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/p18400980/s50439734/f01039fa-b2ac3603-2697cd10-b22b7e7c-a38fc336.jpg	new mild interstitial pulmonary edema. unchanged left upper lobe lung opacity better characterized on the prior pet ct. large right pleural effusion with right basilar atelectasis, and small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16392279/s58799850/65f9fbff-1ec02b21-26fc5105-f30cdd2f-6b9e6b36.jpg	ap chest compared to : tip of the right pic line is at a level <num> cm below the carina, in the region of the superior cavoatrial junction. normal heart, lungs, hila, mediastinum and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p17055995/s51310684/97bec5d2-5c01a348-f531a2fb-9be980b0-a17ff648.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17193717/s50440217/c1741d25-4f552b84-1fee2005-d9a75b5e-af0f2ca3.jpg	stable small left effusion with large adjacent atelectasis
MIMIC-CXR-JPG/2.0.0/files/p10352433/s57245074/e4ac55d7-03e1ddf2-f15cc3c0-fd0ea3db-c0ac9913.jpg	cardiomediastinal silhouette is unchanged including cardiomegaly but there is interval substantial improvement in pulmonary edema. no interval development of pleural effusions demonstrated although small amount of pleural fluid cannot be excluded. no pneumothorax. right lower lung partial atelectasis is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11986246/s57544535/c9c11317-ab911e11-c07ad185-d46675bf-622575bf.jpg	no pneumoperitoneum or calcified (radiopaque) gallstones. no acute pulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p16882993/s57937562/1be5a0e4-3c03f5e5-785fc19b-7bd7de6f-6e4a6768.jpg	normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
MIMIC-CXR-JPG/2.0.0/files/p14028461/s54047573/4a9aa312-e0e1cde2-20a43263-8b8edbaa-41323659.jpg	as compared to the previous radiograph, the patient has received a dobbhoff catheter. on image number <num>, the tip of the catheter is well positioned in the middle parts of the stomach. low lung volumes, moderate cardiomegaly and mild pulmonary edema persists. the left picc line is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p18802328/s53008846/5c56d440-f813d779-3f4efba7-19586773-6d1a844b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17886891/s52781069/5586fcc2-2d09cad8-cea49764-f64f8fa4-4cd5b06d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14779548/s51230745/daf2a3ed-4e717518-3a10ea43-b6b6d863-7b3609c2.jpg	the patient has been extubated. left central venous line terminates most likely at the level of subclavian vein or potentially in the tributary giving is relatively inferior position. cardiomediastinal silhouette is unchanged. there is mild pulmonary edema. no new consolidations to suggest infection demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p13040755/s58289244/556a0592-16db3d19-b3b71c81-b3547901-2ba946c8.jpg	possible slight the increase in blunting of the left costophrenic angle which may be due to a small pleural effusion or atelectasis. no other significant change.
MIMIC-CXR-JPG/2.0.0/files/p16023137/s51477211/6cfb20bd-82c632d5-b959dd8b-f55c8fc2-02ff414c.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11528924/s54285204/459507ad-a01c2847-834e262f-35effc99-f4f466f6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10755736/s57093283/1584b1c8-b3fbb26a-24143017-06381296-b3fe3313.jpg	in comparison with the study of , there little change in the diffuse bilateral pulmonary opacifications. swan-ganz catheter tip remains in the right pulmonary artery.
MIMIC-CXR-JPG/2.0.0/files/p10303590/s59365650/4376d818-4abe7eb6-9adc1223-a99beb20-2f7f39b2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10641869/s54578975/4127b756-92ce27fd-7d693c04-200f01b6-454b537d.jpg	compared to chest radiographs since most recently. mediastinal widening has almost entirely resolved. however there is worsening pulmonary vascular congestion suggesting volume overload and both lower lobes have large areas of consolidation either atelectasis or pneumonia. small pleural effusions are presumed. no pneumothorax. et tube tip is <num> cm from the carina and should not be withdrawn any further.
MIMIC-CXR-JPG/2.0.0/files/p16196296/s59120332/892cd678-e1980838-26201336-658a93c3-01cac963.jpg	cardiomegaly without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13921368/s58230111/fed79f4e-719fbd60-fa6fd4a3-d1587a34-ba400500.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11885477/s55608114/497ea43f-84c467f7-da318535-0586c245-bb0ba925.jpg	no acute cardiopulmonary process or evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14189034/s53277486/79aab2ce-2c7fd03e-213f58d1-f6d8d308-dbf72824.jpg	in comparison with the study of , there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. endotracheal tube tip lies approximately <num> cm above the carina. dobhoff tube extends to the distal stomach. right subclavian catheter tip is at the cavoatrial junction or upper right atrium.
MIMIC-CXR-JPG/2.0.0/files/p11725472/s54966213/a13e3468-c7d7b28e-a9e0e14a-ee0556e1-65028bf0.jpg	no acute cardiopulmonary process. no acute, displaced rib fracture seen. if high concern, dedicated rib series or ct is more sensitive.
MIMIC-CXR-JPG/2.0.0/files/p10567949/s54601018/3dedcad7-1cd3c297-55f5a7d9-6b2bea9f-6d11515d.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. mediastinal lymphadenopathy, a right upper lobe consolidation, right hilar mass are re- demonstrated as well as small amount of pleural effusion. no new findings within the left lung demonstrated. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19199178/s52386295/4e6cc6d3-c2fa0977-e2dbbbab-46d27c25-b8755f49.jpg	no acute cardiopulmonary process. age-indeterminate mid thoracic mild compression deformity, correlation regarding symptoms is suggested.
MIMIC-CXR-JPG/2.0.0/files/p17665442/s56280472/1820df50-99f0a4e2-95f2f54e-0d206ece-9db77532.jpg	moderate pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16536220/s57098402/eb2b49c1-83fbf150-178724ec-12aeec59-8b1c82e1.jpg	increased left basilar density, concerning for worsening consolidation, with new left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17845979/s54481509/937af430-59b527ef-e2a98f0d-4ea80679-f5eb1780.jpg	in comparison with the study of , there is suggestion of some mild increase in opacification at the left base. in the appropriate clinical setting, this could reflect a developing consolidation. however, there are lower lung volumes, so that the change in appearance could possibly be a manifestation of crowding of interstitial structures.
MIMIC-CXR-JPG/2.0.0/files/p19634412/s53964904/d0a2b850-29f96926-041b9292-c19e37d9-c709a04a.jpg	right lower lobe pneumonia. multiple compression fractures of the mid thoracic spine, worsened since. results were relayed by dr to dr by phone at approximately on.
MIMIC-CXR-JPG/2.0.0/files/p10522319/s53505393/b9bdbb31-17088053-daf32468-445871a1-331f501c.jpg	comparison to. the lung volumes have decreased and an area of platelike atelectasis is seen at the level of the right hilus. minimal atelectasis is also present at the left lung bases, seen both on the frontal and the lateral view. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the heart.
MIMIC-CXR-JPG/2.0.0/files/p14821645/s54416984/b854264d-a491d104-aa60c251-d66b1f2e-6df60f67.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15874159/s57660664/53791d41-9a6a59ba-708cf510-9eacb45a-ac9897e3.jpg	right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15638163/s55853046/b57b78f5-dcb280ea-55e60c05-79323e4a-93604205.jpg	no radiographic evidence for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14514957/s52482604/2c31ad6d-e282154b-50ddd56e-0baf5a47-3fd194c4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15070972/s58980287/4d329256-0b81d850-2ce20398-b652f470-1b327061.jpg	no evidence of acute cardiopulmonary process. hyperinflated lungs.
MIMIC-CXR-JPG/2.0.0/files/p15684891/s51497418/56434c9a-0916c57b-615d6949-227ef3c1-a84f65a6.jpg	compared to chest radiographs through. left pigtail pleural drain in place. no pneumothorax or pleural effusion. displaced left upper rib fractures noted with only minimal adjacent pleural thickening. lungs clear. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p15346162/s53326500/9cae1b80-d682a5f3-ef5ea6bc-3f19c1e9-da6facb1.jpg	no radiographic evidence of an acute cardiopulmonary process. peribronchial thickening in right lower lobe, likely represents a chronic, non-acute airway inflammation.
MIMIC-CXR-JPG/2.0.0/files/p15699372/s50696648/2c406331-60503c92-4b2da7c1-fd38c2f9-06da3392.jpg	no acute intrathoracic process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14550783/s50935967/e41829ff-4eb1ed0c-7686ce48-ddf9e879-835110b3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10502580/s57498098/1191a68a-2c09b284-c985a3e6-e23c18e4-8f3dcb8b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10288512/s54203451/12ea99ca-59c60431-41a83910-28499e32-5f293c31.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16934455/s58103985/425647fc-dae08bc2-af2fa926-c8755811-6250681c.jpg	cardiomediastinal silhouette is within normal limits. there are small bilateral effusions, left greater than right. no focal consolidation is seen. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p17479853/s57028685/c025f5cc-5e01271a-045b128e-5b9ba1d7-448ceb89.jpg	no pneumothorax or pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p12947996/s56370659/b90d27a6-e8e2432b-d18f0ac7-6c20826e-6d1b6f09.jpg	no significant interval change. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14972005/s55831153/42e317c4-adefc965-60dace16-2ea8dc68-0f42b749.jpg	new moderate right pleural effusion with at least right lower lobe segmental collapse no findings suggest cardiac decompensation.
MIMIC-CXR-JPG/2.0.0/files/p14538753/s51991262/21aee048-862e138f-74cfe9d4-a7dca9ad-c36ba999.jpg	ap chest compared to : pulmonary vasculature is minimally more dilated, but there is no edema or focal pulmonary abnormality. no pleural effusion or pneumothorax. heart size is normal. hyperinflation indicates copd.
MIMIC-CXR-JPG/2.0.0/files/p14365923/s58923221/9bcc3f2d-9cd6e834-ce1daf3c-724081fa-405f7290.jpg	as compared to the previous image, despite the history of right thoracocentesis, the right pleural effusion has a highly decreased in extent and severity. there is no evidence for a right pneumothorax. the opacities at the right lung base and in the left lung, surrounding the left hilus, are unchanged. unchanged left heart contour. unchanged course and position of the left pectoral port-a-cath
MIMIC-CXR-JPG/2.0.0/files/p10016742/s57347343/68fbe7c5-f34fe512-ed392538-1527494a-7db36926.jpg	comparison to. improved ventilation of the right lung basis. the persisting areas of atelectasis at the right and the left lung basis are minimal. there is no evidence of larger pleural effusions. no pneumothorax. no pulmonary edema. normal size of the heart. the tracheostomy tube is in stable position. if the clinical symptoms persist, ct should be considered, given the better spatial resolution in the assessment of the lung parenchyma.
MIMIC-CXR-JPG/2.0.0/files/p16346804/s52645201/098336ac-1980053d-ce0e393d-5513c56e-fcddc318.jpg	no evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p10937988/s54868567/301bd33e-d6515ff4-bd2b678f-8f252395-c998ce64.jpg	in comparison with the study of , there is again an area of increased opacification at the right base medially which could reflect postobstructive atelectasis related to mucous plugging. otherwise, the cardiac silhouette is within normal limits and there is no evidence of acute focal pneumonia vascular congestion, or pleural effusion. of incidental note are several flecks of opacification adjacent to the greater tuberosity of the right humerus, consistent with calcific tendinosis in the rotator cuff. there is also an impression on the lower cervical trachea on the right, which could represent enlargement of the thyroid.
MIMIC-CXR-JPG/2.0.0/files/p18987477/s59778718/34c6d531-11712fa2-98aa9407-051f183d-b0c6dd0a.jpg	heart size is within normal limits. there is mild atelectasis at the left lung base. there is no overt pulmonary edema or focal consolidation or pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p15693038/s59969194/a06698b0-62df86b2-82cb10bd-99de8281-ac09df90.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14938287/s51286955/87e96f79-0e844b58-3930aa74-f54a3960-f708e8a2.jpg	pa and lateral chest compared to : hyperinflation suggests severe emphysema. lungs are clear, and there is no pleural abnormality. heart is normal size, and hilar and mediastinal contours are unremarkable. there is no evidence of central lymph node enlargement, intrathoracic malignancy or active infection.
MIMIC-CXR-JPG/2.0.0/files/p19526389/s56261603/b15aeacc-38d5f440-2678f003-d8496804-d4eec1be.jpg	no sign of pulmonary edema or acute cardiopulmonary processes.
MIMIC-CXR-JPG/2.0.0/files/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg	endotracheal tube within <num> cm of the carina and should be withdrawn. right mid lung surgical chain sutures with associated linear opacity, potentially atelectasis or scarring. increased density in the right hilar region, for which dedicated pa and lateral suggested when patient is amenable. additional film had been taken at the time of this dictation.
MIMIC-CXR-JPG/2.0.0/files/p11912842/s55563708/e10a918e-00864463-5dabf411-765ca75a-bfed445f.jpg	no acute findings in the chest. please refer to subsequent ct chest for further details.
MIMIC-CXR-JPG/2.0.0/files/p19881444/s51522690/8bd059a0-8e788169-06267370-4a194177-32d40837.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18348137/s56535528/3c3c59b1-5039fa14-18caeecc-61633fa7-58968f5d.jpg	low lung volumes without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17217487/s51919328/5f2fc307-08317061-cee7bb05-372a015f-da75d6d3.jpg	no acute findings. please refer to subsequent ct torso for further details.
MIMIC-CXR-JPG/2.0.0/files/p12947673/s52790741/f75bfd01-38c6e137-6d480be8-49eab4ce-7b088fdc.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13582085/s52138643/929c1abd-4c5f78c9-e4085b86-17c5e027-6ee20342.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg	stable cardiomegaly with mild pulmonary interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p14030425/s56359687/dc5b295c-424dc7b0-3943b752-b7395877-49dab585.jpg	patchy bibasilar opacities, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11789468/s52487033/621d3559-1e6e7ca2-840172ee-fd644872-5a4e0440.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18113737/s56563161/51eb92dc-d0331596-3657c879-b12028f8-0d74a73c.jpg	in comparison with the study of , the patient has taken a much better inspiration. mild atelectatic change with pleural effusion persists at the left. minimal blunting of the costophrenic angle on the right. the fluid within the minor fissure has cleared. no evidence of vascular congestion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19995127/s57654229/7355ebed-252d9d22-6b82aa83-ac876637-db31f15e.jpg	moderate interstitial pulmonary edema with small bilateral pleural effusions. focal opacification in the right upper lung field is concerning for pneumonia. unchanged mass in the left upper and lower lobes.
MIMIC-CXR-JPG/2.0.0/files/p15564494/s58649227/5a7dc8f1-3cb98b5b-8800db1e-ae3bb0ed-aaa1254e.jpg	hyperinflated lungs with flattening of the diaphragm may be due to emphysema or small airways obstruction. chronically tortuous or dilated aorta. recommendation(s): for further evaluation of the aorta, an echocardiogram may be obtained.
MIMIC-CXR-JPG/2.0.0/files/p15290047/s52665154/b2a3d241-f3c1fcf7-7ff8d1f4-183cf791-30329a50.jpg	worsening bilateral multifocal opacities may represent increasing pulmonary edema. however concurrent pneumonia is not excluded. bilateral pleural effusions, moderate to large on the right and small on the left, and associated bibasilar atelectasis are increased. the tip of the ett seen <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p11893036/s51514367/ee18d015-77dffc14-ec0fa1be-046247f6-4ae18e38.jpg	no acute cardiopulmonary abnormality. displaced mid/distal left clavicular fracture.
MIMIC-CXR-JPG/2.0.0/files/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg	persistent consolidation and loculated right pleural effusion with pleurx catheter in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p18377113/s58085619/c2f8806b-12112bd9-40cca4a3-2f97daf2-459c3662.jpg	the small right pneumothorax has completely resolved. small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14376861/s57562492/10a71575-9b80e3a2-1f720fa1-504aa053-f1d47d8e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16901707/s51717019/501f7d09-c950b67c-248381e5-bec3fca0-ba491a27.jpg	superior segment left lower lobe and posterior segment left upper lobe consolidation consistent with pneumonia. given the dependent distribution, these findings may represent an aspiration pneumonia. recommend follow up cxr <num> weeks post treatment to document resolution if warranted clinically. these findings were discussed with , dr nurse by dr telephone on at am, time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p14008877/s57632165/43875320-9f025ff3-2ef30e87-fe2f4715-4baeb8b9.jpg	unchanged bibasilar opacities which may represent atelectasis or pneumonia. there is no significant change from the prior radiograph from.
MIMIC-CXR-JPG/2.0.0/files/p13604031/s58665797/56e1c28d-69ade4c0-27d13a3d-11aec59d-463eee3a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10807564/s56974373/d7f6668a-c51f94d5-4d92a963-25a0b14d-e687a761.jpg	mediastinal prominence may represent an unfolded aorta, although correlation with subsequent torso cta performed on the same date is recommended; minimal pulmonary vascular congestion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14201659/s57180964/2e52bb12-66e1370f-1b1073d5-204f6a96-0a549f93.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10745195/s59503137/9511137f-35436eea-d857185a-c50be3e5-088b754b.jpg	no previous images. the cardiac silhouette is mildly enlarged and there is minimal engorgement pulmonary vessels suggestive of mild elevation pulmonary venous pressure. however, no evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13686597/s51216207/d1bf4546-eaa9f1ca-7fab1ef7-5ee339eb-72d43c58.jpg	small left pleural effusion and possible atelectasis, though infection is not excluded
MIMIC-CXR-JPG/2.0.0/files/p17413521/s58283799/90c8ed7b-67f04e09-5051274f-9833e4c5-a579a82e.jpg	feeding tube with the wire stylet in place ends in the mid to low esophagus and would need to be advanced no less than <num> cm to move all side ports into the stomach. lung bases independent pleural surfaces are clear. lung apices are excluded from the examination. cardiomediastinal silhouette is normal.
MIMIC-CXR-JPG/2.0.0/files/p14691226/s55450034/b1d7a682-e8319a17-1c98ad9c-a149aa3f-c8fb7b55.jpg	no focal consolidations concerning for pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p11797487/s54556308/e6a48c80-b0fd77d7-05ff3aec-d4adf5a7-b6a42602.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13277660/s57166838/4cd49b4f-85b70692-0dae2b2f-16f182bd-3a08b92d.jpg	bibasilar atelectasis. no focal consolidation. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16882027/s52056922/fe609663-5ae4088c-6f6e57a5-6adb68d2-08d78e27.jpg	no acute cardiopulmonary process. no evidence of infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p14800294/s54494062/fb8f8640-676d1c11-78f22be4-0e8b9768-1f33ed7c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10779064/s57931427/2e724c70-d46a0bd4-1701f4d2-de0819d6-f20344f2.jpg	moderate right pleural effusion with adjacent atelectasis. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16035899/s54168393/84da05b9-e599b89c-c7e498b4-ea4fc72f-4e54199d.jpg	no pneumonia or acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19461484/s57575693/a2e53bf0-b9068b23-6a0eba9b-266307d5-98a1848d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10690668/s53482146/949d0df1-87e2f06c-48626695-d6abcad5-085f4695.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11637525/s57982529/477383eb-bee821ca-3640a4bd-e722ed64-2095030c.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p10578325/s58896631/ad9066c8-3e02858c-2e0556ed-aaded1ee-50a2d7fe.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14325592/s52509280/2ad94c8d-a9133eae-3331b05d-383c4089-b21badce.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. left chest tube is in place. right basal consolidations are new and are concerning for interval progression of pneumonia or aspiration. recommendation(s): followup of right basal consolidations which are concerning for aspiration or developing infectious process.
MIMIC-CXR-JPG/2.0.0/files/p16059791/s59654248/dccb8829-7520fab1-88413d17-6e0212c3-4189daab.jpg	mild cardiomegaly. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p16751019/s54202215/f0bd6012-af0b0af4-c5d9751a-3d185825-ce33b9d7.jpg	moderate-to-large right pleural effusion with adjacent atelectasis. please note, the underlying infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11750627/s59886265/75ca203a-2ed62ef6-7cc70100-b515160d-d5fe3b22.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18300938/s54358684/9b597a74-f742b175-f1672387-2874ce55-ac3440e3.jpg	comparison to. the left central venous access line was removed. elongation of the descending aorta. no pleural effusions. the right pectoral port-a-cath is constant.
MIMIC-CXR-JPG/2.0.0/files/p13252148/s50888276/5c48d4ae-1a739417-bf03d346-75b23527-f180168c.jpg	compared to chest radiographs , most recently. et tube in standard placement. right internal jugular line ends in the mid to low svc. hyperlucency in the upper lungs is probably emphysema. mild atelectasis or early edema is present in the lower lungs. pleural effusion small on the left if any. no pneumothorax. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p10303503/s57260120/6faaaefd-d18fa4ea-297721ff-c2c1f718-b9cd7699.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p18196421/s53437429/90be33a0-fb600c73-28c97646-80e7dc69-cce25e10.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17222314/s53182809/7420e9ec-bbc3bfa9-590ad2e2-196f1a11-065c10fe.jpg	the bases are better ventilated with reduced atelectasis the vascular congestion is reduced
MIMIC-CXR-JPG/2.0.0/files/p16586450/s58657374/1ecfc7f3-e1d7c494-c8ca5da2-69b8757b-4909f7e2.jpg	no acute intrathoracic process.

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new mild interstitial pulmonary edema. unchanged left upper lobe lung opacity better characterized on the prior pet ct. large right pleural effusion with right basilar atelectasis, and small left pleural effusion.

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ap chest compared to : tip of the right pic line is at a level <num> cm below the carina, in the region of the superior cavoatrial junction. normal heart, lungs, hila, mediastinum and pleural surfaces.

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no acute intrathoracic process.

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stable small left effusion with large adjacent atelectasis

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cardiomediastinal silhouette is unchanged including cardiomegaly but there is interval substantial improvement in pulmonary edema. no interval development of pleural effusions demonstrated although small amount of pleural fluid cannot be excluded. no pneumothorax. right lower lung partial atelectasis is unchanged.

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no pneumoperitoneum or calcified (radiopaque) gallstones. no acute pulmonary process identified.

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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.

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as compared to the previous radiograph, the patient has received a dobbhoff catheter. on image number <num>, the tip of the catheter is well positioned in the middle parts of the stomach. low lung volumes, moderate cardiomegaly and mild pulmonary edema persists. the left picc line is in unchanged position.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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the patient has been extubated. left central venous line terminates most likely at the level of subclavian vein or potentially in the tributary giving is relatively inferior position. cardiomediastinal silhouette is unchanged. there is mild pulmonary edema. no new consolidations to suggest infection demonstrated.

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possible slight the increase in blunting of the left costophrenic angle which may be due to a small pleural effusion or atelectasis. no other significant change.

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mild pulmonary edema.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , there little change in the diffuse bilateral pulmonary opacifications. swan-ganz catheter tip remains in the right pulmonary artery.

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no acute cardiopulmonary process.

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compared to chest radiographs since most recently. mediastinal widening has almost entirely resolved. however there is worsening pulmonary vascular congestion suggesting volume overload and both lower lobes have large areas of consolidation either atelectasis or pneumonia. small pleural effusions are presumed. no pneumothorax. et tube tip is <num> cm from the carina and should not be withdrawn any further.

MIMIC-CXR-JPG/2.0.0/files/p16196296/s59120332/892cd678-e1980838-26201336-658a93c3-01cac963.jpg

cardiomegaly without acute cardiopulmonary process.

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no acute intrathoracic abnormality.

MIMIC-CXR-JPG/2.0.0/files/p11885477/s55608114/497ea43f-84c467f7-da318535-0586c245-bb0ba925.jpg

no acute cardiopulmonary process or evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p14189034/s53277486/79aab2ce-2c7fd03e-213f58d1-f6d8d308-dbf72824.jpg

in comparison with the study of , there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. endotracheal tube tip lies approximately <num> cm above the carina. dobhoff tube extends to the distal stomach. right subclavian catheter tip is at the cavoatrial junction or upper right atrium.

MIMIC-CXR-JPG/2.0.0/files/p11725472/s54966213/a13e3468-c7d7b28e-a9e0e14a-ee0556e1-65028bf0.jpg

no acute cardiopulmonary process. no acute, displaced rib fracture seen. if high concern, dedicated rib series or ct is more sensitive.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. mediastinal lymphadenopathy, a right upper lobe consolidation, right hilar mass are re- demonstrated as well as small amount of pleural effusion. no new findings within the left lung demonstrated. there is no pneumothorax.

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no acute cardiopulmonary process. age-indeterminate mid thoracic mild compression deformity, correlation regarding symptoms is suggested.

MIMIC-CXR-JPG/2.0.0/files/p17665442/s56280472/1820df50-99f0a4e2-95f2f54e-0d206ece-9db77532.jpg

moderate pulmonary edema.

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increased left basilar density, concerning for worsening consolidation, with new left pleural effusion.

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in comparison with the study of , there is suggestion of some mild increase in opacification at the left base. in the appropriate clinical setting, this could reflect a developing consolidation. however, there are lower lung volumes, so that the change in appearance could possibly be a manifestation of crowding of interstitial structures.

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right lower lobe pneumonia. multiple compression fractures of the mid thoracic spine, worsened since. results were relayed by dr to dr by phone at approximately on.

MIMIC-CXR-JPG/2.0.0/files/p10522319/s53505393/b9bdbb31-17088053-daf32468-445871a1-331f501c.jpg

comparison to. the lung volumes have decreased and an area of platelike atelectasis is seen at the level of the right hilus. minimal atelectasis is also present at the left lung bases, seen both on the frontal and the lateral view. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the heart.

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no acute cardiopulmonary abnormality.

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right lower lobe pneumonia.

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no radiographic evidence for pulmonary edema.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process. hyperinflated lungs.

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compared to chest radiographs through. left pigtail pleural drain in place. no pneumothorax or pleural effusion. displaced left upper rib fractures noted with only minimal adjacent pleural thickening. lungs clear. heart size normal.

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no radiographic evidence of an acute cardiopulmonary process. peribronchial thickening in right lower lobe, likely represents a chronic, non-acute airway inflammation.

MIMIC-CXR-JPG/2.0.0/files/p15699372/s50696648/2c406331-60503c92-4b2da7c1-fd38c2f9-06da3392.jpg

no acute intrathoracic process. mild cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p14550783/s50935967/e41829ff-4eb1ed0c-7686ce48-ddf9e879-835110b3.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10502580/s57498098/1191a68a-2c09b284-c985a3e6-e23c18e4-8f3dcb8b.jpg

no acute cardiopulmonary process.

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no evidence of acute disease.

MIMIC-CXR-JPG/2.0.0/files/p16934455/s58103985/425647fc-dae08bc2-af2fa926-c8755811-6250681c.jpg

cardiomediastinal silhouette is within normal limits. there are small bilateral effusions, left greater than right. no focal consolidation is seen. there are no pneumothoraces.

MIMIC-CXR-JPG/2.0.0/files/p17479853/s57028685/c025f5cc-5e01271a-045b128e-5b9ba1d7-448ceb89.jpg

no pneumothorax or pneumoperitoneum.

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no significant interval change. no pulmonary edema.

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new moderate right pleural effusion with at least right lower lobe segmental collapse no findings suggest cardiac decompensation.

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ap chest compared to : pulmonary vasculature is minimally more dilated, but there is no edema or focal pulmonary abnormality. no pleural effusion or pneumothorax. heart size is normal. hyperinflation indicates copd.

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as compared to the previous image, despite the history of right thoracocentesis, the right pleural effusion has a highly decreased in extent and severity. there is no evidence for a right pneumothorax. the opacities at the right lung base and in the left lung, surrounding the left hilus, are unchanged. unchanged left heart contour. unchanged course and position of the left pectoral port-a-cath

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comparison to. improved ventilation of the right lung basis. the persisting areas of atelectasis at the right and the left lung basis are minimal. there is no evidence of larger pleural effusions. no pneumothorax. no pulmonary edema. normal size of the heart. the tracheostomy tube is in stable position. if the clinical symptoms persist, ct should be considered, given the better spatial resolution in the assessment of the lung parenchyma.

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no evidence of pneumonia

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in comparison with the study of , there is again an area of increased opacification at the right base medially which could reflect postobstructive atelectasis related to mucous plugging. otherwise, the cardiac silhouette is within normal limits and there is no evidence of acute focal pneumonia vascular congestion, or pleural effusion. of incidental note are several flecks of opacification adjacent to the greater tuberosity of the right humerus, consistent with calcific tendinosis in the rotator cuff. there is also an impression on the lower cervical trachea on the right, which could represent enlargement of the thyroid.

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heart size is within normal limits. there is mild atelectasis at the left lung base. there is no overt pulmonary edema or focal consolidation or pneumothoraces.

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no acute cardiopulmonary process.

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pa and lateral chest compared to : hyperinflation suggests severe emphysema. lungs are clear, and there is no pleural abnormality. heart is normal size, and hilar and mediastinal contours are unremarkable. there is no evidence of central lymph node enlargement, intrathoracic malignancy or active infection.

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no sign of pulmonary edema or acute cardiopulmonary processes.

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endotracheal tube within <num> cm of the carina and should be withdrawn. right mid lung surgical chain sutures with associated linear opacity, potentially atelectasis or scarring. increased density in the right hilar region, for which dedicated pa and lateral suggested when patient is amenable. additional film had been taken at the time of this dictation.

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no acute findings in the chest. please refer to subsequent ct chest for further details.

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no acute cardiopulmonary process.

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low lung volumes without acute cardiopulmonary process.

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no acute findings. please refer to subsequent ct torso for further details.

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no acute cardiopulmonary abnormality.

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no acute findings in the chest.

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stable cardiomegaly with mild pulmonary interstitial edema.

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patchy bibasilar opacities, likely atelectasis.

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no evidence of pneumonia.

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in comparison with the study of , the patient has taken a much better inspiration. mild atelectatic change with pleural effusion persists at the left. minimal blunting of the costophrenic angle on the right. the fluid within the minor fissure has cleared. no evidence of vascular congestion or acute focal pneumonia.

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moderate interstitial pulmonary edema with small bilateral pleural effusions. focal opacification in the right upper lung field is concerning for pneumonia. unchanged mass in the left upper and lower lobes.

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hyperinflated lungs with flattening of the diaphragm may be due to emphysema or small airways obstruction. chronically tortuous or dilated aorta. recommendation(s): for further evaluation of the aorta, an echocardiogram may be obtained.

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worsening bilateral multifocal opacities may represent increasing pulmonary edema. however concurrent pneumonia is not excluded. bilateral pleural effusions, moderate to large on the right and small on the left, and associated bibasilar atelectasis are increased. the tip of the ett seen <num> cm above the carina.

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no acute cardiopulmonary abnormality. displaced mid/distal left clavicular fracture.

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persistent consolidation and loculated right pleural effusion with pleurx catheter in unchanged position.

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the small right pneumothorax has completely resolved. small right pleural effusion.

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no acute cardiopulmonary process.

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superior segment left lower lobe and posterior segment left upper lobe consolidation consistent with pneumonia. given the dependent distribution, these findings may represent an aspiration pneumonia. recommend follow up cxr <num> weeks post treatment to document resolution if warranted clinically. these findings were discussed with , dr nurse by dr telephone on at am, time of discovery.

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unchanged bibasilar opacities which may represent atelectasis or pneumonia. there is no significant change from the prior radiograph from.

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no acute cardiopulmonary process.

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mediastinal prominence may represent an unfolded aorta, although correlation with subsequent torso cta performed on the same date is recommended; minimal pulmonary vascular congestion and bibasilar atelectasis.

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no acute cardiopulmonary process.

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no previous images. the cardiac silhouette is mildly enlarged and there is minimal engorgement pulmonary vessels suggestive of mild elevation pulmonary venous pressure. however, no evidence of acute pneumonia or vascular congestion.

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small left pleural effusion and possible atelectasis, though infection is not excluded

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feeding tube with the wire stylet in place ends in the mid to low esophagus and would need to be advanced no less than <num> cm to move all side ports into the stomach. lung bases independent pleural surfaces are clear. lung apices are excluded from the examination. cardiomediastinal silhouette is normal.

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no focal consolidations concerning for pneumonia identified.

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normal chest radiograph.

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bibasilar atelectasis. no focal consolidation. no evidence of pulmonary edema.

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no acute cardiopulmonary process. no evidence of infiltrate.

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no acute cardiopulmonary process.

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moderate right pleural effusion with adjacent atelectasis. small left pleural effusion.

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no pneumonia or acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute intrathoracic abnormalities identified.

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no pneumonia.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. left chest tube is in place. right basal consolidations are new and are concerning for interval progression of pneumonia or aspiration. recommendation(s): followup of right basal consolidations which are concerning for aspiration or developing infectious process.

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mild cardiomegaly. otherwise unremarkable.

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moderate-to-large right pleural effusion with adjacent atelectasis. please note, the underlying infection cannot be excluded.

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no evidence of acute cardiopulmonary process.

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comparison to. the left central venous access line was removed. elongation of the descending aorta. no pleural effusions. the right pectoral port-a-cath is constant.

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compared to chest radiographs , most recently. et tube in standard placement. right internal jugular line ends in the mid to low svc. hyperlucency in the upper lungs is probably emphysema. mild atelectasis or early edema is present in the lower lungs. pleural effusion small on the left if any. no pneumothorax. heart size normal.

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no significant interval change.

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no acute cardiopulmonary process.

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the bases are better ventilated with reduced atelectasis the vascular congestion is reduced

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no acute intrathoracic process.