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/p17396841/s52069863/43703c4f-635fb77a-16a22670-e4268129-96f114cb.jpg	comparisons. increase in severity of the pulmonary edema, with increasing opacities at the right lung basis and increasing atelectasis on the left. stable monitoring and support devices. stable low lung volumes with mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p13224377/s50018247/6428ef34-467101fd-898033e8-6ada0584-4481639e.jpg	there are unchanged airspace opacities throughout the right lung and involving the left mid and lower lung with relative sparing of the left upper lobe. these findings could reflect an atypical appearance of pulmonary edema but are more concerning for pneumonia. clinical correlation is advised. the right internal jugular dual-lumen catheter and tracheostomy tube are unchanged in position. there has been interval removal of a nasogastric tube. there are likely small layering effusions. no pneumothorax is appreciated. overall cardiac and mediastinal contours are likely unchanged given differences in patient rotation between studies.
MIMIC-CXR-JPG/2.0.0/files/p15159392/s58307257/7d1796a9-bdff3596-9dccca90-b19cb81d-55495fbc.jpg	bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19431075/s54777124/909bae15-4bb499ef-c7e5b76e-ca43a96f-d5d826a8.jpg	ap chest compared to through at : previous vascular engorgement has improved and the lungs are more clear with the exception of peribronchial infiltration in the right upper lung just lateral to the hilus. the juxtahilar right upper lung is more abnormal today than it was yesterday and could be a focus of developing pneumonia. careful followup advised. heart size top normal. no pleural abnormality. feeding tube passes into the stomach and out of view. right pic line ends in the mid svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18717707/s55880095/05ca5adb-54999be4-33948343-77aed216-816f2230.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10287348/s53636899/41c3b7ca-19a3a659-4a9c7fcb-53d72e9e-0b67b246.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16197100/s57405907/695b827b-a03424a3-afeb1f44-677dfe5a-0254a5be.jpg	new mid thoracic vertebral body compression fracture compared to. please see separately dictated thoracic spine radiograph from the same date for more complete assessment.
MIMIC-CXR-JPG/2.0.0/files/p14336054/s52744643/1b612126-caa98520-9c7b056d-12e90637-06dd02d9.jpg	possible opacification of the right middle lobe is best appreciated on the lateral view. the suspicion for pneumonia is low but if confirmation is necessary a view of the chest could be performed for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p13355484/s56387039/55be708c-8f56effb-3287228f-467964cb-0f1e7a5e.jpg	no evidence for acute disease or injury.
MIMIC-CXR-JPG/2.0.0/files/p19344311/s50841177/46db21ed-f07b5974-c75aae8a-0902f397-d8c29988.jpg	no significant change compared with the most recent prior film.
MIMIC-CXR-JPG/2.0.0/files/p13648534/s56229388/9344ff78-43858cca-39c3e592-0d78a4f6-dea4e6e5.jpg	increased bibasilar opacities, compatible with worsening pneumonia with moderate bilateral pleural effusions. new tracheostomy tube appears in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p14642324/s52478076/b182221c-d0583131-f5567625-849d897a-617887dc.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p12303263/s53594143/6b789d67-5b85b55d-beaba9d9-d4ac2a8f-41e1866c.jpg	right-sided pic line appears to terminate at the cavoatrial junction, overall similar in position compared to the prior exam. mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11619087/s53192588/23872dab-31d126aa-5de17bb9-363dbcb8-e3ffc252.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15310905/s59270299/77e31d88-b17aba77-2e5e9473-a56f99d4-6cce59a9.jpg	significant decrease in right pleural effusion, possibly some reexpansion edema in the right but significantly decreased edema bilaterally compared to prior study. small-to-moderate left pleural effusion is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14105959/s59169952/175e2fcf-1cf4b4c6-6ce526fb-e4498d53-994e6f87.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11746213/s56198892/4476ec1d-b2d58ad1-c9252e6e-613f9f8f-f084fd67.jpg	in comparison with the study , the cardiac silhouette is slightly more prominent. there is indistinctness of engorged pulmonary vessels, consistent with elevated pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p15957573/s51771381/4a0728c2-c14b484f-c3d3f4e9-a519de45-d2ac0d00.jpg	the tip of the ng tube lies coiled in the gastric fundus.
MIMIC-CXR-JPG/2.0.0/files/p18511815/s52354827/72261d10-d87050c4-22f900c0-d248069e-86e26f39.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19926301/s58960487/1f93a89e-8c901258-7538b6c7-58204b29-62c4a08a.jpg	increased mid and lower right lung streaky opacities are more suggestive of a chronic pulmonary process. comparison with any priors since and continued follow-up. mild blunting of the posterior right costophrenic angle, small pleural effusion vs pleural thickening.
MIMIC-CXR-JPG/2.0.0/files/p12151993/s57891054/33b87aa8-7c0a7e51-f009876a-a07c3ea9-1b770ee4.jpg	no acute cardiopulmonary process. bilateral pleural plaques are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18603366/s57409208/de28dae5-741a3d86-9596708f-0ef07dad-67eab9fd.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p15452129/s50650832/4478bb99-7c78d688-41e3cf69-763035d9-bf41973b.jpg	mild pulmonary edema with low lung volumes. an underlying infection is difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p18211048/s58834414/dd92123f-a8e0a638-5e104ef1-d92dd2d0-2954fb88.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18605337/s55780786/143567cf-57b21a40-89835a1c-4207b22b-efe42d59.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19209226/s52661622/2d95fbf9-c86c1e4b-35a90fbf-9eebd1a7-889ca05b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12435236/s52455656/5b8186a8-ef3c16dd-5976f74d-0a89619a-e8638799.jpg	left lower lobe atelectasis, tiny effusion. cannot exclude early pneumonia in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p12078787/s54048695/6deae22a-e548d5b7-c3cfea17-0f302971-947efad2.jpg	posterior left basilar opacity, probably consistent with atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11404203/s52320841/a17fc85d-9877d40e-bff8956f-8180f64f-1b2cf030.jpg	as compared to the previous radiograph, no relevant change is noted. mild cardiomegaly and elongation of the descending aorta. no pleural effusions on the frontal or lateral radiograph. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17749813/s57204360/a9bc2e21-2c0d9b5f-c143402d-b3051d19-47c7a6dc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17513800/s52812616/a2ea751b-bb5608a2-552285b7-b91ac8e2-e9e835c5.jpg	mild to moderate pulmonary edema with mild cardiomegaly and small bilateral pleural effusions. focal opacity in the right upper lobe is likely asymmetric edema, however, followup radiographs after diuresis are recommended to exclude an secondary process such as infection and less likely neoplasm. the findings were discussed by dr with dr telephone on at am, <num> minutes after discovery of the findings.
MIMIC-CXR-JPG/2.0.0/files/p17282435/s50118554/0aae2870-5db987f9-9b32c63d-e1de24c6-421fa8d2.jpg	the heart remains markedly enlarged. there is a focal collection of air within the pericardium. overall, there is improved aeration at the left base with residual partial lower lobe atelectasis in the setting of an effusion. a small right effusion is also likely. there is resolving atelectasis at the right base as well. no pulmonary edema. no pneumothorax. the pericardial catheter is now visualized on the lateral projection. mild degenerative changes in the visualized thoracolumbar spine.
MIMIC-CXR-JPG/2.0.0/files/p16921793/s55796701/508d8f94-833624c0-d0668e24-3211edb4-367efc6a.jpg	cardiomegaly and mild interstitial pulmonary edema, not significantly changed from yesterday's exam.
MIMIC-CXR-JPG/2.0.0/files/p17864490/s53500488/e7879ded-19c4c9e3-b7d01c35-94105afe-77f7bd8d.jpg	small bilateral pleural effusions and bibasilar atelectasis. no definite pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18556017/s59657413/8831481c-9164af94-d5ef8815-de7f63cc-6a8dcc77.jpg	there is no clear change since to suggest infectious pneumonia. the region of slowly evolving radiation pneumonia in the left lung could mask local infection, but probably not. lungs are otherwise clear. healed fracture or local radiation change in left third and fifth ribs should not be mistaken for lung lesions. cardiomediastinal silhouette and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg	interval resolution in previous pattern of interstitial pulmonary edema. no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18556314/s59811236/6bf471fb-b0089737-630bebf6-682614e9-3e659582.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12514791/s56864588/0e618b5c-235d0521-d3e50a03-b33d801c-048da122.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15503083/s54461928/ff840ca7-4760a94e-c5a3bff4-7df1a7cc-0aafc0f1.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17908511/s53800495/3d447137-8c06f45c-b9802f20-7f8f6f8a-bfdc1ac8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15550489/s57783799/0aae015c-4cbab466-4c9e4665-1d589a1e-adb88f1f.jpg	new right middle lobe peripheral opacity may reflect pneumonia though a infarct is also a consideration in the appropriate setting. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10898555/s55823171/c7c27871-3a17415c-68441085-ae9f70ae-b879cfaa.jpg	no evidence of pneumonia or congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p12275484/s58594014/6860e1d1-da60a427-cb1b3f56-a5e4ca28-a069d30c.jpg	unchanged diffuse opacities concerning for multifocal pneumonia versus eosinophilic pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10180995/s54075954/c1f14d83-42ed6e68-c84caa77-ad618595-2b86469f.jpg	moderate cardiomegaly and edema.
MIMIC-CXR-JPG/2.0.0/files/p11571302/s52005046/65b5fbcc-084ab5e1-83bea891-782afaa2-073ea6ef.jpg	comparison to. the left lung shows several calcified granulomas. borderline size of the cardiac silhouette. no pulmonary edema, no pneumonia, no pleural effusions. no evidence of active tb.
MIMIC-CXR-JPG/2.0.0/files/p11665626/s51736483/7a2c3800-2cad8213-848d7183-ff747d4c-fae956fb.jpg	allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since recent study of.
MIMIC-CXR-JPG/2.0.0/files/p18821629/s51205543/4426671a-a944f0f7-83929980-dd584b3b-561ba35e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14804683/s57938605/6231c0ba-15b4b751-d5610681-54c0b025-19bb6da8.jpg	pa and lateral chest reviewed in the absence of prior chest imaging: normal heart, lungs, hila, mediastinum and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p18413775/s51814250/ee5e6edc-82ab8693-5540ba38-c51b6dee-41062def.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12032220/s57509417/fcbb6cfd-147bd0dd-0841bdc7-c7b02335-26e6478c.jpg	no evidence of residual pneumonia. severe compression fracture of a lower thoracic vertebral body, age indeterminate.
MIMIC-CXR-JPG/2.0.0/files/p12927172/s59587725/7ed12e27-9d18a90c-881a1c8f-ed76e5af-094461cd.jpg	small bilateral pleural effusions with bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14021217/s56314147/99429fab-5e729f2f-ff3dffed-cd073aa2-4abaec58.jpg	interval increase in pulmonary edema, now moderate. persistent moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16230458/s55979844/a5905413-96f88bd9-19c4f2ce-32e37e43-2b82f14e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15859458/s51910468/cc7ee21d-cad3141f-c1fe3b06-a2714933-5e7a80ba.jpg	ap chest compared to : right lung is clear. left lower lobe atelectasis is improving. small bilateral pleural effusions are stable. cardiomediastinal silhouette has a normal post-operative appearance. air in the pericardium and mediastinum seen on the lateral view at level of the xiphoid is not an uncommon post-operative finding this early. right internal jugular line ends in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p15403852/s59403652/6422c8d1-fd29c343-ab8190d5-057bb410-f1f152d0.jpg	ett tip in satisfactory position. persistent low lung volumes
MIMIC-CXR-JPG/2.0.0/files/p18054935/s59800627/26f29b42-9e2c4408-2ff5ea7c-a89a52b6-09afa9b7.jpg	subsegmental atelectasis of the bilateral lung bases and left mid lung. no consolidation or overt pulmonary edema. this preliminary report was reviewed with dr , radiologist.
MIMIC-CXR-JPG/2.0.0/files/p16090208/s56970359/31e22cac-1d0537e1-5a5fc2d2-fff9b626-b1ea915f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15202542/s50966259/33b17fd3-954debc8-41740197-486ed985-eb3b5586.jpg	resolution of bilateral pleural effusions since.
MIMIC-CXR-JPG/2.0.0/files/p19299068/s56954119/1b29ce6e-281f7035-8521c915-e48f8df6-85f27b0f.jpg	ap chest compared to : widespread severe pulmonary opacification has worsened progressively since. most of the difference is due to progressive edema, although pneumonia may well be present concurrently. the appearance of the chest on is consistent with some interstitial pulmonary abnormality, but not fibrosis. et tube tip is no less than <num> cm from the carina, could be advanced <num> cm if more secured seating is advisable. upper enteric drainage tube passes into a mildly distended stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p15954616/s54138921/c1dfff24-8af88e10-49c4160b-b05a5540-01e551f0.jpg	no evidence of sternal wire displacement, rotation, or disruption. mid sternal lucency above the first sternal wire is a nonspecific finding that can occasionally be seen normally in the postoperative period. if clinical suspicion for dehiscence persists, consider ct for further evaluation, as it is more sensitive than chest radiographs for detecting this complication.
MIMIC-CXR-JPG/2.0.0/files/p11812613/s55873243/781c480c-7bf811f1-f9239eac-2d0b8634-a9283eee.jpg	streaky bibasilar opacities likely reflect atelectasis. infection, however, is difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p19863368/s51118319/266eab9e-f9f44e5c-3fe4c836-497bcd69-142132c0.jpg	right middle lobe consolidation worrisome for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19737741/s57411352/94467b3c-abf96482-4a9eb98f-a79e0f6b-30a18c80.jpg	the heart remains enlarged. mediastinal contours are unremarkable. the aorta is unfolded and tortuous. lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pleural effusions or pneumothorax. no evidence of pulmonary edema. mild eventration of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p14792524/s53506209/9054a31e-4141914a-908b1166-c1bb2244-14a5dade.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the right central catheter tip again extends to the level of the mid svc. there has been placement of a left ij catheter with its tip it the same level and no evidence of pneumothorax. there is an apparent artifact projected over the region of the left costophrenic angle.
MIMIC-CXR-JPG/2.0.0/files/p12398260/s54735113/221e0b08-346f4a0d-153ac6ba-fd45002b-1c0968d0.jpg	heart size and mediastinum are stable. there is new left basal consolidation and left mid lung consolidation, concerning for infectious process. right lung is clear. there is potentially small amount of left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19997367/s58345589/fa2969ee-16c04029-e5f89635-7a272015-476480e6.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p11723732/s53827475/329048db-43bf3387-80a81753-ff2b56c0-dede07c0.jpg	comparison to. decrease in severity of the pre-existing pulmonary edema. unchanged minimal right pleural effusion with subsequent atelectasis at the right lung basis. these area should receive attention on followup radiographs, because of the history of recurrent aspiration pneumonias. mild cardiomegaly. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18382120/s57362814/3fc38d06-beb0ee65-00f182c1-f009edcd-bf7100a4.jpg	in comparison with the study of , there is little interval change. again there is substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure in bilateral layering effusions with compressive basilar atelectasis. given all these findings, it would be extremely difficult to exclude the possibility of superimposed pneumonia, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p17190208/s53015201/48b2d865-c2e67eb0-190f9793-f6d978e2-e9cd82f7.jpg	advancement of a dobhoff tube into the right mainstem bronchus. subsequent radiographs available at the time of this review demonstrate eventual successful advancement of a dobhoff tube into the mid stomach.
MIMIC-CXR-JPG/2.0.0/files/p12133655/s51419376/706bbb90-3785b1a4-e02f4993-954709cd-897d9ae3.jpg	moderately severe infiltrative pulmonary abnormality has worsened once again since , probably edema. moderate cardiomegaly is chronic. there is no pneumothorax. left pleural effusion is small. et tube is in standard placement. nasogastric tube passes below the diaphragm and out of view. right jugular line and right pic line ends at the origin of the svc. transvenous right ventricular pacer defibrillator lead is continuous from the left pectoral generator.
MIMIC-CXR-JPG/2.0.0/files/p16720812/s57945793/494cebd1-eb648592-0625a326-6662af56-762c2499.jpg	in comparison with the study of , there is little change. cardiac silhouette remains at the upper limits of normal or mildly enlarged without vascular congestion. there are bilateral pleural effusions, much more prominent on the left. no acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10224976/s56489596/8bbb98c1-7fffe3fc-03368f69-734788c2-b6e1b601.jpg	increased opacification in the right lung, probably for progression of the atelectasis. minimal linear atelectasis in left base
MIMIC-CXR-JPG/2.0.0/files/p11731531/s54076272/cdac0c86-4b7fd238-4dc9fe93-827fbf5f-2688463b.jpg	compared to chest radiographs, most recently through. new endotracheal tube is less than a cm from the carina. subsequent radiographs available time of this review shows standard repositioning. mild cardiomegaly and pulmonary vascular congestion have resolved. small left pleural effusion remains. no pneumothorax. nasogastric drainage tube ends in the upper stomach.
MIMIC-CXR-JPG/2.0.0/files/p17788370/s54254505/1004cd27-bcb5fb4c-87ea455a-fe591f37-f802cba8.jpg	right middle and lower lung opacity concerning for pneumonia/aspiration. mild chf.
MIMIC-CXR-JPG/2.0.0/files/p19887933/s57943477/95da4266-27d1f149-b186d1f8-f14b50eb-58924bf3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19434164/s52205185/bc893485-43942830-8bb55108-fabb075b-1f8fdb65.jpg	as compared to radiograph, previously reported bibasilar opacities have nearly resolved with faint residual right lower lobe opacity remaining.
MIMIC-CXR-JPG/2.0.0/files/p11897489/s53435288/18111fa2-68c176d0-d028e67a-c755b246-13749c31.jpg	similar appearance of fibrosing chronic interstitial lung disease previously characterized as uip without new focal opacity to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13165667/s58988416/537a8c01-626b8aef-3b6beb26-22e5df3e-5689be69.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19958641/s51679219/1c615211-0f5d825f-32c6773f-11f27904-b641fd14.jpg	hyperinflated lungs without acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10586522/s59377614/b3896835-b7a9cd93-6249a5b5-de57b1c1-f8a18ccb.jpg	no acute cardiopulmonary process. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17916774/s59230004/d8a49eb1-1983e4f5-faac7058-2161260d-008b8213.jpg	in comparison with the earlier study of this date, there is little change. hazy opacification of the left hemithorax is again consistent with the clinical diagnosis of organizing effusion with underlying atelectatic change. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p12780512/s50989777/ca4fa32a-e2efd1f3-4f830f61-3bc05cb2-356890dc.jpg	compared to chest radiographs since most recently. small bilateral pleural effusions and persistent left lower lobe consolidation are unchanged since. no pneumothorax. left pic line ends in the low svc. heart size normal. intestines in the upper abdomen are moderately distended with gas. no pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p12446471/s52873243/610000e8-ae7bc85e-1085fabc-55fc543b-0ad6cef1.jpg	comparison to. unchanged bilateral mild to moderate pleural effusions. unchanged mild to moderate cardiomegaly and mild to moderate pulmonary edema. retrocardiac and left basilar atelectasis are stable. no new focal parenchymal opacities correct position of the right internal jugular vein catheter.
MIMIC-CXR-JPG/2.0.0/files/p13787816/s55646916/691a2126-68106c17-a90ee119-b5b946e3-5f6136e0.jpg	as compared to previous radiograph of , multifocal areas of consolidation and poorly defined nodules have progressed, consistent with a combination of multifocal pneumonia and septic emboli. stable cardiomegaly accompanied by pulmonary vascular congestion. bilateral small pleural effusions persist, with interval decrease in size on the right.
MIMIC-CXR-JPG/2.0.0/files/p12370975/s58804220/75513aaf-87b2a693-5eb49d80-684d9bdb-b4a497b2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13844820/s59187800/19ee3967-c15ff42d-bc710850-e164a65b-f267aab6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15035876/s53268350/9e839c9c-0015007f-54691b1e-6dde3b90-9b035635.jpg	no signs of pneumonia. known nodules within the lungs poorly visualized and better assessed on same-day chest ct.
MIMIC-CXR-JPG/2.0.0/files/p10580961/s54177976/eaab466a-ca7281dc-a129057e-b52b9adb-c389ae64.jpg	new patchy retrocardiac opacity may reflect a focus of infection. stable findings in the right lung secondary to the known right suprahilar mass.
MIMIC-CXR-JPG/2.0.0/files/p15357098/s54194479/0a61a493-9b34b20e-588cc536-ba3d1341-6219561f.jpg	comparison to. lung volumes remain low. minimal atelectasis at the left lung bases. mild cardiomegaly persists. no pulmonary edema, no pneumonia, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14218612/s58149531/3fe6bfd0-38b52bf7-1821bb5e-9cce5633-bb4ba135.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10055694/s52767042/ae457437-96dfa32a-29042cba-82bd98b8-a0697fb2.jpg	pa and lateral chest compared to through. mild pulmonary edema has improved since and , but the heart is still severely if not chronically enlarged and hilar vessels are also chronically dilated. there is no appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11665654/s50424753/467d3ab9-e5e4b635-6f4d725d-73b87bc2-127396c4.jpg	mild pulmonary edema with basilar atelectasis/ scarring.
MIMIC-CXR-JPG/2.0.0/files/p14473607/s51072596/37e88cf2-a7c48f9d-76cb16b9-de197234-eb4faf3b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16431831/s50071360/e488f5dd-a6e7409b-9aff3194-b35a0981-5ba6dd24.jpg	no new parenchymal opacities to suggest acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14131539/s54025421/b04a1741-67f21262-184ad5d5-137fbb85-0d7a5503.jpg	no acute cardiopulmonary process. nodular opacity projecting over the left anterior third rib.
MIMIC-CXR-JPG/2.0.0/files/p16969063/s55029920/b66b5839-6f488567-35496bbc-b81ce5dc-e94c223d.jpg	appropriately positioned endotracheal and nasogastric tubes. low lung volumes. mild elevation of the right hemidiaphragm and bibasilar opacities, most likely atelectasis have been present for at least several months.
MIMIC-CXR-JPG/2.0.0/files/p18273682/s50828396/7b8cac5d-4729d59d-f8ca2182-d0262c11-d14d49f1.jpg	interval decrease in small left apical pneumothorax with no evidence of tension.
MIMIC-CXR-JPG/2.0.0/files/p15082258/s59211398/bf035b5a-246be9fb-30287eb9-a6cacdfe-00315448.jpg	normal chest radiograph without evidence of pneumonia. results were paged to dr by dr at pm on.
MIMIC-CXR-JPG/2.0.0/files/p16662316/s56350220/1db80be9-0855cf06-7427aa12-f130fd77-b87ea736.jpg	new lingular opacity and heterogeneous parenchymal abnormality are concerning for atypical pneumonia or early heart failure.
MIMIC-CXR-JPG/2.0.0/files/p11364022/s58385341/10ff1e8d-de15c292-da735f51-19942933-dff954d5.jpg	comparison to. stable appearance of the bilateral multifocal parenchymal opacities with air bronchograms no new opacities. stable borderline size of the cardiac silhouette. no pleural effusions.

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comparisons. increase in severity of the pulmonary edema, with increasing opacities at the right lung basis and increasing atelectasis on the left. stable monitoring and support devices. stable low lung volumes with mild cardiomegaly.

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there are unchanged airspace opacities throughout the right lung and involving the left mid and lower lung with relative sparing of the left upper lobe. these findings could reflect an atypical appearance of pulmonary edema but are more concerning for pneumonia. clinical correlation is advised. the right internal jugular dual-lumen catheter and tracheostomy tube are unchanged in position. there has been interval removal of a nasogastric tube. there are likely small layering effusions. no pneumothorax is appreciated. overall cardiac and mediastinal contours are likely unchanged given differences in patient rotation between studies.

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bibasilar atelectasis.

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ap chest compared to through at : previous vascular engorgement has improved and the lungs are more clear with the exception of peribronchial infiltration in the right upper lung just lateral to the hilus. the juxtahilar right upper lung is more abnormal today than it was yesterday and could be a focus of developing pneumonia. careful followup advised. heart size top normal. no pleural abnormality. feeding tube passes into the stomach and out of view. right pic line ends in the mid svc. no pneumothorax.

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no evidence of acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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new mid thoracic vertebral body compression fracture compared to. please see separately dictated thoracic spine radiograph from the same date for more complete assessment.

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possible opacification of the right middle lobe is best appreciated on the lateral view. the suspicion for pneumonia is low but if confirmation is necessary a view of the chest could be performed for further evaluation.

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no evidence for acute disease or injury.

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no significant change compared with the most recent prior film.

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increased bibasilar opacities, compatible with worsening pneumonia with moderate bilateral pleural effusions. new tracheostomy tube appears in appropriate position.

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no evidence of acute cardiopulmonary disease.

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right-sided pic line appears to terminate at the cavoatrial junction, overall similar in position compared to the prior exam. mild pulmonary edema.

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no acute cardiopulmonary process.

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significant decrease in right pleural effusion, possibly some reexpansion edema in the right but significantly decreased edema bilaterally compared to prior study. small-to-moderate left pleural effusion is unchanged.

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no acute cardiopulmonary process.

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in comparison with the study , the cardiac silhouette is slightly more prominent. there is indistinctness of engorged pulmonary vessels, consistent with elevated pulmonary venous pressure.

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the tip of the ng tube lies coiled in the gastric fundus.

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no acute cardiopulmonary process.

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increased mid and lower right lung streaky opacities are more suggestive of a chronic pulmonary process. comparison with any priors since and continued follow-up. mild blunting of the posterior right costophrenic angle, small pleural effusion vs pleural thickening.

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no acute cardiopulmonary process. bilateral pleural plaques are unchanged.

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no evidence of acute disease.

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mild pulmonary edema with low lung volumes. an underlying infection is difficult to exclude.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process.

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no acute cardiopulmonary abnormality.

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left lower lobe atelectasis, tiny effusion. cannot exclude early pneumonia in the left lower lobe.

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posterior left basilar opacity, probably consistent with atelectasis.

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as compared to the previous radiograph, no relevant change is noted. mild cardiomegaly and elongation of the descending aorta. no pleural effusions on the frontal or lateral radiograph. no pneumonia, no pulmonary edema.

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no acute cardiopulmonary process.

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mild to moderate pulmonary edema with mild cardiomegaly and small bilateral pleural effusions. focal opacity in the right upper lobe is likely asymmetric edema, however, followup radiographs after diuresis are recommended to exclude an secondary process such as infection and less likely neoplasm. the findings were discussed by dr with dr telephone on at am, <num> minutes after discovery of the findings.

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the heart remains markedly enlarged. there is a focal collection of air within the pericardium. overall, there is improved aeration at the left base with residual partial lower lobe atelectasis in the setting of an effusion. a small right effusion is also likely. there is resolving atelectasis at the right base as well. no pulmonary edema. no pneumothorax. the pericardial catheter is now visualized on the lateral projection. mild degenerative changes in the visualized thoracolumbar spine.

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cardiomegaly and mild interstitial pulmonary edema, not significantly changed from yesterday's exam.

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small bilateral pleural effusions and bibasilar atelectasis. no definite pneumonia.

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there is no clear change since to suggest infectious pneumonia. the region of slowly evolving radiation pneumonia in the left lung could mask local infection, but probably not. lungs are otherwise clear. healed fracture or local radiation change in left third and fifth ribs should not be mistaken for lung lesions. cardiomediastinal silhouette and pleural surfaces are normal.

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interval resolution in previous pattern of interstitial pulmonary edema. no radiographic evidence for pneumonia.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic abnormality.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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new right middle lobe peripheral opacity may reflect pneumonia though a infarct is also a consideration in the appropriate setting. small left pleural effusion.

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no evidence of pneumonia or congestive heart failure.

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unchanged diffuse opacities concerning for multifocal pneumonia versus eosinophilic pneumonia.

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moderate cardiomegaly and edema.

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comparison to. the left lung shows several calcified granulomas. borderline size of the cardiac silhouette. no pulmonary edema, no pneumonia, no pleural effusions. no evidence of active tb.

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allowing for differences in technique and projection, there has not been a substantial change in the appearance of the chest since recent study of.

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no acute cardiopulmonary abnormality.

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pa and lateral chest reviewed in the absence of prior chest imaging: normal heart, lungs, hila, mediastinum and pleural surfaces.

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no acute cardiopulmonary process.

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no evidence of residual pneumonia. severe compression fracture of a lower thoracic vertebral body, age indeterminate.

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small bilateral pleural effusions with bibasilar atelectasis.

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interval increase in pulmonary edema, now moderate. persistent moderate right pleural effusion.

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no acute cardiopulmonary abnormality.

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ap chest compared to : right lung is clear. left lower lobe atelectasis is improving. small bilateral pleural effusions are stable. cardiomediastinal silhouette has a normal post-operative appearance. air in the pericardium and mediastinum seen on the lateral view at level of the xiphoid is not an uncommon post-operative finding this early. right internal jugular line ends in the mid svc.

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ett tip in satisfactory position. persistent low lung volumes

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subsegmental atelectasis of the bilateral lung bases and left mid lung. no consolidation or overt pulmonary edema. this preliminary report was reviewed with dr , radiologist.

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no acute cardiopulmonary process.

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resolution of bilateral pleural effusions since.

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ap chest compared to : widespread severe pulmonary opacification has worsened progressively since. most of the difference is due to progressive edema, although pneumonia may well be present concurrently. the appearance of the chest on is consistent with some interstitial pulmonary abnormality, but not fibrosis. et tube tip is no less than <num> cm from the carina, could be advanced <num> cm if more secured seating is advisable. upper enteric drainage tube passes into a mildly distended stomach and out of view.

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no evidence of sternal wire displacement, rotation, or disruption. mid sternal lucency above the first sternal wire is a nonspecific finding that can occasionally be seen normally in the postoperative period. if clinical suspicion for dehiscence persists, consider ct for further evaluation, as it is more sensitive than chest radiographs for detecting this complication.

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streaky bibasilar opacities likely reflect atelectasis. infection, however, is difficult to exclude.

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right middle lobe consolidation worrisome for pneumonia.

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the heart remains enlarged. mediastinal contours are unremarkable. the aorta is unfolded and tortuous. lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pleural effusions or pneumothorax. no evidence of pulmonary edema. mild eventration of the right hemidiaphragm.

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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the right central catheter tip again extends to the level of the mid svc. there has been placement of a left ij catheter with its tip it the same level and no evidence of pneumothorax. there is an apparent artifact projected over the region of the left costophrenic angle.

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heart size and mediastinum are stable. there is new left basal consolidation and left mid lung consolidation, concerning for infectious process. right lung is clear. there is potentially small amount of left pleural effusion.

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no significant interval change.

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comparison to. decrease in severity of the pre-existing pulmonary edema. unchanged minimal right pleural effusion with subsequent atelectasis at the right lung basis. these area should receive attention on followup radiographs, because of the history of recurrent aspiration pneumonias. mild cardiomegaly. no pneumothorax.

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in comparison with the study of , there is little interval change. again there is substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure in bilateral layering effusions with compressive basilar atelectasis. given all these findings, it would be extremely difficult to exclude the possibility of superimposed pneumonia, especially in the absence of a lateral view.

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advancement of a dobhoff tube into the right mainstem bronchus. subsequent radiographs available at the time of this review demonstrate eventual successful advancement of a dobhoff tube into the mid stomach.

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moderately severe infiltrative pulmonary abnormality has worsened once again since , probably edema. moderate cardiomegaly is chronic. there is no pneumothorax. left pleural effusion is small. et tube is in standard placement. nasogastric tube passes below the diaphragm and out of view. right jugular line and right pic line ends at the origin of the svc. transvenous right ventricular pacer defibrillator lead is continuous from the left pectoral generator.

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in comparison with the study of , there is little change. cardiac silhouette remains at the upper limits of normal or mildly enlarged without vascular congestion. there are bilateral pleural effusions, much more prominent on the left. no acute focal pneumonia.

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increased opacification in the right lung, probably for progression of the atelectasis. minimal linear atelectasis in left base

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compared to chest radiographs, most recently through. new endotracheal tube is less than a cm from the carina. subsequent radiographs available time of this review shows standard repositioning. mild cardiomegaly and pulmonary vascular congestion have resolved. small left pleural effusion remains. no pneumothorax. nasogastric drainage tube ends in the upper stomach.

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right middle and lower lung opacity concerning for pneumonia/aspiration. mild chf.

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no acute cardiopulmonary process.

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as compared to radiograph, previously reported bibasilar opacities have nearly resolved with faint residual right lower lobe opacity remaining.

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similar appearance of fibrosing chronic interstitial lung disease previously characterized as uip without new focal opacity to suggest pneumonia.

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no acute cardiopulmonary process.

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hyperinflated lungs without acute intrathoracic process.

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no acute cardiopulmonary process. no evidence of pneumonia.

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in comparison with the earlier study of this date, there is little change. hazy opacification of the left hemithorax is again consistent with the clinical diagnosis of organizing effusion with underlying atelectatic change. otherwise little change.

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compared to chest radiographs since most recently. small bilateral pleural effusions and persistent left lower lobe consolidation are unchanged since. no pneumothorax. left pic line ends in the low svc. heart size normal. intestines in the upper abdomen are moderately distended with gas. no pneumoperitoneum.

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comparison to. unchanged bilateral mild to moderate pleural effusions. unchanged mild to moderate cardiomegaly and mild to moderate pulmonary edema. retrocardiac and left basilar atelectasis are stable. no new focal parenchymal opacities correct position of the right internal jugular vein catheter.

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as compared to previous radiograph of , multifocal areas of consolidation and poorly defined nodules have progressed, consistent with a combination of multifocal pneumonia and septic emboli. stable cardiomegaly accompanied by pulmonary vascular congestion. bilateral small pleural effusions persist, with interval decrease in size on the right.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no signs of pneumonia. known nodules within the lungs poorly visualized and better assessed on same-day chest ct.

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new patchy retrocardiac opacity may reflect a focus of infection. stable findings in the right lung secondary to the known right suprahilar mass.

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comparison to. lung volumes remain low. minimal atelectasis at the left lung bases. mild cardiomegaly persists. no pulmonary edema, no pneumonia, no pleural effusions.

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no acute cardiopulmonary process.

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pa and lateral chest compared to through. mild pulmonary edema has improved since and , but the heart is still severely if not chronically enlarged and hilar vessels are also chronically dilated. there is no appreciable pleural effusion.

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mild pulmonary edema with basilar atelectasis/ scarring.

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no acute intrathoracic process.

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no new parenchymal opacities to suggest acute pneumonia.

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no acute cardiopulmonary process. nodular opacity projecting over the left anterior third rib.

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appropriately positioned endotracheal and nasogastric tubes. low lung volumes. mild elevation of the right hemidiaphragm and bibasilar opacities, most likely atelectasis have been present for at least several months.

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interval decrease in small left apical pneumothorax with no evidence of tension.

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normal chest radiograph without evidence of pneumonia. results were paged to dr by dr at pm on.

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new lingular opacity and heterogeneous parenchymal abnormality are concerning for atypical pneumonia or early heart failure.

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comparison to. stable appearance of the bilateral multifocal parenchymal opacities with air bronchograms no new opacities. stable borderline size of the cardiac silhouette. no pleural effusions.