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/p16432133/s50715306/df29ebfc-d98d4eb9-bbb8ed62-8b6a32be-84a02c42.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19152552/s53621267/06de3235-398e9408-4c36302d-abd51b3b-2cb05bf3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10534245/s54567518/a65590b9-303b9f16-3da77bc2-808d248e-6d3ced61.jpg	tip of the intra-aortic balloon pump is approximately <num> mm from the apex of the aortic knob, unchanged since , approximately <num> mm higher than it was when initially inserted on. severe cardiomegaly has not changed and there still pulmonary vascular engorgement but there is not appreciable pulmonary edema. some opacification in the left lower lobe is most likely atelectasis. pleural effusion if present is not substantial. there is no pneumothorax. right transjugular swan-ganz catheter ends in the right pulmonary artery.
MIMIC-CXR-JPG/2.0.0/files/p17475735/s51775532/b68623e7-e2bf4a22-ea7de376-00444077-3eaeccff.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18759876/s51808395/7ac69d55-02900d43-d04c877c-8fd45ac4-d987280f.jpg	mild pulmonary vascular congestion without overt pulmonary edema. no convincing signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11172413/s51430494/f676fb30-b9587808-48e2ebfc-023e8e3e-d618080c.jpg	findings suggest mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11694393/s57154206/5fb8769a-de90ba98-dfdc4fdc-b473cd26-e992999d.jpg	ng tube in the mid esophagus. mild elevation of the left hemidiaphragm. results were discussed with dr at on via telephone by dr at the time the findings were discovered.
MIMIC-CXR-JPG/2.0.0/files/p15508062/s57154713/714dcc7c-c8ca4523-941aacc7-fbdfbc3a-26e6856a.jpg	no significant interval change. no focal pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11000183/s54898709/160b960f-a1ec9252-c44ad542-3f4acc6c-9e7214b0.jpg	no good evidence of aspiration pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17978664/s55491650/327112e5-7c96f063-540b12cd-33df5517-30232f58.jpg	low lung volumes with crowding of bronchovascular structures. bibasilar opacities likely represent atelectasis, but superimposed infection or aspiration should be considered in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p13972092/s50619814/b89f42cf-29a7548f-4799b97a-2ac10483-2ece4236.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16243121/s59538100/3c93694b-dbfb82f1-ad7e0206-f47b9055-26086864.jpg	no acute cardiopulmonary process detected.
MIMIC-CXR-JPG/2.0.0/files/p18001762/s54991738/2f7ee079-3757a2d0-2b243bf2-69be499a-0ae23c97.jpg	no evidence of pneumonia or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12251619/s54010512/76db1641-2ab50708-4d81af97-2459a923-6334141e.jpg	heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10260216/s54394167/288504db-1e655f60-b552cd2e-6060bcb9-6fa81261.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18145610/s51075513/2fcb66d9-4467f533-0e945ebe-2e2ab59f-f3b54760.jpg	right internal jugular central line is unchanged in position. stable postoperative cardiac and mediastinal contours status post median sternotomy for cabg. small left layering effusion with minimal residual patchy atelectasis at the left base. no evidence of pulmonary edema or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17956532/s51351004/da3ddccc-5953d1d4-592f7d44-9317bd92-56524ea7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10208917/s57380279/ded5ffa4-b50eb3cf-78e7b048-55f74a48-e8e11e82.jpg	right lower lobe opacity consistent with pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15453986/s59115374/47016d3f-e57225e7-648ea3db-bb90f8de-e7e9d707.jpg	pa and lateral chest reviewed in the absence of prior chest radiographs: there is no pleural effusion, but there could be a tiny left apical pneumothorax. if that is clinically pertinent, i would recommend an expiration frontal view of the chest. lungs are clear. heart size is normal and there is no evidence of central lymph node enlargement. chest cage is normal, but conventional chest radiographs are not designed for detection of subtle chest cage abnormalities. if there are focal findings, detailed views of the ribs should be obtained. the findings were posted to the online record of critical radiology findings for direct notification of the referring physician, at the time of this dictation.
MIMIC-CXR-JPG/2.0.0/files/p11489188/s57965729/e666ef64-e865bdd1-4f02d5b3-0e5155d0-5b256e0f.jpg	no acute cardiopulmonary abnormalities opacities seen in prior study represented atelectasis
MIMIC-CXR-JPG/2.0.0/files/p17276328/s52061160/16684651-c6639cb9-51f8d27f-4e4ddf81-c5d70994.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15383041/s57022311/2fe33855-0f95e42b-e329f89b-89031a65-7444a2aa.jpg	in comparison with study of , the patient has taken a much better inspiration. the cardiac silhouette is within normal limits and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. the right ij sheath and nasogastric tube have been removed. interventional coils are seen in the left upper quadrant.
MIMIC-CXR-JPG/2.0.0/files/p14283210/s59866594/b5965976-ca56fc96-3dfe8e4a-1f2b14e1-c79c09b0.jpg	ett and ng tubes in standard position. right infrahilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11334552/s59073751/dea1bf89-7b6ef5f6-50345295-cf643750-20a7a4da.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12751862/s54379333/6d4a4ea0-521399c0-3f74b027-63625389-c60fe783.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16780111/s59711190/fb70c2de-6734503f-86ebaa72-a4c84b5e-bf8d6b09.jpg	no acute cardiopulmonary abnormality. multiple osseous sclerotic metastases, better seen on the recent pet-ct from.
MIMIC-CXR-JPG/2.0.0/files/p11240669/s50640411/783b99d6-fae0bb39-702ceb37-88f7d956-c9ecc345.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17525482/s52058789/67ee79e4-09c50272-98b506f2-689c00b7-dc3694b3.jpg	stable small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13261938/s52056199/14c9cea5-a8c1fce7-2000d512-360954a1-aba888a2.jpg	no relevant change as compared to the previous image. the endotracheal tube continues to be low, with the tip projecting <num> cm above the carina, the tube needs to be withdrawn by <num> cm to avoid intubation of the right main bronchus. the nasogastric tube is in correct position. multiple rib fractures are better visualized on a ct examination from. no visible pneumothorax. minimal right pleural effusion. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p13869491/s50883673/afcc9825-263bc820-867974ca-50df7485-01468386.jpg	interval retraction of the right-sided dual-lumen central venous catheter by <num> cm, with tip now in the upper svc.
MIMIC-CXR-JPG/2.0.0/files/p15409138/s56679606/0b121368-12d1fbf4-d5e0aa61-76c67adf-3badf125.jpg	bibasilar opacities are consistent with scarring or atelectasis. persistently elevated right hemidiaphragm is stable from the prior study.
MIMIC-CXR-JPG/2.0.0/files/p15455517/s52565157/0f75b769-f624b191-fb19a343-00cdc18a-b5230646.jpg	chronic engorgement of the hilar vasculature, though no acute pulmonary edema no confluent consolidation to suggest pneumonia unchanged moderate-to-severe cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p17168270/s53320546/e9b37b92-693faf00-1fcb82f9-a5286eb6-3e51dd07.jpg	no acute cardiopulmonary process. age-indeterminate thoracic compression deformities for which clinical correlation is suggested.
MIMIC-CXR-JPG/2.0.0/files/p13933259/s52752038/2f303bdb-c0383aa2-8d4d6ffa-9dcb867c-896b6b2f.jpg	plain film images within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p14763167/s57481931/7a3cc89b-8321878f-38b95545-519e3967-31fef130.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15408802/s50547444/79b0e6d9-4e2b33a6-bcec1da1-dd2c42c7-5f11c85a.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10352433/s53631095/73485b3e-e51a8201-60591f50-ca7284c3-a1498ae6.jpg	moderate pulmonary edema. severe congestion.
MIMIC-CXR-JPG/2.0.0/files/p17136238/s56003596/ebb2bc8a-2d020179-9eb324f1-0a91cf6f-3622a313.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15982138/s56166217/2cda7063-9f409127-9f8be7b2-d775a14d-2deba1e8.jpg	compared to prior chest radiographs since , most recently. lungs are clear. heart size normal. no pleural abnormality. normal mediastinal and hilar contours.
MIMIC-CXR-JPG/2.0.0/files/p18390120/s55374694/e99aaaec-b7f1359d-0d541ac2-0466879a-1feebc3f.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. there again is opacification at the left base consistent with effusion and volume loss with associated rib fractures. less prominent changes are seen on the right. there is now a pigtail catheter in place on the right with no definite pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10138989/s56936464/de3d10f8-da3e4fc1-e0d9f769-55dabfa9-15a21ec2.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18931099/s54313363/09629b30-2585bb2c-306e36b3-0362da04-12d27e1c.jpg	stable right loculated hydropneumothorax compared to.
MIMIC-CXR-JPG/2.0.0/files/p15805011/s56017169/89122e65-788fee66-7a6b4148-a95956de-c0fa3250.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12702546/s56534933/3103f098-09573cd7-830fa3db-9767a6c8-9f3b7280.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16171347/s51991900/72d5e988-da43d484-4969f2ac-ebb935af-4c901cbe.jpg	no evidence of injury.
MIMIC-CXR-JPG/2.0.0/files/p19616513/s51317568/4139e4f4-10a994ef-cadb56c7-a8cbb19c-d3a94167.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15801557/s56004637/94ec1345-dc206918-7c1b758d-469c6ea1-65487d3f.jpg	ill-defined <num>-cm opacity projecting over the left upper hemithorax, difficult to discern whether pulmonary or within the scapula. recommend either shallow oblique views or chest ct for further evaluation to assess for a possible underlying pulmonary lesion.
MIMIC-CXR-JPG/2.0.0/files/p14660168/s56317711/67c58671-6028a7b6-907bc198-e31c1740-56c28e6f.jpg	large hiatal hernia. no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12105403/s59959128/730a3c1c-76fa7979-29acc420-0437de6d-7986a957.jpg	low lung volumes. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14794605/s56175060/ff0e2032-bfbce2b0-560e163a-b78d552b-d98dfcb4.jpg	the heart remains enlarged which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. there are likely layering bilateral effusions with associated bibasilar air-space disease, most likely representing compressive atelectasis, although pneumonia or aspiration cannot be excluded. there is no evidence of pulmonary edema. some calcified lung nodules on the right likely reflect prior granulomatous infection. compared to the previous study, the pleural effusions and bibasilar air-space process has developed. there are degenerative changes of both glenohumeral joints. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17016647/s50769423/2835bb7f-28cd6d61-25cb2858-03a4c871-cc6bdd1c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18495561/s58092144/5fa771fb-b1042bba-689c55f9-a6a29665-042992c7.jpg	no radiographic findings to account for chest pain. if a vascular etiology is suspected clinically, dedicated cta study may be considered if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p17382794/s50051881/030240fe-5df4ce62-7aceccfe-1be79b4a-d8df52f1.jpg	no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, acute focal pneumonia, or mediastinal mass.
MIMIC-CXR-JPG/2.0.0/files/p12953818/s59262384/09cca88c-d08465c2-20d306e9-0da8aed6-fb3e2dbe.jpg	normal chest. no evidence of pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p17624308/s59808924/efab5996-5b2fb102-8eadac31-ee541ed4-ec3ebee4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10670818/s55334408/7751c984-912ef49c-9481c64e-89e513e8-0d1d79ef.jpg	as compared to the previous radiograph, the monitoring and support devices are constant. in addition to the pre-existing large right basal parenchymal opacity, the patient has developed extensive left parenchymal opacities. the time course of the changes is suggestive of massive aspiration or developing atelectasis. unchanged monitoring and support devices, unchanged size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p15998287/s55150480/2bf482d2-82e3a3ef-1180d0d3-ca0ee31c-ee57c671.jpg	no pneumothorax. bibasilar opacities potentially atelectasis in the setting of low lung volumes. infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18251740/s52953840/ba00ca5c-bc1d13cd-f94e0eb2-16ce130f-5a56dda1.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12029365/s50449085/eae5ef1e-ed2c597f-b373608d-093c71cd-4e47fb46.jpg	no appreciable change since , residual right lower lobe consolidation, but small right pleural effusion may be larger. post operative right apical hemorrhage in atelectasis continues to resolve. moderate to severe cardiomegaly is chronic. left basal atelectasis is improving. transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in their standard positions continuous from the left pectoral generator. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16052769/s59036996/3cb1d861-fb5451a4-2673f95b-b5546b94-5acef033.jpg	clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p13706076/s50919906/96cb176a-81040df5-aa95d35f-84233db8-b80bcdcf.jpg	no injury seen in the chest.
MIMIC-CXR-JPG/2.0.0/files/p19871967/s57284022/2bda7d04-6a1bf432-fbd479de-4f961907-90188121.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17704328/s58899079/94046ab2-b191c4a1-6082352b-93382eb1-204fcb39.jpg	in comparison with the study of , there are improved lung volumes. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12684822/s59082818/ed81b524-287be484-1eb64566-ac2e7993-36848d68.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15387945/s54644005/01cdfcf6-f8c33499-cb32baae-8522d050-00579ee8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18607988/s51418980/71996eb7-0351d240-52b979d5-f773b220-65cfe9b8.jpg	small bilateral plural effusions and mild pulmonary edema improved since. left lower lobe atelectasis remains prominent.
MIMIC-CXR-JPG/2.0.0/files/p19834737/s51123241/9c16dc75-08dca996-d4808ca7-fedb8ec9-1fc5ca72.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12876250/s50498284/09691526-2ba34e24-23648411-d82a1552-165a7533.jpg	low lung volumes and chronic interstitial lung disease. no definite evidence of pneumonia. stable mild cardiomegaly
MIMIC-CXR-JPG/2.0.0/files/p15495526/s56405543/6561f24d-8c12e018-710a539b-abed79c8-5eaeddc9.jpg	ap chest compared to : large region of left lower lobe consolidation developed over worsened between and is still present. there is more parenchymal abnormality in the right middle lobe, partially obscuring the heart border which is distorted by mammoth fat pad. i presume this is atelectasis, but just lateral to the left hilus is a new vague region of opacity in the left mid lung that could be another focus of pneumonia. severe cardiomegaly is chronic, but there is no pulmonary edema or pleural effusion. dr i discussed these findings by telephone.
MIMIC-CXR-JPG/2.0.0/files/p13204076/s53162546/6b075210-772f3a42-d1216dbf-7edeb508-b6fb6815.jpg	bibasilar atelectasis. no pneumothorax, as clinically questioned.
MIMIC-CXR-JPG/2.0.0/files/p10753211/s54371718/db1fe1dc-52d4cae6-851f6f45-f8558e50-bfeb260c.jpg	likely mild left basilar atelectasis without definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14152817/s57952411/e4f63d30-2a4dde39-ad4095f6-80e9be38-1397b252.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16550115/s54653619/c9d96cbb-65365b7f-b848cd34-4c7206c1-4b328dd1.jpg	heart size and mediastinum are stable. the process of insertion of the ng tube is seen with its tip terminating at the level of proximal stomach and might be further advanced if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p19593730/s56773187/de59ad31-2eba668f-ed5442eb-d5ec37b7-02cc4e37.jpg	et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. temperature probe is at the level of the thoracic inlet. bibasal opacities, right more than left have increased in the interim and might be consistent with infectious process. mild vascular enlargement/minimal interstitial edema present. no pneumothorax is seen. pleural effusion is most likely present
MIMIC-CXR-JPG/2.0.0/files/p12947996/s54869965/25987459-1bc43c7d-c7f51798-9bdd5fdf-640e8ce6.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12128917/s58310410/c7599f21-1972b07b-6a1d80d1-1faf8cec-17facdbe.jpg	normal chest radiograph
MIMIC-CXR-JPG/2.0.0/files/p10229696/s53110974/49d53991-8178c61c-64766a83-fbfe0447-f7fd3fce.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11768986/s55591123/45a8c455-c3315645-7c637f10-15826ca7-bb4fcf2b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16684992/s59920794/829f3bba-28971a16-b170dcef-e04da002-941fa8f9.jpg	no substantial interval change from the prior exam. redemonstration of right pleural thickening and moderate size right pleural effusion with associated right basilar atelectasis. unchanged lobulated contour of the aortic arch compatible with thrombosed aneurysm. moderate hiatal hernia. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p11825167/s53759732/16ecdb5f-e2351a2d-eceac8b7-53def9fd-8341f760.jpg	no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p15818671/s57371469/7193b299-1dd057cc-51bc28cc-778a7746-310993d4.jpg	nasogastric tube tip can only be traced to the proximal esophagus on the frontal view. recommend advancement.
MIMIC-CXR-JPG/2.0.0/files/p18655341/s58106521/b9607d85-3fe6549f-3e5dcc2c-a19d5a39-6d83ef7e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg	no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14246614/s52260462/c7fd6a16-14303d13-414d5a83-d57e6183-6663510d.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16457243/s55722656/1d8f3e1b-7820c9e4-2da97a0d-0614f7c1-49c2120e.jpg	poor inspiratory effort without definite signs of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p13669110/s52522542/eb5eb95a-9ee7efaf-b19a232d-5106d225-774e7e71.jpg	severe heart failure, worsened. followup chest radiographs should be obtained after treatment to exclude mass or aneurysm in the left chest.
MIMIC-CXR-JPG/2.0.0/files/p10879112/s57450714/1c1e38eb-8a7da897-4505741c-42d455f0-80de62c4.jpg	compared to chest radiographs through :<num>. right pic line has been repositioned, now on folded, it ends at the origin of the svc. lung volumes are lower and small left pleural effusion may be larger. left lower lobe collapse is unchanged. no pneumothorax. moderate cardiomegaly is stable.
MIMIC-CXR-JPG/2.0.0/files/p11907554/s52724815/c65c420f-fde01204-8a987658-0685747b-5d0daf4a.jpg	bilateral regions of consolidation which at the bases may be secondary to atelectasis although more superiorly, superimposed infection would certainly be be possible. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15006916/s53898219/14ccf831-b096fac1-b3009dea-4238b5db-0ca5b4ef.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17867658/s57520039/eed4619a-8ab62703-0ba17120-e7400be4-d86c55ab.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13746420/s50992030/af14a2fc-c95511d8-32da0961-4c383af9-683504ef.jpg	unremarkable chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p16177747/s56954342/b01742e9-9146fbcd-20cefe25-ab30a448-eade1ead.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12275484/s55673240/69afaede-09d449cc-ec4264f6-11582bb5-e6dec081.jpg	subtle nodular opacity in the retrocardiac region seen only on lateral view which in the correct clinical setting may represent pneumonia. possible hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p11893583/s58754903/07ea77b2-e1357067-1a265024-072e3577-acd53b65.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11341770/s56230486/0f174855-17331042-3e4e2648-4d833441-d5673b2d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10040025/s56874940/e82ef60c-a1777444-e0cec4c7-e6cbd366-e838760c.jpg	chf with mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p14374446/s56641696/ad721f99-dc230dd2-2886fcbf-bce979c7-d5f76b25.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15772069/s54031215/f6b9f89b-12a54555-e74d50fb-bd49add8-55b60fa8.jpg	as compared to chest radiograph, cardiomediastinal contours are stable with known multifocal lymphadenopathy as characterized on recent ct of. a subtle diffuse interstitial pattern is new compared the prior study, and could reflect interstitial edema or an atypical pneumonia in the setting of neutropenic fever. ct may be considered for more complete characterization if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg	atelectasis at right lung base with no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14013548/s54383661/8fc8ba8e-3c081238-04545b75-1588a466-c5f73eeb.jpg	increased right pleural effusion with mild increase in vascular engorgement. these findings are commonly seen in patients recently taken off of ventilatory support. no pneumothorax. stable appearing swan-ganz catheter.

MIMIC-CXR-JPG/2.0.0/files/p16432133/s50715306/df29ebfc-d98d4eb9-bbb8ed62-8b6a32be-84a02c42.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p19152552/s53621267/06de3235-398e9408-4c36302d-abd51b3b-2cb05bf3.jpg

no acute cardiopulmonary process.

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tip of the intra-aortic balloon pump is approximately <num> mm from the apex of the aortic knob, unchanged since , approximately <num> mm higher than it was when initially inserted on. severe cardiomegaly has not changed and there still pulmonary vascular engorgement but there is not appreciable pulmonary edema. some opacification in the left lower lobe is most likely atelectasis. pleural effusion if present is not substantial. there is no pneumothorax. right transjugular swan-ganz catheter ends in the right pulmonary artery.

MIMIC-CXR-JPG/2.0.0/files/p17475735/s51775532/b68623e7-e2bf4a22-ea7de376-00444077-3eaeccff.jpg

no acute cardiopulmonary abnormality.

MIMIC-CXR-JPG/2.0.0/files/p18759876/s51808395/7ac69d55-02900d43-d04c877c-8fd45ac4-d987280f.jpg

mild pulmonary vascular congestion without overt pulmonary edema. no convincing signs of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p11172413/s51430494/f676fb30-b9587808-48e2ebfc-023e8e3e-d618080c.jpg

findings suggest mild vascular congestion.

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ng tube in the mid esophagus. mild elevation of the left hemidiaphragm. results were discussed with dr at on via telephone by dr at the time the findings were discovered.

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no significant interval change. no focal pneumonia or pneumothorax.

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no good evidence of aspiration pneumonia.

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low lung volumes with crowding of bronchovascular structures. bibasilar opacities likely represent atelectasis, but superimposed infection or aspiration should be considered in the appropriate clinical setting.

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no acute cardiac or pulmonary process.

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no acute cardiopulmonary process detected.

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no evidence of pneumonia or pulmonary edema.

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

MIMIC-CXR-JPG/2.0.0/files/p10260216/s54394167/288504db-1e655f60-b552cd2e-6060bcb9-6fa81261.jpg

no acute cardiopulmonary process.

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right internal jugular central line is unchanged in position. stable postoperative cardiac and mediastinal contours status post median sternotomy for cabg. small left layering effusion with minimal residual patchy atelectasis at the left base. no evidence of pulmonary edema or pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p17956532/s51351004/da3ddccc-5953d1d4-592f7d44-9317bd92-56524ea7.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p10208917/s57380279/ded5ffa4-b50eb3cf-78e7b048-55f74a48-e8e11e82.jpg

right lower lobe opacity consistent with pneumonia.

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pa and lateral chest reviewed in the absence of prior chest radiographs: there is no pleural effusion, but there could be a tiny left apical pneumothorax. if that is clinically pertinent, i would recommend an expiration frontal view of the chest. lungs are clear. heart size is normal and there is no evidence of central lymph node enlargement. chest cage is normal, but conventional chest radiographs are not designed for detection of subtle chest cage abnormalities. if there are focal findings, detailed views of the ribs should be obtained. the findings were posted to the online record of critical radiology findings for direct notification of the referring physician, at the time of this dictation.

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no acute cardiopulmonary abnormalities opacities seen in prior study represented atelectasis

MIMIC-CXR-JPG/2.0.0/files/p17276328/s52061160/16684651-c6639cb9-51f8d27f-4e4ddf81-c5d70994.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p15383041/s57022311/2fe33855-0f95e42b-e329f89b-89031a65-7444a2aa.jpg

in comparison with study of , the patient has taken a much better inspiration. the cardiac silhouette is within normal limits and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. the right ij sheath and nasogastric tube have been removed. interventional coils are seen in the left upper quadrant.

MIMIC-CXR-JPG/2.0.0/files/p14283210/s59866594/b5965976-ca56fc96-3dfe8e4a-1f2b14e1-c79c09b0.jpg

ett and ng tubes in standard position. right infrahilar pneumonia.

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no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p12751862/s54379333/6d4a4ea0-521399c0-3f74b027-63625389-c60fe783.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16780111/s59711190/fb70c2de-6734503f-86ebaa72-a4c84b5e-bf8d6b09.jpg

no acute cardiopulmonary abnormality. multiple osseous sclerotic metastases, better seen on the recent pet-ct from.

MIMIC-CXR-JPG/2.0.0/files/p11240669/s50640411/783b99d6-fae0bb39-702ceb37-88f7d956-c9ecc345.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p17525482/s52058789/67ee79e4-09c50272-98b506f2-689c00b7-dc3694b3.jpg

stable small left pleural effusion.

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no relevant change as compared to the previous image. the endotracheal tube continues to be low, with the tip projecting <num> cm above the carina, the tube needs to be withdrawn by <num> cm to avoid intubation of the right main bronchus. the nasogastric tube is in correct position. multiple rib fractures are better visualized on a ct examination from. no visible pneumothorax. minimal right pleural effusion. borderline size of the cardiac silhouette.

MIMIC-CXR-JPG/2.0.0/files/p13869491/s50883673/afcc9825-263bc820-867974ca-50df7485-01468386.jpg

interval retraction of the right-sided dual-lumen central venous catheter by <num> cm, with tip now in the upper svc.

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bibasilar opacities are consistent with scarring or atelectasis. persistently elevated right hemidiaphragm is stable from the prior study.

MIMIC-CXR-JPG/2.0.0/files/p15455517/s52565157/0f75b769-f624b191-fb19a343-00cdc18a-b5230646.jpg

chronic engorgement of the hilar vasculature, though no acute pulmonary edema no confluent consolidation to suggest pneumonia unchanged moderate-to-severe cardiomegaly

MIMIC-CXR-JPG/2.0.0/files/p17168270/s53320546/e9b37b92-693faf00-1fcb82f9-a5286eb6-3e51dd07.jpg

no acute cardiopulmonary process. age-indeterminate thoracic compression deformities for which clinical correlation is suggested.

MIMIC-CXR-JPG/2.0.0/files/p13933259/s52752038/2f303bdb-c0383aa2-8d4d6ffa-9dcb867c-896b6b2f.jpg

plain film images within normal limits.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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moderate pulmonary edema. severe congestion.

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no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15982138/s56166217/2cda7063-9f409127-9f8be7b2-d775a14d-2deba1e8.jpg

compared to prior chest radiographs since , most recently. lungs are clear. heart size normal. no pleural abnormality. normal mediastinal and hilar contours.

MIMIC-CXR-JPG/2.0.0/files/p18390120/s55374694/e99aaaec-b7f1359d-0d541ac2-0466879a-1feebc3f.jpg

in comparison with the study of , the monitoring and support devices are essentially unchanged. there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. there again is opacification at the left base consistent with effusion and volume loss with associated rib fractures. less prominent changes are seen on the right. there is now a pigtail catheter in place on the right with no definite pneumothorax.

MIMIC-CXR-JPG/2.0.0/files/p10138989/s56936464/de3d10f8-da3e4fc1-e0d9f769-55dabfa9-15a21ec2.jpg

no evidence of pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p18931099/s54313363/09629b30-2585bb2c-306e36b3-0362da04-12d27e1c.jpg

stable right loculated hydropneumothorax compared to.

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no acute cardiothoracic process.

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no acute cardiopulmonary abnormality.

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no evidence of injury.

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no acute cardiopulmonary process.

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ill-defined <num>-cm opacity projecting over the left upper hemithorax, difficult to discern whether pulmonary or within the scapula. recommend either shallow oblique views or chest ct for further evaluation to assess for a possible underlying pulmonary lesion.

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large hiatal hernia. no acute cardiopulmonary abnormality.

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low lung volumes. no acute cardiopulmonary process.

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the heart remains enlarged which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. there are likely layering bilateral effusions with associated bibasilar air-space disease, most likely representing compressive atelectasis, although pneumonia or aspiration cannot be excluded. there is no evidence of pulmonary edema. some calcified lung nodules on the right likely reflect prior granulomatous infection. compared to the previous study, the pleural effusions and bibasilar air-space process has developed. there are degenerative changes of both glenohumeral joints. no pneumothorax.

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no acute cardiopulmonary process.

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no radiographic findings to account for chest pain. if a vascular etiology is suspected clinically, dedicated cta study may be considered if warranted clinically.

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no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, acute focal pneumonia, or mediastinal mass.

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normal chest. no evidence of pneumoperitoneum.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the monitoring and support devices are constant. in addition to the pre-existing large right basal parenchymal opacity, the patient has developed extensive left parenchymal opacities. the time course of the changes is suggestive of massive aspiration or developing atelectasis. unchanged monitoring and support devices, unchanged size of the cardiac silhouette.

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no pneumothorax. bibasilar opacities potentially atelectasis in the setting of low lung volumes. infection cannot be excluded.

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no evidence of acute cardiopulmonary process.

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no appreciable change since , residual right lower lobe consolidation, but small right pleural effusion may be larger. post operative right apical hemorrhage in atelectasis continues to resolve. moderate to severe cardiomegaly is chronic. left basal atelectasis is improving. transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in their standard positions continuous from the left pectoral generator. no pneumothorax.

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clear lungs.

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no injury seen in the chest.

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no acute intrathoracic process.

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in comparison with the study of , there are improved lung volumes. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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small bilateral plural effusions and mild pulmonary edema improved since. left lower lobe atelectasis remains prominent.

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

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low lung volumes and chronic interstitial lung disease. no definite evidence of pneumonia. stable mild cardiomegaly

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ap chest compared to : large region of left lower lobe consolidation developed over worsened between and is still present. there is more parenchymal abnormality in the right middle lobe, partially obscuring the heart border which is distorted by mammoth fat pad. i presume this is atelectasis, but just lateral to the left hilus is a new vague region of opacity in the left mid lung that could be another focus of pneumonia. severe cardiomegaly is chronic, but there is no pulmonary edema or pleural effusion. dr i discussed these findings by telephone.

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bibasilar atelectasis. no pneumothorax, as clinically questioned.

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likely mild left basilar atelectasis without definite focal consolidation.

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no acute intrathoracic process.

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heart size and mediastinum are stable. the process of insertion of the ng tube is seen with its tip terminating at the level of proximal stomach and might be further advanced if clinically indicated.

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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. temperature probe is at the level of the thoracic inlet. bibasal opacities, right more than left have increased in the interim and might be consistent with infectious process. mild vascular enlargement/minimal interstitial edema present. no pneumothorax is seen. pleural effusion is most likely present

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no acute cardiopulmonary abnormalities

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normal chest radiograph

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no substantial interval change from the prior exam. redemonstration of right pleural thickening and moderate size right pleural effusion with associated right basilar atelectasis. unchanged lobulated contour of the aortic arch compatible with thrombosed aneurysm. moderate hiatal hernia. no new focal consolidation.

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no acute cardiopulmonary process seen.

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nasogastric tube tip can only be traced to the proximal esophagus on the frontal view. recommend advancement.

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no acute cardiopulmonary abnormality.

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no pneumothorax.

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no acute cardiopulmonary abnormality.

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poor inspiratory effort without definite signs of pneumonia or chf.

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severe heart failure, worsened. followup chest radiographs should be obtained after treatment to exclude mass or aneurysm in the left chest.

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compared to chest radiographs through :<num>. right pic line has been repositioned, now on folded, it ends at the origin of the svc. lung volumes are lower and small left pleural effusion may be larger. left lower lobe collapse is unchanged. no pneumothorax. moderate cardiomegaly is stable.

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bilateral regions of consolidation which at the bases may be secondary to atelectasis although more superiorly, superimposed infection would certainly be be possible. small bilateral pleural effusions.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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unremarkable chest radiographic examination.

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no acute cardiopulmonary process.

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subtle nodular opacity in the retrocardiac region seen only on lateral view which in the correct clinical setting may represent pneumonia. possible hiatal hernia.

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no acute cardiac or pulmonary process.

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no acute intrathoracic process.

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chf with mild interstitial edema.

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no acute intrathoracic process.

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as compared to chest radiograph, cardiomediastinal contours are stable with known multifocal lymphadenopathy as characterized on recent ct of. a subtle diffuse interstitial pattern is new compared the prior study, and could reflect interstitial edema or an atypical pneumonia in the setting of neutropenic fever. ct may be considered for more complete characterization if warranted clinically.

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atelectasis at right lung base with no acute cardiopulmonary process.

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increased right pleural effusion with mild increase in vascular engorgement. these findings are commonly seen in patients recently taken off of ventilatory support. no pneumothorax. stable appearing swan-ganz catheter.