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/p13296814/s52714439/ab657adb-b192aa85-0a98fe07-bc4cab52-c15ade35.jpg	previously asymmetrically distributed opacification in the right lung base and upper lobe has improved, but interstitial abnormality has become considerably more extensive in the left lung and there is new consolidation at the base. the findings could be explained by asymmetric distribution of edema, but i favor aspiration, clearing from the right lung, now worsening on the left. generalized hyperinflation is due to obstructive airways disease. borderline cardiomegaly is stable. pleural effusions if present are not large.
MIMIC-CXR-JPG/2.0.0/files/p13183607/s54677560/6f077b45-7d0a3a0a-3c5b2a06-018dfb9c-46b32682.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11465548/s51356755/75b188c5-b76505ee-93fb71db-ff59d03b-492eba87.jpg	elevated right hemidiaphragm, underlying pleural effusion or consolidation not excluded. mild pulmonary edema. cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18238066/s54694404/33c45dcd-dadf553d-e7a6d5f2-da687f66-abfe0c8b.jpg	as compared to the previous radiograph, the patient has received a right chest tube. there is moderate to severe pulmonary edema. the patient has also been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10937138/s57252669/810713f0-98a177f2-c6b0214a-ce5fdce8-535ad3ea.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the left lower lobe consolidation has effectively cleared.
MIMIC-CXR-JPG/2.0.0/files/p12040035/s51996490/da748007-7f13787d-64d59db9-6e8cb5d3-3edb799f.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14825395/s59465894/53704121-ec907107-1918b2ee-5e895235-a2577f66.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p11917052/s55007981/8640ee89-a2c75063-58888148-073a53f4-75a4bbd0.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10464871/s58016703/0ded4c11-a6e7aaae-038c2457-b1add661-f3c300f1.jpg	blunting of the posterior costophrenic angles, potentially trace effusions or atelectasis. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14011256/s52451287/64ad6dda-5d0a2d11-63e85f88-2ca5caf8-b4a4a00d.jpg	emphysema. no acute cardiopulmonary radiographic abnormality. if clinical suspicion for lung cancer persists, consider a chest ct.
MIMIC-CXR-JPG/2.0.0/files/p18153920/s52237928/fcdf145e-ca0405ea-bb7b3661-b08820fd-50d607df.jpg	dobbhoff tube ends in the mid esophagus and should be advanced. other tubes and lines in unchanged satisfactory position. small right apical pneumothorax is unchanged and there is no left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18428801/s56658480/a6d14e1d-b003e75d-d33f4ecb-d81f315b-e2681f29.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18739705/s52603613/e70b2507-9eb894e7-945a65e0-4eff5f9c-e2f121a2.jpg	moderate right pleural effusion minimally smaller. no pneumothorax. heart size top normal, exaggerated by low lung volumes. lungs clear. right supraclavicular central venous catheter infusion catheter ends in the low svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11767446/s56896658/1ee98973-99f18bab-f4b7fe1f-4f8c08a5-ecbf2ee0.jpg	left ventricular enlargement is unchanged. there is a possibility of left ventricular aneurysm, please correlate with echocardiography if clinically warranted. tortuous aorta is unchanged. lungs are essentially clear. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p19855099/s58400332/3b5b87d4-bbf20362-769b8af4-e9ccd248-388e205d.jpg	in comparison with the study of , there again are low lung volumes. there is enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure in a patient who has undergone a previous cabg procedure. there could well again be small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12386044/s55997961/d4232ca9-23428084-1a49564b-0bdbb2af-91973711.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17960471/s52156598/fe7b35bd-37d9b117-7db5cd56-9f1e4b7b-4f261e21.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p10627650/s51610352/b0ab5224-9e4289df-b7f96680-ce6e1eca-0a75b34d.jpg	no focal consolidation or overt pulmonary edema. mildly enlarged cardiac silhouette and a possibly globular configuration, correlate with concern for pericardial effusion although if such would be small.
MIMIC-CXR-JPG/2.0.0/files/p13171295/s51829109/c6b50098-c8b3f7c2-5dd6b733-1e6b0045-008230ca.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14083630/s55014230/46465c70-07b31d46-bdb22397-91fa2864-5595e844.jpg	very small right pneumothorax collected laterally and apically has decreased since and previous small right pleural effusion has nearly resolved. left pleural surfaces are normal. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p17887565/s56618807/4ca4af4e-6ef22a12-d8599ff5-6cbd5e97-e1f7116f.jpg	stable appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p18021725/s52019151/d6896261-87b73ad0-c6abd16d-cc20ed64-071ef77f.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14500788/s58780446/6781eb5a-c0a3adbe-f8d6593d-169cdcc9-6765ff3a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11203019/s58298483/042699a2-b7dfaa31-1a1e9efd-1ab89112-f42511bb.jpg	as compared to the previous radiograph, the severity of the pre-existing pulmonary edema has mildly increased. however, the size of the cardiac silhouette is not larger than on the previous exam and no pleural effusions have newly occurred. no pneumothorax. minimal atelectasis at the lung bases.
MIMIC-CXR-JPG/2.0.0/files/p11739489/s58081760/afc749f8-bcef3f56-c2040291-d5676333-2e860f98.jpg	stable appearance of dual lead pacemaker in standard position.
MIMIC-CXR-JPG/2.0.0/files/p13977095/s56131185/4d5dbd7b-c074b47e-0976faaa-6a118ca4-a74d233c.jpg	left upper lobe nodule and a right upper lobe nodules were better assessed on prior ct. within the limits the sensitivity of the study technique, no definite new nodules.
MIMIC-CXR-JPG/2.0.0/files/p16287302/s58390921/983821c5-48048f12-9bebde40-be6f57e7-1921a27f.jpg	no significant interval changes compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p12069130/s51744541/dbd2dc82-f190d303-c3f383e7-1cc04cc2-fae89774.jpg	right chest wall port with tip in the mid svc. no evidence of acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19866759/s57896151/a9b57113-9bdfeeb0-9a224022-fa0a653e-97759dc9.jpg	numerous pulmonary metastatic lesions bilaterally. given the size and number of these lesions, it is difficult to exclude an underlying pneumonia. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17527209/s54588438/e11c5ae1-8bd5bb01-4e793bb7-f1c40d48-54f9f728.jpg	in comparison to prior radiograph of <num> days earlier, left picc terminates in the lower superior vena cava. interval improved aeration at both lung bases with residual atelectasis remaining and near resolution of small bilateral pleural effusions. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p10772636/s58080171/7fdd8580-6d009d8a-a8836c24-73e3a119-c210c571.jpg	large areas of consolidation have developed in the upper lungs, either posterior segments of the upper lobes or superior segments of the lower lobes. consolidation present earlier in the right lower lobe has increased. heart size is normal and mediastinal vessels have not dilated, so the findings are probably due to worsening pneumonia, particularly aspiration rather than pulmonary edema. right pic line ends in the mid svc. small pleural effusions are present. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12033165/s55903573/00068d26-8d583659-af7de1da-fc6c0476-d94aada1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18547567/s50980280/2868fbc6-f068caf7-d6f3df28-ea691e13-93dcf40a.jpg	lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p16745156/s57239619/74a93794-e1260e20-205ef45e-056311e0-70fdb0cd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12045896/s54495174/536624ea-7c2d5672-a15f80f4-fa1abb63-baaa3e7c.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17560713/s56992891/97b4f343-afb9119a-52433c5e-2e6c67c8-8ce73080.jpg	chronically elevated left hemidiaphragm with associated left lower lobe atelectasis. no acute cardiopulmonary abnormality otherwise demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p11680008/s55412450/ede2498f-03891c7c-7e803a47-555b7498-89daea5b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10454455/s58608035/476cdb9d-7e261e1d-bd15b3be-ef4c6ad9-99152cf3.jpg	pa and lateral chest compared to through : severe hyperinflation is chronic, presumably due to copd. there is no focal pulmonary abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. atherosclerotic calcification noted in the subclavian, axillary and brachial arteries and at the origin of the aortic arch vessels. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p11778436/s52483733/efd4f048-27ad2c7c-e2be5b71-e5b8a22a-1db10516.jpg	compared to chest radiographs through :<num>. small right pneumothorax limited to the lung base laterally is smaller today than it was yesterday, right basal pigtail drainage catheter still in place. bibasilar interstitial abnormality has not improved since. heart size normal. no appreciable pleural effusion or left pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16488433/s54218817/32b441fc-943334a5-ea610716-81df5d58-192e9ab1.jpg	no acute cardiopulmonary abnormality. mild elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p11391664/s51733131/54d0f885-62beed24-d37d4441-dd29ffe1-1062ab2c.jpg	no acute cardiopulmonary process. no mediastinal widening.
MIMIC-CXR-JPG/2.0.0/files/p13903530/s52472797/b92cdec1-2962b4f3-e63ed9f0-2538964c-304ac385.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12542450/s50152025/5ae7eb7c-689e1d1d-081d9d0b-2f43c8fc-611ae617.jpg	new consolidation in the right mid lung, concerning for atelectasis, aspiration or pneumonia. interstitial prominence in the mid, lower lungs, consistent with moderate interstitial pulmonary edema. interval decrease in size of a left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16940835/s50019565/6bec3fcb-a7097c0d-fe309581-45747176-2e7ee01e.jpg	interval development of patchy bibasilar opacities is compatible with multifocal pneumonia. the increased conspicuity in the short interval is likely related to full manifestation of the inflammatory process after administration of iv fluids.
MIMIC-CXR-JPG/2.0.0/files/p16243802/s51606767/192b5a4a-1704ef96-8abed8f7-012d45a8-45cd81f4.jpg	band-like opacity in the left mid lung is most compatible with atelectasis, though pneumonia cannot be entirely excluded. please correlate clinically.
MIMIC-CXR-JPG/2.0.0/files/p12559662/s50185208/43f38233-62b151fd-06d7147c-afda9d51-08e56b3b.jpg	vague opacities in the right upper and left lower lungs, which potentially are due to an infectious etiology or possibly inflammation of airways. an atypical pattern of mild pulmonary congestion would be a lesser differential consideration based on the distribution but could be considered.
MIMIC-CXR-JPG/2.0.0/files/p14357889/s52611960/13ad7cce-fb44ed0b-32b8335f-14f6a981-cb6dc378.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p17554404/s56915379/6ee1a07b-df1663f6-e40bff06-1bf76616-0b8b5e6e.jpg	comparison to. stable position of the feeding tube, with the tip projecting over the mid parts of the stomach. stable position of the left picc line. unchanged appearance of the lung parenchyma and the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p13202255/s52868363/48c3c7c7-9de21556-3fb83ad8-f9461613-913c71f7.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10470968/s52267850/0112406d-29ea1415-c501f29d-5cfd5d41-e0ed2b70.jpg	possible right basal pneumonia or atelectasis, needs to be correlated with clinical findings.
MIMIC-CXR-JPG/2.0.0/files/p17502683/s51844846/e76522d8-e59235bc-396fa179-3af5f581-9273ec97.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p16339997/s55092218/2c5046a3-9d5c68f9-c36ea8bf-992addd9-75445bfd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15099669/s53093673/84d656fb-cde895af-24d6c5ef-11960082-043d439f.jpg	no evidence for pneumothorax. decreased focal lenticular thickening at the right lateral lung apex, otherwise unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13447913/s58773976/23178948-2425c531-819b7110-c6ca100f-3d7e90d3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16876797/s56707491/f01a1c32-b663ed20-b31b17fb-75a406b6-8251e596.jpg	basal atelectasis, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p19778971/s55365660/4137530f-ffee7a64-70d3c8c0-cec20178-385c77e3.jpg	bilateral mild vascular congestion with small right pleural effusion. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17281732/s59443617/753deaed-4392e18a-2c617ee7-c02fe061-f5571fbc.jpg	innumerable diffuse nodular opacities with left upper lobe dominant mass in keeping with recent ct dated concerning for multiple metastatic nodules and left lingular mass. no new opacity convincing for pneumonia is identified.
MIMIC-CXR-JPG/2.0.0/files/p11210655/s56012762/fe0e2252-2c8437b0-e3934427-a34b1787-30014837.jpg	in comparison with the study of , there is again enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms. no evidence of acute pneumonia or vascular congestion or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10802633/s59802262/aa8ae377-724e2b1a-61da3107-f38fe8d3-12fc0c95.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11416560/s52478963/aba93ea9-18774971-d5851809-79837ae9-8a6c752c.jpg	bilateral moderate pleural effusions with adjacent bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15794797/s59129548/0d7a843c-ea852d03-c54fd391-345e384d-6e5c1459.jpg	stable scarring and loculated pleural effusion at the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p19072457/s52026230/da23227b-f6bc406d-959d9c57-60d0cd8c-1342ab2c.jpg	hazy opacity at the right lung base which may represent atelectasis but an infectious process is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p17373149/s59235381/959655b1-bb1bbc58-0dffde1d-ceaa560b-365932cb.jpg	moderate pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12471831/s57159224/c492beba-9eb78569-c5fefd10-481c9f55-8d8f0046.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11943583/s59697785/f9d2f98c-2c7af425-df6e6ba9-c897b099-10c81148.jpg	bibasilar opacities are concerning for developing infection, given the clinical history.
MIMIC-CXR-JPG/2.0.0/files/p16285590/s52883520/6fac693e-629367ff-55e3513a-419a6a5d-87ad37d9.jpg	in comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip about <num> cm above the carina. left ij catheter extends to the mid portion of the svc. nasogastric tube extends to the stomach, though the side port is above the esophagogastric junction. little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p19611364/s56761914/f8fe56b8-ea885f66-fbdd8549-86624041-a960e0a3.jpg	increasing small left pleural effusion with accompanying peripheral opacities which may reflect infarction in the setting of known pulmonary emboli.
MIMIC-CXR-JPG/2.0.0/files/p19148393/s50510629/31ca12a3-598ceaa8-ddb5ac4b-48f61280-82e63196.jpg	low lung volumes. no acute cardiopulmonary radiographic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16439884/s51911283/933efcc3-f9ab46b9-1b998a68-de3f1451-697d017b.jpg	central pulmonary vascular congestion with mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p10434107/s51787725/e0e63c61-ef62bc17-f0818acc-dac49645-3acaab0d.jpg	low lung volumes which limits assessment of the lung bases. probable bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11603058/s59686819/e3c728f1-3dfbb3b9-a16776ea-e56d7458-c1c7c4e9.jpg	no findings to account for left chest pain. specifically no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16820620/s53927414/e3caf9bc-d3b25fcf-0c78f647-8afbaf26-39037c6b.jpg	no acute pneumonia. no significant changes from prior exam.
MIMIC-CXR-JPG/2.0.0/files/p19636818/s59131039/420a477f-0de67777-d0da3471-c375115a-7f72082d.jpg	comparison to. no relevant change. low lung volumes. mild cardiomegaly. no pulmonary edema. no larger pleural effusions. the right-sided picc line is in unchanged correct position.
MIMIC-CXR-JPG/2.0.0/files/p15133454/s56293488/8e96883f-0e4863d9-877c5a42-e657e4a6-2986ac45.jpg	enlarged cardiac silhouette without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15567127/s50818440/c4eff1b9-731b9204-57403130-b6ff4932-59d3eee9.jpg	bibasilar atelectasis/scarring.
MIMIC-CXR-JPG/2.0.0/files/p15159308/s55529801/3f65fae0-e936b261-210b84e7-baf79464-ef2ae85f.jpg	picc line positioned appropriately. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14408362/s59074106/f390e2f6-5bd471c4-dd8809c2-29e23c9d-40d94d39.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12468016/s57432300/950c480f-2539cfe7-85901ab8-d324eaaf-0ba7f19a.jpg	comparison to. as compared to the previous image, the previously collapsed left lung is now substantially better ventilated. only around the left hilus and in the retrocardiac lung regions and atelectasis persists. the mediastinum has returned to its normal position. the right lung is stable, with a small right basal atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15290047/s52958260/4c2c75bb-10d25854-42a43a5d-ba237914-0652b611.jpg	endotracheal tube has its tip by <num> cm above the carina. the nasogastric tube is unchanged in position with its tip projecting over the proximal stomach. the heart remains stably enlarged. there are improving but residual patchy airspace opacities consistent with resolving mild to moderate pulmonary edema. there are likely small layering effusions. no obvious pneumothorax. multiple old left-sided posterolateral rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p14775722/s50865704/80b02089-3393cca7-cc1ffc4f-f19ab684-64faa88f.jpg	compared to prior chest radiographs through. severe heterogeneous bilateral consolidation may have improved slightly or may be undergoing cavitation, particular the right lung. the process worsened substantially on. although one is tempted to determine by ct scanning if cavitation is present, the documentation of that finding may not contribute to clinical management. stent in the mid and lower esophagus is unchanged in caliber position, cannulated superiorly by the endotracheal tube. right subclavian line ends in the region of the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p12326052/s57653836/e5aacf05-b0cdfca5-852f3c20-e03c675f-506be2ee.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p10553843/s53400816/9640f7f8-103f9c5a-bbcaf50d-a4503711-acec4f24.jpg	the dobbhoff feeding tube now courses below the diaphragm with the tip not completely visualized, but likely within the stomach. the tracheostomy tube is unchanged and is in satisfactory position. lung volumes remain low with a more focal patchy opacity at the left base, which could reflect atelectasis although pneumonia or aspiration cannot be excluded. crowding of the pulmonary vasculature with no overt pulmonary edema. no pleural effusions. overall, cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p12392927/s59421631/d098d3cd-da3ad3d0-7acd11b9-608813ac-c7dda796.jpg	no chf, focal infiltrate or gross effusion. probable background copd. heart size borderline enlarged.
MIMIC-CXR-JPG/2.0.0/files/p13598803/s57702265/1cadab78-05e33fe5-cf221b4b-f59cfef9-0e1f692e.jpg	pa and lateral chest compared to through : compared to the most recent chest radiograph, the contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities have all improved over the past three months. the cardiomediastinal contour, though obscured by the severely retracted hila, have not changed, and there is no pleural effusion. in short, there is no radiographic explanation for chest pain and aspergilloma involvement in the upper lobe spaces is less pronounced.
MIMIC-CXR-JPG/2.0.0/files/p13528523/s50838862/5c3b65c9-e1575fd8-c2f90c8e-5d100ed0-db5fcc7a.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16825279/s57043411/c05a52f8-8e7256b4-e7679afa-40c118dc-783c1c2e.jpg	tenting and scarring at the right lung base is similar to. no obvious superimposed pneumonic infiltrate identified. a small amount of pleural fluid would be difficult to exclude. upper zone redistribution, without overt chf. cardiomegaly and copd, similar to prior. right paratracheal calcifications again noted. allowing for this, no right upper lobe lesion is identified. trabecular pattern of the visualized vertebral bodies is compatible with renal osteodystrophy. there is suggestion of a rugger bone density pattern in the vertebral bodies which can be seen with hyperparathyroidism.
MIMIC-CXR-JPG/2.0.0/files/p10900387/s51431946/88f22844-28e01840-b53f0d95-48bfa28b-3205b9f5.jpg	as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the lung volumes have slightly increased, potentially indicating improved ventilation. the extent of the retrocardiac atelectasis, however, has slightly increased. signs of pulmonary edema are less severe than on the previous image. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18336565/s58733364/ff77c5fd-416c5002-5083684f-47ef6e36-1c4c7933.jpg	left picc terminates in the low svc. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11277562/s54903595/732f6a8a-760d84cb-6d7d9ba5-07678a59-39864864.jpg	no substantial change.
MIMIC-CXR-JPG/2.0.0/files/p15960051/s55996106/b0d9ca48-06f1b069-380fb6c0-d7d37fea-b81fa408.jpg	irregular mass in the left perihilar region, suspicious for malignancy. additional nodular opacities projecting over the upper lungs bilaterally. correlation with outside films would be of use to further characterize. no evidence of other focal consolidation. surgical clips in the right axilla.
MIMIC-CXR-JPG/2.0.0/files/p18668726/s54823694/0e4744d4-a5389215-4dd636c8-db29ba42-68d1cf66.jpg	no acute cardiopulmonary abnormality. mediastinal contour abnormality compatible with patient's known aortic coarctation.
MIMIC-CXR-JPG/2.0.0/files/p15465424/s57715136/71499ad7-c88459fc-c863a8a8-ec53342a-781208dc.jpg	compared to chest radiograph, moderate right and small to moderate left pleural effusions have increased in size with adjacent worsening bibasilar atelectasis. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p10532853/s53292365/4e7f7a09-2203ee9f-ae3c3f07-040ba833-92baef47.jpg	a right pleural catheter remains in place and there is a slightly smaller but persistent apical lateral pneumothorax. overall, there is improving aeration at the right base with decrease in size of the pleural collection. the heart remains markedly enlarged which may reflect cardiomegaly, although a pericardial effusion cannot be excluded. opacity at the left base most likely reflects partial lower lobe atelectasis, although pneumonia cannot be excluded. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14167244/s54923778/42de7142-82acfbbe-7b5bf86d-ab6af983-98ec81ab.jpg	no evidence of pneumonia. mildly hyperinflated lungs suggest obstructive disease.
MIMIC-CXR-JPG/2.0.0/files/p12104056/s57777007/647f039a-a65bb7a2-a133ea5c-85cf43cf-d651b493.jpg	improved mild interstitial pulmonary edema and right pleural effusion, without new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12262929/s58340906/1b2b9c55-89ffc821-50f20a48-d7ad048d-92c02e89.jpg	there is a poor inspiratory effort. there is patchy density in both lung bases suggesting atelectasis. this is slightly more prominent than the earlier study. there is no pneumothorax, effusion or chf.
MIMIC-CXR-JPG/2.0.0/files/p14696961/s54666940/6be4272a-3b2a14cc-e5afb4b7-5e635e4a-41e7f16a.jpg	lung volumes are very low, and although there is enough opacification in the lung bases on the frontal view to raise concern for pneumonia, there is no corresponding abnormality on the lateral, and therefore i favor atelectasis. heart is normal size and there is no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19688142/s59476409/5b1093a0-8cce1281-6cebb2c8-a7ff5ec7-50085685.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15103276/s56133261/fc488f86-3b1bab7d-d1d2f380-12d50ccc-8666bdf3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15034985/s51591517/2a7c34b9-4325e5d1-050e6328-0b2306f3-42dc0795.jpg	as compared to the previous radiograph, the gastric bubble is over distended. the patient would likely benefit from insertion of a nasogastric tube. status post left thoracic surgery, the left chest tube is in unchanged position. there is evidence of the minimal left apical lateral pneumothorax. no signs of tension. unchanged normal appearance of the right lung.

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previously asymmetrically distributed opacification in the right lung base and upper lobe has improved, but interstitial abnormality has become considerably more extensive in the left lung and there is new consolidation at the base. the findings could be explained by asymmetric distribution of edema, but i favor aspiration, clearing from the right lung, now worsening on the left. generalized hyperinflation is due to obstructive airways disease. borderline cardiomegaly is stable. pleural effusions if present are not large.

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no acute cardiopulmonary process.

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elevated right hemidiaphragm, underlying pleural effusion or consolidation not excluded. mild pulmonary edema. cardiomegaly.

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as compared to the previous radiograph, the patient has received a right chest tube. there is moderate to severe pulmonary edema. the patient has also been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. no larger pleural effusions.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. the left lower lobe consolidation has effectively cleared.

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normal chest radiograph.

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no active disease.

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no acute intrathoracic process.

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blunting of the posterior costophrenic angles, potentially trace effusions or atelectasis. otherwise, no acute cardiopulmonary process.

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emphysema. no acute cardiopulmonary radiographic abnormality. if clinical suspicion for lung cancer persists, consider a chest ct.

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dobbhoff tube ends in the mid esophagus and should be advanced. other tubes and lines in unchanged satisfactory position. small right apical pneumothorax is unchanged and there is no left pneumothorax.

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no acute cardiopulmonary abnormality.

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moderate right pleural effusion minimally smaller. no pneumothorax. heart size top normal, exaggerated by low lung volumes. lungs clear. right supraclavicular central venous catheter infusion catheter ends in the low svc. no pneumothorax.

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left ventricular enlargement is unchanged. there is a possibility of left ventricular aneurysm, please correlate with echocardiography if clinically warranted. tortuous aorta is unchanged. lungs are essentially clear. no pleural effusion or pneumothorax is seen.

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in comparison with the study of , there again are low lung volumes. there is enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure in a patient who has undergone a previous cabg procedure. there could well again be small pleural effusions.

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no pneumonia.

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no active disease.

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no focal consolidation or overt pulmonary edema. mildly enlarged cardiac silhouette and a possibly globular configuration, correlate with concern for pericardial effusion although if such would be small.

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no acute cardiothoracic process.

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very small right pneumothorax collected laterally and apically has decreased since and previous small right pleural effusion has nearly resolved. left pleural surfaces are normal. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are unremarkable.

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stable appearance of the chest.

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no pneumonia.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the severity of the pre-existing pulmonary edema has mildly increased. however, the size of the cardiac silhouette is not larger than on the previous exam and no pleural effusions have newly occurred. no pneumothorax. minimal atelectasis at the lung bases.

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stable appearance of dual lead pacemaker in standard position.

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left upper lobe nodule and a right upper lobe nodules were better assessed on prior ct. within the limits the sensitivity of the study technique, no definite new nodules.

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no significant interval changes compared to the prior study.

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right chest wall port with tip in the mid svc. no evidence of acute pulmonary process.

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numerous pulmonary metastatic lesions bilaterally. given the size and number of these lesions, it is difficult to exclude an underlying pneumonia. no evidence of pulmonary edema.

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in comparison to prior radiograph of <num> days earlier, left picc terminates in the lower superior vena cava. interval improved aeration at both lung bases with residual atelectasis remaining and near resolution of small bilateral pleural effusions. no other relevant changes.

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large areas of consolidation have developed in the upper lungs, either posterior segments of the upper lobes or superior segments of the lower lobes. consolidation present earlier in the right lower lobe has increased. heart size is normal and mediastinal vessels have not dilated, so the findings are probably due to worsening pneumonia, particularly aspiration rather than pulmonary edema. right pic line ends in the mid svc. small pleural effusions are present. there is no pneumothorax.

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no acute cardiopulmonary process.

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

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no acute intrathoracic process.

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no evidence of acute cardiopulmonary disease.

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chronically elevated left hemidiaphragm with associated left lower lobe atelectasis. no acute cardiopulmonary abnormality otherwise demonstrated.

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no acute cardiopulmonary abnormality.

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pa and lateral chest compared to through : severe hyperinflation is chronic, presumably due to copd. there is no focal pulmonary abnormality. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. atherosclerotic calcification noted in the subclavian, axillary and brachial arteries and at the origin of the aortic arch vessels. heart size is normal.

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compared to chest radiographs through :<num>. small right pneumothorax limited to the lung base laterally is smaller today than it was yesterday, right basal pigtail drainage catheter still in place. bibasilar interstitial abnormality has not improved since. heart size normal. no appreciable pleural effusion or left pneumothorax.

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no acute cardiopulmonary abnormality. mild elevation of the right hemidiaphragm.

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no acute cardiopulmonary process. no mediastinal widening.

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no evidence of pneumonia.

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new consolidation in the right mid lung, concerning for atelectasis, aspiration or pneumonia. interstitial prominence in the mid, lower lungs, consistent with moderate interstitial pulmonary edema. interval decrease in size of a left pleural effusion.

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interval development of patchy bibasilar opacities is compatible with multifocal pneumonia. the increased conspicuity in the short interval is likely related to full manifestation of the inflammatory process after administration of iv fluids.

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band-like opacity in the left mid lung is most compatible with atelectasis, though pneumonia cannot be entirely excluded. please correlate clinically.

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vague opacities in the right upper and left lower lungs, which potentially are due to an infectious etiology or possibly inflammation of airways. an atypical pattern of mild pulmonary congestion would be a lesser differential consideration based on the distribution but could be considered.

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no acute cardiopulmonary pathology.

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comparison to. stable position of the feeding tube, with the tip projecting over the mid parts of the stomach. stable position of the left picc line. unchanged appearance of the lung parenchyma and the cardiac silhouette.

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no acute cardiopulmonary abnormality.

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possible right basal pneumonia or atelectasis, needs to be correlated with clinical findings.

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no acute findings in the chest.

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no acute cardiopulmonary abnormality.

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no evidence for pneumothorax. decreased focal lenticular thickening at the right lateral lung apex, otherwise unchanged.

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no acute cardiopulmonary abnormality.

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basal atelectasis, otherwise unremarkable.

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bilateral mild vascular congestion with small right pleural effusion. no evidence of pneumonia.

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innumerable diffuse nodular opacities with left upper lobe dominant mass in keeping with recent ct dated concerning for multiple metastatic nodules and left lingular mass. no new opacity convincing for pneumonia is identified.

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in comparison with the study of , there is again enlargement of the cardiac silhouette with tortuosity of the aorta and hyperexpansion of the lungs with flattening of the hemidiaphragms. no evidence of acute pneumonia or vascular congestion or pleural effusion.

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no acute cardiopulmonary abnormality.

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bilateral moderate pleural effusions with adjacent bibasilar atelectasis.

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stable scarring and loculated pleural effusion at the right lung base.

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hazy opacity at the right lung base which may represent atelectasis but an infectious process is not excluded.

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moderate pulmonary edema.

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no acute cardiopulmonary process.

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bibasilar opacities are concerning for developing infection, given the clinical history.

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in comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip about <num> cm above the carina. left ij catheter extends to the mid portion of the svc. nasogastric tube extends to the stomach, though the side port is above the esophagogastric junction. little change in the appearance of the heart and lungs.

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increasing small left pleural effusion with accompanying peripheral opacities which may reflect infarction in the setting of known pulmonary emboli.

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low lung volumes. no acute cardiopulmonary radiographic abnormality.

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central pulmonary vascular congestion with mild interstitial edema.

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low lung volumes which limits assessment of the lung bases. probable bibasilar atelectasis.

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no findings to account for left chest pain. specifically no pneumothorax.

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no acute pneumonia. no significant changes from prior exam.

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comparison to. no relevant change. low lung volumes. mild cardiomegaly. no pulmonary edema. no larger pleural effusions. the right-sided picc line is in unchanged correct position.

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enlarged cardiac silhouette without acute cardiopulmonary process.

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bibasilar atelectasis/scarring.

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picc line positioned appropriately. no acute intrathoracic process.

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no acute cardiopulmonary process.

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comparison to. as compared to the previous image, the previously collapsed left lung is now substantially better ventilated. only around the left hilus and in the retrocardiac lung regions and atelectasis persists. the mediastinum has returned to its normal position. the right lung is stable, with a small right basal atelectasis.

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endotracheal tube has its tip by <num> cm above the carina. the nasogastric tube is unchanged in position with its tip projecting over the proximal stomach. the heart remains stably enlarged. there are improving but residual patchy airspace opacities consistent with resolving mild to moderate pulmonary edema. there are likely small layering effusions. no obvious pneumothorax. multiple old left-sided posterolateral rib fractures.

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compared to prior chest radiographs through. severe heterogeneous bilateral consolidation may have improved slightly or may be undergoing cavitation, particular the right lung. the process worsened substantially on. although one is tempted to determine by ct scanning if cavitation is present, the documentation of that finding may not contribute to clinical management. stent in the mid and lower esophagus is unchanged in caliber position, cannulated superiorly by the endotracheal tube. right subclavian line ends in the region of the superior cavoatrial junction.

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normal chest radiographs.

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the dobbhoff feeding tube now courses below the diaphragm with the tip not completely visualized, but likely within the stomach. the tracheostomy tube is unchanged and is in satisfactory position. lung volumes remain low with a more focal patchy opacity at the left base, which could reflect atelectasis although pneumonia or aspiration cannot be excluded. crowding of the pulmonary vasculature with no overt pulmonary edema. no pleural effusions. overall, cardiac and mediastinal contours are stable.

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no chf, focal infiltrate or gross effusion. probable background copd. heart size borderline enlarged.

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pa and lateral chest compared to through : compared to the most recent chest radiograph, the contents of both large upper lobe cystic spaces, the extent of right apical pleural thickening, and bronchiectasis and nodulation outside the left apical cavities have all improved over the past three months. the cardiomediastinal contour, though obscured by the severely retracted hila, have not changed, and there is no pleural effusion. in short, there is no radiographic explanation for chest pain and aspergilloma involvement in the upper lobe spaces is less pronounced.

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no evidence of pneumonia.

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tenting and scarring at the right lung base is similar to. no obvious superimposed pneumonic infiltrate identified. a small amount of pleural fluid would be difficult to exclude. upper zone redistribution, without overt chf. cardiomegaly and copd, similar to prior. right paratracheal calcifications again noted. allowing for this, no right upper lobe lesion is identified. trabecular pattern of the visualized vertebral bodies is compatible with renal osteodystrophy. there is suggestion of a rugger bone density pattern in the vertebral bodies which can be seen with hyperparathyroidism.

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as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the lung volumes have slightly increased, potentially indicating improved ventilation. the extent of the retrocardiac atelectasis, however, has slightly increased. signs of pulmonary edema are less severe than on the previous image. no evidence of pneumothorax.

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left picc terminates in the low svc. no acute cardiopulmonary process.

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no substantial change.

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irregular mass in the left perihilar region, suspicious for malignancy. additional nodular opacities projecting over the upper lungs bilaterally. correlation with outside films would be of use to further characterize. no evidence of other focal consolidation. surgical clips in the right axilla.

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no acute cardiopulmonary abnormality. mediastinal contour abnormality compatible with patient's known aortic coarctation.

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compared to chest radiograph, moderate right and small to moderate left pleural effusions have increased in size with adjacent worsening bibasilar atelectasis. no other relevant changes.

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a right pleural catheter remains in place and there is a slightly smaller but persistent apical lateral pneumothorax. overall, there is improving aeration at the right base with decrease in size of the pleural collection. the heart remains markedly enlarged which may reflect cardiomegaly, although a pericardial effusion cannot be excluded. opacity at the left base most likely reflects partial lower lobe atelectasis, although pneumonia cannot be excluded. no evidence of pulmonary edema.

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no evidence of pneumonia. mildly hyperinflated lungs suggest obstructive disease.

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improved mild interstitial pulmonary edema and right pleural effusion, without new focal consolidation.

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there is a poor inspiratory effort. there is patchy density in both lung bases suggesting atelectasis. this is slightly more prominent than the earlier study. there is no pneumothorax, effusion or chf.

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lung volumes are very low, and although there is enough opacification in the lung bases on the frontal view to raise concern for pneumonia, there is no corresponding abnormality on the lateral, and therefore i favor atelectasis. heart is normal size and there is no pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the gastric bubble is over distended. the patient would likely benefit from insertion of a nasogastric tube. status post left thoracic surgery, the left chest tube is in unchanged position. there is evidence of the minimal left apical lateral pneumothorax. no signs of tension. unchanged normal appearance of the right lung.