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/p12278812/s56215838/e0c014fe-58f0be42-fe1cee3f-a0892de9-d4291bdb.jpg	unchanged positions of right atrial and right ventricular pacemaker leads
MIMIC-CXR-JPG/2.0.0/files/p15647512/s51185141/02201341-1867ff1b-8167d66c-945a5b9b-b40edc13.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15444485/s58910160/6399cc74-abd17318-1ea5dff6-1448c798-46f1043b.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17225329/s57551870/82477454-edaee722-a1ae135c-47182cfa-50818375.jpg	compared to chest radiographs through. swan-ganz catheter ends in the left descending pulmonary artery, probably at the level of the lingular division. pulmonary edema has improved substantially in the left lung, less so on the right with there is still a moderate residual. small right pleural effusion persists. heart size normal. no pneumothorax. et tube tip nearly <num> cm from the carina with the chin flexed should be advanced <num> cm for more secure positioning when the chin is elevated.
MIMIC-CXR-JPG/2.0.0/files/p13972092/s57898462/71244353-2888fd66-39b6f0dc-21cfcee7-fb99e5a2.jpg	no acute intrathoracic process, normal cardiac size.
MIMIC-CXR-JPG/2.0.0/files/p14497007/s59363092/1cb74b0f-be14e985-8fcdb06e-e5b5fa3e-fd0f8a55.jpg	in comparison with the study of , the blunting of the left costophrenic angle has cleared. no evidence of acute focal pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p16477871/s59653720/f94c9e5b-3c22f6c0-20ea2234-ccd632f8-87840cc5.jpg	no radiographic evidence for acute cardiopulmonary process. redemonstrated <num> cm left upper lobe pulmonary nodule. recommended dedicated chest ct for further evaluation as previously mentioned.
MIMIC-CXR-JPG/2.0.0/files/p16227138/s53185438/026a39a7-2914b79e-bce8f67b-e939f15e-215e7182.jpg	new mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15969709/s53471622/ec5d22c3-433d0bec-7f82850c-e8f3fa75-13f0ef44.jpg	top-normal cardiac silhouette size. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13855022/s56809391/dea32b3e-6ab4a9ab-d5559c5e-e6de9204-2a8638b5.jpg	no evidence of acute cardiopulmonary process. pulmonary metastases are more apparent compared with.
MIMIC-CXR-JPG/2.0.0/files/p18637589/s56588693/de22d943-6e22cd2d-7da9c40e-ca5b6df0-48becc56.jpg	no free air.
MIMIC-CXR-JPG/2.0.0/files/p18784631/s52934152/71aec238-4bc9da04-3a189bc1-fa43d47f-4b19cb6e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18051680/s58792208/7fac9db0-4e48efd7-7bbf2baf-8826f7e6-bc523a32.jpg	enlarged cardiac silhouette with moderate pulmonary vascular congestion. blunting of the bilateral posterior costophrenic angles suggests trace pleural effusions. large hiatal hernia with adjacent atelectasis. compression of at least <num> lower thoracic vertebral bodies of indeterminate age given lack of priors for comparison.
MIMIC-CXR-JPG/2.0.0/files/p18123897/s56315135/bb7794bd-af0253fb-dd175f2a-e77f4167-98df85a0.jpg	in comparison with the study of , there is again substantial enlargement of the cardiac silhouette. the pulmonary vascularity is less prominent. substantial bilateral pleural effusions are well seen on the lateral view. the apparent improvement on the frontal view most likely merely reflects the erect position of the patient. bibasilar compressive atelectatic changes are again seen.
MIMIC-CXR-JPG/2.0.0/files/p15816453/s59085842/60ff04f5-e6771e14-cbaa15d7-e6741e8c-ce2751ea.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14087034/s53161734/ec8ea10f-daf1975d-2ee1566f-f6983520-82cf1e5f.jpg	as compared to the previous radiograph, the swan-ganz catheter was removed. the mediastinal drains have also been removed. the only monitoring and support device remaining in place. these a right internal jugular vein catheter. of the removal of the right chest tube, there is now evidence of a small right apical pneumothorax. the known left pneumothorax has moderately increased in severity. platelike atelectasis at the right lung bases. mild retrocardiac atelectasis. no evidence of tension. unchanged size of the cardiac silhouette. at the time of dictation and observation, , on the , referring physician. was paged for notification.
MIMIC-CXR-JPG/2.0.0/files/p19451978/s58391285/5dd24181-0d897c5b-056a6408-3d0133eb-f267ead8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18486555/s50216429/2bee273b-a8172a42-78111c3c-c14cf1e4-4ba5ad02.jpg	comparison to. stable position of the swan-ganz catheter. stable severity of pre-existing mild to moderate pulmonary edema, stable moderate cardiomegaly and elevation of the left hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p12807200/s55358881/18c713ae-34dfcd20-7b3a259b-660840a4-9030d5a4.jpg	comparison to. the pre-existing parenchymal opacities at the right lung base have resolved. the monitoring and support devices are in stable correct position. no pleural effusions. no pneumothorax. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16074663/s51422929/2fc89696-6aed9ed3-ef1717e2-41c24aac-66d661af.jpg	retrocardiac patchy opacity likely reflects atelectasis, though infection cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p10374990/s51016241/08e7eeb6-dc6b342d-5da27cab-061d4755-04278946.jpg	pa and lateral chest compared to : breast prostheses lend increased radiodensity to the mid portions of both hemithoraces. small right pleural effusion is new. there is no left pleural effusion, no pneumothorax. lungs are grossly clear. the heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p14885862/s57936334/99ae7cd0-ddd6f5fa-69cc1123-84f61d9d-91cf46a6.jpg	bibasilar atelectasis. infection cannot be excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17219258/s57758115/62b87630-c9bd66bd-3bd7053b-d202be01-85fe3478.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14036332/s59371133/f9418fbe-adf18a29-62537c3d-002fbb91-9427cb93.jpg	pa and lateral chest compared to and : lungs are clear. cardiomediastinal and hilar silhouettes are normal aside for mediastinal fat deposition.
MIMIC-CXR-JPG/2.0.0/files/p17294389/s50702831/33784e2a-a5562a69-e7f60cec-824cd195-ad9fe765.jpg	in comparison with the study of , there is little overall change. cardiac silhouette remains enlarged without vascular congestion, pleural effusion, or acute focal pneumonia. opacifications at the left base most likely represent atelectasis. however, it in the appropriate clinical setting, superimposed pneumonia would be difficult to unequivocally exclude, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p19385453/s53391675/53e859ab-951c0620-5a40c30b-1daa4e97-9da30af1.jpg	as compared to the previous radiograph, the right and the left chest tubes were removed. there is no evidence of pneumothorax or larger pleural effusions. unchanged appearance of the cardiac silhouette. mild bilateral areas of atelectasis persist.
MIMIC-CXR-JPG/2.0.0/files/p18700699/s59640544/adde8bbc-a42324ef-3843ec52-4021fd13-96464ffa.jpg	new dobhoff tube at the lower esophagus, needs to be advanced at least <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p19889033/s59624381/3a039f10-0d12303f-6aaefba1-e85286bc-3c989a86.jpg	ap chest compared to : some of the change in the appearance of the chest could be due to supine positioning. there appears to be increase in moderate left pleural effusion and the possibility of new mild pulmonary edema as well as worsening bibasilar consolidation, either atelectasis or pneumonia. moderate cardiomegaly and mediastinal vascular engorgement are stable. endotracheal tube is in standard placement. right jugular line ends in the upper right atrium. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12982754/s54901737/a26dcee1-afa4f51f-0ea33363-238b4662-220f8faf.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15229138/s58838256/b20ea2fe-1c468bb5-d3a96e6c-18886b71-a284c8f2.jpg	lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. there is a suggestion of fullness in the region of the thyroid, best evaluated clinically.
MIMIC-CXR-JPG/2.0.0/files/p14439892/s58532105/7fa6a7a7-6bc31f71-766d4a11-ef113cc9-18dfee87.jpg	in comparison with the earlier study of this date, the swan-ganz catheter has been repositioned with the tip well into the right pulmonary artery. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p19779960/s56877246/55df38ad-2c13914b-8bd337e9-003175d2-5cd5c126.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18852823/s51736875/ab9089e6-6f043a50-3a246b68-baf749cf-22a0896c.jpg	new right basilar opacity, likely atelectasis, pneumonitis less likely
MIMIC-CXR-JPG/2.0.0/files/p19529121/s51065247/eb24907c-9b52c00a-d1924d86-12a2242a-a24a3006.jpg	in comparison with the study of , the there is increase in the amount of pleural fluid on the right, best seen on the lateral projection. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p14622381/s54567230/5997360d-ff905e88-a0f1daed-f6a18464-642a4baa.jpg	no displaced rib fracture identified. dedicated rib films with the marker over the point seen to be considered if clinical suspicion for rib fractures remains high.
MIMIC-CXR-JPG/2.0.0/files/p18262915/s57740782/80516ea2-2483c35d-743f0877-c76a30ba-2b59e567.jpg	increased interstitial markings throughout the lungs likely in part due to overlying soft tissues although a superimposed component of edema or atypical infection or possible. consider pa and lateral in the radiology department if patient is amenable.
MIMIC-CXR-JPG/2.0.0/files/p13109623/s56688507/afe07afb-e16b74fb-ea346e78-7769c84d-c3d0e4b3.jpg	in comparison with the study of , there is striking tortuosity of the aorta, some of which may reflect the underlying scoliosis of the thoracic spine convex to the right. cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia. recommendation(s): the patient could be considered for the lung cancer screening study now available.
MIMIC-CXR-JPG/2.0.0/files/p17541869/s59317636/62aaa55b-c39cf057-5f5909ad-d1afbbac-eb3ddd04.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16595458/s55255881/72b21567-c483c79b-43a75831-ffcfe475-61400398.jpg	a subtle opacity in the medial right lung base which could represent a very subtle pneumonia. otherwise normal.
MIMIC-CXR-JPG/2.0.0/files/p11772151/s59972620/4493195d-4d27c5a8-32a40de5-46e05e89-5a0bbb9e.jpg	as compared to the previous radiograph, the alignment of the sternal wires is constant. a previously placed right internal jugular vein catheter has been removed. the left lung basis is substantially better ventilated than on the previous image. the bony changes in the left humeral head are constant.
MIMIC-CXR-JPG/2.0.0/files/p16272984/s58614527/3babccd1-a2d2db1a-437c3a39-1b8e0064-d2350eb6.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s56300886/60095686-c9a12d7b-07bca33c-b5d8841c-ace14a7b.jpg	increased, large bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15848538/s50709600/fc9c6ae1-dbadc90c-f094d9ac-4e3acaca-26c96105.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12799272/s54512071/23c002af-c8330be5-35e13440-b6fec9c1-a6839f0e.jpg	compared to chest radiographs since , most recently at. previous moderately severe pulmonary edema has almost entirely cleared. moderately severe opacification at the lung bases due to a combination of atelectasis pleural effusion, probably worsened since. no pneumothorax. normal postoperative appearance, cardiomediastinal silhouette, with decrease in previous upper mediastinal widening. cardiopulmonary support devices in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p17542845/s56500735/fcdfeec7-e63da4b6-17fe29e2-582449c7-08da40af.jpg	no findings concerning for pneumonia. dr these results with dr at on via telephone.
MIMIC-CXR-JPG/2.0.0/files/p11437634/s55219429/03ad5194-2307789d-e1137c0b-2dd25d6f-cf017833.jpg	severe emphysema. right upper lobe focal opacity about a fiducial marker appears unchanged from the prior chest radiograph and may reflect an area of ongoing infection. continued followup radiographs after completion of treatment is recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p15270082/s55949399/74450d9b-8a312820-8fd09704-f6842d23-75f2ac3e.jpg	cardiomegaly with mild to moderate pulmonary edema and small pleural effusions. more confluent right greater than left basilar opacities which could represent superimposed infection.
MIMIC-CXR-JPG/2.0.0/files/p16562665/s56808935/71a6877e-d6f0af14-f27af7a8-3e6fc803-b5826066.jpg	interval decrease in small right pneumothorax. new endobronchial valves in the segmental bronchi of the right upper lobe.
MIMIC-CXR-JPG/2.0.0/files/p19532128/s54980045/5f6af3bd-cc1311de-90d0e29a-f1cfe2ce-abc193f8.jpg	compared to chest radiographs since , most recently through. moderate pulmonary edema which developed on has improved slightly. upper lobe nodular pulmonary opacities suggest disseminated infection, including septic emboli. mild cardiomegaly is exaggerated by low lung volumes. pleural effusions are small if any. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12939877/s52217195/0b6f0210-872727b7-a3d3411e-7fdc8522-c26c9e4b.jpg	evidence of beginning rib fracture healings. regression of previously identified pulmonary contusion. no new pulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p15114531/s52382860/bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8.jpg	as compared to previous radiograph of , cardiomediastinal contours are stable in appearance. lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13738282/s57097438/8dd33325-fc979c0d-a1d0d5d7-49f65170-f5b27ba1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16500956/s55008677/00b219c9-1c8f447c-dfc3d5c4-34b98418-33826f53.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14179649/s58420520/80263d55-dc3252aa-4cdcfe95-5af3e564-8b10a0f3.jpg	no acute cardiopulmonary abnormality. widened left ac joint indicative of prior ac joint separation, type ii.
MIMIC-CXR-JPG/2.0.0/files/p10053611/s54306622/fa4d8937-0d371e64-f2257ac0-b3f0f3bd-ee5d44bc.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12468016/s59476022/91f36db0-24f5b0c0-94928548-fb2dc6cf-06678428.jpg	interval placement of a right internal jugular central venous catheter, the tip projecting over the right atrium. bibasilar atelectasis and small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17561108/s57961610/ad264161-a6bd4eda-bd8dd9ac-331caff4-298efd4a.jpg	a pa and lateral chest compared to : a previous mild pulmonary edema on has almost cleared, extensive right pleural thickening or loculated fluid at the periphery of the right lung is unchanged. previous left lower lobe pneumonia has also cleared. right supraclavicular jugular infusion port ends high in the svc. no pneumothorax. moderate cardiomegaly is chronic.
MIMIC-CXR-JPG/2.0.0/files/p15337600/s50929429/26b9453f-e8c2d99e-b3f6c86a-0ea96ee5-2599b3f1.jpg	left basilar atelectasis. otherwise, normal.
MIMIC-CXR-JPG/2.0.0/files/p11030576/s58541300/c3081853-070775b9-acd4bfbd-59281600-2df37200.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17251996/s58550566/f076337c-006d64f3-946c5283-6fffb9b8-5dca4679.jpg	dobbhoff to at least the distal stomach but the distal weighted end is excluded on images.
MIMIC-CXR-JPG/2.0.0/files/p15737543/s54570148/50a78eac-b3771b73-f73dcf4d-81087f54-db616b21.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11054411/s59657849/863b222c-220376a3-c4f1d68e-bbcd8572-2c7068d4.jpg	new small bilateral effusions, with underlying collapse and/or consolidation. upper zone redistribution suggests the presence of chf. the possibility of an underlying pneumonic infiltrate cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p13825137/s58286685/17825f95-38e2dbd5-c5ca46d0-936d99d5-4b3c46ef.jpg	in comparison with the study of , the tip of the endotracheal tube now measures approximately <num> cm above the carina. the patient has taken a better inspiration. the right hemidiaphragm is better seen. although this could represent decreasing pleural effusion and atelectatic changes, it may merely be a manifestation of a more upright position of the patient. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p16870968/s53065994/285ab71a-cc853dd4-dbf3c455-6bed5751-cdf862ec.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15479218/s50934436/56ed6f13-b8ed168d-b1f83d12-61768b97-9d49462b.jpg	status post tracheostomy tube placement with no other significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p11223587/s54829058/49407231-7e5a96f2-e55ace62-a2d71a13-c4ace3b8.jpg	no radiographic evidence of infectious pneumonia or hypersensitivity pneumonitis. if clinical suspicion is high for hypersensitivity pneumonitis, high-resolution ct may be considered as it is more sensitive than radiographs for detection of this condition.
MIMIC-CXR-JPG/2.0.0/files/p17979567/s55570752/7e900981-95e7f1c6-1f34364a-df642909-14f22cb0.jpg	ngt terminating within the distal stomach/proximal duodenum.
MIMIC-CXR-JPG/2.0.0/files/p14090353/s53990293/ec138487-a1521ff9-8290f7e5-133814d4-c5d81482.jpg	left lower lobe collapse and/or consolidation, similar to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p16935843/s51535052/297368d0-aea81d20-848e5097-a7046d68-99cffde0.jpg	findings consistent with pulmonary edema. enlarged heart compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p16581441/s58011652/12c0ad7a-61a3a22a-5e77ef8d-3193d13d-e6108086.jpg	in comparison with the study of , the patient has taken a better inspiration and there is no definite radiographic evidence of acute pneumonia or hilar adenopathy. there is the vague suggestion of several nodular opacifications, though these could represent an early vessels on-end. no evidence of vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15032392/s53677241/a9683279-4f6ee100-94954e25-a552767a-776e4737.jpg	comparison to. a pre-existing left pleural effusion has minimally increased in extent and severity. there is a relatively extensive retrocardiac atelectasis. in the well ventilated areas of the lung parenchyma no evidence of pneumonia or pulmonary edema is present. mild cardiomegaly persists.
MIMIC-CXR-JPG/2.0.0/files/p13218155/s54534089/3e99c285-18b52651-972da709-7af6d61e-f65346a4.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p19972172/s50008560/4c567e52-c5c1d61f-44abf6b7-cab8550f-7dce2a42.jpg	as compared to the previous radiograph, the position of the endotracheal tube is unchanged. unchanged moderate cardiomegaly, unchanged development of a mild to moderate right pleural effusion, with subsequent decrease in radiolucency of the right lung base. no other changes have occurred.
MIMIC-CXR-JPG/2.0.0/files/p12019744/s58578011/7b3bb0b8-5d11d20c-dad5d59a-86c9b117-10719762.jpg	compared to chest radiographs through. mild pulmonary edema, more pronounced in the left lung, not appreciably changed. moderate right pleural effusion increased. volume of left pleural effusion is indeterminate. no pneumothorax. severe cardiomegaly is long-standing. no pneumothorax. aortic stent graft has not migrated or changed caliber. et tube, right internal jugular line, in standard placements. nasogastric drainage tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p14328661/s56553078/b8d11b2e-a5ba5dcc-6fa1d8a9-136ad53a-e3334730.jpg	in comparison with the earlier study of this date, the right ij catheter again is in the mid to lower portion of the svc.
MIMIC-CXR-JPG/2.0.0/files/p15566609/s51855702/28685bbb-cfdf9e53-5b86e058-980a5e34-2b9dfd5b.jpg	in comparison with the study of , the right chest tube remains in place and there is no definite pneumothorax. continued enlargement of the cardiac silhouette with bibasilar opacifications, more prominent on the left, consistent with volume loss in the left lower lobe and pleural effusions. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p10583763/s52566654/3276150f-e9ae0511-012c00cc-5f45712b-688827b6.jpg	unchanged mediastinal contour compatible with large ascending and descending thoracic aortic aneurysm. moderate cardiomegaly with mild pulmonary vascular congestion. new small right pleural effusion with bibasilar opacities, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13536330/s56243600/60dc37e2-314af8cd-795b568f-f76bf599-c3437645.jpg	single electrode permanent pacer in unchanged appropriate position in comparison with the next preceding similar study. stable chest findings.
MIMIC-CXR-JPG/2.0.0/files/p11619103/s52244729/b572492d-85995af8-0dbb0f85-2bd73da2-a6e90ef6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18082575/s56407516/238db81d-7665b22f-ffc43aed-c87ce031-3d1b6a84.jpg	mild to moderate pulmonary edema and moderate right pleural effusion unchanged since. in addition to the opacification of the left upper chest due to previous left thoracotomy, the stomach is air less. possibility of increasing fluid in the left pneumonectomy space should be entertained but would require ct scanning for evaluation. et tube in standard placement. right central venous catheter ends in the region of the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s56087620/9fe58c0d-e6112d8b-f93ff041-37e0303e-b703c75b.jpg	compared to previous radiograph of , small right and moderate left pleural effusions have apparently decreased in size although positional differences limit precise comparison. interval improved aeration at the right lung base likely corresponding to reduction in right pleural effusion volume. no other relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p14841168/s55926507/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg	interval right middle lobe and right lower lobe collapse. endotracheal tube terminates <num> cm from the carina.
MIMIC-CXR-JPG/2.0.0/files/p17504528/s58823575/d036298b-d44d68da-75daf46a-aaf0193a-5531f8f2.jpg	no significant interval change when compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p12286821/s56517039/5d7063be-30b981fc-ea4581a8-ec06d06d-7fd901d7.jpg	there has been markedly improved aeration of the left lung, large areas of opacity still remaining in the left upper lobe. mediastinal structures are now midline. right lower lobe atelectasis is increased. right ij catheter tip is in the cavoatrial junction. cardiac size cannot be evaluated. left pigtail catheter remains in place.
MIMIC-CXR-JPG/2.0.0/files/p15206036/s51947351/a6622fb9-cf6a2623-007595ca-07c98cc4-6195492a.jpg	no definite acute cardiopulmonary process. possible small right pleural effusion. right hilar enlargement for which pa and lateral suggested when patient is amenable for further characterization.
MIMIC-CXR-JPG/2.0.0/files/p11733600/s57200338/ab59f2ab-5f92a19b-4d726d2d-349eeb19-1e3455c5.jpg	compared to chest radiographs through. moderate right pleural effusion has decreased in volume since. concurrent pneumonia on the right is difficult to distinguish from loculated pleural fluid and atelectasis. left lower lobe atelectasis has worsened. left upper lobe clear. mild cardiomegaly stable. apparent right upper paratracheal mediastinal widening is probably paramediastinal pleural fluid loculation.
MIMIC-CXR-JPG/2.0.0/files/p18059744/s59340483/35bdfe97-3175d9c3-a0908d27-af8788c6-dbff63d8.jpg	faint opacities in the left lower lobe may indicate aspiration in the setting of altered mental status.
MIMIC-CXR-JPG/2.0.0/files/p17434024/s54741112/053497e9-e72e7f20-39629047-cad6007b-8827e22d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12399345/s53282322/2a6005a9-6eb90484-e931dfbb-8ca81303-1025750a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19801386/s57048803/09c247c3-e51bfdc9-a57146a0-d0ae9ba3-f79dd784.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12651400/s55908702/82e58cf1-6d132d9e-c6ff320f-1495b794-595dd540.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17755058/s53425433/1cb217b5-7cd195b7-63608895-e82fdc21-6415df32.jpg	placement transvenous pacemaker with leads terminating in the right atrium and right ventricle. right picc line with catheter tip terminating in the right atrium. stable right lower lobe volume loss secondary to atelectasis and small bilateral pleural effusions. mild interstitial pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p18910703/s55316742/8ab73cc9-6b37088b-f8e411ab-367ddb31-091d3bf8.jpg	in comparison with the earlier study of this date, the endotracheal tube tip now lies approximately <num> cm above the carina. nasogastric tube extends to the lower body of the stomach. little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p12921642/s52719319/bdd6a497-cf59e020-fad3ec4e-a812fd5d-639fd5e4.jpg	mild cardiomegaly, otherwise no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19457057/s55456509/1ee9accd-7df8f131-28517a7b-25cb95f4-7bc97140.jpg	heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19809456/s55423923/0a52714b-df273608-9cb0d746-7b79177c-ad490e83.jpg	in comparison with the earlier study of this date, the tip of the nasogastric tube is unchanged. although it lies within the upper stomach, the side port is within the lower esophagus.
MIMIC-CXR-JPG/2.0.0/files/p19544520/s52687661/f5f0913b-9ced9f8a-a03b03e5-4d1d1754-18942b34.jpg	in comparison with the study , there is an placement of a right pigtail catheter at the base. because of the ap supine position rather than the previous pa erect projection, it is difficult to accurately compare the degree of pleural effusion, which now layers along the posterior chest wall. specifically, no definite post procedure pneumothorax. the left lung is clear and there is no evidence of vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19708139/s59552916/8736048c-7e1adba4-c8895aa1-5bcd8e08-a0a0cbba.jpg	no evidence of pneumonia, lymphadenopathy or new nodule.
MIMIC-CXR-JPG/2.0.0/files/p13032036/s58351484/aef57a0c-a53afb01-b9a229d8-031eb91d-b4ca4197.jpg	lungs are clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. disparity in breast size may indicate prior surgery.
MIMIC-CXR-JPG/2.0.0/files/p18094033/s53537936/a3542791-5528072b-183a35cc-f2e8ff53-bc7120c1.jpg	no acute intrathoracic process.

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unchanged positions of right atrial and right ventricular pacemaker leads

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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compared to chest radiographs through. swan-ganz catheter ends in the left descending pulmonary artery, probably at the level of the lingular division. pulmonary edema has improved substantially in the left lung, less so on the right with there is still a moderate residual. small right pleural effusion persists. heart size normal. no pneumothorax. et tube tip nearly <num> cm from the carina with the chin flexed should be advanced <num> cm for more secure positioning when the chin is elevated.

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no acute intrathoracic process, normal cardiac size.

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in comparison with the study of , the blunting of the left costophrenic angle has cleared. no evidence of acute focal pneumonia or vascular congestion.

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no radiographic evidence for acute cardiopulmonary process. redemonstrated <num> cm left upper lobe pulmonary nodule. recommended dedicated chest ct for further evaluation as previously mentioned.

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new mild vascular congestion.

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top-normal cardiac silhouette size. no pulmonary edema.

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no evidence of acute cardiopulmonary process. pulmonary metastases are more apparent compared with.

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no free air.

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no acute cardiopulmonary process.

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enlarged cardiac silhouette with moderate pulmonary vascular congestion. blunting of the bilateral posterior costophrenic angles suggests trace pleural effusions. large hiatal hernia with adjacent atelectasis. compression of at least <num> lower thoracic vertebral bodies of indeterminate age given lack of priors for comparison.

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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette. the pulmonary vascularity is less prominent. substantial bilateral pleural effusions are well seen on the lateral view. the apparent improvement on the frontal view most likely merely reflects the erect position of the patient. bibasilar compressive atelectatic changes are again seen.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the swan-ganz catheter was removed. the mediastinal drains have also been removed. the only monitoring and support device remaining in place. these a right internal jugular vein catheter. of the removal of the right chest tube, there is now evidence of a small right apical pneumothorax. the known left pneumothorax has moderately increased in severity. platelike atelectasis at the right lung bases. mild retrocardiac atelectasis. no evidence of tension. unchanged size of the cardiac silhouette. at the time of dictation and observation, , on the , referring physician. was paged for notification.

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no acute cardiopulmonary process.

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comparison to. stable position of the swan-ganz catheter. stable severity of pre-existing mild to moderate pulmonary edema, stable moderate cardiomegaly and elevation of the left hemidiaphragm.

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comparison to. the pre-existing parenchymal opacities at the right lung base have resolved. the monitoring and support devices are in stable correct position. no pleural effusions. no pneumothorax. no pulmonary edema.

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retrocardiac patchy opacity likely reflects atelectasis, though infection cannot be completely excluded.

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pa and lateral chest compared to : breast prostheses lend increased radiodensity to the mid portions of both hemithoraces. small right pleural effusion is new. there is no left pleural effusion, no pneumothorax. lungs are grossly clear. the heart size is normal.

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bibasilar atelectasis. infection cannot be excluded in the correct clinical setting.

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no acute cardiopulmonary process.

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pa and lateral chest compared to and : lungs are clear. cardiomediastinal and hilar silhouettes are normal aside for mediastinal fat deposition.

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in comparison with the study of , there is little overall change. cardiac silhouette remains enlarged without vascular congestion, pleural effusion, or acute focal pneumonia. opacifications at the left base most likely represent atelectasis. however, it in the appropriate clinical setting, superimposed pneumonia would be difficult to unequivocally exclude, especially in the absence of a lateral view.

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as compared to the previous radiograph, the right and the left chest tubes were removed. there is no evidence of pneumothorax or larger pleural effusions. unchanged appearance of the cardiac silhouette. mild bilateral areas of atelectasis persist.

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new dobhoff tube at the lower esophagus, needs to be advanced at least <num> cm.

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ap chest compared to : some of the change in the appearance of the chest could be due to supine positioning. there appears to be increase in moderate left pleural effusion and the possibility of new mild pulmonary edema as well as worsening bibasilar consolidation, either atelectasis or pneumonia. moderate cardiomegaly and mediastinal vascular engorgement are stable. endotracheal tube is in standard placement. right jugular line ends in the upper right atrium. no pneumothorax.

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no acute intrathoracic abnormality.

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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. there is a suggestion of fullness in the region of the thyroid, best evaluated clinically.

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in comparison with the earlier study of this date, the swan-ganz catheter has been repositioned with the tip well into the right pulmonary artery. otherwise little change.

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no acute cardiopulmonary process.

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new right basilar opacity, likely atelectasis, pneumonitis less likely

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in comparison with the study of , the there is increase in the amount of pleural fluid on the right, best seen on the lateral projection. otherwise little change.

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no displaced rib fracture identified. dedicated rib films with the marker over the point seen to be considered if clinical suspicion for rib fractures remains high.

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increased interstitial markings throughout the lungs likely in part due to overlying soft tissues although a superimposed component of edema or atypical infection or possible. consider pa and lateral in the radiology department if patient is amenable.

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in comparison with the study of , there is striking tortuosity of the aorta, some of which may reflect the underlying scoliosis of the thoracic spine convex to the right. cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia. recommendation(s): the patient could be considered for the lung cancer screening study now available.

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no acute cardiopulmonary abnormality.

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a subtle opacity in the medial right lung base which could represent a very subtle pneumonia. otherwise normal.

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as compared to the previous radiograph, the alignment of the sternal wires is constant. a previously placed right internal jugular vein catheter has been removed. the left lung basis is substantially better ventilated than on the previous image. the bony changes in the left humeral head are constant.

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no acute cardiac or pulmonary process.

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increased, large bilateral pleural effusions.

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no evidence of acute cardiopulmonary process.

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compared to chest radiographs since , most recently at. previous moderately severe pulmonary edema has almost entirely cleared. moderately severe opacification at the lung bases due to a combination of atelectasis pleural effusion, probably worsened since. no pneumothorax. normal postoperative appearance, cardiomediastinal silhouette, with decrease in previous upper mediastinal widening. cardiopulmonary support devices in standard placements.

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no findings concerning for pneumonia. dr these results with dr at on via telephone.

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severe emphysema. right upper lobe focal opacity about a fiducial marker appears unchanged from the prior chest radiograph and may reflect an area of ongoing infection. continued followup radiographs after completion of treatment is recommended to ensure resolution of this finding.

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cardiomegaly with mild to moderate pulmonary edema and small pleural effusions. more confluent right greater than left basilar opacities which could represent superimposed infection.

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interval decrease in small right pneumothorax. new endobronchial valves in the segmental bronchi of the right upper lobe.

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compared to chest radiographs since , most recently through. moderate pulmonary edema which developed on has improved slightly. upper lobe nodular pulmonary opacities suggest disseminated infection, including septic emboli. mild cardiomegaly is exaggerated by low lung volumes. pleural effusions are small if any. no pneumothorax.

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evidence of beginning rib fracture healings. regression of previously identified pulmonary contusion. no new pulmonary abnormalities.

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as compared to previous radiograph of , cardiomediastinal contours are stable in appearance. lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia. there is no pleural effusion or pneumothorax.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. widened left ac joint indicative of prior ac joint separation, type ii.

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no acute intrathoracic process.

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interval placement of a right internal jugular central venous catheter, the tip projecting over the right atrium. bibasilar atelectasis and small left pleural effusion.

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a pa and lateral chest compared to : a previous mild pulmonary edema on has almost cleared, extensive right pleural thickening or loculated fluid at the periphery of the right lung is unchanged. previous left lower lobe pneumonia has also cleared. right supraclavicular jugular infusion port ends high in the svc. no pneumothorax. moderate cardiomegaly is chronic.

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left basilar atelectasis. otherwise, normal.

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no pneumonia.

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dobbhoff to at least the distal stomach but the distal weighted end is excluded on images.

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no acute intrathoracic process.

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new small bilateral effusions, with underlying collapse and/or consolidation. upper zone redistribution suggests the presence of chf. the possibility of an underlying pneumonic infiltrate cannot be entirely excluded.

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in comparison with the study of , the tip of the endotracheal tube now measures approximately <num> cm above the carina. the patient has taken a better inspiration. the right hemidiaphragm is better seen. although this could represent decreasing pleural effusion and atelectatic changes, it may merely be a manifestation of a more upright position of the patient. otherwise little change.

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no acute cardiopulmonary abnormality.

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status post tracheostomy tube placement with no other significant interval change.

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no radiographic evidence of infectious pneumonia or hypersensitivity pneumonitis. if clinical suspicion is high for hypersensitivity pneumonitis, high-resolution ct may be considered as it is more sensitive than radiographs for detection of this condition.

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ngt terminating within the distal stomach/proximal duodenum.

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left lower lobe collapse and/or consolidation, similar to the prior study.

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findings consistent with pulmonary edema. enlarged heart compared to the prior study.

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in comparison with the study of , the patient has taken a better inspiration and there is no definite radiographic evidence of acute pneumonia or hilar adenopathy. there is the vague suggestion of several nodular opacifications, though these could represent an early vessels on-end. no evidence of vascular congestion.

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comparison to. a pre-existing left pleural effusion has minimally increased in extent and severity. there is a relatively extensive retrocardiac atelectasis. in the well ventilated areas of the lung parenchyma no evidence of pneumonia or pulmonary edema is present. mild cardiomegaly persists.

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no acute cardiopulmonary abnormalities

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as compared to the previous radiograph, the position of the endotracheal tube is unchanged. unchanged moderate cardiomegaly, unchanged development of a mild to moderate right pleural effusion, with subsequent decrease in radiolucency of the right lung base. no other changes have occurred.

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compared to chest radiographs through. mild pulmonary edema, more pronounced in the left lung, not appreciably changed. moderate right pleural effusion increased. volume of left pleural effusion is indeterminate. no pneumothorax. severe cardiomegaly is long-standing. no pneumothorax. aortic stent graft has not migrated or changed caliber. et tube, right internal jugular line, in standard placements. nasogastric drainage tube passes into the stomach and out of view.

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in comparison with the earlier study of this date, the right ij catheter again is in the mid to lower portion of the svc.

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in comparison with the study of , the right chest tube remains in place and there is no definite pneumothorax. continued enlargement of the cardiac silhouette with bibasilar opacifications, more prominent on the left, consistent with volume loss in the left lower lobe and pleural effusions. otherwise little change.

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unchanged mediastinal contour compatible with large ascending and descending thoracic aortic aneurysm. moderate cardiomegaly with mild pulmonary vascular congestion. new small right pleural effusion with bibasilar opacities, likely atelectasis.

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single electrode permanent pacer in unchanged appropriate position in comparison with the next preceding similar study. stable chest findings.

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no acute cardiopulmonary process.

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mild to moderate pulmonary edema and moderate right pleural effusion unchanged since. in addition to the opacification of the left upper chest due to previous left thoracotomy, the stomach is air less. possibility of increasing fluid in the left pneumonectomy space should be entertained but would require ct scanning for evaluation. et tube in standard placement. right central venous catheter ends in the region of the superior cavoatrial junction.

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compared to previous radiograph of , small right and moderate left pleural effusions have apparently decreased in size although positional differences limit precise comparison. interval improved aeration at the right lung base likely corresponding to reduction in right pleural effusion volume. no other relevant changes.

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interval right middle lobe and right lower lobe collapse. endotracheal tube terminates <num> cm from the carina.

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no significant interval change when compared to the prior study.

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there has been markedly improved aeration of the left lung, large areas of opacity still remaining in the left upper lobe. mediastinal structures are now midline. right lower lobe atelectasis is increased. right ij catheter tip is in the cavoatrial junction. cardiac size cannot be evaluated. left pigtail catheter remains in place.

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no definite acute cardiopulmonary process. possible small right pleural effusion. right hilar enlargement for which pa and lateral suggested when patient is amenable for further characterization.

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compared to chest radiographs through. moderate right pleural effusion has decreased in volume since. concurrent pneumonia on the right is difficult to distinguish from loculated pleural fluid and atelectasis. left lower lobe atelectasis has worsened. left upper lobe clear. mild cardiomegaly stable. apparent right upper paratracheal mediastinal widening is probably paramediastinal pleural fluid loculation.

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faint opacities in the left lower lobe may indicate aspiration in the setting of altered mental status.

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no acute intrathoracic process.

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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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placement transvenous pacemaker with leads terminating in the right atrium and right ventricle. right picc line with catheter tip terminating in the right atrium. stable right lower lobe volume loss secondary to atelectasis and small bilateral pleural effusions. mild interstitial pulmonary edema

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in comparison with the earlier study of this date, the endotracheal tube tip now lies approximately <num> cm above the carina. nasogastric tube extends to the lower body of the stomach. little change in the appearance of the heart and lungs.

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mild cardiomegaly, otherwise no acute cardiopulmonary process.

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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.

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in comparison with the earlier study of this date, the tip of the nasogastric tube is unchanged. although it lies within the upper stomach, the side port is within the lower esophagus.

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in comparison with the study , there is an placement of a right pigtail catheter at the base. because of the ap supine position rather than the previous pa erect projection, it is difficult to accurately compare the degree of pleural effusion, which now layers along the posterior chest wall. specifically, no definite post procedure pneumothorax. the left lung is clear and there is no evidence of vascular congestion.

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no evidence of pneumonia, lymphadenopathy or new nodule.

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lungs are clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. disparity in breast size may indicate prior surgery.

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no acute intrathoracic process.