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/p18387335/s52820167/9a2ac80c-4754de7a-d82844c4-c70d495f-2210c4e9.jpg	on the current radiograph, <num> nasogastric tube is visible. the tip projects over the gastroesophageal junction, the tube should be advanced by at least <num> cm to be securely positioned in the stomach. the endotracheal tube continues to be in correct position. no complications, notably no pneumothorax. unchanged appearance of the cardiac silhouette and the lung parenchyma.
MIMIC-CXR-JPG/2.0.0/files/p17779350/s54791886/e73ceba1-b3900b49-8e7c29d5-40d731a0-ce1829b2.jpg	bilateral hazy opacities in the lungs better characterized by pet-ct from earlier the same day may be infectious.
MIMIC-CXR-JPG/2.0.0/files/p13093200/s54332794/8322999b-2d3cfdcd-7d07449b-07a13453-dc0e0f72.jpg	stable appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p10357939/s58118156/3b860f04-b6e8f0a5-2f04091b-771824c4-98b1caf5.jpg	the patient shows a x <num> cm mass that occupies virtually the entire left lung apex. the masses of soft tissue density and shows no calcifications, the border of the mass is sharp, the matrix is homogeneous. the mass shows direct contact to the chest wall, the mediastinal structures, the left ap hilar structures and, potentially, the aortic arch. the patient also shows bilateral solid and well-defined pulmonary nodules, highly suspicious for metastatic disease. the largest of these nodules measures approximately <num> cm in diameter and is located in the right upper lobe basis. no evidence of focal parenchymal opacities suggesting pneumonia. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16707063/s58209932/67e4bc7f-a7a88272-e5d51ae3-e27c0807-ca6dad95.jpg	small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15610631/s55210722/042f85a5-8636de9f-4ba9a113-fcf75569-c93d139a.jpg	interval development of pulmonary vascular congestion without evidence of frank interstitial edema. no evidence of pneumothorax or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12708674/s53531447/07256445-6da10626-a34970c2-97c33b16-00173052.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17073405/s54694075/4d32cd56-7a7cd9fb-ca532e71-3770db1f-772a8587.jpg	there is patchy consolidation in the left lower lobe. there may be a small area patchy density in the right lung base. there is no pneumothorax or chf.
MIMIC-CXR-JPG/2.0.0/files/p14441204/s54198220/924ffc08-f3ee95db-5de4fb7d-4c13cfac-973249cd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16360255/s57656318/a46b97f9-e6ec7dcd-4016d6dd-45b9e7f2-a6e20dee.jpg	pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. left nipple should not be mistaken for a lung nodule.
MIMIC-CXR-JPG/2.0.0/files/p18514680/s50709323/a10bf0cc-459a3178-cf771cf8-0060c6c3-9e0f2d9c.jpg	lungs remain hyperinflated consistent with underlying emphysema. there are stable postoperative changes in the right hemithorax. the patient's mandible obscures the right apex. calcified pleural and diaphragmatic plaques consistent with prior asbestos exposure. residual blunting of the right costophrenic angle which may reveal a tiny effusion or chronic pleural thickening. no developing airspace consolidation to suggest the presence of pneumonia. no pneumothorax. overall cardiac and mediastinal contours are stable given differences in patient positioning.
MIMIC-CXR-JPG/2.0.0/files/p11813306/s58806335/84aa726d-99308e01-68bdb13f-f503321f-673e914c.jpg	limited lateral view to the patient's overlying arm. given this, no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p17717274/s50779495/3867cd50-beb2ef05-f0366409-52dcddce-5f190102.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p14290495/s51164898/45b6399a-37a73673-013423b6-8bbaed04-8016237e.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10958454/s54482858/78e123ec-b6389280-54d95f4b-d98a0d85-63a12696.jpg	heart size and mediastinum are unchanged in appearance. there is interval development of pulmonary edema, moderate to severe. no focal consolidations to suggest infectious process demonstrated. bilateral pleural effusions are present. there is no pneumothorax. assessment of the patient after diuresis is recommended.
MIMIC-CXR-JPG/2.0.0/files/p11717514/s55784797/8f58e9b6-8a16d582-c3c1c791-3478f782-308fe93a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10377960/s56373673/0f3b008b-e0493d2e-006b0a15-7071534f-46437406.jpg	comparison to. in the interval, the patient has received a left pectoral pacemaker. the leads are in expected position, and the left atrium and left ventricle respectively. no complications, notably no pneumothorax. stable appearance of the cardiac silhouette. no pleural effusions. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13611015/s56743803/26811b1c-1ebdaa5c-85ad5796-b3d58e63-785b0e1a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19960970/s54369204/d9926989-d5d888d3-42f558aa-d284c6ae-c7f29dd0.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11281825/s54075360/56efdfc4-b4ada9c9-0105146d-647454ec-4e7d718d.jpg	moderate right-sided pleural effusion. no definite other change since prior noting limitation due to the patient's scoliosis.
MIMIC-CXR-JPG/2.0.0/files/p19831368/s53009539/e60f8e76-6129af13-57d92099-7659d87f-37cf5219.jpg	no free air below the right hemidiaphragm. bibasilar atelectasis. gas-filled dilated small bowel in the upper abdomen for which dedicated radiograph or ct may be performed to further assess.
MIMIC-CXR-JPG/2.0.0/files/p18403249/s59961598/3a830535-1a38ae00-dd6ed091-315181e9-91e64282.jpg	minimal bibasilar atelectasis. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17970922/s57132225/843c5168-971010df-fbaac8e9-9d220739-9446ebf2.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p11896917/s50434999/bcc7c511-c4b69bf3-e2ae7839-4381b12f-b217a28d.jpg	interval removal of a right-sided pigtail line without residual pneumothorax. unchanged moderate right-sided pleural effusion with associated right basal atelectasis. significant interval decrease of left-sided pleural effusion. large hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p10879112/s58264504/82cf9306-341e6424-e1566160-8fae6fcb-a8e50328.jpg	compared to chest radiographs since , most recently. postoperative enlargement of the cardiac silhouette has improved, moderate right basal atelectasis has not. pleural effusions small on the left. tiny left apical pneumothorax, probably not clinically significant. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13017215/s58529091/d350eeef-f4b305ad-686eac65-ec56ee27-86697d74.jpg	interval placement of endotracheal and enteric tubes in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p18767957/s51612379/fb8ee6e9-59868cbd-7ad11448-f8dbb718-932a7b43.jpg	heart size is upper limits of normal. there has been improvement of the pulmonary edema. there remains vague opacities at the lung bases. this may be due to resolving pulmonary edema versus atelectasis versus residual infiltrate. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p19735078/s59707190/821a6b83-041b2488-9577e4e7-794e747b-8a5e89a8.jpg	significant increase in cardiac size, raising strong concern for pericardial effusion. please correlate with echocardiogram. also noted is pulmonary edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17414299/s51073245/33da6add-7ec2eb0b-65631315-f9ee9312-83183c76.jpg	no radiographic evidence of acute cardiopulmonary abnormality. endotracheal tube now <num> cm above the carina. it should not be withdrawn any further.
MIMIC-CXR-JPG/2.0.0/files/p13036647/s54930715/abcf06a6-52c86b1e-43988254-67b2b4b9-e283eb65.jpg	mild left basal atelectasis, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p13098601/s56682588/355152da-06d1a304-be7af50f-48ca2edc-d2c72ec8.jpg	slight interval improvement right upper lobe atelectasis. stable moderate pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18907470/s59279957/a7da3192-a61b678d-0c8b4b1b-4a1b5831-17a8fb42.jpg	increasing bilateral pleural effusions, moderate in size.
MIMIC-CXR-JPG/2.0.0/files/p16533299/s55470985/299122f8-442f2cae-a2a4c4c1-517770fd-11385137.jpg	pa and lateral chest compared to : there are no findings to suggest pneumonia. there is mild peribronchial opacification in the right middle lobe which was present on , though not , probably atelectasis. lungs are otherwise clear. there is no pleural effusion. cardiomediastinal silhouette is normal. a <num> mm wide metallic cap projects over the peripheral soft tissue or surface of the left upper anterior chest wall and has been present since at least. an upper enteric tube passes through vascular clips at the gastroesophageal junction, to end in the upper stomach but would need to be advanced at least <num> cm to be sure all the side ports are in the stomach. biapical pleural thickening has been present without appreciable change since.
MIMIC-CXR-JPG/2.0.0/files/p19715335/s51099271/12ddd378-2bba0d43-8fcd9e51-e36d77fe-4376a7c7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17243456/s52787933/d4d2c63c-fabb7432-429f4077-33a53839-5ca73159.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10000032/s56699142/ea030e7a-2e3b1346-bc518786-7a8fd698-f673b44c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16201409/s56752064/6f0a91c7-42e9b03c-9e5a4c04-e5833d32-3cca621f.jpg	dense opacification in the bilateral lung bases, right greater than left, is likely due to either developing pulmonary edema or infection. this preliminary report was reviewed with dr , radiologist.
MIMIC-CXR-JPG/2.0.0/files/p10669036/s57435376/97c86730-96be7cf0-406f2202-12b3b80a-08311127.jpg	no acute cardiopulmonary abnormality. mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16095960/s53121256/b7df758e-802aa063-a2e4895f-fc52ed02-72d81a7a.jpg	subtle opacity in the right upper lobe which could represent an early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13763721/s50727100/1478e1a7-c3624304-792da7b4-f27098f9-024961d0.jpg	pa and lateral chest compared to and : small-to-moderate left pleural effusion probably increased since. small right pleural effusion also stable or slightly increased. left basal atelectasis mild, unchanged. upper lungs clear. no pneumothorax. mild enlargement of the cardiac silhouette is stable since. consideration should be given to the possibility of post-pericardiotomy pericarditis.
MIMIC-CXR-JPG/2.0.0/files/p19456470/s54539499/77280ebd-dd119cef-aac7d2c0-8e9a80fe-f455ae80.jpg	worsening of right base consolidation worrisome for pneumonia or aspiration with associated small right effusion.
MIMIC-CXR-JPG/2.0.0/files/p13481284/s52559344/c0f01724-7ee6d831-5fb6908f-d96a5226-276e822a.jpg	in comparison with the study of , there again is some enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. prominence of the hilar regions reflect some combination of central edema and possible adenopathy or pulmonary arterial hypertension. there is continued opacification in the retrocardiac region, unchanged from the previous study.
MIMIC-CXR-JPG/2.0.0/files/p11904362/s51967483/e70eea8a-95bef154-f5a638b3-3bc5bd03-37416c54.jpg	small left pleural effusion and left mid lung plate-like atelectasis. known nodular opacities on prior ct are poorly visualized on radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13120957/s55681597/d53ea806-f9b5f637-2a0ee3e9-a8409e3d-56e8cf0f.jpg	low lung volumes without radiographic evidence for acute process. bibasilar atelectasis. no evidence of free air beneath the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p11746946/s57365770/cc1919bc-9b448297-17207934-35c00bed-f2ea4873.jpg	endotracheal tube now appears to have its tip <num> cm above the carina. left subclavian central line has its tip in the proximal svc. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is stable moderate pulmonary and interstitial edema. increase in opacification at the left base likely reflects partial lower lobe atelectasis secondary to a layering effusion. a small right pleural effusion is also seen. no pneumothorax. endotracheal tube lies <num> cm above the carina. pullback of <num> cm would be advised at this time and was communicated by phone to , the patient's nurse by phone on at
MIMIC-CXR-JPG/2.0.0/files/p17009417/s50938298/fea0673f-9ec4add3-57115f40-66f00f09-46b9ae7c.jpg	low lung volumes, otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11733600/s55426722/07c3f674-92df9635-c843c3fa-312ac027-9993c039.jpg	slight improved aeration on the right
MIMIC-CXR-JPG/2.0.0/files/p16995602/s57904643/bb25320a-5b294a7c-2a80df7e-5413bc19-6842154c.jpg	<num>) no evidence of pneumonia. <num>) opacity projecting over the cardiac apex on lateral views which may be calcified breast nodule. repeat radiographs with nipple markers and shallow oblique views can be obtained to better deliniate this. radiologist should review that study before the patient leaves the department. findings entered into radiology communication website.
MIMIC-CXR-JPG/2.0.0/files/p19384482/s57737546/e30d0fe3-51e82afa-d7f75dc3-96ab018e-d412c41a.jpg	more dense consolidation in the lingula and right middle lobe. some of this may be due to the atelectasis, scarring and prominent fat pad, there is suspected superimposed acute infection given apparent progression of these changes since recent prior chest ct.
MIMIC-CXR-JPG/2.0.0/files/p10677866/s54401207/a360bcba-dc3886f7-7aa9a482-09cd94d3-2febe95d.jpg	lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p17772326/s57881897/a4cb23f1-23c6d878-6c24a785-77dbd65b-9d94036c.jpg	opacities suspicious for right middle lobe pneumonia and possible left upper lobe pneumonia. recommend follow up radiograph after treatment to document resolution. telephone notification to dr by dr at on and email sent to the ed qa nurses as the patient had already been discharged.
MIMIC-CXR-JPG/2.0.0/files/p19541392/s52101844/30c9e630-7ce9b567-8eda5fa1-385a60a6-a29f8dd1.jpg	moderate pulmonary edema. retrocardiac opacity is presumably component of pleural effusion and overlying atelectasis. a superimposed infection would be difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p14000003/s51658914/21425264-e13f537e-826703a0-5f03a1e0-09aa6a2b.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. specifically, no evidence of parenchymal or skeletal metastasis.
MIMIC-CXR-JPG/2.0.0/files/p14943766/s56529252/c4b892ac-6c975874-4d73a3c4-95f6b40e-ba00dc1e.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17424571/s52405128/214fb18a-ba61397d-ca3ab7ed-92092e4a-198f1a74.jpg	no acute cardiopulmonary process. possible trace pleural effusion. otherwise, no acute cardiopulmonary process. likely hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p11632236/s58779753/39263b8b-45ae2525-6930c975-8d20f91f-ba8d78c7.jpg	no significant change in diffuse left lung and right basilar parenchymal opacities. the enteric tube ends in the stomach with the last side port at the ge junction, recommend advancing.
MIMIC-CXR-JPG/2.0.0/files/p10055034/s56527119/b6d0fe0c-921cfa61-43c10301-e7792335-2ae59032.jpg	no pneumonia. engorgement of pulmonary vasculature without frank edema.
MIMIC-CXR-JPG/2.0.0/files/p12012748/s57816445/30bb85e8-abc8c386-0ad60816-314f9b8a-3e02c421.jpg	clear lungs. please note that chest ct is more sensitive in detecting small pulmonary lesions. re- demonstrated is subtle leftward deviation of the proximal trachea which could be due to underlying enlargement of the right lobe of the thyroid thyroid lesion not excluded.
MIMIC-CXR-JPG/2.0.0/files/p16115956/s52051191/d0ddfefd-5a3c88c3-1b2ae903-08998448-a8a4be97.jpg	there are no prior chest radiographs available for review. lungs are clear. right lung is borderline hyperinflated. elevation of the left hemidiaphragm is unexplained, presumably due to abdominal features. heart size is normal. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18842752/s56673137/eba07696-7bbceb01-99f6d433-89c7c3a0-20f37deb.jpg	heart size and mediastinum are stable. left basal atelectasis is unchanged. old rib fractures on the right are present with development of cul walls as compared to acute fractures seen on chest radiograph. upper lungs are clear. no focal consolidation to suggest acute pneumonia is seen.
MIMIC-CXR-JPG/2.0.0/files/p17215146/s50630114/09797571-aa14236d-4affdd1a-ab78b87c-fb384ab8.jpg	hyperinflation without superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13145776/s56292645/9a24e807-a1a1a62f-46ed6c34-10744bde-e08db811.jpg	small right apicolateral hydropneumothorax. slight interval improvement in right supraclavicular subcutaneous emphysema. mild right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18390353/s57122299/fc242c29-058289b0-9b51d56a-5a4406d4-0dc4d904.jpg	in comparison with the study of , there is an increase in pulmonary vascular congestion. bilateral layering effusions are seen with atelectatic changes at the bases. the possibility of superimposed pneumonia would be very difficult to exclude. the right subclavian catheter has been repositioned with the tip in the lower svc.
MIMIC-CXR-JPG/2.0.0/files/p16007214/s55317263/50785c2a-cd2373cc-fb3b6031-c6049b63-d5c4aeff.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16668598/s51530417/160a9a1a-a2b87cbd-31b25fba-bc716d7f-addce788.jpg	no evidence of acute or chronic tb.
MIMIC-CXR-JPG/2.0.0/files/p14715509/s59156295/cd2ae264-0bc21d59-a9dbc887-661c4ef1-acfb42e7.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12477707/s54155353/6ef7038b-06875a7c-487fbb9c-174af9f4-7b1c0d90.jpg	mild basal atelectasis. no convincing signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18382353/s53959119/60767146-65c6d4dc-ad05266d-050c4e97-fde631ea.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18616499/s50314789/3d231a10-058dbcec-06e17659-cbc8ea2b-c6523c1e.jpg	ap chest compared to. the patient has been extubated. large areas of consolidation in the right upper and right lower lung have not improved, due to infection or infarction. there may be new small nodules in the left lower lobe partially obscured by the cardiac silhouette. heart size normal. no pulmonary edema or vascular congestion. right jugular line ends in the mid svc and a feeding tube in the stomach, transvenous right atrial and right ventricular pacer leads follow their expected courses. no pneumothorax. heart size normal.
MIMIC-CXR-JPG/2.0.0/files/p18731624/s51639345/1e2e1010-131f7de3-c3fc2437-1ef76178-300d2885.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. mild hyperexpansion of the lungs with flattening hemidiaphragms suggests possible underlying chronic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15652922/s54625895/91cac4b3-da82058c-a1b031c6-8430bf9f-466f2d4c.jpg	compared to chest radiographs through. previously collapsed right lower lobe has re-expanded, is not fully aerated, but contains sufficient consolidation to raise concern for new pneumonia. lungs otherwise clear. borderline cardiomegaly unchanged. no pneumothorax. et tube in standard placement. nasogastric drainage tube can be traced clearly as far as the low esophagus, but it is probably continuous with a section of tubing that ends in the distal stomach
MIMIC-CXR-JPG/2.0.0/files/p13830137/s59870477/f1843677-31b5b382-685c14af-52c81880-761bb346.jpg	mild pulmonary interstitial edema. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16020842/s54266658/4af08c1f-303473a6-d6d8d364-441da1e8-2523f715.jpg	lung volumes are lower, and atelectasis is moderate to severe in the left lower lobe, mild on the right. pleural effusion is small on the left if any. no pneumothorax. interval increase in cardiac diameter, still normal, probably reflects intravascular volume increase and supine positioning. there is no pulmonary edema although upper lobe pulmonary vasculature is well filled. subcutaneous emphysema is extending superiorly along the left chest wall past skin. clinical inspection is advised. et tube and trans esophageal drainage tube are in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p10208568/s51034919/ac2c3b7c-6085eaa4-6f028eaf-ad2256b6-497db8c0.jpg	interval removal of the left basilar pigtail catheter. there is persistent rounded opacity in the left mid lung periphery worrisome for malignancy when correlated with ct dated. in addition, there is persistent consolidation at the left base of uncertain the etiology. no reaccumulate left pleural effusion is appreciated. the right lung remains grossly clear. interval improvement but residual left asymmetric mild edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15517908/s59286703/662c98c6-a5a366e0-4d3f0296-0e6f77dc-a3db0968.jpg	mild to moderate cardiomegaly is stable. the aorta is tortuous. left pleural effusion has markedly decreased. small right effusion is unchanged. right picc tip is in the cavoatrial junction. right lower lobe atelectasis has improved
MIMIC-CXR-JPG/2.0.0/files/p18975498/s51812348/41497b0c-96c2164d-373fd6c5-f4457304-69f2a0b9.jpg	compared to chest radiographs through at. no pneumothorax, bilateral pigtail pleural drainage catheter is unchanged in their respective positions. combination of residual consolidation cavitation unchanged recently. heart size top- normal. et tube, and nasogastric drainage tube, and left pic line in standard placements
MIMIC-CXR-JPG/2.0.0/files/p10494063/s53520077/e20a3acb-824c5dcd-1fc40c6a-4bbb68fb-56ad9e93.jpg	in comparison with the study of , the right subclavian catheter has been removed. continued relatively low lung volumes, but no evidence of acute pneumonia, vascular congestion, or pleurally fusion. right ij catheter again extends to about the level of the cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p14667202/s56242038/b34eff21-63afbddd-1985b5ae-662b830d-efba6734.jpg	elevated left hemidiaphragm with probable left diaphragmatic hernia, stable from. no signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13387985/s57409773/f0b56d9d-2226ea4e-abfd429e-1cf59ea6-78858654.jpg	slight blunting of the bilateral posterior costophrenic angles could be due to trace pleural effusions or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15227496/s56417045/f8ccb6c7-b4462a9b-9b024300-8bb1f3fd-4950b247.jpg	no pneumothorax. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15003038/s54203314/30340864-eb93fcea-21298eb5-5392553a-984faf9e.jpg	moderate left-sided pleural effusion of freely layering.
MIMIC-CXR-JPG/2.0.0/files/p19975044/s57336073/05ff2c34-9bcbe9cc-a8563d0d-ac4e143e-535aeea9.jpg	mild interstitial abnormality, possibly due to slight vascular congestion or airway inflammation, but not significantly changed.
MIMIC-CXR-JPG/2.0.0/files/p17724039/s55819531/fc07f9a2-8902dbb8-f356d8d5-3e53e417-6abb6b85.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17470891/s50695018/83705acb-3cdf3721-f775df15-255a5c01-54b32416.jpg	moderate right pleural effusion has recurred. left lower lobe collapse has remained relatively unchanged since. left basal pigtail pleural drainage catheter unchanged in position. mild enlargement of cardiac silhouette unchanged. upper lungs clear. no pneumothorax. et tube in standard placement. right jugular line ends in the right atrium.
MIMIC-CXR-JPG/2.0.0/files/p17250193/s55891475/9aa02f39-d1a40f8f-bd43db93-bb555a8f-d6626150.jpg	linear bibasilar opacities which may represent atelectasis, especially in the setting of lower lung volumes, however, component of infection cannot be completely excluded. please clinically correlate. if necessary, repeat exam with better inspiratory effort can be attempted.
MIMIC-CXR-JPG/2.0.0/files/p11948471/s55118318/1dd8b89a-15065ae9-7c5fb84c-3799d95c-f6397b34.jpg	known right anterior loculated hydropneumothorax is difficult to assess on this radiograph. lateral radiographs would be better suited for any further followup. unchanged small bilateral pleural effusions. unchanged right lower lobe round opacities measuring up to to <num> cm, likely abscesses.
MIMIC-CXR-JPG/2.0.0/files/p11825167/s59749433/03a153b1-fdb4dac5-efcbde61-414e936b-3e51ac8d.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11868667/s56951730/583479cc-c5d09007-a5b49e42-fbde46b3-0d0a5ae7.jpg	resolved pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p14690648/s55313340/c6423fad-c264e1c8-554b83cf-a1e9ff95-9f234f74.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13752677/s56928782/7b471e39-c0e860f0-34e15eaf-478aee4e-099e4445.jpg	in comparison with the study of earlier in this date, the tip of the nasogastric tube is in the lower body of the stomach. continued enlargement of the cardiac silhouette with some increased in the pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11254598/s57741827/d7aaa0bb-ffe269d4-f426df24-8f181ac5-7458777e.jpg	ap chest compared to : right upper lobe consolidation continues to clear. lungs are otherwise unremarkable. heart size normal. there is no pulmonary edema. a left pic line ends alongside a left supraclavicular dual-channel dialysis catheter low in the svc, while one port of the dialysis line is in the right atrium. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12633029/s51663232/7d8a439d-d72c2f54-653d329e-a3c30084-713a3b80.jpg	as compared to , the pre-existing pneumonia in the left lower lobe has substantially improved. there is a solitary remnant platelike opacity that persists, likely reflecting atelectasis or scarring. no new opacities. no complications such as effusions or abscesses. unchanged moderate cardiomegaly without pulmonary edema. the alignment of the sternal wires is normal.
MIMIC-CXR-JPG/2.0.0/files/p13029332/s51373839/98b4fb02-ee04a7da-3bca4e4f-a456536f-a3dada0e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17538239/s54043450/a4c666cb-b90ee63a-d2fac07e-842b1693-35d3b3a4.jpg	no acute cardiopulmonary process. no displaced rib fractures are seen.
MIMIC-CXR-JPG/2.0.0/files/p12635790/s50130942/181aa398-d6b3cdb8-ea2efffc-c3a2f2d1-a3138a4d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19148683/s51142879/975df39c-18ff252f-fb81b138-45be33f5-52f693bb.jpg	the lung volumes are normal. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions. hilar and mediastinal structures are normal on both the frontal and the lateral radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11152129/s53138416/37a328dd-73b2b86d-00dd6736-40425d9e-24ba7a44.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19610160/s51108817/df791ed9-8e3a37c2-9d37a7d7-79d80bc6-4553446d.jpg	widened mediastinum likely represents mediastinal lymphadenopathy. chest ct is recommended for further characterization. pulmonary interstitial edema. bibasilar opacities which may represent edema versus infectious etiology.
MIMIC-CXR-JPG/2.0.0/files/p19957675/s58450712/2ed1779c-17d5bf07-c3d652af-e6948f49-be974593.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15633721/s52469446/14982416-d5be6151-1cc1ccfc-b44840d5-e2659bd4.jpg	heart size and mediastinum are stable. small bilateral pleural effusions are similar to previous examination. there is substantial interval improvement in pulmonary edema.

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on the current radiograph, <num> nasogastric tube is visible. the tip projects over the gastroesophageal junction, the tube should be advanced by at least <num> cm to be securely positioned in the stomach. the endotracheal tube continues to be in correct position. no complications, notably no pneumothorax. unchanged appearance of the cardiac silhouette and the lung parenchyma.

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bilateral hazy opacities in the lungs better characterized by pet-ct from earlier the same day may be infectious.

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stable appearance of the chest.

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the patient shows a x <num> cm mass that occupies virtually the entire left lung apex. the masses of soft tissue density and shows no calcifications, the border of the mass is sharp, the matrix is homogeneous. the mass shows direct contact to the chest wall, the mediastinal structures, the left ap hilar structures and, potentially, the aortic arch. the patient also shows bilateral solid and well-defined pulmonary nodules, highly suspicious for metastatic disease. the largest of these nodules measures approximately <num> cm in diameter and is located in the right upper lobe basis. no evidence of focal parenchymal opacities suggesting pneumonia. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette.

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small left pleural effusion.

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interval development of pulmonary vascular congestion without evidence of frank interstitial edema. no evidence of pneumothorax or pneumonia.

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no acute intrathoracic process.

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there is patchy consolidation in the left lower lobe. there may be a small area patchy density in the right lung base. there is no pneumothorax or chf.

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no acute cardiopulmonary abnormality.

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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. left nipple should not be mistaken for a lung nodule.

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lungs remain hyperinflated consistent with underlying emphysema. there are stable postoperative changes in the right hemithorax. the patient's mandible obscures the right apex. calcified pleural and diaphragmatic plaques consistent with prior asbestos exposure. residual blunting of the right costophrenic angle which may reveal a tiny effusion or chronic pleural thickening. no developing airspace consolidation to suggest the presence of pneumonia. no pneumothorax. overall cardiac and mediastinal contours are stable given differences in patient positioning.

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limited lateral view to the patient's overlying arm. given this, no significant interval change.

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no acute cardiopulmonary abnormalities

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no acute cardiac or pulmonary process.

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heart size and mediastinum are unchanged in appearance. there is interval development of pulmonary edema, moderate to severe. no focal consolidations to suggest infectious process demonstrated. bilateral pleural effusions are present. there is no pneumothorax. assessment of the patient after diuresis is recommended.

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no acute cardiopulmonary process.

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comparison to. in the interval, the patient has received a left pectoral pacemaker. the leads are in expected position, and the left atrium and left ventricle respectively. no complications, notably no pneumothorax. stable appearance of the cardiac silhouette. no pleural effusions. no pulmonary edema.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary abnormality.

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moderate right-sided pleural effusion. no definite other change since prior noting limitation due to the patient's scoliosis.

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no free air below the right hemidiaphragm. bibasilar atelectasis. gas-filled dilated small bowel in the upper abdomen for which dedicated radiograph or ct may be performed to further assess.

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minimal bibasilar atelectasis. no focal consolidation to suggest pneumonia.

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normal chest radiographs.

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interval removal of a right-sided pigtail line without residual pneumothorax. unchanged moderate right-sided pleural effusion with associated right basal atelectasis. significant interval decrease of left-sided pleural effusion. large hiatal hernia.

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compared to chest radiographs since , most recently. postoperative enlargement of the cardiac silhouette has improved, moderate right basal atelectasis has not. pleural effusions small on the left. tiny left apical pneumothorax, probably not clinically significant. no pulmonary edema.

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interval placement of endotracheal and enteric tubes in appropriate position.

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heart size is upper limits of normal. there has been improvement of the pulmonary edema. there remains vague opacities at the lung bases. this may be due to resolving pulmonary edema versus atelectasis versus residual infiltrate. there are no pneumothoraces.

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significant increase in cardiac size, raising strong concern for pericardial effusion. please correlate with echocardiogram. also noted is pulmonary edema with small bilateral pleural effusions.

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no radiographic evidence of acute cardiopulmonary abnormality. endotracheal tube now <num> cm above the carina. it should not be withdrawn any further.

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mild left basal atelectasis, otherwise unremarkable.

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slight interval improvement right upper lobe atelectasis. stable moderate pleural effusion.

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increasing bilateral pleural effusions, moderate in size.

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pa and lateral chest compared to : there are no findings to suggest pneumonia. there is mild peribronchial opacification in the right middle lobe which was present on , though not , probably atelectasis. lungs are otherwise clear. there is no pleural effusion. cardiomediastinal silhouette is normal. a <num> mm wide metallic cap projects over the peripheral soft tissue or surface of the left upper anterior chest wall and has been present since at least. an upper enteric tube passes through vascular clips at the gastroesophageal junction, to end in the upper stomach but would need to be advanced at least <num> cm to be sure all the side ports are in the stomach. biapical pleural thickening has been present without appreciable change since.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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dense opacification in the bilateral lung bases, right greater than left, is likely due to either developing pulmonary edema or infection. this preliminary report was reviewed with dr , radiologist.

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no acute cardiopulmonary abnormality. mild bibasilar atelectasis.

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subtle opacity in the right upper lobe which could represent an early pneumonia.

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pa and lateral chest compared to and : small-to-moderate left pleural effusion probably increased since. small right pleural effusion also stable or slightly increased. left basal atelectasis mild, unchanged. upper lungs clear. no pneumothorax. mild enlargement of the cardiac silhouette is stable since. consideration should be given to the possibility of post-pericardiotomy pericarditis.

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worsening of right base consolidation worrisome for pneumonia or aspiration with associated small right effusion.

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in comparison with the study of , there again is some enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. prominence of the hilar regions reflect some combination of central edema and possible adenopathy or pulmonary arterial hypertension. there is continued opacification in the retrocardiac region, unchanged from the previous study.

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small left pleural effusion and left mid lung plate-like atelectasis. known nodular opacities on prior ct are poorly visualized on radiograph.

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low lung volumes without radiographic evidence for acute process. bibasilar atelectasis. no evidence of free air beneath the diaphragms.

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endotracheal tube now appears to have its tip <num> cm above the carina. left subclavian central line has its tip in the proximal svc. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. there is stable moderate pulmonary and interstitial edema. increase in opacification at the left base likely reflects partial lower lobe atelectasis secondary to a layering effusion. a small right pleural effusion is also seen. no pneumothorax. endotracheal tube lies <num> cm above the carina. pullback of <num> cm would be advised at this time and was communicated by phone to , the patient's nurse by phone on at

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low lung volumes, otherwise, no acute cardiopulmonary process.

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slight improved aeration on the right

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<num>) no evidence of pneumonia. <num>) opacity projecting over the cardiac apex on lateral views which may be calcified breast nodule. repeat radiographs with nipple markers and shallow oblique views can be obtained to better deliniate this. radiologist should review that study before the patient leaves the department. findings entered into radiology communication website.

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more dense consolidation in the lingula and right middle lobe. some of this may be due to the atelectasis, scarring and prominent fat pad, there is suspected superimposed acute infection given apparent progression of these changes since recent prior chest ct.

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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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opacities suspicious for right middle lobe pneumonia and possible left upper lobe pneumonia. recommend follow up radiograph after treatment to document resolution. telephone notification to dr by dr at on and email sent to the ed qa nurses as the patient had already been discharged.

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moderate pulmonary edema. retrocardiac opacity is presumably component of pleural effusion and overlying atelectasis. a superimposed infection would be difficult to exclude.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. specifically, no evidence of parenchymal or skeletal metastasis.

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normal chest radiograph.

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no acute cardiopulmonary process. possible trace pleural effusion. otherwise, no acute cardiopulmonary process. likely hiatal hernia.

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no significant change in diffuse left lung and right basilar parenchymal opacities. the enteric tube ends in the stomach with the last side port at the ge junction, recommend advancing.

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no pneumonia. engorgement of pulmonary vasculature without frank edema.

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clear lungs. please note that chest ct is more sensitive in detecting small pulmonary lesions. re- demonstrated is subtle leftward deviation of the proximal trachea which could be due to underlying enlargement of the right lobe of the thyroid thyroid lesion not excluded.

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there are no prior chest radiographs available for review. lungs are clear. right lung is borderline hyperinflated. elevation of the left hemidiaphragm is unexplained, presumably due to abdominal features. heart size is normal. no pleural abnormality.

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heart size and mediastinum are stable. left basal atelectasis is unchanged. old rib fractures on the right are present with development of cul walls as compared to acute fractures seen on chest radiograph. upper lungs are clear. no focal consolidation to suggest acute pneumonia is seen.

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hyperinflation without superimposed acute cardiopulmonary process.

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small right apicolateral hydropneumothorax. slight interval improvement in right supraclavicular subcutaneous emphysema. mild right basilar atelectasis.

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in comparison with the study of , there is an increase in pulmonary vascular congestion. bilateral layering effusions are seen with atelectatic changes at the bases. the possibility of superimposed pneumonia would be very difficult to exclude. the right subclavian catheter has been repositioned with the tip in the lower svc.

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no definite acute cardiopulmonary process.

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no evidence of acute or chronic tb.

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no evidence of acute cardiopulmonary process.

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mild basal atelectasis. no convincing signs of pneumonia.

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no acute cardiopulmonary process.

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ap chest compared to. the patient has been extubated. large areas of consolidation in the right upper and right lower lung have not improved, due to infection or infarction. there may be new small nodules in the left lower lobe partially obscured by the cardiac silhouette. heart size normal. no pulmonary edema or vascular congestion. right jugular line ends in the mid svc and a feeding tube in the stomach, transvenous right atrial and right ventricular pacer leads follow their expected courses. no pneumothorax. heart size normal.

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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. mild hyperexpansion of the lungs with flattening hemidiaphragms suggests possible underlying chronic pulmonary disease.

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compared to chest radiographs through. previously collapsed right lower lobe has re-expanded, is not fully aerated, but contains sufficient consolidation to raise concern for new pneumonia. lungs otherwise clear. borderline cardiomegaly unchanged. no pneumothorax. et tube in standard placement. nasogastric drainage tube can be traced clearly as far as the low esophagus, but it is probably continuous with a section of tubing that ends in the distal stomach

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mild pulmonary interstitial edema. no focal consolidation.

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lung volumes are lower, and atelectasis is moderate to severe in the left lower lobe, mild on the right. pleural effusion is small on the left if any. no pneumothorax. interval increase in cardiac diameter, still normal, probably reflects intravascular volume increase and supine positioning. there is no pulmonary edema although upper lobe pulmonary vasculature is well filled. subcutaneous emphysema is extending superiorly along the left chest wall past skin. clinical inspection is advised. et tube and trans esophageal drainage tube are in standard placements.

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interval removal of the left basilar pigtail catheter. there is persistent rounded opacity in the left mid lung periphery worrisome for malignancy when correlated with ct dated. in addition, there is persistent consolidation at the left base of uncertain the etiology. no reaccumulate left pleural effusion is appreciated. the right lung remains grossly clear. interval improvement but residual left asymmetric mild edema. no pneumothorax.

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mild to moderate cardiomegaly is stable. the aorta is tortuous. left pleural effusion has markedly decreased. small right effusion is unchanged. right picc tip is in the cavoatrial junction. right lower lobe atelectasis has improved

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compared to chest radiographs through at. no pneumothorax, bilateral pigtail pleural drainage catheter is unchanged in their respective positions. combination of residual consolidation cavitation unchanged recently. heart size top- normal. et tube, and nasogastric drainage tube, and left pic line in standard placements

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in comparison with the study of , the right subclavian catheter has been removed. continued relatively low lung volumes, but no evidence of acute pneumonia, vascular congestion, or pleurally fusion. right ij catheter again extends to about the level of the cavoatrial junction.

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elevated left hemidiaphragm with probable left diaphragmatic hernia, stable from. no signs of pneumonia.

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slight blunting of the bilateral posterior costophrenic angles could be due to trace pleural effusions or pleural effusion.

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no pneumothorax. no acute intrathoracic process.

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moderate left-sided pleural effusion of freely layering.

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mild interstitial abnormality, possibly due to slight vascular congestion or airway inflammation, but not significantly changed.

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no radiographic evidence for acute cardiopulmonary process.

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moderate right pleural effusion has recurred. left lower lobe collapse has remained relatively unchanged since. left basal pigtail pleural drainage catheter unchanged in position. mild enlargement of cardiac silhouette unchanged. upper lungs clear. no pneumothorax. et tube in standard placement. right jugular line ends in the right atrium.

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linear bibasilar opacities which may represent atelectasis, especially in the setting of lower lung volumes, however, component of infection cannot be completely excluded. please clinically correlate. if necessary, repeat exam with better inspiratory effort can be attempted.

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known right anterior loculated hydropneumothorax is difficult to assess on this radiograph. lateral radiographs would be better suited for any further followup. unchanged small bilateral pleural effusions. unchanged right lower lobe round opacities measuring up to to <num> cm, likely abscesses.

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normal chest radiograph.

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resolved pulmonary edema

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no acute intrathoracic process.

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in comparison with the study of earlier in this date, the tip of the nasogastric tube is in the lower body of the stomach. continued enlargement of the cardiac silhouette with some increased in the pulmonary vascular congestion.

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ap chest compared to : right upper lobe consolidation continues to clear. lungs are otherwise unremarkable. heart size normal. there is no pulmonary edema. a left pic line ends alongside a left supraclavicular dual-channel dialysis catheter low in the svc, while one port of the dialysis line is in the right atrium. no pneumothorax or pleural effusion.

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as compared to , the pre-existing pneumonia in the left lower lobe has substantially improved. there is a solitary remnant platelike opacity that persists, likely reflecting atelectasis or scarring. no new opacities. no complications such as effusions or abscesses. unchanged moderate cardiomegaly without pulmonary edema. the alignment of the sternal wires is normal.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. no displaced rib fractures are seen.

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no acute cardiopulmonary process.

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the lung volumes are normal. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions. hilar and mediastinal structures are normal on both the frontal and the lateral radiograph.

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no radiographic evidence for acute cardiopulmonary process.

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widened mediastinum likely represents mediastinal lymphadenopathy. chest ct is recommended for further characterization. pulmonary interstitial edema. bibasilar opacities which may represent edema versus infectious etiology.

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no acute cardiopulmonary process.

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heart size and mediastinum are stable. small bilateral pleural effusions are similar to previous examination. there is substantial interval improvement in pulmonary edema.