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/p18825120/s58466463/740e46fa-2aec4ec9-2829b201-dff89386-65926515.jpg	no comparison. the lung volumes are low. moderate cardiomegaly. distension of the intra thoracic vessels with a apical basilar gradient. the symmetry and morphology of the findings as well as the presence of peribronchial cuffing suggests moderate pulmonary edema. no pleural effusions. mild retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13102545/s57908476/db291505-9173fa4d-14ed42a3-8ec1f407-a2b1a296.jpg	in comparison with the study of , there is little interval change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13141357/s52388520/61adb93b-ae54859e-88d1fcf4-43ad7442-83e216b3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16672169/s57325691/0c0c676c-6a4c420e-47419b1c-a326dc61-2ff3896b.jpg	in comparison with the study of , the cardiac silhouette remains at the upper limits of normal in size. there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia in this patient with intact midline sternal wires. the residual opaque lead with wires again seen projected over the mediastinum a at the clavicular level.
MIMIC-CXR-JPG/2.0.0/files/p13512048/s51603122/04ba3d08-13a118d6-4c97e729-adc6064a-bd7c9f35.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15514517/s55206351/f9f33992-836f1a92-865861cb-a5d1657d-3f003f1a.jpg	opacity within the right upper lobe with consolidation/effusion obscuring the mid-to-lower lung. findings may be compatible with pneumonia and recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p16477936/s59420884/b2057126-42b03d61-beb97032-f8b172d2-089a2109.jpg	ring-like opacity within the left upper lobe could reflect an area of inflammation or infection. followup radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p12350449/s52248714/1175f671-8d49545b-e0bdf5e2-a8e81691-7f318d17.jpg	moderate left and small right pleural effusions, relatively unchanged with persistent left basilar opacification likely reflecting compressive atelectasis. infection, however, cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p15007866/s51513134/b5b58e1a-87ad54f5-ea7ceb75-65efda2c-d2d218ba.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18808584/s56258329/bdf64acc-955ac8e0-db7f1f24-3693aff9-adf9a374.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12673986/s56521797/8b1f3418-657e5dff-48963b31-81f4984f-f0af2510.jpg	et tube tip is <num> cm above the carinal. heart size and mediastinum are overall unremarkable. interstitial changes are noted at the periphery of the lungs, nonspecific and needs to be further characterize with chest ct if clinically warranted.
MIMIC-CXR-JPG/2.0.0/files/p10955706/s50025326/1c23d5bb-74dcd9c5-17058ff6-7e5ea479-1836f6f3.jpg	an endotracheal tube terminates <num> cm above the carina. a right ij catheter terminates at the lower svc. the cardiac and mediastinal contours are unchanged from the prior examination. central pulmonary vascular congestion seen on the prior radiograph has improved. there are persistent bibasilar linear opacities likely reflecting atelectasis. small underlying consolidations, particularly at the right base, remain possible. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17562503/s50692205/0621ed08-b94ab3c5-b49b96bf-08eda64b-478ccc43.jpg	unchanged pulmonary congestion with vascular engorgement and bilateral pleural effusions and bibasilar atelectasis. underlying lower lobe consolidation cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p12342586/s56403590/71b20487-77d2bfc1-77523b7c-c80cbe57-ef332ab7.jpg	reaccumulation of left pleural fluid, now moderate.
MIMIC-CXR-JPG/2.0.0/files/p10024331/s55744691/7add2ca0-5ee12c0d-0929ac56-0d69edc8-1c0baa01.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11681010/s53089765/c3a234da-73380f09-17195897-ffdd9092-a54ada9a.jpg	in comparison with the study of , there again are low lung volumes with enlargement of the cardiac silhouette, pulmonary vascular congestion, and bilateral pleural effusions with compressive basilar atelectasis. dual-channel pacer device remains in place with leads in appropriate position. several stable left rib fractures are again seen.
MIMIC-CXR-JPG/2.0.0/files/p18990850/s53704080/8e0ec35f-247a446d-dcf9ddcc-99b77521-49542e08.jpg	unchanged appearance of known left pneumothorax since earlier same day chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p12725946/s56217660/586ff750-8d97bbf2-9642f9de-fe71bb33-5ed9c5b1.jpg	swan-ganz catheter has been removed. heart valve and mediastinal wires are again seen. there is unchanged cardiomegaly. there is unchanged right-sided pleural effusion with right basilar opacity, stable. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14185111/s53888989/64ca1cb7-ef46afa8-68737749-033c2784-bd85fa89.jpg	previous right lung abnormality has cleared since. lungs are clear. moderate cardiomegaly persists, with particular left atrial enlargement. pulmonary vasculature is normal, although the azygos vein is still distended. there is no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10245082/s55031477/338cc6e1-7c8e3135-9911a7b4-d610ae4f-4cc35272.jpg	persistent layering right effusion. there is a cavitary area in the right infrahilar region with an air-fluid level which is unchanged but concerning for an abscess. in addition, there is bilateral diffuse patchy airspace disease which is concerning for an infectious process. overall, this has worsened since the prior study of. no pneumothorax is seen. cardiac and mediastinal contours are difficult to assess due to the diffuse airspace process. of note, the patient has subsequently undergone a chest ct on at , the report of which is still pending.
MIMIC-CXR-JPG/2.0.0/files/p14973190/s52563005/01afc858-6a0c86e2-8ee24eab-44453bcd-44076e25.jpg	no evidence of acute cardiopulmonary process. free intraperitoneal air. please refer to concurrent ct abdomen for further details.
MIMIC-CXR-JPG/2.0.0/files/p16321205/s58482397/714e3a50-3fbcd632-2b47dfd4-9b6d2b33-739379e6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10106165/s59938773/ac464fed-8b019b86-261197d0-f65bc5cf-e64dee07.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11300581/s54116386/eab9ae12-44bc4ee6-f91fe555-3f362289-70dd7682.jpg	right internal jugular port-a-cath with its tip in the right atrium, unchanged. interval removal of the left internal jugular large-bore catheter. no pneumothorax. diffuse bilateral airspace and interstitial process, some of which is consistent with the known underlying pulmonary fibrosis. overall, however, there is likely a component of mild-to-moderate superimposed pulmonary edema. focal patchy opacities at both bases could also reflect an element of patchy atelectasis. prominent amount of gas within a distended stomach. no pneumothorax. overall, cardiac and mediastinal contours are likely stable given differences and the patient rotation between studies.
MIMIC-CXR-JPG/2.0.0/files/p11190818/s56372401/937f6e67-c13b0b64-88df4cf7-2022bd01-884af19a.jpg	in comparison with study of , the patient has taken a better inspiration. no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19972786/s52989858/811b24dd-c3475979-2a11b0b2-b0c9f1e7-1ab17699.jpg	stable large left pleural effusion with retrocardiac atelectasis, unchanged from. cannot exclude superimposed infection in the appropriate clinical setting. persistent moderate cardiomegaly, stable since. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19693056/s50817640/c6b71479-e2033681-8e6deed1-f5adaef5-1642f59c.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10138124/s52867167/34af61dd-c821fe0d-a8d7c468-c17e3daa-27b3b2c9.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12078372/s58631666/84e54057-53ad8a47-cbb8d316-0f29400d-6570d615.jpg	as compared to the previous radiograph, there is a minimal newly appeared left basilar atelectasis, potentially caused by a small left pleural effusion. the platelike atelectasis on the right is constant in appearance. unchanged monitoring and support devices. unchanged size of the cardiac silhouette. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16429696/s53358766/04221e7d-e8fa343d-229c75c4-2316e5df-c9f49dad.jpg	as compared to the previous radiograph, no relevant change is seen. low lung volumes bilateral focal parenchymal opacities at the lung bases. moderate cardiomegaly and retrocardiac atelectasis. the left picc line is in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p13909532/s50582986/95381052-8bd903a7-54b68159-025c13ff-832c4003.jpg	no significant change.
MIMIC-CXR-JPG/2.0.0/files/p12476737/s56986486/0b1ca4ea-af938c59-8a6dd44c-afbb3e42-b46d7a80.jpg	placement of a right upper extremity picc line in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p19986107/s50164493/3050a57c-78c36a62-5046c338-2150590f-b87d1daf.jpg	mild cardiomegaly. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12124605/s56129815/9496b471-9d6a13dd-f66ca27b-7e108ebf-6e96f05b.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15481018/s51673149/dd326f40-2894604a-bfc1a9af-508f1491-37fce825.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13406208/s54335062/493d79ac-09d67f47-728118cf-8fa8e061-e458f128.jpg	hyperinflated lungs may relate to copd. <num> cm ovoid opacity projecting over the right lower lung field may relate to a nipple shadow, but which should be confirmed with repeat with nipple markers.
MIMIC-CXR-JPG/2.0.0/files/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg	stable chest findings, no evidence of new acute pulmonary infectious process that could account for unexplained leukocytosis.
MIMIC-CXR-JPG/2.0.0/files/p19933545/s57122541/735bf57e-efb8c881-de9ee3f8-4459856d-ba651e7b.jpg	minimal left basal atelectasis. no pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17165960/s58710643/dc2210b1-05d24d1a-4c39125b-6c6661ca-cf4a7274.jpg	as compared to the previous radiograph, the patient has received a left pectoral pacemaker. the course of the leads are unremarkable. the leads project over the right atrium and the right ventricle respectively. there is no evidence of a pneumothorax. status post cabg. normal alignment of the sternal wires, clips in expected position. the lung volumes are low but there is no evidence of pulmonary edema, pneumonia or pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18887323/s52523769/6e6db5b3-350868b6-35abfe06-787365b0-9668c36a.jpg	mild chf. opacity at the left base may represent asymmetric edema, atelectasis, or underlying pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14187001/s55038027/92a7e35c-63aa6805-c1999a47-610d2444-0ad0f35c.jpg	as compared to the previous radiograph, no relevant change is seen. the bilateral pleural effusions are constant in extent and severity. also constant are the subsequent areas of atelectasis at the lung bases and a moderate cardiomegaly. the right predominant parenchymal opacities, likely caused by the small right lung volume and there potential infection, have not substantially increased in extent since the previous examination. no new parenchymal opacities. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17963447/s50024292/227ac514-140aed1d-0406b772-47d0b226-b081af4c.jpg	in comparison with the study of , there is little change on the frontal view with no definite acute focal pneumonia. the area of increased opacification in the retrocardiac region seen on the previous lateral view cannot be assessed since no such view is presented on the current examination.
MIMIC-CXR-JPG/2.0.0/files/p14628457/s56031352/158ee9ec-d93dcea3-1b09a10c-395afc5a-791e167c.jpg	interval removal of the swan- catheter. interval improvement in pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15414614/s50237564/41056e90-125f9dfb-d452d22a-7e0ec221-5b45baf5.jpg	as compared to the previous radiograph, the lung volumes have decreased of the extubation. the other monitoring and support devices are in constant position. the pre-existing parenchymal opacities at the right lung bases and in the left perihilar areas are minimally more severe in extensive than on the previous image. no new opacities are visualized. minimal fluid overload is present.
MIMIC-CXR-JPG/2.0.0/files/p10963523/s54458130/17bda651-3c54fdb2-ac66f345-c5198f5f-ae8995d7.jpg	small left pleural effusion versus pleural thickening without focal consolidation concerning for pneumonia. hyperinflation. apparent focal density in the left mid lung. recommendation(s): nonurgent shallow obliques suggested to confirm this finding as superimposed shadows as opposed underlying pulmonary nodule.
MIMIC-CXR-JPG/2.0.0/files/p18137539/s53103835/0045fabf-bcc8dd20-6abf7dcf-07061d82-0dc60487.jpg	ap chest compared to through at with the chin down, position of the et tube tip less than a centimeter from the carina is only <num> cm below optimal placement. severe pulmonary edema is no worse, and bibasilar consolidation, which could be combination of dependent edema and atelectasis or concurrent pneumonia, is also stable. small bilateral pleural effusions are presumed, but smaller today. no pneumothorax. heart size is normal. right jugular line ends in the mid svc. upper enteric drainage catheter passes to the mid stomach. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12483744/s51996424/7dbe826c-96770a83-f83848cd-dbb66469-21b41ee8.jpg	low lung volumes. patchy bibasilar airspace opacities may be due to atelectasis, but aspiration or infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p14269614/s56579057/88fed578-854e6c7d-f2aa0cac-c00b6c3a-06bc4530.jpg	no acute chest abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15354679/s52948529/7ca6e918-54005700-3befd4d3-46b345b7-267e53a6.jpg	mild pulmonary vascular engorgement without signs of interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p18548313/s57212721/ac7bf312-73c89d9f-743233d4-8237a817-0eb7e521.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18571541/s52155255/a57c4302-e7f3ab92-d6fe1866-1e60edf3-ba9d91a5.jpg	no evidence of aspiration/pneumonia. minimal atelectasis in the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p10839017/s55146235/9ba150ff-ff0fe1bd-4c34cfe6-d952efec-978cb4d7.jpg	in comparison to radiograph, a small to moderate right pleural effusion is unchanged. small left pleural effusion is new. known pulmonary nodules and intrathoracic lymphadenopathy have been more fully assessed on recent pet-ct of.
MIMIC-CXR-JPG/2.0.0/files/p11653517/s53804193/f2af3447-53953209-6877183c-9ea9dbea-9cda0153.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18428783/s50476309/09ac09e6-8415b596-44b9b627-6b830132-7b65fd2f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10770325/s59703602/c470fc04-04df89c9-520b68c6-8f66adae-74366e75.jpg	re- demonstrated opacity along the right major fissure, better assessed on prior chest ct from at which time atypical mycobacterial infection was suggested. mild basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18240149/s52459393/c0c39ca5-c36465aa-7524980f-ed73c26a-21fe9ba2.jpg	the new feeding tube projects with its tip over the gastroesophageal junction. the device should be advanced by approximately <num> cm. no complications, notably no pneumothorax. unchanged moderate cardiomegaly with platelike atelectasis at the right lung bases.
MIMIC-CXR-JPG/2.0.0/files/p15484984/s52996754/17c916a1-87367967-c4dba185-e7f43bbd-ca1d8a2b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11047227/s55693546/2401deb8-3d3ccfdc-f33bba22-0f7d863a-f58f776e.jpg	as compared to radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and apparent slight worsening of asymmetrical edema involving the right lung to a greater degree than the left. moderate to large right pleural effusion and small left pleural effusions are again demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p13490204/s59901824/048891d3-6f1d790d-e1fca9f5-dd5b88f2-2c65ee21.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19346447/s51746738/d0e4916b-9fad08ca-644c30ab-3399f140-42858558.jpg	moderate left pneumothorax has increased since :<num>. no pleural effusion. normal right pleural space. normal cardiomediastinal silhouette. left subclavian infusion port ends in the region of the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p11921283/s58831907/8fc34d2a-e9e1dcca-44023354-c705290e-1f38de87.jpg	no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p11910036/s58299316/ea752b71-0d1f646b-761c072e-5b36236c-b583ce47.jpg	severe cardiomegaly with interstitial edema consistent with congestive heart failure. the case was discussed by dr with dr by phone at on.
MIMIC-CXR-JPG/2.0.0/files/p13554701/s51243818/2e65498a-1644447a-003ff355-6c48f2e5-a47593ff.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p15539637/s57442177/68a26b52-270d754b-af02d3de-c6e6cd64-fbef5095.jpg	interval resolution of the previously noted lingular opacity.
MIMIC-CXR-JPG/2.0.0/files/p10724174/s59119417/d80fd5c7-09e38d32-ea21ccaf-cadcd2c1-03dacabd.jpg	nasogastric tube is seen coursing below the diaphragm with the tip not identified. right internal jugular port-a-cath and endotracheal tube are unchanged in position. there continues to be a stable hazy opacity at the right apex. unchanged patchy and streaky opacities at both lung bases could reflect areas of atelectasis, although pneumonia cannot be entirely excluded. more focal nodular opacity in the right mid lung likely corresponds to the presumed pulmonary contusion seen on the ct dated. no pneumothorax. no pulmonary edema. overall cardiac and mediastinal contours are stable. old left-sided rib fractures again seen.
MIMIC-CXR-JPG/2.0.0/files/p18742609/s57182204/849f901d-b4d287ab-1c29ab5e-d9d2c0ea-6c03c8ee.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16228838/s57031493/3adc94c6-a2f412cd-2595f3a1-2545adc6-9cf7daa4.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10314749/s57134701/dc5e1f72-04942ddc-0d6b978f-f2175b95-b96d4d33.jpg	bibasilar atelectasis, but no areas of consolidation to suggest an acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15230748/s58684119/f6c22fc6-f377d468-bf6c44d1-91bd4baa-bbad2afa.jpg	in comparison with the study of , the the monitoring and support devices have been removed except for the left subclavian catheter that extends to the mid portion of the svc. no evidence of acute pneumonia or vascular congestion. since this is a portable radiograph, it is impossible to assess for free intraperitoneal gas. this would require ct or some erect or cross table lateral view with a horizontal beam.
MIMIC-CXR-JPG/2.0.0/files/p17668838/s51042014/e442d264-6cf54285-d111e6d4-a96bfedd-3942558d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18820271/s56775022/595c9bf7-3ce35c85-74417148-0146acb6-8634d757.jpg	comparison to. no pneumothorax. no pneumonia, no pulmonary edema, no pleural effusions. coronary stent. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p11194776/s53805676/682cfb9f-197a22d3-be0e85bb-2a067c11-2136d95b.jpg	interval removal of right internal jugular approach central line. stable left internal jugular approach dialysis catheter. near-complete resolution of previously noted interstitial edema now only mild residual remaining. no infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p18999747/s58681413/9c276dfa-9bbc9736-97b8b268-95dab999-1f872f12.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19557987/s50711958/dd588aaa-d33af0aa-761f9ef8-195bcb2b-ce5ceab7.jpg	lungs well expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. transvenous right atrial right ventricular pacer leads continuous from the left pectoral generator, follow their expected courses, unchanged since at least.
MIMIC-CXR-JPG/2.0.0/files/p19607985/s55289129/cdde936b-5015c8f9-c95f92e3-a7432079-a6e832a6.jpg	endotracheal tube in appropriate position. additional support tube as described above. heterogeneous opacity in right lower lobe is worrisome for pneumonia with small pleural effusion. hypoinflated lungs with bibasilar atelectasis. minimally displaced right posterior third rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p14030959/s53906426/a716e6ed-8480e363-68abb888-94ba67f2-4a5b1c75.jpg	diffuse alveolar edema may represent ards or severe pulmonary infection. interstitial emphysema may be secondary to barotrauma or pcp.
MIMIC-CXR-JPG/2.0.0/files/p10527643/s58622175/d6527478-cdd9cd42-e7d2304e-131007f0-047f7758.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11556982/s53647974/144be998-15e398a2-a87b9aa2-d4faf0d9-49599363.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17634974/s56938183/94228ee7-ae14a66b-2763b27b-c356712c-e733d9ac.jpg	compared to chest radiographs in. heart size top-normal. pulmonary vasculature is engorged but there is no pulmonary edema. no focal pulmonary abnormality. no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15239201/s54523843/711f7831-87db49de-392c0ca5-ee39f516-5f482326.jpg	opacification at the base of the left lung has increased slightly since , accompanied by at least a small or moderate left pleural effusion, which is unchanged. appearance of the left lower lobe could be explained by atelectasis, but pneumonia is of greater concern. pulmonary vascular engorgement is chronic. heart is not enlarged and mediastinal veins are not engorged.
MIMIC-CXR-JPG/2.0.0/files/p18891668/s58380044/a86376ca-ca0af3c3-c197ee4a-944dd14a-fb5f5ed1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12363639/s52967868/904ff1f6-1e054e47-8ced9b62-fe809e68-9e546044.jpg	no acute cardiopulmonary process. density lateral to the aortic arch is most likely due to degenerative change at the left costochondral junction. recommendation(s): repeat radiographs with apical lordotic views to exclude underlying parenchymal abnormality at the left lung apex.
MIMIC-CXR-JPG/2.0.0/files/p15477675/s56214530/b16bd2e1-bf853f17-825f75c1-9077696e-5ed1dd86.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11579068/s54481723/6a9c23ba-91e43928-eac9bbe0-dca4eb08-373ddd6a.jpg	apparent elevation of the right hemidiaphragm, an appearance which can be seen in the setting of the subpulmonic effusion. consider a lateral decubitus films for further characterization.
MIMIC-CXR-JPG/2.0.0/files/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg	right lower lobe opacity with volume loss, likely atelectasis, unchanged since the earlier study of.
MIMIC-CXR-JPG/2.0.0/files/p13580989/s51366279/abd7ad08-e1607cb6-6989a6b0-3cedce20-3a7f0438.jpg	moderate right pleural effusion has developed, collected laterally and possibly loculated. prior to attempted thoracentesis, decubitus view should be obtained for the procedure should be performed under ultrasound guidance. lungs are grossly clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p16068752/s59114039/06aae7f4-d4fc8f37-d14e1920-56889f14-5b2aa11e.jpg	no evidence of pneumothorax or grossly displaced anterior rib fracture. conventional chest radiographs are relatively insensitive for detecting anterior rib fractures, and dedicated coned-down rib radiograph at the site of point tenderness could be considered for more complete evaluation if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p17401392/s57924292/8306418d-0da72d83-175b9e6f-ab2a0b89-bf66c678.jpg	pa and lateral chest compared to , right pneumothorax previously large, is now almost entirely evacuated except for a small residual at the base of the lung. both lungs are well expanded and clear. mediastinum has returned to. there is no appreciable pleural effusion. right pleural drain is coiled along the lateral aspect of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p12151698/s53172113/40d2d04e-7ca3d992-d1497773-0ffd549b-e2839fe2.jpg	no evidence of pneumonia. heart size normal. no pleural abnormality. heart size normal. dual channel catheter ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p19538400/s58652110/51b71acf-c3597e7e-a5819abb-b9841d57-4029c50d.jpg	limited, negative.
MIMIC-CXR-JPG/2.0.0/files/p13528223/s57706614/27c2e5d5-063a34e4-532adae7-97d46964-72f57354.jpg	change in mediastinal contour compared to , greater than expected given change in patient position and lung volumes. recommend further evaluation with chest ct to rule out mediastinal injury. dr communicated findings to dr at <num> o'clock on via telephone at the time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p19438568/s51162841/993008f2-962c25f8-9cf70bb9-e5ec75de-5312a47a.jpg	possible small left pleural effusion. otherwise unremarkable chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p18448279/s57656697/34b14eb7-ea7bf87c-44c696f0-27b173c4-b859cefa.jpg	unremarkable chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p15942452/s56695010/b3270366-da233bd2-396c8874-07f78bef-4b8651ab.jpg	no focal consolidation. known pulmonary nodules and mediastinal mass better assessed on prior ct chest.
MIMIC-CXR-JPG/2.0.0/files/p17049363/s54510361/ffb342e2-ba589b5a-7cc6a641-d2de40e2-60c659cc.jpg	no evidence of pneumonia. decreased lung volumes compared to prior study. mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11712537/s53003100/0ae6e19c-bcb0efb7-b0c53a41-d9fef17a-c855b0be.jpg	no pulmonary edema. small bilateral pleural effusions, perhaps minimally increased in size compared to the prior exam with left lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13988356/s52559350/2ca1ec09-f6a99949-8f3ce1b4-bddf3340-cd89cc4c.jpg	right internal jugular central venous line terminates in the upper right atrium and should be slightly retracted. heterogeneous bibasilar opacities concerning for pneumonia. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17111103/s51483414/58d8ee73-e58e2424-4e8b5b42-21c41dd8-1a0db51c.jpg	mild cardiomegaly with no evidence of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p12323237/s52992654/e549c958-23fc6963-7bfd3562-c2a83a82-36ee2d2d.jpg	ap chest compared to : swan-ganz catheter ends in the proximal main pulmonary artery. no pneumothorax or right pleural effusion. opacification at the base of the left lung could be atelectasis alone or atelectasis and pleural fluid. right lung is grossly clear. heart is top normal size. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13695905/s55615353/d2155e0a-213f6e9a-c84f8eab-2d2c7e57-bcd1550d.jpg	pa and lateral chest compared to through : moderate right pleural effusion, generally dependent, is larger. right suprahilar mass may have enlarged. dense consolidation in the anterior segment of the right upper lobe is stable. extent of rightward mediastinal shift is unchanged. left lung is clear.

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no comparison. the lung volumes are low. moderate cardiomegaly. distension of the intra thoracic vessels with a apical basilar gradient. the symmetry and morphology of the findings as well as the presence of peribronchial cuffing suggests moderate pulmonary edema. no pleural effusions. mild retrocardiac atelectasis.

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in comparison with the study of , there is little interval change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.

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no acute cardiopulmonary process.

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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal in size. there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia in this patient with intact midline sternal wires. the residual opaque lead with wires again seen projected over the mediastinum a at the clavicular level.

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no acute intrathoracic process.

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opacity within the right upper lobe with consolidation/effusion obscuring the mid-to-lower lung. findings may be compatible with pneumonia and recommend followup to resolution.

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ring-like opacity within the left upper lobe could reflect an area of inflammation or infection. followup radiographs after treatment are recommended to ensure resolution of this finding.

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moderate left and small right pleural effusions, relatively unchanged with persistent left basilar opacification likely reflecting compressive atelectasis. infection, however, cannot be completely excluded.

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no acute cardiopulmonary abnormality.

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no evidence of acute cardiopulmonary process.

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et tube tip is <num> cm above the carinal. heart size and mediastinum are overall unremarkable. interstitial changes are noted at the periphery of the lungs, nonspecific and needs to be further characterize with chest ct if clinically warranted.

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an endotracheal tube terminates <num> cm above the carina. a right ij catheter terminates at the lower svc. the cardiac and mediastinal contours are unchanged from the prior examination. central pulmonary vascular congestion seen on the prior radiograph has improved. there are persistent bibasilar linear opacities likely reflecting atelectasis. small underlying consolidations, particularly at the right base, remain possible. there is no pneumothorax.

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unchanged pulmonary congestion with vascular engorgement and bilateral pleural effusions and bibasilar atelectasis. underlying lower lobe consolidation cannot be excluded.

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reaccumulation of left pleural fluid, now moderate.

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no acute cardiopulmonary process.

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in comparison with the study of , there again are low lung volumes with enlargement of the cardiac silhouette, pulmonary vascular congestion, and bilateral pleural effusions with compressive basilar atelectasis. dual-channel pacer device remains in place with leads in appropriate position. several stable left rib fractures are again seen.

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unchanged appearance of known left pneumothorax since earlier same day chest radiograph.

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swan-ganz catheter has been removed. heart valve and mediastinal wires are again seen. there is unchanged cardiomegaly. there is unchanged right-sided pleural effusion with right basilar opacity, stable. there are no pneumothoraces.

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previous right lung abnormality has cleared since. lungs are clear. moderate cardiomegaly persists, with particular left atrial enlargement. pulmonary vasculature is normal, although the azygos vein is still distended. there is no pleural effusion.

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persistent layering right effusion. there is a cavitary area in the right infrahilar region with an air-fluid level which is unchanged but concerning for an abscess. in addition, there is bilateral diffuse patchy airspace disease which is concerning for an infectious process. overall, this has worsened since the prior study of. no pneumothorax is seen. cardiac and mediastinal contours are difficult to assess due to the diffuse airspace process. of note, the patient has subsequently undergone a chest ct on at , the report of which is still pending.

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no evidence of acute cardiopulmonary process. free intraperitoneal air. please refer to concurrent ct abdomen for further details.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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right internal jugular port-a-cath with its tip in the right atrium, unchanged. interval removal of the left internal jugular large-bore catheter. no pneumothorax. diffuse bilateral airspace and interstitial process, some of which is consistent with the known underlying pulmonary fibrosis. overall, however, there is likely a component of mild-to-moderate superimposed pulmonary edema. focal patchy opacities at both bases could also reflect an element of patchy atelectasis. prominent amount of gas within a distended stomach. no pneumothorax. overall, cardiac and mediastinal contours are likely stable given differences and the patient rotation between studies.

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in comparison with study of , the patient has taken a better inspiration. no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.

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stable large left pleural effusion with retrocardiac atelectasis, unchanged from. cannot exclude superimposed infection in the appropriate clinical setting. persistent moderate cardiomegaly, stable since. no pulmonary edema.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process.

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as compared to the previous radiograph, there is a minimal newly appeared left basilar atelectasis, potentially caused by a small left pleural effusion. the platelike atelectasis on the right is constant in appearance. unchanged monitoring and support devices. unchanged size of the cardiac silhouette. no pneumothorax.

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as compared to the previous radiograph, no relevant change is seen. low lung volumes bilateral focal parenchymal opacities at the lung bases. moderate cardiomegaly and retrocardiac atelectasis. the left picc line is in unchanged position.

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no significant change.

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placement of a right upper extremity picc line in appropriate position.

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mild cardiomegaly. no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary abnormality.

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hyperinflated lungs may relate to copd. <num> cm ovoid opacity projecting over the right lower lung field may relate to a nipple shadow, but which should be confirmed with repeat with nipple markers.

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stable chest findings, no evidence of new acute pulmonary infectious process that could account for unexplained leukocytosis.

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minimal left basal atelectasis. no pneumonia. no pneumothorax.

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as compared to the previous radiograph, the patient has received a left pectoral pacemaker. the course of the leads are unremarkable. the leads project over the right atrium and the right ventricle respectively. there is no evidence of a pneumothorax. status post cabg. normal alignment of the sternal wires, clips in expected position. the lung volumes are low but there is no evidence of pulmonary edema, pneumonia or pleural effusions.

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mild chf. opacity at the left base may represent asymmetric edema, atelectasis, or underlying pneumonia.

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as compared to the previous radiograph, no relevant change is seen. the bilateral pleural effusions are constant in extent and severity. also constant are the subsequent areas of atelectasis at the lung bases and a moderate cardiomegaly. the right predominant parenchymal opacities, likely caused by the small right lung volume and there potential infection, have not substantially increased in extent since the previous examination. no new parenchymal opacities. no pneumothorax.

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in comparison with the study of , there is little change on the frontal view with no definite acute focal pneumonia. the area of increased opacification in the retrocardiac region seen on the previous lateral view cannot be assessed since no such view is presented on the current examination.

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interval removal of the swan- catheter. interval improvement in pulmonary edema.

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as compared to the previous radiograph, the lung volumes have decreased of the extubation. the other monitoring and support devices are in constant position. the pre-existing parenchymal opacities at the right lung bases and in the left perihilar areas are minimally more severe in extensive than on the previous image. no new opacities are visualized. minimal fluid overload is present.

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small left pleural effusion versus pleural thickening without focal consolidation concerning for pneumonia. hyperinflation. apparent focal density in the left mid lung. recommendation(s): nonurgent shallow obliques suggested to confirm this finding as superimposed shadows as opposed underlying pulmonary nodule.

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ap chest compared to through at with the chin down, position of the et tube tip less than a centimeter from the carina is only <num> cm below optimal placement. severe pulmonary edema is no worse, and bibasilar consolidation, which could be combination of dependent edema and atelectasis or concurrent pneumonia, is also stable. small bilateral pleural effusions are presumed, but smaller today. no pneumothorax. heart size is normal. right jugular line ends in the mid svc. upper enteric drainage catheter passes to the mid stomach. no pneumothorax.

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low lung volumes. patchy bibasilar airspace opacities may be due to atelectasis, but aspiration or infection is not excluded.

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no acute chest abnormality.

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mild pulmonary vascular engorgement without signs of interstitial edema.

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no acute cardiopulmonary process.

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no evidence of aspiration/pneumonia. minimal atelectasis in the right lung base.

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in comparison to radiograph, a small to moderate right pleural effusion is unchanged. small left pleural effusion is new. known pulmonary nodules and intrathoracic lymphadenopathy have been more fully assessed on recent pet-ct of.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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re- demonstrated opacity along the right major fissure, better assessed on prior chest ct from at which time atypical mycobacterial infection was suggested. mild basilar atelectasis.

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the new feeding tube projects with its tip over the gastroesophageal junction. the device should be advanced by approximately <num> cm. no complications, notably no pneumothorax. unchanged moderate cardiomegaly with platelike atelectasis at the right lung bases.

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no acute intrathoracic process.

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as compared to radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and apparent slight worsening of asymmetrical edema involving the right lung to a greater degree than the left. moderate to large right pleural effusion and small left pleural effusions are again demonstrated.

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no acute cardiopulmonary process.

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moderate left pneumothorax has increased since :<num>. no pleural effusion. normal right pleural space. normal cardiomediastinal silhouette. left subclavian infusion port ends in the region of the superior cavoatrial junction.

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no acute cardiopulmonary process

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severe cardiomegaly with interstitial edema consistent with congestive heart failure. the case was discussed by dr with dr by phone at on.

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no evidence of acute disease.

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interval resolution of the previously noted lingular opacity.

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nasogastric tube is seen coursing below the diaphragm with the tip not identified. right internal jugular port-a-cath and endotracheal tube are unchanged in position. there continues to be a stable hazy opacity at the right apex. unchanged patchy and streaky opacities at both lung bases could reflect areas of atelectasis, although pneumonia cannot be entirely excluded. more focal nodular opacity in the right mid lung likely corresponds to the presumed pulmonary contusion seen on the ct dated. no pneumothorax. no pulmonary edema. overall cardiac and mediastinal contours are stable. old left-sided rib fractures again seen.

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no acute cardiopulmonary process.

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no focal consolidation to suggest pneumonia.

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bibasilar atelectasis, but no areas of consolidation to suggest an acute pneumonia.

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in comparison with the study of , the the monitoring and support devices have been removed except for the left subclavian catheter that extends to the mid portion of the svc. no evidence of acute pneumonia or vascular congestion. since this is a portable radiograph, it is impossible to assess for free intraperitoneal gas. this would require ct or some erect or cross table lateral view with a horizontal beam.

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no acute intrathoracic process.

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comparison to. no pneumothorax. no pneumonia, no pulmonary edema, no pleural effusions. coronary stent. normal size of the cardiac silhouette.

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interval removal of right internal jugular approach central line. stable left internal jugular approach dialysis catheter. near-complete resolution of previously noted interstitial edema now only mild residual remaining. no infiltrate.

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no radiographic evidence of pneumonia.

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lungs well expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. transvenous right atrial right ventricular pacer leads continuous from the left pectoral generator, follow their expected courses, unchanged since at least.

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endotracheal tube in appropriate position. additional support tube as described above. heterogeneous opacity in right lower lobe is worrisome for pneumonia with small pleural effusion. hypoinflated lungs with bibasilar atelectasis. minimally displaced right posterior third rib fracture.

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diffuse alveolar edema may represent ards or severe pulmonary infection. interstitial emphysema may be secondary to barotrauma or pcp.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process.

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compared to chest radiographs in. heart size top-normal. pulmonary vasculature is engorged but there is no pulmonary edema. no focal pulmonary abnormality. no pleural effusion.

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opacification at the base of the left lung has increased slightly since , accompanied by at least a small or moderate left pleural effusion, which is unchanged. appearance of the left lower lobe could be explained by atelectasis, but pneumonia is of greater concern. pulmonary vascular engorgement is chronic. heart is not enlarged and mediastinal veins are not engorged.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. density lateral to the aortic arch is most likely due to degenerative change at the left costochondral junction. recommendation(s): repeat radiographs with apical lordotic views to exclude underlying parenchymal abnormality at the left lung apex.

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no acute cardiopulmonary process.

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apparent elevation of the right hemidiaphragm, an appearance which can be seen in the setting of the subpulmonic effusion. consider a lateral decubitus films for further characterization.

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right lower lobe opacity with volume loss, likely atelectasis, unchanged since the earlier study of.

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moderate right pleural effusion has developed, collected laterally and possibly loculated. prior to attempted thoracentesis, decubitus view should be obtained for the procedure should be performed under ultrasound guidance. lungs are grossly clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.

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no evidence of pneumothorax or grossly displaced anterior rib fracture. conventional chest radiographs are relatively insensitive for detecting anterior rib fractures, and dedicated coned-down rib radiograph at the site of point tenderness could be considered for more complete evaluation if warranted clinically.

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pa and lateral chest compared to , right pneumothorax previously large, is now almost entirely evacuated except for a small residual at the base of the lung. both lungs are well expanded and clear. mediastinum has returned to. there is no appreciable pleural effusion. right pleural drain is coiled along the lateral aspect of the right lung.

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no evidence of pneumonia. heart size normal. no pleural abnormality. heart size normal. dual channel catheter ends in the low svc.

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limited, negative.

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change in mediastinal contour compared to , greater than expected given change in patient position and lung volumes. recommend further evaluation with chest ct to rule out mediastinal injury. dr communicated findings to dr at <num> o'clock on via telephone at the time of discovery.

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possible small left pleural effusion. otherwise unremarkable chest x-ray.

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unremarkable chest radiographic examination.

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no focal consolidation. known pulmonary nodules and mediastinal mass better assessed on prior ct chest.

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no evidence of pneumonia. decreased lung volumes compared to prior study. mild pulmonary edema.

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no pulmonary edema. small bilateral pleural effusions, perhaps minimally increased in size compared to the prior exam with left lower lobe atelectasis.

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right internal jugular central venous line terminates in the upper right atrium and should be slightly retracted. heterogeneous bibasilar opacities concerning for pneumonia. small left pleural effusion.

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mild cardiomegaly with no evidence of pneumonia or chf.

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ap chest compared to : swan-ganz catheter ends in the proximal main pulmonary artery. no pneumothorax or right pleural effusion. opacification at the base of the left lung could be atelectasis alone or atelectasis and pleural fluid. right lung is grossly clear. heart is top normal size. no pneumothorax.

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pa and lateral chest compared to through : moderate right pleural effusion, generally dependent, is larger. right suprahilar mass may have enlarged. dense consolidation in the anterior segment of the right upper lobe is stable. extent of rightward mediastinal shift is unchanged. left lung is clear.