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/p14741471/s51901774/cb433449-ae2ad5f2-b1350e06-3ce32578-22341367.jpg	slight improvement in moderate pulmonary edema. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15295888/s51382719/ec8ce3d5-bc7cc6fd-3f7147f0-653a11e3-24c62016.jpg	in comparison with the study of , there again are low lung volumes in this patient with previous cabg procedure. no evidence of pneumothorax or vascular congestion. opacification at the left base again is consistent with atelectatic changes and possible small residual effusion.
MIMIC-CXR-JPG/2.0.0/files/p11268579/s59097774/3a05b05b-5fb37158-b06c7c0a-7837067a-4b0cbb44.jpg	ap chest compared to : new nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. in the setting of stable or diminished right pleural effusion and the absence of other signs of acute decompensation, chronic moderate-to-severe cardiomegaly and pulmonary hypertension cannot be dismissed as pulmonary edema, without considering massive aspiration, pulmonary hemorrhage, or developing pneumonia. small left pleural effusion stable. no pneumothorax. dr was paged at
MIMIC-CXR-JPG/2.0.0/files/p13813219/s58839522/bdc63146-e1b9f9c3-6a2991eb-06818d31-a6cb827a.jpg	interval placement of a dual-lead left-sided pacer with the leads terminating over the expected location of the right atrium and right ventricle, respectively. the heart remains enlarged. there are layering bilateral effusions, left greater than right. retrocardiac opacity likely reflects compressive atelectasis, though an evolving aspiration or pneumonia cannot be excluded. calcification in the aorta is seen consistent with atherosclerosis. no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11956832/s51879668/b682535b-ee3eeb10-b6e7192a-c4bb0634-feda62fb.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17370807/s53584225/10d143ad-6c47a1c9-d2f13178-78c2f74d-7314a70d.jpg	in the right pneumonectomy airspace there has been interval increase of the amount of pleural effusion and decreased in the amount of air component. right chest wall subcutaneous emphysema is unchanged. cardiomediastinal structures are midline. there is no pneumothorax or pleural effusion on the left. there is mild engorgement of the vasculature in the left lung.
MIMIC-CXR-JPG/2.0.0/files/p15270638/s53113840/e39505e1-aca685ae-2c0099cd-46f89570-ae79972c.jpg	no evidence of pulmonary edema. no new consolidations demonstrated. bilateral pleural effusions are small to moderate, overall unchanged since the prior study.
MIMIC-CXR-JPG/2.0.0/files/p17901871/s56960005/1ce5f334-b4f2c6da-c25ed855-0438eb14-e91ab298.jpg	stable appearance of the chest with no definite evidence of superimposed acute disease.
MIMIC-CXR-JPG/2.0.0/files/p15151907/s50146351/d5ecd004-6f2bb0b8-f5ef5b68-b0f3114e-258ab858.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12186603/s54260087/b60f7b52-7c9856fa-65e8bf8a-92264fda-4be20437.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18504243/s58657134/92e6516f-d49672ab-d333c53f-443d62eb-7518655c.jpg	port-a-cath catheter tip is at the level of mid svc. heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14201843/s52584803/2a6c0137-b19c5d5d-6ed297c0-5e9c9960-64a3c728.jpg	no acute cardiopulmonary process. apparent increased size of the cardiac silhouette is likely due to differences in technique.
MIMIC-CXR-JPG/2.0.0/files/p11862174/s56282332/39d7f927-1973df89-3f7ef3ee-a810025c-bc992e99.jpg	persistent blunting of the left costophrenic angle may be due to underlying pleural effusion. increased left mid to lower lung opacity raises concern for overlying infection.
MIMIC-CXR-JPG/2.0.0/files/p10153375/s55787314/ab193c25-578459e3-cb7101c0-b86f4333-a412d208.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19547904/s58614675/3617eb41-d7b7ca5e-bd1d6b89-2ab739b0-15000cef.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15637684/s51224741/305c5dc8-60b5788a-22fd9f55-a5c7ea84-4d6c63c8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11950244/s53509607/22d8e6cb-815553ec-dfd58ae0-3fc65b02-ad5af599.jpg	et and ng tubes appear positioned appropriately though the tip of the ng tube extends beyond the imaged field. pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19185876/s54574424/44f6d858-8a601696-ae2e828d-fb3145c6-4da4fc25.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p12786433/s55053823/be9fd073-76653870-f6ff4c50-63caead9-ff70958a.jpg	as compared to the previous radiograph, there is unchanged obliteration of the right heart border, caused by a known pectus deformity. in addition, however, in the medial parts of the lower lobe, a zone of increased radiodensity is seen. on the lateral image, the zone projects directly behind the heart than show several air bronchograms. the zone could reflect an area of chronic recurrent infection. the change could be further worked up by ct. no pleural effusions. no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16493347/s56259412/aa519583-6b5b6b63-641faec1-4beb1d65-738e5f53.jpg	heart size is top-normal. mediastinum is normal. aorta is tortuous. lungs are hyperinflated but clear. old rib fractures are present on the right. sclerotic focus in the right humerus is re- demonstrated and was described as chronic fracture deformity of the surgical neck of the right humerus on the previous examination. no pleural effusion or pneumothorax seen. fracture of the left clavicle is present, old.
MIMIC-CXR-JPG/2.0.0/files/p15258766/s58253048/27f556d5-6dd3191f-c9387fc9-22c0d227-a1ecee1f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15565910/s53288847/1e1472cd-856ce711-a42477c5-cec9341c-5a153aff.jpg	small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11035809/s52187024/bf5aae8f-84290d92-3520b670-099901bd-2b8f9a86.jpg	marked right apical lesion status post fiducial placement without pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17670350/s56437935/aac74ea0-48d11c3d-c6e57b12-40b7c883-a3ec55f1.jpg	bibasilar subsegmental atelectasis noted. otherwise, no acute pulmonary process. no focal consolidation to suggest pneumonia. no chf.
MIMIC-CXR-JPG/2.0.0/files/p17973546/s55335734/81e11d4b-668ef24e-d55bdf7a-8cb85996-ff8c3d6e.jpg	low lung volumes. focal opacity in the right medial lung base could reflect atelectasis or pneumonia, with mild atelectasis in the left lung base.
MIMIC-CXR-JPG/2.0.0/files/p18587352/s55030474/5e86ca62-b36a3d36-4d510987-b589d339-a92a1df8.jpg	in comparison with the study of , there again is evidence of underlying chronic pulmonary disease. cardiac silhouette is mildly enlarged, but there is no evidence of acute focal pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13117765/s52773714/e2dfec97-8a10c64e-9b592b31-f33c7df3-5f967402.jpg	small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring. bilateral nodular opacities, similar compared to the prior radiograph, and better assessed on the prior ct. no new focal consolidation identified. unchanged widened mediastinal contour compatible with lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p19496555/s55845692/4eb031d3-ea69d80a-113d91f8-e8ac36ab-9b675ec0.jpg	left lung base is markedly elevated, and mediastinum shifted to the right. plane of the left hemidiaphragm is impossible to assess. dilated loops of bowel and stomach project above both level of the left hemi thorax and across the midline posterior to the heart. this could be a very large diaphragmatic hernia or ruptured diaphragm. right hemidiaphragm is intact. aside from moderate degree of relaxation atelectasis in the left lower lobe lungs are clear. heart size is impossible to assess. pulmonary vasculature is appropriate given the compromise of left lower lobe function. there is no pulmonary edema or appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17653729/s51463563/8a2d5312-69d3e1b4-91a07608-bc6a4440-1a537628.jpg	diffuse, bilateral consolidations worse at the lung bases, and bilateral moderate pleural effusions likely represent new pulmonary edema or pneumonia since. central venous line ends at the low svc and an et tube ends <num> cm above the carina, unchanged from. mild cardiomegaly is worsened from <num> day prior.
MIMIC-CXR-JPG/2.0.0/files/p14223573/s51092721/0c5936db-2dc751d8-69db1144-dee235ff-b7da68b4.jpg	multifocal opacifications in right lung concerning for infectious process on a background of minimal pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14928790/s57214552/7935ee57-08b39b62-b03485de-c57301ad-8b24f8c9.jpg	endotracheal tube and left subclavian central line unchanged in position. bilateral mediastinal drains remain in place. overall stable post-operative cardiac and mediastinal contours status post median sternotomy. no pulmonary edema. persistent patchy opacity at the right base and retrocardiac consolidation most likely represent atelectasis in the setting of layering effusions. however, there is hyperlucency within both costophrenic angles which could reflect bilateral anterior pneumothoraces. clinical correlation is advised and if this is of concern, further imaging with an upright or decubitus study might be helpful. there is stable subcutaneous emphysema within the chest wall musculature.
MIMIC-CXR-JPG/2.0.0/files/p19527260/s50541357/fb19545a-3efb62ee-c152125b-3556b54b-c58dc370.jpg	moderate pulmonary edema. probable right upper lobe pneumonia, alternatively asymmetric edema if patient has marked mitral regurgitation, or bronchioloalveolar carcinoma progressed sinde.
MIMIC-CXR-JPG/2.0.0/files/p11089978/s58446816/41a47a73-12b5a4b2-da3ab9c7-3a5b6b93-15cc03a9.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p19375617/s51852737/a02c9400-80437ab9-32ca77ed-fb53d8bf-1381e6c0.jpg	right basal atelectasis has worsened considerably since reflected in more rightward mediastinal shift. moderately severe left basal atelectasis is unchanged or slightly improved. small bilateral pleural effusions are stable. there is no pneumothorax. previous mild pulmonary edema has improved. heart size normal. stomach is moderately distended, but not necessarily more dilated than before, following removal of the nasogastric tube. there is no mediastinal widening or any other change to suggest extravasation from the central veins following removal of the right internal jugular line.
MIMIC-CXR-JPG/2.0.0/files/p16833478/s56943317/1f9d2871-01af3c73-1b4072aa-3c59188f-21275f93.jpg	interval improvement of the previously seen right basilar opacity and left pleural effusion. no new opacity.
MIMIC-CXR-JPG/2.0.0/files/p18799891/s50552864/7dab7771-b71a893e-aa3bf5e7-7949c5dc-5f2a1e5f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10524188/s55889259/d96aefb0-cd1168cc-fcc21684-ffd5007e-5e30ad45.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16049702/s54055550/75986d08-d519eabd-7efa3370-4e9cea6a-b82d6cb2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11575157/s54272558/17f7d161-b139e7d2-11eedffa-14b9956e-2c4bc196.jpg	increased lung volumes consistent with emphysema. no evidence of pneumonia or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16801340/s59519944/17f13bb9-06a881d1-7e2300a5-dc6c7acb-c52b5f1e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17651172/s55579027/ab3e17d2-42e91837-269657fb-7d664eaa-6b652532.jpg	stable right basilar atelectasis. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13802468/s50680798/bd8fcfa7-c5130369-0e958248-f05cf744-8e8a811f.jpg	mild pulmonary edema, slightly improved, with small bilateral pleural effusions, left greater than right which is slightly decreased in the interval.
MIMIC-CXR-JPG/2.0.0/files/p18965721/s54928126/52a629fe-a98ce468-9837e6a5-ba5ac574-6b981cbd.jpg	persistent mild pulmonary edema with tiny left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17302284/s57657819/e3ca2d50-f5da0bec-ec56efba-3e9d4032-45c87d88.jpg	compared to chest radiographs through. moderate bilateral pleural effusions, increased on the right replacing pneumothorax, minimally increased on the left. no residual pneumothorax. severe enlargement cardiac silhouette stable. mild pulmonary edema still present, along with bibasilar atelectasis, moderately severe on the right. et tube, swan-ganz catheter, midline and bilateral pleural drains in standard placements. right atrial and biventricular pacer defibrillator leads unchanged in their respective positions, continuous from the left pectoral generator.
MIMIC-CXR-JPG/2.0.0/files/p14627594/s51935783/6df82eaf-ae8af7ac-a54e254d-577847be-16a65c4f.jpg	bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18763864/s59028006/e7a35a3b-6a364d70-3568745c-4bae5705-d047709d.jpg	there is little change in the lymphadenopathy and probable hematogenous metastases to the right lung.
MIMIC-CXR-JPG/2.0.0/files/p15214825/s57892756/ffb39ba3-e7bdb2db-94dc6a33-d1bcf3a7-4aad7e7d.jpg	there is a feeding tube whose distal tip is just beyond the ge junction. this could be advanced <num> cm for more optimal placement. there is left ventricular prominence. there is atelectasis at the lung bases. there is persistent mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18567979/s57609092/9a64be00-bab135df-860eed16-d4afca0f-1a89af59.jpg	decrease in small-to-moderate left pleural effusion, stable right effusion. increased retrocardiac opacity may reflect atelectasis or consolidation depending on the clinical context. stable minimal pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13127065/s59184548/53246c2d-fc421885-26d70fd5-4d9f791b-b67a400d.jpg	no evidence of acute cardiopulmonary process. with the apices, the previously seen area of scarring and nodularity is again redemonstrated, better appreciated on the chest ct obtained previously. no evidence of acute infection is currently seen within the limitations of this study technique.
MIMIC-CXR-JPG/2.0.0/files/p12001709/s59557379/7df2355f-390ab15c-7c08b89a-7df0de09-29d2cef2.jpg	no evidence of acute cardiopulmonary process to explain patient's symptoms. evidence of hyperinflation.
MIMIC-CXR-JPG/2.0.0/files/p17473180/s58601702/f1cd1d31-7e688c4e-448d9b4e-a8e07c56-1a673a00.jpg	no radiographic findings to explain new tachycardia/tachypnea.
MIMIC-CXR-JPG/2.0.0/files/p13624198/s57538194/a940ebb6-28e0c82f-77fba864-9fd9d8b6-1aeb2549.jpg	no signs for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13423971/s59633930/2d9d83fd-439502bd-69cc0f72-a6da73af-29d6f5cc.jpg	heart size and mediastinum are stable. lungs overall clear. no pleural effusion or pneumothorax demonstrated. lung volumes are relatively low vague opacity is projecting over the left upper quadrant, and although it can be seen on and appears to be more conspicuous. , most likely corresponding to pleural lipoma demonstrated on the prior ct chest from. correlation with chest ct is to be considered.
MIMIC-CXR-JPG/2.0.0/files/p16528589/s55887949/a449ef0b-4b255f90-0021d3ea-8cf11a8c-605e6bca.jpg	mild bibasilar atelectasis. otherwise, no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16646700/s58602341/d4fc4c77-5cab38c2-cd7e25e3-269b03e5-8f88125d.jpg	since the prior radiograph of <num> day earlier, a dobhoff tube is been replaced. on the second and final radiograph of the series, the tip of the tube is in the body of the stomach.
MIMIC-CXR-JPG/2.0.0/files/p16177252/s58227881/d0ca7ba0-958bb815-c53dc57c-35292814-4ce71dcc.jpg	combination of basal consolidation and small residual left pleural effusion continues to improve since following removal of the left apical thoracostomy tube, leaving a track in the left lung. minimal residual gas loculations in the left lower chest are unchanged, most likely in the pleural space rather than cavitation in the lung. smaller triangular region of right lung infection is resolving very slowly and previous regions of early consolidation are improving. lung volumes are generally improved. heart size normal, exaggerated by low lung volumes. right lung otherwise grossly clear.
MIMIC-CXR-JPG/2.0.0/files/p17817786/s55739211/38d1c3ca-05d581cc-5228ffb6-0dd14213-815b9188.jpg	normal postoperative appearance after right upper lobectomy.
MIMIC-CXR-JPG/2.0.0/files/p17782175/s53235072/ac77f2d6-0f6a7a1a-f1a25385-b9222dde-e9c33592.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10118141/s55464001/2bb156b6-f638b68c-5dcfab42-d70cc0ff-bb701062.jpg	appropriate position of support lines and devices. low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p11054726/s54602707/cf6818b8-f4cad642-6d2fa075-778d6a79-7d4d8c3f.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14497007/s53345085/1bf8220a-d5df76f2-338f610d-1b29e29f-b6711b16.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14050547/s52819075/3f48c700-af8c5123-9431116f-a7d18a2e-04cd6634.jpg	bibasilar atelectasis with small bilateral pleural effusions. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11943612/s58379727/06287362-e311091f-43627788-4bcf855f-0f4add3f.jpg	no pneumonia seen within the limitations of chest x-ray. if symptoms persist, ct of the chest can be used to exclude radiographically occult infection.
MIMIC-CXR-JPG/2.0.0/files/p19057990/s56479968/15783b02-8507ca2c-ffec67b7-748a3fc2-daebc717.jpg	compared to prior chest radiographs since , most recently. small regions of peribronchial opacification in the axillary region of the right upper lobe than right lung base could be pneumonia, perhaps due to aspiration, but diagnosis depends upon depends on clinical circumstances. cardiomediastinal silhouette is normal. pleural effusions small if any. et tube in standard placement. esophageal drainage tube ends in the midportion of the nondistended stomach.
MIMIC-CXR-JPG/2.0.0/files/p19310285/s50737820/1eb257c2-56eef39a-6ef32992-5665a66b-e4841c58.jpg	moderate right pneumothorax and possible right pneumomediastinum. dr the findings with dr by phone at on upon discovery.
MIMIC-CXR-JPG/2.0.0/files/p10695982/s59055312/4ad119f2-d65bd760-ec8053d8-8df0196e-a3f2261e.jpg	moderate cardiomegaly without acute intrathoracic processes.
MIMIC-CXR-JPG/2.0.0/files/p12179864/s51675624/f703b2f6-e289d1f8-4f88cbc9-555255e7-b8809c8d.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is some hyperexpansion of the lungs without evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11137177/s53581371/b9261537-427d0dbc-fe831fea-9acd0b47-e40465be.jpg	residual streaky opacity at the right base likely reflects atelectasis or scarring. lungs are otherwise clear. no large effusions or pneumothoraces. no pulmonary edema. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p14601818/s50544325/c201c381-63c6bd00-c1a1bad5-0162256f-6e957b13.jpg	there has been placement of a nasogastric tube whose distal tip and side port are appropriately sited within the body of the stomach. there is again seen whiteout of the left lung however the apex is not fully evaluated. the right lung is clear.
MIMIC-CXR-JPG/2.0.0/files/p19826437/s54845999/e0ea2bdf-34ab9664-96053c2a-14d05c3c-72e4cb8d.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p14004436/s59710738/07e7db2b-319ab2ed-822a7279-e6edfcc6-021b4b51.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16780358/s54977318/5da287e8-c9f4a115-4e466611-9616e9ff-497a5f85.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14477709/s59324702/ba9d8e6c-ebdd7364-81f3fce4-8ea24862-172e6e2f.jpg	comparison to. a pre-existing right parenchymal opacity has completely resolved. on the left, there is minimal scarring in the retrocardiac lung areas but no evidence of pneumonia or other abnormalities, on neither the frontal nor the lateral chest radiograph. borderline size of the heart. no pleural effusions. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10354450/s50331603/ff0c3b7d-30c6691f-80fe2493-27c5753b-ddfd9ff0.jpg	lower lung volumes with patchy bibasilar airspace opacities concerning for infection. mild pulmonary vascular congestion without overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12572459/s58222054/5db4d49c-1900ead7-43201711-8f4fbe03-17eda330.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. evidence of previous cabg procedure but no acute pneumonia, vascular congestion or pleural effusion. no rib lesion is identified, though oblique views could be obtained if there is serious clinical concern for a fracture.
MIMIC-CXR-JPG/2.0.0/files/p13016582/s50936657/36eb98da-c52db7b2-56de27ec-419d54ca-c377f00f.jpg	the dobhoff tube tip is in the stomach. there is a poor inspiratory effort. there is atelectasis in both lung bases. there is no chf or pneumothorax. the picc line tip on the right extends into the right neck and the tip is beyond the edge of the film.
MIMIC-CXR-JPG/2.0.0/files/p11842879/s53980059/3bc75400-0a84051e-43b82d2b-5c7598ca-3f806d62.jpg	ap chest compared to : the volume and radiodensity of large scale consolidation in the right lung both improved substantially between and. subsequently, although the overall volume of affected lung has decreased, the severity of consolidation in the right lower lobe has progressed, accompanied by only mild volume loss, reflected in only slight rightward mediastinal shift and elevation of the right lung base. the central airways are patent. it would not be justified to call the lung findings atelectasis, and although the change could be due to organization of a healing pneumonia, but i think a more likely alternative is recrudescent pneumonia due to a resistant or inadequately treated pathogen. heart size is normal, decreased since. left lung is grossly clear. there is no appreciable pleural effusion. these findings and their significance were discussed with the referring physician, , at noon.
MIMIC-CXR-JPG/2.0.0/files/p12999691/s55707622/a4a6fa60-be29aa35-491848b7-f8d6c716-5b0f3f41.jpg	et tube tip is <num> cm above the carinal. pacemaker leads terminate in right atrium and right ventricle. heart size and mediastinum are unchanged in appearance including extensive perihilar opacities. as compared to radiograph obtained at pm there is interval improvement in pulmonary edema. mediastinal abnormal contour persists and might represent lymphadenopathy or potentially previous radiation. small bilateral pleural effusions are present comparison with previous imaging is required if present. otherwise assessment with chest ct is to be considered for pre size characterization of abnormal mediastinal contour. ng tube tip is in the stomach
MIMIC-CXR-JPG/2.0.0/files/p15034985/s56226838/7f21ef82-9f31c9b9-f194df3f-7cd9f20b-c4f8ed38.jpg	no pneumothorax or other acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19972786/s59840671/fd9ece14-aaca32e6-d1a5b1c0-0d1ac4ef-6a8e882a.jpg	mild pulmonary vascular congestion is new since. moderate left pleural effusion and left lower lobe volume loss are stable since.
MIMIC-CXR-JPG/2.0.0/files/p15289580/s50717583/06e166fc-2f852087-a8a36a17-e913bdd2-3875ecaf.jpg	as compared to chest radiograph, widespread heterogeneous pulmonary opacities have nearly resolved with only subtle residual reticular opacities remaining. cardiomegaly is stable as well as mild tortuosity of the thoracic aorta. there is no evidence of pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12578742/s55950980/d2f0742e-a3a1e94d-ac2e70d7-ac6b7298-32bf5627.jpg	in comparison with the study of , the tip of the right subclavian picc line is in the upper svc. little change in the appearance of very heart and lungs with moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12323168/s52545700/9d297465-861da4d4-30c6de7d-87b36c87-64f6a432.jpg	new right lower lobe atelectasis or pneumonia and worsened mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17889230/s52822340/34d42c8a-1e7863d8-c99f1838-5ad98bf5-a5afa0b9.jpg	hazy opacity at the right lower lung potentially atelectasis noting that infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p18949602/s57519433/e15c1861-126152c3-6a8d2928-056c0dd6-b7131ffa.jpg	no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19493097/s54294109/12f16fcf-2d044931-c0bf73d9-7de50c23-0db909eb.jpg	as compared to the previous radiograph, the coiled feeding tube has been removed and replaced by a new feeding tube. the course of this tube is unremarkable, the tip projects over the middle parts of the stomach. the tip of the endotracheal tube projects approximately <num> cm above the carinal. improved ventilation of the lung parenchyma, with decrease in extent of a pre-existing right basal opacity. the retrocardiac atelectasis is also improved. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16017777/s51567181/9d6061e4-ee7950e9-727b715f-424d4e78-a3b4c93b.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16132846/s57445800/9542e160-687e9f14-a97ae778-83b5fad4-d2f0dc4e.jpg	in comparison with the study of , the monitoring and support devices are unchanged. the lines suggesting pleural lines in the right upper and mid zone are no longer seen, indicating that they have represented skin folds. in the right apical region, there is opacification as well as dense calcifications. this suggests a sequela of previous tuberculous disease. no evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13483060/s52063487/bdfba36d-24cfc9b4-efa46cd0-e840c320-4860ee56.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal in size and there is some tortuosity of the aorta. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12601466/s52534550/5f0bdad0-88bf62d3-64d157b7-9210db31-fd676b62.jpg	no pneumonia. moderate-sized hiatal hernia, stable since.
MIMIC-CXR-JPG/2.0.0/files/p18084430/s57451984/2fd2486d-c5f1af10-93103d2b-44bf5572-6375c9b8.jpg	pa and lateral chest compared to : severe hyperinflation due to emphysema is unchanged. right apical pleural parenchymal scarring is slightly more pronounced than the left, as before, and unchanged in the interim. cardiomediastinal and hilar silhouettes are unremarkable. there are no focal pulmonary abnormalities, and no findings to suggest active infection or malignancy.
MIMIC-CXR-JPG/2.0.0/files/p17410264/s51207339/c64c4f50-d2ca57dc-10acdf44-46805273-98102dd2.jpg	no pneumonia, edema or effusion.
MIMIC-CXR-JPG/2.0.0/files/p17822730/s56274575/881ac83a-54e44b60-9395551a-21e76c05-38c79668.jpg	combination of bibasilar atelectasis and small to moderate effusions improved slightly since. upper lungs clear. heart size normal. left subclavian line ends in the low svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16416795/s55490070/7efc0175-8e9c074f-262bd035-774f228c-4c427af2.jpg	in comparison with the study of , the cardiac silhouette is within normal limits and the pulmonary vascular congestion has decreased. there has been decrease in the opacification at the right base. this this could represent clearing of a lower lung consolidation or mild residual of asymmetric edema.
MIMIC-CXR-JPG/2.0.0/files/p14835886/s52731224/3c7ab2ee-7b860d6a-57506eae-ecdf0f8c-09f090ca.jpg	stable to slightly enlarged left pleural effusion, now moderate-to-large. small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17381041/s56109063/43ea9bb8-8dc03470-c9fe374f-ad97b69d-23e7bc29.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17339765/s51751674/e18b6446-4a712958-711f98ae-aec54dd3-49b6672a.jpg	increase in bilateral pleural effusion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19765159/s59277472/d019f869-75903124-2143e6db-2cede199-df6dd438.jpg	small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11862892/s51287870/71850db6-6049c389-f7d0faed-3d042a7d-ef757371.jpg	endotracheal tube terminates at the level of the carina, recommend withdrawal by approximately <num> cm for more appropriate positioning. finding was discussed with dr at on one minute after discovery. enteric tube in appropriate position. left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, consolidation due to infection and/or aspiration may also be present. slight blunting of the right costophrenic angle could be due to a trace pleural effusion. prominence of the central pulmonary vasculature.
MIMIC-CXR-JPG/2.0.0/files/p13693499/s56165934/10ef60d4-3d5717bc-a8ad4bf4-2bd95bc2-25d04e40.jpg	compared to prior chest radiographs through. lung volumes remain quite low, heart mildly enlarged, pulmonary vasculature more engorged. no definite pulmonary edema. heterogeneous opacification at both lung bases is unchanged over the past several days. whether this is atelectasis or pneumonia is radiographically indeterminate. no pneumothorax.

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slight improvement in moderate pulmonary edema. no evidence of pneumonia.

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in comparison with the study of , there again are low lung volumes in this patient with previous cabg procedure. no evidence of pneumothorax or vascular congestion. opacification at the left base again is consistent with atelectatic changes and possible small residual effusion.

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ap chest compared to : new nearly confluent acinar opacification of the right mid and upper lung and to a lesser degree perihilar left upper lung. in the setting of stable or diminished right pleural effusion and the absence of other signs of acute decompensation, chronic moderate-to-severe cardiomegaly and pulmonary hypertension cannot be dismissed as pulmonary edema, without considering massive aspiration, pulmonary hemorrhage, or developing pneumonia. small left pleural effusion stable. no pneumothorax. dr was paged at

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interval placement of a dual-lead left-sided pacer with the leads terminating over the expected location of the right atrium and right ventricle, respectively. the heart remains enlarged. there are layering bilateral effusions, left greater than right. retrocardiac opacity likely reflects compressive atelectasis, though an evolving aspiration or pneumonia cannot be excluded. calcification in the aorta is seen consistent with atherosclerosis. no pulmonary edema. no pneumothorax.

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normal chest radiograph.

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in the right pneumonectomy airspace there has been interval increase of the amount of pleural effusion and decreased in the amount of air component. right chest wall subcutaneous emphysema is unchanged. cardiomediastinal structures are midline. there is no pneumothorax or pleural effusion on the left. there is mild engorgement of the vasculature in the left lung.

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no evidence of pulmonary edema. no new consolidations demonstrated. bilateral pleural effusions are small to moderate, overall unchanged since the prior study.

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stable appearance of the chest with no definite evidence of superimposed acute disease.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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port-a-cath catheter tip is at the level of mid svc. heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.

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no acute cardiopulmonary process. apparent increased size of the cardiac silhouette is likely due to differences in technique.

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persistent blunting of the left costophrenic angle may be due to underlying pleural effusion. increased left mid to lower lung opacity raises concern for overlying infection.

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no acute cardiothoracic process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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et and ng tubes appear positioned appropriately though the tip of the ng tube extends beyond the imaged field. pulmonary edema.

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normal chest radiograph.

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as compared to the previous radiograph, there is unchanged obliteration of the right heart border, caused by a known pectus deformity. in addition, however, in the medial parts of the lower lobe, a zone of increased radiodensity is seen. on the lateral image, the zone projects directly behind the heart than show several air bronchograms. the zone could reflect an area of chronic recurrent infection. the change could be further worked up by ct. no pleural effusions. no pulmonary edema. no pneumothorax.

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heart size is top-normal. mediastinum is normal. aorta is tortuous. lungs are hyperinflated but clear. old rib fractures are present on the right. sclerotic focus in the right humerus is re- demonstrated and was described as chronic fracture deformity of the surgical neck of the right humerus on the previous examination. no pleural effusion or pneumothorax seen. fracture of the left clavicle is present, old.

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no acute cardiopulmonary process.

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small bilateral pleural effusions.

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marked right apical lesion status post fiducial placement without pneumothorax.

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bibasilar subsegmental atelectasis noted. otherwise, no acute pulmonary process. no focal consolidation to suggest pneumonia. no chf.

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low lung volumes. focal opacity in the right medial lung base could reflect atelectasis or pneumonia, with mild atelectasis in the left lung base.

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in comparison with the study of , there again is evidence of underlying chronic pulmonary disease. cardiac silhouette is mildly enlarged, but there is no evidence of acute focal pneumonia or vascular congestion.

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small right pleural effusion and right basilar opacity likely reflecting a combination of atelectasis and postsurgical scarring. bilateral nodular opacities, similar compared to the prior radiograph, and better assessed on the prior ct. no new focal consolidation identified. unchanged widened mediastinal contour compatible with lymphadenopathy.

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left lung base is markedly elevated, and mediastinum shifted to the right. plane of the left hemidiaphragm is impossible to assess. dilated loops of bowel and stomach project above both level of the left hemi thorax and across the midline posterior to the heart. this could be a very large diaphragmatic hernia or ruptured diaphragm. right hemidiaphragm is intact. aside from moderate degree of relaxation atelectasis in the left lower lobe lungs are clear. heart size is impossible to assess. pulmonary vasculature is appropriate given the compromise of left lower lobe function. there is no pulmonary edema or appreciable pleural effusion.

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diffuse, bilateral consolidations worse at the lung bases, and bilateral moderate pleural effusions likely represent new pulmonary edema or pneumonia since. central venous line ends at the low svc and an et tube ends <num> cm above the carina, unchanged from. mild cardiomegaly is worsened from <num> day prior.

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multifocal opacifications in right lung concerning for infectious process on a background of minimal pulmonary edema.

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endotracheal tube and left subclavian central line unchanged in position. bilateral mediastinal drains remain in place. overall stable post-operative cardiac and mediastinal contours status post median sternotomy. no pulmonary edema. persistent patchy opacity at the right base and retrocardiac consolidation most likely represent atelectasis in the setting of layering effusions. however, there is hyperlucency within both costophrenic angles which could reflect bilateral anterior pneumothoraces. clinical correlation is advised and if this is of concern, further imaging with an upright or decubitus study might be helpful. there is stable subcutaneous emphysema within the chest wall musculature.

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moderate pulmonary edema. probable right upper lobe pneumonia, alternatively asymmetric edema if patient has marked mitral regurgitation, or bronchioloalveolar carcinoma progressed sinde.

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no acute findings in the chest.

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right basal atelectasis has worsened considerably since reflected in more rightward mediastinal shift. moderately severe left basal atelectasis is unchanged or slightly improved. small bilateral pleural effusions are stable. there is no pneumothorax. previous mild pulmonary edema has improved. heart size normal. stomach is moderately distended, but not necessarily more dilated than before, following removal of the nasogastric tube. there is no mediastinal widening or any other change to suggest extravasation from the central veins following removal of the right internal jugular line.

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interval improvement of the previously seen right basilar opacity and left pleural effusion. no new opacity.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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increased lung volumes consistent with emphysema. no evidence of pneumonia or pulmonary edema.

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no acute cardiopulmonary process.

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stable right basilar atelectasis. no evidence of pneumonia.

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mild pulmonary edema, slightly improved, with small bilateral pleural effusions, left greater than right which is slightly decreased in the interval.

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persistent mild pulmonary edema with tiny left pleural effusion.

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compared to chest radiographs through. moderate bilateral pleural effusions, increased on the right replacing pneumothorax, minimally increased on the left. no residual pneumothorax. severe enlargement cardiac silhouette stable. mild pulmonary edema still present, along with bibasilar atelectasis, moderately severe on the right. et tube, swan-ganz catheter, midline and bilateral pleural drains in standard placements. right atrial and biventricular pacer defibrillator leads unchanged in their respective positions, continuous from the left pectoral generator.

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bibasilar atelectasis.

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there is little change in the lymphadenopathy and probable hematogenous metastases to the right lung.

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there is a feeding tube whose distal tip is just beyond the ge junction. this could be advanced <num> cm for more optimal placement. there is left ventricular prominence. there is atelectasis at the lung bases. there is persistent mild pulmonary edema.

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decrease in small-to-moderate left pleural effusion, stable right effusion. increased retrocardiac opacity may reflect atelectasis or consolidation depending on the clinical context. stable minimal pulmonary edema.

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no evidence of acute cardiopulmonary process. with the apices, the previously seen area of scarring and nodularity is again redemonstrated, better appreciated on the chest ct obtained previously. no evidence of acute infection is currently seen within the limitations of this study technique.

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no evidence of acute cardiopulmonary process to explain patient's symptoms. evidence of hyperinflation.

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no radiographic findings to explain new tachycardia/tachypnea.

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no signs for acute cardiopulmonary process.

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heart size and mediastinum are stable. lungs overall clear. no pleural effusion or pneumothorax demonstrated. lung volumes are relatively low vague opacity is projecting over the left upper quadrant, and although it can be seen on and appears to be more conspicuous. , most likely corresponding to pleural lipoma demonstrated on the prior ct chest from. correlation with chest ct is to be considered.

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mild bibasilar atelectasis. otherwise, no acute intrathoracic process.

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since the prior radiograph of <num> day earlier, a dobhoff tube is been replaced. on the second and final radiograph of the series, the tip of the tube is in the body of the stomach.

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combination of basal consolidation and small residual left pleural effusion continues to improve since following removal of the left apical thoracostomy tube, leaving a track in the left lung. minimal residual gas loculations in the left lower chest are unchanged, most likely in the pleural space rather than cavitation in the lung. smaller triangular region of right lung infection is resolving very slowly and previous regions of early consolidation are improving. lung volumes are generally improved. heart size normal, exaggerated by low lung volumes. right lung otherwise grossly clear.

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normal postoperative appearance after right upper lobectomy.

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no evidence of acute disease.

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appropriate position of support lines and devices. low lung volumes.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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bibasilar atelectasis with small bilateral pleural effusions. no evidence of pulmonary edema.

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no pneumonia seen within the limitations of chest x-ray. if symptoms persist, ct of the chest can be used to exclude radiographically occult infection.

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compared to prior chest radiographs since , most recently. small regions of peribronchial opacification in the axillary region of the right upper lobe than right lung base could be pneumonia, perhaps due to aspiration, but diagnosis depends upon depends on clinical circumstances. cardiomediastinal silhouette is normal. pleural effusions small if any. et tube in standard placement. esophageal drainage tube ends in the midportion of the nondistended stomach.

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moderate right pneumothorax and possible right pneumomediastinum. dr the findings with dr by phone at on upon discovery.

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moderate cardiomegaly without acute intrathoracic processes.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there is some hyperexpansion of the lungs without evidence of acute pneumonia or vascular congestion.

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residual streaky opacity at the right base likely reflects atelectasis or scarring. lungs are otherwise clear. no large effusions or pneumothoraces. no pulmonary edema. overall cardiac and mediastinal contours are stable.

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there has been placement of a nasogastric tube whose distal tip and side port are appropriately sited within the body of the stomach. there is again seen whiteout of the left lung however the apex is not fully evaluated. the right lung is clear.

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normal chest x-ray.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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comparison to. a pre-existing right parenchymal opacity has completely resolved. on the left, there is minimal scarring in the retrocardiac lung areas but no evidence of pneumonia or other abnormalities, on neither the frontal nor the lateral chest radiograph. borderline size of the heart. no pleural effusions. no pneumothorax.

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lower lung volumes with patchy bibasilar airspace opacities concerning for infection. mild pulmonary vascular congestion without overt pulmonary edema.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. evidence of previous cabg procedure but no acute pneumonia, vascular congestion or pleural effusion. no rib lesion is identified, though oblique views could be obtained if there is serious clinical concern for a fracture.

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the dobhoff tube tip is in the stomach. there is a poor inspiratory effort. there is atelectasis in both lung bases. there is no chf or pneumothorax. the picc line tip on the right extends into the right neck and the tip is beyond the edge of the film.

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ap chest compared to : the volume and radiodensity of large scale consolidation in the right lung both improved substantially between and. subsequently, although the overall volume of affected lung has decreased, the severity of consolidation in the right lower lobe has progressed, accompanied by only mild volume loss, reflected in only slight rightward mediastinal shift and elevation of the right lung base. the central airways are patent. it would not be justified to call the lung findings atelectasis, and although the change could be due to organization of a healing pneumonia, but i think a more likely alternative is recrudescent pneumonia due to a resistant or inadequately treated pathogen. heart size is normal, decreased since. left lung is grossly clear. there is no appreciable pleural effusion. these findings and their significance were discussed with the referring physician, , at noon.

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et tube tip is <num> cm above the carinal. pacemaker leads terminate in right atrium and right ventricle. heart size and mediastinum are unchanged in appearance including extensive perihilar opacities. as compared to radiograph obtained at pm there is interval improvement in pulmonary edema. mediastinal abnormal contour persists and might represent lymphadenopathy or potentially previous radiation. small bilateral pleural effusions are present comparison with previous imaging is required if present. otherwise assessment with chest ct is to be considered for pre size characterization of abnormal mediastinal contour. ng tube tip is in the stomach

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no pneumothorax or other acute cardiopulmonary abnormality.

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mild pulmonary vascular congestion is new since. moderate left pleural effusion and left lower lobe volume loss are stable since.

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as compared to chest radiograph, widespread heterogeneous pulmonary opacities have nearly resolved with only subtle residual reticular opacities remaining. cardiomegaly is stable as well as mild tortuosity of the thoracic aorta. there is no evidence of pleural effusion.

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in comparison with the study of , the tip of the right subclavian picc line is in the upper svc. little change in the appearance of very heart and lungs with moderate cardiomegaly and vascular congestion with left basilar opacification consistent with pleural effusion and compressive atelectasis.

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new right lower lobe atelectasis or pneumonia and worsened mild pulmonary edema.

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hazy opacity at the right lower lung potentially atelectasis noting that infection is not excluded.

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no focal consolidation concerning for pneumonia.

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as compared to the previous radiograph, the coiled feeding tube has been removed and replaced by a new feeding tube. the course of this tube is unremarkable, the tip projects over the middle parts of the stomach. the tip of the endotracheal tube projects approximately <num> cm above the carinal. improved ventilation of the lung parenchyma, with decrease in extent of a pre-existing right basal opacity. the retrocardiac atelectasis is also improved. borderline size of the cardiac silhouette.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the monitoring and support devices are unchanged. the lines suggesting pleural lines in the right upper and mid zone are no longer seen, indicating that they have represented skin folds. in the right apical region, there is opacification as well as dense calcifications. this suggests a sequela of previous tuberculous disease. no evidence of acute pneumonia.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal in size and there is some tortuosity of the aorta. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.

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no pneumonia. moderate-sized hiatal hernia, stable since.

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pa and lateral chest compared to : severe hyperinflation due to emphysema is unchanged. right apical pleural parenchymal scarring is slightly more pronounced than the left, as before, and unchanged in the interim. cardiomediastinal and hilar silhouettes are unremarkable. there are no focal pulmonary abnormalities, and no findings to suggest active infection or malignancy.

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no pneumonia, edema or effusion.

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combination of bibasilar atelectasis and small to moderate effusions improved slightly since. upper lungs clear. heart size normal. left subclavian line ends in the low svc. no pneumothorax.

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in comparison with the study of , the cardiac silhouette is within normal limits and the pulmonary vascular congestion has decreased. there has been decrease in the opacification at the right base. this this could represent clearing of a lower lung consolidation or mild residual of asymmetric edema.

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stable to slightly enlarged left pleural effusion, now moderate-to-large. small right pleural effusion.

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no evidence of pneumonia.

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increase in bilateral pleural effusion and bibasilar atelectasis.

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small bilateral pleural effusions.

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endotracheal tube terminates at the level of the carina, recommend withdrawal by approximately <num> cm for more appropriate positioning. finding was discussed with dr at on one minute after discovery. enteric tube in appropriate position. left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, consolidation due to infection and/or aspiration may also be present. slight blunting of the right costophrenic angle could be due to a trace pleural effusion. prominence of the central pulmonary vasculature.

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compared to prior chest radiographs through. lung volumes remain quite low, heart mildly enlarged, pulmonary vasculature more engorged. no definite pulmonary edema. heterogeneous opacification at both lung bases is unchanged over the past several days. whether this is atelectasis or pneumonia is radiographically indeterminate. no pneumothorax.