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/p14231575/s58502876/38e7e9c3-6cb74564-44140a1f-0dc5d6c3-3d77f388.jpg	low lung volumes and mild basilar atelectasis. blunting of the posterior left costophrenic angle may be due to a trace pleural effusion. previously noted subtle right apical opacity is less conspicuous than on the prior study. apical lordotic view may be helpful in further assessing this location.
MIMIC-CXR-JPG/2.0.0/files/p13645282/s54218235/2e3d66a7-22ed785a-cc09d8c5-6ec741dd-8af0ba7a.jpg	there is increased mild pulmonary vessel congestion and pulmonary edema compared to. moderate bilateral pleural effusions. et tube terminates <num> cm above the carina. consider retracting by <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p13187981/s52279143/ac1a24d0-eb3bba1d-a167efbe-5c6753e9-d53432f1.jpg	new patchy opacity at the right base likely represents atelectasis, though an early pneumonic infiltrate cannot be entirely excluded. background copd and cardiomegaly are unchanged. no chf. multiple thoracic compression fractures, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19793438/s57839064/1e84d787-1d3ff9ab-a920f9f0-0523295a-6ad9b746.jpg	normal chest radiograph without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12358216/s59072122/4607abf0-5f1309f1-b11e6ac0-76f08964-15edb7e7.jpg	rapid development of extensive right-sided pleural effusion. the amount of effusion makes thoracocentesis indicated. telephone call was placed at to fa<num>, telephone #. dr was reached by telephone and the case was discussed. is likely to be performed with short notice.
MIMIC-CXR-JPG/2.0.0/files/p18011616/s50630819/cb4d0dee-754e13a0-4c3d17f7-8831df3e-24b300b5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14730883/s53616400/dcfe0326-ab0da55a-328d8352-95e8dfb4-e02a0008.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10714009/s55446352/f6701487-c0951e0b-c50e2a64-ae21037d-44ab1414.jpg	possible right perihilar mid lung zone opacity. repeat cxr is recommended. dw dr at am by dr the phone.
MIMIC-CXR-JPG/2.0.0/files/p17864455/s55098203/835fdf03-53267734-f2af4ace-1748ce81-52945906.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10116765/s51169003/adcbacc8-d729da8c-b2aae1b4-396b83d9-26261138.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10623425/s58183143/1883e467-9a2d9579-3909051e-18de0193-46dd5f72.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17087118/s53458585/2854b3b6-89e1b509-bcad1ac9-ba523b4f-62f5344f.jpg	trace right pleural effusion as well as bibasilar opacities, likely reflective of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16715999/s55765244/39a6eee5-81110cb1-fa4276cb-acf844f9-3d5806ed.jpg	no radiographic evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14139133/s55567303/f76a35c6-e8439da5-9302bc29-c20b7bc5-8717628f.jpg	no findings suspicious for metastases. clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p11610057/s54499670/453b7a80-83725892-d0215bcd-166cf73f-cf2fa6cc.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17062380/s51101498/2c797fa1-e38f0d2f-d7560d66-7cc01772-093b2a07.jpg	no acute cardiopulmonary process. no focal infiltrate to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17066802/s56021701/c0b15405-d57e5d4c-ff1db604-96f0566c-efea2cc8.jpg	satisfactory position of the dobbhoff tube in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p14469255/s56595480/165ca60c-cddb8668-885eafff-adb40910-4febdd78.jpg	elevation of the right hemidiaphragm with either collapse or abscence of the right middle and lower lobes. obliteration of the right main stem bronchus due to mucous impaction or a mass. large right spleural effusion. small left pneumonia or a mass. findings discussed with by via telelphone on at am.
MIMIC-CXR-JPG/2.0.0/files/p12056181/s50553892/1af15fb0-c81df177-b339d91b-b6d2d0c5-5612093a.jpg	cardiomegaly is stable. widening mediastinum has improved. vascular congestion has resolved. retrocardiac atelectasis have improved. right upper lobe atelectasis is new. right middle lobe opacities likely atelectasis have increased. if any there are small bilateral effusions. sternal wires are aligned. right ij catheter tip is in the upper right atrium, unchanged. chest tubes are in place.
MIMIC-CXR-JPG/2.0.0/files/p18711427/s53133455/5b327760-146a7b73-a3f2e384-94da34fb-c156e115.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13007787/s53995910/c9c92888-4d740efd-70b49ae7-cec8c21f-716e6307.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14124344/s52667229/2c5afc2b-c8777b85-e754f01c-0fdbe324-dbc57c61.jpg	in comparison with the study of , the endotracheal tube remains about <num> cm above the carina, but now it is pointed downwards rather than against the tracheal wall. the right chest tube has been removed and there is no evidence of pneumothorax. right ij catheter extends to the lower svc. right subclavian catheter is in the mid portion of the svc. patchy opacification persists at the right base. the left lung remains essentially clear.
MIMIC-CXR-JPG/2.0.0/files/p13060251/s57632297/bf2ac6b2-246043ba-a7a0d11d-aa231c15-c3b99993.jpg	comparison to. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pulmonary edema, no pleural effusions, no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18708705/s51207603/c47656f1-39d6c67f-817e547d-a276dba6-7c9d53d5.jpg	in comparison with the study of , the patient has taken a better inspiration and the monitoring and support devices have been removed. there is no evidence of acute pneumonia
MIMIC-CXR-JPG/2.0.0/files/p19655369/s55812898/582889a6-4c52d4d5-82407341-b3bd1713-beb265cf.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18885785/s54759880/ce9ddbb2-9e1007a2-1cef964f-c6fc1d10-66e904a2.jpg	a well-circumscribed opacity projecting over right lower lobe, which is new since prior exams. further assessment with dedicated chest ct exam is recommended.
MIMIC-CXR-JPG/2.0.0/files/p14982705/s52971119/1b08d524-a7863474-d6c7e4b3-4e348174-f3081926.jpg	cardiomegaly with mild pulmonary vascular engorgement.
MIMIC-CXR-JPG/2.0.0/files/p17748063/s52713425/f666fbf8-a31872a9-b96d14e8-6e14d571-d41c285a.jpg	increased opacity at the left lung base, potentially atelectasis. repeat suggested to ensure resolution and if it persists, ct scan should be performed.
MIMIC-CXR-JPG/2.0.0/files/p11313440/s57265174/6e29b57e-316b3a90-86cd7414-b6df266b-4570b2b4.jpg	ap chest in the absence of recent prior chest radiographs, read in conjunction with the torso ct of. cardiac silhouette is moderately enlarged. right lower lung is grossly clear. left lower lung partially obscured by the cardiac silhouette is not consolidated. large branching opacities in the upper lungs, particularly the left could be a combination of mucoid impaction and large vessels. the contour of the upper mediastinum was widened by extensive mediastinal fat in , but nevertheless raises concern for extensive adenopathy. i don't think more definitive diagnosis is possible from conventional radiographs and _chest ct be repeated. et tube in standard position. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12703255/s58000225/74af2be7-b08274aa-0875c7e3-b7f26d22-2292e788.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17449822/s59893000/cf9950ee-cca36532-519dd005-32860653-0ce0c861.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18384745/s54758203/8777bfcc-80a39020-bc90764d-54ba5c81-7a8a956d.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p17971371/s54031597/8bc2a573-2e7ab035-519adcf9-ce51a820-7be9c2e7.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19397036/s54721206/8e25c3e5-effff54b-e149f99d-4cf43064-4ede8551.jpg	orogastric tube with tip likely within the stomach.
MIMIC-CXR-JPG/2.0.0/files/p15746568/s53950591/b2024673-593db564-57c5cef4-15520073-02c5f861.jpg	marked cardiomegaly with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19297337/s58720216/b0d8984e-e74be6a0-685e5c46-30e0e101-e2f4c93a.jpg	stable moderate to large right apical pneumothorax with unchanged extensive subcutaneous gas due to persitent air leak. bronchopleural fistula??? and/or chest tube malfunction???. chest tube holes are contained within pneumothorax but tip terminates within the soft tissues of the thoracic inlet. right lower lobe opacification, likely due to aspiration
MIMIC-CXR-JPG/2.0.0/files/p17914988/s58763201/19817bdc-f5401bb1-f5c4130c-a4d56aa7-92e31596.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14861926/s54515886/6f070bf7-f0a8f77b-5b50bec8-b2c1e615-4af0d044.jpg	left lower lobe pneumonia. a followup imaging for resolution should be obtained in five to six weeks. increased reticular lung markings and scarring, particularly in the right lung apex and base for which followup imaging should be obtained. results were discussed over the telephone with dr by dr at on at time of initial review.
MIMIC-CXR-JPG/2.0.0/files/p17459404/s59440723/c312938e-850b0883-dc6c6e75-9517358a-79ee759f.jpg	left chest tube placement with decreased left hydropneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18797768/s53560842/05be4d17-fcce1127-245e742d-5ba0171d-442b091c.jpg	dobbhoff tube is still in a relatively high position with the tip just beyond the gastroesophageal junction and could be advanced for more optimal placement.
MIMIC-CXR-JPG/2.0.0/files/p17195014/s59284762/d9ec04aa-7d38b749-b680ca11-33c9f49c-aeec36bd.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13190496/s54258147/7a5dd419-fd0e4e0a-35dc53ca-f42c1265-13bfc3c7.jpg	compared to chest radiographs through. lung volumes remain very low exaggerating moderate cardiomegaly. pulmonary vasculature is still engorged and small left pleural effusion has not resolved. left pic line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p12404964/s56663010/40f9c2df-36fb1229-dd7e278d-cd26dfb1-1347f7ab.jpg	bilateral, small-to-moderate pleural effusions, slightly decreased from prior, with adjacent compressive atelectasis. pneumonia is not excluded in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14621370/s56698075/28f51107-902b9bd0-d8ce3227-213a4070-b2cb62f2.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16207995/s58385826/028478ef-91fb2e3d-13e79600-e441464a-6aaa7469.jpg	pa and lateral chest reviewed in the absence of prior chest radiographs: left hemidiaphragm is markedly elevated. there could be severe splenomegaly or other mass effect in the left upper abdominal quadrant. both pulmonary hila are mildly enlarged. the contour in the right suggests mild enlargement of the pulmonary artery. on the left, there could be adenopathy as well, but there is no extensive mediastinal adenopathy. heart size is normal. there is no pleural effusion. slight indentation in the cervical trachea could be due to a nodule in the left lobe of the thyroid gland. clinical correlation advised.
MIMIC-CXR-JPG/2.0.0/files/p18717547/s51653129/5aec48c2-ef43fd5c-b6bc9268-d95fc285-7440ff64.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p13764208/s52236870/e6e88019-945bdc83-540b8790-6df8dde8-cca26b9e.jpg	mild decrease in still large right pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p10199765/s51438218/121773ed-56eae249-ca58c72b-26c66aae-88b837e5.jpg	subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19123301/s52682108/4ea71936-a8bb62f0-36f31776-56c34593-7d0303c5.jpg	new endotracheal tube with tip in the mid thoracic trachea. new enteric tube. otherwise, stable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10405646/s53855494/62cd7896-c60d9261-1a9f6a2e-78c8dcf2-f893ea58.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11620222/s56105924/66b2cb22-0d11762c-ca99065e-4c043831-fd7785c0.jpg	bilateral lower lobe infiltrates.
MIMIC-CXR-JPG/2.0.0/files/p10304297/s59324269/b4d3344a-7b2530f6-53b45c98-6cceaf22-a494396e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15560637/s58907380/2dc7966d-48c57c99-715066b8-ef30f886-e322a186.jpg	no acute cardiopulmonary process. rounded dense nodular structure projecting over the right lung base, potentially within the lung or alternatively a bone island within the right rib. shallow obliques suggested further characterize.
MIMIC-CXR-JPG/2.0.0/files/p14028443/s58535648/4fd565e7-dc7631a2-260566fe-4f098116-4d046c44.jpg	since the prior study there has been no substantial change is in large subcutaneous air collection. lucent right lung is unchanged in appearance. there is most likely present at least some degree of right pneumothorax. pigtail catheter is in place. right basal opacity has slightly improved. see severe bullous disease in the apices precludes pre size assessment of the extent of pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p16997202/s50430912/ed4e299a-4952772f-0443963e-9e53444f-1195f85b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19375617/s51425045/d1a0a4a2-f7f46766-d8d72ba2-fd9da682-b658d562.jpg	as compared to the previous radiograph, free intra-abdominal air has decreased. the pre-existing small bilateral pleural effusions have slightly increased in extent. the areas of atelectasis at the lung bases have also increased. after intubation, the tip of the endotracheal tube is now projecting <num> cm above the carinal. the monitoring and support devices, including the right picc line, the right internal jugular vein catheter and the feeding tube are in constant position. mild fluid overload but no overt pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11922120/s50140173/0c3c6df3-d79bb848-0bed5c23-e1b1f71b-6183fd2e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14072392/s57649782/e1fdcf51-fe56fffb-249b06ae-bb69fb06-1a0fa98e.jpg	cardiomegaly is substantial. aorta is tortuous. lungs are slightly hyperinflated but overall clear with small amount of bilateral pleural effusion. mild compression fracture is demonstrated at the thoracic vertebral bodies superiorly, minimal no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13607095/s51469124/e50adbf7-4d54a724-de527ba6-e6268e42-ae36627b.jpg	comparison to. minimal decrease in extent of the pre-existing right pleural effusion. the left pleural effusion has also decreased. subsequent decrease of the resulting areas of basal atelectasis. no pneumothorax. moderate cardiomegaly persists.
MIMIC-CXR-JPG/2.0.0/files/p11019317/s51059318/8805add6-8e3e3a86-cffc41e3-a2a39a38-e8c1b60f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10024982/s50732596/36ecce84-35051904-9e43ecae-03496b60-7fe13d14.jpg	study is limited due to overlying radiographic bucky board artifact. support lines and tubes are unchanged in position. heart size is prominent. there is a persistent left retrocardiac capacity and left-sided pleural effusion which is stable. atelectasis at the lung bases is again seen. there is mild pulmonary vascular congestion. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p10043423/s50303127/48b52fd2-c1640b6e-a2ac1489-97d09f5f-aa67b19d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15675685/s57668215/e00d3e42-b3b56ec1-6b0f2589-208fc991-28c842fc.jpg	no acute cardiopulmonary process. no pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p16573207/s56528395/e01b1d0d-39f7c91d-8d0f80ed-2da56f52-f5440daa.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17100571/s50000854/39087390-9be0f531-bb438f01-ffc75aff-3fda8cfa.jpg	improved aeration left lower lung.
MIMIC-CXR-JPG/2.0.0/files/p18172776/s55750551/98227844-d7c5cc22-6cf66cc7-74f30541-e936a609.jpg	no definite evidence of acute cardiopulmonary process such as pneumonia. stable prominent cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p19303189/s54896403/f8cbcc80-c2064307-205a7aee-c3654952-da45bc4b.jpg	the lungs are clear without infiltrate or effusion. some old small granulomas are again visualized, not changed compared to prior. the cardiac and mediastinal silhouettes are normal.
MIMIC-CXR-JPG/2.0.0/files/p19836795/s57673722/370566c0-16a8c278-77578cd1-480a5c43-6df8d070.jpg	interval increase in right pleural effusion. no other significant change.
MIMIC-CXR-JPG/2.0.0/files/p19923690/s57900539/99cee6c2-0967d1e5-39dd3ad3-1dbb8bb4-1774e25f.jpg	cardiomegaly with hilar congestion, small bilateral effusions and probable pneumonia in the right mid to lower lung.
MIMIC-CXR-JPG/2.0.0/files/p11017053/s51540738/3357d540-54b1762c-f901982f-97cda8a2-38bd8c6c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17215463/s56454626/47a8b216-6bf914a6-1d574c53-7eebb81e-92581df6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14591912/s58293572/29120b4e-3037f8b5-2365bea2-3288946a-9ccdc97c.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. the hazy opacification at the right base has decreased, but is still consistent with pleural fluid and underlying compressive atelectasis. is unclear whether the a apparent improvement could merely represent a more upright position of the patient. at the left base, the hemidiaphragm is again obscured consistent with substantial volume loss in the left lower lobe and probable small pleural effusion. indistinctness of pulmonary vessels, is consistent with elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p18777408/s57232147/e5aa0cf7-ff91da06-f55c9d51-8a58860b-30648a31.jpg	normal chest. no evidence of displaced rib fracture. however, if the patient's symptoms persist, a dedicated rib series could be performed.
MIMIC-CXR-JPG/2.0.0/files/p10286521/s53179325/ff2a9e92-df5ff794-3ef2ae14-f93187b2-d2f1af52.jpg	no significant interval change when compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p15309865/s54727025/9d4f7d6e-bec551e5-63b318c5-379fc363-0b804b52.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13510413/s51224424/609f3ae8-54fefe12-24d77242-5349b32b-024765fb.jpg	stable chest findings, no evidence of cardiac enlargement, pulmonary congestion or acute infiltrates in this -year-old male patient with history of cough.
MIMIC-CXR-JPG/2.0.0/files/p14875942/s58014112/c1bd8a15-9d4953f8-fe682415-942134b8-9170d7e5.jpg	cardiomegaly, mild central congestion.
MIMIC-CXR-JPG/2.0.0/files/p10192644/s56908980/0c5acdf7-da7d8615-b018a7df-7379a2d4-461fa172.jpg	marked cardiomegaly, evidence of bilateral small amounts of pleural effusion, but no evidence of new acute infiltrates. left-sided diaphragmatic elevation as before.
MIMIC-CXR-JPG/2.0.0/files/p18387698/s53764605/910f27eb-eb43f981-4d25119e-2e724f96-bb099c35.jpg	previous large right pleural effusion is substantially smaller, with right basal pigtail pleural drainage catheter unchanged in configuration since. left pleural effusion is small. upper lungs are clear. right middle and lower lobe still substantially atelectatic. heart mildly enlarged but unchanged. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14559731/s59656845/1738dd7b-2f075cf9-dc6aa587-2729296f-78eae223.jpg	subtle <num> cm in nodular opacity projecting over the right mid lung, possibly representing a pulmonary nodule/lesion for which further evaluation with chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p18777781/s58845531/62e58785-340bfa7b-d0f6de5b-fab28bb8-835aa806.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16760826/s58927322/fff7a9f2-9f0ee610-8a9e4f4f-ee7d9bad-a8eca5a5.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19939141/s54332787/fe436f04-e4b8b1ef-ca894da1-3ead3299-fb00d2d7.jpg	a tracheostomy tube terminates approximately <num> cm above the level of the carina.
MIMIC-CXR-JPG/2.0.0/files/p19351635/s59801360/cb4e1c2e-703ad77c-6f04096d-7409e3e5-d37f18ac.jpg	left chest tube is in place. left mediastinal shift is stable. there is small to moderate left apical pneumothorax, decreased since the prior study. no interval increase in pleural effusion demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p13898881/s52829387/2fc13d6e-c3740e2c-01c87a42-b25284ce-eaddd6e9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11432923/s54748285/d1681207-5bae0595-83319bde-b2d63c21-3c53229a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15027406/s54199653/13a76c30-aaa25837-09b63f91-0cb90e67-ac484762.jpg	there are diffuse interstitial opacities seen within both lungs, consistent with moderate pulmonary edema. increased consolidation behind the left heart may reflect atelectasis but repeat imaging after diuresis is recommended. there is no definite pleural effusion. there is no pneumothorax. the heart is mildly enlarged. prominence of the right hilus may reflect underlying lymphadenopathy but this is impossible to discern given the extensive edema. endotracheal tube is <num> cm above the carina with the neck in neutral position. this could be withdrawn by <num> cm to prevent intermittent right mainstem intubation with neck flexion. an enteric tube courses along the esophagus and enters the stomach, heading superiorly, presumably within a hiatal hernia. a right ventricular lead, from a left side dual lead pacer, takes an unusual course but is likely within the coronary sinus. dense calcfications project over the left heart and are thought to reflect a combination of both aortic and aortic valve calcifications, raising concern for aortic stenosis. splenic calcifications are present.
MIMIC-CXR-JPG/2.0.0/files/p19040437/s52561566/b7c2e4a8-3db05295-feab3e05-81dde39e-a7e315e3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17797856/s57740365/eacb7efe-e31615c9-63b65a5a-6b0b363a-faf6c8ff.jpg	no acute cardiopulmonary abnormality. emphysema. enlargement of the main pulmonary artery suggestive of underlying pulmonary arterial hypertension, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17219481/s54600172/7fbb1073-1aeb68ad-7d1812d5-8ded6893-b829489b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16907124/s51801611/4faf66ce-55ab0af0-ba0ed30b-55cd1291-20e23486.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13267453/s50959954/3a724396-718e132e-b998b27a-ef4e3c43-e7534544.jpg	low lung volumes, limiting evaluation of the mid and lower lungs.
MIMIC-CXR-JPG/2.0.0/files/p11637705/s52533025/ea213d7d-808b43e1-9a335689-a44a2a9d-d52c8d27.jpg	pulmonary interstitial edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17729171/s59431770/320c7205-0f216485-a5f735f8-5f07c393-50bf4fe3.jpg	ill-defined opacities in the lung apices are unchanged over one month however incompletely assessed. non-emergent evaluation by ct may be considered. no new focal parenchymal opacity.
MIMIC-CXR-JPG/2.0.0/files/p14879815/s50624549/84288534-eac04c1f-3f61fd33-ba163245-243f2458.jpg	the apparent radiographic improvement is due in part to some clearing of pulmonary edema, particularly in the upper lungs, but it is also due to gravitational redistribution of moderate pleural effusions from the semi supine to the more erect position. heart is moderately enlarged. there is no pneumothorax. et tube and nasogastric tube are in standard placements, and right internal jugular line ends in the upper right atrium
MIMIC-CXR-JPG/2.0.0/files/p14007681/s50713085/105aa9e8-b1df9182-9f42c16f-8443fdf3-c6bbce85.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12130032/s52161805/581bb685-615f54cb-64eeb2c4-0fe64108-551dc54f.jpg	no features of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16649269/s53415605/44d9c4b3-552b184e-7a85f6c9-5ea58b1f-7a8844f9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16572181/s53091812/48934351-a4a8ced2-a3bcb1bd-2ec3943c-5cb3e188.jpg	right lower lobe consolidation compatible with pneumonia in the appropriate clinical setting. repeat after treatment is recommended to document resolution. lower thoracic and upper lumbar mild compression deformities which are age indeterminant. clinical correlation is suggested.
MIMIC-CXR-JPG/2.0.0/files/p13299285/s53093762/bfc76a63-5e5836ef-b0805cf9-18e2434e-abde4d2f.jpg	endotracheal tube is in good position.

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low lung volumes and mild basilar atelectasis. blunting of the posterior left costophrenic angle may be due to a trace pleural effusion. previously noted subtle right apical opacity is less conspicuous than on the prior study. apical lordotic view may be helpful in further assessing this location.

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there is increased mild pulmonary vessel congestion and pulmonary edema compared to. moderate bilateral pleural effusions. et tube terminates <num> cm above the carina. consider retracting by <num> cm.

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new patchy opacity at the right base likely represents atelectasis, though an early pneumonic infiltrate cannot be entirely excluded. background copd and cardiomegaly are unchanged. no chf. multiple thoracic compression fractures, unchanged.

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normal chest radiograph without evidence of pneumonia.

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rapid development of extensive right-sided pleural effusion. the amount of effusion makes thoracocentesis indicated. telephone call was placed at to fa<num>, telephone #. dr was reached by telephone and the case was discussed. is likely to be performed with short notice.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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possible right perihilar mid lung zone opacity. repeat cxr is recommended. dw dr at am by dr the phone.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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trace right pleural effusion as well as bibasilar opacities, likely reflective of atelectasis.

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no radiographic evidence of acute cardiopulmonary disease.

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no findings suspicious for metastases. clear lungs.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process. no focal infiltrate to suggest pneumonia.

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satisfactory position of the dobbhoff tube in the stomach.

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elevation of the right hemidiaphragm with either collapse or abscence of the right middle and lower lobes. obliteration of the right main stem bronchus due to mucous impaction or a mass. large right spleural effusion. small left pneumonia or a mass. findings discussed with by via telelphone on at am.

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cardiomegaly is stable. widening mediastinum has improved. vascular congestion has resolved. retrocardiac atelectasis have improved. right upper lobe atelectasis is new. right middle lobe opacities likely atelectasis have increased. if any there are small bilateral effusions. sternal wires are aligned. right ij catheter tip is in the upper right atrium, unchanged. chest tubes are in place.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the study of , the endotracheal tube remains about <num> cm above the carina, but now it is pointed downwards rather than against the tracheal wall. the right chest tube has been removed and there is no evidence of pneumothorax. right ij catheter extends to the lower svc. right subclavian catheter is in the mid portion of the svc. patchy opacification persists at the right base. the left lung remains essentially clear.

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comparison to. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pulmonary edema, no pleural effusions, no pneumonia.

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in comparison with the study of , the patient has taken a better inspiration and the monitoring and support devices have been removed. there is no evidence of acute pneumonia

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no pneumonia.

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a well-circumscribed opacity projecting over right lower lobe, which is new since prior exams. further assessment with dedicated chest ct exam is recommended.

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cardiomegaly with mild pulmonary vascular engorgement.

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increased opacity at the left lung base, potentially atelectasis. repeat suggested to ensure resolution and if it persists, ct scan should be performed.

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ap chest in the absence of recent prior chest radiographs, read in conjunction with the torso ct of. cardiac silhouette is moderately enlarged. right lower lung is grossly clear. left lower lung partially obscured by the cardiac silhouette is not consolidated. large branching opacities in the upper lungs, particularly the left could be a combination of mucoid impaction and large vessels. the contour of the upper mediastinum was widened by extensive mediastinal fat in , but nevertheless raises concern for extensive adenopathy. i don't think more definitive diagnosis is possible from conventional radiographs and _chest ct be repeated. et tube in standard position. no pneumothorax or pleural effusion.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no evidence of acute disease.

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no acute cardiopulmonary abnormality.

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orogastric tube with tip likely within the stomach.

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marked cardiomegaly with mild pulmonary edema.

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stable moderate to large right apical pneumothorax with unchanged extensive subcutaneous gas due to persitent air leak. bronchopleural fistula??? and/or chest tube malfunction???. chest tube holes are contained within pneumothorax but tip terminates within the soft tissues of the thoracic inlet. right lower lobe opacification, likely due to aspiration

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no evidence of acute cardiopulmonary process.

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left lower lobe pneumonia. a followup imaging for resolution should be obtained in five to six weeks. increased reticular lung markings and scarring, particularly in the right lung apex and base for which followup imaging should be obtained. results were discussed over the telephone with dr by dr at on at time of initial review.

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left chest tube placement with decreased left hydropneumothorax.

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dobbhoff tube is still in a relatively high position with the tip just beyond the gastroesophageal junction and could be advanced for more optimal placement.

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normal chest radiograph.

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compared to chest radiographs through. lung volumes remain very low exaggerating moderate cardiomegaly. pulmonary vasculature is still engorged and small left pleural effusion has not resolved. left pic line ends in the low svc.

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bilateral, small-to-moderate pleural effusions, slightly decreased from prior, with adjacent compressive atelectasis. pneumonia is not excluded in the appropriate clinical setting.

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normal chest radiograph.

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pa and lateral chest reviewed in the absence of prior chest radiographs: left hemidiaphragm is markedly elevated. there could be severe splenomegaly or other mass effect in the left upper abdominal quadrant. both pulmonary hila are mildly enlarged. the contour in the right suggests mild enlargement of the pulmonary artery. on the left, there could be adenopathy as well, but there is no extensive mediastinal adenopathy. heart size is normal. there is no pleural effusion. slight indentation in the cervical trachea could be due to a nodule in the left lobe of the thyroid gland. clinical correlation advised.

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no evidence of acute cardiopulmonary disease.

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mild decrease in still large right pleural effusion

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subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation.

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new endotracheal tube with tip in the mid thoracic trachea. new enteric tube. otherwise, stable chest radiograph.

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no evidence of acute cardiopulmonary process.

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bilateral lower lobe infiltrates.

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no acute intrathoracic process.

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no acute cardiopulmonary process. rounded dense nodular structure projecting over the right lung base, potentially within the lung or alternatively a bone island within the right rib. shallow obliques suggested further characterize.

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since the prior study there has been no substantial change is in large subcutaneous air collection. lucent right lung is unchanged in appearance. there is most likely present at least some degree of right pneumothorax. pigtail catheter is in place. right basal opacity has slightly improved. see severe bullous disease in the apices precludes pre size assessment of the extent of pneumothorax

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no acute cardiopulmonary process.

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as compared to the previous radiograph, free intra-abdominal air has decreased. the pre-existing small bilateral pleural effusions have slightly increased in extent. the areas of atelectasis at the lung bases have also increased. after intubation, the tip of the endotracheal tube is now projecting <num> cm above the carinal. the monitoring and support devices, including the right picc line, the right internal jugular vein catheter and the feeding tube are in constant position. mild fluid overload but no overt pulmonary edema. no pneumothorax.

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no acute cardiopulmonary process.

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cardiomegaly is substantial. aorta is tortuous. lungs are slightly hyperinflated but overall clear with small amount of bilateral pleural effusion. mild compression fracture is demonstrated at the thoracic vertebral bodies superiorly, minimal no pulmonary edema.

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comparison to. minimal decrease in extent of the pre-existing right pleural effusion. the left pleural effusion has also decreased. subsequent decrease of the resulting areas of basal atelectasis. no pneumothorax. moderate cardiomegaly persists.

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no acute cardiopulmonary process.

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study is limited due to overlying radiographic bucky board artifact. support lines and tubes are unchanged in position. heart size is prominent. there is a persistent left retrocardiac capacity and left-sided pleural effusion which is stable. atelectasis at the lung bases is again seen. there is mild pulmonary vascular congestion. there are no pneumothoraces.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. no pneumomediastinum.

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no evidence of pneumonia.

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improved aeration left lower lung.

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no definite evidence of acute cardiopulmonary process such as pneumonia. stable prominent cardiac silhouette.

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the lungs are clear without infiltrate or effusion. some old small granulomas are again visualized, not changed compared to prior. the cardiac and mediastinal silhouettes are normal.

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interval increase in right pleural effusion. no other significant change.

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cardiomegaly with hilar congestion, small bilateral effusions and probable pneumonia in the right mid to lower lung.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. the hazy opacification at the right base has decreased, but is still consistent with pleural fluid and underlying compressive atelectasis. is unclear whether the a apparent improvement could merely represent a more upright position of the patient. at the left base, the hemidiaphragm is again obscured consistent with substantial volume loss in the left lower lobe and probable small pleural effusion. indistinctness of pulmonary vessels, is consistent with elevation of pulmonary venous pressure.

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normal chest. no evidence of displaced rib fracture. however, if the patient's symptoms persist, a dedicated rib series could be performed.

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no significant interval change when compared to the prior study.

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no evidence of acute cardiopulmonary process.

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stable chest findings, no evidence of cardiac enlargement, pulmonary congestion or acute infiltrates in this -year-old male patient with history of cough.

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cardiomegaly, mild central congestion.

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marked cardiomegaly, evidence of bilateral small amounts of pleural effusion, but no evidence of new acute infiltrates. left-sided diaphragmatic elevation as before.

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previous large right pleural effusion is substantially smaller, with right basal pigtail pleural drainage catheter unchanged in configuration since. left pleural effusion is small. upper lungs are clear. right middle and lower lobe still substantially atelectatic. heart mildly enlarged but unchanged. no pneumothorax.

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subtle <num> cm in nodular opacity projecting over the right mid lung, possibly representing a pulmonary nodule/lesion for which further evaluation with chest ct is recommended.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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a tracheostomy tube terminates approximately <num> cm above the level of the carina.

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left chest tube is in place. left mediastinal shift is stable. there is small to moderate left apical pneumothorax, decreased since the prior study. no interval increase in pleural effusion demonstrated.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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there are diffuse interstitial opacities seen within both lungs, consistent with moderate pulmonary edema. increased consolidation behind the left heart may reflect atelectasis but repeat imaging after diuresis is recommended. there is no definite pleural effusion. there is no pneumothorax. the heart is mildly enlarged. prominence of the right hilus may reflect underlying lymphadenopathy but this is impossible to discern given the extensive edema. endotracheal tube is <num> cm above the carina with the neck in neutral position. this could be withdrawn by <num> cm to prevent intermittent right mainstem intubation with neck flexion. an enteric tube courses along the esophagus and enters the stomach, heading superiorly, presumably within a hiatal hernia. a right ventricular lead, from a left side dual lead pacer, takes an unusual course but is likely within the coronary sinus. dense calcfications project over the left heart and are thought to reflect a combination of both aortic and aortic valve calcifications, raising concern for aortic stenosis. splenic calcifications are present.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary abnormality. emphysema. enlargement of the main pulmonary artery suggestive of underlying pulmonary arterial hypertension, unchanged.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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low lung volumes, limiting evaluation of the mid and lower lungs.

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pulmonary interstitial edema with small bilateral pleural effusions.

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ill-defined opacities in the lung apices are unchanged over one month however incompletely assessed. non-emergent evaluation by ct may be considered. no new focal parenchymal opacity.

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the apparent radiographic improvement is due in part to some clearing of pulmonary edema, particularly in the upper lungs, but it is also due to gravitational redistribution of moderate pleural effusions from the semi supine to the more erect position. heart is moderately enlarged. there is no pneumothorax. et tube and nasogastric tube are in standard placements, and right internal jugular line ends in the upper right atrium

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no acute cardiopulmonary process.

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no features of pneumonia.

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no acute cardiopulmonary process.

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right lower lobe consolidation compatible with pneumonia in the appropriate clinical setting. repeat after treatment is recommended to document resolution. lower thoracic and upper lumbar mild compression deformities which are age indeterminant. clinical correlation is suggested.

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endotracheal tube is in good position.