiac atelectasis. moderate cardiomegaly but no evidence of pulmonary edema. no new focal parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p17763551/s54856086/fe6bc61e-e19061f4-2cc4bb86-8dbf6923-7e032d1a.jpg	comparison to. no relevant change is noted. low lung volumes. stable moderate cardiomegaly of the cabg. minimal fluid overload but no overt pulmonary edema. no larger pleural effusions. moderate left perihilar and retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12385826/s51020646/bf74db61-83026b64-3e45383e-e6d01ba6-7a9bb8b3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15281491/s53615642/609d853f-ef2ff2e8-2d3d093a-9b4b9fbd-41c23110.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11761121/s54818247/aa986f58-440f5999-4f4de0b6-7ca24099-45547cec.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17770649/s54042879/622af30a-29911079-feeec048-fc702bc9-919d3a23.jpg	ap chest compared to : following right thoracentesis, moderate volume right pleural effusion has reaccumulated. lateral distribution suggests it could be loculated. there is no pneumothorax, or left pleural effusion. cardiac silhouette is slightly larger today than before which may be a function of paramediastinal pleural fluid rather than real change in the heart size or the accumulation of pericardial fluid. right lung base is understandably atelectatic. remainder of the lungs clear. mild pulmonary vascular engorgement is chronic.
MIMIC-CXR-JPG/2.0.0/files/p19826123/s57227356/6416cf3f-1f6b50d4-1218c13f-07652e48-d48ebc32.jpg	consolidation in the basal left lower lobe, similar in location but smaller than on. possible additional small consolidation in the anterior basal right lower lobe. these findings are compatible with pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17292202/s51885067/f7fa55e7-b81fcfb9-fd26955f-1f61a58b-27dddd7e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16939306/s52497600/def82a73-2d75275b-3919f6ba-810c0419-a5d1c410.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11599357/s51394311/f8b4c0c8-828b8fef-48b4ed0b-01218e43-280c6963.jpg	lower lobe pneumonia, less likely combination of atelectasis and pulmonary edema. small left pleural effusion. mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15723530/s58307814/1f6073f9-b6ecae52-b85cd79c-1d091cd2-98101bdf.jpg	mild pulmonary congestion and edema. stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15360048/s56393243/c333a20a-393fabe9-84af1a40-6d9a09da-08936ee7.jpg	in comparison with the study of , the monitoring and support devices remain in place and there is no evidence of acute pneumothorax. the pulmonary vasculature is less prominent and the hemidiaphragms are much better seen, consistent with decreased pleural fluid and basilar atelectasis. however, some of this could merely be a manifestation of a more erect position of the patient.
MIMIC-CXR-JPG/2.0.0/files/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg	left-sided pacer device is stable in position. left-sided central venous catheter is also stable in position. enlarged cardiomediastinal silhouette is again seen. patient is status post median sternotomy and cardiac valve replacement. there is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. trace right pleural effusion is difficult to exclude. evidence of old left-sided rib fractures is seen.
MIMIC-CXR-JPG/2.0.0/files/p12594793/s55179245/d9c0cb4a-09a3d5d9-d579e948-e02c5da9-3711e54f.jpg	cardiomegaly, pulmonary vascular congestion and mild edema with bilateral effusions left greater than right. retrocardiac opacity is concerning for atelectasis and/or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17302284/s51744668/4ad97dd4-4bd31a1f-82a60b03-373dc164-04cc5369.jpg	no significant interval change in the appearance of the lungs. moderate right pleural effusion with overlying atelectasis. right base opacity is concerning for consolidation possibly due to infection, underlying neoplastic process is not excluded either. recommend followup to resolution. consider nonemergent chest ct to further assess. stable cardiomediastinal silhouette.
MIMIC-CXR-JPG/2.0.0/files/p10884787/s50868269/8918e5a1-cfc06f23-9edd77bc-a6987abd-981bd779.jpg	no infiltrate
MIMIC-CXR-JPG/2.0.0/files/p16430352/s59436569/6cd3167f-b78bec79-0c265b05-8ffa6843-c9ac2a3d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11902073/s57389570/8899bd12-5640b775-1b3083f8-63f35ed7-263e09da.jpg	no evidence of radiodense foreign body.
MIMIC-CXR-JPG/2.0.0/files/p12809207/s58048055/5b8cdd06-002e973e-6728901c-5b9dff06-a070e672.jpg	no definite evidence of pneumonia. residual opacity in the right juxtahilar region likely represents atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19819468/s50107399/18c9c9b0-b3b0b05f-cc1f6d65-d07ca39a-eb97de5f.jpg	compared to chest radiographs through. left pic line ends in the upper svc. restrictive right pleural thickening persists but there has been a decrease in the volume of dependent pleural effusion. i cannot tell whether this has been replaced by pleural air or re-expanded lung. basal pleural drainage tube is still in place. heart size top-normal. left lung clear.
MIMIC-CXR-JPG/2.0.0/files/p17169510/s53357418/cc87d371-ad498453-94d7b461-3fd15f8b-fe226bc4.jpg	no pneumonia, effusion or edema.
MIMIC-CXR-JPG/2.0.0/files/p17088741/s56577641/c437d0a7-76270c1e-c5d16487-4e6070bd-5b67c4f1.jpg	minimal bibasilar atelectasis and probable trace bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13112524/s54826686/431315f3-5251ceb1-b317b518-efc379be-48a78029.jpg	normal radiographs of the chest.
MIMIC-CXR-JPG/2.0.0/files/p19706109/s56786908/d71eb610-c898d430-682e2c23-75be3709-c070eaff.jpg	no convincing evidence for pneumonia or aspiration on very limited study. hazy opacities and patchy opacities at the lung bases may be due to mild vascular congestion and minor atelectasis. short-term follow-up radiographs are suggested with better inspiration, if feasible, in the event that respiratory symptoms were to persist.
MIMIC-CXR-JPG/2.0.0/files/p11332645/s56516532/6bc8d9e1-5cd12e0f-c29ed99e-07a295a1-c107808e.jpg	possible trace effusion on the left.
MIMIC-CXR-JPG/2.0.0/files/p18245074/s52641004/1b046299-c51981f8-09061165-f241910e-fbeed993.jpg	in comparison with the study of , the cardiac silhouette remains enlarged with evidence of pulmonary vascular congestion and bilateral pleural effusions. patchy areas of increased opacification in the mid zones bilaterally and at the left base could well represent superimposed pneumonia. there is now a pigtail catheter in the right upper quadrant of the abdomen.
MIMIC-CXR-JPG/2.0.0/files/p17106724/s51041981/9f7e8194-de411049-5b21e0b7-2281b0d5-bf89b1ee.jpg	in comparison with the study of , the monitoring and support devices are unchanged. cardiomediastinal silhouette is stable. there may be slight improvement in the degree of pulmonary vascular congestion, with continued layering effusions bilaterally, more prominent on the right, with underlying basilar atelectatic changes.
MIMIC-CXR-JPG/2.0.0/files/p14068639/s54197064/e8a1ad25-8d3a6159-b9ba537e-7644fef5-ad76b5f9.jpg	no new focal opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg	increase in loculated right effusion.
MIMIC-CXR-JPG/2.0.0/files/p14623286/s55214463/6814ddd0-1cd4da0f-f6360d06-27189000-d47ab0a1.jpg	cardiomegaly with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14575807/s58189370/060c70dd-0dbfc8a3-d86925b6-0cc50c48-18d6010d.jpg	normal chest.
MIMIC-CXR-JPG/2.0.0/files/p13047942/s58098164/bfd11725-c189caf5-722acf30-6df846c0-158f4d16.jpg	bibasilar linear atelectasis with otherwise clear lungs. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14392939/s52956842/e99c97e6-43935c64-15841b45-8750c88e-42059548.jpg	ap chest compared to : the patient was clearly in pulmonary edema with an increase in earlier cardiomegaly and at least moderate right pleural effusion on. these recurred on , and has subsequently improved. nevertheless moderate cardiomegaly is as pronounced as it has recently been and there is a still more severe abnormality in the lower lungs which are densely consolidated, making it difficult to distinguish dependent edema from pneumonia. small-to-moderate pleural effusions are present. et tube, upper enteric drainage tube, and a right jugular dual-channel catheter are in standard placements respectively. no pneumothorax. note, regions of presumed bronchopneumonia seen on the cta are too small to reliably identify on bedside radiographs. for that reason, when feasible, conventional radiographs should be performed.
MIMIC-CXR-JPG/2.0.0/files/p12946414/s57924354/5272ae4f-d455d64a-5fbbd885-5fb94399-42dffe75.jpg	mild hilar congestion with small right pleural effusion, stable mild cardiac enlargement.
MIMIC-CXR-JPG/2.0.0/files/p18410703/s56218137/ccb35b8e-f461ae2b-05cdacd9-df210524-4a46ca13.jpg	malpositioned orogastric tube coiled in the hypopharynx. recommendation for repositioning was discussed with patient's nurse, , at the time of this dictation. endotracheal tube tip is approximately <num> cm above the carina and may be retracted by approximately <num> cm for more optimal positioning.
MIMIC-CXR-JPG/2.0.0/files/p18133509/s52036535/fadb23c6-db2a3c7f-6e5c8032-faead635-eaf87c60.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14775722/s52180408/d57afc23-5ccc7796-a8cb534d-c1fee029-4ddb4245.jpg	compared to prior chest radiographs,. lung volumes have improved primarily because previous pleural effusions have nearly cleared. consolidation persists at both lung bases, left-greater-than-right, presumably atelectasis alone pneumonia is not excluded. the upper lungs are clear. the heart is top-normal size. right pic line ends in the mid svc. no pneumothorax. tracheal stent is not evaluated by this examination.
MIMIC-CXR-JPG/2.0.0/files/p14002720/s52887637/af8d6a93-a3968b6c-abd38676-03e1e620-2ff85d8b.jpg	increased interstitial markings may be due to a interstitial edema or atypical infection. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14778144/s52879843/5ab32132-78eee43e-40621835-7eb178ba-833aed7b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11814469/s51404239/3b298a90-269f522c-e484cefb-b715ceb2-44a8a5f8.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12735874/s55575809/5c0d00a9-8837fe95-e6219d23-259f1547-d56583f1.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17696817/s58271908/00ee8ded-6f5ef747-30e88406-cc8f744c-faa28acd.jpg	new opacities seen in the left lung may be due to aspiration. bilateral small pleural effusions, right greater than left, with mild compressive atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12731558/s51856422/214f6718-8e405a99-1e4f1861-268e06c8-7c56381c.jpg	low lung volumes with bibasilar patchy opacities favoring atelectasis. pa and lateral chest radiographs with improved inspiratory level may be helpful for more complete assessment as a differential diagnosis includes aspiration and early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16187119/s53881157/79ceb032-297c5097-7f2c3d0d-75e09222-8d89f5e3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19908454/s54580492/354f2ab8-288309e9-fc6d945b-214d7b03-6e0a50d2.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11152718/s53328315/5bc0921c-f7eac535-d4b84086-48f5cd95-7a92467e.jpg	large left pleural effusion. relative to prior examination dated , cardiac size appears decreased.
MIMIC-CXR-JPG/2.0.0/files/p19152039/s58625729/1790a3c0-e9d52d4c-cd30e4b1-50566cd5-f348e3fe.jpg	the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of chest wall abnormalities, except for a moderate scoliosis of the thoracic spine. no pneumonia, no pulmonary edema, no pleural effusions, no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14945655/s50745062/dfa0e378-5703a3d1-56caf031-1db74ed3-9e6b7ddf.jpg	slight blunting of the posterior left costophrenic angle may be due to atelectasis or trace pleural fluid. mild basilar atelectasis without focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17329309/s57768906/1a2f5993-8cac1c77-2fa7b10f-023c34d4-562032ea.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17567743/s57470646/3294e9ce-fa4759cd-db386c8a-ace906e0-f84d0251.jpg	streaky opacities at lung bases likely reflective of atelectasis although developing infection in the left lung base cannot be completely excluded. no displaced rib fractures noted, although if there is continued clinical concern for a displaced rib fracture then a dedicated rib series is recommended. millimeter nodular opacity projecting over the left upper lung field and left anterior <num>st rib. shallow oblique views can be obtained for further assessment to determine if these are nodules within the lungs.
MIMIC-CXR-JPG/2.0.0/files/p17313730/s56660411/e0f7a4df-fe60a225-4254067e-488d8246-a7825b50.jpg	no acute intrathoracic abnormality. no signs of pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p19780236/s55442316/8c2c8b47-6f5022ca-08cd2b19-6c9aae83-2f6c1fda.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17524454/s59915314/ee9286f6-c91c7980-3f08b13b-ebb654a2-af912684.jpg	no acute cardiac or pulmonary process. hyperexpanded lungs, in keeping with known obstructive airways disease.
MIMIC-CXR-JPG/2.0.0/files/p19317770/s50996867/f6c29121-d753390e-cabdaefb-d6e39a12-fbfe1930.jpg	left subclavian catheter tip is in thecavoatrial junction. there is no pneumothorax. there are no other interval changes.
MIMIC-CXR-JPG/2.0.0/files/p18249843/s59537287/57053191-52a94ba2-52f27e62-955db386-3924d698.jpg	there is a left-sided central line with the distal lead tip at the cavoatrial junction. there are low lung volumes. there is cardiomegaly which is stable. there is a small right-sided pleural effusion. there is unchanged mild to moderate pulmonary edema. atelectasis at the lung bases are again seen. lateral view is suboptimal. however, there are degenerative changes of the lumbar spine. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14744884/s53924935/99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f.jpg	right base opacity could be due to consolidation from pneumonia. pa and lateral views of the chest would be helpful for further evaluation. no evidence of free air beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p15892671/s58509761/d2c46b56-08433e35-1a60e839-c650c700-511b21f4.jpg	findings concerning for multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16430605/s59809222/5590291c-62b948f4-d60a169d-419f8ea6-e414c480.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12627432/s57055753/849ad709-10db574a-a2342125-4e89c54f-d7a82e43.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p11944377/s58950324/7b0cc759-b7490820-a15ef98e-89b7cd16-ad3222a6.jpg	et tube tip is approximately <num> cm above the carinal. right chest tube is in place. heart size and mediastinum are stable. ng tube tip is most likely in the stomach. note is made that the side hole of the ng tube is at the gastroesophageal junction and does that should be advanced at least <num>- cm multiple left rib fractures are present. there is substantial amount of subcutaneous air. lucency projecting over the left lower lung is concerning for left pneumothorax. substantial amount of subcutaneous air is noted bilaterally. no definitive evidence of right pneumothorax is seen but it is most likely obscured by the subcutaneous air. the amount of mediastinal air is better appreciated on the recent chest ct from when compared to previous study the amount of subcutaneous air in particular on the left has substantially increased and the lucency projecting over the left lung base is new o does potentially might represent progression of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18562317/s51459612/381cf034-75ce05c8-c29df027-9cc72659-9a92ddc5.jpg	as compared to chest radiograph, cardiomediastinal contours are stable. lung volumes have increased with associated improved aeration at both lung bases although substantial atelectasis remains, as well as adjacent small to moderate right and small left pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12118394/s55812589/c990ed7d-0995a297-f22cc480-155876e8-db7d80b6.jpg	no acute intrathoracic process, limited chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p15378500/s51874259/b0a324ae-905751fd-58ec3419-38a0c779-75b62ad7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14127345/s59818666/d7033938-1a264f03-a5318ff5-1ed43b7b-9aa42a51.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12368821/s52091285/28f9d2d7-f499d254-610cd442-0dfd080b-ff16a267.jpg	no evidence of acute disease. no significant change.
MIMIC-CXR-JPG/2.0.0/files/p11263526/s51834021/03b5823a-4c95e414-f15c2bc4-4710fe78-08a9daf6.jpg	low lung volumes with bibasilar atelectasis. possible loss of vertebral body height at multiple thoracic levels, although the spine is not well evaluated on this study.
MIMIC-CXR-JPG/2.0.0/files/p17276165/s52069525/be52871e-0d8778ff-4e845157-c2863991-ea85a668.jpg	ap chest compared to. new dense consolidation left lower lobe consistent with pneumonia. atelectasis is less likely because there is no elevation of the left hemidiaphragm. right lung is clear. definition of the left bronchial tree ends at the origin of the lower lobe bronchus which may be occluded. findings were discussed by telephone with at , <num> seconds after the findings were recognized. right lung is grossly clear. pleural effusion is small if any. heart size normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15257432/s53664661/b9885698-404882e2-c3c6cd6b-0159a5a6-35f061fc.jpg	top normal to mildly enlarged cardiac silhouette. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13188070/s53801250/6855a2fd-c561c8b9-33b561ea-66513c6a-054c6666.jpg	no acute radiographic cardiopulmonary abnormality. an incompletely imaged distended loop of colon is incidentally noted. a dedicated abdominal radiograph can be obtained for further evaluation if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p13250121/s55065813/07d3346f-1e985330-60c57814-84335e7b-bac1651f.jpg	slightly low lung volumes. mild streaky bibasilar opacities could reflect atelectasis, though early aspiration is not completely excluded. consider repeat pa and lateral views with improved inspiratory effort for further assessment when the patient is able to do so.
MIMIC-CXR-JPG/2.0.0/files/p10955706/s58905845/cf4d7cb0-c50bd7fc-62394cea-bbf2abaa-a6ef742e.jpg	in comparison with the earlier study of this date, the tip of the endotracheal tube lies approximately <num> cm above the carina. substantial opacification is again seen at the right base as on the previous study. otherwise little change except for additional atelectasis at the left base.
MIMIC-CXR-JPG/2.0.0/files/p19993951/s56762974/13ea2e7f-8b758aaa-18874273-b83ff78d-c551a70f.jpg	moderate cardiomegaly without congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p15994571/s59790529/3fb1a265-a9803926-70944365-53a4321b-61c5a613.jpg	no acute cardiopulmonary abnormality. peripherally inserted catheter is seen terminating in the region of the axillary vein on the lateral view, likely reflecting the patient's known midline.
MIMIC-CXR-JPG/2.0.0/files/p10048244/s59707821/490d4be1-868042ee-fb28ad95-30789190-1ed7a840.jpg	compared to chest radiographs and. pleural calcification, particularly in the right upper chest obscures some areas of the lungs, and a region of peribronchial opacification in the the left lower lobe, is unchanged since. there are no pulmonary findings to suggest pneumonia. normal cardiomediastinal and hilar silhouettes.
MIMIC-CXR-JPG/2.0.0/files/p14074577/s52389296/cb7da16a-5fa2128e-61406f86-dcb6ad18-b951a1d9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17603668/s50706201/658d6f84-955500a2-9ec0b61c-d716a9d5-4579350e.jpg	mild pulmonary vascular congestion and mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11354070/s56123827/84866f69-d11ca57b-b9721811-acd20c1f-20dc2866.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11776373/s50199618/040b09ca-8e02deed-d656af4a-ea3beed0-4d2d14a7.jpg	severe emphysema and pleural plaques. focal consolidation in the right upper lobe which most likely represents pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13873988/s58320934/db441b37-5e2f5592-c29afc89-89c952a2-180d3bf9.jpg	in comparison with the study of , there are probable small pleural effusions. mild bibasilar atelectatic changes are noted. in the appropriate clinical setting, superimposed pneumonia could be considered.
MIMIC-CXR-JPG/2.0.0/files/p17008145/s58324513/a3e414f7-3bd08ccc-14744eab-8c060e31-3e51a8b6.jpg	no previous images. the heart is normal in size and there is some tortuosity of the aorta. no evidence of acute pneumonia, vascular congestion, or pleural effusion. the prominence of the ascending aorta raises the possibility of hypertension.
MIMIC-CXR-JPG/2.0.0/files/p15690435/s59295153/6cf93c88-a5ab5da9-1c92e471-4e2b4a3d-614063f4.jpg	possible mediastinal and left hilar adenopathy. pa and lateral radiographs should be obtained and clinical history examined to see if chest ct scanning is needed for clarification. i discussed these findings with dr by telephone at the time of dictation.
MIMIC-CXR-JPG/2.0.0/files/p14792524/s50234287/96e43d89-a35c57e8-d1e10ad6-ca47c815-2233017e.jpg	central venous line and port-a-cath catheter terminates at the level of lower svc. heart size and mediastinum are stable. lungs are overall clear except for bibasal atelectasis which is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17850903/s54948333/fa7127b7-16621833-94e53af5-02905f91-bc1afff8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15170842/s59822439/82f94527-78d675cf-38e3f22f-19c4b7f1-0e079adb.jpg	in comparison with the study of , there is little interval change. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. persistent elevation of the right hemidiaphragmatic contour.

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no acute intrathoracic process.

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normal chest radiograph.

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no acute cardiopulmonary process.

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nasogastric tube can be traced to the lower esophagus but the tip is indistinct and cannot be localized. repeat imaging with conventional radiograph for further evaluation is recommended prior to use. recommendation(s): repeat imaging with conventional radiograph for further evaluation is recommended prior to use.

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left basilar linear opacity likely reflecting scarring or subsegmental atelectasis. hyperinflation suggesting underlying emphysema. no evidence of focal pneumonia or pleural effusion.

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bilateral pleural effusions which have decreased in size from the prior radiograph. no evidence of pneumonia.

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bibasilar atelectasis. stable cardiomegaly. otherwise, no acute cardiopulmonary process.

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in comparison with the study of , there are again low lung volumes. continued small pleural effusions, more prominent on the right, with associated compressive atelectasis. the cardiac silhouette remains enlarged and there may be mild elevation of pulmonary venous pressure. monitoring and support devices are unchanged and there is no evidence of pneumothorax.

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mild vascular congestion with small right pleural effusion and persistent enlargement of the cardiac silhouette.

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lungs are fully expanded and essentially clear. there is no pleural abnormality, and heart size is normal. there is a suggestion of greater mediastinal fullness and opacification in the mediastinum adjacent to the indwelling right central venous catheter which ends low in the svc. differential diagnosis includes adenopathy or more likely edema in the setting of venous thrombosis. clinical evaluation is necessary.

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hilar prominence with perihilar opacity concerning for atypical infection versus edema.

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no acute cardiopulmonary process. no evidence of active or latent tb.

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the heart is mildly enlarged and upper lobe pulmonary vasculature equal to the lower lobe, but there is no pulmonary edema or pleural effusion. hilar and mediastinal contours are unremarkable. gastric banding is noted. no pneumothorax.

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in comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. nasogastric tube extends at least to the upper to mid body of the stomach, where it crosses the lower margin of the image. opacification in the left lower lung is consistent with volume loss in the lower lobe and pleural effusion. in the appropriate clinical setting, superimposed pneumonia would have to be considered. right basilar atelectatic changes also seen with small effusion.

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normal chest radiograph. no pneumothorax or effusion.

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there is no evident pneumothorax after chest tube removal. no other interval change from prior study.

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as compared to the previous radiograph, no relevant change is seen. small bilateral pleural effusions, left more than right. subsequent areas of atelectasis at the left lung base. retrocardiac atelectasis. moderate cardiomegaly but no evidence of pulmonary edema. no new focal parenchymal opacities.

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comparison to. no relevant change is noted. low lung volumes. stable moderate cardiomegaly of the cabg. minimal fluid overload but no overt pulmonary edema. no larger pleural effusions. moderate left perihilar and retrocardiac atelectasis.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no evidence of acute cardiopulmonary process.

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ap chest compared to : following right thoracentesis, moderate volume right pleural effusion has reaccumulated. lateral distribution suggests it could be loculated. there is no pneumothorax, or left pleural effusion. cardiac silhouette is slightly larger today than before which may be a function of paramediastinal pleural fluid rather than real change in the heart size or the accumulation of pericardial fluid. right lung base is understandably atelectatic. remainder of the lungs clear. mild pulmonary vascular engorgement is chronic.

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consolidation in the basal left lower lobe, similar in location but smaller than on. possible additional small consolidation in the anterior basal right lower lobe. these findings are compatible with pneumonia.

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no acute cardiopulmonary process.

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no evidence of pneumonia.

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lower lobe pneumonia, less likely combination of atelectasis and pulmonary edema. small left pleural effusion. mild pulmonary vascular congestion.

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mild pulmonary congestion and edema. stable cardiomegaly.

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in comparison with the study of , the monitoring and support devices remain in place and there is no evidence of acute pneumothorax. the pulmonary vasculature is less prominent and the hemidiaphragms are much better seen, consistent with decreased pleural fluid and basilar atelectasis. however, some of this could merely be a manifestation of a more erect position of the patient.

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left-sided pacer device is stable in position. left-sided central venous catheter is also stable in position. enlarged cardiomediastinal silhouette is again seen. patient is status post median sternotomy and cardiac valve replacement. there is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. trace right pleural effusion is difficult to exclude. evidence of old left-sided rib fractures is seen.

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cardiomegaly, pulmonary vascular congestion and mild edema with bilateral effusions left greater than right. retrocardiac opacity is concerning for atelectasis and/or pneumonia.

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no significant interval change in the appearance of the lungs. moderate right pleural effusion with overlying atelectasis. right base opacity is concerning for consolidation possibly due to infection, underlying neoplastic process is not excluded either. recommend followup to resolution. consider nonemergent chest ct to further assess. stable cardiomediastinal silhouette.

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no infiltrate

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no acute cardiopulmonary process.

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no evidence of radiodense foreign body.

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no definite evidence of pneumonia. residual opacity in the right juxtahilar region likely represents atelectasis.

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compared to chest radiographs through. left pic line ends in the upper svc. restrictive right pleural thickening persists but there has been a decrease in the volume of dependent pleural effusion. i cannot tell whether this has been replaced by pleural air or re-expanded lung. basal pleural drainage tube is still in place. heart size top-normal. left lung clear.

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no pneumonia, effusion or edema.

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minimal bibasilar atelectasis and probable trace bilateral pleural effusions.

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normal radiographs of the chest.

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no convincing evidence for pneumonia or aspiration on very limited study. hazy opacities and patchy opacities at the lung bases may be due to mild vascular congestion and minor atelectasis. short-term follow-up radiographs are suggested with better inspiration, if feasible, in the event that respiratory symptoms were to persist.

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possible trace effusion on the left.

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in comparison with the study of , the cardiac silhouette remains enlarged with evidence of pulmonary vascular congestion and bilateral pleural effusions. patchy areas of increased opacification in the mid zones bilaterally and at the left base could well represent superimposed pneumonia. there is now a pigtail catheter in the right upper quadrant of the abdomen.

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in comparison with the study of , the monitoring and support devices are unchanged. cardiomediastinal silhouette is stable. there may be slight improvement in the degree of pulmonary vascular congestion, with continued layering effusions bilaterally, more prominent on the right, with underlying basilar atelectatic changes.

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no new focal opacity concerning for pneumonia.

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increase in loculated right effusion.

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cardiomegaly with mild pulmonary edema.

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normal chest.

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bibasilar linear atelectasis with otherwise clear lungs. stable mild cardiomegaly.

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ap chest compared to : the patient was clearly in pulmonary edema with an increase in earlier cardiomegaly and at least moderate right pleural effusion on. these recurred on , and has subsequently improved. nevertheless moderate cardiomegaly is as pronounced as it has recently been and there is a still more severe abnormality in the lower lungs which are densely consolidated, making it difficult to distinguish dependent edema from pneumonia. small-to-moderate pleural effusions are present. et tube, upper enteric drainage tube, and a right jugular dual-channel catheter are in standard placements respectively. no pneumothorax. note, regions of presumed bronchopneumonia seen on the cta are too small to reliably identify on bedside radiographs. for that reason, when feasible, conventional radiographs should be performed.

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mild hilar congestion with small right pleural effusion, stable mild cardiac enlargement.

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malpositioned orogastric tube coiled in the hypopharynx. recommendation for repositioning was discussed with patient's nurse, , at the time of this dictation. endotracheal tube tip is approximately <num> cm above the carina and may be retracted by approximately <num> cm for more optimal positioning.

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no evidence of acute cardiopulmonary process.

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compared to prior chest radiographs,. lung volumes have improved primarily because previous pleural effusions have nearly cleared. consolidation persists at both lung bases, left-greater-than-right, presumably atelectasis alone pneumonia is not excluded. the upper lungs are clear. the heart is top-normal size. right pic line ends in the mid svc. no pneumothorax. tracheal stent is not evaluated by this examination.

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increased interstitial markings may be due to a interstitial edema or atypical infection. no focal consolidation.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormalities

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no evidence of pneumonia.

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new opacities seen in the left lung may be due to aspiration. bilateral small pleural effusions, right greater than left, with mild compressive atelectasis.

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low lung volumes with bibasilar patchy opacities favoring atelectasis. pa and lateral chest radiographs with improved inspiratory level may be helpful for more complete assessment as a differential diagnosis includes aspiration and early pneumonia.

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no acute cardiopulmonary abnormality.

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normal chest radiograph.

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large left pleural effusion. relative to prior examination dated , cardiac size appears decreased.

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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of chest wall abnormalities, except for a moderate scoliosis of the thoracic spine. no pneumonia, no pulmonary edema, no pleural effusions, no pneumothorax.

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slight blunting of the posterior left costophrenic angle may be due to atelectasis or trace pleural fluid. mild basilar atelectasis without focal consolidation.

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

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streaky opacities at lung bases likely reflective of atelectasis although developing infection in the left lung base cannot be completely excluded. no displaced rib fractures noted, although if there is continued clinical concern for a displaced rib fracture then a dedicated rib series is recommended. millimeter nodular opacity projecting over the left upper lung field and left anterior <num>st rib. shallow oblique views can be obtained for further assessment to determine if these are nodules within the lungs.

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no acute intrathoracic abnormality. no signs of pneumoperitoneum.

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no acute cardiopulmonary process.

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no acute cardiac or pulmonary process. hyperexpanded lungs, in keeping with known obstructive airways disease.

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left subclavian catheter tip is in thecavoatrial junction. there is no pneumothorax. there are no other interval changes.

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there is a left-sided central line with the distal lead tip at the cavoatrial junction. there are low lung volumes. there is cardiomegaly which is stable. there is a small right-sided pleural effusion. there is unchanged mild to moderate pulmonary edema. atelectasis at the lung bases are again seen. lateral view is suboptimal. however, there are degenerative changes of the lumbar spine. there are no pneumothoraces.

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right base opacity could be due to consolidation from pneumonia. pa and lateral views of the chest would be helpful for further evaluation. no evidence of free air beneath the diaphragms.

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findings concerning for multifocal pneumonia.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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et tube tip is approximately <num> cm above the carinal. right chest tube is in place. heart size and mediastinum are stable. ng tube tip is most likely in the stomach. note is made that the side hole of the ng tube is at the gastroesophageal junction and does that should be advanced at least <num>- cm multiple left rib fractures are present. there is substantial amount of subcutaneous air. lucency projecting over the left lower lung is concerning for left pneumothorax. substantial amount of subcutaneous air is noted bilaterally. no definitive evidence of right pneumothorax is seen but it is most likely obscured by the subcutaneous air. the amount of mediastinal air is better appreciated on the recent chest ct from when compared to previous study the amount of subcutaneous air in particular on the left has substantially increased and the lucency projecting over the left lung base is new o does potentially might represent progression of pneumothorax.

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as compared to chest radiograph, cardiomediastinal contours are stable. lung volumes have increased with associated improved aeration at both lung bases although substantial atelectasis remains, as well as adjacent small to moderate right and small left pleural effusions.

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no acute intrathoracic process, limited chest radiograph.

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no acute intrathoracic process.

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no acute intrathoracic process.

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no evidence of acute disease. no significant change.

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low lung volumes with bibasilar atelectasis. possible loss of vertebral body height at multiple thoracic levels, although the spine is not well evaluated on this study.

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ap chest compared to. new dense consolidation left lower lobe consistent with pneumonia. atelectasis is less likely because there is no elevation of the left hemidiaphragm. right lung is clear. definition of the left bronchial tree ends at the origin of the lower lobe bronchus which may be occluded. findings were discussed by telephone with at , <num> seconds after the findings were recognized. right lung is grossly clear. pleural effusion is small if any. heart size normal. no pneumothorax.

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top normal to mildly enlarged cardiac silhouette. otherwise, no acute cardiopulmonary process.

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no acute radiographic cardiopulmonary abnormality. an incompletely imaged distended loop of colon is incidentally noted. a dedicated abdominal radiograph can be obtained for further evaluation if clinically indicated.

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slightly low lung volumes. mild streaky bibasilar opacities could reflect atelectasis, though early aspiration is not completely excluded. consider repeat pa and lateral views with improved inspiratory effort for further assessment when the patient is able to do so.

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in comparison with the earlier study of this date, the tip of the endotracheal tube lies approximately <num> cm above the carina. substantial opacification is again seen at the right base as on the previous study. otherwise little change except for additional atelectasis at the left base.

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moderate cardiomegaly without congestive heart failure.

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no acute cardiopulmonary abnormality. peripherally inserted catheter is seen terminating in the region of the axillary vein on the lateral view, likely reflecting the patient's known midline.

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compared to chest radiographs and. pleural calcification, particularly in the right upper chest obscures some areas of the lungs, and a region of peribronchial opacification in the the left lower lobe, is unchanged since. there are no pulmonary findings to suggest pneumonia. normal cardiomediastinal and hilar silhouettes.

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no acute cardiopulmonary process.

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mild pulmonary vascular congestion and mild bibasilar atelectasis.

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no acute cardiopulmonary process.

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severe emphysema and pleural plaques. focal consolidation in the right upper lobe which most likely represents pneumonia.

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in comparison with the study of , there are probable small pleural effusions. mild bibasilar atelectatic changes are noted. in the appropriate clinical setting, superimposed pneumonia could be considered.

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no previous images. the heart is normal in size and there is some tortuosity of the aorta. no evidence of acute pneumonia, vascular congestion, or pleural effusion. the prominence of the ascending aorta raises the possibility of hypertension.

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possible mediastinal and left hilar adenopathy. pa and lateral radiographs should be obtained and clinical history examined to see if chest ct scanning is needed for clarification. i discussed these findings with dr by telephone at the time of dictation.

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central venous line and port-a-cath catheter terminates at the level of lower svc. heart size and mediastinum are stable. lungs are overall clear except for bibasal atelectasis which is unchanged.

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no acute cardiopulmonary process.

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in comparison with the study of , there is little interval change. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. persistent elevation of the right hemidiaphragmatic contour.