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/p15471281/s57090978/2ccdcf60-15a151de-82e81858-c7890fcb-b0d09826.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12907811/s56737221/b52c0d09-fd4ef132-9d033f55-a7b3bf2d-a1bf7acd.jpg	stable moderate left pleural effusion. no pneumothorax after removal of pleural drain.
MIMIC-CXR-JPG/2.0.0/files/p11660675/s59615121/69cc4419-6ef97ec0-68c15e9c-2f4bed40-89d2f10b.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13594409/s55913476/01693095-3e137ec9-4246384f-f1b97e6b-553c2bdd.jpg	compared to chest radiographs, through. lungs are clear. severe cardiomegaly is chronic. no pulmonary vascular engorgement or edema to suggest acute cardiac decompensation. nasogastric drainage tube ends in the upper stomach. no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12396390/s54693167/a100afd5-9b319616-6ce79114-43b38a01-50539952.jpg	stable low lung volumes, bibasilar atelectasis, and moderate cardiomegally.
MIMIC-CXR-JPG/2.0.0/files/p12439188/s58228539/7eb631e4-562c4f3f-2c50935e-cc2824df-39e6ff43.jpg	new volume loss/ infiltrate in both lower lobes.
MIMIC-CXR-JPG/2.0.0/files/p18880483/s50666747/484c81b8-d56ec57b-48f445e8-c2677aa7-7cc10f8a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18321313/s58921434/f649c805-c887b51e-ed117af3-a0b3edb8-83382e26.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19497735/s58753880/d999705d-99bbefda-ca6508f7-2923d5dd-f2d9c074.jpg	no comparison. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19777911/s59223073/13d1b9f0-4e8d2a60-c000a74a-fef80f7c-396b1242.jpg	ap chest compared to through : on , there is an unequivocal evidence of volume-related pulmonary edema, namely progression of cardiomegaly and caliber of mediastinal and pulmonary vessels. findings improved but did not resolve entirely by , and on , there was a generalized worsening and the suggestion of early consolidation in the right lower lobe. the right lower lobe has subsequently cleared, there is no longer a pulmonary edema, and the pulmonary vasculature and caliber of mediastinal vessels are comparable to the baseline appearance on. nevertheless, there is substantial cardiomegaly with particular left atrial enlargement, presumably making the patient prone to cardiogenic pulmonary edema. left subclavian line ends in the mid svc. pleural effusion, minimal if any. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18137539/s59875737/cdc8548e-2333e749-fc4e14ed-c230bd64-08f28a6d.jpg	endotracheal tube in appropriate position. <num> mm radiopaque structure projecting just superior to the level of the posteromedial right ninth rib, unclear whether external or internal to the patient.
MIMIC-CXR-JPG/2.0.0/files/p13788454/s51927973/762e21eb-ed4f5817-361ca955-3451661f-a8cb1047.jpg	chronic elevation of the left hemidiaphragm with similar-appearing moderate left pleural effusion, a component which is loculated at the posterior base, and left basilar opacity likely atelectasis. increased size and number of bilateral pulmonary nodules concerning for progression of metastatic disease.
MIMIC-CXR-JPG/2.0.0/files/p10177765/s53558594/fbd51467-4a151bfb-6c74285f-d978a5e7-b8008a2f.jpg	clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p19901886/s56746621/4c604c5f-43427221-db827b75-a897370c-03cc4816.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18955018/s54944872/c777abc3-202e1496-ab814fb7-1451e728-001d915d.jpg	continued improvement in heterogeneous pulmonary consolidation in the mid and upper lung zones. right lower lobe remains densely consolidated, left heart border is partially obscured by consolidation, but these may be features of atelectasis worsened after the end of positive pressure ventilator support the patient has been extubated. there is still a moderate right pleural effusion. heart size is normal. feeding tube passes into the stomach but this the tip is indistinct.
MIMIC-CXR-JPG/2.0.0/files/p16703717/s56613816/8c11602d-44df9b94-08e71f55-1cc36aae-b2ba5e6d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13443859/s51181764/b8d3da71-c698e082-ae946e6e-3ca225fd-cecced2a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11752817/s58716176/cd78f41c-ebb1dfa2-bdef4b72-9e712f12-eeb6f617.jpg	as compared to the previous radiograph, no relevant change is seen. <num> right-sided chest tubes are in constant position. the extent of the right pleural fluid and basal air is unchanged. unchanged atelectasis at the right lung bases. unchanged appearance of the cardiac silhouette and of the left lung.
MIMIC-CXR-JPG/2.0.0/files/p13863107/s56385564/cbba5afb-975124da-5a810029-2002270e-d6b28580.jpg	no acute chest pathology; borderline cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19864113/s51848936/52ab2700-80cc358b-eb0a33a1-5357d1ad-20a5e371.jpg	endotracheal and enteric tubes in standard positions. near complete opacification of the left hemithorax most likely due to left lung atelectasis/collapse. right basilar atelectasis. known right-sided rib fractures are better assessed on the previous ct.
MIMIC-CXR-JPG/2.0.0/files/p13165314/s50003001/816edad2-f0df0904-073390d1-e73a040f-774dad9b.jpg	moderate to large right pleural effusion has increased since. no pneumothorax. atelectasis at the left base in the left upper lobe have not improved since. heart size indeterminate. right subclavian infusion catheter ends in the region of the superior cavoatrial junction. no pneumothorax. severe thoracolumbar scoliosis alters the thoracic anatomy.
MIMIC-CXR-JPG/2.0.0/files/p13713087/s53607748/28f4d266-b12f20a1-73c03fc3-df2f6a77-674009f1.jpg	no acute cardiopulmonary process. the aorta is either tortuous or dilated. these cannot be differentiated radiographically.
MIMIC-CXR-JPG/2.0.0/files/p11172056/s52910812/8d29bb5a-6f50f23d-81922c99-e4812e4f-ed1b685c.jpg	in comparison with the study of , there again are somewhat low lung volumes. enlargement of the cardiac silhouette with tortuous aorta but less widening of the superior mediastinum. indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure. streaks of atelectasis are seen at both bases. there are several suggested coalescent areas of opacification in the right lung an infrahilar region, though they do not appear as prominent as on prior studies. no "wedge shaped opacity " is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p13273041/s51442393/e9108cdd-440ed2c9-3509fa2e-a6ae5340-4249a5e6.jpg	pulmonary vascular congestion, moderate interstitial pulmonary edema and small bilateral effusions, improved compared to.
MIMIC-CXR-JPG/2.0.0/files/p19758701/s58726467/202a6f1d-7e73d9fe-d8ee85e2-e5f6c115-62df09d5.jpg	no acute cardiopulmonary process. specifically, no evidence of an infiltrate suggestive of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17675016/s52163730/870a588c-b7e6e4e3-8bfb45b4-3b72ea2d-8e06fe51.jpg	ap chest compared to : small right pleural effusion has increased since following removal of the right pleural drain. there is no pneumothorax. moderate left pleural effusion is increasing, left lower lobe collapse unchanged. large heart is chronic and unchanged. mediastinal widening continues to improve.
MIMIC-CXR-JPG/2.0.0/files/p18322831/s58710201/f3a32c38-d47eb2e8-b1eac0ab-5b742385-95d91c65.jpg	comparison to. the widespread bilateral parenchymal opacities are stable in extent and severity. no new opacities. stable right pleural effusion. stable retrocardiac atelectasis and moderately enlarged cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p10869002/s58213640/fc9f5ccb-d22ff8eb-df5b94f1-80020b60-74b67676.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11754284/s55400987/686073a0-64192fa6-367803ae-a2ab8c5b-6ff89511.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p13675581/s56307137/4513c987-74ec4868-9b6ae982-a4ab6391-f938bd2b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17046035/s54230881/ef39a83b-d0d75fde-8f52f622-26652a86-b8ac1f3f.jpg	hypoinflated lungs with bibasilar atelectasis. large hiatal hernia with adjacent compressive atelectasis. mildly displaced right posterolateral sixth and seventh rib fractures. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15936063/s54067835/eccef53c-fb0d2c24-6bc3610c-35e1e2da-1c099941.jpg	overall similar appearance compared to.
MIMIC-CXR-JPG/2.0.0/files/p15389391/s53692773/a745081b-222b6f37-146dc257-5c4a9646-57714b99.jpg	ap chest compared to , : moderately severe pulmonary edema and mediastinal vascular engorgement have worsened since <num> obscuring what may be multifocal infection in the right lung, either pneumonia or septic emboli. moderate left and small right pleural effusions and moderate cardiomegaly have all worsened. the aortic knob is deformed by a large mediastinal hematoma. right jugular line ends low in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19385620/s54438387/6f3e6a70-d668067e-ef1af264-922ebef4-5b7a1d02.jpg	in comparison with study of , there is again evidence of extensive cardiac surgery with intact midline sternal wires. esophagectomy is again noted. no evidence of residual pneumothorax. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12220452/s57986362/00bdf2bf-65b32748-a7ee0f95-e6e8fb70-e84746d9.jpg	no focal consolidations concerning for pneumonia identified. diffuse interstitial abnormalities are overall unchanged compared to the prior exam.
MIMIC-CXR-JPG/2.0.0/files/p17047107/s59496273/028a08c7-c6493634-ae4679cc-879b014d-165d263e.jpg	interval development of left basilar opacity compatible with pneumonia on the background of emphysema. known spiculated right lung nodules better seen on prior ct scan.
MIMIC-CXR-JPG/2.0.0/files/p19896361/s54271299/fd18451d-48682067-602cf782-8408e0d9-0595a995.jpg	small bilateral pleural effusions, mild pulmonary vascular congestion and enlarged cardiac silhouette suggest chf.
MIMIC-CXR-JPG/2.0.0/files/p12964119/s57026354/53619b73-e03e131d-0d0fa632-a2de184f-71844a69.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18696483/s56166158/af378536-12b6822d-ae6c4a07-d746ff02-687efa1d.jpg	in comparison with the study of , there again is substantial hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. the right middle lobe pneumonia has cleared. no evidence of vascular congestion, pleural effusion, or acute consolidation at this time. dual-channel pacer leads remain in good position. the tip of the port-a-cath is in the lower svc. no definite kinking is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p11644052/s51062850/9c3bd364-736161e2-815e2eb7-ee39219f-e58ac756.jpg	perihilar and basilar bronchial wall thickening, which could be due to peribronchial edema or infectious bronchitis. tracheal displacement and narrowing due to known enlargement of right thyroid.
MIMIC-CXR-JPG/2.0.0/files/p18532425/s50067668/f6f0283b-03a7db71-e1228fa1-e9a92601-b634b864.jpg	interval increased bilateral pleural effusions. increased opacity in the right lower lobe could reflect developing pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16446532/s53057946/ee21c286-765e9282-139979b7-255a44d6-07746d88.jpg	cardiomegaly with evidence of mild pulmonary edema, suggestive of heart failure.
MIMIC-CXR-JPG/2.0.0/files/p17720657/s56053594/86a59cee-a26083f6-7343642b-fe8f250b-8abfbb15.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14147787/s58168356/a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140.jpg	compared to chest radiographs since , most recently. greater wall thickening in the regions of bilateral upper lobe scarring and traction bronchiectasis with respect to raises possibility of superinfection. lower lungs grossly clear. heart size normal. no pleural effusion. calcifications noted in central lymph nodes, but there is no evidence of increased adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p18572519/s58465245/18519e84-91c2f686-cee766c2-8107af5d-f6b70f89.jpg	interval placement of an endotracheal tube which has its tip approximately <num> cm above the carina. right internal jugular central line is unchanged in position with the tip in the proximal svc. lung volumes remain low. there is increasing bibasilar opacities with increasing fullness of the perihilar vasculature and a suggestion of some peribronchial cuffing. these findings most likely represent mild pulmonary edema with associated compressive atelectasis and a left pleural effusion. an infectious process would be less likely. clinical correlation is advised. cardiac and mediastinal contours are stable given differences in positioning. the patient's mandible obscures the lung apices. no large pneumothorax is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p16519531/s59003631/68bcdbf2-785a3502-8358a6fd-3c31b35e-daa3e834.jpg	grossly stable right upper and suprahilar scarring/fibrotic changes. no new findings.
MIMIC-CXR-JPG/2.0.0/files/p17014608/s54301669/7f8ae2f5-07be246e-4c807f0a-780a7e79-dad9014d.jpg	nasogastric tube tip is in the body of the stomach, unchanged from prior. there are low lung volumes with crowding of the pulmonary vascular markings at the lung bases. there is elevation of the right hemidiaphragm, unchanged. there is a left retrocardiac opacity and likely a small left-sided pleural effusion. right upper lobe granuloma is again seen.
MIMIC-CXR-JPG/2.0.0/files/p11723732/s57303424/599a0f2b-baa9d80b-20a6671c-a2acdb30-39618ce1.jpg	right pleural effusion is moderate, unchanged. right mediastinal shift is unchanged due to at least partial right lower lobe atelectasis. left pleural effusion is small. cardiomegaly is unchanged. there is interval improvement in pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18268241/s51755624/395d1646-8de05f24-c89f0209-b332ede8-c2f99cab.jpg	increasing heterogeneous right lower lung opacity concerning for pneumonia. recommend advancing et tube by <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p14981113/s52405900/d30a742f-4ea617af-a3d138c2-f6a66b43-e5d6bec3.jpg	as compared to the previous radiograph, there is a new focal parenchymal opacity, causing blunting of the right heart border and of the right hemidiaphragm on the frontal radiograph. on the lateral radiograph, the opacity projects over the right lung base. in the appropriate clinical setting, the opacity reflect 's pneumonia. no complication, no pleural effusion, no abscess formation. normal size of the cardiac silhouette. mild tortuosity of the descending aorta. at the time of dictation and observation, , on the , the referring physician. was paged notification.
MIMIC-CXR-JPG/2.0.0/files/p19652839/s56835667/4c6b3781-0bb985cc-49e0f344-10aac222-ea1ec4a3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16595872/s58889240/89857b6b-dfc74915-92d77f53-cb7a95a1-1bd86290.jpg	right lower lobe pneumonia, and possible right upper lobe pneumonia. recommend follow-up radiographs in <num> weeks to evaluate for resolution. recommendation(s): recommend follow-up radiographs in <num> weeks to evaluate for resolution of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12035173/s56099557/96287b2f-f94c793c-e6d9f188-8aebd0e2-ee315cf7.jpg	endotracheal tube tip is <num> cm from the carina. slight interval improvement in right apical aeration, left base atelectasis, and left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10978131/s57118843/d5e474bb-b1415a73-80005e3a-4be2826f-660db275.jpg	in comparison with the study of , there is little change in the appearance of the left chest tube and postsurgical changes in the left hemithorax. no definite pneumothorax. no vascular congestion or acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10299070/s50364276/5748b2ec-fa2b58f2-5590bd93-de1e1569-b6865dc6.jpg	left lower lobe collapse has improved, returning the mediastinum nearly to the midline, but is still considerable. lungs are otherwise clear. pleural effusion is small on the left if any. mild cardiomegaly is chronic. et tube, right internal jugular line, and nasogastric tube are in standard placements. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13325402/s51298911/f9840a87-17d9ee1a-4c6813f8-7c3297ba-c262477b.jpg	cardiomegaly. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11888614/s57933100/b2866e53-ffc2e916-fe99a48b-4d3622b6-df9fb5e7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16995102/s58925971/abc24d03-ea5b0c22-96cd01e0-4c662aa2-c86ba41b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10882916/s58988106/2ecd9e3f-dc3def0a-0a43c5ab-b312552e-c6e0857f.jpg	right upper lobe parenchymal opacities are grossly unchanged from. no superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15669044/s54848664/a8f8f5da-b655c790-fcd27592-de15d2e7-0f5a7dd4.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p17651786/s59959482/ecc0b35d-076bcb6e-fac5cad4-e65f12a0-4e599b80.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10175233/s54499674/27dcd94a-6b061a56-ed1f1856-c87f0768-5eba8d16.jpg	no acute cardiopulmonary process such as pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15680450/s53964219/a63fc0e3-62fd12e1-44060041-da06be80-38f0c2aa.jpg	left base opacity laterally, potentially atelectasis; however, clinical correlation regarding possibility of infection is suggested.
MIMIC-CXR-JPG/2.0.0/files/p10781468/s53470694/c020e3ae-d992c314-519ea49e-fc9d4e7d-6e7e6d3c.jpg	findings concerning for mild interstitial pulmonary edema. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19139733/s51056788/997ceea1-c54f8e1b-7d219929-fcc7cefa-9d2ea329.jpg	little change comparison prior study from with minimal progression of small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15019868/s55533863/4fd792e4-c56bb8b0-bd817326-beab606c-3b243057.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18507022/s59981113/a1381264-aa00a7dd-f0eb14c8-59e46197-64ad451c.jpg	right port-a-catheter terminating in the distal svc. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14775722/s55478387/4e1be2d5-6bbd5d1d-f293c2ba-00621de2-11cda931.jpg	in comparison with the study of , there is little overall change in the diffuse bilateral pulmonary opacifications. again, this could reflect significant pulmonary edema, widespread pneumonia, or even ards. the hemidiaphragms again are not sharply seen, raising the possibility of pleural fluid and compressive atelectasis at the bases.
MIMIC-CXR-JPG/2.0.0/files/p11438607/s59475936/4283f6fe-b01b7630-27df82eb-de527c2e-79ebaf4e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16658805/s54225236/4bb9befb-90af16a9-94bf3000-5168a9a8-4a101f8f.jpg	dobbhoff tube in the distal esophagus. these findings were communicated with by at immediately upon discovery the findings.
MIMIC-CXR-JPG/2.0.0/files/p18454049/s57657480/74d8a2d6-17cf8a83-acc458e5-aea65a1b-103e1ec9.jpg	streaky retrocardiac atelectasis. otherwise, no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17729314/s55432852/cd837923-7e8e63fb-764fe855-4408eb90-7d24f465.jpg	stable cardiac and mediastinal contours. lungs are well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax, or pulmonary edema. the previously described indentation of the left lateral tracheal wall on prior study is less apparent on today's study. no acute bony abnormalities appreciated.
MIMIC-CXR-JPG/2.0.0/files/p14449392/s56052206/f32dd8eb-2a5f560f-2d1e8dc2-d6a5093a-b9e693bd.jpg	top normal heart size, otherwise normal.
MIMIC-CXR-JPG/2.0.0/files/p18432165/s55552074/bafc7a7c-037a18a3-72e8bfe6-afc2ce29-55147132.jpg	increasing pleural effusions and lower lobe consolidations concerning for atelectasis versus pneumonia. mild edema appears new. large hiatal hernia again seen.
MIMIC-CXR-JPG/2.0.0/files/p18551091/s56351315/bd2cfbb0-852c1b19-c1d0e680-441a8e28-81d57285.jpg	findings suggesting mild vascular congestion, increased, with developing pleural effusion on the right. another change is increasing right basilar opacity that may indicate an infectious process developing in the lower lungs, with particular suspicion for the right middle lobe.
MIMIC-CXR-JPG/2.0.0/files/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg	ap chest compared to : lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since. there is no good evidence for pneumonia and pleural effusions are small if any. mild-to-moderate cardiomegaly unchanged. right pic line ends just before the junction of the brachiocephalic veins. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18003419/s55778009/120deb99-bfb876ce-75a7faa7-90a7e633-5ecd75ae.jpg	as compared to the previous radiograph, the endotracheal tube is in unchanged position, with the tip projecting <num> cm above the carinal. the other monitoring and support devices, including the swan-ganz catheter, are in constant position. the known right-sided pleural effusion has moderately increased in extent. the signs indicative of pulmonary edema are slightly more severe. unchanged mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p13208527/s52152068/885e278e-e17c025a-0df16e85-3ca01112-db2ad400.jpg	no acute cardiopulmonary process. no evidence of free intra-abdominal air.
MIMIC-CXR-JPG/2.0.0/files/p16006691/s59020588/2868e84f-aea5214b-ad3a3760-a1224334-b23b7832.jpg	no displaced rib fracture or pleural effusion. mild emphysema.
MIMIC-CXR-JPG/2.0.0/files/p10564151/s58746568/5f373c5e-6155565a-af65ec0b-0a86b9bb-116144c8.jpg	compare to prior chest radiographs, , most recently. mild pulmonary edema has changed in distribution but not in overall severity. small bilateral pleural effusions, right greater than left, not appreciably changed. no pneumothorax. heart size normal. left transjugular central venous infusion port ends in the upper right atrium.
MIMIC-CXR-JPG/2.0.0/files/p14046897/s56497557/f6757663-e32919ae-c7a5cb58-b04df87b-5084767a.jpg	findings suggest mild congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p11604900/s59537035/9449e838-f1a44623-bc6aff17-86315208-9fe11134.jpg	in comparison with the study of , patient has taken a slightly better inspiration. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16492768/s59465336/3c82f0a3-aea72c0a-49501808-a30c6d92-80900199.jpg	right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16356118/s52935485/35992f29-210f2d1b-9f75d72f-5aab2386-ae2a5240.jpg	decreased small left and unchanged small right pneumothoraces with right chest tube in position.
MIMIC-CXR-JPG/2.0.0/files/p18317472/s51177844/06da7839-c4b36f98-1abbe4d9-a575842d-112629ba.jpg	no focal consolidation. no radiopaque foreign body.
MIMIC-CXR-JPG/2.0.0/files/p16773746/s53948355/21f46447-176cb01c-be974575-9dc1458c-6f6416e2.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17710466/s58423212/9aca1180-1c9d7f44-c57f4887-77f216f2-a83cd8a7.jpg	interval decrease in size of small bilateral pleural effusions. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16261540/s53092987/99533597-3995a2f4-9b777d79-e3383d5a-7b36e7d7.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18026668/s53538029/3519f3bc-54190c5e-353f13cf-f95f0dff-95d16fc2.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19000174/s55721031/5bf47d00-61657d1d-d3a8e1c1-bd661b08-769c9ebf.jpg	no acute findings. subtle nodular opacities in the left mid lung. please refer to subsequent ct of the chest for further details.
MIMIC-CXR-JPG/2.0.0/files/p17799996/s53790906/6370643a-123b9e04-2529fa6a-a59827b1-c6a5e3db.jpg	interval enlargement of bilateral pleural effusions since , worse on the left. a ct examination was obtained following this study.
MIMIC-CXR-JPG/2.0.0/files/p14702963/s54358795/d2c31586-f6a4ea78-788f7e49-040353c1-a1fee26e.jpg	ap chest compared to conventional chest radiographs through : the patient has recurrent presentations with shortness of breath and chest cta on showing substantial bronchial wall thickening. today's study shows the thickening as well as mild interstitial abnormality, but no evidence of congestive heart failure. findings point toward chronic airway inflammation, with an acute exacerbation. there is no pleural effusion. the mild adenopathy seen on chest ct is not obvious on any of the conventional radiographs. heart is normal size and there is no indication of pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14304873/s53436758/18bf1f9d-eebbc5cf-70cd3407-1567224f-8622f051.jpg	no pneumothorax status post chest tube removal
MIMIC-CXR-JPG/2.0.0/files/p17234374/s57899618/fa4842a7-3d01f76e-d4850dab-8b107753-7ac26fcd.jpg	persistent large mass in the right upper lobe, decreased in size. no evidence of superimposed acute disease.
MIMIC-CXR-JPG/2.0.0/files/p19345314/s55108019/9bb1e31f-657c75bd-a07a62e4-3409f5f8-35da8f54.jpg	no acute cardiopulmonary process. prominence of the ascending order may suggest mild ascending aortic dilatation, and could be further assessed with nonurgent ct chest.
MIMIC-CXR-JPG/2.0.0/files/p15419160/s56030772/b309d744-5608559a-fffc7c20-6eb0a53c-b5025097.jpg	no acute cardiopulmonary process. possible nodule in the left lung present nipple shadow, repeat chest radiograph with nipple marker is suggested.
MIMIC-CXR-JPG/2.0.0/files/p10259507/s52060031/eee128aa-ce02057b-8ba8dca5-15842a26-821eef20.jpg	ap chest compared to : mild cardiomegaly has improved. lungs are clear. there is no appreciable pleural effusion and no pneumothorax. small region of linear atelectasis has developed at the right lung base. this examination neither suggests nor excludes diagnosis of acute pulmonary embolism.
MIMIC-CXR-JPG/2.0.0/files/p10732427/s59709176/8bb50ca7-5df21104-02dae937-518d07e4-1fe8e252.jpg	there is a new orogastric tube whose tip and side port are within the stomach. heart size is unchanged with prominence of the mediastinum. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p10407582/s52146583/72db2880-61c98e65-3f1cad46-b26d8b28-21d548c2.jpg	ap chest compared to : very small right apical pneumothorax has decreased even further since at , pigtail pleural drain unchanged in position. there is no right pleural effusion. two small metallic foreign bodies, possibly vascular clips, sit in the right medial pleural sulcus, close to their original location more medially on. lateral view from that date shows that one of these clips is intrathoracic and one or two of them, extrathoracic. lungs are clear. heart size is normal and there is no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14150037/s54829320/f70d1634-c119f3c7-16d8a21a-b654b78d-d49720e8.jpg	small left-sided pleural effusion with subsegmental atelectasis.

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no evidence of pneumonia.

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stable moderate left pleural effusion. no pneumothorax after removal of pleural drain.

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no evidence of acute cardiopulmonary process.

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compared to chest radiographs, through. lungs are clear. severe cardiomegaly is chronic. no pulmonary vascular engorgement or edema to suggest acute cardiac decompensation. nasogastric drainage tube ends in the upper stomach. no pneumothorax or pleural effusion.

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stable low lung volumes, bibasilar atelectasis, and moderate cardiomegally.

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new volume loss/ infiltrate in both lower lobes.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no comparison. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.

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ap chest compared to through : on , there is an unequivocal evidence of volume-related pulmonary edema, namely progression of cardiomegaly and caliber of mediastinal and pulmonary vessels. findings improved but did not resolve entirely by , and on , there was a generalized worsening and the suggestion of early consolidation in the right lower lobe. the right lower lobe has subsequently cleared, there is no longer a pulmonary edema, and the pulmonary vasculature and caliber of mediastinal vessels are comparable to the baseline appearance on. nevertheless, there is substantial cardiomegaly with particular left atrial enlargement, presumably making the patient prone to cardiogenic pulmonary edema. left subclavian line ends in the mid svc. pleural effusion, minimal if any. no pneumothorax.

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endotracheal tube in appropriate position. <num> mm radiopaque structure projecting just superior to the level of the posteromedial right ninth rib, unclear whether external or internal to the patient.

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chronic elevation of the left hemidiaphragm with similar-appearing moderate left pleural effusion, a component which is loculated at the posterior base, and left basilar opacity likely atelectasis. increased size and number of bilateral pulmonary nodules concerning for progression of metastatic disease.

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clear lungs.

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no evidence of pneumonia.

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continued improvement in heterogeneous pulmonary consolidation in the mid and upper lung zones. right lower lobe remains densely consolidated, left heart border is partially obscured by consolidation, but these may be features of atelectasis worsened after the end of positive pressure ventilator support the patient has been extubated. there is still a moderate right pleural effusion. heart size is normal. feeding tube passes into the stomach but this the tip is indistinct.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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as compared to the previous radiograph, no relevant change is seen. <num> right-sided chest tubes are in constant position. the extent of the right pleural fluid and basal air is unchanged. unchanged atelectasis at the right lung bases. unchanged appearance of the cardiac silhouette and of the left lung.

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no acute chest pathology; borderline cardiomegaly.

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endotracheal and enteric tubes in standard positions. near complete opacification of the left hemithorax most likely due to left lung atelectasis/collapse. right basilar atelectasis. known right-sided rib fractures are better assessed on the previous ct.

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moderate to large right pleural effusion has increased since. no pneumothorax. atelectasis at the left base in the left upper lobe have not improved since. heart size indeterminate. right subclavian infusion catheter ends in the region of the superior cavoatrial junction. no pneumothorax. severe thoracolumbar scoliosis alters the thoracic anatomy.

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no acute cardiopulmonary process. the aorta is either tortuous or dilated. these cannot be differentiated radiographically.

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in comparison with the study of , there again are somewhat low lung volumes. enlargement of the cardiac silhouette with tortuous aorta but less widening of the superior mediastinum. indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure. streaks of atelectasis are seen at both bases. there are several suggested coalescent areas of opacification in the right lung an infrahilar region, though they do not appear as prominent as on prior studies. no "wedge shaped opacity " is appreciated.

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pulmonary vascular congestion, moderate interstitial pulmonary edema and small bilateral effusions, improved compared to.

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no acute cardiopulmonary process. specifically, no evidence of an infiltrate suggestive of pneumonia.

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ap chest compared to : small right pleural effusion has increased since following removal of the right pleural drain. there is no pneumothorax. moderate left pleural effusion is increasing, left lower lobe collapse unchanged. large heart is chronic and unchanged. mediastinal widening continues to improve.

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comparison to. the widespread bilateral parenchymal opacities are stable in extent and severity. no new opacities. stable right pleural effusion. stable retrocardiac atelectasis and moderately enlarged cardiac silhouette.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary abnormality.

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hypoinflated lungs with bibasilar atelectasis. large hiatal hernia with adjacent compressive atelectasis. mildly displaced right posterolateral sixth and seventh rib fractures. no pneumothorax.

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overall similar appearance compared to.

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ap chest compared to , : moderately severe pulmonary edema and mediastinal vascular engorgement have worsened since <num> obscuring what may be multifocal infection in the right lung, either pneumonia or septic emboli. moderate left and small right pleural effusions and moderate cardiomegaly have all worsened. the aortic knob is deformed by a large mediastinal hematoma. right jugular line ends low in the svc. no pneumothorax.

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in comparison with study of , there is again evidence of extensive cardiac surgery with intact midline sternal wires. esophagectomy is again noted. no evidence of residual pneumothorax. no pneumonia, vascular congestion, or pleural effusion.

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no focal consolidations concerning for pneumonia identified. diffuse interstitial abnormalities are overall unchanged compared to the prior exam.

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interval development of left basilar opacity compatible with pneumonia on the background of emphysema. known spiculated right lung nodules better seen on prior ct scan.

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small bilateral pleural effusions, mild pulmonary vascular congestion and enlarged cardiac silhouette suggest chf.

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no evidence of acute cardiopulmonary process.

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in comparison with the study of , there again is substantial hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. the right middle lobe pneumonia has cleared. no evidence of vascular congestion, pleural effusion, or acute consolidation at this time. dual-channel pacer leads remain in good position. the tip of the port-a-cath is in the lower svc. no definite kinking is appreciated.

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perihilar and basilar bronchial wall thickening, which could be due to peribronchial edema or infectious bronchitis. tracheal displacement and narrowing due to known enlargement of right thyroid.

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interval increased bilateral pleural effusions. increased opacity in the right lower lobe could reflect developing pneumonia.

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cardiomegaly with evidence of mild pulmonary edema, suggestive of heart failure.

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no acute intrathoracic process.

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compared to chest radiographs since , most recently. greater wall thickening in the regions of bilateral upper lobe scarring and traction bronchiectasis with respect to raises possibility of superinfection. lower lungs grossly clear. heart size normal. no pleural effusion. calcifications noted in central lymph nodes, but there is no evidence of increased adenopathy.

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interval placement of an endotracheal tube which has its tip approximately <num> cm above the carina. right internal jugular central line is unchanged in position with the tip in the proximal svc. lung volumes remain low. there is increasing bibasilar opacities with increasing fullness of the perihilar vasculature and a suggestion of some peribronchial cuffing. these findings most likely represent mild pulmonary edema with associated compressive atelectasis and a left pleural effusion. an infectious process would be less likely. clinical correlation is advised. cardiac and mediastinal contours are stable given differences in positioning. the patient's mandible obscures the lung apices. no large pneumothorax is appreciated.

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grossly stable right upper and suprahilar scarring/fibrotic changes. no new findings.

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nasogastric tube tip is in the body of the stomach, unchanged from prior. there are low lung volumes with crowding of the pulmonary vascular markings at the lung bases. there is elevation of the right hemidiaphragm, unchanged. there is a left retrocardiac opacity and likely a small left-sided pleural effusion. right upper lobe granuloma is again seen.

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right pleural effusion is moderate, unchanged. right mediastinal shift is unchanged due to at least partial right lower lobe atelectasis. left pleural effusion is small. cardiomegaly is unchanged. there is interval improvement in pulmonary edema.

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increasing heterogeneous right lower lung opacity concerning for pneumonia. recommend advancing et tube by <num> cm.

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as compared to the previous radiograph, there is a new focal parenchymal opacity, causing blunting of the right heart border and of the right hemidiaphragm on the frontal radiograph. on the lateral radiograph, the opacity projects over the right lung base. in the appropriate clinical setting, the opacity reflect 's pneumonia. no complication, no pleural effusion, no abscess formation. normal size of the cardiac silhouette. mild tortuosity of the descending aorta. at the time of dictation and observation, , on the , the referring physician. was paged notification.

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no acute cardiopulmonary process.

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right lower lobe pneumonia, and possible right upper lobe pneumonia. recommend follow-up radiographs in <num> weeks to evaluate for resolution. recommendation(s): recommend follow-up radiographs in <num> weeks to evaluate for resolution of pneumonia.

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endotracheal tube tip is <num> cm from the carina. slight interval improvement in right apical aeration, left base atelectasis, and left pleural effusion.

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in comparison with the study of , there is little change in the appearance of the left chest tube and postsurgical changes in the left hemithorax. no definite pneumothorax. no vascular congestion or acute pneumonia.

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left lower lobe collapse has improved, returning the mediastinum nearly to the midline, but is still considerable. lungs are otherwise clear. pleural effusion is small on the left if any. mild cardiomegaly is chronic. et tube, right internal jugular line, and nasogastric tube are in standard placements. no pneumothorax.

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cardiomegaly. no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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right upper lobe parenchymal opacities are grossly unchanged from. no superimposed acute cardiopulmonary process.

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normal chest radiographs.

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no acute intrathoracic process.

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no acute cardiopulmonary process such as pneumonia.

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left base opacity laterally, potentially atelectasis; however, clinical correlation regarding possibility of infection is suggested.

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findings concerning for mild interstitial pulmonary edema. mild cardiomegaly.

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little change comparison prior study from with minimal progression of small right pleural effusion.

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no evidence of acute cardiopulmonary disease.

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right port-a-catheter terminating in the distal svc. no evidence of pneumothorax.

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in comparison with the study of , there is little overall change in the diffuse bilateral pulmonary opacifications. again, this could reflect significant pulmonary edema, widespread pneumonia, or even ards. the hemidiaphragms again are not sharply seen, raising the possibility of pleural fluid and compressive atelectasis at the bases.

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no acute cardiopulmonary process.

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dobbhoff tube in the distal esophagus. these findings were communicated with by at immediately upon discovery the findings.

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streaky retrocardiac atelectasis. otherwise, no acute cardiopulmonary abnormality.

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stable cardiac and mediastinal contours. lungs are well inflated without evidence of focal airspace consolidation, pleural effusions, pneumothorax, or pulmonary edema. the previously described indentation of the left lateral tracheal wall on prior study is less apparent on today's study. no acute bony abnormalities appreciated.

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top normal heart size, otherwise normal.

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increasing pleural effusions and lower lobe consolidations concerning for atelectasis versus pneumonia. mild edema appears new. large hiatal hernia again seen.

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findings suggesting mild vascular congestion, increased, with developing pleural effusion on the right. another change is increasing right basilar opacity that may indicate an infectious process developing in the lower lungs, with particular suspicion for the right middle lobe.

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ap chest compared to : lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since. there is no good evidence for pneumonia and pleural effusions are small if any. mild-to-moderate cardiomegaly unchanged. right pic line ends just before the junction of the brachiocephalic veins. no pneumothorax.

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as compared to the previous radiograph, the endotracheal tube is in unchanged position, with the tip projecting <num> cm above the carinal. the other monitoring and support devices, including the swan-ganz catheter, are in constant position. the known right-sided pleural effusion has moderately increased in extent. the signs indicative of pulmonary edema are slightly more severe. unchanged mild cardiomegaly.

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no acute cardiopulmonary process. no evidence of free intra-abdominal air.

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no displaced rib fracture or pleural effusion. mild emphysema.

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compare to prior chest radiographs, , most recently. mild pulmonary edema has changed in distribution but not in overall severity. small bilateral pleural effusions, right greater than left, not appreciably changed. no pneumothorax. heart size normal. left transjugular central venous infusion port ends in the upper right atrium.

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findings suggest mild congestive heart failure.

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in comparison with the study of , patient has taken a slightly better inspiration. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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right lower lobe pneumonia.

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decreased small left and unchanged small right pneumothoraces with right chest tube in position.

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no focal consolidation. no radiopaque foreign body.

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no acute cardiopulmonary abnormality.

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interval decrease in size of small bilateral pleural effusions. no acute cardiopulmonary process.

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no acute cardiothoracic process.

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no evidence of pneumonia.

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no acute findings. subtle nodular opacities in the left mid lung. please refer to subsequent ct of the chest for further details.

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interval enlargement of bilateral pleural effusions since , worse on the left. a ct examination was obtained following this study.

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ap chest compared to conventional chest radiographs through : the patient has recurrent presentations with shortness of breath and chest cta on showing substantial bronchial wall thickening. today's study shows the thickening as well as mild interstitial abnormality, but no evidence of congestive heart failure. findings point toward chronic airway inflammation, with an acute exacerbation. there is no pleural effusion. the mild adenopathy seen on chest ct is not obvious on any of the conventional radiographs. heart is normal size and there is no indication of pleural effusion.

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no pneumothorax status post chest tube removal

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persistent large mass in the right upper lobe, decreased in size. no evidence of superimposed acute disease.

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no acute cardiopulmonary process. prominence of the ascending order may suggest mild ascending aortic dilatation, and could be further assessed with nonurgent ct chest.

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no acute cardiopulmonary process. possible nodule in the left lung present nipple shadow, repeat chest radiograph with nipple marker is suggested.

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ap chest compared to : mild cardiomegaly has improved. lungs are clear. there is no appreciable pleural effusion and no pneumothorax. small region of linear atelectasis has developed at the right lung base. this examination neither suggests nor excludes diagnosis of acute pulmonary embolism.

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there is a new orogastric tube whose tip and side port are within the stomach. heart size is unchanged with prominence of the mediastinum. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.

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ap chest compared to : very small right apical pneumothorax has decreased even further since at , pigtail pleural drain unchanged in position. there is no right pleural effusion. two small metallic foreign bodies, possibly vascular clips, sit in the right medial pleural sulcus, close to their original location more medially on. lateral view from that date shows that one of these clips is intrathoracic and one or two of them, extrathoracic. lungs are clear. heart size is normal and there is no pleural effusion.

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small left-sided pleural effusion with subsegmental atelectasis.