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/p12990431/s50832193/f37121b3-86f014d2-39b40d03-4b31491f-d27a40f4.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18036964/s52287375/eab4e1e4-3873c936-472dd77e-7806752e-3b36e997.jpg	opacity in the left mid and lower lung concerning for pneumonia. moderate cardiomegaly and copd.
MIMIC-CXR-JPG/2.0.0/files/p12338003/s51898674/3e383cea-bd4e5cb6-cfc66a8f-bbcca904-0b497c09.jpg	as compared to , no relevant change is seen. the extensive bilateral basal and right predominant parenchymal opacities are stable in extent and severity. small bilateral pleural effusions, left more than right, present. mild cardiomegaly persists. stable correct position of the right-sided picc line.
MIMIC-CXR-JPG/2.0.0/files/p19167364/s59700103/ef2aa324-2d1b84a0-4cc3d2d5-0d8220fa-6ad3d0dc.jpg	no focal consolidation or significant pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13521172/s56655978/0d7bc325-ed4d2ee6-4104ccbe-9e32632b-872d8969.jpg	low lung volumes with bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15713241/s51749966/a2d5d080-195a2e14-1088e254-9b0a71e1-0ece10b7.jpg	mild atelectasis in the lung bases without focal consolidation. no displaced fracture identified, though if there is continued concern for a rib fracture, dedicated rib series is recommended. bilateral pulmonary nodules seen on previous ct are not well assessed on the current radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13576210/s58572583/39c83d68-68a19e24-59267f4c-10504ef9-e5004cba.jpg	interval worsening of pulmonary vascular congestion. retrocardiac opacity suspicious for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11124859/s50564151/2e374245-3a41a962-7ceffd09-7fbad7c2-fba85f4b.jpg	moderate, partially-loculated left pleural effusion, with possibly a small hydropneumothorax at the previous pigtail catheter site.
MIMIC-CXR-JPG/2.0.0/files/p16477848/s56969347/792ca0ca-8c9ed1c6-bac94dca-cac1dad1-5ac47aee.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13623186/s51661784/e533e855-f034f56c-e454ad5d-53eb8fc8-d982f2f5.jpg	compared to prior chest radiographs since most recently. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p17546051/s53524067/b459b2ea-a57382d8-3b1cba4f-7c01bb7c-36264ab6.jpg	tip of newly placed right picc line again projects over the mid right subclavian vein. stable moderate layering right and small left pleural effusions. stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16852221/s59159719/837f8bc6-ef4d8a29-bfbcdbb7-edd9ff16-f53d72e6.jpg	large bilateral pleural effusion, left greater than right, both increased since. to some extent this may be a function of extubation. upper lungs clear. lower lungs atelectatic as expected. heart size obscured by pleural effusion. left internal jugular line ends in the mid svc, transvenous right atrioventricular pacer leads in standard placements. no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p19169852/s51927650/5f33f8cf-dedc44b8-b64f0e40-dffba9d2-f8e60bc0.jpg	unchanged mild hilar congestion and severe cardiomegaly, without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14780008/s55331060/882c975a-0b7fa40b-32224290-cc8fb609-836020b0.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13892051/s58899353/2a5d19d3-48ee484e-85fd853c-73fa45a7-72cc100a.jpg	increased confluence of right suprahilar and upper lobe opacity, concerning for evolving pneumonia. central vascular congestion with probable asymmetric pulmonary edema. mildly improved small left and tiny right pleural effusions. mildly improved right basilar and retrocardiac opacities, most consistent with atelectasis. stable left juxtahilar lesion, better assessed on prior chest ct.
MIMIC-CXR-JPG/2.0.0/files/p15531965/s59836618/5b02635e-143bea6a-4f617330-35bb3c12-1996bc18.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14000990/s55490074/64d6a377-8f1c35f6-02c27464-11746cd1-8e3fefb0.jpg	no evidence of radiopaque foreign body.
MIMIC-CXR-JPG/2.0.0/files/p14350419/s58238985/06df23d4-255fc6e9-ef3165f2-0b142359-68d68584.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15073205/s54272764/5ebc6463-8e44abac-0ad087e1-7f09446c-d005a09a.jpg	mild bibasilar atelectasis without focal consolidation to suggest pneumonia. no congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p18236626/s52908359/c8c61f31-245250f1-9724a804-80696788-35450667.jpg	left lower lobe opacity could represent atelectasis or pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p11174184/s54302881/f57b6371-d75c8f08-2c6fcef1-878628c8-d6b79475.jpg	bibasilar patchy opacities, likely atelectasis. infection cannot be excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17478342/s50667705/90967169-b6385a3c-a5c9dd47-1bc0e770-2368f70d.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p14045846/s56574805/44b3b17e-14eaba62-f68a026b-e10da966-49833ce9.jpg	normal chest radiograph without evidence of latent tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p15675092/s51763315/68182b4f-1b456877-2121696c-9bb4c419-4a3bf0d3.jpg	chronic underlying changes in the lungs suggesting copd with possible superimposed interstitial edema in the right lung and left lung base. bilateral pleural effusions, right greater than left. new opacity at the right lung base medially could be due to loculated effusion medially.
MIMIC-CXR-JPG/2.0.0/files/p10010231/s55204578/c5a90500-3c12a365-0360ce1e-e1e6313c-bbcedd08.jpg	comparison to. no relevant change is noted. no evidence of pneumonia. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11664200/s54141185/9491f72c-f875f12a-746cf276-0c2b10e8-244e0fba.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13222868/s56487781/f113c337-ebebcfb7-2fea6918-5802d77d-103d1d5f.jpg	bibasilar opacities favor atelectasis. differential diagnosis includes aspiration and less likely early infectious pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14115059/s53564306/fa871ddf-5a94022c-5f53fd12-a38c12f2-c81f7738.jpg	no acute cardiopulmonary process; specifically, no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18043096/s56678901/14865466-571ab88a-03ba7324-f62960bc-50a45f14.jpg	no definite acute cardiopulmonary process. persistent elevation of the right hemidiaphragm and right basilar opacity due to likely atelectasis and possible trace effusion, similar when compared to priors.
MIMIC-CXR-JPG/2.0.0/files/p14912307/s58323810/c843dc04-d88e5328-794c5ae5-98faab53-37769f2b.jpg	pa and lateral chest compared to and : regions of abnormality at the lung bases questioned on yesterday's chest radiograph are not confirmed on this study. there are no findings to suggest pneumonia. cardiomegaly is mild. pulmonary mediastinal vasculature is normal and there is no pleural effusion or edema.
MIMIC-CXR-JPG/2.0.0/files/p14451193/s57954757/26a83c32-c87f8511-f1415ac4-b7fd8ab9-e34b4028.jpg	pa and lateral chest compared to and : moderate-sized hiatus hernia is stable. cannot be sure whether there is a region of right infrahilar consolidation up against the lower thoracic spine without oblique views. the lungs are otherwise clear and there is no pleural effusion. although overall heart size is normal the configuration suggests appreciable enlargement of the left atrium. on the other hand pulmonary vasculature is unremarkable. there is no pleural effusion or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10521158/s59137540/90953118-8e4f540e-83b7e16b-8daf9557-a97b3d9c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15311382/s57929974/ed23b725-9d57a966-2e11c91a-bcbc4116-8c699c0c.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17415195/s56799883/e34f01da-fa92c39b-b6eaca57-81bad460-6be96e4c.jpg	as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> mm above the carinal. retrocardiac atelectasis has developed. the presence of a small left pleural effusion cannot be excluded. no pulmonary edema. no pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16717341/s54387812/ca0f8d4e-f8504281-9692afa8-df05d1b8-4dbf2714.jpg	pa and lateral chest compared to : the extent of consolidation in the lingula has decreased. some of this may be due to clearing and some to atelectasis. there is no evidence of bronchial obstruction or central adenopathy and no pleural effusion. right lung is entirely clear. heart is not enlarged.
MIMIC-CXR-JPG/2.0.0/files/p12532751/s59715982/6d9a89bb-57eb540b-c2947f11-23e994d8-577ac886.jpg	no previous images. there is enlargement of the cardiac silhouette without vascular congestion. no acute pneumonia. striking abnormality involving the bony structures with avascular necrosis involving both humeral heads and dense bones. abnormality in the thoracic spine is consistent with the diagnosis of sickle cell disease, though the classic h- tiype vertebra are not present. there are shortened clavicles bilaterally. this is not a characteristic of sickle cell disease. the appearance is different from the subperiosteal resorption characteristic of hyperparathyroidism. a tarda former of cleidocranial dysostosis could be considered.
MIMIC-CXR-JPG/2.0.0/files/p18965721/s55652509/9172141a-c2f3ffda-fce2a852-f60443f7-e8cf78dc.jpg	as compared to , there is unchanged evidence of moderate cardiomegaly and mild fluid overload but no overt pulmonary edema. the intravascular devices on the right are in constant position. fifth moderate atelectasis in the retrocardiac lung region persists.
MIMIC-CXR-JPG/2.0.0/files/p17411141/s51138920/7cd7f98a-3a5581a5-58a31ec8-50b8ce30-86c4d17f.jpg	unchanged minimal left apical pneumothorax. unchanged right lower lung/cardiophrenic angle airspace consolidation, possibly sequela of aspiration or pneumonia, or possibly crowding of normal vascular structures. stable small left pleural effusion and unchanged adjacent left lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18099579/s53540577/47c89a34-86d6f996-e3e46ffc-7707b72e-23717d80.jpg	diffuse interstitial opacities with bronchial wall thickening and nodularity likely reflective of diffuse bronchiectasis and chronic inflammatory or infectious small airways disease, which appears more progressed in the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p17328272/s51414854/cf0e0691-1722ef74-003ca350-d9c501a4-4d83f3bd.jpg	no evidence of an acute pulmonary infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p18131667/s55408501/282ec689-45f1fd8f-a445e66f-623bc4b0-bc41ccc4.jpg	no definite radiographic evidence for acute cardiopulmonary process. rounded opacity overlying the left lower lung field. recommend repeat radiograph with nipple markers.
MIMIC-CXR-JPG/2.0.0/files/p18477696/s52458511/67e25f2f-37245651-fa43ad0d-47828e52-76f497f8.jpg	unchanged right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. slight improvement in right base atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14671796/s53340396/a496dd57-2b41b173-e5254ad2-b5423d14-058b1876.jpg	right middle lobe and left lower lobe airspace opacities concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13937874/s52486486/1a671a36-beacb825-80bfaa52-42176ea5-1361401b.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11364274/s53774447/107d805d-3b548d17-cf780ad6-2b6748e3-7aaab750.jpg	coarse bibasilar opacities may reflect aspiration or infection.
MIMIC-CXR-JPG/2.0.0/files/p17814256/s56935959/91d64d37-dabf3653-78a97ef5-f7992ee6-3e2d81f1.jpg	moderate scoliosis with subsequent asymmetry of the ribcage. the lung volumes are normal. normal size of the cardiac silhouette. minimal elongation of the descending aorta. no pleural effusions. no pneumothorax. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19692527/s54638681/1a5988a2-2e9f2df2-5f9380fa-f08494ad-05221647.jpg	bibasilar atelectasis, more pronounced on the left, with small left pleural effusion. no subdiaphragmatic free air.
MIMIC-CXR-JPG/2.0.0/files/p11014822/s53830856/3b52ae0d-260b581f-916776f1-b2407eb6-ca1aabb7.jpg	new opacification at the base of the right lung could be pleural effusion or worsening consolidation. leftward mediastinal shift indicates opacification at the left lung base has a component of atelectasis. residual the infiltrative pulmonary abnormality in the left lung has not changed for several days. no pneumothorax. et tube in standard placement. nasogastric tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p14182243/s50602590/112b35aa-da8f90da-e3d26279-6ecf4223-a88fdc48.jpg	ap chest compared to : mild cardiomegaly is stable, but pulmonary vascular congestion has improved. only pulmonary abnormalities are atelectasis in the right mid lung. i see no pneumonia. pleural effusion small if any. very radiodense -mm nodule left lower lung laterally is presumably a calcification.
MIMIC-CXR-JPG/2.0.0/files/p12995473/s50640097/4ae74b17-f7166a3d-80b2ee7a-ecc617ca-dcf8c4e1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12408953/s56406951/5c65fba2-06520ff7-97d41695-16ddab27-45210c34.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13889180/s52690240/a0df156a-5a5b3193-b4f9fc52-cb79c573-aebefe88.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10866343/s57943117/cbff083c-f2acd4c3-c0cd5428-18913d26-49860ec2.jpg	clear lungs. no pulmonary edema. possible prior fracture of the posterior lateral left <num>th rib. expansion of the distal right clavicle, not well evaluated, correlate for history of prior trauma at this site.
MIMIC-CXR-JPG/2.0.0/files/p13713048/s50320784/2baace69-6be0ca92-3beda023-232dee35-7dbfa0a0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15049816/s53476364/919e4d58-35edf260-d3643d1c-c4d82a7d-ca43aa36.jpg	interval improvement in the right upper lobe pneumonia. recommendation(s): follow-up radiograph in <num> weeks advised to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p14187001/s51811435/27b426b8-7dea813a-89a0653b-7a77b621-1550b197.jpg	overall unchanged appearance of the chest compared to the previous exam. similar sized moderate right and small left pleural effusions. asymmetric right sided mild pulmonary edema or lymphangitic spread of tumor. tracheostomy is in place, although the balloon remains overinflated. re- demonstration of right lower lobe lung mass.
MIMIC-CXR-JPG/2.0.0/files/p17967970/s50469813/e329558c-1e49c7cc-d619e6f1-bf47b62b-29a79585.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. continued elevation of the right hemidiaphragmatic contour with postoperative changes in the right hemithorax. chest tube remains in place and there is no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13721591/s57941452/5a33a059-24733caa-b784d867-f7aa169a-128a49fa.jpg	the severity of the marked, bibasilar infiltrative pulmonary abnormality has improved since , and perhaps slightly since as well. there is no pneumothorax or large pleural effusion. heart is substantially obscured but not greatly dilated. et tube is in standard placement and esophageal drainage tube passes below the diaphragm and out of view.
MIMIC-CXR-JPG/2.0.0/files/p15230030/s52409963/4516c245-665fd810-2d93a24d-0a243c82-366bb6e4.jpg	no acute intrathoracic process. radiopaque foreign object noted overlying the left neck, likely external.
MIMIC-CXR-JPG/2.0.0/files/p18962041/s56970390/b5370bef-b0fe5a14-95e97b61-3666a794-4e00e924.jpg	copd without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18828209/s52959588/2e8c6a18-f5ded912-10548bc4-92340a31-316f8d83.jpg	right central catheter tip is in standard position. cardiac size is normal. right middle lobe are right lower lobe atelectasis have markedly increased. left lower lobe atelectasis is mild and unchanged. small to moderate right pleural effusion is unchanged. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16728825/s58036622/20ed76a4-2b45e714-9f2c73b5-5d090933-d140725f.jpg	no acute cardiopulmonary process. stable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16415605/s54445227/257701ce-1df5fda5-7c55be2e-fe24bbaf-aaf02ca7.jpg	mild bibasilar subsegmental atelectasis. no congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p10194361/s53255067/967c79ae-1c099f40-f7001f59-0b443b83-37fae50d.jpg	no evidence for acute cardiopulmonary abnormalities. recommendation(s): if there is a high clinical concern for a rib fracture, dedicated rib radiographs should be considered.
MIMIC-CXR-JPG/2.0.0/files/p19553650/s58330380/3a8fb1df-ba2c4221-ac7dc92f-3e6a4646-de3e9794.jpg	interval removal of right chest tube with small right apical pneumothorax as well as persistent moderate hydropneumothorax at the anterior right lung base. there is also increased right lateral subcutaneous gas. findings were communicated with dr by dr telephone at pm.
MIMIC-CXR-JPG/2.0.0/files/p13156228/s52046896/8cfb50d9-50eb48b0-3e93575e-cbe91174-3338d122.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16939016/s53276344/9e46d723-ec08d3b9-e7b767ba-c6b774e3-05a9d1ed.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19644467/s53741734/d268b046-796b9774-16c4bbd2-34ce49ca-2929c78d.jpg	no acute cardiopulmonary process. no significant change since the prior study.
MIMIC-CXR-JPG/2.0.0/files/p11628599/s57993109/ea5af637-c6dfec1f-9d17c393-73bf5dba-77d575db.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14806642/s59812684/38fa88b3-b1a11728-9e5b7310-15623ec8-a27afda6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17506723/s59073505/0f9cdccd-e00a033f-83d33aaa-0dadf515-3a2472cf.jpg	newly placed or newly visible endotracheal tube ends just above the upper margin of the clavicles, no less than <num> cm from the carina and should be advanced <num> cm for optimal placement. left lower lobe consolidation with volume loss, indicating a component of collapse, is new. a very small amount of air highlighting the left mediastinal border from the aortic arch to the left atrial appendage, is probably pneumomediastinum. this may be a function of positive pressure ventilation. clinical monitoring is advised prior to any additional imaging, especially because the subsequent chest radiograph available the time of this review, on , shows no progression of pneumomediastinum. feeding tube ends in the region of the pylorus. right upper lung is clear. right lower lung may be shadowing early consolidation. there is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16611822/s54433188/a72a1724-22449a44-ef7688e6-0d09a3fd-c45bba8b.jpg	of roughly <num> x <num> cm oval opacity, oriented parallel to the major fissure, has developed in the right upper lobe as seen on the lateral view. although this could be a fissural pleural collection there is no evidence of pleural fluid elsewhere in the right chest. it is most likely pneumonia, but would need to be followed closely (to exclude a mass would have developed in only <num> months). generalized interstitial pulmonary abnormality is unchanged. there is no indication of pneumonia elsewhere or central adenopathy. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p16441592/s57753664/7b53db2b-0986982d-2de5b20b-3f5f36f7-2311ca99.jpg	in comparison with the study of , the swan-ganz catheter is been removed. the left picc line is unchanged. continued enlargement of the cardiac silhouette with left pleural effusion and underlying compressive atelectasis. there is still elevation of pulmonary venous pressure. no evidence of acute pneumonia, though this would be difficult to exclude in the appropriate clinical setting, especially in the absence of a lateral view, given the size of the heart and vascular congestion
MIMIC-CXR-JPG/2.0.0/files/p10441338/s50645287/15972ed5-ff567a67-0d5d3157-ffbf5231-9ab599cb.jpg	mild bibasilar atelectasis in the setting of low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p19991486/s53022565/bcc6729d-96c7a1fe-ebdb24df-8d93aed3-09895e56.jpg	no comparison. the lung volumes are low. moderate cardiomegaly with signs of moderate pulmonary edema. left pectoral pacemaker, <num> lead projects over the right atrium and <num> over the right ventricle. mild elongation of the descending aorta. no pneumothorax or other complication.
MIMIC-CXR-JPG/2.0.0/files/p16287674/s53392379/a057f9f1-880512db-aaceceec-face36fd-d640eec9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15727523/s51161368/59defc14-d64b93eb-ec4e499d-daa033e4-b7195334.jpg	no overt signs signs of pneumonia or congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p12200987/s54566206/ae670ba3-1d5faa9d-59e53c72-381ea788-fd3c2f51.jpg	increased opacity projecting over the spine with bronchial wall thickening could represent early atypical pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19679858/s55952715/4fb028e4-1c457ca4-f2a79c77-818e01ae-aeb34878.jpg	blunting of the left costophrenic angle, of uncertain acuity, could be due to pleural thickening/scarring versus a trace pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15746568/s56424989/22f44597-e519669f-acbfe4aa-579cd28a-fb3e4115.jpg	new subtle opacity in the right upper lung could be concerning for pneumonia. recommendation(s): for further evaluation, recommend apical lordotic view.
MIMIC-CXR-JPG/2.0.0/files/p11291823/s54125978/ea7b7eeb-86879293-b406aa8e-0770c9c0-e429356f.jpg	compared to the prior outside exam the amount of pulmonary edema is similar and there has been some interval improved aeration of the right lower lobe however there still substantial amount of collapse/iinfiltrate
MIMIC-CXR-JPG/2.0.0/files/p17103624/s51759698/861f29cc-bc59b295-3a957ec3-e3969b10-f65e2c57.jpg	moderate to severe cardiogenic pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18062948/s55424995/ff27c3c8-4d670458-0ccdb0af-d7d17c6e-fd48e3a6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12283783/s53596234/a8c022f5-ba67ce40-e8802d2d-0537cdcc-85f497b6.jpg	in comparison with the study of , the cardiac silhouette remains at the upper limits of normal or mildly enlarged. there may be minimal elevation in pulmonary venous pressure. multiple streaks of atelectasis are seen at both bases. blunting the costophrenic angle raises the possibility of small pleural effusions. no evidence of acute focal consolidation, though an area of more coalescent opacification at the right base could represent an early pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12812885/s50979053/19b596c9-f3ba1672-c56d8889-b0bba86b-dca6e48a.jpg	no acute cardiopulmonary process. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14214958/s52103047/e77e6074-e218e6e4-9ec9d981-34e19a78-0980e783.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p15670628/s54604890/99972932-9267d331-9ff3e931-52bcd56a-8e1a8389.jpg	no acute cardiopulmonary abnormality. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12970079/s56342111/318d730e-87f1f32d-316ae455-1c4406bc-468a5850.jpg	no evidence of pneumothorax. asymmetric pulmonary opacities on this radiograph. suggest continued follow up to evaluate for the possibility of atypical pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17297399/s53091196/cc256034-3412ed76-cf677562-77774439-001f2787.jpg	no prior chest radiographs available for review. aside from a band of subsegmental atelectasis, right lower lung, lungs are clear. heart size normal. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12356657/s56757007/e776432d-1ed062bf-b530fb0c-5cae763b-7a6f27a8.jpg	progression of mild pulmonary edema since the prior radiograph.
MIMIC-CXR-JPG/2.0.0/files/p18036134/s55380570/04a95fde-f0bb84cf-0990814c-1a2034af-be1dac3e.jpg	right internal jugular line tip is at the level of mid to lower svc. cardiomegaly is moderate, slightly increased. left basal consolidation and left pleural effusion is demonstrated, moderate and small right pleural effusion. there is no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13660761/s54923984/7310da05-a45f0389-d87405bc-bc410548-becd8c41.jpg	lungs are fully expanded and essentially clear. an elliptical opacity projecting over the tip of the right scapula is probably thickening in the right minor fissure, not clinically significant. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p14575349/s53835921/8d1c7ef9-ce6b709c-b0e055ca-61c3d173-dfd16799.jpg	interval increased prominence of right middle lobe opacity, suggesting possible chronic middle lobe syndrome with or potentially chronic mac infection - follow-up with short-term radiographs or chest ct could be performed if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p11692282/s57788417/ad5d14e6-295e7c97-8d79687f-33eee633-29cf7f09.jpg	left pleural catheter is similar in position to recent study from earlier the same date, with persistent small left pleural effusion. no visible pneumothorax, but left apex is obscured by flexed position of the patient's neck.
MIMIC-CXR-JPG/2.0.0/files/p11106524/s58930404/3bbaa3f1-4d394e55-92e879c7-ca000e21-3e14ab58.jpg	ap chest compared to : heart size is top normal. relatively symmetric perihilar and basal consolidative abnormality, right greater than left accompanied by very small right pleural effusion could be atypical edema. there is no way to exclude multifocal pneumonia, but it is quite extensive and sudden, which should be apparent clinically. new right supraclavicular dialysis catheter ends in the low svc and upper right atrium. contralateral shift of the trachea is new, probably a small hematoma. when i discussed the case with the house officer caring for this patient, he volunteered that the patient had received a blood product transfusion several hours before this study, and, of course the findings fit well with trali.
MIMIC-CXR-JPG/2.0.0/files/p19539331/s52877971/3efda27f-4040b23b-8fd2e27c-f2556741-d7e23ff4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13549192/s53830031/c4635a9a-3c45b9b3-6917c207-0b050c16-904baaab.jpg	ap and lateral chest compared to : frontal view shows relatively mild infrahilar peribronchial opacification in the left lower lobe which could be all atelectasis. the area is obscured on the lateral film by adipose. heart size is top normal, but there is no pulmonary vascular abnormality or effusion. mild distension of the azygos vein suggests elevated central venous pressure or volume.
MIMIC-CXR-JPG/2.0.0/files/p19385620/s54438387/97cc382f-bafbad42-ac94719c-078cb14e-4668cc06.jpg	in comparison with study of , there is again evidence of extensive cardiac surgery with intact midline sternal wires. esophagectomy is again noted. no evidence of residual pneumothorax. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19753612/s51895214/d974f938-2d63f4ef-8612b1b4-a05eb9e2-e0c78728.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11621459/s54829358/defa4274-9db8b153-3991047a-518214c3-b82fc20c.jpg	no acute intrathoracic process.

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no acute intrathoracic process.

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opacity in the left mid and lower lung concerning for pneumonia. moderate cardiomegaly and copd.

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as compared to , no relevant change is seen. the extensive bilateral basal and right predominant parenchymal opacities are stable in extent and severity. small bilateral pleural effusions, left more than right, present. mild cardiomegaly persists. stable correct position of the right-sided picc line.

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no focal consolidation or significant pulmonary edema.

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low lung volumes with bibasilar atelectasis.

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mild atelectasis in the lung bases without focal consolidation. no displaced fracture identified, though if there is continued concern for a rib fracture, dedicated rib series is recommended. bilateral pulmonary nodules seen on previous ct are not well assessed on the current radiograph.

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interval worsening of pulmonary vascular congestion. retrocardiac opacity suspicious for pneumonia.

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moderate, partially-loculated left pleural effusion, with possibly a small hydropneumothorax at the previous pigtail catheter site.

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no acute intrathoracic process.

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compared to prior chest radiographs since most recently. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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tip of newly placed right picc line again projects over the mid right subclavian vein. stable moderate layering right and small left pleural effusions. stable cardiomegaly.

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large bilateral pleural effusion, left greater than right, both increased since. to some extent this may be a function of extubation. upper lungs clear. lower lungs atelectatic as expected. heart size obscured by pleural effusion. left internal jugular line ends in the mid svc, transvenous right atrioventricular pacer leads in standard placements. no pneumothorax

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unchanged mild hilar congestion and severe cardiomegaly, without acute cardiopulmonary process.

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no acute intrathoracic abnormality.

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increased confluence of right suprahilar and upper lobe opacity, concerning for evolving pneumonia. central vascular congestion with probable asymmetric pulmonary edema. mildly improved small left and tiny right pleural effusions. mildly improved right basilar and retrocardiac opacities, most consistent with atelectasis. stable left juxtahilar lesion, better assessed on prior chest ct.

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no acute cardiopulmonary process.

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no evidence of radiopaque foreign body.

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no acute cardiopulmonary process.

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mild bibasilar atelectasis without focal consolidation to suggest pneumonia. no congestive heart failure.

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left lower lobe opacity could represent atelectasis or pneumonia in the appropriate clinical setting.

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bibasilar patchy opacities, likely atelectasis. infection cannot be excluded in the correct clinical setting.

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normal chest radiographs.

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normal chest radiograph without evidence of latent tuberculosis.

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chronic underlying changes in the lungs suggesting copd with possible superimposed interstitial edema in the right lung and left lung base. bilateral pleural effusions, right greater than left. new opacity at the right lung base medially could be due to loculated effusion medially.

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comparison to. no relevant change is noted. no evidence of pneumonia. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pulmonary edema. no pleural effusions.

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no acute cardiopulmonary process.

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bibasilar opacities favor atelectasis. differential diagnosis includes aspiration and less likely early infectious pneumonia.

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no acute cardiopulmonary process; specifically, no evidence of pneumonia.

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no definite acute cardiopulmonary process. persistent elevation of the right hemidiaphragm and right basilar opacity due to likely atelectasis and possible trace effusion, similar when compared to priors.

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pa and lateral chest compared to and : regions of abnormality at the lung bases questioned on yesterday's chest radiograph are not confirmed on this study. there are no findings to suggest pneumonia. cardiomegaly is mild. pulmonary mediastinal vasculature is normal and there is no pleural effusion or edema.

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pa and lateral chest compared to and : moderate-sized hiatus hernia is stable. cannot be sure whether there is a region of right infrahilar consolidation up against the lower thoracic spine without oblique views. the lungs are otherwise clear and there is no pleural effusion. although overall heart size is normal the configuration suggests appreciable enlargement of the left atrium. on the other hand pulmonary vasculature is unremarkable. there is no pleural effusion or pulmonary edema.

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no acute cardiopulmonary process.

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normal chest radiograph.

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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> mm above the carinal. retrocardiac atelectasis has developed. the presence of a small left pleural effusion cannot be excluded. no pulmonary edema. no pneumonia. no pneumothorax.

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pa and lateral chest compared to : the extent of consolidation in the lingula has decreased. some of this may be due to clearing and some to atelectasis. there is no evidence of bronchial obstruction or central adenopathy and no pleural effusion. right lung is entirely clear. heart is not enlarged.

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no previous images. there is enlargement of the cardiac silhouette without vascular congestion. no acute pneumonia. striking abnormality involving the bony structures with avascular necrosis involving both humeral heads and dense bones. abnormality in the thoracic spine is consistent with the diagnosis of sickle cell disease, though the classic h- tiype vertebra are not present. there are shortened clavicles bilaterally. this is not a characteristic of sickle cell disease. the appearance is different from the subperiosteal resorption characteristic of hyperparathyroidism. a tarda former of cleidocranial dysostosis could be considered.

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as compared to , there is unchanged evidence of moderate cardiomegaly and mild fluid overload but no overt pulmonary edema. the intravascular devices on the right are in constant position. fifth moderate atelectasis in the retrocardiac lung region persists.

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unchanged minimal left apical pneumothorax. unchanged right lower lung/cardiophrenic angle airspace consolidation, possibly sequela of aspiration or pneumonia, or possibly crowding of normal vascular structures. stable small left pleural effusion and unchanged adjacent left lower lobe atelectasis.

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diffuse interstitial opacities with bronchial wall thickening and nodularity likely reflective of diffuse bronchiectasis and chronic inflammatory or infectious small airways disease, which appears more progressed in the right lung base.

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no evidence of an acute pulmonary infiltrate.

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no definite radiographic evidence for acute cardiopulmonary process. rounded opacity overlying the left lower lung field. recommend repeat radiograph with nipple markers.

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unchanged right apical hydropneumothorax, moderate cardiomegaly, and moderate interstitial pulmonary edema. slight improvement in right base atelectasis.

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right middle lobe and left lower lobe airspace opacities concerning for pneumonia.

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no acute cardiac or pulmonary process.

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coarse bibasilar opacities may reflect aspiration or infection.

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moderate scoliosis with subsequent asymmetry of the ribcage. the lung volumes are normal. normal size of the cardiac silhouette. minimal elongation of the descending aorta. no pleural effusions. no pneumothorax. no pneumonia, no pulmonary edema.

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bibasilar atelectasis, more pronounced on the left, with small left pleural effusion. no subdiaphragmatic free air.

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new opacification at the base of the right lung could be pleural effusion or worsening consolidation. leftward mediastinal shift indicates opacification at the left lung base has a component of atelectasis. residual the infiltrative pulmonary abnormality in the left lung has not changed for several days. no pneumothorax. et tube in standard placement. nasogastric tube passes into the stomach and out of view.

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ap chest compared to : mild cardiomegaly is stable, but pulmonary vascular congestion has improved. only pulmonary abnormalities are atelectasis in the right mid lung. i see no pneumonia. pleural effusion small if any. very radiodense -mm nodule left lower lung laterally is presumably a calcification.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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

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no acute cardiopulmonary process.

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interval improvement in the right upper lobe pneumonia. recommendation(s): follow-up radiograph in <num> weeks advised to ensure resolution.

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overall unchanged appearance of the chest compared to the previous exam. similar sized moderate right and small left pleural effusions. asymmetric right sided mild pulmonary edema or lymphangitic spread of tumor. tracheostomy is in place, although the balloon remains overinflated. re- demonstration of right lower lobe lung mass.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. continued elevation of the right hemidiaphragmatic contour with postoperative changes in the right hemithorax. chest tube remains in place and there is no evidence of pneumothorax.

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the severity of the marked, bibasilar infiltrative pulmonary abnormality has improved since , and perhaps slightly since as well. there is no pneumothorax or large pleural effusion. heart is substantially obscured but not greatly dilated. et tube is in standard placement and esophageal drainage tube passes below the diaphragm and out of view.

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no acute intrathoracic process. radiopaque foreign object noted overlying the left neck, likely external.

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copd without superimposed pneumonia.

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right central catheter tip is in standard position. cardiac size is normal. right middle lobe are right lower lobe atelectasis have markedly increased. left lower lobe atelectasis is mild and unchanged. small to moderate right pleural effusion is unchanged. there is no pneumothorax.

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no acute cardiopulmonary process. stable chest radiograph.

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mild bibasilar subsegmental atelectasis. no congestive heart failure.

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no evidence for acute cardiopulmonary abnormalities. recommendation(s): if there is a high clinical concern for a rib fracture, dedicated rib radiographs should be considered.

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interval removal of right chest tube with small right apical pneumothorax as well as persistent moderate hydropneumothorax at the anterior right lung base. there is also increased right lateral subcutaneous gas. findings were communicated with dr by dr telephone at pm.

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no evidence of acute disease.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process. no significant change since the prior study.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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newly placed or newly visible endotracheal tube ends just above the upper margin of the clavicles, no less than <num> cm from the carina and should be advanced <num> cm for optimal placement. left lower lobe consolidation with volume loss, indicating a component of collapse, is new. a very small amount of air highlighting the left mediastinal border from the aortic arch to the left atrial appendage, is probably pneumomediastinum. this may be a function of positive pressure ventilation. clinical monitoring is advised prior to any additional imaging, especially because the subsequent chest radiograph available the time of this review, on , shows no progression of pneumomediastinum. feeding tube ends in the region of the pylorus. right upper lung is clear. right lower lung may be shadowing early consolidation. there is no pneumothorax or pleural effusion.

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of roughly <num> x <num> cm oval opacity, oriented parallel to the major fissure, has developed in the right upper lobe as seen on the lateral view. although this could be a fissural pleural collection there is no evidence of pleural fluid elsewhere in the right chest. it is most likely pneumonia, but would need to be followed closely (to exclude a mass would have developed in only <num> months). generalized interstitial pulmonary abnormality is unchanged. there is no indication of pneumonia elsewhere or central adenopathy. heart size is normal.

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in comparison with the study of , the swan-ganz catheter is been removed. the left picc line is unchanged. continued enlargement of the cardiac silhouette with left pleural effusion and underlying compressive atelectasis. there is still elevation of pulmonary venous pressure. no evidence of acute pneumonia, though this would be difficult to exclude in the appropriate clinical setting, especially in the absence of a lateral view, given the size of the heart and vascular congestion

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mild bibasilar atelectasis in the setting of low lung volumes.

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no comparison. the lung volumes are low. moderate cardiomegaly with signs of moderate pulmonary edema. left pectoral pacemaker, <num> lead projects over the right atrium and <num> over the right ventricle. mild elongation of the descending aorta. no pneumothorax or other complication.

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no acute cardiopulmonary process.

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no overt signs signs of pneumonia or congestive heart failure.

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increased opacity projecting over the spine with bronchial wall thickening could represent early atypical pneumonia.

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blunting of the left costophrenic angle, of uncertain acuity, could be due to pleural thickening/scarring versus a trace pleural effusion.

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new subtle opacity in the right upper lung could be concerning for pneumonia. recommendation(s): for further evaluation, recommend apical lordotic view.

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compared to the prior outside exam the amount of pulmonary edema is similar and there has been some interval improved aeration of the right lower lobe however there still substantial amount of collapse/iinfiltrate

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moderate to severe cardiogenic pulmonary edema.

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no acute cardiopulmonary process.

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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal or mildly enlarged. there may be minimal elevation in pulmonary venous pressure. multiple streaks of atelectasis are seen at both bases. blunting the costophrenic angle raises the possibility of small pleural effusions. no evidence of acute focal consolidation, though an area of more coalescent opacification at the right base could represent an early pneumonia in the appropriate clinical setting.

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no acute cardiopulmonary process. no pneumonia.

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no acute findings in the chest.

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no acute cardiopulmonary abnormality. no pneumothorax.

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no evidence of pneumothorax. asymmetric pulmonary opacities on this radiograph. suggest continued follow up to evaluate for the possibility of atypical pneumonia.

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no prior chest radiographs available for review. aside from a band of subsegmental atelectasis, right lower lung, lungs are clear. heart size normal. no pleural abnormality.

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progression of mild pulmonary edema since the prior radiograph.

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right internal jugular line tip is at the level of mid to lower svc. cardiomegaly is moderate, slightly increased. left basal consolidation and left pleural effusion is demonstrated, moderate and small right pleural effusion. there is no evidence of pneumothorax.

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lungs are fully expanded and essentially clear. an elliptical opacity projecting over the tip of the right scapula is probably thickening in the right minor fissure, not clinically significant. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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interval increased prominence of right middle lobe opacity, suggesting possible chronic middle lobe syndrome with or potentially chronic mac infection - follow-up with short-term radiographs or chest ct could be performed if warranted clinically.

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left pleural catheter is similar in position to recent study from earlier the same date, with persistent small left pleural effusion. no visible pneumothorax, but left apex is obscured by flexed position of the patient's neck.

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ap chest compared to : heart size is top normal. relatively symmetric perihilar and basal consolidative abnormality, right greater than left accompanied by very small right pleural effusion could be atypical edema. there is no way to exclude multifocal pneumonia, but it is quite extensive and sudden, which should be apparent clinically. new right supraclavicular dialysis catheter ends in the low svc and upper right atrium. contralateral shift of the trachea is new, probably a small hematoma. when i discussed the case with the house officer caring for this patient, he volunteered that the patient had received a blood product transfusion several hours before this study, and, of course the findings fit well with trali.

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no acute cardiopulmonary process.

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ap and lateral chest compared to : frontal view shows relatively mild infrahilar peribronchial opacification in the left lower lobe which could be all atelectasis. the area is obscured on the lateral film by adipose. heart size is top normal, but there is no pulmonary vascular abnormality or effusion. mild distension of the azygos vein suggests elevated central venous pressure or volume.

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in comparison with study of , there is again evidence of extensive cardiac surgery with intact midline sternal wires. esophagectomy is again noted. no evidence of residual pneumothorax. no pneumonia, vascular congestion, or pleural effusion.

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no acute intrathoracic process.

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no acute intrathoracic process.