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/p11725800/s53348228/ac79f0a8-23fb5003-e6559693-f89c9d16-753059f3.jpg	left pigtail catheter in place. extensive subcutaneous emphysema. no gross pneumothorax, but a subtle or anterior pneumothorax may not be apparent. patchy opacities at both bases are compatible with pneumonic consolidation though atelectasis could be contributing to some degree. possible small right and equivocal small left effusion. upper zone redistribution and mild vascular plethora, consistent with early chf. small patchy opacity in the right upper zone appears new or more pronounced compared with the film from <num> day earlier, question atelectasis, new focal infiltrate, or area of aspiration pneumonitis. it could also represent an early area of more confluent chf.
MIMIC-CXR-JPG/2.0.0/files/p10263098/s56588602/3b315d4f-4e8a496c-f603496f-49e5afa4-b63b551b.jpg	cardiomegaly with mild pulmonary edema. right basilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11667451/s55793233/44daeebe-d16aabca-e681ead7-5b85eac7-ad2ce25f.jpg	as compared to the previous image, the monitoring and support devices are constant, and the lack, the swan-ganz catheter is still projecting over relatively peripheral parts of the right pulmonary artery and should be pulled back by approximately <num> cm. unchanged moderate cardiomegaly. sternal wires are in constant normal alignment. no overt pulmonary edema. no pleural effusions. minimal retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13398773/s58955056/c5bd5b7b-d98ebeb0-f90e65a6-98afa73a-e757629b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15353817/s54108780/efa78025-9c806ee4-33a45bc2-55b3a712-dbe79536.jpg	in comparison with the study , there has been the development of increased opacification in the left mid and upper lung zones and right upper zone. this is associated with an apparent right and possibly also left pleural effusion. the appearance is most suggestive radiographically of asymmetric pulmonary edema. although this usually is more prominent on the right, gravid patient all edema can occur on the left if the patient tends to lie on his left side. if pulmonary edema is a reasonable clinical possibility and there are no definite signs of superimposed pneumonia, the patient could undergo diuresis and a repeat study obtained to demonstrate whether the opacification has decreased.
MIMIC-CXR-JPG/2.0.0/files/p17950635/s59818262/7eea8c27-1c713503-dddc156c-0819d4b1-d8cb319c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18306686/s56777325/1301cda5-1c437ffd-58ee0df6-81b9f498-67150ab7.jpg	chronic interstitial opacities compatible with mild edema.
MIMIC-CXR-JPG/2.0.0/files/p18701681/s59797246/e96ad257-6c383f69-4e2e4019-d0401bff-bf14d41b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15978672/s55182852/ab6ae83a-404a5eda-2816b05d-26dcc050-643d3c16.jpg	as compared to , no relevant change is seen. low lung volumes. borderline size of the heart. right pectoral pacemaker in situ. no pulmonary edema. no pneumonia, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10850433/s54302236/9ed496bc-736820e2-3c848aed-ffb99fb2-95578c90.jpg	liver a large left pleural effusion has entirely recurred since thoracentesis on. there has not been much change since , including some rightward shift of the mediastinum. left lower lobe and lingula are collapsed by the effusion. right lung is grossly clear. healing fracture post for lateral aspect right middle rib could be pathologic heart size indeterminate. no right pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10176838/s54765538/d04fbe5b-9bfff445-b28de2ae-aa2b8f53-09ef6885.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10436547/s50544261/13392c53-db0a063f-6635732e-3c8211ea-cb87bc0c.jpg	no signs for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13543584/s57719125/a1040cf2-e8c520aa-6c1b6004-d5b063a4-4a651fac.jpg	endotracheal tube terminates <num> cm above the carina, should be advanced <num> cm. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19133405/s50621052/7879d08a-5d8f8f70-b33ca060-8e70951a-a0c74ae8.jpg	no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p16090831/s51497538/38c40bbd-bdf665ae-ff779a90-96129d24-635c14d5.jpg	support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is improved aeration of the right sided atelectasis. there remains atelectasis versus developing infiltrate at the left base. no overt pulmonary edema is seen. there are no pneumothoraces
MIMIC-CXR-JPG/2.0.0/files/p17348845/s55081710/1dacdff3-8e59ce3f-3da476f9-e2fb547f-3174d64b.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16129942/s54641757/f9332363-bff05d44-b28f68a3-6fd9c434-5740bfbe.jpg	bilateral pleural effusions, left greater than right with bibasilar atelectasis. please note pneumonia is impossible to exclude at the left lung base. recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p14814097/s51865188/2cc5924f-6b19de12-9b3c6cfc-fbb9ed35-5d1f3939.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p11717909/s51326810/5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08.jpg	as compared to the previous radiograph, the cardiac assist device is in unchanged position. the lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. if new nineth in the colon i picc line on the left has been removed. the patient has received a left pectoral pacemaker with a single lead. the lead projects over the right ventricle. there is no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12725568/s51065328/cba22778-9171f524-41a06a8c-e41dfc6d-31e0c89e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg	moderate pulmonary edema and small bilateral pleural effusions worse from.
MIMIC-CXR-JPG/2.0.0/files/p17804385/s51797227/12adf493-fa077a42-11c5e20d-6e9359ff-43e891b3.jpg	port-a-cath with tip terminating in mid svc. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19607507/s53826974/ec531e7e-cc112064-6b7ae0be-9d8f9ae5-8433c4fe.jpg	improved left subcutaneous emphysema and right effusion.
MIMIC-CXR-JPG/2.0.0/files/p19388814/s50735678/bc65d823-21eeb72d-2f1c98fd-5cace04e-884280b3.jpg	no evidence of acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11791809/s57323837/9770ca22-2d3a92d6-db3269d1-89b5c9be-13b36e3d.jpg	chronic interstitial changes, without pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11698156/s54978838/c7288764-046140e1-250b03bc-5e0a6aec-6835d075.jpg	in comparison with the study of , there appears to be some decrease in the left hilar and perihilar opacification, there is some residual opacification persists. the degree of pulmonary vascular congestion appears to have mildly improved. monitoring and support devices remain
MIMIC-CXR-JPG/2.0.0/files/p17978570/s50320519/0c08ed7e-683071c0-856eb0a0-7b7a183e-f6ac6429.jpg	right mainstem bronchial intubation. standard position of the enteric tube. left basilar opacity may reflect atelectasis, pneumonia or aspiration. peribronchial cuffing suggests airway inflammation.
MIMIC-CXR-JPG/2.0.0/files/p18713636/s55809582/ad71c0a4-f826f2a3-60c840c7-17383fe0-c0c46113.jpg	heart size and mediastinum are stable. left pleural effusion is small to moderate. no right pleural effusion demonstrated. no pneumothorax is seen. there is interval resolution of pulmonary edema. cardiomediastinal silhouette and sternal wires are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p19326978/s56715913/493cf9dc-fdacff0a-cf43478d-df227fc2-da991c42.jpg	no acute cardiopulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p15550489/s58611104/de8d24a1-89e666d5-45d4aa73-ac1e0ebe-d666c6af.jpg	as compared to the previous radiograph, no relevant change is seen. minimal blunting of the right costophrenic sinus, caused by elevation of the right hemidiaphragm. no evidence of pneumonia. no pulmonary edema. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p14342692/s59573005/e36e586c-e40e028a-b3fa9f60-760e5533-fa135e9e.jpg	ap chest compared to through : moderately severe pulmonary edema and a small right pleural effusion are unchanged. severe cardiomegaly is chronic, increased since , unchanged since. tip of the new endotracheal tube in standard placement. upper enteric feeding tube ends in the mid portion of a non-distended stomach. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11648170/s58990687/f959a6b7-7343da11-8aa667bf-e196adf5-3db4ca6a.jpg	a persistent consolidation in the right upper lobe and left lower lobe is seen and is concerning for pneumonia. there are bilateral effusions, left much greater than the right and therefore it is possible that some of the left lower lobe consolidation could reflect compressive atelectasis rather than an acute infectious process. there continues to be indistinctness of the pulmonary vasculature which has slightly worsened suggesting an element of superimposed pulmonary edema. no pneumothorax is seen. overall, cardiac and mediastinal contours cannot be assessed due to the diffuse airspace process.
MIMIC-CXR-JPG/2.0.0/files/p10316305/s55810171/a431b4a1-5fc16846-551187af-8192df6f-e5b06c4f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19526389/s59559495/53a31e5a-3325832b-1e3a0f42-bfa4d649-4797b761.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14816630/s51389776/d5250217-f5dec6da-55602365-ff708115-eb361d7a.jpg	there to chest radiographs through :<num>. postoperative appearance of the large heart and widened upper mediastinum is stable. left lower lobe still collapsed. moderate left pleural effusion has increased following removal of the left pleural drain. no pneumothorax. no appreciable right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14642407/s51730690/a81c2754-b1525b6c-4dc41c7d-63e5e810-55854639.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14309697/s51952526/af239111-765fdf12-863c5d1d-0d3a01fd-ed9bdc8c.jpg	comparison to. no evidence of mediastinal widening. decrease in volume of the left hemi thorax with minimal increase in radiodensity of the left perihilar lung parenchyma, potentially caused by a developing pneumonia. short term radiographic followup should be performed. stable atelectasis in the left lung basis. normal appearance of the right lung. moderate cardiomegaly persists.
MIMIC-CXR-JPG/2.0.0/files/p17660134/s57924885/e5d25a72-1e61cf17-52045769-95f34530-0a7ef502.jpg	standard positioning of the endotracheal and enteric tubes. worsening bibasilar streaky opacities which may reflect increased atelectasis or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p14835135/s56627479/91ade260-400fa9c3-fbde6390-61cc55f5-fba376aa.jpg	no abnormality to explain the patient's symptoms.
MIMIC-CXR-JPG/2.0.0/files/p15767435/s52166976/10641016-a60b2cf1-f9511c75-c991fa41-53fba896.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19118754/s58681388/c331baf9-b542dab5-02668ed9-7279e6ac-d0c6fa36.jpg	patient has been extubated, but lung volumes are maintained and there is no discrete atelectasis. there is an increase in heart size and pulmonary vascular caliber which is often seen after the end of positive pressure ventilator support. right subclavian line ends in the upper right atrium. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16003816/s54659163/96756f6b-4a5c9cbc-c7512e07-2b86762d-a0895ca2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12468660/s58294552/44bb5922-84cc9323-3cf01d7d-afa1e2c4-2283ceb4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10150056/s57942538/215ee3c4-109da6ec-76c8517a-8bda34bc-dd9442c0.jpg	status post thoracentesis with decrease in right pleural effusion and residual right lower lung atelectasis, but no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13105864/s59663050/2d78016c-66f888f6-7752b2ab-e94d6f2f-99bae619.jpg	new left pic line passes into the azygos vein. transesophageal feeding tube passes at least as far as the duodenum, but the entire course is not visible. moderate left pleural effusion is probably unchanged since but previous bibasilar atelectasis has cleared. heart size is normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10753388/s57968906/321d72cc-15093488-1e5339ab-a3b324cf-e47ab619.jpg	early developing right lower lobe pneumonia. fracture of the inferior-most sternotomy wire of unknown chronicity.
MIMIC-CXR-JPG/2.0.0/files/p14131539/s53106658/198e76ac-d0e3102d-5e1ef750-ca46e9f7-ed8203b8.jpg	lower lung volumes result in worsening bibasilar atelectasis and obscure assessment of the lung parenchyma, and in particular, the region of the potential pulmonary nodule seen on the previous radiograph. recommendation(s): repeat radiographs with shallow oblique images can be obtained when the patient is able to take a deeper inspiration. alternatively, low-dose ct can be obtained if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p17978664/s59343901/479721bc-99857ee4-aa2ff17b-3c77d877-d5a36c2b.jpg	basilar opacities, which may reflect atelectasis, but cannot exclude aspiration or pneumonia in the right clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14535212/s57492984/87ba7d28-439445cf-2720e13b-27ad6e62-370c8007.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14789823/s59632202/ee7b5e26-df71f9d0-7faaf168-b4c3c9c1-a334cbc4.jpg	bibasilar atelectasis. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13188963/s50391324/cf583af8-b9e14561-d27cbdaa-651837aa-eb09cea5.jpg	in comparison with the study of , there again are bilateral pleural effusions, much more prominent on the right, with mild bibasilar atelectatic changes. continued enlargement of the cardiac silhouette without definite vascular congestion in this patient with intact midline sternal wires related to previous cabg procedure.
MIMIC-CXR-JPG/2.0.0/files/p10990576/s51832103/deebb3ae-b2f93646-180a8115-5f6714de-e1ab76e3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15330926/s50518009/3a4db875-6b0e7c6b-4db0ad1a-7452bdcf-7f7c0f63.jpg	no acute cardiopulmonary process. copd, pulmonary emphysema.
MIMIC-CXR-JPG/2.0.0/files/p10027957/s50867638/3b4a49ca-8676e2ac-f556fe29-09fa3269-4d98a4d2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14088217/s56297938/d2f1ee6d-587a6aae-af0a98fa-1dba6fb0-5a1cefc2.jpg	right basilar opacity, potentially atelectasis given lower lung volumes although infection is certainly possible.
MIMIC-CXR-JPG/2.0.0/files/p12019037/s53683495/3d06de4a-dfab1da9-ded8e6c8-04b7cdb5-c7b62ddc.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13520909/s54149954/71906f2c-eb6541a8-8488e13c-5d3452cf-04782d66.jpg	as compared to the recent study from a few hr earlier, the patient remains intubated with endotracheal tube in standard position. nasogastric tube has been placed in the stomach, with resolution of gastric distension. pulmonary edema has slightly worsened in severity. small layering bilateral pleural effusions are evident as well as worsening left lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12457907/s50167758/e865249f-2fc7d16e-c7a0e59a-5ccfdac7-4931d49a.jpg	improved right pneumothorax and chest wall emphysema.
MIMIC-CXR-JPG/2.0.0/files/p15979773/s56086716/5ed7142c-f193a365-061c5240-fc22cfe0-e20081b8.jpg	lung volumes are slightly increased from prior but remain low with right basilar atelectasis versus consolidation which could represent pneumonia in the right clinical context. mild interstitial pulmonary edema is slightly improved from. no significant pleural effusions. persistent elevation of the left hemidiaphragm is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10232602/s56854525/3c518666-f69f0e87-58cf5ef0-9d744c17-24cd2ec9.jpg	compared to chest radiographs since , most recently through. there is no appreciable pneumothorax, following removal of bilateral pigtail pleural drainage catheters. diaphragm is elevated and moderate to severe bibasilar atelectasis is stable. pleural effusion is minimal on both sides. upper lungs are clear. heart size is exaggerated by low lung volumes, probably borderline enlarged.
MIMIC-CXR-JPG/2.0.0/files/p14050349/s52837397/16ffadfd-85e640cc-2d070b06-6da1ffe2-caafdc14.jpg	low lung volumes without definite superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19845148/s59356312/c80d7618-eb35d13c-952c3a96-11b60b4a-25df1036.jpg	left lower lobe opacity has been present on multiple prior examinations over last several months, and may be due to recurrent episodes of aspiration or scarring. imaging and clinical evaluation of lung abnormalities should be continued on an out patient basis.
MIMIC-CXR-JPG/2.0.0/files/p18428011/s59899275/af8355a9-1c7107aa-cbb611ab-c4603a90-a4b64ee4.jpg	the patient is status post median sternotomy for cabg with stable postoperative cardiac and mediastinal contours. lung volumes remain low with patchy bibasilar opacities and small bilateral effusions suggestive of partial lower lobe atelectasis. there has been interval removal of the right internal jugular central line. no pneumothorax is seen. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11673948/s55011686/3ac5f4f1-ca7ed2c3-b0155d21-a29a155f-a52e60ca.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15750196/s57091450/2d54f0f9-58c06289-6772e305-de620b82-edfff8a9.jpg	mild vascular congestion and pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12423400/s50333138/eb7ba301-7875f23a-08b6a52d-55f4ec3d-bf736239.jpg	evidence of patient's known pulmonary fibrosis without definite superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15277065/s52420443/3aa46e04-def629b2-0450382f-227d1d96-c402cb5c.jpg	ap chest compared to preoperative chest radiograph, , atelectasis and chain suture in the right apex denote the site of today's bullectomy. there is quite likely a small-to-moderate right pneumothorax, apical and medial. there is no appreciable pleural effusion, two right pleural tubes in place, one oriented superiorly, the other inferiorly from lower lateral insertions. atelectasis at the left base, attributable in part to large left upper lobe bullae, has worsened appreciably. heart size normal. dr was paged at when the findings are recognized.
MIMIC-CXR-JPG/2.0.0/files/p17568705/s58536114/8d2e16c9-d553064d-6c174f03-887a2cba-a5e60b50.jpg	no acute cardiopulmonary process. no evidence of rib fracture. of note, this study is suboptimal for the assessment of rib abnormalities. if there is further concern, dedicated rib views should be obtained.
MIMIC-CXR-JPG/2.0.0/files/p12539869/s52625813/d57e26f6-a96464f3-7ad793cb-0dd9add6-b3e84d95.jpg	no free air below the diaphragm, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16924675/s54550923/a52f0f0c-1c6fc705-46200643-f31db288-6bc508d2.jpg	no evidence of acute cardiopulmonary process. right upper lobe nodular opacity corresponds to healing right anterior second rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p18282767/s53842837/7e7bc1d4-074fa34a-f9c2b3cc-216fa90a-243619d9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13016543/s52391500/d4d603d0-34c001d3-932e5f8e-c27c510d-4b416a30.jpg	pneumothorax cannot be identified anymore. drainage line remains in place. further followup is recommended.
MIMIC-CXR-JPG/2.0.0/files/p14630494/s55707102/ba22a23a-53cd1cf3-e5391fae-8570d724-90e4dd36.jpg	right subclavian central venous catheter terminates in the proximal right atrium. status post right chest tube placement was subcutaneous emphysema. known large right pneumothorax is not clearly appreciated on this exam.
MIMIC-CXR-JPG/2.0.0/files/p10472364/s50224760/6ec49caa-be42dd3f-3b1d0857-38ea688c-e4f53a9d.jpg	pa and lateral chest reviewed in the absence of prior chest radiographs: hyperinflation is due either to emphysema or small airways obstruction. nipple shadows projecting over both anterior fifth rib should not be mistaken for lung nodules, but there may be a small nodule in the right lung at the intersection of the scapula and the right third anterior rib. shallow oblique views would help clarify that. lungs are otherwise clear and there is no pleural effusion or evidence of central adenopathy. the aorta is tortuous but not clearly dilated.
MIMIC-CXR-JPG/2.0.0/files/p13237409/s56444361/d6717939-b26e73aa-68d524a0-bd2c20e8-25cc42d3.jpg	pa and lateral chest compared to and : normal heart, lungs, hila, mediastinum and pleural surfaces. prominent left nipple should not be mistaken for a lung nodule.
MIMIC-CXR-JPG/2.0.0/files/p19588762/s59228723/2c014176-5374d2b9-5ce5db6f-db7b0105-4b786608.jpg	in comparison with the study of , there are lower lung volumes. this accentuates the transverse diameter of the heart. suggestion of some mild indistinctness of pulmonary vessels to could reflect elevated pulmonary venous pressure. there are mild bibasilar atelectatic changes. in the appropriate clinical setting, superimposed pneumonia would have to be considered.
MIMIC-CXR-JPG/2.0.0/files/p12724735/s55050260/d4223e6e-2febbe89-09ac04ce-f3df9139-4d5ab29b.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13912733/s51048304/47deecbf-fa9408e9-ad329329-fc0de18f-7bb72c3a.jpg	since the prior study there has been interval progression of bilateral perihilar opacities and particular right lower lobe and left mid lung concerning for progression of pulmonary edema. infectious process rapid the progressing is a possibility although less likely as well as hemoptysis.
MIMIC-CXR-JPG/2.0.0/files/p17640750/s50711914/c085b81c-8f45ef83-4f554862-af98e5e5-8e4fa1c1.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10348831/s59030441/c69d3e6f-978d6c1c-fc0a7064-a3954c50-ab74d022.jpg	as compared to the previous radiograph, a pre-existing right pleural effusion has substantially increased in extent. the effusion occupies approximately % of the right hemi thorax and causes extensive right lower lung atelectasis. as on the previous image, a small intrafissural component is again visualized. on the left, no effusion is seen. moderate cardiomegaly. no pneumonia. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19120385/s59811500/730bc5cc-47f38ee4-fb32a4b8-4cd73851-535040c8.jpg	low-lying endotracheal tube terminates just above the carina. recommend withdrawal by approximately <num> cm. lucency projecting over the left lower hemithorax represents likely loculated pneumothorax, less likely bulla on subsequent chest ct. bilateral pulmonary opacities may be due to aspiration and edema, although underlying contusion cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p10258162/s52934984/c78b3e30-5b12ed70-8754bcc5-d6c17da7-2cfb0278.jpg	mild interstitial pulmonary edema, not significantly changed. small bilateral pleural effusions, left greater than right. dense left retrocardiac atelectasis, not significantly changed.
MIMIC-CXR-JPG/2.0.0/files/p17451560/s57731843/84be1790-b2e9a92e-70d04acf-58b5d478-70e18927.jpg	progression of reticulonodular opacities within the lungs bilaterally as compared with recent ct chest. the differential on prior ct included acute interstital pneumonitis, viral infection, and drug reaction. however, superimposed infection cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p13368091/s55493853/7101bad3-00a94ea1-2ff4e996-fc37b3b0-e2576497.jpg	low lung volumes. mild pulmonary edema. patchy bibasilar atelectasis with infection in the right lung base not excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p11976099/s50964435/5ff5926b-9cdd54a3-a789f48e-7ab1d6a1-9637d3b6.jpg	bibasilar atelectasis with no evidence of pulmonary edema. cardiomegaly is stable.
MIMIC-CXR-JPG/2.0.0/files/p11922120/s51424587/909eede4-968caf21-f8d29908-008e2c5c-88e58bec.jpg	subtle nodular opacity projecting over the left lower chest measuring approximately <num> cm; while could potentially represent a nipple shadow, pulmonary nodule may be present. recommend shallow oblique chest radiographs or follow-up chest ct to further assess. recommendation(s): recommend shallow oblique chest radiographs or follow-up chest ct.
MIMIC-CXR-JPG/2.0.0/files/p12952202/s51432772/2e38da13-e0ed0c58-adada29d-32aa3f4d-52e0b347.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17571209/s59115404/23175f40-a5171992-d717f9bc-5570c454-100c096d.jpg	no acute cardiopulmonary abnormality. heart size top normal.
MIMIC-CXR-JPG/2.0.0/files/p14809981/s58241845/05f57454-c3e75954-9c62b2d2-c68bf5f4-20003443.jpg	a large right pleural effusion was evacuated at the end of. currently there is a moderate right pleural effusion largely loculated in the anterior right hemithorax obscuring the right lower lung. the apex is clear. left lung is clear. heart size is normal. mediastinum is shifted very slightly to the right suggesting a component of pleural restriction.
MIMIC-CXR-JPG/2.0.0/files/p13596743/s55182538/9c989f68-5b18124b-6c80ab0c-20c44695-3d49265f.jpg	the right-sided pleural pigtail catheter has been removed. there remains a small right apical pneumothorax. small bilateral pleural effusions, right side slightly greater than left are stable. there is no focal consolidation. heart size is within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p19536333/s53180069/986f2405-f2995c3d-2892c17d-18e73cfd-0aa3db80.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10884125/s51981221/808c7138-6c1045cd-1dc134f1-f2629a31-0eb5a16e.jpg	bibasilar platelike opacities are most consistent with atelectasis. clinical correlation for superimposed infection is recommended.
MIMIC-CXR-JPG/2.0.0/files/p16842605/s53598704/60fccb4d-54c0ca3c-7fc5d296-a8b11095-fdbb8e07.jpg	large hiatal hernia. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11953959/s55751217/8a827858-57fcfa07-3b3c9a27-98490a94-5b715942.jpg	in comparison with the study of , the area of increased opacification in the right mid zone is less prominent. otherwise, little change.
MIMIC-CXR-JPG/2.0.0/files/p13777833/s52866357/f08f2786-75e14105-348601f9-3928c43f-d88012a3.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach which is projecting above the left hemidiaphragm consistent with hernia. there is no vascular congestion. there are no consolidations or pleural effusions demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p14050130/s53442550/6f80d3e6-647954b1-fbc79d4e-dcd01547-14dd2120.jpg	no significant change; findings again suggesting pulmonary venous hypertension.
MIMIC-CXR-JPG/2.0.0/files/p10718572/s51131555/5a1e6a96-85d6cf62-4b9e615c-9e0a66bb-00c87e66.jpg	emphysema. progressive basilar interstitial abnormalities, which may represent pulmonary fibrosis with or without superimposed acute interstitial edema. confluent left basilar opacity may reflect atelectasis, pneumonia or aspiration. followup radiographs are recommended to document resolution. enlarged pulmonary artery suggestive of pulmonary arterial hypertension.
MIMIC-CXR-JPG/2.0.0/files/p12685954/s58924433/a9091cc1-adb300f5-d2d9bca9-078d1e3a-0870ac01.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13832169/s55372139/5ba3b9c3-ace2e264-d8e61da8-00c07385-726ba3de.jpg	right infusion port catheter ends in the mid right atrium. lungs are hyperinflated. nipple shadows should not be mistaken for lung nodules. biapical pleural parenchymal scarring is unchanged since. there is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19992875/s59582745/b06f9eca-7cdf63bc-f4f45a49-14f5710d-8beb7450.jpg	no evidence of acute cardiopulmonary process.

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left pigtail catheter in place. extensive subcutaneous emphysema. no gross pneumothorax, but a subtle or anterior pneumothorax may not be apparent. patchy opacities at both bases are compatible with pneumonic consolidation though atelectasis could be contributing to some degree. possible small right and equivocal small left effusion. upper zone redistribution and mild vascular plethora, consistent with early chf. small patchy opacity in the right upper zone appears new or more pronounced compared with the film from <num> day earlier, question atelectasis, new focal infiltrate, or area of aspiration pneumonitis. it could also represent an early area of more confluent chf.

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cardiomegaly with mild pulmonary edema. right basilar pneumonia.

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as compared to the previous image, the monitoring and support devices are constant, and the lack, the swan-ganz catheter is still projecting over relatively peripheral parts of the right pulmonary artery and should be pulled back by approximately <num> cm. unchanged moderate cardiomegaly. sternal wires are in constant normal alignment. no overt pulmonary edema. no pleural effusions. minimal retrocardiac atelectasis.

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no acute intrathoracic process.

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in comparison with the study , there has been the development of increased opacification in the left mid and upper lung zones and right upper zone. this is associated with an apparent right and possibly also left pleural effusion. the appearance is most suggestive radiographically of asymmetric pulmonary edema. although this usually is more prominent on the right, gravid patient all edema can occur on the left if the patient tends to lie on his left side. if pulmonary edema is a reasonable clinical possibility and there are no definite signs of superimposed pneumonia, the patient could undergo diuresis and a repeat study obtained to demonstrate whether the opacification has decreased.

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no acute cardiopulmonary process.

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chronic interstitial opacities compatible with mild edema.

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no acute cardiopulmonary abnormality.

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as compared to , no relevant change is seen. low lung volumes. borderline size of the heart. right pectoral pacemaker in situ. no pulmonary edema. no pneumonia, no pleural effusions.

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liver a large left pleural effusion has entirely recurred since thoracentesis on. there has not been much change since , including some rightward shift of the mediastinum. left lower lobe and lingula are collapsed by the effusion. right lung is grossly clear. healing fracture post for lateral aspect right middle rib could be pathologic heart size indeterminate. no right pleural effusion. no pneumothorax.

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no radiographic evidence of pneumonia.

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no signs for acute cardiopulmonary process.

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endotracheal tube terminates <num> cm above the carina, should be advanced <num> cm. no acute cardiopulmonary process.

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no acute cardiopulmonary process

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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is improved aeration of the right sided atelectasis. there remains atelectasis versus developing infiltrate at the left base. no overt pulmonary edema is seen. there are no pneumothoraces

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no evidence of pneumonia.

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bilateral pleural effusions, left greater than right with bibasilar atelectasis. please note pneumonia is impossible to exclude at the left lung base. recommend followup to resolution.

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no acute intrathoracic process

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as compared to the previous radiograph, the cardiac assist device is in unchanged position. the lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. if new nineth in the colon i picc line on the left has been removed. the patient has received a left pectoral pacemaker with a single lead. the lead projects over the right ventricle. there is no evidence of pneumothorax.

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no acute cardiopulmonary process.

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moderate pulmonary edema and small bilateral pleural effusions worse from.

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port-a-cath with tip terminating in mid svc. no evidence of pneumonia.

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improved left subcutaneous emphysema and right effusion.

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no evidence of acute intrathoracic process.

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chronic interstitial changes, without pulmonary edema.

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in comparison with the study of , there appears to be some decrease in the left hilar and perihilar opacification, there is some residual opacification persists. the degree of pulmonary vascular congestion appears to have mildly improved. monitoring and support devices remain

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right mainstem bronchial intubation. standard position of the enteric tube. left basilar opacity may reflect atelectasis, pneumonia or aspiration. peribronchial cuffing suggests airway inflammation.

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heart size and mediastinum are stable. left pleural effusion is small to moderate. no right pleural effusion demonstrated. no pneumothorax is seen. there is interval resolution of pulmonary edema. cardiomediastinal silhouette and sternal wires are unremarkable.

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no acute cardiopulmonary process identified.

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as compared to the previous radiograph, no relevant change is seen. minimal blunting of the right costophrenic sinus, caused by elevation of the right hemidiaphragm. no evidence of pneumonia. no pulmonary edema. borderline size of the cardiac silhouette.

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ap chest compared to through : moderately severe pulmonary edema and a small right pleural effusion are unchanged. severe cardiomegaly is chronic, increased since , unchanged since. tip of the new endotracheal tube in standard placement. upper enteric feeding tube ends in the mid portion of a non-distended stomach. no pneumothorax.

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a persistent consolidation in the right upper lobe and left lower lobe is seen and is concerning for pneumonia. there are bilateral effusions, left much greater than the right and therefore it is possible that some of the left lower lobe consolidation could reflect compressive atelectasis rather than an acute infectious process. there continues to be indistinctness of the pulmonary vasculature which has slightly worsened suggesting an element of superimposed pulmonary edema. no pneumothorax is seen. overall, cardiac and mediastinal contours cannot be assessed due to the diffuse airspace process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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there to chest radiographs through :<num>. postoperative appearance of the large heart and widened upper mediastinum is stable. left lower lobe still collapsed. moderate left pleural effusion has increased following removal of the left pleural drain. no pneumothorax. no appreciable right pleural effusion.

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no acute cardiopulmonary process.

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comparison to. no evidence of mediastinal widening. decrease in volume of the left hemi thorax with minimal increase in radiodensity of the left perihilar lung parenchyma, potentially caused by a developing pneumonia. short term radiographic followup should be performed. stable atelectasis in the left lung basis. normal appearance of the right lung. moderate cardiomegaly persists.

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standard positioning of the endotracheal and enteric tubes. worsening bibasilar streaky opacities which may reflect increased atelectasis or aspiration.

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no abnormality to explain the patient's symptoms.

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no acute cardiopulmonary process.

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patient has been extubated, but lung volumes are maintained and there is no discrete atelectasis. there is an increase in heart size and pulmonary vascular caliber which is often seen after the end of positive pressure ventilator support. right subclavian line ends in the upper right atrium. no pneumothorax or pleural effusion.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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status post thoracentesis with decrease in right pleural effusion and residual right lower lung atelectasis, but no pneumothorax.

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new left pic line passes into the azygos vein. transesophageal feeding tube passes at least as far as the duodenum, but the entire course is not visible. moderate left pleural effusion is probably unchanged since but previous bibasilar atelectasis has cleared. heart size is normal. no pneumothorax.

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early developing right lower lobe pneumonia. fracture of the inferior-most sternotomy wire of unknown chronicity.

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lower lung volumes result in worsening bibasilar atelectasis and obscure assessment of the lung parenchyma, and in particular, the region of the potential pulmonary nodule seen on the previous radiograph. recommendation(s): repeat radiographs with shallow oblique images can be obtained when the patient is able to take a deeper inspiration. alternatively, low-dose ct can be obtained if clinically indicated.

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basilar opacities, which may reflect atelectasis, but cannot exclude aspiration or pneumonia in the right clinical setting.

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no evidence of pneumonia.

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bibasilar atelectasis. no evidence of pneumonia.

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in comparison with the study of , there again are bilateral pleural effusions, much more prominent on the right, with mild bibasilar atelectatic changes. continued enlargement of the cardiac silhouette without definite vascular congestion in this patient with intact midline sternal wires related to previous cabg procedure.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process. copd, pulmonary emphysema.

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no acute cardiopulmonary process.

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right basilar opacity, potentially atelectasis given lower lung volumes although infection is certainly possible.

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no radiographic evidence of pneumonia.

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as compared to the recent study from a few hr earlier, the patient remains intubated with endotracheal tube in standard position. nasogastric tube has been placed in the stomach, with resolution of gastric distension. pulmonary edema has slightly worsened in severity. small layering bilateral pleural effusions are evident as well as worsening left lower lobe atelectasis.

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improved right pneumothorax and chest wall emphysema.

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lung volumes are slightly increased from prior but remain low with right basilar atelectasis versus consolidation which could represent pneumonia in the right clinical context. mild interstitial pulmonary edema is slightly improved from. no significant pleural effusions. persistent elevation of the left hemidiaphragm is unchanged.

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compared to chest radiographs since , most recently through. there is no appreciable pneumothorax, following removal of bilateral pigtail pleural drainage catheters. diaphragm is elevated and moderate to severe bibasilar atelectasis is stable. pleural effusion is minimal on both sides. upper lungs are clear. heart size is exaggerated by low lung volumes, probably borderline enlarged.

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low lung volumes without definite superimposed acute cardiopulmonary process.

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left lower lobe opacity has been present on multiple prior examinations over last several months, and may be due to recurrent episodes of aspiration or scarring. imaging and clinical evaluation of lung abnormalities should be continued on an out patient basis.

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the patient is status post median sternotomy for cabg with stable postoperative cardiac and mediastinal contours. lung volumes remain low with patchy bibasilar opacities and small bilateral effusions suggestive of partial lower lobe atelectasis. there has been interval removal of the right internal jugular central line. no pneumothorax is seen. no pulmonary edema.

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no acute cardiopulmonary abnormality.

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mild vascular congestion and pulmonary edema.

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evidence of patient's known pulmonary fibrosis without definite superimposed acute cardiopulmonary process.

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ap chest compared to preoperative chest radiograph, , atelectasis and chain suture in the right apex denote the site of today's bullectomy. there is quite likely a small-to-moderate right pneumothorax, apical and medial. there is no appreciable pleural effusion, two right pleural tubes in place, one oriented superiorly, the other inferiorly from lower lateral insertions. atelectasis at the left base, attributable in part to large left upper lobe bullae, has worsened appreciably. heart size normal. dr was paged at when the findings are recognized.

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no acute cardiopulmonary process. no evidence of rib fracture. of note, this study is suboptimal for the assessment of rib abnormalities. if there is further concern, dedicated rib views should be obtained.

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no free air below the diaphragm, no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process. right upper lobe nodular opacity corresponds to healing right anterior second rib fracture.

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no acute cardiopulmonary process.

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pneumothorax cannot be identified anymore. drainage line remains in place. further followup is recommended.

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right subclavian central venous catheter terminates in the proximal right atrium. status post right chest tube placement was subcutaneous emphysema. known large right pneumothorax is not clearly appreciated on this exam.

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pa and lateral chest reviewed in the absence of prior chest radiographs: hyperinflation is due either to emphysema or small airways obstruction. nipple shadows projecting over both anterior fifth rib should not be mistaken for lung nodules, but there may be a small nodule in the right lung at the intersection of the scapula and the right third anterior rib. shallow oblique views would help clarify that. lungs are otherwise clear and there is no pleural effusion or evidence of central adenopathy. the aorta is tortuous but not clearly dilated.

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

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in comparison with the study of , there are lower lung volumes. this accentuates the transverse diameter of the heart. suggestion of some mild indistinctness of pulmonary vessels to could reflect elevated pulmonary venous pressure. there are mild bibasilar atelectatic changes. in the appropriate clinical setting, superimposed pneumonia would have to be considered.

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no acute cardiothoracic process.

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since the prior study there has been interval progression of bilateral perihilar opacities and particular right lower lobe and left mid lung concerning for progression of pulmonary edema. infectious process rapid the progressing is a possibility although less likely as well as hemoptysis.

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no pneumonia.

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as compared to the previous radiograph, a pre-existing right pleural effusion has substantially increased in extent. the effusion occupies approximately % of the right hemi thorax and causes extensive right lower lung atelectasis. as on the previous image, a small intrafissural component is again visualized. on the left, no effusion is seen. moderate cardiomegaly. no pneumonia. no pulmonary edema.

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low-lying endotracheal tube terminates just above the carina. recommend withdrawal by approximately <num> cm. lucency projecting over the left lower hemithorax represents likely loculated pneumothorax, less likely bulla on subsequent chest ct. bilateral pulmonary opacities may be due to aspiration and edema, although underlying contusion cannot be excluded.

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mild interstitial pulmonary edema, not significantly changed. small bilateral pleural effusions, left greater than right. dense left retrocardiac atelectasis, not significantly changed.

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progression of reticulonodular opacities within the lungs bilaterally as compared with recent ct chest. the differential on prior ct included acute interstital pneumonitis, viral infection, and drug reaction. however, superimposed infection cannot be entirely excluded.

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low lung volumes. mild pulmonary edema. patchy bibasilar atelectasis with infection in the right lung base not excluded in the correct clinical setting.

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bibasilar atelectasis with no evidence of pulmonary edema. cardiomegaly is stable.

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subtle nodular opacity projecting over the left lower chest measuring approximately <num> cm; while could potentially represent a nipple shadow, pulmonary nodule may be present. recommend shallow oblique chest radiographs or follow-up chest ct to further assess. recommendation(s): recommend shallow oblique chest radiographs or follow-up chest ct.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. heart size top normal.

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a large right pleural effusion was evacuated at the end of. currently there is a moderate right pleural effusion largely loculated in the anterior right hemithorax obscuring the right lower lung. the apex is clear. left lung is clear. heart size is normal. mediastinum is shifted very slightly to the right suggesting a component of pleural restriction.

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the right-sided pleural pigtail catheter has been removed. there remains a small right apical pneumothorax. small bilateral pleural effusions, right side slightly greater than left are stable. there is no focal consolidation. heart size is within normal limits.

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no acute cardiopulmonary abnormality.

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bibasilar platelike opacities are most consistent with atelectasis. clinical correlation for superimposed infection is recommended.

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large hiatal hernia. otherwise unremarkable.

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in comparison with the study of , the area of increased opacification in the right mid zone is less prominent. otherwise, little change.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach which is projecting above the left hemidiaphragm consistent with hernia. there is no vascular congestion. there are no consolidations or pleural effusions demonstrated.

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no significant change; findings again suggesting pulmonary venous hypertension.

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emphysema. progressive basilar interstitial abnormalities, which may represent pulmonary fibrosis with or without superimposed acute interstitial edema. confluent left basilar opacity may reflect atelectasis, pneumonia or aspiration. followup radiographs are recommended to document resolution. enlarged pulmonary artery suggestive of pulmonary arterial hypertension.

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no acute cardiopulmonary process.

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right infusion port catheter ends in the mid right atrium. lungs are hyperinflated. nipple shadows should not be mistaken for lung nodules. biapical pleural parenchymal scarring is unchanged since. there is no pneumothorax or pleural effusion.

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no evidence of acute cardiopulmonary process.