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/p13312271/s53573969/02553453-a929bb82-e679f7c2-cb406742-1d9ce969.jpg	ap chest compared to. mild pulmonary edema has improved, and there is no consolidation to suggest pneumonia. heart size is top normal. no pleural effusions. it is unclear whether a <num> mm wide round opacity projecting over the right fifth rib anteriorly is a nipple skin lesion or lung nodule. other lung nodules seen on recent chest ct are not obvious on these conventional radiographs, as expected.
MIMIC-CXR-JPG/2.0.0/files/p13764964/s54597989/a0e8d0e4-a73d8a5a-091816fd-c10d54cd-a0419532.jpg	no findings to account for left chest pain.
MIMIC-CXR-JPG/2.0.0/files/p16463192/s50565219/e2e15da6-29033ca0-593af800-03e391c2-96f852ee.jpg	large left pleural effusion with adjacent atelectasis is grossly stable. cardiac size is top-normal. there is mild vascular congestion. right lower lobe opacities unchanged. there is no evident pneumothorax. ng tube tip isout of view, below the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p10360205/s53817410/d9718d47-6af9389b-977ccf5c-49ee8c22-565c9fcf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18968808/s50858927/cb4bddbb-cf2b491a-daadcbd8-e891b910-3b3d4cee.jpg	mild bibasilar atelectasis without definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15151778/s55519208/833bf987-85c0c620-352b8542-2eb86db1-da14d31e.jpg	trace right pleural effusion. chronic right lower lobe scarring with minimal increase in opacification, which could be atelectasis or early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13716770/s59313024/5a2bee4d-e52ab811-e19a3e05-9d8f5c2a-0f31db53.jpg	moderate to large right pleural effusion with right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14982559/s59611459/d27207a3-eeb6f9f1-36e13c4e-d016ba80-3b286f41.jpg	no acute intrathoracic process. hyperinflated lungs and other findings may suggest chronic pulmonary disease, but non-specific. top-normal heart size. anterior compression deformity of mid-thoracic vertebral body appears chronic.
MIMIC-CXR-JPG/2.0.0/files/p10912490/s50245633/f95e1795-e27b632d-802cd9e9-c3f0b50b-d1fbb995.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14137218/s55450546/b9c389d3-1f91e2da-754cf4f4-98870c70-40914847.jpg	when compared to chest radiograph, both lung volumes are low resulting in exaggerated heart size and bilateral pulmonary vascular markings; however there is no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17195386/s54750022/fd851513-b5272f20-51b6c605-be2b2d56-df2f1e6e.jpg	persistent unchanged bilateral pleural effusions and bibasilar atelectasis. interval improvement in pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14003502/s50753769/1beb1a29-d71cf4d0-29562578-184a0ea1-444d5d8c.jpg	hyperinflation of the right lung and the configuration of the right hemidiaphragm indicate air trapping, perhaps chronic, but more pronounced today than on. convex upward contour of the left diaphragmatic surface laterally is due to pleural scarring or small retained left pleural effusion. there is no pneumothorax. aside from a small elliptical region of atelectasis and contiguous subsegmental atelectasis in the left mid and lower lung, lungs are clear of any focal abnormality. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p19180828/s59517536/19f7b7ec-54fa2b95-9cc8b996-7385f1a0-3580bd61.jpg	minimal retrocardiac patchy opacity, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15334144/s57442618/5de3c2c4-d76a28a6-bc6239e5-14a2b127-b8853d7e.jpg	mild cardiomegaly and mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18246604/s58831911/151140d3-a4852e76-8fa28d60-11ef1532-873552d2.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p14978358/s56203637/d002a553-7dd94d16-725f6e56-4f45a88d-361b7a99.jpg	in comparison with the study of , cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15770679/s51850748/de363b6c-cdc661be-2cdbddc5-1246f1ea-a5a732ee.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p15795647/s57724519/9fbfbfae-68e1f8f3-f4329ca7-56d03ae4-a461ab66.jpg	near total resolution of pneumonia, with minimal residual opacity in the left lower lung.
MIMIC-CXR-JPG/2.0.0/files/p12806479/s55025092/62296c1e-358904a3-01419c9a-07451d2b-aba3961c.jpg	no significant interval change. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13983282/s54955278/d8d7d352-24d739a5-145f5bca-fd8523b8-bc5db742.jpg	as compared to the previous radiograph, the patient has received a nasogastric tube. the tip projects over the gastroesophageal junction, the tube needs to be advanced by at least <num> cm to be securely positioned in the stomach. otherwise no relevant change is seen. moderate pulmonary edema. moderate cardiomegaly. no larger pleural effusions. minimal retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17280938/s58254062/d812e0b2-165d33f1-513c0d85-5959c706-72291152.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13846519/s58340542/5e80a111-34c5cc12-eecdcebf-48e9da38-0efb3230.jpg	no acute intrathoracic process. specifically, no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13545353/s58726329/27ab326a-fd4c2969-2e2ffbdf-871d1bc9-336024d8.jpg	the multiple right sided posterior rib fractures are again seen. the previously seen small right apical pneumothorax on the cervical spine ct is not appreciated on this plain radiograph. the heart remains mildly enlarged. the lungs are low in volumes but without focal airspace consolidation. the patchy opacity in the right upper lung has resolved suggesting that it represented atelectasis. no evidence of pulmonary edema. marked colonic gas shows distension.
MIMIC-CXR-JPG/2.0.0/files/p12128253/s51530839/b094e769-b4fa9d4c-f28296b9-a32e8806-10456bbd.jpg	no acute abnormality. interval decrease in loculated right pleural effusion. stable cardiomegaly. a left picc is noted which ends at the region of the distal left subclavian vein/proximal axillary vein, slightly migrated more lateral/externally since prior study dated.
MIMIC-CXR-JPG/2.0.0/files/p14296529/s53240642/e5110258-bf162f79-ab6243a2-eb0393ea-a563b894.jpg	there is no focus of consolidation suspicious for aspiration. there may be a small right upper lobe lung nodule, projecting over the anterior right second rib. lungs are otherwise clear. cardiomediastinal and hilar silhouettes are normal. right pic line ends in the low svc. feeding tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p12858786/s57066993/77e00b23-eb96fa61-7c5b9c01-612e8e18-399bf867.jpg	normal chest radiograph. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17997554/s58106729/db92752b-5309a0f7-66952e23-8a15a52a-3468b1a5.jpg	abnormality at the lung bases, relatively mild on the right is probably atelectasis in a region of scarring. at the left base however there is more consolidation concerning for pneumonia accompanied by increase small left pleural effusion. moderate heart size is examined exaggerated by ap positioning. chronic enlargement of the pulmonary arteries is due to pulmonary hypertension. no pneumothorax is present.
MIMIC-CXR-JPG/2.0.0/files/p17725582/s57382640/a1cd418a-36e46155-bd484747-290e2c30-a60c6918.jpg	right lower lobe pneumonia. subtle left lower lobe consolidation not excluded. findings could be due to infection and/or aspiration in the setting of seizures.
MIMIC-CXR-JPG/2.0.0/files/p18512386/s50784959/2e834030-39a1824a-23d391bb-d72820e3-949f4289.jpg	no comparison. low lung volumes. increased radiodensity in the right upper lobe, with air bronchograms, potentially reflecting pneumonia in the appropriate clinical setting. borderline size of the heart. mild elevation of the left hemidiaphragm. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16337160/s59013362/268dc091-2714fef1-9680582c-8739d7fe-0687b2a9.jpg	no pneumonia, edema or effusion. prominence at the right mediastinum. this most likely due to tortuous vessels but could be further evaluated with ct if clinically indicated. since chronicity is unknown, if clinical suspicion for ascenidng aortic aneurysm, is high, do ct
MIMIC-CXR-JPG/2.0.0/files/p17055995/s53400904/8b0af9e3-cf03e510-2238b168-0fcfeaaa-379dac24.jpg	new mild peribronchial opacification right lower lobe could be due to recent aspiration or developing pneumonia. lungs otherwise clear. no pleural abnormality. normal cardiomediastinal silhouette. left jugular line ends in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p15362885/s50712254/5d1d2578-7ae79b72-427adb20-3e37912b-038cec57.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17910586/s51896009/d2dc8d37-aee84812-c001b10a-1f134b3a-e9cd99d3.jpg	mild bibasilar atelectasis and mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12897175/s50563064/c37e921b-7018de93-9929b561-44156356-2f6e7cb8.jpg	no acute cardiopulmonary process. diffuse bronchial wall thickening probably reflects chronic airways inflammation.
MIMIC-CXR-JPG/2.0.0/files/p14380985/s52852820/e45ff03e-df06b808-a316a7e4-d14c0395-ffc630c9.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/p18385658/s58875798/a947f481-3591ef03-c9ad41a0-f6bbf850-e552e82f.jpg	clear lungs with no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14349552/s55166492/ac566a56-547f7b34-7abac86e-a5825100-d367f7e5.jpg	no evidence for acute pulmonary edema. an attempt was made to call these results to dr.
MIMIC-CXR-JPG/2.0.0/files/p16202057/s57225514/2c4936e2-23e21267-2a753fde-5df6a8f8-ac2ef38b.jpg	comparison to. in the interval, the patient has been extubated. the nasogastric tube was removed. the right internal jugular vein catheter remains in situ. decrease in extent and severity of the pre-existing left lower lobe atelectasis. a platelike atelectasis at the left lung bases persists. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17955848/s57468338/7fdc4ade-18531cb3-0211002e-4b44bcdf-4fb4d3b6.jpg	ett and ngt are unremarkable. partial collapse of right lower lobe. please see separately dictated chest ct for more complete assessment of the thorax.
MIMIC-CXR-JPG/2.0.0/files/p14892655/s57210428/61107159-0ade720c-34a75441-ff48295d-d6fb10c9.jpg	tracheostomy tube and bilateral ij central lines are again seen. the right ij central line appears to have migrated more proximally by <num> cm and is within the proximal svc. heart size is stable. there is unchanged moderate pulmonary edema and a left retrocardiac opacity. there is slight improved aeration of the right base with apparent resolution of the small pleural effusion seen previously.
MIMIC-CXR-JPG/2.0.0/files/p10976602/s52127136/74e87c68-8e67a472-274b57d7-42f3a6db-84c8b12d.jpg	small bilateral pleural effusions, increased compared to prior
MIMIC-CXR-JPG/2.0.0/files/p19127408/s56459418/119f2a24-8d5da460-683df78f-65f094d9-a0ae1c6c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12804066/s51781911/8c3544ad-da8203a0-5ed9ad75-e4665cea-6da08926.jpg	interval removal of the right chest tube. no pneumothorax is seen. improved aeration at the right lung base with residual subsegmental atelectasis. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. minimal residual subcutaneous emphysema in the right lateral chest wall.
MIMIC-CXR-JPG/2.0.0/files/p15087570/s54536642/fe1a39db-b20ab2f2-6259a4a2-8c5a2638-69d0bf38.jpg	small to moderate left pleural effusion has slightly decreased in size with associated improving adjacent left basilar atelectasis. small right pleural effusion has also decreased. no additional relevant changes since recent study.
MIMIC-CXR-JPG/2.0.0/files/p12138223/s54689368/74c66f67-b7dd3ae9-864cc582-ec2feab9-f2b44075.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19441569/s53385604/23121673-93fa7132-a7bebfd7-13d3a00b-fbd3d08c.jpg	possible tiny apical right pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16537897/s57449451/d9a87211-eef3d11f-11eab8c8-63f96a61-2a87657f.jpg	no acute process.
MIMIC-CXR-JPG/2.0.0/files/p11984498/s52957066/9209db85-e12ead0e-2c429967-9b047d4f-51d3deee.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13590165/s58919266/75c798be-39b4b1ec-8b652a05-f908ef8d-e22f42ef.jpg	central venous line terminates at the level of the right atrium. left basal atelectasis is unchanged. no new consolidations demonstrated. no increase in pleural effusion or development of pneumothorax demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p15970767/s53929794/26992e74-4f76be6b-dea982ff-c434cf36-2610de5e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18486555/s54340670/e0ef7e0e-54c06a63-ffa1bc9e-eee7697b-0bf38549.jpg	swan-ganz catheter tip is in the main pulmonary artery however proximally the catheter remains coiled in the right ventricle. persistent mild pulmonary edema. persistent left retrocardiac opacity.
MIMIC-CXR-JPG/2.0.0/files/p16074919/s55437097/01f62b61-04635b45-3a9eca45-9fb418ee-beb61707.jpg	ap chest compared to : left lower lobe atelectasis is worsened. milder right basal atelectasis is stable. upper lungs are clear. no pulmonary edema. pleural effusion small if any. heart size normal. right pic line ends low in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12128253/s54630621/87b4d8b6-c76a451c-981e4e8c-8f021360-b0805ebb.jpg	as compared to the previous radiograph, no relevant change is seen. bilateral pigtail catheters, tracheostomy tube, left picc line and right dialysis catheter are in unchanged position. the perihilar opacities have minimally decreased in extent. there is no evidence for the presence of a pneumothorax or for larger pleural effusions. unchanged moderate cardiomegaly with retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19398915/s50195811/5391944b-b54dc685-7e6f258e-4af54573-0cfe07a5.jpg	no substantial change compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p11732026/s50683592/a6b749b1-60844df6-09bf8e24-b4bdd0c4-4bb95bb8.jpg	bilateral effusions. no failure. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11340250/s50202719/cc998803-8da05814-6a67a95b-e06e30f5-367e65dc.jpg	comparison <num> of. no relevant change. tracheostomy tube, vertebral fixations, and right picc line are in stable position. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18304185/s53308999/87302ea0-234a51a7-4aadcd70-7ffec320-0a7ee329.jpg	no previous images. relatively low lung volumes. blunting of the left costophrenic angle but no vascular congestion or acute focal pneumonia. specifically, there is a small apical pneumothorax, but no evidence of tension.
MIMIC-CXR-JPG/2.0.0/files/p16169165/s52632090/87277b51-698ebe08-5181111a-b7654536-b71c00de.jpg	no acute cardiopulmonary abnormality. calcified saccular aneursym of the aortic arch is better characterized on concurrent ct of the chest.
MIMIC-CXR-JPG/2.0.0/files/p15973805/s52224238/775611ef-e9aa0dc7-fa659d77-18b1dd68-b9681f3e.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16238625/s57364846/f6485ad1-9a2b0d87-148d5e94-052c3865-543bf1df.jpg	moderate cardiomegaly and mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19419083/s51147602/b06b2184-4f60e220-27667914-482da964-c30a973f.jpg	a small left pleural effusion is new since. diffuse coarsening of the interstitium, most predominant in the right lower lobe could represent interstitial edema or chronic interstitial disease.
MIMIC-CXR-JPG/2.0.0/files/p18322831/s52444368/39605a59-177dd798-e54ca227-233046d4-d762525b.jpg	compared to chest radiographs through. lung volumes are lower, mild pulmonary edema has worsened, moderate bilateral pleural effusions are larger and heart size though still normal has increased. findings point to worsening congestive heart failure. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16331805/s58887363/5232f9e2-9c16627f-521a8ee3-f598d223-f24d0762.jpg	continued prominence of the interstitial markings, although less extensive than on prior and no current pleural effusions. these may be due to mild pulmonary edema or chronic underlying interstitial process.
MIMIC-CXR-JPG/2.0.0/files/p17636445/s58191022/4d3bcfa9-57c297eb-9769fa41-ae19c061-daad05ac.jpg	comparison with the study of , there is continued enlargement of the cardiac silhouette. the pulmonary vasculature is essentially within normal limits. no evidence of acute pneumonia or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15892758/s53235877/5c18fb30-cca378ca-714933a3-48535ead-c40f0248.jpg	mild bronchial wall thickening suggestive of inflammation or infection. no acute osseous abnormality is seen.
MIMIC-CXR-JPG/2.0.0/files/p14594788/s52945699/d25bd698-5d458017-74e2ec1c-1c4a6e02-2f0380ee.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10888222/s59125495/8e1bc6ab-72d3b040-0791f724-3d2f6b3f-aa7f7f6c.jpg	there is no interval change in severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. there are probably small bilateral effusions. there is no pneumothorax. lines and tubes are in standard position.
MIMIC-CXR-JPG/2.0.0/files/p12006883/s50704160/c938c084-a553f2c6-b9a5e417-e5fd1349-cb120719.jpg	left distal clavicular fracture. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p17795409/s51638508/7afa35fd-94357430-59e95043-35658652-5e1eea35.jpg	compared to chest radiographs. et tube in standard placement. transesophageal drainage tube passes into the stomach and out of view. lungs grossly clear. heart size normal. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14381330/s57985471/f93163d4-e87aad3f-2d74b118-a2c58e77-0c9d1279.jpg	no acute cardiopulmonary process. rounded dense structure overlying the right lung base is similar to prior and may represent costochondral calcification.
MIMIC-CXR-JPG/2.0.0/files/p15399588/s54153570/c84ab782-40fbed1e-821d7f0f-9304ec58-94b14dc1.jpg	no signs for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18997544/s55138097/7ae60a12-8274821a-282689fe-257ba0c6-71525b2b.jpg	patchy lower lobe opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12476693/s55555229/d4398bcf-64584f6d-5f0d224f-de1f35ab-2444710e.jpg	no acute cardiopulmonary process. specifically, no appreciable pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14328084/s58548883/2bab2d7e-ef12c0f4-da7ed44e-65db9034-80a4c8bc.jpg	persistent right upper lobe collapse and consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17031760/s59621280/96908b05-7eac0251-05d879c1-53e8a0de-4a3d3c4f.jpg	dense consolidation in the left mid lung along with hazy opacification in the right perihilar region and lung bases, concerning for pneumonia and/or aspiration. the endotracheal tube terminates <num> cm above the carina, and could be withdrawn at least <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p19191576/s58456262/e0d0c22c-c010e126-13f3b58d-cd945046-f8a346fb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10795168/s54713296/d0ad3dd8-a32dfc31-df5b6635-f6f2259e-6e6998ea.jpg	interval worsening of pulmonary edema, which may explain desaturations. bilateral pleural effusions, left greater than right.
MIMIC-CXR-JPG/2.0.0/files/p18836076/s54336203/92579ea4-493caf22-2d3206a7-ab1796a6-782c9016.jpg	bibasilar atelectasis, which is non-specific, but can be seen in pulmonary embolus. at the time of attending review and this change in report, the patient had left against medical advice. therefore, this change was e-mailed to the ed qa nurses at approximately on.
MIMIC-CXR-JPG/2.0.0/files/p19862541/s50109575/3a161557-52e67019-df4e5c40-75953bb5-9b19588f.jpg	left lower lobe consolidation is compatible with pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12468016/s59377456/8a4a0f94-2a7d1c38-736e4809-a088c54c-f447684a.jpg	heart size and mediastinum are unchanged in appearance. lungs are overall clear with interval improvement of the right basal opacity. no new abnormality is demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p15005501/s53269520/80001b54-19d2a09d-8ca6fddf-aa67cd15-cab5b82b.jpg	no infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p11402257/s57639250/10e4821f-1ab76240-69af03b5-a0059663-6e96f2e8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13821654/s59588523/6162781c-a29c9b2f-97704b16-e79617f0-df5ece68.jpg	mild basilar atelectasis. no definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p11118016/s52975006/bfe28a39-6d0662e5-9d2f918d-31db0326-12ec8e64.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16525331/s58884041/c6b53ef1-1d2ee59e-f021dd98-d36b5e2a-26899a09.jpg	satisfactory position of newly placed right picc line with no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17477304/s57116189/bb73b4cd-65817ec8-d9affd50-75e3e0eb-7f6a8f89.jpg	in comparison with the study of , there are lower lung volumes. cardiac silhouette is prominent and there is evidence of elevated pulmonary venous pressure. no definite acute focal pneumonia. diffuse sclerotic metastases are again seen.
MIMIC-CXR-JPG/2.0.0/files/p10362036/s52634072/3c94d854-16621dc3-dda0f733-240bcbe6-669c9e60.jpg	new <num> cm mass in the right lung base for which dedicated chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p11013855/s57738597/dd1b8943-23dbcb99-6406b6a4-f50164e0-67400b4f.jpg	stable appearance to the right upper lung where there is a parenchymal distortion, nodularity and linear opacities which were further evaluated with ct on and felt to more likely represent post-inflammatory changes, although malignancy was not entirely excluded. a followup pa and lateral chest film in three months may be prudent. the remaining lungs are clear without evidence of focal airspace consolidation or pulmonary edema. no pleural effusions. no pneumothorax is seen. overall cardiac and mediastinal contours are stable with the heart being stably enlarged. results of this examination were placed into the critical results dashboard on at at the time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p19707837/s52372315/51557ccc-56fe6939-c9375939-efe5da5c-9de79a32.jpg	no acute cardiopulmonary process. known diffuse osseous lesions better seen on prior exam.
MIMIC-CXR-JPG/2.0.0/files/p15264044/s59473245/d4c30fbb-2e615d7f-7f1e75db-29bea49e-f0570ae2.jpg	new left retrocardiac opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12967352/s51395537/23305852-816e5995-4afb4ef8-58165e9c-e5643626.jpg	concerning degree of mediastinal widening and cardiac enlargement. consider pericardial effusion. stable bilateral pleural effusions, moderate on the left and small on the right as well as stable moderate pulmonary edema. attempted to communicate these findings to at on via telephone, who reports patient is hemodynamically stable.
MIMIC-CXR-JPG/2.0.0/files/p14563348/s55114163/e73d6690-e46811aa-bd6d8416-ae38b5cb-dc937dc9.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13040755/s54836414/5c1c3e8e-b15eee69-6d6ede1e-5006da98-fd31eb07.jpg	the comparison with the study of , there is little change. air-fluid level is again seen posteriorly on the left. otherwise, little overall change.
MIMIC-CXR-JPG/2.0.0/files/p13366982/s53381532/6ab8b331-7f3e927a-942189bf-afce2778-37afda1a.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19269172/s57970240/e4e5fdc6-0554e265-099416e2-fdc1c216-59ca9fdb.jpg	comparison to. no pneumothorax of the bronchoscopy. the extensive parenchymal and pleural opacities and consolidations are stable in extent and severity. low lung volumes persist. borderline size of the cardiac silhouette is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15394622/s52014456/5c873cc1-f9be42fd-0fe9dc2a-9dff1720-ee038b2a.jpg	no pneumonia or congestive heart failure. <num>-mm possible lung nodule in the right lower lung field, not seen on prior studies. further evaluation with outpatient chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p10999395/s56080537/5af211b6-f688bb75-ee00bbc6-59f99556-22213c58.jpg	swan-ganz catheter terminates at the level of the right ventricular outflow tract. right internal jugular line tip is at the level of lower svc. ng tube tip is in the stomach. multifocal consolidations are unchanged as compared to previous examination, most likely consistent with multifocal infection.
MIMIC-CXR-JPG/2.0.0/files/p11455795/s58213924/51f6c58a-c26ff804-49f0a16c-9f4526dc-3a1b449d.jpg	worsening multifocal infection, more severe in the right lung.
MIMIC-CXR-JPG/2.0.0/files/p11891842/s51734866/a38d671f-8dd938ab-4ee5e7e1-bfb7b097-411ad257.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p17839341/s52918488/2ff1cb3b-d74cc4eb-b7567004-7ad5eaee-204ab920.jpg	as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. moderate cardiomegaly. no focal parenchymal opacities suggesting pneumonia. a pre-existing retrocardiac atelectasis is improved as compared to the previous image.

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ap chest compared to. mild pulmonary edema has improved, and there is no consolidation to suggest pneumonia. heart size is top normal. no pleural effusions. it is unclear whether a <num> mm wide round opacity projecting over the right fifth rib anteriorly is a nipple skin lesion or lung nodule. other lung nodules seen on recent chest ct are not obvious on these conventional radiographs, as expected.

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no findings to account for left chest pain.

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large left pleural effusion with adjacent atelectasis is grossly stable. cardiac size is top-normal. there is mild vascular congestion. right lower lobe opacities unchanged. there is no evident pneumothorax. ng tube tip isout of view, below the diaphragm.

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no acute cardiopulmonary process.

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mild bibasilar atelectasis without definite acute cardiopulmonary process.

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trace right pleural effusion. chronic right lower lobe scarring with minimal increase in opacification, which could be atelectasis or early pneumonia.

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moderate to large right pleural effusion with right basilar atelectasis.

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no acute intrathoracic process. hyperinflated lungs and other findings may suggest chronic pulmonary disease, but non-specific. top-normal heart size. anterior compression deformity of mid-thoracic vertebral body appears chronic.

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no evidence of acute cardiopulmonary process.

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when compared to chest radiograph, both lung volumes are low resulting in exaggerated heart size and bilateral pulmonary vascular markings; however there is no radiographic evidence of pneumonia.

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persistent unchanged bilateral pleural effusions and bibasilar atelectasis. interval improvement in pulmonary edema.

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hyperinflation of the right lung and the configuration of the right hemidiaphragm indicate air trapping, perhaps chronic, but more pronounced today than on. convex upward contour of the left diaphragmatic surface laterally is due to pleural scarring or small retained left pleural effusion. there is no pneumothorax. aside from a small elliptical region of atelectasis and contiguous subsegmental atelectasis in the left mid and lower lung, lungs are clear of any focal abnormality. heart size is normal.

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minimal retrocardiac patchy opacity, likely atelectasis.

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mild cardiomegaly and mild pulmonary edema.

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normal chest x-ray.

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in comparison with the study of , cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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normal chest radiograph.

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near total resolution of pneumonia, with minimal residual opacity in the left lower lung.

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no significant interval change. no acute cardiopulmonary process.

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as compared to the previous radiograph, the patient has received a nasogastric tube. the tip projects over the gastroesophageal junction, the tube needs to be advanced by at least <num> cm to be securely positioned in the stomach. otherwise no relevant change is seen. moderate pulmonary edema. moderate cardiomegaly. no larger pleural effusions. minimal retrocardiac atelectasis.

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no acute cardiopulmonary process.

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no acute intrathoracic process. specifically, no focal consolidation.

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the multiple right sided posterior rib fractures are again seen. the previously seen small right apical pneumothorax on the cervical spine ct is not appreciated on this plain radiograph. the heart remains mildly enlarged. the lungs are low in volumes but without focal airspace consolidation. the patchy opacity in the right upper lung has resolved suggesting that it represented atelectasis. no evidence of pulmonary edema. marked colonic gas shows distension.

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no acute abnormality. interval decrease in loculated right pleural effusion. stable cardiomegaly. a left picc is noted which ends at the region of the distal left subclavian vein/proximal axillary vein, slightly migrated more lateral/externally since prior study dated.

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there is no focus of consolidation suspicious for aspiration. there may be a small right upper lobe lung nodule, projecting over the anterior right second rib. lungs are otherwise clear. cardiomediastinal and hilar silhouettes are normal. right pic line ends in the low svc. feeding tube passes into the stomach and out of view.

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normal chest radiograph. no pneumonia.

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abnormality at the lung bases, relatively mild on the right is probably atelectasis in a region of scarring. at the left base however there is more consolidation concerning for pneumonia accompanied by increase small left pleural effusion. moderate heart size is examined exaggerated by ap positioning. chronic enlargement of the pulmonary arteries is due to pulmonary hypertension. no pneumothorax is present.

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right lower lobe pneumonia. subtle left lower lobe consolidation not excluded. findings could be due to infection and/or aspiration in the setting of seizures.

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no comparison. low lung volumes. increased radiodensity in the right upper lobe, with air bronchograms, potentially reflecting pneumonia in the appropriate clinical setting. borderline size of the heart. mild elevation of the left hemidiaphragm. no pleural effusions.

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no pneumonia, edema or effusion. prominence at the right mediastinum. this most likely due to tortuous vessels but could be further evaluated with ct if clinically indicated. since chronicity is unknown, if clinical suspicion for ascenidng aortic aneurysm, is high, do ct

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new mild peribronchial opacification right lower lobe could be due to recent aspiration or developing pneumonia. lungs otherwise clear. no pleural abnormality. normal cardiomediastinal silhouette. left jugular line ends in the mid svc.

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no definite acute cardiopulmonary process.

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mild bibasilar atelectasis and mild pulmonary vascular congestion.

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no acute cardiopulmonary process. diffuse bronchial wall thickening probably reflects chronic airways inflammation.

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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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clear lungs with no evidence of pneumonia.

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no evidence for acute pulmonary edema. an attempt was made to call these results to dr.

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comparison to. in the interval, the patient has been extubated. the nasogastric tube was removed. the right internal jugular vein catheter remains in situ. decrease in extent and severity of the pre-existing left lower lobe atelectasis. a platelike atelectasis at the left lung bases persists. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia.

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ett and ngt are unremarkable. partial collapse of right lower lobe. please see separately dictated chest ct for more complete assessment of the thorax.

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tracheostomy tube and bilateral ij central lines are again seen. the right ij central line appears to have migrated more proximally by <num> cm and is within the proximal svc. heart size is stable. there is unchanged moderate pulmonary edema and a left retrocardiac opacity. there is slight improved aeration of the right base with apparent resolution of the small pleural effusion seen previously.

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small bilateral pleural effusions, increased compared to prior

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no acute cardiopulmonary process.

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interval removal of the right chest tube. no pneumothorax is seen. improved aeration at the right lung base with residual subsegmental atelectasis. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. minimal residual subcutaneous emphysema in the right lateral chest wall.

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small to moderate left pleural effusion has slightly decreased in size with associated improving adjacent left basilar atelectasis. small right pleural effusion has also decreased. no additional relevant changes since recent study.

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no acute cardiopulmonary process.

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possible tiny apical right pneumothorax.

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no acute process.

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no acute cardiopulmonary abnormality.

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central venous line terminates at the level of the right atrium. left basal atelectasis is unchanged. no new consolidations demonstrated. no increase in pleural effusion or development of pneumothorax demonstrated.

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no acute cardiopulmonary process.

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swan-ganz catheter tip is in the main pulmonary artery however proximally the catheter remains coiled in the right ventricle. persistent mild pulmonary edema. persistent left retrocardiac opacity.

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ap chest compared to : left lower lobe atelectasis is worsened. milder right basal atelectasis is stable. upper lungs are clear. no pulmonary edema. pleural effusion small if any. heart size normal. right pic line ends low in the svc. no pneumothorax.

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as compared to the previous radiograph, no relevant change is seen. bilateral pigtail catheters, tracheostomy tube, left picc line and right dialysis catheter are in unchanged position. the perihilar opacities have minimally decreased in extent. there is no evidence for the presence of a pneumothorax or for larger pleural effusions. unchanged moderate cardiomegaly with retrocardiac atelectasis.

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no substantial change compared to the prior study.

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bilateral effusions. no failure. no pneumonia.

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comparison <num> of. no relevant change. tracheostomy tube, vertebral fixations, and right picc line are in stable position. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions.

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no previous images. relatively low lung volumes. blunting of the left costophrenic angle but no vascular congestion or acute focal pneumonia. specifically, there is a small apical pneumothorax, but no evidence of tension.

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no acute cardiopulmonary abnormality. calcified saccular aneursym of the aortic arch is better characterized on concurrent ct of the chest.

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no evidence of acute cardiopulmonary disease.

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moderate cardiomegaly and mild pulmonary edema.

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a small left pleural effusion is new since. diffuse coarsening of the interstitium, most predominant in the right lower lobe could represent interstitial edema or chronic interstitial disease.

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compared to chest radiographs through. lung volumes are lower, mild pulmonary edema has worsened, moderate bilateral pleural effusions are larger and heart size though still normal has increased. findings point to worsening congestive heart failure. no pneumothorax.

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continued prominence of the interstitial markings, although less extensive than on prior and no current pleural effusions. these may be due to mild pulmonary edema or chronic underlying interstitial process.

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comparison with the study of , there is continued enlargement of the cardiac silhouette. the pulmonary vasculature is essentially within normal limits. no evidence of acute pneumonia or pleural effusion.

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mild bronchial wall thickening suggestive of inflammation or infection. no acute osseous abnormality is seen.

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no acute cardiopulmonary process.

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there is no interval change in severe cardiomegaly, widening of the mediastinum, bibasilar consolidations and mild pulmonary edema. there are probably small bilateral effusions. there is no pneumothorax. lines and tubes are in standard position.

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left distal clavicular fracture. otherwise unremarkable.

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compared to chest radiographs. et tube in standard placement. transesophageal drainage tube passes into the stomach and out of view. lungs grossly clear. heart size normal. no pleural abnormality.

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no acute cardiopulmonary process. rounded dense structure overlying the right lung base is similar to prior and may represent costochondral calcification.

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no signs for acute cardiopulmonary process.

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patchy lower lobe opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting.

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no acute cardiopulmonary process. specifically, no appreciable pneumothorax.

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persistent right upper lobe collapse and consolidation.

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dense consolidation in the left mid lung along with hazy opacification in the right perihilar region and lung bases, concerning for pneumonia and/or aspiration. the endotracheal tube terminates <num> cm above the carina, and could be withdrawn at least <num> cm.

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no acute cardiopulmonary process.

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interval worsening of pulmonary edema, which may explain desaturations. bilateral pleural effusions, left greater than right.

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bibasilar atelectasis, which is non-specific, but can be seen in pulmonary embolus. at the time of attending review and this change in report, the patient had left against medical advice. therefore, this change was e-mailed to the ed qa nurses at approximately on.

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left lower lobe consolidation is compatible with pneumonia in the appropriate clinical setting.

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heart size and mediastinum are unchanged in appearance. lungs are overall clear with interval improvement of the right basal opacity. no new abnormality is demonstrated.

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no infiltrates.

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no acute cardiopulmonary abnormality.

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mild basilar atelectasis. no definite focal consolidation.

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no acute cardiopulmonary process.

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satisfactory position of newly placed right picc line with no pneumothorax.

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in comparison with the study of , there are lower lung volumes. cardiac silhouette is prominent and there is evidence of elevated pulmonary venous pressure. no definite acute focal pneumonia. diffuse sclerotic metastases are again seen.

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new <num> cm mass in the right lung base for which dedicated chest ct is recommended.

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stable appearance to the right upper lung where there is a parenchymal distortion, nodularity and linear opacities which were further evaluated with ct on and felt to more likely represent post-inflammatory changes, although malignancy was not entirely excluded. a followup pa and lateral chest film in three months may be prudent. the remaining lungs are clear without evidence of focal airspace consolidation or pulmonary edema. no pleural effusions. no pneumothorax is seen. overall cardiac and mediastinal contours are stable with the heart being stably enlarged. results of this examination were placed into the critical results dashboard on at at the time of discovery.

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no acute cardiopulmonary process. known diffuse osseous lesions better seen on prior exam.

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new left retrocardiac opacity concerning for pneumonia.

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concerning degree of mediastinal widening and cardiac enlargement. consider pericardial effusion. stable bilateral pleural effusions, moderate on the left and small on the right as well as stable moderate pulmonary edema. attempted to communicate these findings to at on via telephone, who reports patient is hemodynamically stable.

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normal chest radiograph.

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the comparison with the study of , there is little change. air-fluid level is again seen posteriorly on the left. otherwise, little overall change.

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no evidence of pneumonia.

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comparison to. no pneumothorax of the bronchoscopy. the extensive parenchymal and pleural opacities and consolidations are stable in extent and severity. low lung volumes persist. borderline size of the cardiac silhouette is unchanged.

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no pneumonia or congestive heart failure. <num>-mm possible lung nodule in the right lower lung field, not seen on prior studies. further evaluation with outpatient chest ct is recommended.

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swan-ganz catheter terminates at the level of the right ventricular outflow tract. right internal jugular line tip is at the level of lower svc. ng tube tip is in the stomach. multifocal consolidations are unchanged as compared to previous examination, most likely consistent with multifocal infection.

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worsening multifocal infection, more severe in the right lung.

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normal chest x-ray.

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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. moderate cardiomegaly. no focal parenchymal opacities suggesting pneumonia. a pre-existing retrocardiac atelectasis is improved as compared to the previous image.