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/p14430398/s56636293/a904bef1-ded24582-b301aea3-d954eb5f-56bb32f0.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18678399/s53284819/8b52a9b1-847b6550-c89fa839-549667d6-a5778dc2.jpg	cardiomegaly and mild chf. bilateral pleural effusions, right > left. bibasilar increased opacities, consistent with bibasilar collapse and/or consolidation. posterior mediastinal mass seen on ct is not well delineated on this exam but could account for some of the hazy density seen posteriorly.
MIMIC-CXR-JPG/2.0.0/files/p12479159/s57126624/1c9d1d2e-611fd199-037c548f-115f51d2-c09cdac8.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13780400/s50122951/97b93b07-93f91999-bd9bfcdd-2f03da55-b2615ba9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17673487/s59738237/d673fa9f-035146c1-aeb812e3-cc401834-a45ba2d9.jpg	heart size is top-normal. there is substantially enlarged aortic arch demonstrated concerning for on the wrist might dilatation. bibasal, left more than right atelectasis demonstrated. there is small amount of pleural effusion, most likely bilateral. there is no pulmonary edema left subclavian line tip is at the left brachycephalic vein. pacemaker leads terminate in right atrium and right ventricle. ng tube tip is in the stomach. further assessment of the patient with chest ct performed contrast o the thoracic aortic is recommended.
MIMIC-CXR-JPG/2.0.0/files/p12115320/s57693145/73a70c66-45c23714-efff59af-37e9f98a-4ec2defd.jpg	new right upper lobe opacity, in the appropriate clinical setting this can represent early consolidation. interval improvement in the left retrocardiac opacity.
MIMIC-CXR-JPG/2.0.0/files/p11526668/s54552429/028bae75-869c9ff0-09f504fc-658bf828-516390a9.jpg	mild pulmonary edema, but improved significantly from.
MIMIC-CXR-JPG/2.0.0/files/p11573679/s56656431/110db191-e155ca77-6aa46407-722e3e7a-8cf3e595.jpg	right internal jugular large bore catheter is unchanged in position. interval extubation and removal of the nasogastric tube. interval decrease in lung volumes with unchanged layering right pleural effusion and slightly increased bibasilar patchy opacities which likely reflect atelectasis, although pneumonia or aspiration cannot be excluded. crowding of the pulmonary vasculature with no evidence of pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19713100/s57339585/d26f1516-fb62320d-5dc37925-0421bd12-6818a55f.jpg	stable left lower lung atelectasis and pleural effusion. no overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14689320/s55019627/98775a25-9dab8482-1b510f92-6322c14a-0debcf5f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15167597/s51862537/ff1ea872-86fcba8c-56e07ff3-209fef50-bb610870.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11771793/s57031247/340d4a14-e39480f9-8bcb59a6-df2fcefe-88e81d4e.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. cardiac silhouette remains mildly enlarged without vascular congestion or acute focal pneumonia. opacification at the left base most likely represents volume loss in the left lower lobe. in the appropriate clinical setting, it would be difficult to exclude retrocardiac pneumonia, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p15094321/s57100193/3784c6fc-af9a19aa-3c80e2cf-f04dd640-de33814f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12502940/s52942997/892b010e-065a80c9-1cbf7a5c-57bc7b0d-285093fc.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19528617/s53802602/20e7616c-cd1bb810-da495aae-b818a8c6-a90c4657.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18632748/s56141815/200b5718-cc6523cb-6322b952-c2b2b61f-61615663.jpg	subtle opacity at the right lung base could represent an early right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19496864/s55919118/f9d41d3f-d620f307-a7dca8fc-18e3f62c-5daf4ea8.jpg	et tube is <num> cm from the carina. right ij remains in the mid svc. esophageal temperature probe projects over the upper mediastinum. orogastric tube terminates in the stomach. right upper lobe and basilar opacities are slightly worsened.
MIMIC-CXR-JPG/2.0.0/files/p17741183/s54947095/e7a10c9d-16e7a8c3-6604a5a9-2ce26781-ed60bc21.jpg	the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pulmonary edema. no pneumonia. in the right lung, <num> pleural lesion is visualized. as seen on the ct examination from , this lesion reflect a pleural lipoma.
MIMIC-CXR-JPG/2.0.0/files/p10457876/s50645171/76312fb4-68c483ce-677fa729-19864e3c-47ff6179.jpg	in comparison with the study of , there has been placement of a a left pigtail catheter with removal of a large amount of pleural fluid. small residual is seen at the base. no evidence of post procedure pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18203391/s52147951/8a381bb6-95762c0f-01ef7678-cc167aea-aed79174.jpg	multiple wires external to the patient limit evaluation of the left lung parenchyma. however, lung volumes do remain low and there are streaky opacities at both bases, most likely reflecting atelectasis. the nasogastric tube has been removed. cardiac and mediastinal contours are stable. no pneumothorax is appreciated. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12156923/s59735292/485637dc-31b04775-9a540223-d42a9e74-8cdb5ff5.jpg	comparison to. lung volumes have increased, likely reflecting improved ventilation. however, signs of moderate pulmonary edema persists. stable atelectasis in the retrocardiac lung region and at the bases of the left lung. no pleural effusions. in addition, there is a new perihilar opacity on the right, potentially reflecting developing pneumonia. stable position of the right picc line. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14281249/s59813597/8e556710-a28792f7-7080d408-dbfd3197-7fc242fc.jpg	subtle left midlung opacity which could be due to atelectasis in the setting of lower lung volumes. possibility of infection can't be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11811815/s53457232/99c6a29e-ec6745e3-9a9c2c62-d5a29650-9569c3bd.jpg	low lung volumes with linear bibasilar opacities most consistent with atelectasis, though pneumonia can be considered in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p11967908/s57741335/9f1515b9-e1328bb9-9d7fde85-b4cf7c3e-e18d374b.jpg	improved pulmonary vascular congestion, no pulmonary edema. stable small right pleural effusion. unchanged apical pleural thickening and calcification compatible with radiation changes from prior treatment of breast cancer.
MIMIC-CXR-JPG/2.0.0/files/p19442084/s55269676/cb7b80e1-3c73a6bf-26448c3f-6530fcd6-a3123487.jpg	these findings were communicated to the ordering physician. by dr telephone at on.
MIMIC-CXR-JPG/2.0.0/files/p18853185/s52391405/f4352763-31fa88e1-410171d5-1927e0a5-907ef14f.jpg	severe cardiomegaly is a stable. left ij catheter tip is in the upper to mid svc. mild pulmonary edema has improved. bibasilar opacities a combination of pleural effusions and atelectasis larger on the left have increased. sternal wires are aligned. patient is status post cabg.
MIMIC-CXR-JPG/2.0.0/files/p16736889/s56231984/5b8b211f-67566fb2-36328236-9f293c37-e55ac183.jpg	stable right lower lung opacification consistent with kaposi's sarcoma. mild background pulmonary edema. small bilateral pleural effusions. possible small leftsided loculated pleural effusion versus thickening.
MIMIC-CXR-JPG/2.0.0/files/p11336624/s51359692/a146731d-eae205a2-8d55515c-3d4a03e0-b982d241.jpg	no focal consolidations concerning for pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p18969313/s55409359/e2b9bc04-a723758c-416d096f-036d05cb-2b8786b4.jpg	left pic line ends in the region of the superior cavoatrial junction. lungs are clear. heart size normal. no pleural abnormality. the serpiginous calcifications projecting over the anterior cardiac silhouette on the lateral view have been present since at least. even looking at the ct of the abdomen on which shows the they are centered at the pericardium, i do not know what they are, but i doubt they are clinically active.
MIMIC-CXR-JPG/2.0.0/files/p17363288/s58330601/839b1597-bfc585dd-d4ef29b2-75cf86e1-ed8cb3de.jpg	left pectoral pacemaker seen with transvenous leads in the ra, rv, and left coronary vein.
MIMIC-CXR-JPG/2.0.0/files/p11750478/s53154280/2d375800-3f22026f-5f846fe0-61042694-e74ee409.jpg	in comparison with the study of , allowing for the extremely lordotic position, there is little change in the appearance of the cardiac silhouette. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. right ij catheter extends to about the level of the cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p13081604/s59869467/0d972a6a-100c5ad7-ab1473f1-5d255a8e-f152dc31.jpg	right upper lobe, right lower lobe, and left lower lobe opacities are concerning for multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12659305/s51187208/f79cf6e1-2c3f980b-f94d572d-6b5e1d78-13b713d6.jpg	no acute cardiopulmonary process. please note that ct is more sensitive in detecting pulmonary nodules.
MIMIC-CXR-JPG/2.0.0/files/p19472091/s54238189/d9f64478-04a2f46e-b4db990e-013f6af7-78122cfd.jpg	persistent atelectasis in the right hilar/ perihilar region.
MIMIC-CXR-JPG/2.0.0/files/p16640107/s52154538/42da1916-75e0b2f8-f89a6387-2a6cddbd-c54b7343.jpg	faint opacity projecting over the right mid lung, new from prior, could represent a pneumonia in the proper clinical setting. otherwise, unchanged appearance with probable left-sided thyroid enlargement and rightward deviation of the trachea.
MIMIC-CXR-JPG/2.0.0/files/p11484862/s57715539/2d58bdf2-0efcb66f-49cbba16-6fa39d9c-5dcde3b7.jpg	in comparison to previous radiograph of <num> day earlier, cardiomediastinal contours are stable in appearance. layering small to moderate right pleural effusion and small left pleural effusion have slightly increased in size in the interval with adjacent basilar atelectasis. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p17646259/s57539217/4c8e452a-e4477896-1643698e-ad089dc0-fd17c480.jpg	as compared to the previous radiograph, the patient has developed bilateral perihilar areas of platelike atelectasis. however, neither the frontal nor the lateral radiograph show evidence of pneumonia or other infectious lung disease. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette. the chest radiograph does not explain the right is in white blood cell count.
MIMIC-CXR-JPG/2.0.0/files/p11464800/s54219433/1f7ba655-38db0156-232d6b32-42c767fc-5792acc2.jpg	no evidence of acute cardiopulmonary process. tracheal deviation to the left most likely due to an enlarged thyroid. recommend thyroid ultrasound for further evaluation. compression fractures of the thoracic spine appear worse from the prior examination.
MIMIC-CXR-JPG/2.0.0/files/p11979806/s55458979/f0e5fca8-0d7aa30e-4450de74-a1bd2cdd-4ea38ac5.jpg	post sternotomy wires are unremarkable. heart size and mediastinal silhouette are stable. pacemaker leads terminate in the expected location. bilateral pleural effusions are moderate. the replaced aortic valve is in expected position. no appreciable pneumothorax demonstrated. there is no pulmonary edema. minimal bibasal atelectasis is expected after surgery.
MIMIC-CXR-JPG/2.0.0/files/p11581370/s58049069/16b4a51d-225c78d0-1fc47eab-3803db11-a30fb18a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13110574/s50832927/3d9aa613-d22aefcf-07de7fac-2c29625e-025c94ba.jpg	pulmonary edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10877420/s55078986/e2a11a8f-cafce8ba-69df8721-83b56f36-e9cf1edf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10166896/s59503048/6cc3e512-74c3a4aa-8fc68fff-f41ba68c-6ca3cbd4.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10740350/s56517723/82b2f084-343218f1-237c52ae-50513f27-a6fb4b88.jpg	no evidence of hilar or mediastinal lymphadenopathy. no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17531113/s56459930/aed1aa86-258ce4c0-004d5e74-093b4bd5-48153933.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17768098/s51296643/f5e64afd-25b45a7d-ca18c235-2fd4b9a3-9eb78a87.jpg	interval placement of a ng tube terminates in the right lower hemithorax, most likely within the neoesophagus. the position of the ng tube is similar to prior studies including and. it appears to course superior to the carina. small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18347925/s55075186/ff87a38d-712999b8-7262cd62-ba93bf6c-67b4c342.jpg	right internal jugular swan-ganz catheter continues to have its tip in the right pulmonary outflow tract. an endotracheal tube is seen with its tip approximately <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. left basilar chest tube and mediastinal drains remain in place. there is a small layering left effusion and possibly a smaller right effusion. patchy opacity at both lung bases most likely reflect atelectasis, although aspiration or pneumonia cannot be entirely excluded. no evidence of pulmonary edema. no pneumothorax is seen. status post median sternotomy with stable postoperative cardiac and mediastinal contours.
MIMIC-CXR-JPG/2.0.0/files/p18123897/s50822780/e05d3bab-78115283-b0cf5dbc-478d1b50-f8f955a7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15159712/s56434326/84df1ec3-1dd844fb-5ca22fbf-1955d5d0-a80e421e.jpg	low lung volumes with mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16372984/s50538760/a73f2854-38ab3318-572a11d9-50d4f1fd-748cd388.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13575992/s52784520/83183e18-9d3476ac-651068ed-9559fbcf-0ed1a867.jpg	a left internal jugular line tip is at the level of superior svc. ng tube tip is in the proximal stomach. abundant left ventricular pacer leads are present. cardiomediastinal silhouette is stable although cardiomegaly is noted. mild interstitial pulmonary edema is present.
MIMIC-CXR-JPG/2.0.0/files/p14154572/s51507838/fa16a69b-5fb7e563-74d93e04-97f95051-a168925e.jpg	multiple displaced right rib fractures as described above, new from. please correlate clinically for acuity.
MIMIC-CXR-JPG/2.0.0/files/p14015730/s54908905/1d76e06b-3d7ea68d-5bcd23d8-2e839e07-35717bce.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15385889/s55749259/d9554986-b585dc2d-e6f2013f-c9986d69-cf67c74c.jpg	cardiomegaly, small right pleural effusion and mild pulmonary edema. more confluent right basilar opacity suspicious for pneumonia in the proper clinical setting. please note that a repeat will be necessary to document resolution given similar finding present in.
MIMIC-CXR-JPG/2.0.0/files/p15690056/s59376936/6c81ecb5-d5e5e1c1-ecc12c5a-e1961097-1dbde9aa.jpg	in comparison with the study of , the patient has taken a much better inspiration. cardiac silhouette is now within normal limits and there is no evidence of vascular congestion or pleural effusion. no convincing evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12720451/s57212528/ba9b1447-6eeb8935-86304db6-4f53b676-b8876185.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18529625/s50235350/f1071f1c-cf2ff021-9ac728b9-3fc08c2c-549d7401.jpg	multifocal opacities most suggestive of pneumonia. suspected coinciding mild-to-moderate pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12177257/s59929284/0918bc7f-f2b2c1f7-f767eada-71765d4a-bfdc9ca2.jpg	no acute abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p13495405/s51708204/de41eb1a-c982b29d-4702e7e5-6cb6a0fe-6010db92.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16093831/s50694488/3b8f481e-fad51141-cd0d7fd3-316d3510-f97f4bf1.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17400716/s56733486/abe73a7f-035e3d26-8845d2a6-07ecb4d6-b8b18e6d.jpg	moderate cardiomegaly and persistent mild pulmonary edema. improved aeration of the left lower lobe. interval resolution of left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11304566/s50642547/fdc6eb14-374bfa0c-fca29ddf-5e5d826b-0713dfe3.jpg	large right pleural effusion roughly unchanged since , obscures much of the right lower lung but probably produces severe atelectasis in the middle and lower lobes. left lower lobe is progressively more consolidated, either atelectasis or pneumonia. mild pulmonary edema in the left lung may be due to redirection of blood flow from the hypoxic right hemithorax. heart size is indeterminate. progressive coronal narrowing of the trachea, usually an indication of copd, is more likely a manifestation of increased trans pleural pressure in the right chest and perhaps mild tracheomalacia.
MIMIC-CXR-JPG/2.0.0/files/p15201551/s53336472/0ae609f1-6721c501-7d89f194-66251999-356803a1.jpg	in comparison with the study , patient has taken a better inspiration. there is globular enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. atelectatic changes are seen at the left base and there is blunting of the costophrenic angle. of incidental note is possible calcification in the region of the carotid bifurcation on the low left.
MIMIC-CXR-JPG/2.0.0/files/p18566555/s59407450/17c2092a-d1652b2b-82b3bc05-4341bd60-421adbc3.jpg	adequate positioning of right ij central venous catheter.
MIMIC-CXR-JPG/2.0.0/files/p16168883/s59440732/6e3aecfa-bb67e4dc-000b8ecf-96e03ef7-b11788ca.jpg	no evidence of pneumonia. tiny left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19257413/s53114731/ddd2da5e-7f770929-3c618bca-53731632-fd1af926.jpg	in comparison with the study of , the patient has taken a better inspiration, with some improvement in the pattern of basilar atelectasis the and transverse diameter of the cardiac silhouette. nevertheless, there is probably some element of elevated pulmonary venous pressure. no definite pneumothorax with right chest tube in place. there is suggestion of a loculated collection of pleural fluid laterally on the right.
MIMIC-CXR-JPG/2.0.0/files/p18291049/s54972460/271c1954-f4f3ceb9-b51dc2d0-71fbfd16-84c76cf5.jpg	moderate right pleural effusion and adjacent atelectasis. small left pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11557030/s53321505/66750f36-de5dbf08-3325ae09-46ca7e72-4379ae3a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14896665/s51463732/f57d8214-698eebc2-4f5a868a-b51304ac-4f3c8355.jpg	equivocal early infiltrate seen in the infrahilar region on the lateral view. no definite correlate out and <num> on the frontal view. otherwise, doubt significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p15415646/s59232826/a8d9fa61-d37025eb-679dfac4-b54915bf-cc8eb794.jpg	left base opacity could be due to atelectasis versus consolidation due to infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12672736/s52626049/fa3ff31c-a5c6e06b-944a7d06-b9b93dff-1c8bbe68.jpg	no focal consolidation concerning for pneumonia. left lingular atelectasis. interval t<num> kyphoplasty.
MIMIC-CXR-JPG/2.0.0/files/p16345049/s53975659/6dbe3cb9-d6aeb061-e4fc8e37-63ed1b45-fa96b556.jpg	no acute pulmonary process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14448385/s57601991/69a055d7-1c70eddb-36be8065-d5bb5a6c-0aaf6680.jpg	in comparison with the study of , there has been partial clearing of the opacification at the right base, most likely representing improvement in pleural effusion and atelectasis. continued substantial enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p13490204/s57016790/513110a4-1c5fa51f-fad3c4e1-64d6ab91-eb45d4a8.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12381625/s57998187/b4fa6d22-2f6ab98e-308a53fa-0cd5af91-68bb194b.jpg	normal chest radiograph. no subdiaphragmatic free air, pleural effusion or bone abnormality. if focal findings persist, consideration should be given to detailed radiographic views with the area of pain marked.
MIMIC-CXR-JPG/2.0.0/files/p14811786/s55698904/41005f53-03547000-59ea838a-a5cee57c-12e4a0a5.jpg	heart size and mediastinum are stable. pacemaker leads terminate in right atrium and right ventricle as well as along the left ventricle (biventricular pacer. no evidence of pulmonary edema is present. there is no pneumothorax. no pleural effusion is seen.
MIMIC-CXR-JPG/2.0.0/files/p10206528/s54521068/93bcccdc-8284c25e-8d1f3381-22a7356f-021a4e6e.jpg	right upper lobe nodule better seen in prior pet ct. as this nodule has not been reassessed by cross sectional imaging since , a chest ct is recommended to exclude interval growth. new left-sided pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11342786/s59668511/4f8c839d-5efc9ab3-db2fed9c-b9ca353d-fd62d6bc.jpg	there no prior chest radiographs available for review. heart is moderately enlarged but there is no pulmonary vascular congestion, edema, or pleural effusion. lungs are clear.
MIMIC-CXR-JPG/2.0.0/files/p12843152/s56817573/541264f5-f2f43a36-f61f51aa-8d9138a5-5cc04b4b.jpg	right lower lobe pneumonia with probable trace right pleural effusion. follow up radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p16007921/s51660708/91cab0f0-438e1457-6541bd48-b7589890-fc18cd6d.jpg	decreased aeration of the residual right lung with worsening opacification, which might be attributed to decreased lung volumes, though asymmetric edema or superimposed pneumonia are possiblities.
MIMIC-CXR-JPG/2.0.0/files/p13637928/s58320479/178b9c67-f2b4f80f-aea40606-b7684924-83208ce5.jpg	mild basal atelectasis. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p15282849/s58488504/1aab0111-c4305875-bf1e87e6-e3d9ff5a-c15b85cf.jpg	right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15765403/s55297409/1a98c1c6-670c6b41-3a8b1613-0f78a368-2a6f3d02.jpg	cardiomegaly and mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17112109/s55858471/212cf729-ad75dd19-20838a16-b7e43fed-91d1d154.jpg	slight interval improvement in the left basal opacity likely reflecting combination of pleural fluid and consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18037800/s55015899/6d19b8a4-c39483a6-58263239-65d860c5-5de62ba5.jpg	cardiomegaly. limited exam due to low lung volumes. no convincing evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15574665/s55625143/4e1e94ec-db87bf73-291e7326-6f9fd484-15473e3d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19040450/s50569599/4149e671-76e0bc19-b89e02f7-7ee1e43e-c18ce43d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19261598/s50296112/6eb918ed-5def8f47-95dc4e09-9ce70e2d-1816e138.jpg	no evidence of acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15617337/s52260564/a4683d70-9e1321e1-4bf1bcec-c0a91889-a9e4d3f7.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16575856/s52671055/87ad4a35-3ab8bd0d-efb8d57b-cc30c76f-70d27ebf.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15301414/s55206663/f4a84778-84bf5f08-c10728b1-771832c8-cc96a4c8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10291112/s50776680/b21bbb07-b576a22c-fbb97f1b-bdccaf07-79b4644f.jpg	no significant interval change since the prior radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10240923/s51639500/dbfebd39-2c967abf-1f185df5-fb086131-e8836fcc.jpg	left pigtail catheter is in place. there is interval improvement in left lower lobe atelectasis with still present bibasal consolidations and partially loculated left pleural effusion. that might be evidence of mild interstitial pulmonary edema per multifocal opacities due to infectious process would be another possibility. assessment with chest ct is to be considered for pre size characterization over the widespread parenchymal abnormalities known pulmonary nodules would not constitute for old the abnormality seen on the current examination
MIMIC-CXR-JPG/2.0.0/files/p15383698/s54550940/7e8868fa-1e9d682b-413854ae-f54695fc-e595e175.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12956096/s57108198/1a7dc4f9-1e6ee34e-c00e575a-0ff0e1be-fc836253.jpg	comparison to. in the interval, the patient has developed moderate pulmonary edema. the size of the cardiac silhouette is enlarged and there are signs of basal apical blood flow redistribution. in addition, the lateral radiograph shows signs of fissure oral fluid marking. larger pleural effusions are not present. no evidence of pneumonia. no suspicious nodules or masses.
MIMIC-CXR-JPG/2.0.0/files/p11472206/s54732928/1f7c098a-c2ad4a52-85fc4d25-93c0bdc7-fba0607d.jpg	pa and lateral chest compared to at and chest ct performed concurrently but reported separately: this is a very unusual midline gas collection, has no strict correlate on the chest cta, which does however show gaseous distention of the esophagus, which is the explanation for the radiographic appearance, unchanged since earlier in the evening. moderate-to-severe cardiomegaly and mediastinal venous engorgement are unchanged. lungs are clear and there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11036723/s59607967/a3965fdd-366c37ee-ef04c96b-d25f651f-2ad4bae6.jpg	mild interstitial pulmonary edema with small bilateral pleural effusions, right greater than left.
MIMIC-CXR-JPG/2.0.0/files/p10351739/s57300529/3dfb799e-f4f2d4af-819452dc-7e997109-ba7f75d6.jpg	low lung volumes with bibasilar atelectasis. no pneumothorax or focal consolidation. mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12870544/s57333982/59610f16-8c464755-ba8f3554-980efaa5-8c09589b.jpg	as compared to the previous image, there is minimally improved transparent see at the right lung basis. otherwise the radiograph is unchanged. constant monitoring and support devices in correct position. no new focal parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p18157608/s51427597/e3b010a8-9b9b7d2c-d9a33c79-b8c5e78e-cf438a3f.jpg	no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14430398/s56636293/a904bef1-ded24582-b301aea3-d954eb5f-56bb32f0.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p18678399/s53284819/8b52a9b1-847b6550-c89fa839-549667d6-a5778dc2.jpg

cardiomegaly and mild chf. bilateral pleural effusions, right > left. bibasilar increased opacities, consistent with bibasilar collapse and/or consolidation. posterior mediastinal mass seen on ct is not well delineated on this exam but could account for some of the hazy density seen posteriorly.

MIMIC-CXR-JPG/2.0.0/files/p12479159/s57126624/1c9d1d2e-611fd199-037c548f-115f51d2-c09cdac8.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p13780400/s50122951/97b93b07-93f91999-bd9bfcdd-2f03da55-b2615ba9.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17673487/s59738237/d673fa9f-035146c1-aeb812e3-cc401834-a45ba2d9.jpg

heart size is top-normal. there is substantially enlarged aortic arch demonstrated concerning for on the wrist might dilatation. bibasal, left more than right atelectasis demonstrated. there is small amount of pleural effusion, most likely bilateral. there is no pulmonary edema left subclavian line tip is at the left brachycephalic vein. pacemaker leads terminate in right atrium and right ventricle. ng tube tip is in the stomach. further assessment of the patient with chest ct performed contrast o the thoracic aortic is recommended.

MIMIC-CXR-JPG/2.0.0/files/p12115320/s57693145/73a70c66-45c23714-efff59af-37e9f98a-4ec2defd.jpg

new right upper lobe opacity, in the appropriate clinical setting this can represent early consolidation. interval improvement in the left retrocardiac opacity.

MIMIC-CXR-JPG/2.0.0/files/p11526668/s54552429/028bae75-869c9ff0-09f504fc-658bf828-516390a9.jpg

mild pulmonary edema, but improved significantly from.

MIMIC-CXR-JPG/2.0.0/files/p11573679/s56656431/110db191-e155ca77-6aa46407-722e3e7a-8cf3e595.jpg

right internal jugular large bore catheter is unchanged in position. interval extubation and removal of the nasogastric tube. interval decrease in lung volumes with unchanged layering right pleural effusion and slightly increased bibasilar patchy opacities which likely reflect atelectasis, although pneumonia or aspiration cannot be excluded. crowding of the pulmonary vasculature with no evidence of pulmonary edema. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p19713100/s57339585/d26f1516-fb62320d-5dc37925-0421bd12-6818a55f.jpg

stable left lower lung atelectasis and pleural effusion. no overt pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p14689320/s55019627/98775a25-9dab8482-1b510f92-6322c14a-0debcf5f.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15167597/s51862537/ff1ea872-86fcba8c-56e07ff3-209fef50-bb610870.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11771793/s57031247/340d4a14-e39480f9-8bcb59a6-df2fcefe-88e81d4e.jpg

in comparison with the study of , the monitoring and support devices are essentially unchanged. cardiac silhouette remains mildly enlarged without vascular congestion or acute focal pneumonia. opacification at the left base most likely represents volume loss in the left lower lobe. in the appropriate clinical setting, it would be difficult to exclude retrocardiac pneumonia, especially in the absence of a lateral view.

MIMIC-CXR-JPG/2.0.0/files/p15094321/s57100193/3784c6fc-af9a19aa-3c80e2cf-f04dd640-de33814f.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12502940/s52942997/892b010e-065a80c9-1cbf7a5c-57bc7b0d-285093fc.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19528617/s53802602/20e7616c-cd1bb810-da495aae-b818a8c6-a90c4657.jpg

no pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18632748/s56141815/200b5718-cc6523cb-6322b952-c2b2b61f-61615663.jpg

subtle opacity at the right lung base could represent an early right lower lobe pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p19496864/s55919118/f9d41d3f-d620f307-a7dca8fc-18e3f62c-5daf4ea8.jpg

et tube is <num> cm from the carina. right ij remains in the mid svc. esophageal temperature probe projects over the upper mediastinum. orogastric tube terminates in the stomach. right upper lobe and basilar opacities are slightly worsened.

MIMIC-CXR-JPG/2.0.0/files/p17741183/s54947095/e7a10c9d-16e7a8c3-6604a5a9-2ce26781-ed60bc21.jpg

the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pulmonary edema. no pneumonia. in the right lung, <num> pleural lesion is visualized. as seen on the ct examination from , this lesion reflect a pleural lipoma.

MIMIC-CXR-JPG/2.0.0/files/p10457876/s50645171/76312fb4-68c483ce-677fa729-19864e3c-47ff6179.jpg

in comparison with the study of , there has been placement of a a left pigtail catheter with removal of a large amount of pleural fluid. small residual is seen at the base. no evidence of post procedure pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p18203391/s52147951/8a381bb6-95762c0f-01ef7678-cc167aea-aed79174.jpg

multiple wires external to the patient limit evaluation of the left lung parenchyma. however, lung volumes do remain low and there are streaky opacities at both bases, most likely reflecting atelectasis. the nasogastric tube has been removed. cardiac and mediastinal contours are stable. no pneumothorax is appreciated. no pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p12156923/s59735292/485637dc-31b04775-9a540223-d42a9e74-8cdb5ff5.jpg

comparison to. lung volumes have increased, likely reflecting improved ventilation. however, signs of moderate pulmonary edema persists. stable atelectasis in the retrocardiac lung region and at the bases of the left lung. no pleural effusions. in addition, there is a new perihilar opacity on the right, potentially reflecting developing pneumonia. stable position of the right picc line. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p14281249/s59813597/8e556710-a28792f7-7080d408-dbfd3197-7fc242fc.jpg

subtle left midlung opacity which could be due to atelectasis in the setting of lower lung volumes. possibility of infection can't be excluded.

MIMIC-CXR-JPG/2.0.0/files/p11811815/s53457232/99c6a29e-ec6745e3-9a9c2c62-d5a29650-9569c3bd.jpg

low lung volumes with linear bibasilar opacities most consistent with atelectasis, though pneumonia can be considered in the appropriate clinical setting.

MIMIC-CXR-JPG/2.0.0/files/p11967908/s57741335/9f1515b9-e1328bb9-9d7fde85-b4cf7c3e-e18d374b.jpg

improved pulmonary vascular congestion, no pulmonary edema. stable small right pleural effusion. unchanged apical pleural thickening and calcification compatible with radiation changes from prior treatment of breast cancer.

MIMIC-CXR-JPG/2.0.0/files/p19442084/s55269676/cb7b80e1-3c73a6bf-26448c3f-6530fcd6-a3123487.jpg

these findings were communicated to the ordering physician. by dr telephone at on.

MIMIC-CXR-JPG/2.0.0/files/p18853185/s52391405/f4352763-31fa88e1-410171d5-1927e0a5-907ef14f.jpg

severe cardiomegaly is a stable. left ij catheter tip is in the upper to mid svc. mild pulmonary edema has improved. bibasilar opacities a combination of pleural effusions and atelectasis larger on the left have increased. sternal wires are aligned. patient is status post cabg.

MIMIC-CXR-JPG/2.0.0/files/p16736889/s56231984/5b8b211f-67566fb2-36328236-9f293c37-e55ac183.jpg

stable right lower lung opacification consistent with kaposi's sarcoma. mild background pulmonary edema. small bilateral pleural effusions. possible small leftsided loculated pleural effusion versus thickening.

MIMIC-CXR-JPG/2.0.0/files/p11336624/s51359692/a146731d-eae205a2-8d55515c-3d4a03e0-b982d241.jpg

no focal consolidations concerning for pneumonia identified.

MIMIC-CXR-JPG/2.0.0/files/p18969313/s55409359/e2b9bc04-a723758c-416d096f-036d05cb-2b8786b4.jpg

left pic line ends in the region of the superior cavoatrial junction. lungs are clear. heart size normal. no pleural abnormality. the serpiginous calcifications projecting over the anterior cardiac silhouette on the lateral view have been present since at least. even looking at the ct of the abdomen on which shows the they are centered at the pericardium, i do not know what they are, but i doubt they are clinically active.

MIMIC-CXR-JPG/2.0.0/files/p17363288/s58330601/839b1597-bfc585dd-d4ef29b2-75cf86e1-ed8cb3de.jpg

left pectoral pacemaker seen with transvenous leads in the ra, rv, and left coronary vein.

MIMIC-CXR-JPG/2.0.0/files/p11750478/s53154280/2d375800-3f22026f-5f846fe0-61042694-e74ee409.jpg

in comparison with the study of , allowing for the extremely lordotic position, there is little change in the appearance of the cardiac silhouette. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. right ij catheter extends to about the level of the cavoatrial junction.

MIMIC-CXR-JPG/2.0.0/files/p13081604/s59869467/0d972a6a-100c5ad7-ab1473f1-5d255a8e-f152dc31.jpg

right upper lobe, right lower lobe, and left lower lobe opacities are concerning for multifocal pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12659305/s51187208/f79cf6e1-2c3f980b-f94d572d-6b5e1d78-13b713d6.jpg

no acute cardiopulmonary process. please note that ct is more sensitive in detecting pulmonary nodules.

MIMIC-CXR-JPG/2.0.0/files/p19472091/s54238189/d9f64478-04a2f46e-b4db990e-013f6af7-78122cfd.jpg

persistent atelectasis in the right hilar/ perihilar region.

MIMIC-CXR-JPG/2.0.0/files/p16640107/s52154538/42da1916-75e0b2f8-f89a6387-2a6cddbd-c54b7343.jpg

faint opacity projecting over the right mid lung, new from prior, could represent a pneumonia in the proper clinical setting. otherwise, unchanged appearance with probable left-sided thyroid enlargement and rightward deviation of the trachea.

MIMIC-CXR-JPG/2.0.0/files/p11484862/s57715539/2d58bdf2-0efcb66f-49cbba16-6fa39d9c-5dcde3b7.jpg

in comparison to previous radiograph of <num> day earlier, cardiomediastinal contours are stable in appearance. layering small to moderate right pleural effusion and small left pleural effusion have slightly increased in size in the interval with adjacent basilar atelectasis. no other relevant change.

MIMIC-CXR-JPG/2.0.0/files/p17646259/s57539217/4c8e452a-e4477896-1643698e-ad089dc0-fd17c480.jpg

as compared to the previous radiograph, the patient has developed bilateral perihilar areas of platelike atelectasis. however, neither the frontal nor the lateral radiograph show evidence of pneumonia or other infectious lung disease. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette. the chest radiograph does not explain the right is in white blood cell count.

MIMIC-CXR-JPG/2.0.0/files/p11464800/s54219433/1f7ba655-38db0156-232d6b32-42c767fc-5792acc2.jpg

no evidence of acute cardiopulmonary process. tracheal deviation to the left most likely due to an enlarged thyroid. recommend thyroid ultrasound for further evaluation. compression fractures of the thoracic spine appear worse from the prior examination.

MIMIC-CXR-JPG/2.0.0/files/p11979806/s55458979/f0e5fca8-0d7aa30e-4450de74-a1bd2cdd-4ea38ac5.jpg

post sternotomy wires are unremarkable. heart size and mediastinal silhouette are stable. pacemaker leads terminate in the expected location. bilateral pleural effusions are moderate. the replaced aortic valve is in expected position. no appreciable pneumothorax demonstrated. there is no pulmonary edema. minimal bibasal atelectasis is expected after surgery.

MIMIC-CXR-JPG/2.0.0/files/p11581370/s58049069/16b4a51d-225c78d0-1fc47eab-3803db11-a30fb18a.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13110574/s50832927/3d9aa613-d22aefcf-07de7fac-2c29625e-025c94ba.jpg

pulmonary edema with small bilateral pleural effusions.

MIMIC-CXR-JPG/2.0.0/files/p10877420/s55078986/e2a11a8f-cafce8ba-69df8721-83b56f36-e9cf1edf.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10166896/s59503048/6cc3e512-74c3a4aa-8fc68fff-f41ba68c-6ca3cbd4.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p10740350/s56517723/82b2f084-343218f1-237c52ae-50513f27-a6fb4b88.jpg

no evidence of hilar or mediastinal lymphadenopathy. no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p17531113/s56459930/aed1aa86-258ce4c0-004d5e74-093b4bd5-48153933.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p17768098/s51296643/f5e64afd-25b45a7d-ca18c235-2fd4b9a3-9eb78a87.jpg

interval placement of a ng tube terminates in the right lower hemithorax, most likely within the neoesophagus. the position of the ng tube is similar to prior studies including and. it appears to course superior to the carina. small right pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p18347925/s55075186/ff87a38d-712999b8-7262cd62-ba93bf6c-67b4c342.jpg

right internal jugular swan-ganz catheter continues to have its tip in the right pulmonary outflow tract. an endotracheal tube is seen with its tip approximately <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. left basilar chest tube and mediastinal drains remain in place. there is a small layering left effusion and possibly a smaller right effusion. patchy opacity at both lung bases most likely reflect atelectasis, although aspiration or pneumonia cannot be entirely excluded. no evidence of pulmonary edema. no pneumothorax is seen. status post median sternotomy with stable postoperative cardiac and mediastinal contours.

MIMIC-CXR-JPG/2.0.0/files/p18123897/s50822780/e05d3bab-78115283-b0cf5dbc-478d1b50-f8f955a7.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p15159712/s56434326/84df1ec3-1dd844fb-5ca22fbf-1955d5d0-a80e421e.jpg

low lung volumes with mild bibasilar atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p16372984/s50538760/a73f2854-38ab3318-572a11d9-50d4f1fd-748cd388.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13575992/s52784520/83183e18-9d3476ac-651068ed-9559fbcf-0ed1a867.jpg

a left internal jugular line tip is at the level of superior svc. ng tube tip is in the proximal stomach. abundant left ventricular pacer leads are present. cardiomediastinal silhouette is stable although cardiomegaly is noted. mild interstitial pulmonary edema is present.

MIMIC-CXR-JPG/2.0.0/files/p14154572/s51507838/fa16a69b-5fb7e563-74d93e04-97f95051-a168925e.jpg

multiple displaced right rib fractures as described above, new from. please correlate clinically for acuity.

MIMIC-CXR-JPG/2.0.0/files/p14015730/s54908905/1d76e06b-3d7ea68d-5bcd23d8-2e839e07-35717bce.jpg

no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15385889/s55749259/d9554986-b585dc2d-e6f2013f-c9986d69-cf67c74c.jpg

cardiomegaly, small right pleural effusion and mild pulmonary edema. more confluent right basilar opacity suspicious for pneumonia in the proper clinical setting. please note that a repeat will be necessary to document resolution given similar finding present in.

MIMIC-CXR-JPG/2.0.0/files/p15690056/s59376936/6c81ecb5-d5e5e1c1-ecc12c5a-e1961097-1dbde9aa.jpg

in comparison with the study of , the patient has taken a much better inspiration. cardiac silhouette is now within normal limits and there is no evidence of vascular congestion or pleural effusion. no convincing evidence of acute pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12720451/s57212528/ba9b1447-6eeb8935-86304db6-4f53b676-b8876185.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p18529625/s50235350/f1071f1c-cf2ff021-9ac728b9-3fc08c2c-549d7401.jpg

multifocal opacities most suggestive of pneumonia. suspected coinciding mild-to-moderate pulmonary vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p12177257/s59929284/0918bc7f-f2b2c1f7-f767eada-71765d4a-bfdc9ca2.jpg

no acute abnormalities.

MIMIC-CXR-JPG/2.0.0/files/p13495405/s51708204/de41eb1a-c982b29d-4702e7e5-6cb6a0fe-6010db92.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16093831/s50694488/3b8f481e-fad51141-cd0d7fd3-316d3510-f97f4bf1.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p17400716/s56733486/abe73a7f-035e3d26-8845d2a6-07ecb4d6-b8b18e6d.jpg

moderate cardiomegaly and persistent mild pulmonary edema. improved aeration of the left lower lobe. interval resolution of left pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p11304566/s50642547/fdc6eb14-374bfa0c-fca29ddf-5e5d826b-0713dfe3.jpg

large right pleural effusion roughly unchanged since , obscures much of the right lower lung but probably produces severe atelectasis in the middle and lower lobes. left lower lobe is progressively more consolidated, either atelectasis or pneumonia. mild pulmonary edema in the left lung may be due to redirection of blood flow from the hypoxic right hemithorax. heart size is indeterminate. progressive coronal narrowing of the trachea, usually an indication of copd, is more likely a manifestation of increased trans pleural pressure in the right chest and perhaps mild tracheomalacia.

MIMIC-CXR-JPG/2.0.0/files/p15201551/s53336472/0ae609f1-6721c501-7d89f194-66251999-356803a1.jpg

in comparison with the study , patient has taken a better inspiration. there is globular enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. atelectatic changes are seen at the left base and there is blunting of the costophrenic angle. of incidental note is possible calcification in the region of the carotid bifurcation on the low left.

MIMIC-CXR-JPG/2.0.0/files/p18566555/s59407450/17c2092a-d1652b2b-82b3bc05-4341bd60-421adbc3.jpg

adequate positioning of right ij central venous catheter.

MIMIC-CXR-JPG/2.0.0/files/p16168883/s59440732/6e3aecfa-bb67e4dc-000b8ecf-96e03ef7-b11788ca.jpg

no evidence of pneumonia. tiny left pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p19257413/s53114731/ddd2da5e-7f770929-3c618bca-53731632-fd1af926.jpg

in comparison with the study of , the patient has taken a better inspiration, with some improvement in the pattern of basilar atelectasis the and transverse diameter of the cardiac silhouette. nevertheless, there is probably some element of elevated pulmonary venous pressure. no definite pneumothorax with right chest tube in place. there is suggestion of a loculated collection of pleural fluid laterally on the right.

MIMIC-CXR-JPG/2.0.0/files/p18291049/s54972460/271c1954-f4f3ceb9-b51dc2d0-71fbfd16-84c76cf5.jpg

moderate right pleural effusion and adjacent atelectasis. small left pleural effusion. no pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p11557030/s53321505/66750f36-de5dbf08-3325ae09-46ca7e72-4379ae3a.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14896665/s51463732/f57d8214-698eebc2-4f5a868a-b51304ac-4f3c8355.jpg

equivocal early infiltrate seen in the infrahilar region on the lateral view. no definite correlate out and <num> on the frontal view. otherwise, doubt significant interval change.

MIMIC-CXR-JPG/2.0.0/files/p15415646/s59232826/a8d9fa61-d37025eb-679dfac4-b54915bf-cc8eb794.jpg

left base opacity could be due to atelectasis versus consolidation due to infection or aspiration.

MIMIC-CXR-JPG/2.0.0/files/p12672736/s52626049/fa3ff31c-a5c6e06b-944a7d06-b9b93dff-1c8bbe68.jpg

no focal consolidation concerning for pneumonia. left lingular atelectasis. interval t<num> kyphoplasty.

MIMIC-CXR-JPG/2.0.0/files/p16345049/s53975659/6dbe3cb9-d6aeb061-e4fc8e37-63ed1b45-fa96b556.jpg

no acute pulmonary process. mild cardiomegaly.

MIMIC-CXR-JPG/2.0.0/files/p14448385/s57601991/69a055d7-1c70eddb-36be8065-d5bb5a6c-0aaf6680.jpg

in comparison with the study of , there has been partial clearing of the opacification at the right base, most likely representing improvement in pleural effusion and atelectasis. continued substantial enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure.

MIMIC-CXR-JPG/2.0.0/files/p13490204/s57016790/513110a4-1c5fa51f-fad3c4e1-64d6ab91-eb45d4a8.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p12381625/s57998187/b4fa6d22-2f6ab98e-308a53fa-0cd5af91-68bb194b.jpg

normal chest radiograph. no subdiaphragmatic free air, pleural effusion or bone abnormality. if focal findings persist, consideration should be given to detailed radiographic views with the area of pain marked.

MIMIC-CXR-JPG/2.0.0/files/p14811786/s55698904/41005f53-03547000-59ea838a-a5cee57c-12e4a0a5.jpg

heart size and mediastinum are stable. pacemaker leads terminate in right atrium and right ventricle as well as along the left ventricle (biventricular pacer. no evidence of pulmonary edema is present. there is no pneumothorax. no pleural effusion is seen.

MIMIC-CXR-JPG/2.0.0/files/p10206528/s54521068/93bcccdc-8284c25e-8d1f3381-22a7356f-021a4e6e.jpg

right upper lobe nodule better seen in prior pet ct. as this nodule has not been reassessed by cross sectional imaging since , a chest ct is recommended to exclude interval growth. new left-sided pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p11342786/s59668511/4f8c839d-5efc9ab3-db2fed9c-b9ca353d-fd62d6bc.jpg

there no prior chest radiographs available for review. heart is moderately enlarged but there is no pulmonary vascular congestion, edema, or pleural effusion. lungs are clear.

MIMIC-CXR-JPG/2.0.0/files/p12843152/s56817573/541264f5-f2f43a36-f61f51aa-8d9138a5-5cc04b4b.jpg

right lower lobe pneumonia with probable trace right pleural effusion. follow up radiographs after treatment are recommended to ensure resolution of this finding.

MIMIC-CXR-JPG/2.0.0/files/p16007921/s51660708/91cab0f0-438e1457-6541bd48-b7589890-fc18cd6d.jpg

decreased aeration of the residual right lung with worsening opacification, which might be attributed to decreased lung volumes, though asymmetric edema or superimposed pneumonia are possiblities.

MIMIC-CXR-JPG/2.0.0/files/p13637928/s58320479/178b9c67-f2b4f80f-aea40606-b7684924-83208ce5.jpg

mild basal atelectasis. otherwise unremarkable.

MIMIC-CXR-JPG/2.0.0/files/p15282849/s58488504/1aab0111-c4305875-bf1e87e6-e3d9ff5a-c15b85cf.jpg

right lower lobe pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p15765403/s55297409/1a98c1c6-670c6b41-3a8b1613-0f78a368-2a6f3d02.jpg

cardiomegaly and mild pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p17112109/s55858471/212cf729-ad75dd19-20838a16-b7e43fed-91d1d154.jpg

slight interval improvement in the left basal opacity likely reflecting combination of pleural fluid and consolidation.

MIMIC-CXR-JPG/2.0.0/files/p18037800/s55015899/6d19b8a4-c39483a6-58263239-65d860c5-5de62ba5.jpg

cardiomegaly. limited exam due to low lung volumes. no convincing evidence for pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p15574665/s55625143/4e1e94ec-db87bf73-291e7326-6f9fd484-15473e3d.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p19040450/s50569599/4149e671-76e0bc19-b89e02f7-7ee1e43e-c18ce43d.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19261598/s50296112/6eb918ed-5def8f47-95dc4e09-9ce70e2d-1816e138.jpg

no evidence of acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p15617337/s52260564/a4683d70-9e1321e1-4bf1bcec-c0a91889-a9e4d3f7.jpg

no evidence of acute disease.

MIMIC-CXR-JPG/2.0.0/files/p16575856/s52671055/87ad4a35-3ab8bd0d-efb8d57b-cc30c76f-70d27ebf.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p15301414/s55206663/f4a84778-84bf5f08-c10728b1-771832c8-cc96a4c8.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10291112/s50776680/b21bbb07-b576a22c-fbb97f1b-bdccaf07-79b4644f.jpg

no significant interval change since the prior radiograph.

MIMIC-CXR-JPG/2.0.0/files/p10240923/s51639500/dbfebd39-2c967abf-1f185df5-fb086131-e8836fcc.jpg

left pigtail catheter is in place. there is interval improvement in left lower lobe atelectasis with still present bibasal consolidations and partially loculated left pleural effusion. that might be evidence of mild interstitial pulmonary edema per multifocal opacities due to infectious process would be another possibility. assessment with chest ct is to be considered for pre size characterization over the widespread parenchymal abnormalities known pulmonary nodules would not constitute for old the abnormality seen on the current examination

MIMIC-CXR-JPG/2.0.0/files/p15383698/s54550940/7e8868fa-1e9d682b-413854ae-f54695fc-e595e175.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p12956096/s57108198/1a7dc4f9-1e6ee34e-c00e575a-0ff0e1be-fc836253.jpg

comparison to. in the interval, the patient has developed moderate pulmonary edema. the size of the cardiac silhouette is enlarged and there are signs of basal apical blood flow redistribution. in addition, the lateral radiograph shows signs of fissure oral fluid marking. larger pleural effusions are not present. no evidence of pneumonia. no suspicious nodules or masses.

MIMIC-CXR-JPG/2.0.0/files/p11472206/s54732928/1f7c098a-c2ad4a52-85fc4d25-93c0bdc7-fba0607d.jpg

pa and lateral chest compared to at and chest ct performed concurrently but reported separately: this is a very unusual midline gas collection, has no strict correlate on the chest cta, which does however show gaseous distention of the esophagus, which is the explanation for the radiographic appearance, unchanged since earlier in the evening. moderate-to-severe cardiomegaly and mediastinal venous engorgement are unchanged. lungs are clear and there is no pleural effusion or pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p11036723/s59607967/a3965fdd-366c37ee-ef04c96b-d25f651f-2ad4bae6.jpg

mild interstitial pulmonary edema with small bilateral pleural effusions, right greater than left.

MIMIC-CXR-JPG/2.0.0/files/p10351739/s57300529/3dfb799e-f4f2d4af-819452dc-7e997109-ba7f75d6.jpg

low lung volumes with bibasilar atelectasis. no pneumothorax or focal consolidation. mild pulmonary edema.

MIMIC-CXR-JPG/2.0.0/files/p12870544/s57333982/59610f16-8c464755-ba8f3554-980efaa5-8c09589b.jpg

as compared to the previous image, there is minimally improved transparent see at the right lung basis. otherwise the radiograph is unchanged. constant monitoring and support devices in correct position. no new focal parenchymal opacities.

MIMIC-CXR-JPG/2.0.0/files/p18157608/s51427597/e3b010a8-9b9b7d2c-d9a33c79-b8c5e78e-cf438a3f.jpg

no acute cardiopulmonary process.