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/p18588825/s54663150/8fbeb4af-e96c092d-3fc43ccc-69007557-d16e3b35.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11833490/s56217628/38674def-0528e349-6a59359e-eeee894b-202caadd.jpg	as compared to the previous radiograph, no relevant change is seen. left picc line is constant, projecting over the mid svc. moderate cardiomegaly, elongation of the descending aorta, sternal wires, small left pleural effusion, combined to retrocardiac atelectasis, are unchanged in extent and appearance. the patient shows no evidence of pneumonia. no new osteolytic destruction of the first right rib, with subsequent soft tissue density projecting over the right lung apex as well as osteal lysis of the left clavicle.
MIMIC-CXR-JPG/2.0.0/files/p18597863/s50958362/cd5056da-7f108ef3-199f6ed0-b56384ed-347005b8.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13295971/s53770859/d0a23fd6-066fd697-c170091a-ac32b50b-550851fa.jpg	mild vascular congestion and pulmonary edema. no focal consolidation identified.
MIMIC-CXR-JPG/2.0.0/files/p11440245/s55742788/194e6aa8-33d6b0dd-81fcaada-2e4a9b2f-95d5506b.jpg	cardiomegaly with central vascular congestion and mild interstitial edema, concerning for cardiac decompensation.
MIMIC-CXR-JPG/2.0.0/files/p11853860/s53488013/08546f8e-50696a23-63421805-4a8536d4-3c841cda.jpg	no acute intra-pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13385073/s53826539/e4135a7e-e94f5e34-e320a118-dd13b85d-ef58e803.jpg	cardiomediastinal silhouette is unchanged. opacities in the left superior perihilar region have markedly improved, adjacent surgical chain is again noted. now very small left pneumothorax has decreased. the right lung is grossly clear. there are no pleural effusions. left pleural catheter is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg	moderate-to-large chronic left pleural effusion, slightly increased compared to the prior study with persistent left basilar opacification, likely reflecting compressive atelectasis, though infection cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p19303189/s50989147/cd7b58cd-95e9c7fb-a89450b3-81eb63f6-d28cedd5.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p12606543/s57058623/225d951a-ee96e6a9-e4dcf453-5aaccc5e-a245323f.jpg	mild pulmonary edema. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13872997/s57047242/20d0a204-24013ecc-63dcdeec-0824c396-2df83133.jpg	progression of the bilateral perihilar opacities with more dense right basilar opacity as well as developing retrocardiac opacity. findings are worrisome for bilateral infection or potentially aspiration.
MIMIC-CXR-JPG/2.0.0/files/p15165816/s54986432/120f3b06-2ddcb29b-92d1b5d2-462c193c-c6024765.jpg	mild pulmonary vascular congestion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15442180/s57772570/2313b6a8-a7f1fb66-571afdb6-d16c6624-964483be.jpg	there no prior chest radiographs available for review. heterogeneous pulmonary abnormality. regions of interstitial infiltration could be edema, but more discrete areas of consolidation and nodulation, left midlung, could be explained instead by widespread infection. left hilus may be enlarged. cardiac silhouette is partially obscured and size is difficult to assess, but it is not very large. pleural effusions are presumed, could be moderate on the left. no pneumothorax. right jugular line ends in the region of the superior cavoatrial junction. recommendation(s): it is very important to obtain prior chest imaging, both recent and remote to determine the chronicity of current lung abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p11967908/s57914121/643db964-28df9b1e-ebcf66cb-5b5ed858-8c4a8217.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16782585/s58324389/562524a6-fc4209ea-2286f4d9-28e71e4a-97c15fea.jpg	ng tube passes below the diaphragm terminating in the stomach. et tube tip is approximately <num> cm above the carinal. cardiomediastinal silhouette is unchanged as compared to with substantial new prominence of the right paratracheal strip in right hilus that might represent interval increase in lymphadenopathy or less likely ascending aortic dilatation. correlation with chest ct is recommended widespread chronic parenchymal opacities are unchanged. there is no interval development of pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15515519/s51388961/e8b76014-6ec82251-4987ca27-b1cf6042-d39612da.jpg	normal chest radiograph. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12624858/s55209722/d64f49a3-4c81deb9-af4f3a8f-32d36931-4382e932.jpg	large left-sided pulmonary opacity, consistent with patient's known pulmonary mass.
MIMIC-CXR-JPG/2.0.0/files/p19814904/s57274296/be2777a0-26e007ba-19bf39bd-fdd1d87d-68c9a906.jpg	no acute findings. routine chest radiography is insensitive for chest cage trauma.
MIMIC-CXR-JPG/2.0.0/files/p13931815/s57697782/67496025-032ec74b-a32cc28c-0f4efccc-01bebf1d.jpg	mild cardiomegaly. no evidence of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s51764293/09dc42d0-02197c5a-7e1160dd-e32a2541-fc550590.jpg	as compared to radiograph, persistent cardiomegaly is accompanied by pulmonary vascular congestion. diffuse hazy and reticular opacities have slightly improved. based on correlation with chest ct exams of and , these residual diffuse lung abnormalities appear to represent a chronic diffuse lung disease rather than acute pulmonary edema. known right upper lobe pulmonary nodule has been more fully evaluated by a recent ct.
MIMIC-CXR-JPG/2.0.0/files/p18163289/s50016489/e57e42f2-ae11d6ba-38e5a191-9d92b1ab-e17d0142.jpg	all worsened since are: severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. although there is no pulmonary edema as yet, these findings all reflect cardiac decompensation, particularly right heart failure, and perhaps volume overload. left lower lobe atelectasis is severe, small bilateral pleural effusions are stable. et tube is in standard placement. esophageal drainage tube would need to be advanced <num> cm to move all the side ports into the stomach. there is no longer a right jugular central venous catheter in place. no pneumothorax is present.
MIMIC-CXR-JPG/2.0.0/files/p11151130/s57435690/a57e4985-733a313c-749d36bb-ade464a0-9d1c417c.jpg	as compared to the previous radiograph, the known right basal opacity has minimally increased in extent. there also is a newly appeared small bilateral pleural effusion, better appreciated on the lateral radiograph. moderate cardiomegaly persists. moderate tortuosity of the thoracic aorta, of unchanged severity. unchanged appearance of the hilar structures.
MIMIC-CXR-JPG/2.0.0/files/p14565211/s58080960/9fd171f4-eb375f45-a1c9b5b7-52969124-1cff9b5d.jpg	ap chest compared to : normal sized heart is actually decreased since , although pulmonary vasculature is more engorged. large lung volumes suggest emphysema, and therefore early congestive heart failure should be monitored carefully, given its outsize impact on respiratory function in such patients. no pleural effusion or pneumonia. right jugular line ends low in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10578325/s52847202/b282cdcf-ef510174-858bb77e-b2df5390-f687e841.jpg	stable lung nodule in the right upper lobe. no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p18436961/s53052683/0170ab9b-1ddbe047-7c2a8c39-e8a66416-9f52d9b0.jpg	comparison to. no relevant change is noted. normal lung volumes. mild cardiomegaly. mild elongation of the descending aorta. borderline diameter of the pulmonary vessels and the hilar structures but no overt pulmonary edema. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12916556/s50941641/7dfb8121-4b0506b1-4e55bde6-c841be05-305965d6.jpg	the tiny right apical pneumothorax seen previously has resolved. cardiomediastinal silhouette is within normal limits. there has been improved aeration at the left base however there remains some atelectasis. no definite consolidation are seen.
MIMIC-CXR-JPG/2.0.0/files/p10003019/s59730608/a664e3c4-97f37598-e008ddb5-674d8b24-8a49114f.jpg	as compared to the previous radiograph, the lung volumes have slightly decreased. there is minimal fluid overload in both the vascular and interstitial compartment. normal size of the cardiac silhouette. moderate tortuosity of the thoracic aorta. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18819984/s55830339/24b01d99-28d18d12-f05ff3ac-237ff1f0-5a68b649.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14591045/s52526843/30b97280-93487735-b8b5ac42-bdfc7fde-920c655d.jpg	in comparison in chest radiograph, an area of consolidation adjacent to the left cardiac apex has improved. small left pleural effusion has slightly increased in size, and a small right pleural effusion is unchanged. widespread pulmonary metastases are also unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11122600/s53551934/32213b20-b7420d4e-f4a93b93-e51a67be-ddbac298.jpg	heart size and mediastinum are stable. left lower lobe previously seen opacity has resolved with no consolidation on mass clearly seen on current examination. minimal residua is most likely still present and should be reassessed in <num> weeks for documentation have a full resolution
MIMIC-CXR-JPG/2.0.0/files/p11509035/s51499135/ec01d1b8-ea1326c1-112aad2c-1f27aee0-691f1016.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10505380/s58278235/11413179-6c085fd7-d310c250-55bfa6d0-d0400804.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18780736/s56790812/bc4f7abf-35756b5b-72993b36-40292fac-b26ef49f.jpg	stable small pleural effusions with subtly increased opacity in the right mid and lower lung, which could represent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18143542/s57580004/8f025159-a82a705b-14d9b0cc-e2571f42-0d740ac9.jpg	subcutaneous chest wall emphysema, likely postoperative. bibasilar opacities, mildly worsened in the right. small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13027516/s59357559/5f0bf387-cddca559-d58e9d9a-55da65fe-560a4f7d.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p15002496/s55374744/510ff01c-6f89cedb-1fd752ee-59cc6214-0e68beb9.jpg	unchanged moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15479218/s57087199/0dd57f59-535fb3aa-2774cd18-92a5d764-3896fddf.jpg	in comparison with the study of , there is little change. diffuse bilateral pulmonary opacification is processed. right chest tube remains in place and there is no evidence of pneumothorax. bilateral hazy opacification is again consistent with layering pleural effusions and there is evidence for elevated pulmonary venous pressure. considering all the opacification is within the lungs, it would be extremely difficult to exclude superimposed pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p11128013/s58918656/7d1c6146-c79a6396-487aa78f-86b88c61-009d809d.jpg	intra-aortic balloon pump tip terminates <num> cm above the carinal. the temporary pacemaker tip is in the right ventricle. there is no pneumothorax. there is interval progression of pulmonary edema. left lower lobe mass and a right lower lobe mass are better appreciated on the recent ct from. hardware is unchanged in appearance. left pleural effusion appears to be slightly increased.
MIMIC-CXR-JPG/2.0.0/files/p17079601/s57905327/79733cad-f79a8c28-d490f191-3c3e95b6-9fa3faf6.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13315613/s50132842/6b34b438-0e7d6e44-00466adf-10a73155-4891abdf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13279382/s59668997/c7cd4476-e42d4f0e-44d97a69-efdb10a8-d957505f.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10304284/s59427452/c65dcb01-66fe0bb2-14d02ae7-f17f103b-2f5863b8.jpg	no radiopaque foreign body is detectedin the thorax.
MIMIC-CXR-JPG/2.0.0/files/p16644584/s57465951/0ae40f12-8e633fe8-12dd4c57-95a2e75b-61d11e7e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19776335/s55471213/9a876374-789478b6-12be724b-59c30486-974f3703.jpg	no evidence of intrathoracic malignancy.
MIMIC-CXR-JPG/2.0.0/files/p13071437/s57496283/f97fbc3b-32a50606-dbb46b10-6119703b-2b5d778f.jpg	in comparison with the study of , the large-bore catheter has been removed. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13264941/s56882931/40674562-2da69685-bef3fa92-7831722e-38076d1d.jpg	increased opacity at the right lung base could reflect atelectasis or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p13447384/s51603846/5b33f8b1-270f2259-4a92a8d4-5eee7760-54991cc8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10924501/s51668673/2616b088-dd971e50-7e152996-69aa77c5-d9ca2316.jpg	left basilar atelectasis with small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19815165/s52831101/2518f897-dff38a3f-1ff372f5-d7b28aab-6310f55f.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16565695/s58336510/d4603b9c-75470d2e-22daa355-8d958cf3-cad732f5.jpg	are in comparison with the study of , there is little change. again there are relatively low lung volumes which accentuate the transverse diameter of the heart. tortuosity of the aorta is seen. no vascular congestion or appreciable pleural effusion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10025647/s56005833/dbe18b9b-2a96eb31-146a1985-269d224f-1e68e908.jpg	left base opacity may be due to combination of pleural effusion and atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10394897/s56022420/0f28a444-1fbdf37a-e0b0ae79-a819f84c-1b6e2c27.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15655633/s54557642/23400c85-a9248b01-0b55c196-55c9fcec-3420c556.jpg	interval improvement of right lung consolidation, with a small amount of consolidation persisting.
MIMIC-CXR-JPG/2.0.0/files/p15112603/s58174475/a220a858-e69ec529-df3680ab-e63da4da-be846d4c.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits with a left ventricular configuration. tortuosity of the aorta and moderate hiatal hernia are again seen. no evidence of vascular congestion or acute focal pneumonia. again there is severe compression deformity in the lower lumbar spine and evidence of a fusion procedure in the lumbar region.
MIMIC-CXR-JPG/2.0.0/files/p15629402/s54345986/437fe60d-eb603c58-ec709342-8d30258a-72a1a8ce.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15143785/s59355958/d51f5d1a-9078980c-2fe6125a-73908587-02c7730a.jpg	as compared to , no relevant change is seen. monitoring and support devices are constant. low lung volumes. moderate cardiomegaly. platelike areas of atelectasis at the lung bases. mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14289751/s52555345/37546a28-07945025-35d99ab7-33e08092-975959c4.jpg	no significant interval change. findings compatible with right-sided pleural thickening, loculated effusion and parenchymal opacities. mediastinal adenopathy better seen by prior ct scan.
MIMIC-CXR-JPG/2.0.0/files/p18608767/s50493137/98d4c8b8-694d58c8-b0be46e8-5d1cfa40-70a07719.jpg	the subtle right-sided density has not undergone any significant interval change since the next preceding study of. considering patient's age and history, evaluation with ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p12763321/s55181620/9b9005d9-458a9f8e-cc42175a-df38c79b-6e64cee0.jpg	no free air. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13743849/s51015300/5c9aac11-d7c2e2a6-455c371e-6c9a9623-bc60ba2b.jpg	no acute cardiopulmonary process. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19339132/s57524726/a3592d18-7b2ddd3b-97a0e4f1-30dfac7f-c1191a39.jpg	top normal heart size with pacemaker in place.
MIMIC-CXR-JPG/2.0.0/files/p15713699/s51699868/78c3b0ec-05b9bbdd-a89d9f5c-ebe0cfa8-55bf97bf.jpg	heart size is normal. mediastinum is normal. lungs are clear. minimal bibasal atelectasis are noted. for pre size details please review chest ct obtained the same day later.
MIMIC-CXR-JPG/2.0.0/files/p16663886/s59542632/e9d0402e-af9fc6d0-0e6abc0d-a1468d95-010b3033.jpg	no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19747837/s54991663/5e58a43b-a5431f12-7758d942-cbf0aa44-26c15810.jpg	minimal residual pleural thickening versus tiny effusion at the right lung base. right cp angle partially excluded.
MIMIC-CXR-JPG/2.0.0/files/p18336565/s58059258/4e6dd7fe-aaf1cb68-1e1d03ce-67299daf-64dc047e.jpg	as compared to , cardiomediastinal contours are stable. subtle area of increased opacity in right upper lung could be due to superimposition of normal structures, but short-term followup radiographs may be helpful to exclude a developing pneumonia in this region. exam is otherwise remarkable for minimal linear atelectasis at the left lung base and persistent diffuse bronchial wall thickening.
MIMIC-CXR-JPG/2.0.0/files/p19030538/s57673450/1092f26f-79f06016-2dbe720e-eb554e93-fa6e353e.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12420056/s57370920/93a44f42-885c41bb-69c9c929-e42444b6-90c61cd0.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p17555187/s51671194/b3853349-f0321dc5-2c3bf1a2-5692b293-4e37022c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15419112/s56345018/55d998e9-4b780952-ef5fa891-67c02053-81c40a06.jpg	enlargement of the pulmonary outflow tract suggests pulmonary hypertension, recommend correlation with echocardiography.
MIMIC-CXR-JPG/2.0.0/files/p10024982/s54589172/121da9e6-50fb2afe-c8c1886c-e151708f-e167a824.jpg	small right pleural effusion with patchy bibasilar airspace opacities, possibly atelectasis though infection is not excluded. mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18226770/s53003913/68bb8294-249041de-76be629c-c34a61ee-f3047af6.jpg	heart size and mediastinum is prominent. however, there are no signs for overt pulmonary edema. no focal consolidation is seen. there is some atelectasis at the left lung base. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p13591339/s53859788/c9c73199-1ac2da91-5feefb2f-628305d8-b5821e11.jpg	cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusions, or pulmonary edema. there is coarsening of the bronchovascular markings and some hyperinflation, stable. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p15918926/s57239304/e6a283d7-c4d2f1b6-8b448377-f9b8e951-d21d85fc.jpg	new consolidation in the left mid to lower lung concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12097762/s53364256/0753b21b-29d28722-c2cd36c6-cb3a445d-0103e00c.jpg	right infrahilar and left lower lung consolidation in an appropriate clinical setting may represent multifocal pneumonia. retrocardiac opacity, which is likely part of consolidation is better since. mild pulmonary vascular congestion is unchanged. heart size, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10296472/s51034814/5835640d-edee0d3d-61c80636-ec6e1f23-4c433343.jpg	increased opacity in the right lower lobe could be atelectasis but pneumonia cannot be excluded. small bilateral effusions
MIMIC-CXR-JPG/2.0.0/files/p19273099/s51056249/ab84034f-144c53bb-7ae5b232-d94e5822-8c67f418.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14573297/s59749446/12b8ea4b-0534b540-456fbf20-b78bed74-ff258bbe.jpg	no lobar pneumonia, slight right basilar opacity may be atelectasis, cannot exclude an atypical pneumonia or bronchitis.
MIMIC-CXR-JPG/2.0.0/files/p18296202/s54017730/1c71bb79-60fb496f-20ab5e0f-9d72c587-42bddcce.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14634306/s59747251/0260c95f-e332c579-c83da238-60835b68-f1de6c95.jpg	increased opacification of the left upper lobe is most suggestive of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11885685/s53259081/032657f6-45da53d7-2602c3cf-6aa7f4f8-ed48ec45.jpg	comparison to. in the interval, the patient has developed a left lower lobe parenchymal opacity with air bronchograms that is ill-defined. the opacities accompanied by a small left pleural effusion. mild scoliosis. normal size of the heart. normal hilar and mediastinal contours. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17288685/s54445339/db346e86-e8357f8a-68a86af7-2c7ffbc6-8c47bec7.jpg	moderate cardiomegaly with mild edema.
MIMIC-CXR-JPG/2.0.0/files/p18637097/s53102339/ad35a8bd-c24111bc-170cdc40-7ee8b398-50944c76.jpg	no definite acute cardiac or pulmonary process. bilateral predominantly lower lung interstitial opacities are most likely chronic in nature, although mild interstitial pulmonary edema could have a similar appearance.
MIMIC-CXR-JPG/2.0.0/files/p19863368/s54760816/6ccec7c3-fdcd6f99-3e9e87f8-5a946087-70145fa9.jpg	increased opacification along the right paratracheal location may be due to a developing hematoma. a repeat cta chest is recommended when clinically feasible.
MIMIC-CXR-JPG/2.0.0/files/p14439892/s52363060/ab84cb60-e6f450e0-3223b657-baa46a16-d4b24d52.jpg	et tube is high, <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p10058974/s54456726/720b1d2f-64339a74-16ad8091-b29e7993-66bb109e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15050540/s53127050/84ae542a-7acd0a50-cdc60548-6f982404-a33c46c2.jpg	stable small bilateral pleural effusions with bibasilar subsegmental atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14283409/s57119931/a6384647-cdbdc42f-ab3f5808-6c9c340c-07c5cfcf.jpg	mild pulmonary edema. subtle opacity in the left lower lobe could represent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13031024/s54621036/b525b35c-dd586588-0bcfd552-dd6987e2-13573723.jpg	mild cardiomegaly and mild pulmonary vascular congestion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10570054/s54174752/78f4d426-8a2dec89-02730f98-f74ba761-4457c993.jpg	in comparison with the study of , there is little change. cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13813082/s54557730/0c7fd854-f0835e29-29fc5fbb-08bd4a9d-8623aabe.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19301352/s58278283/7fcc6511-cdec5ea2-31d7fb85-9d2d42fc-4a3c947d.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17343613/s57937316/dc500f62-85f6b661-9866860f-2384a937-7f3b503d.jpg	interval decrease in size of left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15566609/s59882676/89df91d1-4f3225c5-590378b3-6cd5d3ea-621ac7ef.jpg	stable millimetric right apical pneumothorax. previously malpositioned right picc line now terminates in the right axillary vein.
MIMIC-CXR-JPG/2.0.0/files/p15282197/s52524775/dc70a4e5-e5faed99-4f041797-e0ea26fc-8e2bcd5f.jpg	as compared to the previous radiograph, the patient has received a nasogastric tube. the course of the tube is unremarkable. the tip projects over the cavoatrial junction and the device should be advanced by approximately <num> cm. the right central venous access line is unchanged. the large right apical mass is constant in size and morphology. no evidence of pneumonia. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18515532/s53498187/15e73b32-f787c178-e58c9371-a7a94c4b-7fecaddf.jpg	heterogeneous consolidation in left lung, which may reflect multifocal aspiration or developing infectious pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19543748/s51790607/50a445e2-6da6a897-c1e02fdc-07019105-917a7b0e.jpg	new large right pleural effusion is seen. multiple spiculated nodules in the right upper, left upper and left mid lung appear stable.
MIMIC-CXR-JPG/2.0.0/files/p13762124/s50759251/4102f843-f616377a-ae059f47-9cfb21cb-1c2668e3.jpg	endotracheal tube, nasogastric tube and right internal jugular introducer are unchanged. a left picc line terminates in the left axilla, unchanged. several tubular structures are seen overlying the heart possibly representing calcificed coronary arteries or stents. clinical correlation is advised. cardiac and mediastinal contours cannot be assessed due to an interval worsening of the bilateral airspace process which likely reflects pulmonary edema superimposed on underlying ards.
MIMIC-CXR-JPG/2.0.0/files/p18426170/s53546273/1518c36c-13f9e8ea-782a02d8-5040a6b2-b761fb59.jpg	no acute cardiopulmonary process. normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17804385/s59603713/52a32d23-696e296d-49fb4848-8334446e-8d1e2bef.jpg	comparison to. unchanged position of the right pectoral port-a-cath. the line projects over the mid to lower svc. no complications, notably no kinking, no pneumonia, no pulmonary edema. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p12138413/s59968719/32f14351-28c99dab-583fa51c-7bf2e1a5-14729a9e.jpg	in comparison with the study of , there is little change. again there is enlargement of the cardiac silhouette with mild vascular congestion. the right ij temporary pacer is been removed and replaced with a right subclavian pacer that extends to the right atrium. otherwise little change.

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no pneumonia.

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as compared to the previous radiograph, no relevant change is seen. left picc line is constant, projecting over the mid svc. moderate cardiomegaly, elongation of the descending aorta, sternal wires, small left pleural effusion, combined to retrocardiac atelectasis, are unchanged in extent and appearance. the patient shows no evidence of pneumonia. no new osteolytic destruction of the first right rib, with subsequent soft tissue density projecting over the right lung apex as well as osteal lysis of the left clavicle.

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

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mild vascular congestion and pulmonary edema. no focal consolidation identified.

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cardiomegaly with central vascular congestion and mild interstitial edema, concerning for cardiac decompensation.

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no acute intra-pulmonary process.

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cardiomediastinal silhouette is unchanged. opacities in the left superior perihilar region have markedly improved, adjacent surgical chain is again noted. now very small left pneumothorax has decreased. the right lung is grossly clear. there are no pleural effusions. left pleural catheter is in unchanged position.

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moderate-to-large chronic left pleural effusion, slightly increased compared to the prior study with persistent left basilar opacification, likely reflecting compressive atelectasis, though infection cannot be completely excluded.

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no evidence of acute disease.

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mild pulmonary edema. no pneumonia.

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progression of the bilateral perihilar opacities with more dense right basilar opacity as well as developing retrocardiac opacity. findings are worrisome for bilateral infection or potentially aspiration.

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mild pulmonary vascular congestion and bibasilar atelectasis.

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there no prior chest radiographs available for review. heterogeneous pulmonary abnormality. regions of interstitial infiltration could be edema, but more discrete areas of consolidation and nodulation, left midlung, could be explained instead by widespread infection. left hilus may be enlarged. cardiac silhouette is partially obscured and size is difficult to assess, but it is not very large. pleural effusions are presumed, could be moderate on the left. no pneumothorax. right jugular line ends in the region of the superior cavoatrial junction. recommendation(s): it is very important to obtain prior chest imaging, both recent and remote to determine the chronicity of current lung abnormalities.

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no acute cardiopulmonary process.

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ng tube passes below the diaphragm terminating in the stomach. et tube tip is approximately <num> cm above the carinal. cardiomediastinal silhouette is unchanged as compared to with substantial new prominence of the right paratracheal strip in right hilus that might represent interval increase in lymphadenopathy or less likely ascending aortic dilatation. correlation with chest ct is recommended widespread chronic parenchymal opacities are unchanged. there is no interval development of pleural effusion or pneumothorax.

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normal chest radiograph. no pneumonia.

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large left-sided pulmonary opacity, consistent with patient's known pulmonary mass.

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no acute findings. routine chest radiography is insensitive for chest cage trauma.

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mild cardiomegaly. no evidence of pneumonia or chf.

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as compared to radiograph, persistent cardiomegaly is accompanied by pulmonary vascular congestion. diffuse hazy and reticular opacities have slightly improved. based on correlation with chest ct exams of and , these residual diffuse lung abnormalities appear to represent a chronic diffuse lung disease rather than acute pulmonary edema. known right upper lobe pulmonary nodule has been more fully evaluated by a recent ct.

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all worsened since are: severe cardiomegaly, pulmonary vascular engorgement, and mediastinal widening due to venous distention. although there is no pulmonary edema as yet, these findings all reflect cardiac decompensation, particularly right heart failure, and perhaps volume overload. left lower lobe atelectasis is severe, small bilateral pleural effusions are stable. et tube is in standard placement. esophageal drainage tube would need to be advanced <num> cm to move all the side ports into the stomach. there is no longer a right jugular central venous catheter in place. no pneumothorax is present.

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as compared to the previous radiograph, the known right basal opacity has minimally increased in extent. there also is a newly appeared small bilateral pleural effusion, better appreciated on the lateral radiograph. moderate cardiomegaly persists. moderate tortuosity of the thoracic aorta, of unchanged severity. unchanged appearance of the hilar structures.

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ap chest compared to : normal sized heart is actually decreased since , although pulmonary vasculature is more engorged. large lung volumes suggest emphysema, and therefore early congestive heart failure should be monitored carefully, given its outsize impact on respiratory function in such patients. no pleural effusion or pneumonia. right jugular line ends low in the svc. no pneumothorax.

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stable lung nodule in the right upper lobe. no evidence of acute disease.

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comparison to. no relevant change is noted. normal lung volumes. mild cardiomegaly. mild elongation of the descending aorta. borderline diameter of the pulmonary vessels and the hilar structures but no overt pulmonary edema. no pleural effusions. no pneumonia.

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the tiny right apical pneumothorax seen previously has resolved. cardiomediastinal silhouette is within normal limits. there has been improved aeration at the left base however there remains some atelectasis. no definite consolidation are seen.

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as compared to the previous radiograph, the lung volumes have slightly decreased. there is minimal fluid overload in both the vascular and interstitial compartment. normal size of the cardiac silhouette. moderate tortuosity of the thoracic aorta. no pleural effusions. no pneumonia.

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normal chest radiograph.

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in comparison in chest radiograph, an area of consolidation adjacent to the left cardiac apex has improved. small left pleural effusion has slightly increased in size, and a small right pleural effusion is unchanged. widespread pulmonary metastases are also unchanged.

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heart size and mediastinum are stable. left lower lobe previously seen opacity has resolved with no consolidation on mass clearly seen on current examination. minimal residua is most likely still present and should be reassessed in <num> weeks for documentation have a full resolution

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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stable small pleural effusions with subtly increased opacity in the right mid and lower lung, which could represent pneumonia.

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subcutaneous chest wall emphysema, likely postoperative. bibasilar opacities, mildly worsened in the right. small pleural effusions.

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no acute findings.

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unchanged moderate right pleural effusion.

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in comparison with the study of , there is little change. diffuse bilateral pulmonary opacification is processed. right chest tube remains in place and there is no evidence of pneumothorax. bilateral hazy opacification is again consistent with layering pleural effusions and there is evidence for elevated pulmonary venous pressure. considering all the opacification is within the lungs, it would be extremely difficult to exclude superimposed pneumonia in the appropriate clinical setting.

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intra-aortic balloon pump tip terminates <num> cm above the carinal. the temporary pacemaker tip is in the right ventricle. there is no pneumothorax. there is interval progression of pulmonary edema. left lower lobe mass and a right lower lobe mass are better appreciated on the recent ct from. hardware is unchanged in appearance. left pleural effusion appears to be slightly increased.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no radiopaque foreign body is detectedin the thorax.

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no acute cardiopulmonary abnormality.

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no evidence of intrathoracic malignancy.

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in comparison with the study of , the large-bore catheter has been removed. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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increased opacity at the right lung base could reflect atelectasis or aspiration.

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no acute cardiopulmonary process.

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left basilar atelectasis with small left pleural effusion.

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no acute cardiopulmonary abnormality.

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are in comparison with the study of , there is little change. again there are relatively low lung volumes which accentuate the transverse diameter of the heart. tortuosity of the aorta is seen. no vascular congestion or appreciable pleural effusion or acute focal pneumonia.

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left base opacity may be due to combination of pleural effusion and atelectasis.

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no acute cardiopulmonary process.

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interval improvement of right lung consolidation, with a small amount of consolidation persisting.

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in comparison with the study of , the cardiac silhouette remains within normal limits with a left ventricular configuration. tortuosity of the aorta and moderate hiatal hernia are again seen. no evidence of vascular congestion or acute focal pneumonia. again there is severe compression deformity in the lower lumbar spine and evidence of a fusion procedure in the lumbar region.

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no acute intrathoracic process.

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as compared to , no relevant change is seen. monitoring and support devices are constant. low lung volumes. moderate cardiomegaly. platelike areas of atelectasis at the lung bases. mild pulmonary edema.

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no significant interval change. findings compatible with right-sided pleural thickening, loculated effusion and parenchymal opacities. mediastinal adenopathy better seen by prior ct scan.

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the subtle right-sided density has not undergone any significant interval change since the next preceding study of. considering patient's age and history, evaluation with ct is recommended.

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no free air. no acute cardiopulmonary process.

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no acute cardiopulmonary process. stable moderate cardiomegaly.

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top normal heart size with pacemaker in place.

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heart size is normal. mediastinum is normal. lungs are clear. minimal bibasal atelectasis are noted. for pre size details please review chest ct obtained the same day later.

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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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minimal residual pleural thickening versus tiny effusion at the right lung base. right cp angle partially excluded.

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as compared to , cardiomediastinal contours are stable. subtle area of increased opacity in right upper lung could be due to superimposition of normal structures, but short-term followup radiographs may be helpful to exclude a developing pneumonia in this region. exam is otherwise remarkable for minimal linear atelectasis at the left lung base and persistent diffuse bronchial wall thickening.

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no acute intrathoracic abnormality.

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no acute cardiopulmonary abnormalities

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no acute cardiopulmonary process.

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enlargement of the pulmonary outflow tract suggests pulmonary hypertension, recommend correlation with echocardiography.

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small right pleural effusion with patchy bibasilar airspace opacities, possibly atelectasis though infection is not excluded. mild pulmonary vascular congestion.

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heart size and mediastinum is prominent. however, there are no signs for overt pulmonary edema. no focal consolidation is seen. there is some atelectasis at the left lung base. there are no pneumothoraces.

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cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusions, or pulmonary edema. there is coarsening of the bronchovascular markings and some hyperinflation, stable. there are no pneumothoraces.

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new consolidation in the left mid to lower lung concerning for pneumonia.

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right infrahilar and left lower lung consolidation in an appropriate clinical setting may represent multifocal pneumonia. retrocardiac opacity, which is likely part of consolidation is better since. mild pulmonary vascular congestion is unchanged. heart size, mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.

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increased opacity in the right lower lobe could be atelectasis but pneumonia cannot be excluded. small bilateral effusions

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no acute cardiopulmonary process.

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no lobar pneumonia, slight right basilar opacity may be atelectasis, cannot exclude an atypical pneumonia or bronchitis.

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no acute intrathoracic process.

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increased opacification of the left upper lobe is most suggestive of pneumonia.

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comparison to. in the interval, the patient has developed a left lower lobe parenchymal opacity with air bronchograms that is ill-defined. the opacities accompanied by a small left pleural effusion. mild scoliosis. normal size of the heart. normal hilar and mediastinal contours. no pulmonary edema.

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moderate cardiomegaly with mild edema.

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no definite acute cardiac or pulmonary process. bilateral predominantly lower lung interstitial opacities are most likely chronic in nature, although mild interstitial pulmonary edema could have a similar appearance.

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increased opacification along the right paratracheal location may be due to a developing hematoma. a repeat cta chest is recommended when clinically feasible.

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et tube is high, <num> cm above the carina.

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no acute cardiopulmonary process.

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stable small bilateral pleural effusions with bibasilar subsegmental atelectasis.

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mild pulmonary edema. subtle opacity in the left lower lobe could represent pneumonia.

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mild cardiomegaly and mild pulmonary vascular congestion. no pneumothorax.

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

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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interval decrease in size of left pneumothorax.

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stable millimetric right apical pneumothorax. previously malpositioned right picc line now terminates in the right axillary vein.

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as compared to the previous radiograph, the patient has received a nasogastric tube. the course of the tube is unremarkable. the tip projects over the cavoatrial junction and the device should be advanced by approximately <num> cm. the right central venous access line is unchanged. the large right apical mass is constant in size and morphology. no evidence of pneumonia. no pulmonary edema.

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heterogeneous consolidation in left lung, which may reflect multifocal aspiration or developing infectious pneumonia.

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new large right pleural effusion is seen. multiple spiculated nodules in the right upper, left upper and left mid lung appear stable.

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endotracheal tube, nasogastric tube and right internal jugular introducer are unchanged. a left picc line terminates in the left axilla, unchanged. several tubular structures are seen overlying the heart possibly representing calcificed coronary arteries or stents. clinical correlation is advised. cardiac and mediastinal contours cannot be assessed due to an interval worsening of the bilateral airspace process which likely reflects pulmonary edema superimposed on underlying ards.

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no acute cardiopulmonary process. normal chest radiograph.

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comparison to. unchanged position of the right pectoral port-a-cath. the line projects over the mid to lower svc. no complications, notably no kinking, no pneumonia, no pulmonary edema. normal size of the cardiac silhouette.

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in comparison with the study of , there is little change. again there is enlargement of the cardiac silhouette with mild vascular congestion. the right ij temporary pacer is been removed and replaced with a right subclavian pacer that extends to the right atrium. otherwise little change.