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/p17907511/s54157146/4cebe5e6-39b542a0-23ff637b-b089c64b-7c8e2e23.jpg	no acute findings in the chest. normal-appearing heart size.
MIMIC-CXR-JPG/2.0.0/files/p16464652/s54675159/eeee29f5-65b51128-4fffff1f-f47a906e-40e1085d.jpg	worsening multifocal consolidations stable interstitial disease due to lymphangitic metastatic disease.
MIMIC-CXR-JPG/2.0.0/files/p16744975/s56414088/a9f421f1-a56845e9-6d9d5a4f-f1c6451c-77e62d25.jpg	persistent small left apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18575400/s53788734/9a7a42c5-fe460021-4d559ad0-97dd7ef1-0d20da4a.jpg	no evidence of pneumothorax or cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17459404/s51817324/e5f3ada5-e58c5f58-e8009668-332785c1-8a2881c9.jpg	interval removal of the left chest tube with stable small amounts of loculated air laterally in the pleural space and no evidence of in enlarging pneumothorax. left subclavian picc line unchanged in position. persistent layering left effusion and persistent left basilar consolidation likely reflecting a combination of partial lower lobe collapse in the setting of known mass and pleural collection as documented on recent chest ct. no pulmonary edema. right lung is grossly clear. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p19123301/s51103612/f9a9b8f2-42803a9b-73172ab1-613d0014-95227fca.jpg	unchanged interstitial edema and bilateral pleural effusions, right worse than left. unchanged basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13484161/s55812727/0f3b10cd-b3e6a500-20370ada-6e3ab8b3-ad1019c5.jpg	no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10679238/s55407346/59a05c79-98b557c6-8ede0575-1552443a-c9ac4756.jpg	mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12668744/s57634244/ec0b1084-239e8963-96738d91-dbbd63c7-7d832700.jpg	no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16023087/s53975910/e7a49712-64548ed1-7286af7f-e97d4a1a-4ff40837.jpg	moderate-sized right pleural effusion and mild interstitial edema. increased density at the right lung base, likely atelectasis, but consolidation cannot be excluded. follow-up imaging after treatment is recommended. findings and recommendations were discussed with by by telephone at on at the time of initial review of the study.
MIMIC-CXR-JPG/2.0.0/files/p17281028/s56815770/0c13c447-17832238-6ed27070-1d77be49-65c81910.jpg	slight interval improvement in left base heterogeneous opacities, follow up radiographs in <num> weeks are recommended to document complete resolution.
MIMIC-CXR-JPG/2.0.0/files/p15479218/s59915100/04221807-a47bfaea-0e371229-cfeb229b-ff05b057.jpg	feeding tube with the wire stylet has been advanced to the upper stomach. right lower lobe collapse is unchanged. moderate right pleural effusion is larger. poor definition of the right bronchial tree suggests retained secretions. heart size probably normal. milder atelectasis present in the left midlung. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13481227/s54453909/f36e3ef0-7c991b62-bd539077-15e496f5-9e57f6f9.jpg	et tube tip is <num> cm above the carinal. double tube tip is in the stomach. left subclavian line tip is at the level of mid svc. bilateral pleural effusions are extensive. pulmonary vascular congestion is noted, unchanged. no pneumothorax or new consolidations demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p17194805/s53131518/f7ae5bce-d7951ce5-d9aa615a-86593978-6a714c79.jpg	no acute cardiopulmonary abnormality. left lower lobe pulmonary nodule seen on previous chest ct is not well assessed on the current radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13517478/s56977768/bb6b2417-89049832-1130db3b-414f59c1-e74a9b37.jpg	left juxta hilar lesion has not changed appreciably but since. small left pleural effusion which was new on is unchanged in the increase in thickness of the left pleural margin raises concern for local tumor recurrence. heart size is normal. fullness in the right lower paratracheal mediastinum is also unchanged since. right lung clear. this examination neither suggests nor excludes the diagnosis of acute and/or chronic pulmonary emboli.
MIMIC-CXR-JPG/2.0.0/files/p17165725/s54015432/65edb175-b5a79837-c35a069c-4a0d92fc-f661144a.jpg	persistent moderate cardiomegaly with unchanged pulmonary edema and pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17635175/s57668597/f828593f-5a1a324f-25d520e8-d64f7d7c-30da03ff.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p16833478/s51406132/d0313f08-7ab62d6a-db45a00a-67d3753f-1d108531.jpg	no significant interval change when compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p19557552/s57543030/524d4a1b-420dc9b7-d6d1771e-f0536628-d263ad18.jpg	in comparison with the study of , the central catheter has been removed and the patient has taken a much better inspiration. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17347153/s52963717/93bae194-b14f4f94-671f21e5-a8c9049e-1e0ec374.jpg	no evidence of acute cardiopulmonary disease or injury.
MIMIC-CXR-JPG/2.0.0/files/p14328661/s54671241/31792cb7-ad46b7b9-f52e5262-c75b0a56-63cf4f52.jpg	no pneumonia or free air. two overlapping stents project over the right upper quadrant.
MIMIC-CXR-JPG/2.0.0/files/p11232900/s59551239/2b886b7f-14e0f320-7177f615-5bdb903f-f0190713.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11291994/s52646516/5167bc2f-88c42e4c-8058bfab-f8439975-1fda8a4c.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10979480/s53855537/e534444d-1f5d6aee-b205aae5-66312790-3913cb37.jpg	interval improvement in bibasilar opacities with the right lung base clear and the left lung base with minimal residua remaining, which could be atelectasis versus aspiration/mild infection.
MIMIC-CXR-JPG/2.0.0/files/p12371641/s50998535/070ad934-c8f12c0d-f18329c4-e59d6fc7-75c1f0ed.jpg	endotracheal tube has its tip <num> cm above the carina. a right subclavian central line has its tip in the distal svc. a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. there are layering bilateral effusions with associated airspace opacity most likely reflecting compressive atelectasis. the pulmonary edema has slightly worsened. the heart remains enlarged. mediastinal contours are unchanged. calcification in the aorta consistent with atherosclerosis. no evidence of pneumothorax, although the sensitivity to detect a pneumothorax is diminished given supine technique.
MIMIC-CXR-JPG/2.0.0/files/p11761121/s54818247/dae95c9f-e44a14cd-75970b3f-222da02d-8ffe616f.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11761571/s59502007/6c4305ab-b9207230-de4a392e-03d300f7-57981195.jpg	as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects approximately <num> mm above the carina, the tube must be pulled back by approximately <num> cm. mild cardiomegaly with mild retrocardiac atelectasis. no pneumothorax or other complications.
MIMIC-CXR-JPG/2.0.0/files/p14001548/s59814216/0cd45857-eb038d7e-a95967a7-67b6378b-a435dad4.jpg	low lung volumes and streaky basilar opacities most suggestive of minor atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11647908/s57956321/4c65c5eb-7649f5d1-8db27d96-850533a1-5cd99bb7.jpg	elevated right hemidiaphragm which is new since. additional imaging is suggested as this could represent subdiaphragmatic process. subpulmonic effusion is also possible although the configuration makes this less likely.
MIMIC-CXR-JPG/2.0.0/files/p18273766/s58050084/590d4748-1bca70cc-f01f8855-9f608895-a5143e99.jpg	left subclavian port-a-cath with its tip in the distal svc unchanged. status post median sternotomy with stable cardiac and mediastinal contours. lungs remain well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema. no pleural effusions or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19384482/s51830281/5bc39fc8-98c3c4f6-6e9f8fb0-8376a19c-794d2a04.jpg	dr findings and revision of preliminary interpretation witn dr by phone at am.
MIMIC-CXR-JPG/2.0.0/files/p15847847/s55172031/bc7f6549-8fbb572c-56b3750a-735e4c13-f1d1d0b1.jpg	right lung is clear. left lung is not well evaluated due to patient rotation and near complete opacification of left hemithorax with mediastinal shift to the left. although patient has a history of left lobectomy, without prior imaging available for comparison, chronicity of these findings and exclusion acute left lung process is difficult. recommendation(s): recommend repeat radiographs with patient sitting straight up. if patient's symptoms persist and repeat radiograph are unrevealing, patient may require ct for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p10062692/s53731682/77fe328d-649001ef-09a35703-cb428e49-a37972fd.jpg	heart size is normal. mediastinum is normal. previously demonstrated consolidation in the right perihilar location has resolved with only minimal area of scarring present. there are no focal consolidations demonstrated. diffuse interstitial opacities are noted and most likely represent sequela of known sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p10625497/s52742869/d307a85f-f483a422-86ed3b2f-1640a528-456691fb.jpg	mild bibasilar atelectasis. emphysema.
MIMIC-CXR-JPG/2.0.0/files/p14563881/s57442103/be13cc8a-1c0a5f50-0faadf0c-f0f36c9f-e0b2668f.jpg	stable small bilateral pleural effusions with improved aeration of the left lung base. probable left upper lobe atelectasis increased pulmonary vascular congestion without overt interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p15621159/s56384247/bebeaf18-47b4d91c-d2a233ab-2511cee3-4065f77f.jpg	interval removal of the right chest tube. no pneumothorax identified.
MIMIC-CXR-JPG/2.0.0/files/p15503011/s58005823/b892076e-7288175b-59b79c65-cd74fc33-2db085af.jpg	in comparison with the study of there is no interval change. no pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of interstitial prominence to radiographically suggest amiodarone toxicity.
MIMIC-CXR-JPG/2.0.0/files/p12020385/s53517401/c66a2a7e-ef4ce8c9-780dfeb7-5953190e-596e66eb.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11194776/s53303255/b9919c98-d5af6dfc-3334a2a6-0bb1b1ef-108c3706.jpg	mild interstitial edema and pulmonary vascular congestion with cardiomegaly. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14004638/s51031075/2fa7f32c-635f6d17-2ba6a9cf-a313ffb2-521b2b52.jpg	low lung volumes with bibasilar opacities, likely atelectasis. infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p12481282/s56427324/49f1ad37-0f601ac5-8fb84086-e8714693-3007a3fc.jpg	<num> cm right upper lobe nodular opacity, for which chest ct may be helpful for further characterization, in order to differentiate a malignant pulmonary lung nodule from a benign process.
MIMIC-CXR-JPG/2.0.0/files/p18893120/s51431172/17007b1c-71aae764-f29290c3-e32c0251-27d96f58.jpg	in comparison to chest radiograph, lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. within this context, patchy and linear opacities in both lower lungs likely reflects atelectasis. there is no evidence of pneumothorax or definitive pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17418579/s57323738/21baed7e-399488d4-2746193b-ad8fd104-cb83a897.jpg	pa and lateral chest compared to : mild biapical pleural parenchymal scarring is unchanged. there is no recurrence of pneumothorax or any pleural effusion. cardiomediastinal and hilar silhouettes are normal.
MIMIC-CXR-JPG/2.0.0/files/p16077863/s50799510/64853d3a-ec3b9e0b-ebbb38f4-ededcf0b-400494da.jpg	no pneumonia. calcified granuloma in right upper lobe.
MIMIC-CXR-JPG/2.0.0/files/p15223112/s57479297/75872988-59186f03-80a1681c-5d092fe7-269f340b.jpg	as compared to chest radiograph, exam was remarkable for worsening right basilar consolidation and slight increase in size of adjacent moderate right pleural effusion. small left pleural effusions not appreciably changed.
MIMIC-CXR-JPG/2.0.0/files/p16031945/s56513768/65b9b4b4-af5202d8-401d62c1-d7776ebe-0c8a2001.jpg	no evidence of an acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13502807/s56759591/45b0a4f2-46a7db59-3fd3e9d6-d449cc59-d0d52a82.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19647720/s57027155/05c6278a-dfb23e24-b24a023d-69aaa9e6-7b4e4f8b.jpg	as compared to , no relevant change is noted. the lung volumes remain low. moderate cardiomegaly without overt pulmonary edema. displaced right rib fractures with right pleural pain, in situ. no visible pneumothorax. no larger pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14919634/s58032700/be56e89f-79dce039-bfadbeb7-e9607e7c-722377cc.jpg	ng tube tip is at the cavoatrial junction and should be further advanced. left chest tube is in place. tracheostomy and bilateral bronchial stents are present. right upper lung consolidation is unchanged. right picc line tip is at the level of cavoatrial junction. overall there is slightly more pronounced left. perihilar opacities, concerning for progression of infection or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19310368/s57204063/01ad3498-026fa6f0-923a19a4-d4b398be-23b27fdc.jpg	compared to chest radiograph and. heterogeneous consolidation and congestion distal to a large left hilar and mediastinal mass have increased since following tracheal extubation. this is probably postobstructive pneumonia distal to large central malignancy. mild pulmonary edema has worsened elsewhere. small bilateral pleural effusions are new. no pneumothorax. moderate enlargement of cardiac silhouette unchanged. contour of the under inflated stomach suggests enlargement of the liver.
MIMIC-CXR-JPG/2.0.0/files/p10868254/s50182960/704ba3d0-fa465480-21e65c34-e1041566-fb32940c.jpg	substantially improved but persistent left lower lobe and lingular opacities. the left pleural effusion has resolved. followup chest radiograph in one month is recommended. these findings were entered onto the critical communications dashboard by dr at on.
MIMIC-CXR-JPG/2.0.0/files/p12168028/s54851232/ad813ee3-d1bedc9a-8c24c275-7add57ea-84b412de.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17538312/s51293752/e5981bac-7974c539-312f7fd9-d623f2d4-9d74d3f7.jpg	right picc line tip is at the level of low svc. heart size and mediastinum are stable. bilateral pleural effusions are small to moderate. progression in the right upper lobe consolidation is demonstrated. for pre size details please review ct chest obtained on and the corresponding report that will depicted better as abnormality in both upper lobes as well as the lower lobe findings and bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17623748/s56305064/7e1c5e86-9e7ea55c-8eef59bd-9d0d4f4b-e515e429.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15573438/s52890690/06049d6f-718f1314-513e636b-92c41d96-48c1ce79.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16645063/s55270863/6fad1b9d-703c51da-df5b146f-a4bc3df6-d04d2f12.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg	probable multilobar pneumonia of the right lung, stable from two days ago and much improved from. a focal remaining component of pneumonia versus pleural effusion tracking into the fissures on the right. oblique views may help differentiate the two possibilities. stable congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p16799562/s58608542/5ab30d5f-f414e2e9-6be72023-1cff6511-0b935cf3.jpg	as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. no hilar enlargement. no plain radiographic signs indicative of pulmonary hypertension. no pleural effusions. no pneumonia, no atelectasis, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14264400/s54242473/8635a594-c493f523-d60251fb-5c0d50a9-25e77d64.jpg	minimal, if any, pleural effusion. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16845763/s51632570/9d5e747c-67ba9c74-cb523d70-045924f8-702f53c3.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19290303/s55809500/d1d85506-18e63814-f181a67e-ff8a18a8-c635a0e8.jpg	ng tube tip is in the stomach. bilateral pleural effusions are extensive. bibasal consolidations are unchanged. there is no evidence of pulmonary edema. overall no substantial change since previous examination noted on the current study.
MIMIC-CXR-JPG/2.0.0/files/p13451992/s51931197/ad7aecb6-6e720a86-4993bb23-a87b960f-77b0678d.jpg	comparison to. the right-sided picc line has been slightly pulled back. the tip of the line now projects over the upper svc. stable mild overinflation with moderate cardiomegaly and signs of mild fluid overload but no overt pulmonary edema. pre-existing retrocardiac atelectasis has increased in severity. a pre-existing peribronchial opacity at the level of the right lung base is not substantially changed. known scarring in the left lung apex.
MIMIC-CXR-JPG/2.0.0/files/p16304553/s59480705/b3faf35a-a5191c4d-47c5f58a-5d6535d8-3251ce12.jpg	the lung volumes are normal. hypoplastic first left rib, as anatomical variant, otherwise unremarkable chest wall. status post cervical fixation. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14047315/s54459590/e90bd7b8-a7672eef-ea2f648e-08ba8522-b906eb43.jpg	increasing bibasal opacities, which may be due to atelectasis or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12351481/s50710955/46c2e042-fae8c05d-1c40e0f4-8b46a53b-eb940288.jpg	slight interval worsening of airspace opacity overlying the mid and lower left lung, concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15288984/s57724562/bfc2c27b-1488d6e1-b03062d0-b2bb0bfb-22ea1f28.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19345192/s55489946/3a695552-34f71a11-cc7983fe-ba7b8ab7-7f4c311d.jpg	low lung volumes, bibasilar atelectasis, and stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11867643/s51419367/7412445a-0799711d-a4d34d5d-fbcee56c-44260a51.jpg	ap chest compared to through : previous edema and pneumonia has improved, but lung volumes are much smaller than before. there is probable residual consolidation in both lower lobes. upper lungs grossly clear. pleural effusion small on the right if any. heart size normal. tracheostomy tube in standard placement. right pic line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p13922987/s57138821/b5455d92-bdea6cb6-c3873f4b-548f672e-e74d5fe9.jpg	multifocal pneumonia. given the fact that has a same distribution from prior studies, ct is recommended to exclude an underlying malignancy or other type of lung abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14744254/s51625002/592c74f3-434d7f45-8f1e8b16-a7c968d9-261b09cd.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p12944441/s54043708/2d58af93-a622750f-6077fad2-73e8ddfe-c051cb5f.jpg	hyperinflation suggesting copd and platelike atelectasis at left base. no acute pulmonary process detected.
MIMIC-CXR-JPG/2.0.0/files/p11046365/s51728814/46777423-7e43088d-c5449335-505ec384-e31e6020.jpg	in comparison with the study of , there is again evidence of dense opacification in the left lower lobe silhouetting the hemidiaphragm on the lateral projection. in the appropriate clinical setting, this would be consistent with pneumonia. in view of the multiple episodes of abnormality in the same region, the possibility of a central obstructing lesion would have to be considered. this was discussed with dr , the possibility of a ct was suggested.
MIMIC-CXR-JPG/2.0.0/files/p17165836/s59868377/44cff333-ae0134e8-57b52039-f5cca227-dfcf8f4d.jpg	bilateral lower lobe opacities, although more suggestive of atelectasis than infection. stable abnormal bulging expansile right upper paramediastinal contour, known to reflect a goiter.
MIMIC-CXR-JPG/2.0.0/files/p14013080/s55089249/547a52f9-64848951-b1309987-2ea20b2f-0b93c7fa.jpg	continued right upper lobe collapse. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19257145/s57762160/9088fd96-3e303ec5-c0ec3516-0966f5a5-c1aec425.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12818147/s59890395/8b8a5f65-63592d2c-6d7e9e39-80ed3eb7-29940ba3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13532440/s54566459/a5a114ed-a1c9576d-af7a5464-404011d9-76d27b8e.jpg	no acute cardiopulmonary process. moderate size hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p19048729/s53246960/f9c15d46-2a6079f5-8e31d44b-8681d43d-eed3057e.jpg	endotracheal tube and orogastric tube appear in appropriate position. limited assessment of cardiomediastinal contours and the lungs due to low lung volumes and patient rotation. attention on follow up radiographs recommended.
MIMIC-CXR-JPG/2.0.0/files/p19532176/s53544087/aa745145-14b4d648-43994175-2afc7851-9a78064e.jpg	no acute cardiopulmonary abnormality. mild emphysema.
MIMIC-CXR-JPG/2.0.0/files/p15812457/s58886519/2684f26a-e5c5bd09-bc3de234-740223b2-9925f46c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17728504/s56523207/b2add49a-ea9295cd-ff9bfa9d-7e9dc9aa-73fc014f.jpg	no acute cardiopulmonary process. no evidence of congestive hear failure as clinically questioned.
MIMIC-CXR-JPG/2.0.0/files/p17281354/s58717176/e0164064-fd978a90-83a2ae51-1f6ac5b5-a0fd4563.jpg	cardiomegaly with perhaps minimal pulmonary vascular congestion without frank pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17421663/s50159439/b9f4194e-43775e37-158a345f-7ec6a377-a0159e8d.jpg	persistent retrocardiac opacity, likely related to left lower lobe collapse with layering pleural effusion. these findings were discussed with , np by dr via telephone on at
MIMIC-CXR-JPG/2.0.0/files/p12168028/s51365963/0196136d-1dc6eda3-ae198307-19bbfc0f-a94bcb5e.jpg	heart size and mediastinum are stable. there is mild vascular congestion/interstitial pulmonary edema with large bilateral pleural effusions. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13230656/s53575428/21680055-8ce4e21e-e58fc3ea-1187e28b-82fdff44.jpg	as compared to the previous radiograph, no relevant change is seen. no pneumothorax. unchanged position of the swan-ganz catheter and the pacemaker wires. no pleural effusions. no pneumothorax. no pulmonary edema. unchanged size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p10377337/s59307189/885b5989-9a936f1f-d9ee9e3c-64a0696f-a71fce15.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. there are lower lung volumes, which accentuate the size of the cardiac silhouette. elevation of the left hemidiaphragmatic contour is again seen with atelectatic changes above it. central opacifications on the left probably represent engorged pulmonary vessels related to low lung volumes, essence on the right there is no evidence of substantial vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19755416/s57545319/612657a4-4754d4b4-3d1a63b4-32419961-64ba7233.jpg	normal chest radiograph. no findings to explain fevers and low oxygen saturation,.
MIMIC-CXR-JPG/2.0.0/files/p18908038/s52107899/2a89adc9-9f291af7-72497c9e-adff0e3f-e73705d9.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the proximal stomach but the side hole is at the gastroesophageal junction or above and should be advanced. left retrocardiac opacity is re- demonstrated concerning for infection. no appreciable pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18645759/s57338621/ddc8d949-43ea143b-a2ca7f0d-ebcce6bb-5f8abbb1.jpg	copd/pulmonary emphysema. interval increase in opacity right upper lobe may be due to infection. recommend followup to resolution in this patient with emphysema.
MIMIC-CXR-JPG/2.0.0/files/p11138817/s57335650/92269e10-ad35ec58-9b2b33c0-2cfb5ff1-558ba629.jpg	no acute cardiopulmonary abnormalities. hiatal hernia
MIMIC-CXR-JPG/2.0.0/files/p15214825/s57847902/2176cabf-0857888a-1b41e47d-07e5d03c-504add6e.jpg	et tube tip is <num> cm above the carinal. ng tube tip is not clearly seen on current examination bm the level of distal esophagus. right internal jugular line tip is at the level of mid to lower svc. heart size and mediastinum are unchanged including mild cardiomegaly. right middle lobe consolidation is similar to previous examination. there is no appreciable pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18857011/s51082150/a73dc0d9-cb965f11-1cdc3ea7-87bd88d0-455fe442.jpg	no acute traumatic findings.
MIMIC-CXR-JPG/2.0.0/files/p16189597/s52707633/361bb063-3dc2f678-8e1abb78-461b29d4-af01b5c5.jpg	no acute cardiopulmonary process. left base nodular opacity as seen on prior chest ct for which followup recommendations are as described on prior report.
MIMIC-CXR-JPG/2.0.0/files/p15498867/s52730135/74e5b159-411a04e8-e851627d-78ddab28-2d93a2b9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19609862/s52449784/fbd15fc9-a829940b-a2b655df-7ba81342-11bce744.jpg	findings concerning for mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p17165725/s50312727/135ec77f-7fa6618e-c3d22b73-7bf0bc01-f7b63153.jpg	interval worsening of opacification over the right lung suggestive of an increase in the extent and severity of the right pleural effusion. increase in consolidation at the left lung base, likely secondary to atelectasis, however infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p12105725/s53042158/f6c0d6f0-cdc0b306-28f6abf4-4b3d6f12-4dfff037.jpg	mild chronic interstitial pulmonary abnormality. no acute process.
MIMIC-CXR-JPG/2.0.0/files/p10316033/s51697762/a8ea5047-ee10a523-4aa2dd6e-673a2734-43fe0981.jpg	as compared to the previous image, the swan-ganz catheter has been pulled back. the tip of the catheter now projects over the outflow tract of the right ventricle. minimally improved ventilation at the left lung base. unchanged mild pulmonary edema and moderate cardiomegaly. the aortic balloon pump is in unchanged correct position.
MIMIC-CXR-JPG/2.0.0/files/p12870544/s57802952/24c63b4c-9630818e-bdea4d46-059b2112-7dd3b0d8.jpg	ett is <num> cm from the carina mild pulmonary vascular congestion has worsened and note is made of a new small to moderate right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18624683/s55085238/f6650795-efc31a96-ee24da77-6766bd2a-46f8c120.jpg	low lying endotracheal tube, positioned at the carina. recommend retraction by at least <num> cm for more optimal positioning. ng tube positioned appropriately.

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no acute findings in the chest. normal-appearing heart size.

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worsening multifocal consolidations stable interstitial disease due to lymphangitic metastatic disease.

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persistent small left apical pneumothorax.

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no evidence of pneumothorax or cardiomegaly.

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interval removal of the left chest tube with stable small amounts of loculated air laterally in the pleural space and no evidence of in enlarging pneumothorax. left subclavian picc line unchanged in position. persistent layering left effusion and persistent left basilar consolidation likely reflecting a combination of partial lower lobe collapse in the setting of known mass and pleural collection as documented on recent chest ct. no pulmonary edema. right lung is grossly clear. overall cardiac and mediastinal contours are stable.

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unchanged interstitial edema and bilateral pleural effusions, right worse than left. unchanged basilar atelectasis.

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no radiographic evidence for pneumonia.

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mild interstitial pulmonary edema.

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no pneumothorax.

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moderate-sized right pleural effusion and mild interstitial edema. increased density at the right lung base, likely atelectasis, but consolidation cannot be excluded. follow-up imaging after treatment is recommended. findings and recommendations were discussed with by by telephone at on at the time of initial review of the study.

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slight interval improvement in left base heterogeneous opacities, follow up radiographs in <num> weeks are recommended to document complete resolution.

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feeding tube with the wire stylet has been advanced to the upper stomach. right lower lobe collapse is unchanged. moderate right pleural effusion is larger. poor definition of the right bronchial tree suggests retained secretions. heart size probably normal. milder atelectasis present in the left midlung. no pneumothorax.

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et tube tip is <num> cm above the carinal. double tube tip is in the stomach. left subclavian line tip is at the level of mid svc. bilateral pleural effusions are extensive. pulmonary vascular congestion is noted, unchanged. no pneumothorax or new consolidations demonstrated.

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no acute cardiopulmonary abnormality. left lower lobe pulmonary nodule seen on previous chest ct is not well assessed on the current radiograph.

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left juxta hilar lesion has not changed appreciably but since. small left pleural effusion which was new on is unchanged in the increase in thickness of the left pleural margin raises concern for local tumor recurrence. heart size is normal. fullness in the right lower paratracheal mediastinum is also unchanged since. right lung clear. this examination neither suggests nor excludes the diagnosis of acute and/or chronic pulmonary emboli.

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persistent moderate cardiomegaly with unchanged pulmonary edema and pleural effusion.

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no active disease.

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no significant interval change when compared to the prior study.

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in comparison with the study of , the central catheter has been removed and the patient has taken a much better inspiration. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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no evidence of acute cardiopulmonary disease or injury.

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no pneumonia or free air. two overlapping stents project over the right upper quadrant.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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interval improvement in bibasilar opacities with the right lung base clear and the left lung base with minimal residua remaining, which could be atelectasis versus aspiration/mild infection.

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endotracheal tube has its tip <num> cm above the carina. a right subclavian central line has its tip in the distal svc. a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. there are layering bilateral effusions with associated airspace opacity most likely reflecting compressive atelectasis. the pulmonary edema has slightly worsened. the heart remains enlarged. mediastinal contours are unchanged. calcification in the aorta consistent with atherosclerosis. no evidence of pneumothorax, although the sensitivity to detect a pneumothorax is diminished given supine technique.

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no evidence of acute cardiopulmonary process.

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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects approximately <num> mm above the carina, the tube must be pulled back by approximately <num> cm. mild cardiomegaly with mild retrocardiac atelectasis. no pneumothorax or other complications.

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low lung volumes and streaky basilar opacities most suggestive of minor atelectasis.

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elevated right hemidiaphragm which is new since. additional imaging is suggested as this could represent subdiaphragmatic process. subpulmonic effusion is also possible although the configuration makes this less likely.

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left subclavian port-a-cath with its tip in the distal svc unchanged. status post median sternotomy with stable cardiac and mediastinal contours. lungs remain well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema. no pleural effusions or pneumothorax.

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dr findings and revision of preliminary interpretation witn dr by phone at am.

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right lung is clear. left lung is not well evaluated due to patient rotation and near complete opacification of left hemithorax with mediastinal shift to the left. although patient has a history of left lobectomy, without prior imaging available for comparison, chronicity of these findings and exclusion acute left lung process is difficult. recommendation(s): recommend repeat radiographs with patient sitting straight up. if patient's symptoms persist and repeat radiograph are unrevealing, patient may require ct for further evaluation.

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heart size is normal. mediastinum is normal. previously demonstrated consolidation in the right perihilar location has resolved with only minimal area of scarring present. there are no focal consolidations demonstrated. diffuse interstitial opacities are noted and most likely represent sequela of known sarcoidosis.

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mild bibasilar atelectasis. emphysema.

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stable small bilateral pleural effusions with improved aeration of the left lung base. probable left upper lobe atelectasis increased pulmonary vascular congestion without overt interstitial edema.

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interval removal of the right chest tube. no pneumothorax identified.

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in comparison with the study of there is no interval change. no pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of interstitial prominence to radiographically suggest amiodarone toxicity.

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no acute intrathoracic process.

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mild interstitial edema and pulmonary vascular congestion with cardiomegaly. no focal consolidation.

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low lung volumes with bibasilar opacities, likely atelectasis. infection cannot be excluded.

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<num> cm right upper lobe nodular opacity, for which chest ct may be helpful for further characterization, in order to differentiate a malignant pulmonary lung nodule from a benign process.

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in comparison to chest radiograph, lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. within this context, patchy and linear opacities in both lower lungs likely reflects atelectasis. there is no evidence of pneumothorax or definitive pleural effusion.

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pa and lateral chest compared to : mild biapical pleural parenchymal scarring is unchanged. there is no recurrence of pneumothorax or any pleural effusion. cardiomediastinal and hilar silhouettes are normal.

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no pneumonia. calcified granuloma in right upper lobe.

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as compared to chest radiograph, exam was remarkable for worsening right basilar consolidation and slight increase in size of adjacent moderate right pleural effusion. small left pleural effusions not appreciably changed.

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no evidence of an acute cardiopulmonary process.

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mild pulmonary edema.

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as compared to , no relevant change is noted. the lung volumes remain low. moderate cardiomegaly without overt pulmonary edema. displaced right rib fractures with right pleural pain, in situ. no visible pneumothorax. no larger pleural effusion.

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ng tube tip is at the cavoatrial junction and should be further advanced. left chest tube is in place. tracheostomy and bilateral bronchial stents are present. right upper lung consolidation is unchanged. right picc line tip is at the level of cavoatrial junction. overall there is slightly more pronounced left. perihilar opacities, concerning for progression of infection or pulmonary edema.

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compared to chest radiograph and. heterogeneous consolidation and congestion distal to a large left hilar and mediastinal mass have increased since following tracheal extubation. this is probably postobstructive pneumonia distal to large central malignancy. mild pulmonary edema has worsened elsewhere. small bilateral pleural effusions are new. no pneumothorax. moderate enlargement of cardiac silhouette unchanged. contour of the under inflated stomach suggests enlargement of the liver.

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substantially improved but persistent left lower lobe and lingular opacities. the left pleural effusion has resolved. followup chest radiograph in one month is recommended. these findings were entered onto the critical communications dashboard by dr at on.

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no acute cardiopulmonary process.

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right picc line tip is at the level of low svc. heart size and mediastinum are stable. bilateral pleural effusions are small to moderate. progression in the right upper lobe consolidation is demonstrated. for pre size details please review ct chest obtained on and the corresponding report that will depicted better as abnormality in both upper lobes as well as the lower lobe findings and bilateral pleural effusions.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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probable multilobar pneumonia of the right lung, stable from two days ago and much improved from. a focal remaining component of pneumonia versus pleural effusion tracking into the fissures on the right. oblique views may help differentiate the two possibilities. stable congestive heart failure.

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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. no hilar enlargement. no plain radiographic signs indicative of pulmonary hypertension. no pleural effusions. no pneumonia, no atelectasis, no pulmonary edema.

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minimal, if any, pleural effusion. no evidence of pneumonia.

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no evidence of pneumonia.

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ng tube tip is in the stomach. bilateral pleural effusions are extensive. bibasal consolidations are unchanged. there is no evidence of pulmonary edema. overall no substantial change since previous examination noted on the current study.

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comparison to. the right-sided picc line has been slightly pulled back. the tip of the line now projects over the upper svc. stable mild overinflation with moderate cardiomegaly and signs of mild fluid overload but no overt pulmonary edema. pre-existing retrocardiac atelectasis has increased in severity. a pre-existing peribronchial opacity at the level of the right lung base is not substantially changed. known scarring in the left lung apex.

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the lung volumes are normal. hypoplastic first left rib, as anatomical variant, otherwise unremarkable chest wall. status post cervical fixation. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia. no pulmonary edema.

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increasing bibasal opacities, which may be due to atelectasis or aspiration.

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slight interval worsening of airspace opacity overlying the mid and lower left lung, concerning for pneumonia.

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no acute intrathoracic process.

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low lung volumes, bibasilar atelectasis, and stable mild cardiomegaly.

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ap chest compared to through : previous edema and pneumonia has improved, but lung volumes are much smaller than before. there is probable residual consolidation in both lower lobes. upper lungs grossly clear. pleural effusion small on the right if any. heart size normal. tracheostomy tube in standard placement. right pic line ends in the low svc.

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multifocal pneumonia. given the fact that has a same distribution from prior studies, ct is recommended to exclude an underlying malignancy or other type of lung abnormality.

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no acute findings in the chest.

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hyperinflation suggesting copd and platelike atelectasis at left base. no acute pulmonary process detected.

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in comparison with the study of , there is again evidence of dense opacification in the left lower lobe silhouetting the hemidiaphragm on the lateral projection. in the appropriate clinical setting, this would be consistent with pneumonia. in view of the multiple episodes of abnormality in the same region, the possibility of a central obstructing lesion would have to be considered. this was discussed with dr , the possibility of a ct was suggested.

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bilateral lower lobe opacities, although more suggestive of atelectasis than infection. stable abnormal bulging expansile right upper paramediastinal contour, known to reflect a goiter.

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continued right upper lobe collapse. no pneumothorax.

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no acute intrathoracic abnormality.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. moderate size hiatal hernia.

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endotracheal tube and orogastric tube appear in appropriate position. limited assessment of cardiomediastinal contours and the lungs due to low lung volumes and patient rotation. attention on follow up radiographs recommended.

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no acute cardiopulmonary abnormality. mild emphysema.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. no evidence of congestive hear failure as clinically questioned.

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cardiomegaly with perhaps minimal pulmonary vascular congestion without frank pulmonary edema.

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persistent retrocardiac opacity, likely related to left lower lobe collapse with layering pleural effusion. these findings were discussed with , np by dr via telephone on at

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heart size and mediastinum are stable. there is mild vascular congestion/interstitial pulmonary edema with large bilateral pleural effusions. there is no pneumothorax.

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as compared to the previous radiograph, no relevant change is seen. no pneumothorax. unchanged position of the swan-ganz catheter and the pacemaker wires. no pleural effusions. no pneumothorax. no pulmonary edema. unchanged size of the cardiac silhouette.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. there are lower lung volumes, which accentuate the size of the cardiac silhouette. elevation of the left hemidiaphragmatic contour is again seen with atelectatic changes above it. central opacifications on the left probably represent engorged pulmonary vessels related to low lung volumes, essence on the right there is no evidence of substantial vascular congestion.

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normal chest radiograph. no findings to explain fevers and low oxygen saturation,.

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et tube tip is <num> cm above the carinal. ng tube tip is in the proximal stomach but the side hole is at the gastroesophageal junction or above and should be advanced. left retrocardiac opacity is re- demonstrated concerning for infection. no appreciable pleural effusion or pneumothorax.

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copd/pulmonary emphysema. interval increase in opacity right upper lobe may be due to infection. recommend followup to resolution in this patient with emphysema.

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no acute cardiopulmonary abnormalities. hiatal hernia

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et tube tip is <num> cm above the carinal. ng tube tip is not clearly seen on current examination bm the level of distal esophagus. right internal jugular line tip is at the level of mid to lower svc. heart size and mediastinum are unchanged including mild cardiomegaly. right middle lobe consolidation is similar to previous examination. there is no appreciable pleural effusion or pneumothorax.

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no acute traumatic findings.

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no acute cardiopulmonary process. left base nodular opacity as seen on prior chest ct for which followup recommendations are as described on prior report.

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no acute cardiopulmonary process.

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findings concerning for mild interstitial edema.

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interval worsening of opacification over the right lung suggestive of an increase in the extent and severity of the right pleural effusion. increase in consolidation at the left lung base, likely secondary to atelectasis, however infection cannot be excluded.

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mild chronic interstitial pulmonary abnormality. no acute process.

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as compared to the previous image, the swan-ganz catheter has been pulled back. the tip of the catheter now projects over the outflow tract of the right ventricle. minimally improved ventilation at the left lung base. unchanged mild pulmonary edema and moderate cardiomegaly. the aortic balloon pump is in unchanged correct position.

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ett is <num> cm from the carina mild pulmonary vascular congestion has worsened and note is made of a new small to moderate right pleural effusion.

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low lying endotracheal tube, positioned at the carina. recommend retraction by at least <num> cm for more optimal positioning. ng tube positioned appropriately.