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/p12476737/s59274032/05381d3c-4ed19365-c2e312c2-72740b85-cd651c2e.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17211008/s50496598/ba4e95fb-d2e3d190-d8be464f-e71625ed-62f07049.jpg	in comparison with the study of , the monitoring and support devices are unchanged. there is increased opacification at the left base with poor definition of the hemidiaphragm. although this could merely represent volume loss in the lower lobe and pleural fluid, in view of the clinical history the possibility of aspiration or infectious pneumonia could be considered.
MIMIC-CXR-JPG/2.0.0/files/p14236740/s56330886/4292d6f0-dd0e429e-7fc0d490-f9822f4a-e8bf1e64.jpg	right middle and left lower lobe opacities, may represent atelectasis or pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17182744/s53938206/b2083193-5e62c883-f16ad240-2ee7a461-b080a6fb.jpg	interval placement of an ett that terminates <num> cm above the carina with the neck extended. right basilar atelectasis resolved. new opacity at the left lung base, likely due to atelectasis and/or small effusion.
MIMIC-CXR-JPG/2.0.0/files/p19981210/s58171352/d9dd0f6a-5e85a4ce-0cfe125b-25e1d965-d0ed7ac4.jpg	mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11063065/s50570483/dc3de637-5c5ce8d3-b876e647-427c4fb4-2fead81a.jpg	small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17592232/s59750445/8ecc8280-bc844e1b-eb475631-0072eedc-3ec194a9.jpg	stable mild pulmonary edema and slight interval increase in the small right pleural effusion. bibasilar opacities are most consistent with atelectasis or infection in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s59874439/1f094e51-392b063d-ddd3bcbf-53e57a09-d612a515.jpg	moderate to severe cardiomegaly is stable. pulmonary vascular and mediastinal venous engorgement are unchanged but there is no edema. pleural effusions are presumed, but not large. esophageal drainage tube passes into the stomach but the tip is indistinct. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12677345/s56008662/7d482011-3788e263-31b3d9b2-e46f6b65-46358eb8.jpg	no acute findings. no signs of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19789057/s59707188/98715c03-3c3dbdf0-050bff76-bab7f96f-be2af8eb.jpg	no radiographic evidence for acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14108973/s53767230/249ac994-4acf313f-c6cc9ea7-04b19446-6886359f.jpg	as compared to the previous radiograph, the patient has received an intra-aortic balloon pump. the tip of the pump projects approximately <num> mm be low the upper parts of the aortic arch. bilateral mild upper lobe predominant pulmonary edema has developed. normal size of the cardiac silhouette. no pleural effusions. normal alignment of the sternal wires.
MIMIC-CXR-JPG/2.0.0/files/p19190224/s58070456/fe08f1d0-1cb2b45b-dec1a62e-e1bc8c1f-a29b1626.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10794198/s52713216/b926af4f-c92f9a99-c66f0d40-695a90da-699e8faf.jpg	since :<num> the endotracheal tube has been advanced, the tip is now <num> cm in the carina, in standard placement. nasogastric tube passes into the stomach and out of view. tiny pleural effusions may be present. the lungs are well expanded and clear. the cardiomediastinal and hilar silhouettes are normal.
MIMIC-CXR-JPG/2.0.0/files/p16450349/s54749616/c2d59da6-e6a1481b-1b088b95-8feb7c38-50933f9b.jpg	minimal atelectasis at the lung bases but no definite evidence for pneumonia or congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p10739664/s59944173/54705c02-387391e2-57828812-ca33ed97-6e83021a.jpg	no acute cardiopulmonary process. relatively rounded retrocardiac opacity most likely due to a hiatal hernia but this is not definitive based on this chest x-ray. correlation to confirm this finding with prior imaging is suggested if possible. alternatively, additional nonurgent imaging could be considered.
MIMIC-CXR-JPG/2.0.0/files/p11348219/s53973976/87fc1367-d19c4046-c0b04c0f-31f3905b-46ed39d5.jpg	heart size is normal. mediastinum is normal. lungs are clear. there are no focal consolidations to suggest infection. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13875177/s57081335/0f3ec72b-378c9fa1-4d30bb59-1cdb60b5-3f00a0a0.jpg	in comparison with the study , the cardiac silhouette again is mildly enlarged. however, there is no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17450061/s53124517/5802cc82-5932f455-151e542b-691ab6c3-de46268b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11406274/s51482674/6cf432df-dfff29e0-3f159a14-cc8d45f9-ea0264f6.jpg	in comparison with the study of , there has been substantial decrease in the bilateral pulmonary opacifications with continued enlargement of the cardiac silhouette. the appearance suggests substantial clearing of pulmonary edema. the left subclavian catheter is been pulled back so that the tip lies in the region of the the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p18905013/s50744789/cfb27d98-17e5e011-8edfe9b4-4fda0f36-b0dc83f4.jpg	persistent right pneumothorax with signs of tension. the right chest tube is unchanged in position.
MIMIC-CXR-JPG/2.0.0/files/p11816734/s59645532/dd6a2a89-d9c96517-0494530f-48adee80-159ae630.jpg	small focus of increased opacity in the right lower lobe which may be representative of an early infectious process in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p18165789/s53748287/391fc567-d651f952-d6d8dbe4-c252a162-242b72aa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18398420/s50103363/75bd839e-a4c09a30-aff31cc6-134eefee-e856e906.jpg	interval advancement of the ngt, now seen terminating within the stomach. findings were conveyed by dr to dr telephone at on , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p16398438/s59338998/7447f72b-6034fcd3-d8ba0faa-f2290fa3-6c3ec78c.jpg	in comparison with the earlier study of this date, there is a small residual right apical pneumothorax. basilar opacifications are again seen, especially on the right. in view of the clinical history, this could represent pulmonary contusion or aspiration. the right chest tube remains in place. the striking dilatation of the gas filled stomach seen on the previous study is not appreciated at this time.
MIMIC-CXR-JPG/2.0.0/files/p13246084/s55107311/4fad441f-f1b11ac5-23d306f6-c4fa8fbd-d08cafdf.jpg	in comparison with the study of , the diffuse bilateral pulmonary opacities are again seen, possibly slightly worse on the left. postsurgical changes from previous colectomy are again seen on the right. more focal opacification at the left base could well reflect the aspiration pneumonia suggested clinically.
MIMIC-CXR-JPG/2.0.0/files/p18648857/s51910281/535f49f3-729c8410-a8d961c8-cae9026f-e5d9d326.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17560298/s54653666/62a1fb0a-989007e4-c9f64070-125f715c-cab515d6.jpg	left mid to lower lung nodule measuring <num> mm. a nonemergent chest ct is recommended to further assess. no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p16070047/s59514452/e168d11c-467aeb67-a631d4e2-d7358c59-5184c29d.jpg	no free intraperitoneal air is seen. left pleural effusion and atelectasis is seen with mild increased vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg	pulmonary edema, small bilateral pleural effusions, mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15881275/s57308355/4f7d98de-cf0b1ca9-0f3f7749-beab3cf1-7580c14a.jpg	large left pleural effusion with associated collapse of the left lower lobe and portions of the left upper lobe. thoracentesis is advised.
MIMIC-CXR-JPG/2.0.0/files/p14540393/s55939380/b1fb1425-f1ad4e56-f22daa8f-d8308d54-b36572ad.jpg	compared to prior chest radiographs since , most recently. severe cardiomegaly is chronic. patient has had <num> cardiac valve replacements. small left pleural effusion is smaller. mild pulmonary edema has improved slightly since. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16047967/s55854697/d31bcfbc-cb5c1386-f850ad3d-5d753c9b-16a13053.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18546571/s51207684/ba24ebed-f9fb7108-aa0d7898-7645437b-38e7488e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12047822/s57005012/8d5372ce-36a57721-b3e5989e-737749c5-57079d83.jpg	in comparison with the study of , the patient has taken a much poor inspiration an the chin obscures much of the upper lungs. there is stable enlargement of the cardiac silhouette with substantial unfolding of the aorta. minimal prominence of interstitial markings could reflect some elevated pulmonary venous pressure or chronic lung disease. no definite acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17237809/s53278352/7c491adc-1feb9e60-6577d78d-11e04887-885601a7.jpg	et tube tip is <num> cm above the carinal. left picc line tip is at the level of mid svc. heart size is enlarged. left lung base was not included in the field of view. no pulmonary edema demonstrated. no appreciable right pleural effusion is seen. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14045654/s55923745/0a085142-e1f91574-7c070fbd-a5ef8ce7-3898c059.jpg	low lung volumes with crowding of the bronchovascular structures and bibasilar streaky opacities, possibly atelectasis, but aspiration is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p17122884/s53165613/8e9cb9f3-55ea09a0-718f2672-d0d4a283-ea912b45.jpg	findings concerning for left lower lobe pneumonia with trace left pleural effusion. followup radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p19021197/s51756236/a0faf919-bbf73a2c-133518e2-5e8acfd8-ffa0946a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17328613/s54670551/772e4729-03d50291-83ade565-9471e365-1352207d.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17109025/s58858100/18616c29-eaf57b27-7fb752b0-95b401ff-f7709953.jpg	heart size is normal. lungs are grossly clear.
MIMIC-CXR-JPG/2.0.0/files/p10180823/s57889799/459339be-6af11838-c96d0f55-2acf5d28-2f226f13.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11273035/s57064987/a81019b9-ea82dd25-8a9db6b3-a7d1c87f-49631fdf.jpg	new pulmonary edema. reidentified retrocardiac opacity compatible with left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11942901/s59221738/8123cf3d-9b238f17-093d9bf4-3b62120d-432e7931.jpg	aortic balloon pump now lies slightly lower than on yesterday's film. swan-ganz catheter tip remains relatively distal -- clinical correlation requested regarding possible retraction. new patchy opacity left upper zone, ? early infiltrate or aspiration early changes related to fluid overload. clinical correlation and attention to this area on followup films is requested. left lower lobe collapse and/or consolidation, somewhat more pronounced on this study.
MIMIC-CXR-JPG/2.0.0/files/p15707244/s55118105/c30681c7-cb799b0e-28b3f09d-aa2e35fe-ce74770e.jpg	mild bibasilar atelectasis. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14284178/s53946416/d20ed0e2-be801111-e9ba2463-dd0212e7-ecedc3f1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11663476/s50838884/21ce8b78-00ee50a6-f5371cae-2744887d-c49bfef7.jpg	normal radiograph of the chest.
MIMIC-CXR-JPG/2.0.0/files/p16800099/s53782448/4f7300d2-fc57710f-e7111205-d4b6c27d-41645b65.jpg	unchanged diffuse interstitial opacities and a stable retrocardiac opacity. no evidence of pleural effusion, pneumothorax, or frank pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16119588/s50205438/bee4f4a9-1575805d-650045b8-81c7e5e1-477801bc.jpg	severe emphysema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12228452/s59974486/6f242c39-4c8aee75-b7408e5b-a2224f46-f7f3f41b.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10259898/s51944967/66c08ac9-1441b8c1-121a8694-5b65d8ee-b0351f49.jpg	low-lying et tube should be withdrawn by <num> cm for more optimal positioning within the lower trachea. clear lungs. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12496705/s56306770/dddc111a-1ca34452-068a5545-5fec7456-fcb5ed87.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15771233/s59656209/36ee8b00-ff42047e-756e13dc-931754a6-7ebbac52.jpg	no evidence of acute injury.
MIMIC-CXR-JPG/2.0.0/files/p19192461/s58580427/bac2fd4e-3d553af4-fc118d62-276127e1-53533915.jpg	right-sided picc with the tip obscured by spinal hardware, requiring additional oblique views for better localization.
MIMIC-CXR-JPG/2.0.0/files/p10998537/s51453241/57335212-cc2ee15d-8be9afd3-43eb3d6a-33700ad6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11082479/s55753598/a2db81e3-7dc4fa0d-a36bf0a7-bb719315-86628899.jpg	right upper lobe large, masslike consolidation. given the appearance and the history of hemoptysis , short term repeat chest radiograph in <num> weeks following antibiotic therapy is recommended to document improvement and to detect any complications. interval mild enlargement of the heart size. recommendation(s): given the appearance and history of amount persists, short term repeat chest radiograph in <num> weeks following antibiotic therapy is recommended.
MIMIC-CXR-JPG/2.0.0/files/p18755913/s56348972/012c9277-30839174-90600207-975f57ca-ccc509f5.jpg	compared to chest radiographs. mild pulmonary edema has worsened slightly. previous right basal consolidation or atelectasis has cleared. heart size normal. no pleural abnormality. <num> successive chest radiographs show advancement of the nasogastric feeding tube from the lower esophagus to the upper stomach. indwelling right pic line ends in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p16350672/s52176106/3f76fa20-2a696701-f4e0d8a6-0ed3599f-1fcfab90.jpg	more conspicuous right infrahilar haziness could potentially represent pneumonia in the appropriate clinical setting. no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13415410/s58084973/e367bddd-c2a7980b-d33bbe71-ab46c15e-b5b7dc73.jpg	increasing density in the right lung most concerning for chronic or recurrent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17223646/s52926592/fb3edb1e-c91fb410-42b80e23-8606a7da-f8747cfb.jpg	as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the bilateral perihilar opacities, and in particular the right paramediastinal masses, are unchanged. the right pigtail catheter is also unchanged. there is no recurrence of the previously seen right pleural effusion. on the left, a miniscule pleural effusion could be present. unchanged size of the cardiac silhouette. unchanged position of the right bronchial stent.
MIMIC-CXR-JPG/2.0.0/files/p19584988/s52459544/5d41053a-c8f7ddf7-64b3359b-1aa29e69-a7a28a07.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p19039163/s56578711/5bf439a0-8b5ef85d-68ffd377-ad3b7c1c-b02d0a14.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p18248508/s56866940/fd154968-8792a43c-688cee26-1931033f-41fbfa0d.jpg	examination was centered on the left third anterior rib, because of constraints in patient positioning. right lung is now fully opacified, presumably collapsed. one lumen of the dual lumen et tube ends in the left main bronchus. the second ends in the trachea. right bronchial tree is fully opacified and may contain secretions or hemorrhage. the severe multinodular and interstitial infiltration in the left lung is still present. there is no left pneumothorax or pleural effusion. nasogastric tube ends in the lower esophagus and would need to be advanced at least <num> cm to move all the side ports into the stomach.
MIMIC-CXR-JPG/2.0.0/files/p11298472/s52422234/c8cf2a68-bd5fecc2-8991e361-f774c075-b74a7504.jpg	right middle lobe consolidation with subtle loss of volume most compatible with right middle lobe partial collapse.
MIMIC-CXR-JPG/2.0.0/files/p12440965/s50159514/97e3c816-f49c823a-41ff6b29-330971db-2b669b9b.jpg	moderate pulmonary edema and bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16233333/s58518597/f5eaf2e8-bf40b454-6406a5a4-5e118f8c-8d2667f9.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17970081/s56559419/7c15dfca-a3698712-783415ae-4cae4fbe-bb57b558.jpg	ill-defined, right basilar opacity seen on the frontal view only could represent a sequela of recent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17813273/s52682450/b3b08e7a-9a3de2af-8094a96c-5bbc85ae-28cb1bf8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17266901/s58361419/b21861c4-980afbe9-46993288-7842658e-e895008e.jpg	postoperative widening of the cardiomediastinal silhouette has improved. there is no pulmonary edema or pneumothorax. small bilateral pleural effusions are still present.
MIMIC-CXR-JPG/2.0.0/files/p12807885/s57001856/6a46fb18-6e83690a-ed77adc6-deb46c61-c3a42f62.jpg	in comparison with the study of , the dobhoff tube is been removed and replaced with a nasogastric tube that extends to the mid to upper stomach. the side-port lies above the esophagogastric junction and the tube should be pushed forward several cm for optimal placement. no evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11625041/s56622730/49d7e366-63c7d76f-f8ddd74b-cccbbe0f-95c50c0b.jpg	no acute cardiopulmonary process. no free air beneath the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p12008763/s52820603/1783c0b8-9da122fa-f400ff36-8666a425-014c21ee.jpg	low lung volumes. probable small bilateral pleural effusions and bibasilar atelectasis although a component of infection should be excluded clinically.
MIMIC-CXR-JPG/2.0.0/files/p15477318/s57004098/f2a261f2-82d106d4-83e28377-2f34a945-c768ecce.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14644600/s59209988/4bf5aa0a-8e32f46b-41d90e7c-2cc830fb-cf3fe37a.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17057522/s50593932/071b8ded-cf00d4a2-6dc2efe8-bbdd1fbd-96e24091.jpg	resolution of right lower lobe opacity which may have been due to an infectious pneumonia. hilar lymphadenopathy and upper lobe predominant interstitial abnormalities are unchanged and suggestive of sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p19735078/s50339743/13638d87-1ea43266-c70066f9-0dd7902f-f5205af9.jpg	interval decrease in size of right pleural effusion which is now small. possible trace left pleural effusion. enlarged cardiac silhouette similar to prior which had previously been secondary to a pericardial effusion.
MIMIC-CXR-JPG/2.0.0/files/p14875942/s59396136/5b658663-9bd16a3f-dfe8636d-5a5200ee-8b5cac0d.jpg	mild-to-moderate congestive failure. if concern for infectious process, consider diuresis and repeat imaging to assess for subtle pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12189565/s56028300/0dc3efc6-84b2d3a1-5aaec615-8578771e-593746b4.jpg	well-defined <num> mm density projecting over the left lateral rib most likely granuloma. no findings to suggest reactive tb or other active infections. chronic, rim calcified left thyroid nodule as seen on ultrasound.
MIMIC-CXR-JPG/2.0.0/files/p14448385/s55020738/6f7e884e-03677cd2-0efca3bb-235344f6-921c7c84.jpg	mild pulmonary vascular congestion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18734895/s56980288/fc104794-7896f506-9815f3bc-5cca3eca-410a24cd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19495094/s50970337/de080149-7b2167a7-770bef12-98263190-e2f3b437.jpg	persistent moderate left pleural effusion with left basilar opacity likely reflective of atelectasis. increased atelectasis within the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p15876666/s59661978/374718ad-ea2a6ef6-83dd8f3e-6e4bde9c-56a34e80.jpg	comparison to. the lung volumes have returned to normal. borderline size of the cardiac silhouette without evidence of pulmonary edema. no pleural effusions. no pneumonia. the previously placed left picc line has been removed.
MIMIC-CXR-JPG/2.0.0/files/p19127072/s54833865/55cd1e28-01d2cf86-d22f1ed9-b0379f91-b5208ea1.jpg	endotracheal tube and nasogastric tube are unchanged in position. overall, cardiac and mediastinal contours are stable. there continues to be patchy opacity in the left mid to lower lung and in the right hilar area with overall improvement in aeration when compared to study dated. these findings likely represent resolving changes related to an infectious process; however, clinical correlation would be advised. no large effusions. no pneumothorax. left subclavian picc line unchanged in position. cardiac and mediastinal contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19287786/s59091095/09db6f26-6d748832-9a4a3417-186b72a4-aaa0cd3e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17026688/s54881184/3e9c21e7-4a7e90cf-58f8642a-e06e66b3-835efe5f.jpg	interval increase in retrocardiac atelectasis and accompanying effusion.
MIMIC-CXR-JPG/2.0.0/files/p17514740/s50104921/241fb564-d051769d-7a013d6f-dd36c9ed-66cb2ea9.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15953468/s52312492/c8001258-3861367d-7b057abf-55dac59d-11a45f73.jpg	ap chest compared to. there has been no appreciable change since in the mild persistent pulmonary edema, left lung greater than right, multifocal infection, including large thick-walled cavity in the right mid lung and right basal pleural drain which has evacuated most of the previous right pleural effusion. the heart is normal size. et tube, left pic line and upper enteric drainage tube are in standard placements respectively. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14053559/s53466152/07e76af3-430f16d2-d43f7dbe-6cb58cd0-84a958be.jpg	borderline fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p17932059/s56626019/caab7f25-b406294a-44e6657e-f28f9871-aac02807.jpg	nonspecific interstitial opacities, which may reflect mild interstitial edema or atypical infection.
MIMIC-CXR-JPG/2.0.0/files/p18063420/s50946875/f2d24755-b1d29a75-e8dfb890-5ada57f7-b3669aad.jpg	low lung volumes with probable bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11427894/s58918600/03d33aaa-273eeead-0075f1cd-674c0555-aa8144ec.jpg	findings compatible with mild congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p12019930/s52122347/031ed459-3c097f2c-c4d264f9-59e327e8-14989e3b.jpg	slight increase in moderate left and small right pleural effusions with adjacent basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14501935/s59429851/f9ae53c1-f93f7a68-3701fa5f-a6a8f5f1-48ec9af7.jpg	unremarkable portable chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p18290545/s56519668/758e25b8-bec5194d-5e097d91-b4407dee-3a19ed4b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11829922/s54125334/a2277f33-7f93debb-91b440be-331ec88d-c603e031.jpg	normal chest radiographs.
MIMIC-CXR-JPG/2.0.0/files/p19530575/s52188630/be88b4cd-51652443-f4fafe3c-c3d72b36-7da5ef35.jpg	in comparison with the study of , the patient has taken a better inspiration. continued enlargement of the cardiac silhouette, without vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11512695/s59576540/3466ba77-10661a88-68c72622-fe16133c-1195db5d.jpg	as compared to prior radiograph of <num> day earlier, a left chest tube remains in place with near complete opacification of the left hemi thorax. a vertically oriented lucency lateral to the chest tube persists, and a rounded area of lucency adjacent to the left hilum has increased in the interval. observed findings are consistent with postoperative left lower lobe collapse in this patient status post left upper lobe resection. coexisting left pleural effusion is likely but difficult to quantify.
MIMIC-CXR-JPG/2.0.0/files/p18553055/s52404965/0e9513d8-0021570f-0cc6a727-467e888c-152205db.jpg	since , an increase in pulmonary vascular congestion is noted with unchanged severe cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19109226/s51222047/fb4be3d7-5bb20e2f-c699f622-cdd493b6-cfa23c07.jpg	left upper lobe consolidation with left pleural effusion is unchanged. bibasilar opacities are compatible with collapse of both lower lobes, similar to prior.
MIMIC-CXR-JPG/2.0.0/files/p16529096/s54593298/0a8022d0-8945e7ba-b5c39073-12f85f2e-1fc9c6c7.jpg	increasing patchy opacities in the bilateral lower lobes, which could be in part due to atelectasis given lower lung volumes, but are also concerning for multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12807885/s50473336/4225e3e8-287424e5-b284d69b-ecc98894-113702d1.jpg	in comparison with the study , the monitoring and support devices remain in place, though the nasogastric tube is been pushed forward so that the side port is now well below the esophagogastric junction. no evidence of pneumonia or vascular congestion.

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no evidence of pneumonia.

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in comparison with the study of , the monitoring and support devices are unchanged. there is increased opacification at the left base with poor definition of the hemidiaphragm. although this could merely represent volume loss in the lower lobe and pleural fluid, in view of the clinical history the possibility of aspiration or infectious pneumonia could be considered.

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right middle and left lower lobe opacities, may represent atelectasis or pneumonia in the appropriate clinical setting.

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interval placement of an ett that terminates <num> cm above the carina with the neck extended. right basilar atelectasis resolved. new opacity at the left lung base, likely due to atelectasis and/or small effusion.

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mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusions.

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small bilateral pleural effusions.

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stable mild pulmonary edema and slight interval increase in the small right pleural effusion. bibasilar opacities are most consistent with atelectasis or infection in the correct clinical setting.

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moderate to severe cardiomegaly is stable. pulmonary vascular and mediastinal venous engorgement are unchanged but there is no edema. pleural effusions are presumed, but not large. esophageal drainage tube passes into the stomach but the tip is indistinct. no pneumothorax.

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no acute findings. no signs of pneumonia.

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no radiographic evidence for acute pulmonary process.

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as compared to the previous radiograph, the patient has received an intra-aortic balloon pump. the tip of the pump projects approximately <num> mm be low the upper parts of the aortic arch. bilateral mild upper lobe predominant pulmonary edema has developed. normal size of the cardiac silhouette. no pleural effusions. normal alignment of the sternal wires.

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no evidence of acute cardiopulmonary disease.

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since :<num> the endotracheal tube has been advanced, the tip is now <num> cm in the carina, in standard placement. nasogastric tube passes into the stomach and out of view. tiny pleural effusions may be present. the lungs are well expanded and clear. the cardiomediastinal and hilar silhouettes are normal.

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minimal atelectasis at the lung bases but no definite evidence for pneumonia or congestive heart failure.

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no acute cardiopulmonary process. relatively rounded retrocardiac opacity most likely due to a hiatal hernia but this is not definitive based on this chest x-ray. correlation to confirm this finding with prior imaging is suggested if possible. alternatively, additional nonurgent imaging could be considered.

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heart size is normal. mediastinum is normal. lungs are clear. there are no focal consolidations to suggest infection. there is no pleural effusion or pneumothorax.

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in comparison with the study , the cardiac silhouette again is mildly enlarged. however, there is no evidence of pulmonary vascular congestion, pleural effusion, or acute focal pneumonia.

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no acute intrathoracic process.

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in comparison with the study of , there has been substantial decrease in the bilateral pulmonary opacifications with continued enlargement of the cardiac silhouette. the appearance suggests substantial clearing of pulmonary edema. the left subclavian catheter is been pulled back so that the tip lies in the region of the the mid svc.

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persistent right pneumothorax with signs of tension. the right chest tube is unchanged in position.

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small focus of increased opacity in the right lower lobe which may be representative of an early infectious process in the proper clinical setting.

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no acute cardiopulmonary process.

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interval advancement of the ngt, now seen terminating within the stomach. findings were conveyed by dr to dr telephone at on , <num> minutes after discovery.

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in comparison with the earlier study of this date, there is a small residual right apical pneumothorax. basilar opacifications are again seen, especially on the right. in view of the clinical history, this could represent pulmonary contusion or aspiration. the right chest tube remains in place. the striking dilatation of the gas filled stomach seen on the previous study is not appreciated at this time.

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in comparison with the study of , the diffuse bilateral pulmonary opacities are again seen, possibly slightly worse on the left. postsurgical changes from previous colectomy are again seen on the right. more focal opacification at the left base could well reflect the aspiration pneumonia suggested clinically.

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no acute cardiopulmonary process.

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left mid to lower lung nodule measuring <num> mm. a nonemergent chest ct is recommended to further assess. no free air below the right hemidiaphragm.

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no free intraperitoneal air is seen. left pleural effusion and atelectasis is seen with mild increased vascular congestion.

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pulmonary edema, small bilateral pleural effusions, mild cardiomegaly.

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large left pleural effusion with associated collapse of the left lower lobe and portions of the left upper lobe. thoracentesis is advised.

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compared to prior chest radiographs since , most recently. severe cardiomegaly is chronic. patient has had <num> cardiac valve replacements. small left pleural effusion is smaller. mild pulmonary edema has improved slightly since. no pneumothorax.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the study of , the patient has taken a much poor inspiration an the chin obscures much of the upper lungs. there is stable enlargement of the cardiac silhouette with substantial unfolding of the aorta. minimal prominence of interstitial markings could reflect some elevated pulmonary venous pressure or chronic lung disease. no definite acute focal pneumonia.

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et tube tip is <num> cm above the carinal. left picc line tip is at the level of mid svc. heart size is enlarged. left lung base was not included in the field of view. no pulmonary edema demonstrated. no appreciable right pleural effusion is seen. no pneumothorax.

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low lung volumes with crowding of the bronchovascular structures and bibasilar streaky opacities, possibly atelectasis, but aspiration is not excluded.

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findings concerning for left lower lobe pneumonia with trace left pleural effusion. followup radiographs after treatment are recommended to ensure resolution of this finding.

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no acute intrathoracic process.

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no pneumonia.

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heart size is normal. lungs are grossly clear.

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no acute cardiopulmonary abnormality.

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new pulmonary edema. reidentified retrocardiac opacity compatible with left lower lobe pneumonia.

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aortic balloon pump now lies slightly lower than on yesterday's film. swan-ganz catheter tip remains relatively distal -- clinical correlation requested regarding possible retraction. new patchy opacity left upper zone, ? early infiltrate or aspiration early changes related to fluid overload. clinical correlation and attention to this area on followup films is requested. left lower lobe collapse and/or consolidation, somewhat more pronounced on this study.

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mild bibasilar atelectasis. no evidence of pneumonia.

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no acute cardiopulmonary process.

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normal radiograph of the chest.

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unchanged diffuse interstitial opacities and a stable retrocardiac opacity. no evidence of pleural effusion, pneumothorax, or frank pulmonary edema.

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severe emphysema with small bilateral pleural effusions.

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no evidence of pneumonia.

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low-lying et tube should be withdrawn by <num> cm for more optimal positioning within the lower trachea. clear lungs. stable moderate cardiomegaly.

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no acute intrathoracic process.

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no evidence of acute injury.

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right-sided picc with the tip obscured by spinal hardware, requiring additional oblique views for better localization.

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no acute cardiopulmonary process.

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right upper lobe large, masslike consolidation. given the appearance and the history of hemoptysis , short term repeat chest radiograph in <num> weeks following antibiotic therapy is recommended to document improvement and to detect any complications. interval mild enlargement of the heart size. recommendation(s): given the appearance and history of amount persists, short term repeat chest radiograph in <num> weeks following antibiotic therapy is recommended.

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compared to chest radiographs. mild pulmonary edema has worsened slightly. previous right basal consolidation or atelectasis has cleared. heart size normal. no pleural abnormality. <num> successive chest radiographs show advancement of the nasogastric feeding tube from the lower esophagus to the upper stomach. indwelling right pic line ends in the mid svc.

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more conspicuous right infrahilar haziness could potentially represent pneumonia in the appropriate clinical setting. no evidence of pneumothorax.

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increasing density in the right lung most concerning for chronic or recurrent pneumonia.

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as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the bilateral perihilar opacities, and in particular the right paramediastinal masses, are unchanged. the right pigtail catheter is also unchanged. there is no recurrence of the previously seen right pleural effusion. on the left, a miniscule pleural effusion could be present. unchanged size of the cardiac silhouette. unchanged position of the right bronchial stent.

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no focal consolidation.

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normal chest radiograph.

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examination was centered on the left third anterior rib, because of constraints in patient positioning. right lung is now fully opacified, presumably collapsed. one lumen of the dual lumen et tube ends in the left main bronchus. the second ends in the trachea. right bronchial tree is fully opacified and may contain secretions or hemorrhage. the severe multinodular and interstitial infiltration in the left lung is still present. there is no left pneumothorax or pleural effusion. nasogastric tube ends in the lower esophagus and would need to be advanced at least <num> cm to move all the side ports into the stomach.

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right middle lobe consolidation with subtle loss of volume most compatible with right middle lobe partial collapse.

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moderate pulmonary edema and bilateral pleural effusions.

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no acute cardiopulmonary abnormality.

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ill-defined, right basilar opacity seen on the frontal view only could represent a sequela of recent pneumonia.

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no acute cardiopulmonary process.

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postoperative widening of the cardiomediastinal silhouette has improved. there is no pulmonary edema or pneumothorax. small bilateral pleural effusions are still present.

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in comparison with the study of , the dobhoff tube is been removed and replaced with a nasogastric tube that extends to the mid to upper stomach. the side-port lies above the esophagogastric junction and the tube should be pushed forward several cm for optimal placement. no evidence of acute pneumonia or vascular congestion.

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no acute cardiopulmonary process. no free air beneath the right hemidiaphragm.

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low lung volumes. probable small bilateral pleural effusions and bibasilar atelectasis although a component of infection should be excluded clinically.

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no acute intrathoracic process.

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no radiographic evidence for acute cardiopulmonary process.

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resolution of right lower lobe opacity which may have been due to an infectious pneumonia. hilar lymphadenopathy and upper lobe predominant interstitial abnormalities are unchanged and suggestive of sarcoidosis.

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interval decrease in size of right pleural effusion which is now small. possible trace left pleural effusion. enlarged cardiac silhouette similar to prior which had previously been secondary to a pericardial effusion.

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mild-to-moderate congestive failure. if concern for infectious process, consider diuresis and repeat imaging to assess for subtle pneumonia.

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well-defined <num> mm density projecting over the left lateral rib most likely granuloma. no findings to suggest reactive tb or other active infections. chronic, rim calcified left thyroid nodule as seen on ultrasound.

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mild pulmonary vascular congestion and bibasilar atelectasis.

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no acute cardiopulmonary abnormality.

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persistent moderate left pleural effusion with left basilar opacity likely reflective of atelectasis. increased atelectasis within the right lung base.

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comparison to. the lung volumes have returned to normal. borderline size of the cardiac silhouette without evidence of pulmonary edema. no pleural effusions. no pneumonia. the previously placed left picc line has been removed.

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endotracheal tube and nasogastric tube are unchanged in position. overall, cardiac and mediastinal contours are stable. there continues to be patchy opacity in the left mid to lower lung and in the right hilar area with overall improvement in aeration when compared to study dated. these findings likely represent resolving changes related to an infectious process; however, clinical correlation would be advised. no large effusions. no pneumothorax. left subclavian picc line unchanged in position. cardiac and mediastinal contours are unchanged.

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no acute intrathoracic process.

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interval increase in retrocardiac atelectasis and accompanying effusion.

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no acute intrathoracic abnormality.

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ap chest compared to. there has been no appreciable change since in the mild persistent pulmonary edema, left lung greater than right, multifocal infection, including large thick-walled cavity in the right mid lung and right basal pleural drain which has evacuated most of the previous right pleural effusion. the heart is normal size. et tube, left pic line and upper enteric drainage tube are in standard placements respectively. no pneumothorax.

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borderline fluid overload.

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nonspecific interstitial opacities, which may reflect mild interstitial edema or atypical infection.

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low lung volumes with probable bibasilar atelectasis.

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findings compatible with mild congestive heart failure.

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slight increase in moderate left and small right pleural effusions with adjacent basilar atelectasis.

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unremarkable portable chest x-ray.

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no acute cardiopulmonary process.

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normal chest radiographs.

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in comparison with the study of , the patient has taken a better inspiration. continued enlargement of the cardiac silhouette, without vascular congestion, pleural effusion, or acute focal pneumonia.

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as compared to prior radiograph of <num> day earlier, a left chest tube remains in place with near complete opacification of the left hemi thorax. a vertically oriented lucency lateral to the chest tube persists, and a rounded area of lucency adjacent to the left hilum has increased in the interval. observed findings are consistent with postoperative left lower lobe collapse in this patient status post left upper lobe resection. coexisting left pleural effusion is likely but difficult to quantify.

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since , an increase in pulmonary vascular congestion is noted with unchanged severe cardiomegaly.

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left upper lobe consolidation with left pleural effusion is unchanged. bibasilar opacities are compatible with collapse of both lower lobes, similar to prior.

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increasing patchy opacities in the bilateral lower lobes, which could be in part due to atelectasis given lower lung volumes, but are also concerning for multifocal pneumonia.

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in comparison with the study , the monitoring and support devices remain in place, though the nasogastric tube is been pushed forward so that the side port is now well below the esophagogastric junction. no evidence of pneumonia or vascular congestion.