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/p18651686/s51613344/97b25154-00655c16-853ac335-018d14f0-a3bd1e80.jpg	no pleural effusion. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11522912/s55483763/5de057f7-ad790ba1-07f684d2-88432a65-bcafccdb.jpg	in comparison with the earlier study of this date, the monitor and support devices essentially unchanged. retrocardiac opacification process, consistent with substantial volume loss in the left lower lobe. moderate to severe cardiomegaly is again noted with mild elevation of pulmonary venous pressure. right effusion is again seen with atelectatic changes at the base.
MIMIC-CXR-JPG/2.0.0/files/p10612095/s51740194/21305649-73d4c6e1-25bd1176-32bf69ed-9d998d57.jpg	heart size is normal. coronary stents are projecting over the left circulation. mediastinum is unremarkable. lungs are clear. minimal amount of pleural effusion is suspected bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p14239401/s51786106/6cde2bee-9ab4da64-c91a8225-846483f8-54009b3b.jpg	clear lungs with no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12027964/s52086961/d2c86b52-ed3d261d-ddb366f8-68ff7754-59bb0937.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12110985/s53147646/886c4e67-1e2cd238-5bf0379d-b485403d-64c4dea5.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p11208426/s53904379/84f37553-a89602a8-b7a5b463-459e4a64-283125ea.jpg	deformity of the left upper lateral hemithorax with increased sclerosis of the ribs is compatible with known large chest wall mass, better delineated on the previous chest ct. small left pleural effusion. no new areas of focal consolidation identified.
MIMIC-CXR-JPG/2.0.0/files/p17421003/s59557451/150d18b4-7d58174a-037bc41b-7df3f6ad-0338e709.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p18092188/s58579361/e0e7761b-b5d3ffcc-f445d0b2-dc8a52ea-0b35e5be.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg	post-surgical changes in the left upper chest, with no definite signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12450697/s56853659/1251dbff-715989a3-7c882ff6-3b5c0b0d-a6395f6b.jpg	left pigtail catheter is in place but there is slight interval increase in left pleural effusion. otherwise no substantial change since the prior study demonstrated. there is also potential interval development of at least partial atelectasis giving the left shift of the mediastinum
MIMIC-CXR-JPG/2.0.0/files/p18284271/s50617827/0d542ec6-712f5367-a6c53426-346372e0-ab36cbca.jpg	as compared to the previous radiograph. all monitoring and support devices, with the exception of the right internal jugular vein catheter has been removed. there is no evidence of pneumothorax. no larger pleural effusions. no pneumonia. unchanged normal postoperative appearance of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16572462/s57374987/77a13b3b-d35546e6-a332ac24-de29b0fa-785f3842.jpg	moderate cardiomegaly with mild to moderate pulmonary edema. calcified pleural plaque likely reflects prior asbestos disease.
MIMIC-CXR-JPG/2.0.0/files/p19489495/s53524045/72a7872d-bd4ead29-ef0ac420-26c55619-86445a35.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12455618/s51495019/ea62f268-3331c52c-a08668e2-42a3127c-b1f56ec0.jpg	lungs are fully expanded and clear. borderline cardiomegaly stable. no pulmonary vascular abnormality. hilar and mediastinal and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p16097384/s52786957/8cddb79f-eab576b5-684dcbfd-6ba45d18-e96a0cc5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18965171/s56424836/39edf7d1-811a47ec-4d51aa20-034cf105-ef6eda2e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15111725/s50066130/26fc86ae-0ea9c439-7be2ecea-413a9c49-3a599961.jpg	lung volumes are generally low. a very mild perihilar haze could represent mild edema, but the major abnormalities are areas of subsegmental atelectasis in both lungs, moderate on the right, mild on the left. there is no appreciable pleural effusion. heart size is normal. worsening hypoxia could be due to unexpected pulmonary emboli or progression of hepatic pulmonary syndrome. i see no other good explanation.
MIMIC-CXR-JPG/2.0.0/files/p18715578/s51412375/f377cb30-bc93db4f-7e7b2806-e5b1592b-c742f69f.jpg	bilateral atelectasis/ scarring. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12959560/s53033627/5700ed76-eff36047-ed6ddee3-7da2906c-e8e55fb8.jpg	no evidence of acute disease. hyperinflation.
MIMIC-CXR-JPG/2.0.0/files/p18370366/s54261822/0796086c-8c3c30e6-69b7804c-57bdb4dd-587bacc9.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17385448/s53688836/d20c176c-ba442058-175e621f-a91d8b7f-00252f21.jpg	in comparison with the study of , there is again extensive opacification involving much of the right upper lobe. remainder the study is essentially unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10470244/s50854617/ba6d8338-2f2ba94b-78a2d3dc-741089c7-6536fb6a.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10245082/s53044353/20615957-6b14f151-476aa6de-da9fdde8-204df6ad.jpg	increased opacification in right middle lung, likely a combination of atelectasis and edema, though central hematoma is a possibility.
MIMIC-CXR-JPG/2.0.0/files/p19166723/s52275026/82bc691c-2df720d6-afeaea67-bd56f1b2-c48e65d3.jpg	left perihilar opacity which may be related to post treatment changes although underlying tumor would be difficult to exclude. no new region of consolidation or evidence of infection.
MIMIC-CXR-JPG/2.0.0/files/p17181510/s54281790/363c2ce9-701f1271-0ba96e10-aae2c312-389e54f3.jpg	in comparison with the study , there is little overall change in the appearance of the heart and lungs. left pigtail catheter remains in place with elevation of the hemidiaphragmatic contour and basilar atelectatic change. the degree of dilatation of the colon has decreased.
MIMIC-CXR-JPG/2.0.0/files/p16574411/s54319050/3a2566d7-fb6bde47-f56be124-6868f95b-7c8ed7e4.jpg	right posterior basilar density suggesting a possible pleural effusion with patchy atelectasis, although pneumonia is not entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p15899780/s54090487/8cd82ddb-9ab83ee2-a5ca090c-75dc66a8-50ee9e13.jpg	no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p15456778/s59634575/f1d9a8b3-cb7596bc-dc087d97-f28ada20-3c55dc50.jpg	worsened right lung opacity, likely secondary to pleural effusion +/- segmental atelectasis. resolution of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15558165/s58743822/9b6e9b1c-118d63f8-865a52bf-12c25294-863baa2b.jpg	in comparison with the study of , the enteric tube has been removed. the heart is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17640354/s51200781/bbc17f15-42871406-eb297440-bd2aa4fd-ff46b945.jpg	left picc tip is in thelower svc. cardiac size is top-normal accentuated by the projection and low lung volumes. the aorta is tortuous. tracheostomy is in place. there is no evident pneumothorax. bibasilar atelectasis have improved.
MIMIC-CXR-JPG/2.0.0/files/p15772705/s58839605/5aa1898c-f705bbc0-3f6e7dbd-2aa2cba8-fdd2f556.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p13383131/s52340825/6e36a069-81bbb4cd-9d0fefc3-716dc4b0-35439be9.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10122392/s59596554/b55c45a3-d3ab974e-0b596e8f-07d011db-28c9e7ea.jpg	bibasilar opacities, likely atelectasis, however, pneumonia must be excluded in the proper clinical setting. no acute cardiopulmonary process otherwise.
MIMIC-CXR-JPG/2.0.0/files/p11890447/s59655468/f54595b4-2933cd45-f02d9bbf-45b0a008-8b361f77.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15079493/s52165009/a8994037-28a0b325-34b09528-9fd6cc04-4676db1c.jpg	tracheostomy tube is in standard position. right picc tip is in the right atrium approximately <num> cm below the cavoatrial junction. cardiac size is top-normal. there is no pneumothorax. small left pleural effusion is unchanged. bilateral multifocal peribronchial consolidations are grossly unchanged consistent with multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18838401/s54754566/41472416-2ceb2147-c30b2a62-87102302-47cb3aea.jpg	no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p12460718/s51185977/55c69010-65fac385-9ae95075-2c31b2df-65e84296.jpg	dual-lumen right internal jugular catheter, left-sided pacemaker, endotracheal tube, and nasogastric tube are unchanged in position. there continue to be layering bilateral effusions, right greater than left. cardiac and mediastinal contours are stable. the pulmonary arteries appear prominent. the pulmonary vessels appear cephalad, suggestive of pulmonary venous hypertension, but no overt pulmonary edema is evident. no pneumothorax is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p14023270/s52415429/be7915bf-58c27823-5de1d7c0-4a4fe466-4361d2e7.jpg	tip of the ng tube is not well seen beyond the level of the carina that is not noted to cross the diaphragm. if further evaluation of the position of the ng tube is needed, consider abdominal radiograph with superior margin at the level of the carina. stable bilateral pulmonary edema and bibasilar atelectasis and probable small bilateral pleural effusions. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12843938/s53244324/f1b0fa6e-b79a860b-ae6d7e92-f47ae08f-91e682db.jpg	bibasilar atelectasis. previously noted pulmonary edema has nearly completely resolved.
MIMIC-CXR-JPG/2.0.0/files/p19989918/s59385455/dc5a46b6-6d0f39b3-0c9bc35d-d23dd7a0-98acc6cc.jpg	clear lungs with no radiographic evidence of pneumonia or aspiration. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19182957/s59157858/d026754c-5a34ef6e-c55f0db5-eb1d489e-7e551c22.jpg	no acute pulmonary process detected. in particular, no pneumothorax or pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p13228941/s52119804/0f9d7107-9bda458c-cf03396a-947e0c1c-42d369e3.jpg	et tube terminates approximately <num> cm above the carina. diffusely increased interstitial markings. in the appropriate clinical setting, thse could be due to chf.
MIMIC-CXR-JPG/2.0.0/files/p14251747/s54444302/0bd9e65d-202010d1-373cb343-e2c2d6c8-95c4b092.jpg	increased opacity at right lung base with partial obscuration of the right hemidiaphragm, which could be related to volume loss and to pleural fluid. however, in the appropriate clinical setting, early pneumonia should also be considered. these findings were discussed with by via telephone on at , at time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p14560708/s57322075/31150d97-3b318ff7-a34c6491-e9abc3ff-a4b15196.jpg	cardiomegaly, pulmonary edema, bilateral pleural effusions with bibasilar atelectasis. difficult to exclude a basilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17154455/s53581972/a461208d-9f66df93-44b6a8fe-079533dc-eac51abf.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/p19847287/s56041522/8a716dbe-ffcf3695-f5915ef0-2c6c1ad6-db164c18.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13937831/s51423491/7a6ae284-246919ba-0a93ff7e-86eb0e2d-5ee48f9e.jpg	right pic line ends in the mid to low svc. lungs are fully expanded and clear. heart is normal size. ascending thoracic aorta is tortuous or mildly dilated but unchanged since. there is no evidence of new central adenopathy or pleural abnormality. multiple vascular clips denote prior right breast surgery and a dorsal column stimulator is noted.
MIMIC-CXR-JPG/2.0.0/files/p13541583/s59126117/e0149331-20d2ce9a-e40865e3-2cd9623c-1448c6b9.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17914278/s52882326/beb0976c-a17cc482-3ba4b7ac-bf41b0fd-a9503667.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15713373/s52753150/9b43a43d-f78b11ab-6be1111c-35671f3b-79714ccf.jpg	minimal change since the prior study. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13166578/s59429327/8bbfb8b3-df094cff-95f9e33c-22776f48-42367c7e.jpg	diffusely increased interstitial markings throughout the lungs. this can be seen in the setting of edema, chronic interstitial process or atypical pneumonia. clinical correlation suggested.
MIMIC-CXR-JPG/2.0.0/files/p15103276/s51749575/cfa072c0-0269624e-0d8415e0-7fb21b3c-4335cfbc.jpg	mild bibasilar atelectasis. reported rib lesion not clearly noted on these radiographs, and correlation with outside imaging is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15989123/s55501160/47f325a7-abbdf9bd-a9e12b83-1ec012fb-8db45bb6.jpg	increased size of a right apical pneumothorax measuring <num> cm. no definite evidence of tension. unchanged, severe pneumomediastinum and diffuse subcutaneous emphysema. left basilar atelectasis versus consolidation. right middle lobe collapse. small right pleural effusion. findings were conveyed by dr to dr telephone at on , min after discovery.
MIMIC-CXR-JPG/2.0.0/files/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg	new patchy opacity in the left upper lobe concerning for an area of pneumonia. severe emphysema with scarring within the lung apices. right infrahilar opacity is re- demonstrated, and previously characterized on chest cta as an area concerning for possible malignancy. again bronchoscopy of this area is recommended if not done in the interval.
MIMIC-CXR-JPG/2.0.0/files/p19291122/s52651153/9458f012-95a23322-5803aaa5-f2166111-2d12432b.jpg	stable cardiomegaly with hilar congestion and mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p11545313/s54865880/0d34b749-2edd3edd-14693e28-00d46ebe-e22824af.jpg	no acute intrathoracic process. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11068569/s53944117/a6289940-3ef60105-37faac1b-1d030a8e-c2945787.jpg	patchy opacities in lung bases may reflect atelectasis, but early infection cannot be excluded. mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p10031687/s53503478/6bcada46-6aed3f97-cce5110f-80135391-5b1743ae.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p12029365/s50286998/e0973752-5933d367-7db0e40b-9d9288f9-db51ffb2.jpg	right chest tube is in place. cardiomediastinal silhouette is unchanged. there is interval decrease in the right upper lung opacity consistent most likely with resolution of post biopsy hematoma. mild vascular enlargement is present but no overt pulmonary edema is seen. minimal right apical pneumothorax is more conspicuous on the current study.
MIMIC-CXR-JPG/2.0.0/files/p19682215/s57417161/e1a9a926-10e5b645-aeaf3ded-462995a0-8834bec3.jpg	et tube tip is <num> cm above the carina. a right ij catheter tip remains in the right atrium. ng tube tip is coiled in the stomach. there are persistent low lung volumes. bibasilar atelectasis larger on the left side have minimally increased. there is no evident pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18674635/s52978506/a6206199-1b66c7c9-22b4d0b8-de8d895f-6254d00b.jpg	there has been interval removal of the right pigtail catheter with increase in size of a right apical lateral pneumothorax. in addition, there is an increasing left apical lateral pneumothorax. patchy right basilar and more confluent left opacities are again seen and could reflect atelectasis, although an infectious process such as pneumonia or aspiration should also be considered. no pulmonary edema is evident. there is likely a small left effusion. right subclavian picc line is unchanged in position. a feeding tube is seen coursing below this diaphragm with the tip coiled within the stomach. results of this examination were conveyed by phone to the patient's nurse, , on at at the time of discovery. overall, cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p13234454/s53841337/16c9615c-c5d5977d-e8e6eaf4-49e90989-611d245e.jpg	no evidence of pneumonia, cardiac enlargement or chf in this -year-old male patient with chest pain.
MIMIC-CXR-JPG/2.0.0/files/p18313454/s57421093/a44f58af-821a4ef1-c6300ccf-1acafc3d-e097458e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10645688/s52824272/6be48b04-43908b36-533e3a19-7789f4b8-6544683b.jpg	left posterior seventh and eighth rib fractures, correlate for acuity.
MIMIC-CXR-JPG/2.0.0/files/p19326096/s59486953/ae6933f5-4bb630b2-3d980910-e9974526-5bbfe4fa.jpg	no evidence of acute cardiopulmonary process. mild elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p18093343/s52836839/e20d14c0-d0842890-5bafdb78-4c538115-7c332269.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11164537/s52109849/5f27952e-9313746c-4c2e40e5-89ea6f03-a69ea5b1.jpg	small bilateral pulmonary nodules, better characterized on prior ct.
MIMIC-CXR-JPG/2.0.0/files/p12284340/s54039214/d270fc3a-70d3b66c-abb25c9b-ef118613-1b92c97b.jpg	as compared to radiograph, pulmonary vascular congestion has improved. bilateral pleural effusions appear slightly smaller. left retrocardiac atelectasis is not appreciably changed.
MIMIC-CXR-JPG/2.0.0/files/p11559632/s54919091/2c720cc8-68fccb3d-21a7721b-39eb4531-f7de529b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13030331/s59260263/ae4f9f6c-2ad88ab3-49a89a43-f2e17074-7a0aecde.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p10300745/s56956974/81cb1f01-59e7469c-6ded2c6f-f86991fa-1cfde578.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14728066/s54168082/de5044bd-ce52836b-6159dfc4-00d58e98-01e91245.jpg	heart size top-normal. lungs clear. no pleural abnormality. small indentation in the right aspect of the trachea at the sternal notch could be due to previous intubation or tracheostomy. it is unlikely to be due to a mass.
MIMIC-CXR-JPG/2.0.0/files/p18554479/s50115104/bf1ec936-2df03a2b-5da1be2a-9049eabe-d8bc98b7.jpg	low lung volumes. lingular opacity raising concern for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16098783/s51098370/96773091-edca1bc6-a3acdf9a-70072af7-1b926c3f.jpg	persistent unchanged opacification on the right lower hemithorax concerning for large pleural effusion and question of right diaphragmatic injury. increased interstitial fluid and vascular congestion consistent with mild fluid overload. these findings were communicated to the house staff caring for the patient at by dr telephone on.
MIMIC-CXR-JPG/2.0.0/files/p19094808/s51982675/d6d7af72-830194b8-e38fab18-3645e490-5460ed5e.jpg	right basilar linear opacities are unchanged, likely scarring and/ or atelectasis with unchanged small right pleural effusion. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10641937/s54681240/675cc4ed-f3de27da-74a246dd-812f8e8f-7560b7c6.jpg	a right internal jugular central line has its tip in the mid svc. there has been interval removal of the feeding tube. lungs appear relatively well inflated with resolution of the previously seen pulmonary edema. there is no evidence of focal airspace consolidation to suggest pneumonia, pulmonary edema, pleural effusions or pneumothorax. overall, cardiac and mediastinal contours are stable. there is a deformity of the distal right clavicle, which may be related to a remote trauma.
MIMIC-CXR-JPG/2.0.0/files/p10233650/s55585846/cb4474de-12f2669a-9bf6302b-a823af12-bead9ecf.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18921221/s51902016/b4660798-e1749aac-d2258353-0d4b523d-60127580.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18769380/s59517970/1c727a17-1c669ba0-9b600378-52b9d9cb-21c90dac.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19337137/s50268021/0e0737fd-d1f1a0bb-447307fe-5b226172-c41ef64b.jpg	as compared to the previous image, the patient was extubated. the lung volumes have decreased, there is moderate cardiomegaly, retrocardiac atelectasis. and mild atelectasis at the right lung bases. no other parenchymal changes are seen. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13421733/s57172428/8b146a84-a19e82a8-ebee064d-169752b8-e0669e2c.jpg	ill-defined hazy opacification within the right lung could reflect asymmetric pulmonary edema, though infection or aspiration is not excluded. small left pleural effusion with retrocardiac opacity possibly reflecting atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15363567/s52538939/d4b9c627-f67b271c-81c64a21-821bf312-fd3eeb3c.jpg	left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14858512/s57306559/5d3ed8e0-fa3252ea-308ae4e3-68743d48-a9553cdb.jpg	worsening multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10854780/s54968295/5ef40c47-940f0f06-dfe1827c-dfd749a5-26491c03.jpg	bilateral subsegmental atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18052788/s57216614/2bae83ec-2ccbd987-2d5ce8ac-dfe6fdae-7d8e2fe1.jpg	stable exam. no acute displaced rib fracture identified. consider dedicated rib series to further assess if there is strong clinical concern.
MIMIC-CXR-JPG/2.0.0/files/p14028443/s56941836/90a073a6-c9606db3-1ea574f0-b430aa14-dc24dfa8.jpg	extensive new right-sided subcutaneous emphysema. interval placement of right chest pigtail catheter with significant interval decrease in right pneumothorax, but with moderate to large right pneumothorax persisting. no definite tension seen.
MIMIC-CXR-JPG/2.0.0/files/p18969003/s50785347/1a7fd353-38e8220b-67add6df-0d2e0208-9e877499.jpg	if the right-sided catheter is a picc, it is high in position, terminating in the region of the distal right subclavian vein. clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p15659181/s55562335/cd202e14-5a239c8c-8bba8f71-28fcffad-3ee8715f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10290812/s53607037/5d72217d-b3715a71-be4b377f-8ec9ac57-a6cbc01e.jpg	improved mild pulmonary edema and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10699336/s50563480/b670c2d4-d9f1fea0-aba853eb-5493928e-3baca5ac.jpg	in comparison with the study of , the left chest tube appears to have been removed and there is no evidence of pneumothorax. otherwise, little overall change.
MIMIC-CXR-JPG/2.0.0/files/p11372911/s54784261/43fb3e7b-b4669833-874e9c84-d744d90a-063e505d.jpg	improved but persistent pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10364180/s54752515/f7d62660-77f07f36-d59f34a1-6d85b296-66521013.jpg	as compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. the endotracheal tube and the nasogastric tube have been removed. the large parenchymal opacities at the right lung basis and in the left perihilar areas, however, are unchanged. unchanged appearance of the moderately enlarged cardiac silhouette. no larger pleural effusions. no new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p16099332/s55649496/3b5b7473-7e51aee8-2e88c215-9db1bc74-f393e40b.jpg	the tip of the right picc line extends to the lower right atrium and could be retracted by approximately <num> cm which would place the tip near the superior cavoatrial junction. mild pulmonary edema, bibasilar atelectasis and a suspected small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15415520/s51640897/082b7eea-12497ad6-32e7e6f3-29c06394-6f7e3d93.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17862835/s52174700/27c12602-26da5e08-5d5f6ed4-6f455d7c-02e7ab67.jpg	increased density posteriorly seen on the lateral view thought to be technical. no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16607081/s56555788/10b31be0-ada5609b-c619ae40-638d9b1f-52433513.jpg	small right pneumothorax is a stable. cardiomediastinal contours are normal and midline. the lungs are clear. there is no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17767375/s50011980/694ef99d-4d03efcd-c799a71f-55b7557d-605aa928.jpg	no acute cardiopulmonary process. lungs appear relatively hyperinflated.
MIMIC-CXR-JPG/2.0.0/files/p10610628/s58978199/44b94202-c8076f61-57647a07-0c63f5dd-22d1e12a.jpg	regions of scarring and pleural califications at the right lung base and apex, as on prior. more conspicuous opacities at the left lung apex and at the costophrenic angle may be due to progression of underlying lung disease and scarring, although infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11197360/s56363385/1fa62b26-3de2aeb1-4836e2e4-8b80b5df-6d90821c.jpg	right middle lobe and left upper lobe pneumonia.

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no pleural effusion. no acute cardiopulmonary process.

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in comparison with the earlier study of this date, the monitor and support devices essentially unchanged. retrocardiac opacification process, consistent with substantial volume loss in the left lower lobe. moderate to severe cardiomegaly is again noted with mild elevation of pulmonary venous pressure. right effusion is again seen with atelectatic changes at the base.

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heart size is normal. coronary stents are projecting over the left circulation. mediastinum is unremarkable. lungs are clear. minimal amount of pleural effusion is suspected bilaterally.

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clear lungs with no evidence of pneumonia.

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no acute cardiopulmonary process.

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no acute cardiopulmonary pathology.

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deformity of the left upper lateral hemithorax with increased sclerosis of the ribs is compatible with known large chest wall mass, better delineated on the previous chest ct. small left pleural effusion. no new areas of focal consolidation identified.

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normal chest radiograph.

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no acute cardiopulmonary process.

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post-surgical changes in the left upper chest, with no definite signs of pneumonia.

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left pigtail catheter is in place but there is slight interval increase in left pleural effusion. otherwise no substantial change since the prior study demonstrated. there is also potential interval development of at least partial atelectasis giving the left shift of the mediastinum

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as compared to the previous radiograph. all monitoring and support devices, with the exception of the right internal jugular vein catheter has been removed. there is no evidence of pneumothorax. no larger pleural effusions. no pneumonia. unchanged normal postoperative appearance of the cardiac silhouette.

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moderate cardiomegaly with mild to moderate pulmonary edema. calcified pleural plaque likely reflects prior asbestos disease.

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no acute cardiopulmonary process.

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lungs are fully expanded and clear. borderline cardiomegaly stable. no pulmonary vascular abnormality. hilar and mediastinal and pleural surfaces are normal.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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lung volumes are generally low. a very mild perihilar haze could represent mild edema, but the major abnormalities are areas of subsegmental atelectasis in both lungs, moderate on the right, mild on the left. there is no appreciable pleural effusion. heart size is normal. worsening hypoxia could be due to unexpected pulmonary emboli or progression of hepatic pulmonary syndrome. i see no other good explanation.

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bilateral atelectasis/ scarring. no focal consolidation to suggest pneumonia.

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no evidence of acute disease. hyperinflation.

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no evidence of acute cardiopulmonary process.

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in comparison with the study of , there is again extensive opacification involving much of the right upper lobe. remainder the study is essentially unchanged.

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no radiographic evidence of pneumonia.

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increased opacification in right middle lung, likely a combination of atelectasis and edema, though central hematoma is a possibility.

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left perihilar opacity which may be related to post treatment changes although underlying tumor would be difficult to exclude. no new region of consolidation or evidence of infection.

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in comparison with the study , there is little overall change in the appearance of the heart and lungs. left pigtail catheter remains in place with elevation of the hemidiaphragmatic contour and basilar atelectatic change. the degree of dilatation of the colon has decreased.

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right posterior basilar density suggesting a possible pleural effusion with patchy atelectasis, although pneumonia is not entirely excluded.

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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.

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worsened right lung opacity, likely secondary to pleural effusion +/- segmental atelectasis. resolution of pulmonary edema.

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in comparison with the study of , the enteric tube has been removed. the heart is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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left picc tip is in thelower svc. cardiac size is top-normal accentuated by the projection and low lung volumes. the aorta is tortuous. tracheostomy is in place. there is no evident pneumothorax. bibasilar atelectasis have improved.

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no active disease.

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no radiographic evidence for acute cardiopulmonary process.

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bibasilar opacities, likely atelectasis, however, pneumonia must be excluded in the proper clinical setting. no acute cardiopulmonary process otherwise.

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no acute intrathoracic process.

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tracheostomy tube is in standard position. right picc tip is in the right atrium approximately <num> cm below the cavoatrial junction. cardiac size is top-normal. there is no pneumothorax. small left pleural effusion is unchanged. bilateral multifocal peribronchial consolidations are grossly unchanged consistent with multifocal pneumonia.

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no pneumothorax

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dual-lumen right internal jugular catheter, left-sided pacemaker, endotracheal tube, and nasogastric tube are unchanged in position. there continue to be layering bilateral effusions, right greater than left. cardiac and mediastinal contours are stable. the pulmonary arteries appear prominent. the pulmonary vessels appear cephalad, suggestive of pulmonary venous hypertension, but no overt pulmonary edema is evident. no pneumothorax is appreciated.

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tip of the ng tube is not well seen beyond the level of the carina that is not noted to cross the diaphragm. if further evaluation of the position of the ng tube is needed, consider abdominal radiograph with superior margin at the level of the carina. stable bilateral pulmonary edema and bibasilar atelectasis and probable small bilateral pleural effusions. no evidence of pneumonia.

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bibasilar atelectasis. previously noted pulmonary edema has nearly completely resolved.

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clear lungs with no radiographic evidence of pneumonia or aspiration. stable moderate cardiomegaly.

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no acute pulmonary process detected. in particular, no pneumothorax or pneumonia identified.

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et tube terminates approximately <num> cm above the carina. diffusely increased interstitial markings. in the appropriate clinical setting, thse could be due to chf.

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increased opacity at right lung base with partial obscuration of the right hemidiaphragm, which could be related to volume loss and to pleural fluid. however, in the appropriate clinical setting, early pneumonia should also be considered. these findings were discussed with by via telephone on at , at time of discovery.

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cardiomegaly, pulmonary edema, bilateral pleural effusions with bibasilar atelectasis. difficult to exclude a basilar pneumonia.

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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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no acute cardiopulmonary process.

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right pic line ends in the mid to low svc. lungs are fully expanded and clear. heart is normal size. ascending thoracic aorta is tortuous or mildly dilated but unchanged since. there is no evidence of new central adenopathy or pleural abnormality. multiple vascular clips denote prior right breast surgery and a dorsal column stimulator is noted.

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no pneumonia.

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no acute cardiopulmonary process.

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minimal change since the prior study. no evidence of pulmonary edema.

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diffusely increased interstitial markings throughout the lungs. this can be seen in the setting of edema, chronic interstitial process or atypical pneumonia. clinical correlation suggested.

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mild bibasilar atelectasis. reported rib lesion not clearly noted on these radiographs, and correlation with outside imaging is recommended.

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increased size of a right apical pneumothorax measuring <num> cm. no definite evidence of tension. unchanged, severe pneumomediastinum and diffuse subcutaneous emphysema. left basilar atelectasis versus consolidation. right middle lobe collapse. small right pleural effusion. findings were conveyed by dr to dr telephone at on , min after discovery.

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new patchy opacity in the left upper lobe concerning for an area of pneumonia. severe emphysema with scarring within the lung apices. right infrahilar opacity is re- demonstrated, and previously characterized on chest cta as an area concerning for possible malignancy. again bronchoscopy of this area is recommended if not done in the interval.

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stable cardiomegaly with hilar congestion and mild interstitial edema.

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no acute intrathoracic process. stable moderate cardiomegaly.

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patchy opacities in lung bases may reflect atelectasis, but early infection cannot be excluded. mild pulmonary vascular congestion.

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normal chest radiograph.

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right chest tube is in place. cardiomediastinal silhouette is unchanged. there is interval decrease in the right upper lung opacity consistent most likely with resolution of post biopsy hematoma. mild vascular enlargement is present but no overt pulmonary edema is seen. minimal right apical pneumothorax is more conspicuous on the current study.

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et tube tip is <num> cm above the carina. a right ij catheter tip remains in the right atrium. ng tube tip is coiled in the stomach. there are persistent low lung volumes. bibasilar atelectasis larger on the left side have minimally increased. there is no evident pneumothorax.

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there has been interval removal of the right pigtail catheter with increase in size of a right apical lateral pneumothorax. in addition, there is an increasing left apical lateral pneumothorax. patchy right basilar and more confluent left opacities are again seen and could reflect atelectasis, although an infectious process such as pneumonia or aspiration should also be considered. no pulmonary edema is evident. there is likely a small left effusion. right subclavian picc line is unchanged in position. a feeding tube is seen coursing below this diaphragm with the tip coiled within the stomach. results of this examination were conveyed by phone to the patient's nurse, , on at at the time of discovery. overall, cardiac and mediastinal contours are stable.

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no evidence of pneumonia, cardiac enlargement or chf in this -year-old male patient with chest pain.

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no acute cardiopulmonary process.

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left posterior seventh and eighth rib fractures, correlate for acuity.

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no evidence of acute cardiopulmonary process. mild elevation of the right hemidiaphragm.

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no acute cardiopulmonary process.

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small bilateral pulmonary nodules, better characterized on prior ct.

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as compared to radiograph, pulmonary vascular congestion has improved. bilateral pleural effusions appear slightly smaller. left retrocardiac atelectasis is not appreciably changed.

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no acute cardiopulmonary process.

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no significant interval change.

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no acute cardiopulmonary process.

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heart size top-normal. lungs clear. no pleural abnormality. small indentation in the right aspect of the trachea at the sternal notch could be due to previous intubation or tracheostomy. it is unlikely to be due to a mass.

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low lung volumes. lingular opacity raising concern for pneumonia.

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persistent unchanged opacification on the right lower hemithorax concerning for large pleural effusion and question of right diaphragmatic injury. increased interstitial fluid and vascular congestion consistent with mild fluid overload. these findings were communicated to the house staff caring for the patient at by dr telephone on.

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right basilar linear opacities are unchanged, likely scarring and/ or atelectasis with unchanged small right pleural effusion. no new focal consolidation.

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a right internal jugular central line has its tip in the mid svc. there has been interval removal of the feeding tube. lungs appear relatively well inflated with resolution of the previously seen pulmonary edema. there is no evidence of focal airspace consolidation to suggest pneumonia, pulmonary edema, pleural effusions or pneumothorax. overall, cardiac and mediastinal contours are stable. there is a deformity of the distal right clavicle, which may be related to a remote trauma.

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no acute intrathoracic process.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to the previous image, the patient was extubated. the lung volumes have decreased, there is moderate cardiomegaly, retrocardiac atelectasis. and mild atelectasis at the right lung bases. no other parenchymal changes are seen. no pneumothorax.

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ill-defined hazy opacification within the right lung could reflect asymmetric pulmonary edema, though infection or aspiration is not excluded. small left pleural effusion with retrocardiac opacity possibly reflecting atelectasis.

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left lower lobe pneumonia.

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worsening multifocal pneumonia.

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bilateral subsegmental atelectasis.

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stable exam. no acute displaced rib fracture identified. consider dedicated rib series to further assess if there is strong clinical concern.

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extensive new right-sided subcutaneous emphysema. interval placement of right chest pigtail catheter with significant interval decrease in right pneumothorax, but with moderate to large right pneumothorax persisting. no definite tension seen.

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if the right-sided catheter is a picc, it is high in position, terminating in the region of the distal right subclavian vein. clear lungs.

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no acute cardiopulmonary process.

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improved mild pulmonary edema and bibasilar atelectasis.

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in comparison with the study of , the left chest tube appears to have been removed and there is no evidence of pneumothorax. otherwise, little overall change.

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improved but persistent pulmonary edema.

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as compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. the endotracheal tube and the nasogastric tube have been removed. the large parenchymal opacities at the right lung basis and in the left perihilar areas, however, are unchanged. unchanged appearance of the moderately enlarged cardiac silhouette. no larger pleural effusions. no new parenchymal opacities.

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the tip of the right picc line extends to the lower right atrium and could be retracted by approximately <num> cm which would place the tip near the superior cavoatrial junction. mild pulmonary edema, bibasilar atelectasis and a suspected small right pleural effusion.

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no acute cardiopulmonary process.

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increased density posteriorly seen on the lateral view thought to be technical. no definite acute cardiopulmonary process.

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small right pneumothorax is a stable. cardiomediastinal contours are normal and midline. the lungs are clear. there is no pleural effusion.

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no acute cardiopulmonary process. lungs appear relatively hyperinflated.

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regions of scarring and pleural califications at the right lung base and apex, as on prior. more conspicuous opacities at the left lung apex and at the costophrenic angle may be due to progression of underlying lung disease and scarring, although infection cannot be excluded.

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right middle lobe and left upper lobe pneumonia.