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/p19299233/s58083509/d5269842-223a4216-0f399f8f-c448d53e-7c44f2b9.jpg	retrocardiac opacity concerning for pneumonia. mild pulmonary edema and small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16159569/s57889080/69810ad8-13994e18-9763de96-45116a39-e20f9b6a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18958209/s56891628/38aad92d-b88f00d5-db194491-6e97e31a-812d0f35.jpg	mild left base atelectasis/ scarring. no definite focal consolidation. cardiac silhouette is not enlarged, similar in appearance compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p13726584/s58559475/da85a0f3-031cfc45-9e866407-5ed6ea65-80956382.jpg	pneumonic infiltrates in right middle lobe and left upper lobe lingula. coinciding prominence of superior mediastinal node. followup examination in two weeks is recommended. correlate with patient's clinical symptoms and signs.
MIMIC-CXR-JPG/2.0.0/files/p17553392/s53886555/a46246ed-2176424f-b7d65d78-41a85603-b614bde7.jpg	no significant interval change. there is atelectasis at the lung bases, small right-sided pleural effusion prominence of the pulmonary interstitial markings, and emphysematous changes, which are all stable.
MIMIC-CXR-JPG/2.0.0/files/p11968004/s53765895/e6b4711a-8fa622db-47b63d73-23d67b4e-4b869e42.jpg	since , right mid and lower lung pneumonia has resolved. no new opacities concerning for lung infection.
MIMIC-CXR-JPG/2.0.0/files/p14002928/s58586331/c84602c8-1aa281aa-f4e578be-12ae89f7-9fd21fd9.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10514375/s55709973/67490583-b638a8fe-c43ad0ba-f706838c-7bda361a.jpg	large left apical pleural opacity/pleural collection is re- demonstrated, similar in extent. prominence of the left hilum is again seen. there is patchy left base opacity ; left base retrocardiac opacity present previously although the extent appears slightly increased as compared to the prior study, superimposed infection, aspiration not excluded.
MIMIC-CXR-JPG/2.0.0/files/p13614046/s56325862/985f9d37-f539cf34-d8a8438a-3fd65033-b6c55e1d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17215379/s54797470/8a6650ca-a77c75f8-a50d0bce-db2356d8-1e540fec.jpg	no notable interval change.
MIMIC-CXR-JPG/2.0.0/files/p11115156/s51053666/3d604a5b-70b6e4c7-e5a77a99-c2963234-0abea026.jpg	mild bibasilar atelectasis. fractured sternal wires again seen.
MIMIC-CXR-JPG/2.0.0/files/p16283494/s56149396/c4f38474-a66ae933-5abf51dc-bd3080c2-79f57dbe.jpg	bilateral lower lobe consolidations are no worse than prior, and may represent chronic recurrent aspiration. mild heart failure.
MIMIC-CXR-JPG/2.0.0/files/p14503976/s55281675/6277dd64-83f02122-b899c0b5-08571a59-dd44a6aa.jpg	mild congestive heart failure with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18616369/s55235519/28d2753c-e77659ba-d0cfcae2-da4aedc1-875da92b.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13537167/s56355188/efeecf4b-74dc7c0a-ee542857-35cf90ae-dabecde4.jpg	as compared to the previous radiograph, the aortic balloon pump has been removed. a swan-ganz catheter has been placed via the left internal jugular vein access. the tip of the catheter is in the right pulmonary artery, the catheter should be pulled back by approximately <num> cm. the venous introduction sheet on the right has been removed. the other monitoring and support devices are constant. unchanged appearance of the lung parenchyma. moderate cardiomegaly persists. in unchanged manner, there is an unusually sharp delineation of the right hemidiaphragm, which could be interpreted as an indirect sign for the presence of free pleural air on the right. no apical pneumothorax is visualized.
MIMIC-CXR-JPG/2.0.0/files/p16367461/s54238109/06e63df4-7a4bcd5f-7fa5b697-698ae8ed-180518e8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14198487/s58646709/dbe09b63-baa62bdd-cd2f4684-d736bac2-a893f154.jpg	no significant interval change compared to the prior radiograph performed <num> hours earlier.
MIMIC-CXR-JPG/2.0.0/files/p12142332/s50658659/d7bab6da-2e71bf84-49650b71-791e5b3e-3f55387c.jpg	bibasilar opacities which may be atelectatic in etiology although infectious process is not entirely excluded. minimal central vascular engorgement without overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17701267/s58692317/99f5b66d-97e498f7-dfd2d104-ae710a4f-2ce7d143.jpg	linearly oriented right upper lobe nodular opacity is similar to recent ct of <num> days earlier but new from chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p12615138/s53002769/c4e3cbfa-e5eeb634-99aa1bec-8d33bc28-e70e26f9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10642477/s56215830/99fa2a38-dd5b8208-67b84be4-2db9b504-12d838bc.jpg	since the prior study there has been at least partial improvement in the loculated left upper lung pleural fluid. left chest tube is in place. lung bases are essentially clear. no definitive pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p16257001/s56912123/235dc30f-1320de32-534d0e43-63f30e08-89ea2998.jpg	satisfactory placement of dobbhoff tube with tip in the proximal stomach.
MIMIC-CXR-JPG/2.0.0/files/p14586789/s53386112/bb1a9da0-31ec90d6-409743fc-0d3e54ae-2837ec53.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14709778/s58021860/e5583940-2ca87497-cca0a06a-14991295-2db6be72.jpg	the patient has received the new nasogastric tube. the course of the tube is unremarkable, the side-hole projects approximately <num> cm be low the gastroesophageal junction. no complications, notably no pneumothorax. otherwise unchanged radiograph, with a minimal decrease in severity of the pre-existing mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17618022/s58197608/71196283-08e55bbd-d7246810-fef645f7-9d78ef0b.jpg	pulmonary edema, new since exam.
MIMIC-CXR-JPG/2.0.0/files/p13319174/s56388803/37d33bf9-d55d9dfb-1d5c9bf7-a85b9740-252171fd.jpg	stable mild cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p13562596/s53920954/094d3625-2f4682ef-fb0c3fcd-ae22873c-de975ecc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12047418/s52166991/0ea1dac0-d4e16fc7-b08faeed-dd010fa3-8d2b064d.jpg	comparison to. the opacity at the right lung base has improved. the opacity at the left lung base is stable. stable appearance of the cardiac silhouette. no larger pleural effusions. stable correct position of the monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p17558770/s52045847/fc97c176-af19ddfa-67a2f4e7-30328cd9-13afd7e6.jpg	heart size and mediastinum are stable. lungs are essentially clear. there is minimal bibasal linear opacities, potentially reflecting areas of atelectasis or alternatively in parts giving the providing history of pulmonary embolism. left lower lobe opacity might in fact represent minimal, developing or resolving infectious process. correlation with lateral view would be beneficial. no pleural effusion demonstrated within the limitations of this <num> ap projection.
MIMIC-CXR-JPG/2.0.0/files/p11333221/s57317033/2963ed20-54feb0f5-9221e512-e92908c2-cf6d15ca.jpg	no evidence of pneumoperitoneum. no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18092465/s57772071/03c10789-286320a1-0e72b53c-8be8a64f-2433cd10.jpg	severe pulmonary consolidation has improved since. right hand somewhat smaller left pleural effusion are unchanged. heart size is normal. et tube tip is approximately <num> cm from the carina an should not be further advanced. a large bore cannula traverses the main, right atrium common inferior vena cava and passes out of view. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10900387/s59742753/3524a234-2869ae54-9b03918e-d97d2484-80a4e740.jpg	right middle and lower lobe opacification concerning for pneumonia on a background of mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10515536/s55135957/5cbb02be-63886bf8-6697fbcc-69c40dfe-15db2191.jpg	no acute cardiopulmonary process
MIMIC-CXR-JPG/2.0.0/files/p12027869/s58472636/76a21e43-6429a34f-9fcf8f25-782863e3-285b52e6.jpg	minimal opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting
MIMIC-CXR-JPG/2.0.0/files/p17172316/s59408044/536d995c-371dfff1-32958415-892dc97c-2c025ec4.jpg	there is little if any left pleural effusion, pigtail pleural drainage catheter still in place. no pneumothorax. left suprahilar consolidation is improving, but left infrahilar consolidation is persistent, likely a combination of severe atelectasis and pneumonia. mild edema has improved in the right lung, basal pleural tube still in place. no pneumothorax. right pleural effusion small if any. normal postoperative cardiomediastinal silhouette. et tube transesophageal feeding tube are in standard placements respectively. right pic line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p13126396/s56378912/b94aa68b-f7ab2dfe-f695b2c0-79f5cf7a-2bdc2184.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13195108/s59057845/72a2555e-5e45bde8-4182e48b-daabbc3f-c7d18399.jpg	left subclavian port-a-cath is unchanged in position. right apical chest tube remains in place and overall the right apical pneumothorax appears to have slightly decreased in size. there continues to be postoperative changes at the right apex and in the right paratracheal region in this patient status post right upper lobectomy. tenting of the right hemidiaphragm is stable and expected in this postoperative patient. the left lung remains grossly clear. no pulmonary edema or left pleural effusion. persistent right lateral chest wall with subcutaneous emphysema.
MIMIC-CXR-JPG/2.0.0/files/p13535187/s59907095/c04bc8d7-3c3506e4-c8400f7d-d014525b-bdc4730c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12388314/s59013759/dd1923b8-7e358190-8d5ea161-8b569bb1-c5d7b229.jpg	right atrial pacemaker lead may be malpositionned in the tricuspid valve or beyond. right ventricular lead in standard placement. recommendation(s): echocardiogram is recommended for further evaluation of location of the atrial lead.
MIMIC-CXR-JPG/2.0.0/files/p18563813/s54521249/abcc19e8-27cdc9dd-a20fb3a1-ad36a1c6-cfa60bc8.jpg	unremarkable hilar contour. mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12668169/s58149572/555ad4f1-ce8d66f8-08145c29-bac7daa3-ea5b2ef1.jpg	bibasilar atelectasis associated with small effusions.
MIMIC-CXR-JPG/2.0.0/files/p14391494/s50913286/19d54c84-6a59d424-1ad170c8-1bdbed17-4d03f736.jpg	findings suggesting mild fluid overload or interstitial edema; no focal opacity demonstrated to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10064049/s53745704/5844752c-8c8887f5-895b6d9c-e42c2f77-17e9feda.jpg	no relevant change. the known right pleural effusion with moderate basal atelectasis. the left minimal pleural effusion is also unchanged. unchanged mild pulmonary edema and moderate cardiomegaly. no new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p12138413/s54656811/332c5037-6be99fca-9a1e9168-144c7e71-abbaa842.jpg	heart size and mediastinum are stable. new o for left-sided pacemaker has been inserted with its leads terminating in the right atrium and ventricle. right cyst pacemaker has been extracted. there is no pneumothorax. there is small pleural effusion, most likely on the left.
MIMIC-CXR-JPG/2.0.0/files/p12292383/s51879481/6b777f42-e25c9d72-df414360-adf2b748-719b2a2d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13973623/s56879699/721acd7b-cfa4daba-e9759c18-9c8707d2-3bc79d16.jpg	small left-greater-than- right pleural effusions and underlying collapse and/or consolidation. increased interstitial markings on background emphysematous change. multiple tiny nodular opacities noted in both lungs. please see report of chest cta for additional findings and more complete description.
MIMIC-CXR-JPG/2.0.0/files/p10620832/s53209594/57c444d4-3cf0a38b-bfbf6ba1-580313da-ab226078.jpg	as compared to the previous examination, the pre-existing massive bilateral parenchymal opacities and consolidations have decreased in extent and severity. however, the opacities are still clearly visible and predominates in the perihilar areas. the opacities are the compound mild on the right by a moderate pleural effusion that has not substantially changed. moderate cardiomegaly persists and the cardiac silhouette can now better be delineated than on the previous image. the endotracheal tube has been pulled back, the tip now projects <num> cm above the carina. the course of the nasogastric tube is unchanged, the tip is not included on the image. widening of the mediastinal angle suggests enlargement of the left atrium.
MIMIC-CXR-JPG/2.0.0/files/p14598480/s59728243/30f49d6a-58be4e06-beebff60-96070b04-76f3829d.jpg	worsening multifocal pulmonary process. some features suggest multifocal pneumonia, others vascular congestion. correlation with clinical factors is recommended. both may be present in this patient or alternatively an unusual pattern of asymmetric pulmonary edema of diffuse pneumonia could be considered as the primary etiology.
MIMIC-CXR-JPG/2.0.0/files/p19036076/s50819957/2a7f1297-74646c81-b27ba3ec-29945b95-9d9c8417.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12097109/s54683636/ac0df01c-88262309-4198d33e-d0bed945-a70d973d.jpg	left base atelectasis without definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12544332/s59879704/20bee4ab-9ab59665-1ca619fc-e13b2841-13d70e60.jpg	hyperinflation, but no evidence of acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11291823/s53635737/4dd1bea4-df278e76-1e9232b9-f8d49174-54e192b8.jpg	et tube in standard placement. esophageal drainage tube can be traced with difficulty to the upper stomach. left internal jugular line ends in the left brachiocephalic vein. borderline pulmonary edema is stable. persistent right middle and lower lobe collapse are stable since , worsened since. small right pleural effusion is stable. moderate cardiomegaly may have in proved since.
MIMIC-CXR-JPG/2.0.0/files/p15002645/s56406765/779341fa-0ac0ed01-703d117e-6f13b46f-8562b7bb.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13364239/s52573629/1423a443-fa7b13da-03579c36-48070a0f-73056cac.jpg	small bilateral pleural effusions. stable moderately enlarged heart with enlarged tortuous aorta.
MIMIC-CXR-JPG/2.0.0/files/p18785068/s58756007/4e9de2b0-6981caa6-79ad9095-f60900d7-5ad6874c.jpg	left lower lobe pneumonia. communicated these findings to dr at on via telephone at time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p14394983/s57723869/c098a87e-683e9cb5-b38ba5fb-91792026-7c52c635.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19048545/s52026989/4ee301e1-1e84c9b6-5cdfbb31-21f16206-96c00fd5.jpg	heart size is normal. mediastinum is stable in appearance including mild tortuosity of the aorta. lungs are clear. there is no pleural effusion or pneumothorax. no definitively broken ribs demonstrated, but slightly different contour of the lateral aspect of the left fifth and sixth ribs demonstrated, please correlate with clinical findings. if clinically warranted, correlation with dedicated three views are to be considered.
MIMIC-CXR-JPG/2.0.0/files/p12637511/s52717984/1975d849-1264663a-ecc1ea50-8fcf08b6-edef7352.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17568705/s57714977/c2e5495c-593e2c33-61092bff-8c83a7d8-78aae58c.jpg	clear lungs without evidence of pneumonia. slightly increased density of the anterolateral aspects of the , , and right ribs which could represent incomplete fractures. correlate clinically with patient history of trauma and/or physical exam. these findings were entered onto the critical communications dashboard by dr at on.
MIMIC-CXR-JPG/2.0.0/files/p12015787/s57951839/8d98fa61-b9cdd74a-600239e7-073d7083-077373d9.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18893230/s54621446/4f6eeb41-bbf74e23-05bb3bc2-b6fa190b-52f911d4.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s52046806/88a1d118-2078a499-096c7cdf-fa9e10a5-4c3bd21f.jpg	chf, with bibasilar effusions and underlying collapse and/or consolidation. the possibility of an underlying infectious infiltrate cannot be excluded. the appearance is overall similar to <num> day earlier, but the chf findings could be slightly worse.
MIMIC-CXR-JPG/2.0.0/files/p17078498/s54231094/1bbfbd1e-5d1d1615-cedf0990-b2802af0-9f25c34e.jpg	status post endotracheal intubation. basilar opacities, greater on the right than left with low lung volumes, nonspecific findings. although pneumonia could be considered, atelectasis could explain the findings. short-term followup radiographs are suggested.
MIMIC-CXR-JPG/2.0.0/files/p12415372/s59465918/69fedec8-fb7718ce-bbcba66f-b9e58fea-6c200a40.jpg	as compared to the previous radiograph, no relevant change is seen. a subtle lingular scar, better visualized on the frontal than on the lateral radiograph, is unchanged in extent and severity. mild overinflation and blunting of the right costophrenic sinus, likely caused by a pleural thickening. the no acute changes. no pneumonia, no pulmonary edema. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15884168/s50231025/03da7d9d-84621372-df8b88ac-b0586d44-a51de376.jpg	lungs are mildly diminished in volume, particular the right, a chronic state of affairs. there is no focal pulmonary abnormality, specifically no evidence of pneumonia or cardiac decompensation. no heart size top-normal. pleural effusion. shunt catheter traverses the right neck chest and upper abdomen
MIMIC-CXR-JPG/2.0.0/files/p13526309/s56406916/7b5b79da-ed792c7c-459b97d1-f2065ca9-1244832a.jpg	increased fluid overload with increased right effusion.
MIMIC-CXR-JPG/2.0.0/files/p10573256/s57498361/32bc6861-dd72da3e-4ee42101-baf82742-99542175.jpg	no acute cardiopulmonary process. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19509796/s55727127/830582ac-0d187e3f-38f5c5f9-47062dcd-f33d16c5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17551032/s58987039/73e0e7b4-4ffbe566-feb48f1c-6201bc17-363b1bbf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17043124/s51128977/f34e74c1-332bbafa-d6265bb9-d68f89d1-464094fb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14494263/s51797422/e6ccab14-e31ceeed-d4d7dfa9-774573f6-89a5d700.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11306032/s51059649/69dfc114-0e519a31-e3223901-4273c69f-ebb711a8.jpg	no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14592916/s59262719/65fe2e1d-ba844df7-61210e48-e66dcf9c-c71700eb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12361573/s58969251/07eade5b-e13473a3-ff8d8603-37505f34-3f04791b.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p16755216/s51398298/88d4ce78-1a535357-e1ab1dab-250ed8ba-4a94fda9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17392340/s53290050/1dca8cca-f9fe4532-d471afed-aaaaf30c-069b78cc.jpg	endotracheal tube in standard position. enteric tube is seen within the esophagus, but tip is off the inferior borders of the film. bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10843678/s57563830/264b8150-c1e7f4d9-eee95ead-cefe28aa-c50295cc.jpg	no acute intrathoracic process with free intraperitoneal air compatible with recent surgery.
MIMIC-CXR-JPG/2.0.0/files/p15842401/s56457491/ad3e9192-2fff549b-fb3e55d8-e52b1c7d-33c62ed1.jpg	multifocal pneumonia. left fourth anterior rib deformity may represent a chronic fracture although ct chest is recommended to exclude osseous malignancy. recommendation(s): noncontrast ct of the chest is recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p19593791/s58575621/cbcad41f-750f9b49-73f65bc6-783b819d-f1debf43.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11355855/s57719708/53269689-81a1a25c-73811eb7-29759420-3e776c22.jpg	orograstric tube courses below the diaphragm, the tip is just distal to the ge junction. advancing the tube further could be considered if placement is desired within the gastric fundus.
MIMIC-CXR-JPG/2.0.0/files/p14091367/s51436259/f9d31ae0-398f12b7-c3c10d54-0a90f0d9-7809ebb7.jpg	bibasilar opacities are again seen and may represent aspiration or pneumonia. et tube in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p12046588/s55158945/f5901987-0f7584e6-4d3b7117-ce692c68-87e8cf78.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15569663/s59459746/08f9a651-711e97ac-906c6b1a-e9e8e668-cc509439.jpg	findings suggesting mild vascular congestion. suspected pleural effusions. a developing parenchymal opacity at the left lung base is not excluded; short-term follow-up radiographs may be helpful to reassess.
MIMIC-CXR-JPG/2.0.0/files/p11995308/s55726367/a51bb590-221250b6-b42af2ba-672fac62-bb73b102.jpg	in comparison with study of , there is little change and no evidence of acute cardiopulmonary disease. specifically, no evidence of right pleural effusion. no pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15820378/s58441759/a1fd28d3-5b96df95-b8b5f6c7-f5e4ba78-84d83eaf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13103670/s55979698/4cf2ff9c-7379a589-592f0bb7-fec6d98d-957ab90f.jpg	hyperinflated lungs with possible trace pleural effusions. vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17827425/s58244942/6cf96896-a5ef9cb9-4e82d7e3-a2c0254d-273fcad5.jpg	metastatic lung cancer without evidence of underlying acute process. stable small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13855888/s55690037/127f260f-d9f6a414-b6b26259-59e44293-eacaf63c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13291750/s52553318/c266f8ef-a5b21b4f-868fe29d-2bdb1367-c535bfb1.jpg	small bilateral effusions.
MIMIC-CXR-JPG/2.0.0/files/p12137189/s53081233/3c8176f4-9cf95ad4-1fff2f5f-7109ad52-250caa1d.jpg	as compared radiograph, the severity of pulmonary edema has lessened. no new focal areas of opacification are identified to suggest the presence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11048381/s51121747/cabb0da2-a93de1bc-daaf4cdb-c58ac545-6d652c3b.jpg	extensive pulmonary opacities are overall similar, with possible minimal improvement at the right base. change in position of the thin tube overlying the mediastinum -- see comment above. clinical correlation is requested.
MIMIC-CXR-JPG/2.0.0/files/p18976063/s56392627/6add273f-de8f980c-8851ac44-775c37d7-9839924e.jpg	as compared to the previous radiograph, there is an increase in extent of the known right pleural effusion. the lung volumes have decreased, causing increased radiodensity of the left lung. the left lung displays multiple air bronchograms. the cardiac silhouette can no longer be delineated. monitoring and support devices are constant.
MIMIC-CXR-JPG/2.0.0/files/p17600927/s53482578/19d97fe9-91d42168-ac5434ba-5f4a01e2-0e49ba2b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13103526/s55637711/e76135f8-7edcd2ed-11a9ac37-7f9ce11d-8bd018c2.jpg	right internal jugular line tip is at the level of mid svc. cardiomediastinal silhouette is unchanged. mild vascular congestion is unchanged. interval improvement of right lower lung variation is demonstrated. small amount of bilateral pleural effusion is unchanged of note is mild distension of the and et tube cough that should be readjusted
MIMIC-CXR-JPG/2.0.0/files/p10668617/s56151428/046bb2aa-951205cf-4eabceb7-a1aef417-1b51bc7d.jpg	as compared to radiograph, a right internal jugular central venous catheter is been removed, and a tiny right pneumothorax is newly appreciated. cardiomediastinal contours are stable in appearance. small bilateral pleural effusions are present as well as minor bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11433722/s50089963/f6b018b7-dfe0b9f0-98057369-0c198846-393c29e5.jpg	trace pleural effusions. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16793521/s56501181/f265e421-8adcaf0a-112fafe9-76ff8eb9-f07c4b2e.jpg	no focal consolidation to suggest pneumonia. interval improved aeration of the lungs with interval resolution of the right lower lobe opacity. small posterior bilateral effusions.
MIMIC-CXR-JPG/2.0.0/files/p10141364/s59338846/51d0fd2d-11686a81-ced7d099-94ba3183-f1b729d8.jpg	ap chest compared to through , : lower lung volumes may explain apparent increase in opacification of what has consistently been ground-glass opacification of the right lung. atelectasis probably explains greater consolidation on the left. at least a small right pleural effusion is presumed. cardiomediastinal silhouette is unchanged and has been grossly normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16549556/s56366715/3bb2e0f8-ee3168f6-a3ab6d13-cca9d766-523d949c.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p16864004/s57950213/e4c1350c-850e1f04-cf072223-090a4502-8f94b00d.jpg	no acute cardiopulmonary abnormalities

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retrocardiac opacity concerning for pneumonia. mild pulmonary edema and small bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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mild left base atelectasis/ scarring. no definite focal consolidation. cardiac silhouette is not enlarged, similar in appearance compared to the prior study.

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pneumonic infiltrates in right middle lobe and left upper lobe lingula. coinciding prominence of superior mediastinal node. followup examination in two weeks is recommended. correlate with patient's clinical symptoms and signs.

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no significant interval change. there is atelectasis at the lung bases, small right-sided pleural effusion prominence of the pulmonary interstitial markings, and emphysematous changes, which are all stable.

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since , right mid and lower lung pneumonia has resolved. no new opacities concerning for lung infection.

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no evidence of acute cardiopulmonary disease.

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large left apical pleural opacity/pleural collection is re- demonstrated, similar in extent. prominence of the left hilum is again seen. there is patchy left base opacity ; left base retrocardiac opacity present previously although the extent appears slightly increased as compared to the prior study, superimposed infection, aspiration not excluded.

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no acute cardiopulmonary process.

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no notable interval change.

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mild bibasilar atelectasis. fractured sternal wires again seen.

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bilateral lower lobe consolidations are no worse than prior, and may represent chronic recurrent aspiration. mild heart failure.

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mild congestive heart failure with small bilateral pleural effusions.

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no evidence of pneumonia.

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as compared to the previous radiograph, the aortic balloon pump has been removed. a swan-ganz catheter has been placed via the left internal jugular vein access. the tip of the catheter is in the right pulmonary artery, the catheter should be pulled back by approximately <num> cm. the venous introduction sheet on the right has been removed. the other monitoring and support devices are constant. unchanged appearance of the lung parenchyma. moderate cardiomegaly persists. in unchanged manner, there is an unusually sharp delineation of the right hemidiaphragm, which could be interpreted as an indirect sign for the presence of free pleural air on the right. no apical pneumothorax is visualized.

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no acute cardiopulmonary process.

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no significant interval change compared to the prior radiograph performed <num> hours earlier.

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bibasilar opacities which may be atelectatic in etiology although infectious process is not entirely excluded. minimal central vascular engorgement without overt pulmonary edema.

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linearly oriented right upper lobe nodular opacity is similar to recent ct of <num> days earlier but new from chest radiograph.

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no acute cardiopulmonary process.

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since the prior study there has been at least partial improvement in the loculated left upper lung pleural fluid. left chest tube is in place. lung bases are essentially clear. no definitive pneumothorax is seen.

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satisfactory placement of dobbhoff tube with tip in the proximal stomach.

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no acute cardiopulmonary process.

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the patient has received the new nasogastric tube. the course of the tube is unremarkable, the side-hole projects approximately <num> cm be low the gastroesophageal junction. no complications, notably no pneumothorax. otherwise unchanged radiograph, with a minimal decrease in severity of the pre-existing mild pulmonary edema.

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pulmonary edema, new since exam.

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stable mild cardiomegaly

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no acute cardiopulmonary process.

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comparison to. the opacity at the right lung base has improved. the opacity at the left lung base is stable. stable appearance of the cardiac silhouette. no larger pleural effusions. stable correct position of the monitoring and support devices.

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heart size and mediastinum are stable. lungs are essentially clear. there is minimal bibasal linear opacities, potentially reflecting areas of atelectasis or alternatively in parts giving the providing history of pulmonary embolism. left lower lobe opacity might in fact represent minimal, developing or resolving infectious process. correlation with lateral view would be beneficial. no pleural effusion demonstrated within the limitations of this <num> ap projection.

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no evidence of pneumoperitoneum. no evidence of acute cardiopulmonary process.

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severe pulmonary consolidation has improved since. right hand somewhat smaller left pleural effusion are unchanged. heart size is normal. et tube tip is approximately <num> cm from the carina an should not be further advanced. a large bore cannula traverses the main, right atrium common inferior vena cava and passes out of view. no pneumothorax.

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right middle and lower lobe opacification concerning for pneumonia on a background of mild pulmonary edema.

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no acute cardiopulmonary process

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minimal opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting

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there is little if any left pleural effusion, pigtail pleural drainage catheter still in place. no pneumothorax. left suprahilar consolidation is improving, but left infrahilar consolidation is persistent, likely a combination of severe atelectasis and pneumonia. mild edema has improved in the right lung, basal pleural tube still in place. no pneumothorax. right pleural effusion small if any. normal postoperative cardiomediastinal silhouette. et tube transesophageal feeding tube are in standard placements respectively. right pic line ends in the low svc.

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no acute cardiopulmonary process.

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left subclavian port-a-cath is unchanged in position. right apical chest tube remains in place and overall the right apical pneumothorax appears to have slightly decreased in size. there continues to be postoperative changes at the right apex and in the right paratracheal region in this patient status post right upper lobectomy. tenting of the right hemidiaphragm is stable and expected in this postoperative patient. the left lung remains grossly clear. no pulmonary edema or left pleural effusion. persistent right lateral chest wall with subcutaneous emphysema.

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no acute cardiopulmonary process.

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right atrial pacemaker lead may be malpositionned in the tricuspid valve or beyond. right ventricular lead in standard placement. recommendation(s): echocardiogram is recommended for further evaluation of location of the atrial lead.

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unremarkable hilar contour. mild pulmonary edema.

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bibasilar atelectasis associated with small effusions.

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findings suggesting mild fluid overload or interstitial edema; no focal opacity demonstrated to suggest pneumonia.

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no relevant change. the known right pleural effusion with moderate basal atelectasis. the left minimal pleural effusion is also unchanged. unchanged mild pulmonary edema and moderate cardiomegaly. no new parenchymal opacities.

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heart size and mediastinum are stable. new o for left-sided pacemaker has been inserted with its leads terminating in the right atrium and ventricle. right cyst pacemaker has been extracted. there is no pneumothorax. there is small pleural effusion, most likely on the left.

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no acute cardiopulmonary process.

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small left-greater-than- right pleural effusions and underlying collapse and/or consolidation. increased interstitial markings on background emphysematous change. multiple tiny nodular opacities noted in both lungs. please see report of chest cta for additional findings and more complete description.

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as compared to the previous examination, the pre-existing massive bilateral parenchymal opacities and consolidations have decreased in extent and severity. however, the opacities are still clearly visible and predominates in the perihilar areas. the opacities are the compound mild on the right by a moderate pleural effusion that has not substantially changed. moderate cardiomegaly persists and the cardiac silhouette can now better be delineated than on the previous image. the endotracheal tube has been pulled back, the tip now projects <num> cm above the carina. the course of the nasogastric tube is unchanged, the tip is not included on the image. widening of the mediastinal angle suggests enlargement of the left atrium.

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worsening multifocal pulmonary process. some features suggest multifocal pneumonia, others vascular congestion. correlation with clinical factors is recommended. both may be present in this patient or alternatively an unusual pattern of asymmetric pulmonary edema of diffuse pneumonia could be considered as the primary etiology.

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no acute intrathoracic process.

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left base atelectasis without definite focal consolidation.

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hyperinflation, but no evidence of acute intrathoracic process.

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et tube in standard placement. esophageal drainage tube can be traced with difficulty to the upper stomach. left internal jugular line ends in the left brachiocephalic vein. borderline pulmonary edema is stable. persistent right middle and lower lobe collapse are stable since , worsened since. small right pleural effusion is stable. moderate cardiomegaly may have in proved since.

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no acute intrathoracic process.

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small bilateral pleural effusions. stable moderately enlarged heart with enlarged tortuous aorta.

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left lower lobe pneumonia. communicated these findings to dr at on via telephone at time of discovery.

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no acute cardiopulmonary process.

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heart size is normal. mediastinum is stable in appearance including mild tortuosity of the aorta. lungs are clear. there is no pleural effusion or pneumothorax. no definitively broken ribs demonstrated, but slightly different contour of the lateral aspect of the left fifth and sixth ribs demonstrated, please correlate with clinical findings. if clinically warranted, correlation with dedicated three views are to be considered.

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no acute cardiopulmonary process.

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clear lungs without evidence of pneumonia. slightly increased density of the anterolateral aspects of the , , and right ribs which could represent incomplete fractures. correlate clinically with patient history of trauma and/or physical exam. these findings were entered onto the critical communications dashboard by dr at on.

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no acute cardiopulmonary abnormality.

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no acute cardiothoracic process.

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chf, with bibasilar effusions and underlying collapse and/or consolidation. the possibility of an underlying infectious infiltrate cannot be excluded. the appearance is overall similar to <num> day earlier, but the chf findings could be slightly worse.

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status post endotracheal intubation. basilar opacities, greater on the right than left with low lung volumes, nonspecific findings. although pneumonia could be considered, atelectasis could explain the findings. short-term followup radiographs are suggested.

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as compared to the previous radiograph, no relevant change is seen. a subtle lingular scar, better visualized on the frontal than on the lateral radiograph, is unchanged in extent and severity. mild overinflation and blunting of the right costophrenic sinus, likely caused by a pleural thickening. the no acute changes. no pneumonia, no pulmonary edema. no larger pleural effusions.

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lungs are mildly diminished in volume, particular the right, a chronic state of affairs. there is no focal pulmonary abnormality, specifically no evidence of pneumonia or cardiac decompensation. no heart size top-normal. pleural effusion. shunt catheter traverses the right neck chest and upper abdomen

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increased fluid overload with increased right effusion.

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no acute cardiopulmonary process. no pneumonia.

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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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no evidence of pneumonia.

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no focal consolidation concerning for pneumonia.

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no acute cardiopulmonary process.

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no acute findings.

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no acute cardiopulmonary process.

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endotracheal tube in standard position. enteric tube is seen within the esophagus, but tip is off the inferior borders of the film. bibasilar atelectasis.

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no acute intrathoracic process with free intraperitoneal air compatible with recent surgery.

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multifocal pneumonia. left fourth anterior rib deformity may represent a chronic fracture although ct chest is recommended to exclude osseous malignancy. recommendation(s): noncontrast ct of the chest is recommended for further evaluation.

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no acute cardiopulmonary process.

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orograstric tube courses below the diaphragm, the tip is just distal to the ge junction. advancing the tube further could be considered if placement is desired within the gastric fundus.

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bibasilar opacities are again seen and may represent aspiration or pneumonia. et tube in appropriate position.

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mild pulmonary edema.

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findings suggesting mild vascular congestion. suspected pleural effusions. a developing parenchymal opacity at the left lung base is not excluded; short-term follow-up radiographs may be helpful to reassess.

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

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no acute cardiopulmonary process.

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hyperinflated lungs with possible trace pleural effusions. vascular congestion.

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metastatic lung cancer without evidence of underlying acute process. stable small left pleural effusion.

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no acute cardiopulmonary process.

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small bilateral effusions.

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as compared radiograph, the severity of pulmonary edema has lessened. no new focal areas of opacification are identified to suggest the presence of pneumonia.

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extensive pulmonary opacities are overall similar, with possible minimal improvement at the right base. change in position of the thin tube overlying the mediastinum -- see comment above. clinical correlation is requested.

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as compared to the previous radiograph, there is an increase in extent of the known right pleural effusion. the lung volumes have decreased, causing increased radiodensity of the left lung. the left lung displays multiple air bronchograms. the cardiac silhouette can no longer be delineated. monitoring and support devices are constant.

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no acute cardiopulmonary abnormality.

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right internal jugular line tip is at the level of mid svc. cardiomediastinal silhouette is unchanged. mild vascular congestion is unchanged. interval improvement of right lower lung variation is demonstrated. small amount of bilateral pleural effusion is unchanged of note is mild distension of the and et tube cough that should be readjusted

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as compared to radiograph, a right internal jugular central venous catheter is been removed, and a tiny right pneumothorax is newly appreciated. cardiomediastinal contours are stable in appearance. small bilateral pleural effusions are present as well as minor bibasilar atelectasis.

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trace pleural effusions. no acute intrathoracic process.

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no focal consolidation to suggest pneumonia. interval improved aeration of the lungs with interval resolution of the right lower lobe opacity. small posterior bilateral effusions.

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ap chest compared to through , : lower lung volumes may explain apparent increase in opacification of what has consistently been ground-glass opacification of the right lung. atelectasis probably explains greater consolidation on the left. at least a small right pleural effusion is presumed. cardiomediastinal silhouette is unchanged and has been grossly normal. no pneumothorax.

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no acute findings in the chest.

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no acute cardiopulmonary abnormalities