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/p13041679/s51815790/7a64095c-7caa2f9b-6b8db938-79ba8617-3221edef.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12098160/s57104620/f7bdc23d-c3fce764-bda9f784-7b1929c7-70941c96.jpg	small bilateral pleural effusions, mild cardiomegaly and pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11549427/s56386053/21ce468d-ca8b2fd7-701ba72b-242b5c9e-4e73dc59.jpg	multifocal consolidation worse in the right lower lobe worrisome for aspiration. /pneumonia
MIMIC-CXR-JPG/2.0.0/files/p18559148/s57034027/f721ef8a-3b12492b-83233876-fc29576f-deeb5679.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16562665/s56987123/3691a253-e4b1a7fa-08d290b8-8d7e7f5a-c32e536a.jpg	interval placement of a right pleural pigtail catheter with a small residual pneumothorax along the right costophrenic angle.
MIMIC-CXR-JPG/2.0.0/files/p18139948/s52824364/34511f0f-f635b35f-f2ca52bd-8eaec3bb-dc7a3ad9.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18967979/s55366668/0cc24d4f-92e4ad1c-e2286808-85a29c61-f1132ead.jpg	linear density in the right infrahilar region may represent atelectasis or effusion in the right major fissure. minimal, if any, pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18796759/s54082766/c0bcf3d0-804c4b0f-983c3520-127d7ac3-75635981.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19557250/s53365598/dd875d00-d200216b-e37926db-00410fe4-f81f0be9.jpg	there are persistent low lung volumes. cardiomegaly is a stable. left lower lobe atelectasis have increased. there is no evident pneumothorax or enlarging pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p15940152/s53392593/3ba32d84-09ccb087-9ba2de84-868a56c5-4ebc4a55.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p13889673/s55312707/33ad48d5-7973b0c6-51c08efe-3409d2a7-062ba006.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15310905/s54057411/61dd4ebf-9cce9ca9-d755f4ef-b87704e3-43e939a2.jpg	pulmonary edema, bilateral effusions and bibasilar atelectasis, stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p13908077/s51810464/024d7760-227eea76-36f4257f-5e45dbb4-31ce2491.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p11223186/s51430825/34947418-7eeae377-915d3fed-9efe50f2-d7e71418.jpg	irregular right lower lobe opacities are unchanged from chest radiograph and likely correlate to calcified pleural plaques seen on ct abdomen and pelvis. opacity overlying the superior segment of the right lower lobe which is unchanged from and could represent an infectious process.
MIMIC-CXR-JPG/2.0.0/files/p14509543/s52259298/ef01bc25-bbb97abd-75e34825-f0052b9c-6f6b6823.jpg	right central infuse-a-port catheter unchanged in course and position, ends in the mid svc. lower lung volumes exaggerate borderline cardiac enlargement. lungs are grossly clear. there is no pleural abnormality
MIMIC-CXR-JPG/2.0.0/files/p13764741/s56860695/97763ad1-81cb2cf4-ef947d57-757cede4-2879ce51.jpg	no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19241228/s54758928/9858ee2b-584c2ba1-08e7605a-5d7b7059-3ab6e6db.jpg	low lung volumes without definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16526738/s54827423/7ee94c35-47f3132c-d6c48101-fc9bf6cb-a6cfab2e.jpg	left lower lobe opacity may be consistent with pneumonia in the appropriate clinical context. no specific evidence for pulmonary embolus. if there is persistent concern, ct of the chest can be obtained for evaluation. recommendation(s): if there is persistent concern for pulmonary embolus, ct of the chest can be obtained for evaluation.
MIMIC-CXR-JPG/2.0.0/files/p17047172/s58224415/01b9ad39-98775c46-c9754e5d-89c18a72-5a53714d.jpg	no acute cardiopulmonary process. these findings were discussed with , medical assistant to dr , by dr via telephone on at , at time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p11545678/s52323937/bd4455c3-adce78c6-051bf6bc-dd49025e-43b8bd69.jpg	pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p13507926/s59548031/691b8db6-b4334809-838c5388-8dfcad65-630d23bc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14035614/s50464367/76935031-72a854fc-a3047aa3-81c4553f-73195f6f.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16299919/s53370537/70f07556-ff7356fa-d051b8f4-3abb59f2-080e749c.jpg	mild pulmonary vascular congestion, small bilateral pleural effusions, left greater than right, and compressive bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10584676/s54610292/9f220b9f-4b67f2cc-9a3a90b6-145e475b-1d9adcde.jpg	no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18269150/s52970556/163334da-a981503d-2627bb09-fcc4f183-be188f1e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10388400/s54961426/1407e25b-6470199b-08bd819b-70f79d88-3d127a59.jpg	in comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the lower body of the stomach. continued enlargement of the cardiac silhouette with bilateral effusions more prominent on the right and basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14477164/s51704329/4423f239-99040f9d-944363a8-5cb7d538-a2c113eb.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16414432/s59946734/166f31d0-004f777e-aef80154-5e35875e-08d6552c.jpg	progression of the opacity in the left hemi thorax due to combination of pleural effusion, atelectasis, and underlying malignancy as well. minimal residual aerated left lung at the apex.
MIMIC-CXR-JPG/2.0.0/files/p10191971/s53751529/a6a50d24-3774fd97-c1a64b2b-cf28607b-e5454de2.jpg	streaky perihilar opacities are unchanged. please refer to subsequently obtained ct chest for further details.
MIMIC-CXR-JPG/2.0.0/files/p18847956/s59980042/590ce500-d3c99b01-376c5947-8103b423-7b967d73.jpg	no focal consolidations concerning for pneumonia identified. no rib fractures are identified, however conventional radiographs are not effective in evaluating the chest cage. if there is further clinical concern, a marker at the site of focal tenderness with dedicated rib films would be recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p15167247/s50559227/91455c51-7ea5c8ee-9734d29b-875141b6-a1f6305c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13858797/s52283169/1905019d-315538a7-fdf09de5-3192f47b-1bb6baba.jpg	heart size is normal. mediastinum is normal. mild calcifications of aortic arch are present. lungs are essentially clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12329195/s51944989/111b17ba-24f32492-13d2f297-3a89a598-4dbd6c55.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12622018/s59290279/f0ec9514-8537e539-4793c6f2-159915d6-0fba5e1c.jpg	as compared to the previous radiograph, no relevant change is seen. on today's image, the patient is slightly rotated to the right causing artificial enlargement of the cardiac silhouette. in addition, a small platelike atelectasis at the left lung bases has newly appeared. however, there is no evidence of pneumonia. no pleural effusions. no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13062256/s56226514/b5a8955d-e50cba46-2dbbfb24-ec6e4def-c0678d7d.jpg	small loculated right pneumothorax. new nodular density projecting over the left first rib does not have a correlate on the recent chest ct of.
MIMIC-CXR-JPG/2.0.0/files/p18544117/s52490151/6089490f-248bed81-b71b9c36-f4b5354d-0c2cabe7.jpg	since the prior study there has been minimal interval increase in left pleural effusion. cardiac silhouette appears to be enlarged which might reflect the fluctuations in size of the large hiatal hernia containing most of the stomach. there is no pulmonary edema or pneumothorax. mediastinal contours are unchanged
MIMIC-CXR-JPG/2.0.0/files/p12825435/s55766814/7e5c3693-791577ee-61fa3036-04d8a716-6dadbb99.jpg	possible very minimal pulmonary vascular congestion. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17592232/s50622955/8edf430d-d74cde09-705af2bd-70a037d5-c2966211.jpg	significant improvement in the retrocardiac consolidation suggests a mucous plug was likely cleared. persistent left basilar opacity may be due to a small residual effusion and atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12791607/s58127970/1f177050-8816326c-7858c3bd-d2503cd6-6edaa59f.jpg	in comparison with the study of , there is little overall change. increased opacification at the left base with elevation of the hemidiaphragmatic contour is consistent with atelectatic changes presumably related to the interventional procedure. no evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17763725/s54624995/dab2001f-6084847b-878bc81e-d222f133-60f80e5f.jpg	as compared to the previous radiograph, the patient has been extubated and all other monitoring and support devices, except for the right internal jugular vein catheter have been removed. sternal wires are in unchanged position. unchanged expected postoperative appearance of the cardiac silhouette. no larger pleural effusions or pulmonary edema. no pneumothorax. mild right basilar atelectasis with small pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12499519/s54942880/00fa51d6-a95504fe-8832f2c3-6bb21247-438c1970.jpg	a right central venous line tip is at the level of cavoatrial junction. cardiomegaly is substantial. mild interstitial pulmonary edema is present. small amount of pleural fluid is most likely present bilaterally.
MIMIC-CXR-JPG/2.0.0/files/p10216097/s50944321/f1d29d45-c7724009-cdf6d1e2-c5d892cc-ced1a59d.jpg	in comparison with the study of , there again is substantial enlargement of the cardiac silhouette with apparent loculated pleural fluid in the right mid zone. mild elevation of pulmonary venous pressure is again seen. asymmetric opacification at the right base raises the possibility of atelectasis, aspiration, or even pneumonia. prominence of interstitial markings is consistent with some elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p17038950/s52488038/65ae3f5a-854574c2-8d55c9c0-05ec4ade-e16304e8.jpg	low lung volumes without acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11581156/s54465459/4eafd97e-b4b49a8e-0d3558d4-27fc0f1d-9b004b80.jpg	in comparison with the study of , of the left pigtail catheter is been removed and there is no evidence of pneumothorax. diffuse bilateral pulmonary opacifications persist.
MIMIC-CXR-JPG/2.0.0/files/p13515776/s50988136/a42514bd-c1410e75-e2ae73ed-33f2e754-c3af42b2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16783577/s54728959/4ebff787-20664d84-85d1854e-ae058355-caf8060a.jpg	tracheostomy is in place. central venous line tip terminates in the right atrium. cardiomegaly is substantial. there is still present interstitial pulmonary edema, moderate to severe associated with bilateral pleural effusions. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18200196/s50951084/d7d8a28b-8ba2fead-a313d458-70af8c01-38b7b5c3.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10921462/s54198379/9d801ec7-c24f1cfb-6ee86229-7932d77c-777ac363.jpg	endotracheal tube tip projects <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p17341633/s59868688/745c48df-49116c44-137fd6d9-59f79922-73ba74d8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14343066/s54512825/54410451-cb6ea219-d1f95966-20223b46-6abaea35.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13892963/s55606105/669ca583-139997ba-1c7cfd7e-7bb09809-87fe7e41.jpg	right upper lobe collapse, as described above. this could potentially be due to aspiration in the setting of known seizure. nasogastric tube and endotracheal tube positions as discussed above.
MIMIC-CXR-JPG/2.0.0/files/p11910036/s55771881/8ec8ad1f-6506661f-a098649b-c9c8e32c-dd28cecb.jpg	findings most consistent with mild interstitial pulmonary edema. of note, an atypical infectious process, particularly one that is viral in nature, could have a similar appearance.
MIMIC-CXR-JPG/2.0.0/files/p17135687/s51840044/77ef2fef-a4c40665-d4c25503-81973422-a54c1e41.jpg	left chest tube is in place, right chest tube is in place, ng tube, right subclavian line are in unchanged position. et tube tip has been replaced by tracheostomy that appears to be centrally located with its tip projecting <num> cm above the carinal. there is new right basal atelectasis that might potentially represent aspiration related to exchange of the et tube but tracheostomy.
MIMIC-CXR-JPG/2.0.0/files/p18277239/s57411297/3d21524a-099daecd-e95233a6-8e879343-ee724784.jpg	interval worsening, with significant component representing atelectasis from shallow inspiration.
MIMIC-CXR-JPG/2.0.0/files/p19885929/s54826051/1f73f152-12568e50-26f51a75-5d210db8-61186b6b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11436868/s54694072/6d520ac8-c60ec1e6-64c234c0-e9c226ec-dc963151.jpg	no evidence for active cardiopulmonary disease. no evidence of active or prior tb.
MIMIC-CXR-JPG/2.0.0/files/p13284594/s52967389/3ea3b944-63550f77-7ef22974-f88b2362-4a1653a3.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18675961/s56522263/848d8b13-4e533120-0c1708d0-a4fab642-6e42aba4.jpg	increased pulmonary vascular congestion without evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11855597/s55797218/13bfb674-823ccff0-6366b9ee-ca2347c9-29d60982.jpg	no evidence of new focal consolidation as compared to chest radiograph. right perihilar opacity is unchanged from multiple prior chest radiographs and is likely due to calcification of the costochondral joint. however in the right clinical scenario, pneumonia in this location cannot be ruled out.
MIMIC-CXR-JPG/2.0.0/files/p18910251/s52780242/ffb5ba61-837a635c-e6715730-e6eb7530-e1f6784e.jpg	no acute cardiopulmonary process. nodular opacity projecting over the anterior right fifth rib for which shallow obliques are suggested to further localize.
MIMIC-CXR-JPG/2.0.0/files/p16974165/s54555852/f87cef15-9b11e754-69a90791-9085b01e-e9d05f8d.jpg	resolution of previously noted interstitial pulmonary edema. unchanged trace right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16383947/s55921815/6b81c629-9e9f3c00-fd1822f4-cb12a094-f701419a.jpg	cardiomegaly is substantial. left pleural effusion is demonstrated, unchanged since. a in a care leads terminate in right atrium and right ventricle. no pneumothorax is seen
MIMIC-CXR-JPG/2.0.0/files/p19056479/s58301271/fbc0d48f-623a858b-f75355e4-4f4ea5fa-772f6ed2.jpg	minimal improvement in the left-sided component of multi focal pneumonia since , previously worsened since. cardiac silhouette is largely obscured. small to moderate left pleural effusion is presumed. pulmonary edema and right pleural effusion minimal if any. no pneumothorax. right pic line ends in the right brachiocephalic vein.
MIMIC-CXR-JPG/2.0.0/files/p19571265/s55854615/38aa99b9-1589091a-ef012265-8548dbde-71f579b3.jpg	in comparison with the earlier study of this date, the endotracheal tube and nasogastric tube remain in good position, with the latter looping in the fundus be for extending to the more distal stomach. no evidence of acute pneumonia, vascular congestion, pleural effusion, or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg	unchanged moderate loculated right pleural effusion, with new small left pleural effusion. bibasilar airspace opacities likely reflect atelectasis. evidence of prior granulomatous infection.
MIMIC-CXR-JPG/2.0.0/files/p15719632/s59626111/5faaadd3-36ea9b15-8573da16-27f40de0-f6c35b7d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12457059/s54713662/b66fe0fb-f7ffff08-39b9375c-a761d1ae-f2a35c14.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12104056/s51666448/b59427d6-cd387127-838adf13-035c2ffd-759897f4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18189327/s51161694/c3b5f527-8cf4ed1b-40aef1d4-a76e0b4e-50c62ebc.jpg	mild cardiomegaly, copd, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p17551723/s54756845/e8e6d5c7-938e498f-d04b73ef-2bc57ff6-203c9bc0.jpg	comparison to. the patient now shows relatively extensive air in the parathoracic and cervical soft tissues as well as a small pneumopericardium. a right chest tube is in situ. no clear pneumothorax is visualized.
MIMIC-CXR-JPG/2.0.0/files/p10833919/s58742022/031e6420-d143c87a-f49e30d1-ce7bf990-dede4554.jpg	unchanged position of right-sided picc terminating in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p18822973/s57640648/8b1aa636-0363c57f-80d57020-e7fa065b-0f917ebe.jpg	no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16073044/s53560896/adbfd8d0-6465cebd-44530f38-07f230ca-113b56bc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17482988/s50487604/66648379-d29f4c55-d034a08f-869bc741-cb8c9725.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18157502/s54201694/4a395c45-ce6fc081-923bd9b1-615ef7a2-369d68c4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10326191/s54236402/b5581aa5-fcd5c72e-460b5007-f377f28b-8899e7f8.jpg	no acute cardiopulmonary abnormality
MIMIC-CXR-JPG/2.0.0/files/p15255325/s52534889/79dc0eb5-1ac7d5bb-47d90839-dfcd212f-ebec00f7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12537971/s57603983/0349c3c9-cf4157d6-5bd11ff8-e1dbd2d0-a697a5b8.jpg	no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
MIMIC-CXR-JPG/2.0.0/files/p13864769/s53845339/972c1546-ed400767-674f4dcb-60682efe-48035330.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10239196/s50108832/7d8a2368-bc7603f9-51d15c77-ff2fcaed-6665c048.jpg	opacity at the right base, highly suggestive of a pneumonic infiltrate with associated small-to-moderate right effusion. very s,mall left effusion with left base atelectasis. mild cardiomegaly. possible background hyperinflation/copd. upper zone redistribution; doubt overt chf.
MIMIC-CXR-JPG/2.0.0/files/p18664865/s56939292/c4e21700-7fa9530b-fa8bdb5c-ce601288-e45d3aeb.jpg	new right subclavian line terminates just below the expected level of the cavoatrial junction. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15797253/s51187902/c526335a-5d28afa2-3c573ca9-fc12ecc2-cee216c7.jpg	no signs of pneumonia or other acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17504528/s53978179/2191c5be-f46660bc-15002778-aa7a3053-2b8f7b67.jpg	left pleural effusion. is large, increased since the prior study. right pleural effusion is small to moderate, potentially minimally decreased. there is no pneumothorax. pulmonary edema is noted, mild/vascular congestion. severe calcifications of the aortopulmonic lymph nodes are re- demonstrated. mitral valve in its expected location.
MIMIC-CXR-JPG/2.0.0/files/p13304652/s51084083/a357f76d-c97bc45a-609851d8-13c4297b-edbc53df.jpg	in comparison with the study of , there are continued low lung volumes. the picc line has been removed. continued increased prominence of the cardiac silhouette with poorly defined pulmonary vessels consistent with elevation of pulmonary venous pressure. bibasilar atelectatic changes are again seen. the right shoulder reversed arthroplasty is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10655962/s51696985/eda2db95-de6e69ff-d42b4088-c92498d2-254a1f7d.jpg	in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. no acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16260490/s51285428/4fde2c5d-0d303600-b4185829-cce1db95-86760f07.jpg	subtle increased opacity in a lower lobe, clinically correlate.
MIMIC-CXR-JPG/2.0.0/files/p10815532/s52871392/ad78a16b-fd6a8789-770ae7e3-4790f65a-a0c9cf09.jpg	in comparison with the study of , there is some increase in opacification at the right base silhouetting the hemidiaphragm, consistent with increasing pleural fluid and basilar atelectasis. in the appropriate clinical setting, it would be difficult to exclude superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15514336/s50600455/64f5a2a0-44017ea8-37191e4c-44a7fb05-89b4d865.jpg	ap chest compared to : although heart size is normal and mediastinal veins are not dilated, pulmonary vasculature is generally mildly or recurrently engorged. that is the case today and therefore the new unequivocal interstitial abnormality in the mid and lower lung zones is more likely edema and possibly cardiogenic. dr was paged.
MIMIC-CXR-JPG/2.0.0/files/p17979428/s58178402/788e08c2-dc0c2929-0e997ce6-117687b4-975f8238.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15285136/s56030653/858ebf60-edcfdc68-29c5dec8-083ebd4c-3d3ca48e.jpg	comparison to. the patient has been extubated and the nasogastric tube was removed. the right central venous access line and the left chest tube are in stable position. mild elevation of the left hemidiaphragm. no pneumothorax. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11996658/s59720212/5cdc4ad7-481cbf61-0bc6ca10-973f6422-68e1b8ca.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12118872/s55729127/71d56023-942474ed-95f03426-3b5f4fa7-392cba0e.jpg	increased bibasilar opacities since are concerning for developing pneumonia, most commonly due to aspiration.
MIMIC-CXR-JPG/2.0.0/files/p15882108/s58372454/ed007a76-2518390b-ac0fa113-d5497cfe-f8f8ee02.jpg	as compared to the previous radiograph, the lung volumes remain low. very limited assessment given strong patient rotation. moderate cardiomegaly with tortuosity of the thoracic aorta. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12901266/s55356774/9d85ddd5-661c20f0-a118f93e-0b421b46-e44d058d.jpg	left lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15747693/s52813295/f26cf72c-194cfaf2-9c6ef306-69450995-b6ee283d.jpg	ill-defined opacity within the left lower lung, new since , possibly reflecting super imposition of overlying structures. recommend non-urgent upright pa and lateral chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p15629227/s51948296/52432b2b-7781b70b-0a16cc6a-38dd30fc-927f5e5d.jpg	tiny residual right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19530697/s56391074/f07becbb-f0eecdc4-74a7ea3b-6b09ad68-1c49c27d.jpg	low lung volumes with bibasilar atelectasis. no evidence of pneumonia. right picc with the tip in the upper right atrium.
MIMIC-CXR-JPG/2.0.0/files/p19536313/s51149771/11836ec5-31a2053f-fd2d34a8-b12acade-31491e12.jpg	no discrete lobar consoldiation. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19943755/s57259089/22976bad-daac4da4-74d5d1cb-fc744990-c0b7441b.jpg	in comparison with study of , there are bilateral pleural effusions with compressive atelectasis at the bases. enlargement of the cardiac silhouette is seen with some elevation of pulmonary venous pressure. do a-channel pacer device is in place with the leads in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p10598267/s54076445/db3e14df-641b38e4-c995291a-3550c9cb-959d6a36.jpg	persistent pulmonary edema with small bilateral pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p13041679/s51815790/7a64095c-7caa2f9b-6b8db938-79ba8617-3221edef.jpg

no acute cardiopulmonary abnormalities

MIMIC-CXR-JPG/2.0.0/files/p12098160/s57104620/f7bdc23d-c3fce764-bda9f784-7b1929c7-70941c96.jpg

small bilateral pleural effusions, mild cardiomegaly and pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p11549427/s56386053/21ce468d-ca8b2fd7-701ba72b-242b5c9e-4e73dc59.jpg

multifocal consolidation worse in the right lower lobe worrisome for aspiration. /pneumonia

MIMIC-CXR-JPG/2.0.0/files/p18559148/s57034027/f721ef8a-3b12492b-83233876-fc29576f-deeb5679.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16562665/s56987123/3691a253-e4b1a7fa-08d290b8-8d7e7f5a-c32e536a.jpg

interval placement of a right pleural pigtail catheter with a small residual pneumothorax along the right costophrenic angle.

MIMIC-CXR-JPG/2.0.0/files/p18139948/s52824364/34511f0f-f635b35f-f2ca52bd-8eaec3bb-dc7a3ad9.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18967979/s55366668/0cc24d4f-92e4ad1c-e2286808-85a29c61-f1132ead.jpg

linear density in the right infrahilar region may represent atelectasis or effusion in the right major fissure. minimal, if any, pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p18796759/s54082766/c0bcf3d0-804c4b0f-983c3520-127d7ac3-75635981.jpg

no pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p19557250/s53365598/dd875d00-d200216b-e37926db-00410fe4-f81f0be9.jpg

there are persistent low lung volumes. cardiomegaly is a stable. left lower lobe atelectasis have increased. there is no evident pneumothorax or enlarging pleural effusions

MIMIC-CXR-JPG/2.0.0/files/p15940152/s53392593/3ba32d84-09ccb087-9ba2de84-868a56c5-4ebc4a55.jpg

no acute findings in the chest.

MIMIC-CXR-JPG/2.0.0/files/p13889673/s55312707/33ad48d5-7973b0c6-51c08efe-3409d2a7-062ba006.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15310905/s54057411/61dd4ebf-9cce9ca9-d755f4ef-b87704e3-43e939a2.jpg

pulmonary edema, bilateral effusions and bibasilar atelectasis, stable cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p13908077/s51810464/024d7760-227eea76-36f4257f-5e45dbb4-31ce2491.jpg

no evidence of acute disease.

MIMIC-CXR-JPG/2.0.0/files/p11223186/s51430825/34947418-7eeae377-915d3fed-9efe50f2-d7e71418.jpg

irregular right lower lobe opacities are unchanged from chest radiograph and likely correlate to calcified pleural plaques seen on ct abdomen and pelvis. opacity overlying the superior segment of the right lower lobe which is unchanged from and could represent an infectious process.

MIMIC-CXR-JPG/2.0.0/files/p14509543/s52259298/ef01bc25-bbb97abd-75e34825-f0052b9c-6f6b6823.jpg

right central infuse-a-port catheter unchanged in course and position, ends in the mid svc. lower lung volumes exaggerate borderline cardiac enlargement. lungs are grossly clear. there is no pleural abnormality

MIMIC-CXR-JPG/2.0.0/files/p13764741/s56860695/97763ad1-81cb2cf4-ef947d57-757cede4-2879ce51.jpg

no radiographic evidence for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p19241228/s54758928/9858ee2b-584c2ba1-08e7605a-5d7b7059-3ab6e6db.jpg

low lung volumes without definite acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16526738/s54827423/7ee94c35-47f3132c-d6c48101-fc9bf6cb-a6cfab2e.jpg

left lower lobe opacity may be consistent with pneumonia in the appropriate clinical context. no specific evidence for pulmonary embolus. if there is persistent concern, ct of the chest can be obtained for evaluation. recommendation(s): if there is persistent concern for pulmonary embolus, ct of the chest can be obtained for evaluation.

MIMIC-CXR-JPG/2.0.0/files/p17047172/s58224415/01b9ad39-98775c46-c9754e5d-89c18a72-5a53714d.jpg

no acute cardiopulmonary process. these findings were discussed with , medical assistant to dr , by dr via telephone on at , at time of discovery.

MIMIC-CXR-JPG/2.0.0/files/p11545678/s52323937/bd4455c3-adce78c6-051bf6bc-dd49025e-43b8bd69.jpg

pneumomediastinum.

MIMIC-CXR-JPG/2.0.0/files/p13507926/s59548031/691b8db6-b4334809-838c5388-8dfcad65-630d23bc.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14035614/s50464367/76935031-72a854fc-a3047aa3-81c4553f-73195f6f.jpg

no evidence of acute cardiopulmonary disease.

MIMIC-CXR-JPG/2.0.0/files/p16299919/s53370537/70f07556-ff7356fa-d051b8f4-3abb59f2-080e749c.jpg

mild pulmonary vascular congestion, small bilateral pleural effusions, left greater than right, and compressive bibasilar atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p10584676/s54610292/9f220b9f-4b67f2cc-9a3a90b6-145e475b-1d9adcde.jpg

no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion pleural effusion, or acute focal pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18269150/s52970556/163334da-a981503d-2627bb09-fcc4f183-be188f1e.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10388400/s54961426/1407e25b-6470199b-08bd819b-70f79d88-3d127a59.jpg

in comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the lower body of the stomach. continued enlargement of the cardiac silhouette with bilateral effusions more prominent on the right and basilar atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p14477164/s51704329/4423f239-99040f9d-944363a8-5cb7d538-a2c113eb.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p16414432/s59946734/166f31d0-004f777e-aef80154-5e35875e-08d6552c.jpg

progression of the opacity in the left hemi thorax due to combination of pleural effusion, atelectasis, and underlying malignancy as well. minimal residual aerated left lung at the apex.

MIMIC-CXR-JPG/2.0.0/files/p10191971/s53751529/a6a50d24-3774fd97-c1a64b2b-cf28607b-e5454de2.jpg

streaky perihilar opacities are unchanged. please refer to subsequently obtained ct chest for further details.

MIMIC-CXR-JPG/2.0.0/files/p18847956/s59980042/590ce500-d3c99b01-376c5947-8103b423-7b967d73.jpg

no focal consolidations concerning for pneumonia identified. no rib fractures are identified, however conventional radiographs are not effective in evaluating the chest cage. if there is further clinical concern, a marker at the site of focal tenderness with dedicated rib films would be recommended for further evaluation.

MIMIC-CXR-JPG/2.0.0/files/p15167247/s50559227/91455c51-7ea5c8ee-9734d29b-875141b6-a1f6305c.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13858797/s52283169/1905019d-315538a7-fdf09de5-3192f47b-1bb6baba.jpg

heart size is normal. mediastinum is normal. mild calcifications of aortic arch are present. lungs are essentially clear. there is no pleural effusion or pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p12329195/s51944989/111b17ba-24f32492-13d2f297-3a89a598-4dbd6c55.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p12622018/s59290279/f0ec9514-8537e539-4793c6f2-159915d6-0fba5e1c.jpg

as compared to the previous radiograph, no relevant change is seen. on today's image, the patient is slightly rotated to the right causing artificial enlargement of the cardiac silhouette. in addition, a small platelike atelectasis at the left lung bases has newly appeared. however, there is no evidence of pneumonia. no pleural effusions. no pulmonary edema. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p13062256/s56226514/b5a8955d-e50cba46-2dbbfb24-ec6e4def-c0678d7d.jpg

small loculated right pneumothorax. new nodular density projecting over the left first rib does not have a correlate on the recent chest ct of.

MIMIC-CXR-JPG/2.0.0/files/p18544117/s52490151/6089490f-248bed81-b71b9c36-f4b5354d-0c2cabe7.jpg

since the prior study there has been minimal interval increase in left pleural effusion. cardiac silhouette appears to be enlarged which might reflect the fluctuations in size of the large hiatal hernia containing most of the stomach. there is no pulmonary edema or pneumothorax. mediastinal contours are unchanged

MIMIC-CXR-JPG/2.0.0/files/p12825435/s55766814/7e5c3693-791577ee-61fa3036-04d8a716-6dadbb99.jpg

possible very minimal pulmonary vascular congestion. otherwise, no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17592232/s50622955/8edf430d-d74cde09-705af2bd-70a037d5-c2966211.jpg

significant improvement in the retrocardiac consolidation suggests a mucous plug was likely cleared. persistent left basilar opacity may be due to a small residual effusion and atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p12791607/s58127970/1f177050-8816326c-7858c3bd-d2503cd6-6edaa59f.jpg

in comparison with the study of , there is little overall change. increased opacification at the left base with elevation of the hemidiaphragmatic contour is consistent with atelectatic changes presumably related to the interventional procedure. no evidence of acute pneumonia or vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p17763725/s54624995/dab2001f-6084847b-878bc81e-d222f133-60f80e5f.jpg

as compared to the previous radiograph, the patient has been extubated and all other monitoring and support devices, except for the right internal jugular vein catheter have been removed. sternal wires are in unchanged position. unchanged expected postoperative appearance of the cardiac silhouette. no larger pleural effusions or pulmonary edema. no pneumothorax. mild right basilar atelectasis with small pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p12499519/s54942880/00fa51d6-a95504fe-8832f2c3-6bb21247-438c1970.jpg

a right central venous line tip is at the level of cavoatrial junction. cardiomegaly is substantial. mild interstitial pulmonary edema is present. small amount of pleural fluid is most likely present bilaterally.

MIMIC-CXR-JPG/2.0.0/files/p10216097/s50944321/f1d29d45-c7724009-cdf6d1e2-c5d892cc-ced1a59d.jpg

in comparison with the study of , there again is substantial enlargement of the cardiac silhouette with apparent loculated pleural fluid in the right mid zone. mild elevation of pulmonary venous pressure is again seen. asymmetric opacification at the right base raises the possibility of atelectasis, aspiration, or even pneumonia. prominence of interstitial markings is consistent with some elevation of pulmonary venous pressure.

MIMIC-CXR-JPG/2.0.0/files/p17038950/s52488038/65ae3f5a-854574c2-8d55c9c0-05ec4ade-e16304e8.jpg

low lung volumes without acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p11581156/s54465459/4eafd97e-b4b49a8e-0d3558d4-27fc0f1d-9b004b80.jpg

in comparison with the study of , of the left pigtail catheter is been removed and there is no evidence of pneumothorax. diffuse bilateral pulmonary opacifications persist.

MIMIC-CXR-JPG/2.0.0/files/p13515776/s50988136/a42514bd-c1410e75-e2ae73ed-33f2e754-c3af42b2.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16783577/s54728959/4ebff787-20664d84-85d1854e-ae058355-caf8060a.jpg

tracheostomy is in place. central venous line tip terminates in the right atrium. cardiomegaly is substantial. there is still present interstitial pulmonary edema, moderate to severe associated with bilateral pleural effusions. there is no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p18200196/s50951084/d7d8a28b-8ba2fead-a313d458-70af8c01-38b7b5c3.jpg

no acute intrathoracic abnormality.

MIMIC-CXR-JPG/2.0.0/files/p10921462/s54198379/9d801ec7-c24f1cfb-6ee86229-7932d77c-777ac363.jpg

endotracheal tube tip projects <num> cm above the carina.

MIMIC-CXR-JPG/2.0.0/files/p17341633/s59868688/745c48df-49116c44-137fd6d9-59f79922-73ba74d8.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14343066/s54512825/54410451-cb6ea219-d1f95966-20223b46-6abaea35.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13892963/s55606105/669ca583-139997ba-1c7cfd7e-7bb09809-87fe7e41.jpg

right upper lobe collapse, as described above. this could potentially be due to aspiration in the setting of known seizure. nasogastric tube and endotracheal tube positions as discussed above.

MIMIC-CXR-JPG/2.0.0/files/p11910036/s55771881/8ec8ad1f-6506661f-a098649b-c9c8e32c-dd28cecb.jpg

findings most consistent with mild interstitial pulmonary edema. of note, an atypical infectious process, particularly one that is viral in nature, could have a similar appearance.

MIMIC-CXR-JPG/2.0.0/files/p17135687/s51840044/77ef2fef-a4c40665-d4c25503-81973422-a54c1e41.jpg

left chest tube is in place, right chest tube is in place, ng tube, right subclavian line are in unchanged position. et tube tip has been replaced by tracheostomy that appears to be centrally located with its tip projecting <num> cm above the carinal. there is new right basal atelectasis that might potentially represent aspiration related to exchange of the et tube but tracheostomy.

MIMIC-CXR-JPG/2.0.0/files/p18277239/s57411297/3d21524a-099daecd-e95233a6-8e879343-ee724784.jpg

interval worsening, with significant component representing atelectasis from shallow inspiration.

MIMIC-CXR-JPG/2.0.0/files/p19885929/s54826051/1f73f152-12568e50-26f51a75-5d210db8-61186b6b.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11436868/s54694072/6d520ac8-c60ec1e6-64c234c0-e9c226ec-dc963151.jpg

no evidence for active cardiopulmonary disease. no evidence of active or prior tb.

MIMIC-CXR-JPG/2.0.0/files/p13284594/s52967389/3ea3b944-63550f77-7ef22974-f88b2362-4a1653a3.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18675961/s56522263/848d8b13-4e533120-0c1708d0-a4fab642-6e42aba4.jpg

increased pulmonary vascular congestion without evidence of acute pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p11855597/s55797218/13bfb674-823ccff0-6366b9ee-ca2347c9-29d60982.jpg

no evidence of new focal consolidation as compared to chest radiograph. right perihilar opacity is unchanged from multiple prior chest radiographs and is likely due to calcification of the costochondral joint. however in the right clinical scenario, pneumonia in this location cannot be ruled out.

MIMIC-CXR-JPG/2.0.0/files/p18910251/s52780242/ffb5ba61-837a635c-e6715730-e6eb7530-e1f6784e.jpg

no acute cardiopulmonary process. nodular opacity projecting over the anterior right fifth rib for which shallow obliques are suggested to further localize.

MIMIC-CXR-JPG/2.0.0/files/p16974165/s54555852/f87cef15-9b11e754-69a90791-9085b01e-e9d05f8d.jpg

resolution of previously noted interstitial pulmonary edema. unchanged trace right pleural effusion.

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cardiomegaly is substantial. left pleural effusion is demonstrated, unchanged since. a in a care leads terminate in right atrium and right ventricle. no pneumothorax is seen

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minimal improvement in the left-sided component of multi focal pneumonia since , previously worsened since. cardiac silhouette is largely obscured. small to moderate left pleural effusion is presumed. pulmonary edema and right pleural effusion minimal if any. no pneumothorax. right pic line ends in the right brachiocephalic vein.

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in comparison with the earlier study of this date, the endotracheal tube and nasogastric tube remain in good position, with the latter looping in the fundus be for extending to the more distal stomach. no evidence of acute pneumonia, vascular congestion, pleural effusion, or pneumothorax.

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unchanged moderate loculated right pleural effusion, with new small left pleural effusion. bibasilar airspace opacities likely reflect atelectasis. evidence of prior granulomatous infection.

MIMIC-CXR-JPG/2.0.0/files/p15719632/s59626111/5faaadd3-36ea9b15-8573da16-27f40de0-f6c35b7d.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p12457059/s54713662/b66fe0fb-f7ffff08-39b9375c-a761d1ae-f2a35c14.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p12104056/s51666448/b59427d6-cd387127-838adf13-035c2ffd-759897f4.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18189327/s51161694/c3b5f527-8cf4ed1b-40aef1d4-a76e0b4e-50c62ebc.jpg

mild cardiomegaly, copd, otherwise unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p17551723/s54756845/e8e6d5c7-938e498f-d04b73ef-2bc57ff6-203c9bc0.jpg

comparison to. the patient now shows relatively extensive air in the parathoracic and cervical soft tissues as well as a small pneumopericardium. a right chest tube is in situ. no clear pneumothorax is visualized.

MIMIC-CXR-JPG/2.0.0/files/p10833919/s58742022/031e6420-d143c87a-f49e30d1-ce7bf990-dede4554.jpg

unchanged position of right-sided picc terminating in the mid svc.

MIMIC-CXR-JPG/2.0.0/files/p18822973/s57640648/8b1aa636-0363c57f-80d57020-e7fa065b-0f917ebe.jpg

no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p16073044/s53560896/adbfd8d0-6465cebd-44530f38-07f230ca-113b56bc.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17482988/s50487604/66648379-d29f4c55-d034a08f-869bc741-cb8c9725.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18157502/s54201694/4a395c45-ce6fc081-923bd9b1-615ef7a2-369d68c4.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10326191/s54236402/b5581aa5-fcd5c72e-460b5007-f377f28b-8899e7f8.jpg

no acute cardiopulmonary abnormality

MIMIC-CXR-JPG/2.0.0/files/p15255325/s52534889/79dc0eb5-1ac7d5bb-47d90839-dfcd212f-ebec00f7.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p12537971/s57603983/0349c3c9-cf4157d6-5bd11ff8-e1dbd2d0-a697a5b8.jpg

no acute cardiopulmonary abnormality. no subdiaphragmatic free air.

MIMIC-CXR-JPG/2.0.0/files/p13864769/s53845339/972c1546-ed400767-674f4dcb-60682efe-48035330.jpg

no acute cardiopulmonary abnormality.

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opacity at the right base, highly suggestive of a pneumonic infiltrate with associated small-to-moderate right effusion. very s,mall left effusion with left base atelectasis. mild cardiomegaly. possible background hyperinflation/copd. upper zone redistribution; doubt overt chf.

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new right subclavian line terminates just below the expected level of the cavoatrial junction. no evidence of pneumothorax.

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no signs of pneumonia or other acute intrathoracic process.

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left pleural effusion. is large, increased since the prior study. right pleural effusion is small to moderate, potentially minimally decreased. there is no pneumothorax. pulmonary edema is noted, mild/vascular congestion. severe calcifications of the aortopulmonic lymph nodes are re- demonstrated. mitral valve in its expected location.

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in comparison with the study of , there are continued low lung volumes. the picc line has been removed. continued increased prominence of the cardiac silhouette with poorly defined pulmonary vessels consistent with elevation of pulmonary venous pressure. bibasilar atelectatic changes are again seen. the right shoulder reversed arthroplasty is unchanged.

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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. no acute focal pneumonia.

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subtle increased opacity in a lower lobe, clinically correlate.

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in comparison with the study of , there is some increase in opacification at the right base silhouetting the hemidiaphragm, consistent with increasing pleural fluid and basilar atelectasis. in the appropriate clinical setting, it would be difficult to exclude superimposed pneumonia.

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ap chest compared to : although heart size is normal and mediastinal veins are not dilated, pulmonary vasculature is generally mildly or recurrently engorged. that is the case today and therefore the new unequivocal interstitial abnormality in the mid and lower lung zones is more likely edema and possibly cardiogenic. dr was paged.

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no acute cardiopulmonary process.

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comparison to. the patient has been extubated and the nasogastric tube was removed. the right central venous access line and the left chest tube are in stable position. mild elevation of the left hemidiaphragm. no pneumothorax. no pleural effusions. no pneumonia.

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no acute intrathoracic process.

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increased bibasilar opacities since are concerning for developing pneumonia, most commonly due to aspiration.

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as compared to the previous radiograph, the lung volumes remain low. very limited assessment given strong patient rotation. moderate cardiomegaly with tortuosity of the thoracic aorta. no pneumonia.

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left lower lobe atelectasis.

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ill-defined opacity within the left lower lung, new since , possibly reflecting super imposition of overlying structures. recommend non-urgent upright pa and lateral chest x-ray.

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tiny residual right pleural effusion.

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low lung volumes with bibasilar atelectasis. no evidence of pneumonia. right picc with the tip in the upper right atrium.

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no discrete lobar consoldiation. small bilateral pleural effusions.

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in comparison with study of , there are bilateral pleural effusions with compressive atelectasis at the bases. enlargement of the cardiac silhouette is seen with some elevation of pulmonary venous pressure. do a-channel pacer device is in place with the leads in appropriate position.

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persistent pulmonary edema with small bilateral pleural effusions.