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/p16431831/s50978693/591d700f-91cc06bf-24fb412d-2cf54be7-07c16e9e.jpg	as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the patient has also received a right internal jugular vein catheter. the catheter shows a normal course, the tip projects over the lower svc. there is no evidence of pneumothorax. the extent of known free intra-abdominal air after colectomy has minimally decreased.
MIMIC-CXR-JPG/2.0.0/files/p18058896/s53656155/c928f902-5c1c98d9-bef5feb1-18dc127f-8ee315e2.jpg	copd without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11389640/s55762149/f9336bd3-8e089807-caf8c607-6ddb6fe8-c123c916.jpg	no acute cardiopulmonary process. no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p16112144/s59278441/8142b6a2-56a5e219-e64d6661-d5fa2e51-7ae5b80b.jpg	unchanged left basilar subsegmental atelectasis. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15245121/s56392217/52f57a7c-995fa030-31efe482-09711419-b4690649.jpg	no acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13975682/s55510048/c1bf219b-02d6a821-55f3e551-52e0aed5-2d64e9b9.jpg	low lung volumes. central pulmonary vascular engorgement. elevated right hemidiaphragm with right base atelectasis. medial right base opacity is felt to more likely represent atelectasis than pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14096379/s52808615/af5498e2-47357895-dbdca4ed-2612523a-62a2945c.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette with moderate pulmonary edema. increased hazy opacification in the right hemithorax with obscuration of the hemidiaphragm is consistent with layering pleural effusion an underlying compressive atelectasis, more prominent than on the opposite side.
MIMIC-CXR-JPG/2.0.0/files/p11113918/s50419717/aa8ce375-65abbd1b-eca299a5-20e8abeb-269376f9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19155768/s56119193/d202cff9-e1a84b7a-2062edcd-12f0995b-84060dd9.jpg	cardiomegaly with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12266725/s59348822/7238aa82-9e9e55c4-4bb39a00-1e2baca9-c20136a5.jpg	no pneumothorax status post water seal placement of right-sided chest tubes. rest of the findings also remain unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14323503/s52033232/63055d2d-614e7eff-e02c8d80-3c520cce-9fb51901.jpg	widening of the cardiomediastinal silhouette is improving, bilateral perihilar consolidation, moderate on the left and mild on the right, is improving on both sides. left pleural effusion is small, unchanged. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15209525/s55508927/0cf1fae8-2b536ed8-d985b61b-e74bab03-0f35c41c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13178765/s50278661/c5e73717-6bf38d0e-de07b19b-98713c2e-1ee8c0bc.jpg	mild pulmonary vascular congestion, probable trace left pleural effusion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15527518/s59309884/d2068829-d80313dc-353042bc-15609283-ee3dc692.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15497447/s54728731/7587c74e-d43a6614-98e5bb8a-9a5f4618-468494b1.jpg	persistent small right pleural effusion. otherwise, no acute cardiothoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14203967/s58712237/bd739e8d-f9140741-f2c0f1c7-497c46ff-fe457608.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s51920802/a26e72ea-92a313a8-9a93b457-83afb9df-e4311f3c.jpg	hyperinflated lungs consistent with emphysema. no acute intrathoracic abnormality identified.
MIMIC-CXR-JPG/2.0.0/files/p13792002/s56234985/8bf5164c-c1f7b3e4-d221fde0-534f8a2a-a7e7693f.jpg	low lung volumes. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16229429/s53323045/3b78699b-1cf186d5-54d0f55d-6d5f6d0f-019e1c4e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17009014/s58225553/e83201e4-6fc58aa1-789549f5-9315e58d-51c6d423.jpg	limited exam due to portable technique and poor inspiratory effort without definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11928413/s56347708/5bd1312b-21967e06-574f6cef-d54375ed-36941daa.jpg	possible mild congestion. no convincing evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10457876/s55010335/b59a559b-83e9dc58-78f4e000-6beb8a18-349f2fef.jpg	<num> cm rounded opacity projecting over and upper thoracic vertebral body correlates with a sclerotic bone lesion from. lungs are mildly hyperinflated and diaphragms are mildly flattened consistent with emphysematous changes unchanged from. the lungs are otherwise clear.
MIMIC-CXR-JPG/2.0.0/files/p14304779/s55849428/77f16453-c5faeed6-649c0405-804e11f9-202b87da.jpg	the lung volumes are normal. moderate cardiomegaly with signs of mild fluid overload but no overt pulmonary edema. no evidence of pneumonia. minimal atelectasis at the right and the left lung bases. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17710775/s57020175/252da615-da4279ab-ac373143-cf1e8291-5e39ce8c.jpg	normal.
MIMIC-CXR-JPG/2.0.0/files/p12128727/s55517270/a4756fba-4150ef40-8626f9be-75c8639e-ba2d14ad.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14344271/s59865781/156cd5ec-37d73958-47d90e56-f00293e3-edbe792b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17724210/s58080723/b48fe80e-7fe0b382-1b349445-4725245f-23f7d240.jpg	interval increase in left pleural effusion and continued elevation of right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p14921607/s59752051/b4b00d9a-594b6540-ecd40adc-71d105d9-748f4f13.jpg	post-procedural changes from recent right pleurodesis. decreased subcutaneous air in the right chest wall. unchanged position of right apical chest tube. no pneumothorax. unchanged small left pleural effusion. probable bibasilar atelectasis. mild increase in cardiac size could reflect developing pericardial effusion.
MIMIC-CXR-JPG/2.0.0/files/p17838879/s51304465/092241a5-dc051690-d3773077-3bfc0571-d47f89ba.jpg	minimal atelectasis in the lung bases. previous pattern of mild pulmonary vascular congestion has resolved.
MIMIC-CXR-JPG/2.0.0/files/p12377862/s58719049/c8700d03-b98e10c1-d02921ce-4a8a18ca-b2d13189.jpg	patchy lower lung opacities suggesting pneumonia. findings worrisome for a new potentially malignant nodule at the left lung apex. chest ct is recommended to evaluate further as well as consideration of a pet depending on the ct findings. a nodular focus projecting over the right lower lung should also be assessed at that time, and may reflect a true lung nodule versus part of a suspected coinciding infectious process or nipple shadow. findings concerning for malignancy and recommendation for chest ct discussed with dr at pm by telephone on.
MIMIC-CXR-JPG/2.0.0/files/p11028246/s51092467/305d04f1-5e13325f-f3124761-59e9671b-7bf353dc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18933099/s53143922/10878081-b29fc43b-92380422-02ad3834-e717a6fa.jpg	comparison to. no relevant change is noted. moderate cardiomegaly with retrocardiac atelectasis persists. no larger pleural effusions. mild right basilar atelectasis. no other parenchymal changes.
MIMIC-CXR-JPG/2.0.0/files/p16809525/s51744429/cf010992-aafa7748-53f1fbbf-ec3a4389-4221c418.jpg	severe cardiomegaly and increased mild pulmonary edema with possible small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17471486/s58301917/9e9e37c1-fd337259-911e4520-777b38f3-bb650802.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15691324/s53723423/38affa07-75757502-2199f1ef-03371b3c-285ec665.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19930554/s53741732/532be802-f705b7e2-7010944e-d9097bba-d8e4f82c.jpg	there is interval additional progression in the bulky soft tissue mass is in the left chest wall, left axilla and left breast demonstrated on the current chest radiograph. there are diffuse interstitial bilateral opacities, most likely reflecting the lymphangitic carcinomatosis involving the lungs and better appreciated on the recent ct abdomen. no definitive new consolidation to suggest new infectious process demonstrated. right central venous line tip is at the level of right atrium.
MIMIC-CXR-JPG/2.0.0/files/p18269439/s58864295/fbb9c453-21d3ff60-772c981b-a91c7ccc-44281170.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11772470/s52141840/9241e8ca-f0a10cab-e013cca9-5ce82bdf-17dc0a48.jpg	no radiographic evidence of hiatal hernia, however, small one is seen on the ct examination. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12545949/s58785709/5f97421b-7927fb25-8b579242-d25a62a9-91b91bdd.jpg	in comparison with the study of , there is little change. left chest tube remains in place and there is no evidence of pneumothorax. little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p19259547/s50808257/ed66b1dd-095b68d9-55e1b3c7-4662bdf3-283a2b0f.jpg	chest findings within normal limits. question for fluid is interpreted as ruling out pulmonary congestion or edema. if not, specify question.
MIMIC-CXR-JPG/2.0.0/files/p14200390/s58220558/b868382f-3d59b058-0b45e600-2498d413-4ebe9011.jpg	pneumoperitoneum. per electronic medical record, dr is aware of pneumoperitoneum at
MIMIC-CXR-JPG/2.0.0/files/p18394695/s53563315/b519a07f-e966354d-4202179d-8a9a82e6-b707abb3.jpg	overall similar appearance of the chest compared to the prior study from.
MIMIC-CXR-JPG/2.0.0/files/p11996100/s57224574/b5af191b-4ae4b9bf-c97be587-3b65a262-114714ba.jpg	diffusely increased interstitial markings throughout the lungs. the acuity of this finding is uncertain and could be due to chronic underlying interstitial process although atypical infection or edema are possible.
MIMIC-CXR-JPG/2.0.0/files/p19046107/s59831995/eb07ab40-2237dae8-0fdc8e24-5d7b8ea1-cd5bdb5e.jpg	the lung volumes are normal. moderate to severe cardiomegaly with elongation of the descending aorta. no pleural effusions. no pulmonary edema. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12579086/s59875702/1aa7e61f-568e8877-eb547366-8e17b0a8-5cc9a593.jpg	heart size and mediastinum are stable. there is interval substantial improvement in pulmonary edema. bilateral pleural effusions are large, unchanged. right picc line tip is at the level of mid svc. tracheostomy is in place.
MIMIC-CXR-JPG/2.0.0/files/p19497520/s54630671/ddc138e7-6bf59833-c66f8e1e-6ac6aab0-74ce434b.jpg	the lung volumes are normal. at the lung bases, there is a minimal increase in radiodensity, seen on the frontal radiograph only. the lateral radiograph is unremarkable. the increase in radiodensity could be the sequela of a pre existing healing right lower lobe pneumonia in the clinical history of the patient. normal appearance of the heart, of the mediastinum and of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p18730243/s57899161/4b6d1721-6f5606ca-1ac67690-45172c08-a02c054c.jpg	slightly increased right pleural effusion with compressive atelectasis. a superimposed pneumonia at the right lung base cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p14213883/s57747819/6dfdf34d-466c4a8f-5a2e59c1-6a95387d-d52ab81a.jpg	no radiopaque foreign body identified except for the presence of a vascular stent in the region of the left axillary vessels. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16426569/s57627841/51de3c18-e8e8e0d6-510fcd70-0db96ce6-e687fc59.jpg	interval placement of left subclavian porta catheter, terminating in the lower superior vena cava, with no visible pneumothorax. since the prior radiograph of , bilateral small pleural effusions have resolved, with no other relevant changes since the prior study.
MIMIC-CXR-JPG/2.0.0/files/p12426368/s51812103/3f39667e-d95a5089-1669763b-7339cb51-3037070e.jpg	in comparison to the recent radiograph of <num> day earlier, moderate right and small to moderate left pleural effusions persist with adjacent bibasilar areas of atelectasis and or consolidation. enlargement of the cardiac silhouette is unchanged a consistent with history of large pericardial effusion.
MIMIC-CXR-JPG/2.0.0/files/p11778436/s59319290/158c250a-32c9508c-fe0892c0-c951c306-8cfca95b.jpg	heart size and mediastinum are stable. there is substantial interval improvement in bibasal consolidations. there is minimal change in the extremely loose in upper lungs consistent with severe emphysema. old right clavicular fracture is re- demonstrated. no pneumothorax currently seen on the right. there is substantial interval improvement up to almost complete resolution of subcutaneous air bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p17490145/s59626482/033db005-80979fce-4cefe003-128f2196-f4b94ac0.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p18540610/s50091903/8674527c-0cf2874e-bb1fd085-805950c3-73f7cc8a.jpg	comparison to , as compared to the previous radiograph, there is increasing consolidation in the retrocardiac lung region. otherwise, the radiograph is unchanged. mild overinflation. pre-existing parenchymal opacities at both lung bases, right more than left. no pneumothorax. normal size of the heart. no larger pleural effusions. the monitoring and support devices are constant.
MIMIC-CXR-JPG/2.0.0/files/p10364824/s58271065/7898aec9-6852b812-1cca96bb-e3f6f611-32582d0b.jpg	extensive calcified pleural plaque likely the sequelae of prior asbestos exposure. top normal heart size. no convincing pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p17887565/s58884118/445f07aa-65b361db-7cb8f5c9-02f086b3-93c6c003.jpg	bibasilar opacities likely secondary to atelectasis in the setting of low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p14854232/s58310601/d22b789a-921ba8c6-76bd096b-7d820749-fb624281.jpg	as compared to the previous radiograph, no relevant change is seen. no evidence of lung nodules or masses. no pleural effusions. no pneumonia, no pulmonary edema. the hilar and mediastinal contours are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p14892584/s52667526/e085dd1e-5aaf876a-d3e0718e-ab09c1cb-025bb075.jpg	no definite acute cardiopulmonary process. nodular opacities projecting over the lung bases suggestive of nipple shadows but should be confirmed with repeat frontal view with nipple markers in place.
MIMIC-CXR-JPG/2.0.0/files/p15631692/s51840434/6712f545-41d6aa18-37a0eb38-06ef780a-b925adf8.jpg	comparison to. the nasogastric tube has been removed. mild flattening of the hemidiaphragms suggests overinflation. mild atelectasis at the left lung basis. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12405224/s54043623/38b32c11-d57d9ee5-0cd59a19-4cfbd282-0cbcdc44.jpg	mild bibasilar atelectasis. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16698321/s59008712/bb68f729-3111423c-0ef3ec41-4f68da88-24fd89fa.jpg	right mid lung opacity raises concern for pneumonia. patchy left base retrocardiac opacity may be due to atelectasis but additional site of pneumonia is not excluded. dedicated pa and lateral views when patient able may be helpful for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18460016/s52899479/06856c66-00a3bded-b4d30ee3-7d9ee28d-027e0af9.jpg	cardiomediastinal silhouette is within normal limits. there are some increase opacities at the lung bases which are likely due to atelectasis; however, early infiltrate would be difficult to exclude. there is no overt pulmonary edema or pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17219481/s56448845/4f54a079-5ada1fc0-f671521a-b8bb0f27-5720dce0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17135977/s58517087/6c129cb0-4a3fc6cd-e9b10f96-c2b3b712-981d59e3.jpg	as compared to previous radiograph from earlier the same date, cardiomediastinal contours are stable. recently described left lower lobe opacity has nearly resolved, and a patchy right basilar opacity is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18947160/s59162437/b1f3da2e-8ddaa718-e40bac83-d8eb3ae5-5671b125.jpg	ap and lateral chest compared to at : previous pulmonary vascular congestion has decreased. small right and small-to-moderate left pleural effusion persist and partially obscure what could be areas of consolidation in both lower lungs. cardiac silhouette is moderately enlarged. fullness in the mediastinum in the region of the pulmonary outflow tract raises the possibility of pulmonary hypertension. in addition to a possibility of pneumonia in both lower lobes, particularly the left, clinical attention should be paid to the possibility of pericardial effusion, although i see no evidence of elevated central venous pressure by way of mediastinal widening. right internal jugular introducer ends at the junction of the brachiocephalic veins. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10402762/s59841851/e3072278-349f3da7-6f6bf2e1-b6800ed3-f45a8f25.jpg	ap chest compared to : the generalized pulmonary abnormality has improved substantially since indicating that the radiographic worsening after was due to pulmonary edema although heart has consistenly been normal size. there are areas of lung which, however, remains substantially consolidated, specifically the right infrahilar and left suprahilar regions and a small region in the right apex. i cannot say whether these are asymmetric edema or pneumonia. small left pleural effusion persists, and i presume an equivalent volume is present on the right.
MIMIC-CXR-JPG/2.0.0/files/p15906662/s52348460/dc56ff3e-b5074c00-5dbb2327-b6a2250d-8db5a157.jpg	ap chest compared to : moderately severe and slightly asymmetric perihilar pulmonary opacification is probably a pulmonary edema, although heart is top normal size and unchanged. small bilateral pleural effusions are still present. et tube is in standard placement. tip of the intraaortic balloon pump is at the level of left main bronchus and transvenous pacer lead ascends via the inferior vena cava to the right ventricular apex. no pneumothorax. cardiac configuration suggests enlargement of the main pulmonary artery.
MIMIC-CXR-JPG/2.0.0/files/p16296993/s50120604/3be5af6e-7507ddcf-9a2525be-41f8072b-c59daf3c.jpg	no definite acute cardiopulmonary process. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17128602/s56309211/2ea1e80b-8a50265e-674e211c-c14aa5ef-d21e3fe8.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10208781/s56876686/19acb9ab-03e95217-e3a2de61-b48b423e-65d3c185.jpg	opacity projecting over right upper lung with adjacent rib deformity may reflect prior injury. recommend re-evaluation in <num> weeks to assess for resolution.
MIMIC-CXR-JPG/2.0.0/files/p13507998/s55440842/26ea3f42-0e125127-e5b3e649-70b67c7c-34e52696.jpg	clear lungs without focal consolidation. the preliminary read was provided via telephone by dr to dr at on.
MIMIC-CXR-JPG/2.0.0/files/p16521756/s57011113/bac3fa52-59249a68-0061e4a7-5b7a8476-b34f8c11.jpg	moderate pulmonary edema and small bilateral pleural effusions. superimposed infection would be difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p12903427/s55907537/3d5f6a37-df9b9ddf-96ac904d-6d398f07-c6c2dc06.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15172022/s56515799/d65a612c-0efdfd4f-80ceb123-cf5caad7-22607e98.jpg	comparison to. no relevant change. monitoring and support devices are constant. constant appearance of the cardiac silhouette. small left pleural effusion. retrocardiac atelectasis. no pneumonia. known scarring in the right upper lobe, combines to a calcified granuloma.
MIMIC-CXR-JPG/2.0.0/files/p18130295/s51463751/b31fa2e0-05aaf395-a3f19a03-3494bc9a-2a87d30a.jpg	in comparison to prior radiograph of <num> day earlier, there has not been a relevant change in the appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p15379667/s55661184/7d1e2637-af904fd6-8a3cfb12-a1e89d95-ed770212.jpg	comparison to. no relevant change. the monitoring and support devices are stable. moderate cardiomegaly persists. mild to moderate pulmonary edema. potential pre-existing small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11344751/s57335387/b60a57b0-146b861f-06dbeb09-99e3a4e5-25be5d4e.jpg	no acute cardiopulmonary process. no radiographic evidence for pulmonary fibrosis or tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p10024982/s53158855/91ad7535-b7f8bb19-01c0bb30-3124509e-207424d7.jpg	in comparison with the study of , the endotracheal tube and nasogastric tubes have been removed. the other monitoring and support devices remain in place. continued enlargement of the cardiac silhouette in a patient with a previous cardiac surgery procedure. some indistinctness of pulmonary vessels are consistent with elevated pulmonary venous pressure. hazy opacification at the right base is consistent with layering pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11536399/s59982959/8c876c6b-2797a21f-159f4fa7-5625a2ac-8ea4dbc3.jpg	left picc terminating in the lower svc. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10165902/s59989831/0af42ca0-cf113768-0ca09e17-bafa3122-80fe3845.jpg	compared to prior chest radiographs since , most recently and. lung volumes have not improved. there are no findings to suggest either cardiac decompensation or pneumonia. there is most likely a small right pleural effusion. heart size is normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15914008/s58442916/30e0bb3b-41d1dedb-8df284ab-a3b3a3f2-2231c294.jpg	no acute cardiac or pulmonary process. findings concerning for pneumoperitoneum. a ct of the abdomen and pelvis had already been ordered at the time of this dictation. after discussing impression point #<num> with dr at via telephone on , subsequent ct demonstrated that the left subdiaphragmatic air was actually in the stomach. there was no pneumoperioneum on ct.
MIMIC-CXR-JPG/2.0.0/files/p12268505/s53607661/f525f7dd-ba193396-ee78934f-d5acd3c5-3c9fa828.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15348823/s51507087/c5dde309-9f236c3f-15a54664-b200ec07-4b9ace79.jpg	compared to chest radiographs. previous small pleural effusions have almost resolved. lungs are clear. normal cardiomediastinal silhouette.
MIMIC-CXR-JPG/2.0.0/files/p12972442/s50880664/0ca974d5-98fbbac7-002c381b-c2dad8a0-44bc3ae1.jpg	emphysema. minimal interstitial edema. small bilateral effusions
MIMIC-CXR-JPG/2.0.0/files/p14364701/s59175351/56633c6b-7b064fad-d482f163-6c40ae20-949ac9e8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13184837/s50740526/651cf9d9-72b5805f-6868c21e-575b96e9-af2857d6.jpg	comparison to. as compared to the previous image, the cardiac silhouette is slightly enlarged. stable elongation of the descending aorta. no pulmonary edema. seen on the frontal radiograph only, is a rounded, approximately <num> cm density, projecting between the lateral parts of the second and third right rib and, partially, over the scapular. ct is recommended to further clarify the nature of this change. recommendation(s): ct recommended to clarify rate apical lateral structure.
MIMIC-CXR-JPG/2.0.0/files/p13204581/s56274685/487f51e7-c64456ce-abbb70fa-e8d9f0ed-ec8d5935.jpg	persisting and grossly unchanged small right apical pneumothorax. unchanged bibasilar atelectasis and a small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16156144/s59815290/39e9230c-a71989a9-8993d02d-5092c830-51d7c619.jpg	stable moderately severe cardiomegaly. no focal consolidation or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15424609/s52367502/d4bcfbf2-92d16f70-7e845973-72cc838b-18f85291.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13662737/s53346594/6e313ccf-066ed3b4-b9255efb-568529ba-a5613b44.jpg	placement of dobbhoff tube coiled within the stomach and has not passed the pylorus.
MIMIC-CXR-JPG/2.0.0/files/p14874510/s51926466/c09f6591-e6097dd4-c8b05f7c-fd4dc7d2-be47da9e.jpg	airspace consolidation in the right upper and lower lobes concerning for pneumonia. difficult to exclude primary tuberculosis given history.
MIMIC-CXR-JPG/2.0.0/files/p12510330/s56498112/e55cf51a-7e3c89f9-cb3bc782-e06c1bbd-c644218d.jpg	moderate left-sided pleural effusion with bibasilar atelectasis is not significantly changed over the interval. slight interval improvement in aeration of the upper lungs bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p16937963/s51350059/93c5599b-225b7805-351be95b-f3614345-620524fa.jpg	et tube in standard placement. previous pulmonary vascular congestion has improved. there is still consolidation at both lung bases, either of which could be pneumonia. heart is moderately enlarged. generous lung volumes suggest copd and the scarring in the right upper lobe with bronchiectasis in adjacent pleural thickening is little changed if any since most commonly tuberculosis. there are no findings to suggest disseminated infection. esophageal drainage tube ends in the upper portion of a mildly distended stomach.
MIMIC-CXR-JPG/2.0.0/files/p12334500/s53918209/c9d975de-efff1230-20074760-bf722c6d-5b9c6cc5.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p15291218/s55830052/526aa1d8-2d6de60d-ebe66229-e061097c-60a92be6.jpg	cardiomegaly with hilar congestion and mild pulmonary edema. no convincing signs of pneumonia. recommend follow-up chest radiograph post diuresis to exclude underlying subtle pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14867487/s56814964/035a12b1-8b19d419-32fb5a6a-6250b616-ff8162bb.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17121631/s54208260/390736dc-c72114ff-8a49dc54-f8590eef-019592bb.jpg	technically limited study however no significant interval change is seen.
MIMIC-CXR-JPG/2.0.0/files/p14439292/s56598734/83de45df-31f472c3-6cf8307d-bdee3a55-13ed07bd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15294749/s51915457/3b9f7e60-e647291a-006a2f10-2d084e36-f719cccb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11690072/s58288782/ee1a9691-62b87e1b-7950afa7-563f7488-371cb43f.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19023118/s50688363/2d8ff122-9033f698-4190575b-d5de4716-f11842b9.jpg	no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.

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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the patient has also received a right internal jugular vein catheter. the catheter shows a normal course, the tip projects over the lower svc. there is no evidence of pneumothorax. the extent of known free intra-abdominal air after colectomy has minimally decreased.

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copd without evidence of pneumonia.

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no acute cardiopulmonary process. no significant interval change.

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unchanged left basilar subsegmental atelectasis. no new focal consolidation.

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no acute pneumonia.

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low lung volumes. central pulmonary vascular engorgement. elevated right hemidiaphragm with right base atelectasis. medial right base opacity is felt to more likely represent atelectasis than pneumonia.

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in comparison with the study of , there again is enlargement of the cardiac silhouette with moderate pulmonary edema. increased hazy opacification in the right hemithorax with obscuration of the hemidiaphragm is consistent with layering pleural effusion an underlying compressive atelectasis, more prominent than on the opposite side.

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no acute cardiopulmonary process.

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cardiomegaly with mild pulmonary edema.

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no pneumothorax status post water seal placement of right-sided chest tubes. rest of the findings also remain unchanged.

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widening of the cardiomediastinal silhouette is improving, bilateral perihilar consolidation, moderate on the left and mild on the right, is improving on both sides. left pleural effusion is small, unchanged. there is no pneumothorax.

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no acute cardiopulmonary process.

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mild pulmonary vascular congestion, probable trace left pleural effusion and bibasilar atelectasis.

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no acute intrathoracic abnormality.

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persistent small right pleural effusion. otherwise, no acute cardiothoracic abnormality.

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no acute cardiopulmonary process.

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hyperinflated lungs consistent with emphysema. no acute intrathoracic abnormality identified.

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low lung volumes. no evidence of pneumonia.

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no acute cardiopulmonary process.

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limited exam due to portable technique and poor inspiratory effort without definite acute cardiopulmonary process.

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possible mild congestion. no convincing evidence for pneumonia.

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<num> cm rounded opacity projecting over and upper thoracic vertebral body correlates with a sclerotic bone lesion from. lungs are mildly hyperinflated and diaphragms are mildly flattened consistent with emphysematous changes unchanged from. the lungs are otherwise clear.

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the lung volumes are normal. moderate cardiomegaly with signs of mild fluid overload but no overt pulmonary edema. no evidence of pneumonia. minimal atelectasis at the right and the left lung bases. no pneumothorax.

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normal.

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no evidence of pneumonia.

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no acute cardiopulmonary process.

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interval increase in left pleural effusion and continued elevation of right hemidiaphragm.

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post-procedural changes from recent right pleurodesis. decreased subcutaneous air in the right chest wall. unchanged position of right apical chest tube. no pneumothorax. unchanged small left pleural effusion. probable bibasilar atelectasis. mild increase in cardiac size could reflect developing pericardial effusion.

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minimal atelectasis in the lung bases. previous pattern of mild pulmonary vascular congestion has resolved.

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patchy lower lung opacities suggesting pneumonia. findings worrisome for a new potentially malignant nodule at the left lung apex. chest ct is recommended to evaluate further as well as consideration of a pet depending on the ct findings. a nodular focus projecting over the right lower lung should also be assessed at that time, and may reflect a true lung nodule versus part of a suspected coinciding infectious process or nipple shadow. findings concerning for malignancy and recommendation for chest ct discussed with dr at pm by telephone on.

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no acute cardiopulmonary process.

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comparison to. no relevant change is noted. moderate cardiomegaly with retrocardiac atelectasis persists. no larger pleural effusions. mild right basilar atelectasis. no other parenchymal changes.

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severe cardiomegaly and increased mild pulmonary edema with possible small pleural effusions.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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there is interval additional progression in the bulky soft tissue mass is in the left chest wall, left axilla and left breast demonstrated on the current chest radiograph. there are diffuse interstitial bilateral opacities, most likely reflecting the lymphangitic carcinomatosis involving the lungs and better appreciated on the recent ct abdomen. no definitive new consolidation to suggest new infectious process demonstrated. right central venous line tip is at the level of right atrium.

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no acute cardiopulmonary process.

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no radiographic evidence of hiatal hernia, however, small one is seen on the ct examination. no acute intrathoracic process.

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in comparison with the study of , there is little change. left chest tube remains in place and there is no evidence of pneumothorax. little change in the appearance of the heart and lungs.

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chest findings within normal limits. question for fluid is interpreted as ruling out pulmonary congestion or edema. if not, specify question.

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pneumoperitoneum. per electronic medical record, dr is aware of pneumoperitoneum at

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overall similar appearance of the chest compared to the prior study from.

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diffusely increased interstitial markings throughout the lungs. the acuity of this finding is uncertain and could be due to chronic underlying interstitial process although atypical infection or edema are possible.

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the lung volumes are normal. moderate to severe cardiomegaly with elongation of the descending aorta. no pleural effusions. no pulmonary edema. no pneumonia.

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heart size and mediastinum are stable. there is interval substantial improvement in pulmonary edema. bilateral pleural effusions are large, unchanged. right picc line tip is at the level of mid svc. tracheostomy is in place.

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the lung volumes are normal. at the lung bases, there is a minimal increase in radiodensity, seen on the frontal radiograph only. the lateral radiograph is unremarkable. the increase in radiodensity could be the sequela of a pre existing healing right lower lobe pneumonia in the clinical history of the patient. normal appearance of the heart, of the mediastinum and of the left lung.

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slightly increased right pleural effusion with compressive atelectasis. a superimposed pneumonia at the right lung base cannot be excluded.

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no radiopaque foreign body identified except for the presence of a vascular stent in the region of the left axillary vessels. no acute cardiopulmonary process.

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interval placement of left subclavian porta catheter, terminating in the lower superior vena cava, with no visible pneumothorax. since the prior radiograph of , bilateral small pleural effusions have resolved, with no other relevant changes since the prior study.

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in comparison to the recent radiograph of <num> day earlier, moderate right and small to moderate left pleural effusions persist with adjacent bibasilar areas of atelectasis and or consolidation. enlargement of the cardiac silhouette is unchanged a consistent with history of large pericardial effusion.

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heart size and mediastinum are stable. there is substantial interval improvement in bibasal consolidations. there is minimal change in the extremely loose in upper lungs consistent with severe emphysema. old right clavicular fracture is re- demonstrated. no pneumothorax currently seen on the right. there is substantial interval improvement up to almost complete resolution of subcutaneous air bilaterally.

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no significant interval change.

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comparison to , as compared to the previous radiograph, there is increasing consolidation in the retrocardiac lung region. otherwise, the radiograph is unchanged. mild overinflation. pre-existing parenchymal opacities at both lung bases, right more than left. no pneumothorax. normal size of the heart. no larger pleural effusions. the monitoring and support devices are constant.

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extensive calcified pleural plaque likely the sequelae of prior asbestos exposure. top normal heart size. no convincing pneumonia or chf.

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bibasilar opacities likely secondary to atelectasis in the setting of low lung volumes.

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as compared to the previous radiograph, no relevant change is seen. no evidence of lung nodules or masses. no pleural effusions. no pneumonia, no pulmonary edema. the hilar and mediastinal contours are unremarkable.

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no definite acute cardiopulmonary process. nodular opacities projecting over the lung bases suggestive of nipple shadows but should be confirmed with repeat frontal view with nipple markers in place.

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comparison to. the nasogastric tube has been removed. mild flattening of the hemidiaphragms suggests overinflation. mild atelectasis at the left lung basis. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema.

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mild bibasilar atelectasis. no evidence of pulmonary edema.

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right mid lung opacity raises concern for pneumonia. patchy left base retrocardiac opacity may be due to atelectasis but additional site of pneumonia is not excluded. dedicated pa and lateral views when patient able may be helpful for further evaluation.

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cardiomediastinal silhouette is within normal limits. there are some increase opacities at the lung bases which are likely due to atelectasis; however, early infiltrate would be difficult to exclude. there is no overt pulmonary edema or pneumothoraces.

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no acute cardiopulmonary process.

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as compared to previous radiograph from earlier the same date, cardiomediastinal contours are stable. recently described left lower lobe opacity has nearly resolved, and a patchy right basilar opacity is unchanged.

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ap and lateral chest compared to at : previous pulmonary vascular congestion has decreased. small right and small-to-moderate left pleural effusion persist and partially obscure what could be areas of consolidation in both lower lungs. cardiac silhouette is moderately enlarged. fullness in the mediastinum in the region of the pulmonary outflow tract raises the possibility of pulmonary hypertension. in addition to a possibility of pneumonia in both lower lobes, particularly the left, clinical attention should be paid to the possibility of pericardial effusion, although i see no evidence of elevated central venous pressure by way of mediastinal widening. right internal jugular introducer ends at the junction of the brachiocephalic veins. there is no pneumothorax.

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ap chest compared to : the generalized pulmonary abnormality has improved substantially since indicating that the radiographic worsening after was due to pulmonary edema although heart has consistenly been normal size. there are areas of lung which, however, remains substantially consolidated, specifically the right infrahilar and left suprahilar regions and a small region in the right apex. i cannot say whether these are asymmetric edema or pneumonia. small left pleural effusion persists, and i presume an equivalent volume is present on the right.

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ap chest compared to : moderately severe and slightly asymmetric perihilar pulmonary opacification is probably a pulmonary edema, although heart is top normal size and unchanged. small bilateral pleural effusions are still present. et tube is in standard placement. tip of the intraaortic balloon pump is at the level of left main bronchus and transvenous pacer lead ascends via the inferior vena cava to the right ventricular apex. no pneumothorax. cardiac configuration suggests enlargement of the main pulmonary artery.

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no definite acute cardiopulmonary process. no evidence of pulmonary edema.

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no evidence of acute disease.

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opacity projecting over right upper lung with adjacent rib deformity may reflect prior injury. recommend re-evaluation in <num> weeks to assess for resolution.

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clear lungs without focal consolidation. the preliminary read was provided via telephone by dr to dr at on.

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moderate pulmonary edema and small bilateral pleural effusions. superimposed infection would be difficult to exclude.

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no evidence of acute cardiopulmonary disease.

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comparison to. no relevant change. monitoring and support devices are constant. constant appearance of the cardiac silhouette. small left pleural effusion. retrocardiac atelectasis. no pneumonia. known scarring in the right upper lobe, combines to a calcified granuloma.

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in comparison to prior radiograph of <num> day earlier, there has not been a relevant change in the appearance of the chest.

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comparison to. no relevant change. the monitoring and support devices are stable. moderate cardiomegaly persists. mild to moderate pulmonary edema. potential pre-existing small bilateral pleural effusions.

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no acute cardiopulmonary process. no radiographic evidence for pulmonary fibrosis or tuberculosis.

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in comparison with the study of , the endotracheal tube and nasogastric tubes have been removed. the other monitoring and support devices remain in place. continued enlargement of the cardiac silhouette in a patient with a previous cardiac surgery procedure. some indistinctness of pulmonary vessels are consistent with elevated pulmonary venous pressure. hazy opacification at the right base is consistent with layering pleural effusion.

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left picc terminating in the lower svc. no acute cardiopulmonary process.

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compared to prior chest radiographs since , most recently and. lung volumes have not improved. there are no findings to suggest either cardiac decompensation or pneumonia. there is most likely a small right pleural effusion. heart size is normal. no pneumothorax.

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no acute cardiac or pulmonary process. findings concerning for pneumoperitoneum. a ct of the abdomen and pelvis had already been ordered at the time of this dictation. after discussing impression point #<num> with dr at via telephone on , subsequent ct demonstrated that the left subdiaphragmatic air was actually in the stomach. there was no pneumoperioneum on ct.

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no acute cardiopulmonary process.

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compared to chest radiographs. previous small pleural effusions have almost resolved. lungs are clear. normal cardiomediastinal silhouette.

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emphysema. minimal interstitial edema. small bilateral effusions

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no acute cardiopulmonary process.

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comparison to. as compared to the previous image, the cardiac silhouette is slightly enlarged. stable elongation of the descending aorta. no pulmonary edema. seen on the frontal radiograph only, is a rounded, approximately <num> cm density, projecting between the lateral parts of the second and third right rib and, partially, over the scapular. ct is recommended to further clarify the nature of this change. recommendation(s): ct recommended to clarify rate apical lateral structure.

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persisting and grossly unchanged small right apical pneumothorax. unchanged bibasilar atelectasis and a small left pleural effusion.

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stable moderately severe cardiomegaly. no focal consolidation or pulmonary edema.

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no acute cardiopulmonary abnormality.

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placement of dobbhoff tube coiled within the stomach and has not passed the pylorus.

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airspace consolidation in the right upper and lower lobes concerning for pneumonia. difficult to exclude primary tuberculosis given history.

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moderate left-sided pleural effusion with bibasilar atelectasis is not significantly changed over the interval. slight interval improvement in aeration of the upper lungs bilaterally.

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et tube in standard placement. previous pulmonary vascular congestion has improved. there is still consolidation at both lung bases, either of which could be pneumonia. heart is moderately enlarged. generous lung volumes suggest copd and the scarring in the right upper lobe with bronchiectasis in adjacent pleural thickening is little changed if any since most commonly tuberculosis. there are no findings to suggest disseminated infection. esophageal drainage tube ends in the upper portion of a mildly distended stomach.

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normal chest radiographs.

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cardiomegaly with hilar congestion and mild pulmonary edema. no convincing signs of pneumonia. recommend follow-up chest radiograph post diuresis to exclude underlying subtle pneumonia.

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no acute cardiopulmonary abnormality.

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technically limited study however no significant interval change is seen.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary process. no evidence of free air beneath the diaphragms.