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/p12441371/s55766938/abc03262-70022db8-4687b5bd-7e4628ca-451295dd.jpg	nasogastric tube is coiled in the esophagus.
MIMIC-CXR-JPG/2.0.0/files/p15754794/s57301442/0ae82fb4-4b87b178-837cd460-d4d93bd8-0ef8b2e0.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16295978/s50647280/997509af-fa60fe08-786e2f6b-4bf1a889-c1238849.jpg	ill-defined airspace opacity in the right lung base may represent atelectasis or pneumonia, depending upon the clinical setting. probable small left pleural effusion. stable chronic elevation of the left hemidiaphragm and mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15637323/s59537725/bf570ca5-fb5c18ac-584c3246-4b5fdd2c-59ebbeb5.jpg	ett tip too high and recommend advancing about <num> cm. severe edema, likely non-cardiogenic, ards.
MIMIC-CXR-JPG/2.0.0/files/p17886668/s55464197/27cfa688-cee6aefc-e04625b8-d55efff9-b2f30a61.jpg	no radiographic evidence for active tuberculosis
MIMIC-CXR-JPG/2.0.0/files/p11431685/s55008119/8157b690-9563b803-826c11db-a672097f-ad52b2b4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19505732/s56146796/0b11701d-5c490014-eb0ab7c3-c7bd7a3f-50c9bf21.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16082937/s58070483/319ed44d-77d34cf7-a3b95d08-1f668e4f-65f0d5eb.jpg	no interval change.
MIMIC-CXR-JPG/2.0.0/files/p14922217/s59394165/8287b005-1bc49b22-3d8b1718-7e4bfa4d-ee846650.jpg	no evidence of acute process demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p17763712/s58312999/2d0e55e5-3dfa9d33-39fc85fa-2f094aed-27632d6b.jpg	right port-a-cath appears unchanged terminating in the region of the cavoatrial junction without disruption or kinking of the tubing. small right and moderate-large left pleural effusions are increased from , with moderate rate of accumulation. no pulmonary edema or pneumothorax. left upper lobe opacity appears unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13023326/s57583790/1cdaf07a-2bc25a95-58bb06b1-543156aa-39b0b6ef.jpg	pa and lateral chest compared to : small right pleural effusion, minimally larger than on. no pneumothorax. lungs essentially clear. marked enlargement and distortion of the cardiac silhouette by adjacent tumor is a longstanding phenomenon. there is no evidence of any hemodynamically significant pericardial involvement.
MIMIC-CXR-JPG/2.0.0/files/p18520455/s58997271/565a9737-eea8c4cd-d0a19868-bc90850c-5994e940.jpg	intra-aortic balloon pump. tip is approximately <num> cm below the roof of the aortic arch. cardiomediastinal silhouette is unchanged. mild pulmonary edema is unchanged. no interval increase in bilateral pleural effusions demonstrated. no pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p13083369/s57667994/0f1b9519-82762aad-bb2bcd8a-6c55081a-a7147985.jpg	greater radiodensity over the left lower hemi thorax may be artifactual. a lateral radiographs is needed to see if there is a genuine abnormality in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p16262598/s58467703/c867cbae-252d6312-7e54d536-605f434e-234f145b.jpg	a left-sided pacemaker, sternal wires, and aortic valve replacement are unchanged in configuration and position since. there is improved aeration of the lungs and inspiratory effort, resulting in decreased bibasilar atelectasis. small bilateral pleural effusions are improved. extensive pleural calcifications are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16345529/s56521344/1b852f8a-cac4ff69-a97a6d7e-0633a493-2a5c77eb.jpg	no new opacity or large pleural effusion. stable large left diaphragmatic hernia and mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13018436/s55882312/114ad025-7ca94d42-d80d26e4-cedf1659-648f62a7.jpg	tiny left apical pneumothorax with millimetric increase since the prior exam.
MIMIC-CXR-JPG/2.0.0/files/p19509298/s54553570/a67b5bb1-636ac1af-ef6882bb-86d77645-47f61c50.jpg	no definite focal consolidation. streaky right base opacity is likely atelectasis, possibly related to a small right pleural effusion, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17953004/s52040627/381ae29e-b30cd18b-0f548aa5-bc145ff6-0406a086.jpg	no evidence of acute disease. mild loss in vertebral body height along a lower thoracic vertebral body.
MIMIC-CXR-JPG/2.0.0/files/p16872031/s50810395/993da8bd-1e91f04d-360a0861-83fd2629-9736d6d8.jpg	stable small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10572099/s58331395/01000201-6c5ff2d7-751a4a4a-39f8ac5e-fdf4cfda.jpg	as compared to radiograph, cardiomediastinal contours are stable. lung volumes are slightly increased. considering this factor, widespread interstitial opacities combined with in superimposed ground-glass opacification appear unchanged, with combined paramediastinal and peripheral distribution. these findings have been more fully evaluated by a recent chest cta of.
MIMIC-CXR-JPG/2.0.0/files/p16907704/s53214485/9c2efd7b-99676c6a-f4156fb6-e659b8b7-bc4ba8ee.jpg	emphysema without superimposed acute process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18949447/s56805894/bd57320e-ff12abdf-9426108b-c37b1ac3-64cabcbc.jpg	as compared to the previous radiograph from , there is new occurrence of platelike atelectasis at both the left and the right lung bases. however, there is no evidence of pneumonia or other focal parenchymal opacity. no pleural effusions. borderline size of the cardiac silhouette. mild elongation of the descending aorta.
MIMIC-CXR-JPG/2.0.0/files/p18236201/s50413292/202ad455-4032b373-f3e66db9-d7ff76a2-809d3b64.jpg	in comparison with the study of , there is little interval change. multiple old healed rib fractures are again seen bilaterally. the cardiac silhouette is at the upper limits of normal in size and there is mild hyperexpansion of the lungs. some coarseness of interstitial markings could reflect elevated pulmonary venous pressure, chronic lung disease, or both. no evidence of acute focal pneumonia or pleural effusion. no convincing evidence of amiodarone toxicity.
MIMIC-CXR-JPG/2.0.0/files/p16105600/s54632440/fa50840a-49b5d97f-7831276a-0083c89c-a39f29ac.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17712789/s56294162/d4492b9c-a797e208-e9bc8541-3725082e-a7fcfbd4.jpg	no evidence of pneumonia. moderate hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p17106724/s55435425/b201b305-debcf4ba-9f53de04-c84271ca-ca4582b0.jpg	increased bilateral lower lobe volume loss. an underlying infectious infiltrate can't be excluded.
MIMIC-CXR-JPG/2.0.0/files/p16473098/s54308875/2aecf3ca-c6ae54e4-8a919686-33c922ed-2e0e7377.jpg	no acute cardiopulmonary process. no displaced rib fracture, although, if concern for a fracture persists, a dedicated rib series with markers would be necessary.
MIMIC-CXR-JPG/2.0.0/files/p14359735/s50013561/0bbed3eb-a16a001b-81623c4a-178e9765-7f6cef82.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11619087/s56047182/84b7f6be-ea0ae1f7-cbd911d5-61b2b7df-0de618ac.jpg	in comparison with the study , there is little overall change. cardiac silhouette is at the upper limits of normal or mildly enlarged. blunting of the costophrenic angles could reflect small pleural effusions. minimal indistinctness of pulmonary vessels could be a manifestation of elevated pulmonary venous pressure. specifically, no evidence of acute focal pneumonia. extensive she changes are seen about the right shoulder, for which dedicated views could be obtained if clinically warranted.
MIMIC-CXR-JPG/2.0.0/files/p10713800/s59799187/8e210ab1-2a3e6fa5-a5c1f050-f2086d13-defcf453.jpg	no acute cardiopulmonary process. findings discussed with dr at by dr on via telephone.
MIMIC-CXR-JPG/2.0.0/files/p11828460/s57597970/b5078ae9-bbc1f20e-bd2e7606-124a07d2-6fa9a173.jpg	moderate right pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10246275/s52766527/ed9c8950-11848f98-a2b9e9f6-c862e4fd-5faa067b.jpg	subtle right lung base opacity may represent developing pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15473766/s57439287/e1db7c07-7058da2b-622a7c70-68cf9fea-46c2c4ed.jpg	interval increase in the right apical pneumothorax post chest tube removal.
MIMIC-CXR-JPG/2.0.0/files/p10167779/s57156885/b145ccd0-6b575849-ea612799-81503b63-c2f3f1d7.jpg	findings concerning for acute right nineth lateral rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p14290075/s53335687/b5ad4713-93ea484e-b9434289-9b498200-1d419e2a.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17191670/s57156292/a7577f06-833621e9-39d5e7b4-fd874849-9db7d5d6.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14238836/s54841674/e7eb567c-09ee545e-a7db1a61-eb27d753-b3ddcdcf.jpg	comparison to. the lateral chest radiograph shows no abnormalities. and asymmetry on the frontal radiograph, with a slightly denser left lung bases, as likely caused by soft tissues. mild elongation of the descending aorta. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14978865/s55432180/4f2e53ff-d6218e48-b9d775f7-c96510b5-84be826d.jpg	findings consistent with moderate congestive heart failure including pleural effusions with suspected left basilar atelectasis. pneumonia is not excluded, however. possible developing opacity at the right lung base versus regional edema. in addition to that, right hilum appears enlarged. although these findings may be congestive in nature, re-evaluation in follow-up radiographs is recommended after treatment.
MIMIC-CXR-JPG/2.0.0/files/p14172329/s56742381/35f1a801-35cbacc6-42169c63-bad3b648-b370924c.jpg	no acute cardiopulmonary abnormality. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14218694/s52113444/12780d13-7fa1bb4d-e224533b-e718fd08-adb6bbea.jpg	slight interval increase in the patchy bibasilar opacities and pulmonary vascular congestion. stable bilateral pleural effusions, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p19654136/s57693989/eb515730-cce8a4dc-2b3da3a0-ce4b1fc4-63509602.jpg	there is a right-sided port-a-cath with the distal lead tip at the cavoatrial junction. small bilateral pleural effusions are again seen, left side slightly greater than right and stable in size. there is no focal consolidation or overt pulmonary edema. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17657668/s56393977/cc198721-5005f76e-8d179a23-7af3ea54-446e924b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13787286/s51297734/024ebb0d-80e55587-fad8fb8c-4c8c97cd-e1c7f774.jpg	persistent small left pleural effusion. apparent worsened elevation of right hemidiaphragm could potentially reflect a subpulmonic component of the right effusion. consider a right lateral decubitus cxr for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18074603/s56549176/9d5160e4-bf865599-d73fcc61-f5db3973-65478df9.jpg	slight increase in heart size since the prior study, partially due to portable technique.
MIMIC-CXR-JPG/2.0.0/files/p18862676/s56072339/1bf5b1cb-3e4d2b08-9a4b2a2a-66c90cf9-0e86b546.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18864478/s56634295/df1129af-a7b36fbb-70f5d8bf-3a5fbbb4-150abdd8.jpg	equivocal minimal prominence of the ascending aorta. otherwise, chest x-ray examination within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p13870027/s52516514/7f1a63d7-2bed9f66-fc18a081-172bf94c-69ea1dad.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16563875/s51565529/cb0b4267-f637672e-22badd58-114e8989-37bbe567.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15656258/s59117819/c4b4e4b1-cd889282-9d274a2a-19d2af25-45de71b1.jpg	right upper lobe opacity is concerning for malignancy. bibasilar atelectasis with opacity at the right medial lung base which is indeterminate. ct may be performed to further assess if clinically warranted.
MIMIC-CXR-JPG/2.0.0/files/p14754762/s55976620/b53c97f3-a57d6adf-28c47674-bf6d2920-59661007.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14419091/s58271451/e0f2e00e-1897f949-175903ff-45431326-f2d6ecaf.jpg	interval decrease in small right pleural effusion and infection since cta.
MIMIC-CXR-JPG/2.0.0/files/p18099579/s54516660/99a63050-96bb3caa-cb287052-fa66c6a7-3703cfae.jpg	in comparison with the study of , there is little overall change in the severe bilateral parenchymal opacification consistent with chronic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14270780/s52032559/8fa72bb6-e5555f13-b088b9cc-6e25af81-660a8ea4.jpg	large left pleural effusion, increased in size since prior study.
MIMIC-CXR-JPG/2.0.0/files/p16706861/s56491321/c5310be2-f324b009-7982c124-852b1483-4375d063.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15950987/s51171346/65387d8a-0a3f9b5e-59bc911f-4f3ecf37-80d8506e.jpg	clear lungs. moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16346361/s56683774/51a92426-a061232f-66b62272-80ac85df-d0ba6125.jpg	ill-defined opacity in the right lower lobe may be a combination of crowded vessels and atelectasis. no over pulmonary edema. chronic volume loss and pleural thickening in the right lung.
MIMIC-CXR-JPG/2.0.0/files/p15855216/s51538531/7c5a5f37-f744d47e-1cb92baa-54744da1-d1f74a75.jpg	small bilateral pleural effusions. no other acute process in the chest.
MIMIC-CXR-JPG/2.0.0/files/p12497543/s54294368/27840b57-a464ffbc-d6e7d071-9b5643e7-44a9afe0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17318070/s54735391/18fa980f-3bf48755-d0b78955-85f4ca3a-85684e42.jpg	right lung volume loss and elevation of the right hemidiaphragm, better assessed on subsequent ct. opacity along the minor fissure may be due to pulmonary fluid and/or atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16165078/s53149923/e67212b2-4b5f8684-d372b965-a9beafee-c699b587.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14306557/s55788277/b96e663c-8362f2d8-6420c20f-2fc48083-41444896.jpg	interval improvement of the right lower lobe pneumonia. stable bibasilar atelectasis and scarring.
MIMIC-CXR-JPG/2.0.0/files/p15111725/s50066130/5b079300-2b4cbe8e-d0a0af81-ea8e375d-7ec49eac.jpg	lung volumes are generally low. a very mild perihilar haze could represent mild edema, but the major abnormalities are areas of subsegmental atelectasis in both lungs, moderate on the right, mild on the left. there is no appreciable pleural effusion. heart size is normal. worsening hypoxia could be due to unexpected pulmonary emboli or progression of hepatic pulmonary syndrome. i see no other good explanation.
MIMIC-CXR-JPG/2.0.0/files/p10901772/s50600922/a556debf-140841ca-d6f31fa8-bd7d13bf-109c7462.jpg	high position of the endotracheal tube with bilateral lower lobe atelectasis. considered advancement.
MIMIC-CXR-JPG/2.0.0/files/p17745566/s57671270/cbcbbbde-4e7219a5-b58fcf58-5c141ccf-83770768.jpg	no acute intrathoracic process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16326503/s50832817/5829a0f0-4ae90ba0-f266e486-90ef6396-f40b3dae.jpg	slight improvement in peripheral right basilar opacity and persistent poorly defined peripheral left lung opacities, most likely due to multifocal aspiration/ aspiration pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18201582/s52826269/52f30bcb-ecd9bfc1-11eae396-85700bbd-6b804b0c.jpg	as compared to the previous radiograph, no relevant change is seen. the internal jugular vein catheter on the right was pulled back. the tip of the catheter now projects over the cavoatrial junction. the appearance of the moderately enlarged cardiac silhouette is unchanged. unchanged position of the aortic valve replacement and of the sternal wires. the presence of a small pleural effusion cannot be excluded. bilateral basal areas of atelectasis are not substantially changed. no new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p18038385/s56481192/8a51af6f-209cffe7-5e6cd063-d42c0bb6-f7192378.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16204743/s54835376/284580ba-ba128c40-34cbb166-43b80ee1-3bd00a2b.jpg	interval placement of a left-sided chest tube and re-expansion of the left lung. small left apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11179313/s51262556/504e4cf1-41247e7a-6562c1ba-cecf49a1-ec8be194.jpg	left lower lobe consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11875381/s59626270/7bf95c88-94e17c48-45b68f09-bc8caad0-69ecdf8c.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17119475/s54722849/eb8ac250-08281ec7-42738d7e-553826ae-c6a01f23.jpg	no acute process
MIMIC-CXR-JPG/2.0.0/files/p17803326/s58856595/ea5c076f-f819169a-d2aaecf2-12f3b847-164a76be.jpg	lung volumes are normal. right lung is clear. there is an opacity left lower lobe partially obscures left hemidiaphragm in corresponds to a retrocardiac opacity and lateral views. the cardiomediastinal and hilar contours are normal. stable calcification of the aortic arch. the pleural surfaces are normal. recommendation(s): left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18514858/s56654287/0b088f49-983e3602-7a5cb12d-f8753fec-b03643ab.jpg	small left pleural effusion with left lower lobe opacity, which may reflect atelectasis, however pneumonia cannot be excluded. mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11015656/s53936748/aa18305a-b17c84e9-7723befd-1eebdea3-2ca87696.jpg	no comparison. low lung volumes. mild cardiomegaly without pulmonary edema. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15633774/s54030777/ba648d55-d950f3d0-097ff8b6-4900ad82-8ba6f9f7.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10544221/s56146068/6fb5e4e9-1cc97b98-555148a2-0e409399-9d28531b.jpg	in comparison with the study of , the tip of the picc line is about the level of the cavoatrial junction. there has been interval increase in opacification at the left base. although this could represent merely atelectasis, in view of the clinical history superimposed pneumonia would have to be seriously considered.
MIMIC-CXR-JPG/2.0.0/files/p10110584/s52265451/12e7ab12-c4da6227-fb02c10c-8854b574-55d67c39.jpg	heart size is enlarged. mild vascular congestion in the mediastinum is noted but there is no overt pulmonary edema. right upper lobe opacity is unclear if represent a chronic finding or new infection as well as right basal opacity that might represent atelectasis but infectious process is a possibility. left basal atelectasis is minimal. rib fractures are multiple on the left, old. close attention to the right lung findings is recommended to exclude the possibility of developing infectious process.
MIMIC-CXR-JPG/2.0.0/files/p11040453/s59159512/e49527a3-ad3d6ca3-97570ca9-db0e855f-d16044cf.jpg	new left upper lobe opacity. recommend further evaluation with chest ct in this patient with a history of cancer. post-surgical changes of radical right mastectomy with pleural scarring, stable in appearance. interval placement of left chest single-lead pacemaker, in appropriate position. these findings were paged to resident at
MIMIC-CXR-JPG/2.0.0/files/p14048242/s52228095/fe1ae1a9-ba895a59-ae339786-72bb444a-5ff69d18.jpg	in comparison with the earlier study of this date, the monitoring and support devices are stable. continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that may be slightly improved since the prior study.
MIMIC-CXR-JPG/2.0.0/files/p16393783/s50829275/228ced67-1acdc68c-61bcc520-6e37ffa7-3cc768d5.jpg	as compared to the previous image, no relevant change is seen. the lung volumes have slightly improved. known small hiatal hernia. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema. right pectoral pacemaker is in unchanged position. clips are now seen projecting over the left axillary region.
MIMIC-CXR-JPG/2.0.0/files/p14535070/s56110926/4a9b2a25-813567d8-a1fd1235-5f701692-0fa9dacc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11120815/s52880827/99251b5a-9f4a466f-7d7779bf-cf700882-e87c837c.jpg	again seen increased interstitial markings bilaterally with relative prominence at the lung bases; however, opacity appears to have decreased since the prior study, although appears slightly increased as compared to.
MIMIC-CXR-JPG/2.0.0/files/p19126768/s54189996/156a12f2-74c2fd26-30b22b6f-42dd2093-fc474ffc.jpg	left chest defibrillator with intact single lead terminates in the anterior inferior wall of the right ventricle. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11410615/s55479562/040f7814-1bc02b73-94a23b16-098e8e9f-0b63cb0f.jpg	in comparison with recent prior ct of , and in comparison with scout image, appearance of the chest is similar aside from possible new left pleural effusion with overlying atelectasis versus mild consolidation at the left lung base, which may be new.
MIMIC-CXR-JPG/2.0.0/files/p11770498/s53581564/61b54617-817cb268-bd6b18d3-a7d7b699-ef125c1c.jpg	no acute cardiopulmonary process. specifically no pneumonia. of note ct is more sensitive detection of early pneumonia and infection immunocompromised patients.
MIMIC-CXR-JPG/2.0.0/files/p13536715/s51553737/d2a4577c-51b4743f-5c582032-33e67bf7-072b634a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15301233/s53635769/6c4b98a2-0e1517ec-1fe74cd0-dd5b58d8-e0f6eb2d.jpg	no acute cardiopulmonary process. severe bullous emphysema is chronic.
MIMIC-CXR-JPG/2.0.0/files/p16065966/s57083383/accaa0e4-d488a74f-fffc2377-fcd299dd-5e7e9a67.jpg	no focal consolidation or pneumothorax is identified.
MIMIC-CXR-JPG/2.0.0/files/p11394025/s57526428/d55378fd-04ef8374-5abae38a-aea27130-5995e0d0.jpg	in comparison with the study is , there is little change. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15480043/s58155175/ed6fc46d-125a2981-0a4df024-4a7e34f9-d87b7c6a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10619088/s59489736/d72107a4-1b612a08-8c97817e-3fd9ac3a-0ec3b134.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11964399/s58473970/cb3262ba-0a90d17e-8f6ffd01-f3f679cd-5c78a0fd.jpg	new patchy right lower lobe opacity, which may be due to atelectasis or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p19145868/s56444739/6c9a82c6-5a140fb8-9c28f97f-555b8b75-ae52f8e0.jpg	<num> mm nodular opacity projecting over the left upper lung and <num> mm nodular opacity projecting over the right upper lung which were not clearly present on the prior studies. recommend further evaluation with nonemergent chest ct. prominence of the interstitial markings, greater on the right than the left, likely reflecting asymmetric pulmonary edema. mild enlargement of the cardiac silhouette and modearte right pleural effusion. opacity in the right lower lobe likely reflecting a combination of edema and atelectasis; although, superimposed infection is possible.
MIMIC-CXR-JPG/2.0.0/files/p12931038/s59768875/ce08dce0-76b5bc4b-d657b645-63cc33ac-6b4944fe.jpg	small bilateral layering effusions with residual bibasilar patchy opacities suggestive of atelectasis but overall slightly improved. no pulmonary edema. heart remains stably enlarged. mediastinal contours are unchanged. no pneumothorax. no displaced rib fracture is seen; however, if the patient's symptoms persist or if this remains of clinical concern, a dedicated rib series may be helpful.
MIMIC-CXR-JPG/2.0.0/files/p12351481/s51497101/45dea854-065f18ce-988b23da-517a5629-b61f9b18.jpg	no significant change with bilateral pleural effusions and scattered opacities concerning for pneumonia. probable mild edema.
MIMIC-CXR-JPG/2.0.0/files/p19697164/s50655990/816caec9-844d6c3c-2ad1889e-db923e88-236b68c8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10134321/s58831244/5b63859e-65799e06-1ebc12fa-ef5846f0-ea7ebb9e.jpg	ap chest reviewed in the absence of prior chest imaging: lungs grossly clear. heart size top normal. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18982586/s52715871/404d87e7-3272b56c-00686044-693a03c3-1e92a13d.jpg	low lung volumes without acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16789279/s53938455/94d8afb0-4d5abd0c-93ad1d23-d34df7ee-899bf82f.jpg	interval intubation with the tip of the endotracheal tube within the proximal right mainstem bronchus. repositioning was recommended and a wet reading was provided to the micu team by dr on at. there has been interval progression of bilateral consolidative airspace process which could reflect worsening edema or diffuse pneumonia. clinical correlation is advised. no pneumothorax is appreciated. nasogastric tube coursing below the diaphragm with tip projecting over the stomach.
MIMIC-CXR-JPG/2.0.0/files/p12435705/s53292577/1abf5dfb-03905b48-442a7bf5-0a27d5f9-1515d24f.jpg	et tube in appropriate position.

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nasogastric tube is coiled in the esophagus.

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no acute cardiopulmonary abnormality.

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ill-defined airspace opacity in the right lung base may represent atelectasis or pneumonia, depending upon the clinical setting. probable small left pleural effusion. stable chronic elevation of the left hemidiaphragm and mild cardiomegaly.

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ett tip too high and recommend advancing about <num> cm. severe edema, likely non-cardiogenic, ards.

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no radiographic evidence for active tuberculosis

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no acute cardiopulmonary abnormality.

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normal chest radiograph.

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no interval change.

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no evidence of acute process demonstrated.

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right port-a-cath appears unchanged terminating in the region of the cavoatrial junction without disruption or kinking of the tubing. small right and moderate-large left pleural effusions are increased from , with moderate rate of accumulation. no pulmonary edema or pneumothorax. left upper lobe opacity appears unchanged.

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pa and lateral chest compared to : small right pleural effusion, minimally larger than on. no pneumothorax. lungs essentially clear. marked enlargement and distortion of the cardiac silhouette by adjacent tumor is a longstanding phenomenon. there is no evidence of any hemodynamically significant pericardial involvement.

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intra-aortic balloon pump. tip is approximately <num> cm below the roof of the aortic arch. cardiomediastinal silhouette is unchanged. mild pulmonary edema is unchanged. no interval increase in bilateral pleural effusions demonstrated. no pneumothorax is seen.

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greater radiodensity over the left lower hemi thorax may be artifactual. a lateral radiographs is needed to see if there is a genuine abnormality in the left lower lobe.

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a left-sided pacemaker, sternal wires, and aortic valve replacement are unchanged in configuration and position since. there is improved aeration of the lungs and inspiratory effort, resulting in decreased bibasilar atelectasis. small bilateral pleural effusions are improved. extensive pleural calcifications are unchanged.

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no new opacity or large pleural effusion. stable large left diaphragmatic hernia and mild pulmonary vascular congestion.

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tiny left apical pneumothorax with millimetric increase since the prior exam.

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no definite focal consolidation. streaky right base opacity is likely atelectasis, possibly related to a small right pleural effusion, unchanged.

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no evidence of acute disease. mild loss in vertebral body height along a lower thoracic vertebral body.

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stable small bilateral pleural effusions.

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as compared to radiograph, cardiomediastinal contours are stable. lung volumes are slightly increased. considering this factor, widespread interstitial opacities combined with in superimposed ground-glass opacification appear unchanged, with combined paramediastinal and peripheral distribution. these findings have been more fully evaluated by a recent chest cta of.

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emphysema without superimposed acute process. mild cardiomegaly.

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as compared to the previous radiograph from , there is new occurrence of platelike atelectasis at both the left and the right lung bases. however, there is no evidence of pneumonia or other focal parenchymal opacity. no pleural effusions. borderline size of the cardiac silhouette. mild elongation of the descending aorta.

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in comparison with the study of , there is little interval change. multiple old healed rib fractures are again seen bilaterally. the cardiac silhouette is at the upper limits of normal in size and there is mild hyperexpansion of the lungs. some coarseness of interstitial markings could reflect elevated pulmonary venous pressure, chronic lung disease, or both. no evidence of acute focal pneumonia or pleural effusion. no convincing evidence of amiodarone toxicity.

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no acute cardiopulmonary process.

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no evidence of pneumonia. moderate hiatal hernia.

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increased bilateral lower lobe volume loss. an underlying infectious infiltrate can't be excluded.

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no acute cardiopulmonary process. no displaced rib fracture, although, if concern for a fracture persists, a dedicated rib series with markers would be necessary.

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no acute intrathoracic process.

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in comparison with the study , there is little overall change. cardiac silhouette is at the upper limits of normal or mildly enlarged. blunting of the costophrenic angles could reflect small pleural effusions. minimal indistinctness of pulmonary vessels could be a manifestation of elevated pulmonary venous pressure. specifically, no evidence of acute focal pneumonia. extensive she changes are seen about the right shoulder, for which dedicated views could be obtained if clinically warranted.

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no acute cardiopulmonary process. findings discussed with dr at by dr on via telephone.

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moderate right pneumothorax.

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subtle right lung base opacity may represent developing pneumonia.

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interval increase in the right apical pneumothorax post chest tube removal.

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findings concerning for acute right nineth lateral rib fracture.

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no acute intrathoracic process

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mild pulmonary edema.

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comparison to. the lateral chest radiograph shows no abnormalities. and asymmetry on the frontal radiograph, with a slightly denser left lung bases, as likely caused by soft tissues. mild elongation of the descending aorta. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.

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findings consistent with moderate congestive heart failure including pleural effusions with suspected left basilar atelectasis. pneumonia is not excluded, however. possible developing opacity at the right lung base versus regional edema. in addition to that, right hilum appears enlarged. although these findings may be congestive in nature, re-evaluation in follow-up radiographs is recommended after treatment.

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no acute cardiopulmonary abnormality. stable moderate cardiomegaly.

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slight interval increase in the patchy bibasilar opacities and pulmonary vascular congestion. stable bilateral pleural effusions, right greater than left.

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there is a right-sided port-a-cath with the distal lead tip at the cavoatrial junction. small bilateral pleural effusions are again seen, left side slightly greater than right and stable in size. there is no focal consolidation or overt pulmonary edema. there are no pneumothoraces.

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no acute cardiopulmonary process.

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persistent small left pleural effusion. apparent worsened elevation of right hemidiaphragm could potentially reflect a subpulmonic component of the right effusion. consider a right lateral decubitus cxr for further evaluation.

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slight increase in heart size since the prior study, partially due to portable technique.

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no acute cardiopulmonary process.

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equivocal minimal prominence of the ascending aorta. otherwise, chest x-ray examination within normal limits.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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right upper lobe opacity is concerning for malignancy. bibasilar atelectasis with opacity at the right medial lung base which is indeterminate. ct may be performed to further assess if clinically warranted.

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no acute intrathoracic process.

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interval decrease in small right pleural effusion and infection since cta.

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in comparison with the study of , there is little overall change in the severe bilateral parenchymal opacification consistent with chronic pulmonary disease.

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large left pleural effusion, increased in size since prior study.

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no acute cardiopulmonary abnormality.

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clear lungs. moderate cardiomegaly.

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ill-defined opacity in the right lower lobe may be a combination of crowded vessels and atelectasis. no over pulmonary edema. chronic volume loss and pleural thickening in the right lung.

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small bilateral pleural effusions. no other acute process in the chest.

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no acute cardiopulmonary process.

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right lung volume loss and elevation of the right hemidiaphragm, better assessed on subsequent ct. opacity along the minor fissure may be due to pulmonary fluid and/or atelectasis.

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no acute cardiopulmonary process.

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interval improvement of the right lower lobe pneumonia. stable bibasilar atelectasis and scarring.

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

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high position of the endotracheal tube with bilateral lower lobe atelectasis. considered advancement.

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no acute intrathoracic process. mild cardiomegaly.

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slight improvement in peripheral right basilar opacity and persistent poorly defined peripheral left lung opacities, most likely due to multifocal aspiration/ aspiration pneumonia.

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as compared to the previous radiograph, no relevant change is seen. the internal jugular vein catheter on the right was pulled back. the tip of the catheter now projects over the cavoatrial junction. the appearance of the moderately enlarged cardiac silhouette is unchanged. unchanged position of the aortic valve replacement and of the sternal wires. the presence of a small pleural effusion cannot be excluded. bilateral basal areas of atelectasis are not substantially changed. no new parenchymal opacities.

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no acute cardiopulmonary process.

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interval placement of a left-sided chest tube and re-expansion of the left lung. small left apical pneumothorax.

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left lower lobe consolidation concerning for pneumonia.

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no evidence of acute cardiopulmonary disease.

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no acute process

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lung volumes are normal. right lung is clear. there is an opacity left lower lobe partially obscures left hemidiaphragm in corresponds to a retrocardiac opacity and lateral views. the cardiomediastinal and hilar contours are normal. stable calcification of the aortic arch. the pleural surfaces are normal. recommendation(s): left lower lobe pneumonia.

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small left pleural effusion with left lower lobe opacity, which may reflect atelectasis, however pneumonia cannot be excluded. mild interstitial pulmonary edema.

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no comparison. low lung volumes. mild cardiomegaly without pulmonary edema. no pleural effusions. no pneumonia.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the tip of the picc line is about the level of the cavoatrial junction. there has been interval increase in opacification at the left base. although this could represent merely atelectasis, in view of the clinical history superimposed pneumonia would have to be seriously considered.

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heart size is enlarged. mild vascular congestion in the mediastinum is noted but there is no overt pulmonary edema. right upper lobe opacity is unclear if represent a chronic finding or new infection as well as right basal opacity that might represent atelectasis but infectious process is a possibility. left basal atelectasis is minimal. rib fractures are multiple on the left, old. close attention to the right lung findings is recommended to exclude the possibility of developing infectious process.

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new left upper lobe opacity. recommend further evaluation with chest ct in this patient with a history of cancer. post-surgical changes of radical right mastectomy with pleural scarring, stable in appearance. interval placement of left chest single-lead pacemaker, in appropriate position. these findings were paged to resident at

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in comparison with the earlier study of this date, the monitoring and support devices are stable. continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that may be slightly improved since the prior study.

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as compared to the previous image, no relevant change is seen. the lung volumes have slightly improved. known small hiatal hernia. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema. right pectoral pacemaker is in unchanged position. clips are now seen projecting over the left axillary region.

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no acute cardiopulmonary process.

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again seen increased interstitial markings bilaterally with relative prominence at the lung bases; however, opacity appears to have decreased since the prior study, although appears slightly increased as compared to.

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left chest defibrillator with intact single lead terminates in the anterior inferior wall of the right ventricle. no pneumonia.

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in comparison with recent prior ct of , and in comparison with scout image, appearance of the chest is similar aside from possible new left pleural effusion with overlying atelectasis versus mild consolidation at the left lung base, which may be new.

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no acute cardiopulmonary process. specifically no pneumonia. of note ct is more sensitive detection of early pneumonia and infection immunocompromised patients.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. severe bullous emphysema is chronic.

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no focal consolidation or pneumothorax is identified.

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in comparison with the study is , there is little change. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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new patchy right lower lobe opacity, which may be due to atelectasis or aspiration.

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<num> mm nodular opacity projecting over the left upper lung and <num> mm nodular opacity projecting over the right upper lung which were not clearly present on the prior studies. recommend further evaluation with nonemergent chest ct. prominence of the interstitial markings, greater on the right than the left, likely reflecting asymmetric pulmonary edema. mild enlargement of the cardiac silhouette and modearte right pleural effusion. opacity in the right lower lobe likely reflecting a combination of edema and atelectasis; although, superimposed infection is possible.

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small bilateral layering effusions with residual bibasilar patchy opacities suggestive of atelectasis but overall slightly improved. no pulmonary edema. heart remains stably enlarged. mediastinal contours are unchanged. no pneumothorax. no displaced rib fracture is seen; however, if the patient's symptoms persist or if this remains of clinical concern, a dedicated rib series may be helpful.

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no significant change with bilateral pleural effusions and scattered opacities concerning for pneumonia. probable mild edema.

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no acute cardiopulmonary process.

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ap chest reviewed in the absence of prior chest imaging: lungs grossly clear. heart size top normal. no pleural abnormality.

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low lung volumes without acute cardiopulmonary abnormality.

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interval intubation with the tip of the endotracheal tube within the proximal right mainstem bronchus. repositioning was recommended and a wet reading was provided to the micu team by dr on at. there has been interval progression of bilateral consolidative airspace process which could reflect worsening edema or diffuse pneumonia. clinical correlation is advised. no pneumothorax is appreciated. nasogastric tube coursing below the diaphragm with tip projecting over the stomach.

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et tube in appropriate position.