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/p18730522/s51967233/d2bae3a3-3917d71b-f44edcd7-81c7017a-f15288e7.jpg	left picc tip is in theupper svc. no other interval change
MIMIC-CXR-JPG/2.0.0/files/p17145502/s54271453/feea2fc0-661f562f-692b26b3-2d36835f-9493171d.jpg	no definite acute cardiopulmonary process. probable right basilar atelectasis. if desired, repeat exam with better inspiratory effort can be performed.
MIMIC-CXR-JPG/2.0.0/files/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg	stable large right hydropneumothorax without tension. improving aeration in the right middle and lower lobes.
MIMIC-CXR-JPG/2.0.0/files/p12967236/s57214645/9da11b04-7c3a51d1-a7d59335-04035d83-d1db8a60.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17490237/s58555782/894df0de-6c7960b5-4c2f0bd5-3cf4df1c-128de9ab.jpg	no focal pneumonia. slight anterior loss of a lower thoracic vertebral body height, age indeterminate in the absence of prior exams but probably degenerative. correlate with focal exam findings.
MIMIC-CXR-JPG/2.0.0/files/p16574411/s55766235/076c3466-0cb5b0ae-05e93908-20ac6a38-709e61ce.jpg	persistent small left pleural effusion with subjacent consolidation, likely atelectasis though difficult to exclude pneumonia. nodular opacity in the right upper lung, indeterminate. recommend nonemergent ct of the chest to further assess.
MIMIC-CXR-JPG/2.0.0/files/p16176829/s55908025/32d9a7a4-bf0dd843-6bbf595e-553718b0-ef72fa1d.jpg	no evidence of acute cardiopulmonary process. specifically, no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16826311/s56795810/0d2fc4d0-3c05123a-1ea4fffe-9a5fa08e-bba913b2.jpg	nonspecific perihilar streaky opacities, concerning for central airways inflammation versus bronchovascular crowding.
MIMIC-CXR-JPG/2.0.0/files/p17179037/s59639107/01ee5c4a-187c00f9-af0c66ba-1a89f63c-07946f79.jpg	patchy opacities at the left lung base and in the right mid lung do not appear to be significantly changed, and are consistent with multifocal pneumonia. no pleural effusions or pneumothoraces. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18125297/s56482386/2f3c1c8a-38df65de-bab8c31c-b4b074d3-325e7ffc.jpg	cardiomediastinal silhouette is within normal limits. there are no signs for overt pulmonary edema. there is mild prominence of the pulmonary interstitial markings. there are some hazy densities at the right base which may represent atelectasis or developing infiltrate. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p13983282/s58835625/39f772bf-e8adc3fe-d89d4458-163b7591-5ab8643f.jpg	improved pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19263566/s50170180/c65482a5-a220a8a1-0a94ef34-d58dfe04-1120d59a.jpg	pa and lateral chest reviewed in the absence of prior chest radiographs: left hemidiaphragm is mildly elevated, without obvious explanation, not sufficiently to raise any concern for phrenic nerve palsy. lungs are otherwise fully expanded, and clear. there is no pleural abnormality or evidence of central adenopathy. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p11315217/s53454501/2bb96d9d-6c4f4d41-6023ed02-e44c7e0b-b15a0c2c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15375159/s55907982/e9c801f8-ee07f397-7616598b-e1ab39ab-3651a3d0.jpg	right base opacity could be due to pneumonia and/ or atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12821949/s53678485/fc401dfc-987586c3-8e6ed752-25dc3cf5-81fa543f.jpg	unchanged left upper lobe lung mass compatible with known malignancy and multiple bilateral pulmonary metastases.
MIMIC-CXR-JPG/2.0.0/files/p15740609/s55030282/e8883def-9309cce8-d37e945d-3e971010-50730462.jpg	fiducial marker in the left lower lobe opacity is no longer seen in this patient status post transbronchial biopsy in which was negative for malignancy. lungs remain hyperinflated consistent with underlying emphysema. there are patchy peripheral opacities in the left lung base and to a lesser extent in the right lung base. overall, it appears that the opacities at the left base are slightly more confluent when compared to the prior study suggesting an ongoing infectious process. no pleural effusions. no pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12886834/s54523943/2facdd80-013e3a2a-b730f093-7be571a7-8ddf3dac.jpg	bilateral pleural plaques suggest asbestos exposure. subtle opacity projecting over the right mid lung could be due to pneumonia or underlying pleural plaque, appears new/increased compared to the prior study. dedicated pa and lateral views when patient able could be helpful for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p13189998/s57845151/d05ca6f3-6ecd2ab8-91bdf67f-5035feb6-1f87b349.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12703255/s59312786/55edc171-5d05c0fd-4c8db167-31381b04-3be0c867.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10266028/s51984983/c3de73da-4ebebd41-b43d8e7e-427d2b48-99cb5e32.jpg	focal airspace consolidation in at least the superior segment of the left lower lobe consistent with pneumonia. linear opacity at the right lung base likely reflects scarring or subsegmental atelectasis. cardiac and mediastinal contours are within normal limits. minimal blunting of the left costophrenic angle may reflect a tiny pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11813239/s55654715/79d25cac-afcb2723-609fdc14-4894fc0b-2340ac3a.jpg	no acute cardiopulmonary process. stable, top-normal in size cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p10702026/s51586027/3cedcf13-07e6c2b2-f5d9bf62-9ca3ae58-40164bbb.jpg	moderate cardiomegaly and left hemidiaphragm elevation. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14432338/s52199834/b8683401-05da0ff4-e45452e8-db4dc855-b6585d9c.jpg	focal left mediastinal contour abnormality, which may correspond to an area of thymic tissue on previous cta of the chest of. it is uncertain whether this represents asymmetrical residual thymus tissue or a thymic epithelial neoplasm. recommend a chest ct to allow more accurate comparison to the prior ct of the chest of , as entered into the radiology communications dashboard on.
MIMIC-CXR-JPG/2.0.0/files/p15159392/s54872961/46de5668-13912de9-5fe9eb10-27991cde-4d14d806.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10999395/s54117196/7b9bf593-7fc54c14-3fc99025-96a05ae0-048e3e62.jpg	the right picc line is located in the upper svc.
MIMIC-CXR-JPG/2.0.0/files/p19781297/s52453712/e31932ff-d7e7a2ed-10cf9c94-2ac77a3a-3fde0489.jpg	new trans subclavian right atrial ventricular pacer leads are continuous from the left pectoral generator. small bilateral pleural effusions are new since. there is no mediastinal widening or pleural effusion. moderate cardiomegaly is chronic. there is no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14045846/s59715704/a1285b17-0480999d-9ca2179a-9025c253-1cac8341.jpg	as compared to the previous radiograph, all monitoring and support devices are in unchanged position. the patient is slightly rotated to the right. but neither the size of the cardiac silhouette nor the appearance of the lung parenchyma have substantially changed. a minimal left pleural effusion might be present.
MIMIC-CXR-JPG/2.0.0/files/p19348384/s55819579/d60b8ef3-a30e2bae-226803eb-dcaa1194-f4619e7a.jpg	picc line terminating in the lower superior vena cava. no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p12665592/s55602633/7c3067c9-289a95fa-6d744d62-b86ffbc0-d5cd58ff.jpg	in comparison with a study , there is again prominence of both hilar regions with a dense band of atelectasis in the left mid zone. interstitial prominence is again seen at the right base consistent with chronic pulmonary disease. at the left base, there is increasing prominence of opacification consistent with pleural effusion and underlying volume loss. this makes it difficult to exclude the possibility of superimposed pneumonia. there may be some mild elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p13488637/s55175922/a654434c-67e7033c-ab2097dc-7bf8efb6-7bbeb1d2.jpg	pulmonary edema with increasing lower lung opacities raising concern for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18039449/s51587110/0d1a865d-66241574-3574008d-5c077741-c51e0bd2.jpg	low lung volumes accentuating pulmonary vasculature. no displaced rib fracture. of note, conventional chest radiography is not sensitive for detection of rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p16380234/s50005053/8ffa1478-70d3a1b9-b6e82ce4-fa73f543-38508c7e.jpg	only a tiny residual left apical pneumothorax remains. left pleural effusion has been nearly entirely evacuated. left upper pigtail pleural drainage catheter unchanged in position. heart size normal. a lobulated <num> mm wide lesion projecting over the right second anterior interspace could be an surface artifact. i would recommend repeat frontal view with the patient dystrophic to the waist, and shown to a radiologist before the patient leaves the department to see if shallow oblique views are in a cyst to assess a possible lung nodule.
MIMIC-CXR-JPG/2.0.0/files/p16945005/s58474741/92c1fc95-4b3f8bfd-05c9c412-d3042761-289db5a7.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16019243/s58250286/075ae4b4-e265967b-cc028cf7-c6cb908e-5fbdf8b7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12596857/s56589421/d0d97e23-e12d4e7f-c17115e5-8bf1c0ce-b555a29c.jpg	minimal left basal platelike atelectasis. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11303674/s53627628/bf503996-189ff06b-3254af42-02d7fd41-d9b2ac9c.jpg	no focal opacity identified. no evidence of free air. mild non-specific interstitial prominence.
MIMIC-CXR-JPG/2.0.0/files/p12023933/s52100907/355128f6-c6dbcad3-6acb6c73-0613ff13-f313e54f.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15087570/s52842303/b75d76a9-68d70686-20529bf0-efc2f3c2-cc10712f.jpg	findings consistent with chf, with bibasilar atelectasis. a superimposed pneumonic infiltrate would be difficult to exclude. small bilateral effusions. these findings are new compared with. cardiomediastinal enlargement, slightly more pronounced than on.
MIMIC-CXR-JPG/2.0.0/files/p17699605/s56779226/a1a37faf-97683b0f-1b208bb4-89d484e1-7d3f96d5.jpg	in comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. pulmonary edema appears to be worsening.
MIMIC-CXR-JPG/2.0.0/files/p14237047/s59186584/18881616-ec7217c0-0b5c0d72-04ec430c-3744a3bf.jpg	free air below the right hemidiaphragm is unchanged from prior ct abdomen pelvis. small right pleural effusion with right basal atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12652003/s52273948/ad95778b-cbce7d2d-6d409552-53ef93e4-7507a804.jpg	as compared to the previous image, no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15174979/s54487921/413032ab-22c495be-f3da9ddd-a0ceb82d-f35cf16f.jpg	no acute cardiopulmonary process. no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p13369196/s52734471/ab169e00-9cd88e9c-9027ee67-29bb0acd-54e6cbac.jpg	left basilar air-fluid levels may represent hydropneumothorax, posterior loculated pleural air fluid collection, or diaphragmatic herniation. conventional pa and lateral radiographs are recommended if possible.
MIMIC-CXR-JPG/2.0.0/files/p19616604/s59986901/d64789c1-fe154148-aca16d92-61428b0e-5024dd20.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12639585/s55601166/b52e895d-1b5be4d4-964a3ed7-b246265d-64dcd3a0.jpg	right picc line tip is at the level of mid svc. elevated right hemidiaphragm and potential atelectasis of the right lower lobe is unchanged. mild vascular congestion is noted, slightly increased since the prior study. no pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p18206751/s59885684/590bf33f-a7e77087-edd82454-cc41aae8-2f7f3149.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18406247/s59683067/f49f1f99-0323a25a-f445f7b1-1bf79c6f-709ee79b.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p17533744/s50478225/0ddfef51-bbf871b3-cce5c8df-edcbe962-96ff28ab.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13870531/s57336623/146e1953-b3f4de49-09e0220f-90f58de4-3e74bd9d.jpg	ap chest compared to through : widespread heterogeneous pulmonary opacification has not improved appreciably since. the process developed progressively through when consolidation was global and relatively homogeneous on conventional chest radiographs, but ct scanning showed combination of alveolitis in the upper lungs and severe pneumonia in the lower. since that time, the development of discrete lucencies in both lungs could be due either to cavitation or pulmonary interstitial emphysema due to barotrauma. there is a suggestion of a small component of pneumomediastinum and pneumopericardium today along the left heart border. there is no pneumothorax. lung volumes remain exceedingly low, but this is not a new finding. pleural effusions are presumed, but not large. et tube and right pic line are in standard placements and an upper enteric drainage tube passes into a non-distended stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p12622030/s56959269/68666a2b-86684e9a-99932f4e-ae2d8d35-efa4a63f.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p18013971/s54460033/01be53bd-a2a57b8d-cdfd5120-66d24be1-79efd455.jpg	vague opacity in the right mid-to-upper lung, question early pneumonia. recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p10213338/s52949640/f5a0b478-9b805390-c613edb3-5065af8e-815fad11.jpg	compared to prior chest radiographs, through. et tube, right internal jugular line, nasogastric drainage tube all in standard placements. bibasilar consolidation has not improved. pulmonary vasculature is engorged and chronic severe cardiomegaly is unchanged. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15209552/s57453334/8a9b62b4-ca082804-e4256661-022feb00-2012eb7d.jpg	right pigtail pleural catheter has been placed with apparent kink in the catheter proximal to the pigtail portion. there is a small residual right pleural effusion but no pneumothorax. exam is otherwise remarkable for improved pulmonary edema and persistent small to moderate left pleural effusion as well as right rib fractures.
MIMIC-CXR-JPG/2.0.0/files/p14641639/s55074777/5896844b-43461395-910460fb-a0b23b96-7a188a2f.jpg	small atelectasis at the left lung basis. otherwise unremarkable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14493762/s57353621/f016dfdb-932ef1da-f054bb76-2931c1f0-ae135d9d.jpg	as compared to the previous radiograph, the lung volumes have decreased. this causes at currently increased extent and severity of the pre-existing parenchymal opacities. moderate cardiomegaly and mild fluid overload persists. no larger pleural effusions. unchanged course and position of the monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p12720642/s56062348/d2a42ce5-f6aa1bb9-16ce01b1-261b0148-e2690b1b.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p11883512/s58430160/d6c4f3a9-6db58cbf-c3910165-54e2f280-41d9b879.jpg	no acute cardiopulmonary process. no displaced fracture. if clinical concern for rib fracture is high, consider dedicated rib series, which is more sensitive.
MIMIC-CXR-JPG/2.0.0/files/p17955848/s50270755/38020368-b242acd8-80662fb8-806e932e-6cccab27.jpg	no prior chest radiographs available for review. patient's is turned severely to her right. right hemidiaphragm may be elevated, due to right lower lobe atelectasis. repeat view carefully positioned would be helpful in that assessment and judging heart size. left lung is clear and there is no appreciable left pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16962956/s50443169/610e0bf5-959b1e8d-0fd56669-9eed7191-d4e4ece3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14592942/s55310173/64089be5-1af8f3a4-2832180d-dfe90e1d-e7e2003b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16517380/s53184753/6dff36e5-19335189-61c3ff66-c02f3df4-086e9309.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18242530/s57586613/00245f4e-95d419aa-d7e3f9a5-4b48317d-4b7ab35f.jpg	no acute intrathoracic process. hiatal hernia is minimally increased in size from the prior examination in.
MIMIC-CXR-JPG/2.0.0/files/p13376901/s55443209/8cae9b30-c88a7f2b-66a1387a-339d0316-4b99637a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17692766/s51683882/fe594416-aa03cb68-9374100a-f5ceb525-b9a7577a.jpg	stable appearance of right upper lobe thick-walled cavitary lesions, the differential for which includes mycobacterial infection or malignancy. no new consolidation or cavitated mass.
MIMIC-CXR-JPG/2.0.0/files/p12626414/s57625125/6aa6d799-6f0d7fb0-d7401ab8-330025ec-854bb536.jpg	images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14347844/s50443343/f3434025-9e02bbd0-87555bb2-5d15155b-1cc19b8f.jpg	status post extubation. there is interval development of increasing density in the right lung base that may represent parenchymal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12971125/s59587232/1660719c-a095bc4a-7759e7d5-d84ccec5-a2b66a9d.jpg	compared to chest radiographs go. previous moderate pulmonary edema has substantially improved. residual abnormality predominantly in the perihilar left lung should be followed to exclude concurrent pneumonia. heart is moderately enlarged. no appreciable pleural effusion. right pic line ends close to the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p19278034/s58429705/5fd1a757-4e07d8c8-ed3acfbc-285d8094-f4186af7.jpg	unremarkable chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p12973367/s54846299/9e27275f-f3c0f6b9-a8d95ab9-87cce816-d82a633b.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13892051/s53166379/c0b8f442-05160434-10d518ef-398d6ab4-8e5243dc.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette with pulmonary vascular congestion. the hemidiaphragms are more sharply seen consistent with improving bilateral pleural effusions, though some of this could merely represent a more upright position of the patient. suggestion of a more coalescent area of opacification at the left base. in the appropriate clinical setting, this could represent a superimposed pneumonia. , md =
MIMIC-CXR-JPG/2.0.0/files/p10597762/s59639225/5596ccae-7365b7d1-d91c2011-9a6cb1d5-10df4953.jpg	blunting of the right costophrenic angle is unchanged and may reflect a small pleural effusion. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11345357/s57400938/356f708d-8a992bbb-7b54bd6d-805a9fa6-cc31d621.jpg	compared to chest radiographs through. severe cardiomegaly and moderate pulmonary edema have worsened. small pleural effusions are presumed. no pneumothorax. with the chin down, endotracheal tube new ending at the thoracic inlet should not be withdrawn any further. it could be left internal jugular central venous line ends in the upper right atrium. mild upper mediastinal widening is explained by vascular engorgement, not pulmonary hemorrhage related to right internal jugular line withdrawal. esophageal drainage tube ends in the upper portion of a moderately distended stomach.
MIMIC-CXR-JPG/2.0.0/files/p14371035/s54812255/1889c0b6-ae69ada3-c389c0d2-e7e6e175-dd12e28e.jpg	elevation of the right hemidiaphragm is chronic. heterogeneous opacification developing at the lung bases is probably worsening interstitial edema accompanied by increasing small right pleural effusion. mild cardiomegaly is essentially stable. no pneumothorax. nasogastric tube ends in the upper stomach and would need to be advanced at least <num> cm to move all the side ports below the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p15311611/s58875812/73f113a7-c6ddd852-991b33dd-bc25f65f-4186abce.jpg	compared to chest radiographs through at. mild to moderate pulmonary edema and right basal consolidation worsened since :<num>. moderate right pleural effusion increased slightly. heart size normal. no pneumothorax. left pic line ends in the mid svc. left basal pigtail pleural drainage catheter unchanged in position.
MIMIC-CXR-JPG/2.0.0/files/p17132849/s53786029/bed46f6b-d8b6e1cc-c4b7ffbd-8e2c1e10-ffe962fb.jpg	in comparison with the study of , there is little interval change. monitoring and support devices are stable. continued moderate m cardiomegaly with a pulmonary vascular congestion and substantial pleural effusions with compressive basilar atelectasis, more prominent on the right.
MIMIC-CXR-JPG/2.0.0/files/p10977564/s50952348/17909a5f-d739f55a-f9cb96ff-47e22ad7-c9f486e1.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11317871/s56591987/95ca95c2-d4064a50-63bfed91-2c19b24e-738d27f8.jpg	subtle opacity in the periphery of the right mid lung a which could represent a very early pneumonia in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p16791349/s59123459/0ae45bf3-42e6b8e8-b3b1defe-f0a3678e-3f101015.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17207751/s59495371/a88d3188-40c9e561-83bd00fb-841ac0a6-e3ae376e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16043637/s53520984/f65cb11a-2ead5997-07930361-9837a17e-7d96f22b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19961152/s59113866/c525ce8c-622f8362-6e16a0be-17b00583-62badf65.jpg	bilateral pigtail catheters are seen projecting over the lower chest/upper abdomen, stable. heart size upper limits of normal. there is a dual lead left-sided pacemaker. there is persistent mild pulmonary edema and a left retrocardiac opacity. there are no pneumothoraces. irregularity of the right proximal humerus may be related to prior old trauma. there is elevation of the left humeral head likely due to rotator cuff rupture.
MIMIC-CXR-JPG/2.0.0/files/p12351995/s51000240/53809412-2cce8c45-3dc62006-a636e5bd-a5ae1545.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p17868562/s50400423/a7648c26-bf4b4991-514e321b-c08874e7-dfa279df.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14912902/s51594893/e47dfce8-77469d28-7c06c23a-3d90b14f-3a69b822.jpg	compared to prior chest radiographs, since , most recently. large right pleural effusion has increased substantially, shifting the mediastinum to the left, responsible for more collapse in the right middle and lower lobes. numerous lung nodules have increased in size and number since. right central venous infusion catheter ends in the svc. it is shifted more medially than the remainder the mediastinum suggesting that the cava is either thrombosed or severely narrowed.
MIMIC-CXR-JPG/2.0.0/files/p14924804/s56149773/b4fbddf0-b15e4faf-07c458bf-12290432-b79a9b00.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11950352/s55108360/f6a8ec9b-66192370-988cfe3a-44c450dc-5be5ac29.jpg	ap chest compared to and at : following extubation, lung volumes are much lower and this could account substantially for the apparent increased caliber of the mediastinum in the region of the aorta. some mediastinum bleeding could be present as well. the same is true for small left pleural effusion. on the right with a pleural drain in place, there is no pleural effusion or evidence of pneumothorax. right lung shows no pulmonary edema. left lung has mild edema. midline drains in place. swan-ganz catheter ends in the right pulmonary artery, obscured by sternal wire.
MIMIC-CXR-JPG/2.0.0/files/p15770081/s58882323/1a83d67c-48ae1a78-393c4bad-844f30d7-7df14ccf.jpg	bibasilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18030470/s58152399/fbd01520-3c6543f3-fa1809d3-0e9664cb-6ec3e330.jpg	successful right-sided thoracocentesis with eliminating pleural effusion almost totally. no evidence of pneumothorax following the procedure.
MIMIC-CXR-JPG/2.0.0/files/p17822694/s53014401/f6104b4e-5f938e14-8a6fc933-beecc061-0a903027.jpg	no acute cardiopulmonary process identified. no lobar consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17473651/s53878655/fede5605-72ac5e47-dcf1a0f8-f67f06df-20dfa85b.jpg	no acute cardiopulmonary abnormality. no overt traumatic findings. previously identified right apical spiculated nodule is not detected on radiography.
MIMIC-CXR-JPG/2.0.0/files/p14256965/s55786345/0b9913f6-aa7c1c52-e89c4c40-b36b641c-a5672662.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18921094/s56350528/b2602069-fd6766e8-4843af37-c650b4a1-f164235e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15145615/s51052199/47521855-167c3aab-24597077-715c9f55-63e6d9e1.jpg	the opacity in the right mid lung could be atelectasis, however pulmonary contusion or pneumonia is also possible in correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17809956/s53810497/b442c20d-d48c9aa4-8f4204d9-5235c8e4-d1e9668e.jpg	no evidence to suggest congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p18714676/s53521040/c5d7672b-5c64da36-82968454-29b67082-67d1837e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15403351/s51065975/9e9632b7-82358168-cf052326-06fbcccc-8d62ee79.jpg	comparison to. the lung volumes have decreased. subsequent increase in size of the cardiac silhouette and of the hilar and mediastinal contours. notably the right hilus appears slightly enlarged, despite the correlate on the lateral radiograph this change should be further worked up by ct. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19250843/s55826200/01d372d6-34374f7b-e48afc82-e1e9031a-c35624ac.jpg	no acute cardiopulmonary process. normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14903045/s53896192/92126b40-b4b128da-de891621-4f6e1d31-e4e16353.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13984508/s59581007/d440bdf2-60e8096c-025cb3b2-8b63521c-2b51f3f4.jpg	dobbhoff tube in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p12285052/s51793887/9ef4d034-1fd2746b-5761204f-f024c705-5d55f715.jpg	ap chest compared to : tip of the endotracheal tube in standard position, <num> cm above the carina. small right pleural effusion unchanged. right basal consolidation or atelectasis improved. borderline interstitial pulmonary edema present. heart size normal. left lower lobe atelectasis mild to moderate, change in distribution but not in overall severity. no pneumothorax. upper enteric drainage tube passes into the stomach and out of view. left jugular line ends at the junction of brachiocephalic veins.

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left picc tip is in theupper svc. no other interval change

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no definite acute cardiopulmonary process. probable right basilar atelectasis. if desired, repeat exam with better inspiratory effort can be performed.

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stable large right hydropneumothorax without tension. improving aeration in the right middle and lower lobes.

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no acute cardiopulmonary abnormality.

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no focal pneumonia. slight anterior loss of a lower thoracic vertebral body height, age indeterminate in the absence of prior exams but probably degenerative. correlate with focal exam findings.

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persistent small left pleural effusion with subjacent consolidation, likely atelectasis though difficult to exclude pneumonia. nodular opacity in the right upper lung, indeterminate. recommend nonemergent ct of the chest to further assess.

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no evidence of acute cardiopulmonary process. specifically, no evidence of pneumonia.

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nonspecific perihilar streaky opacities, concerning for central airways inflammation versus bronchovascular crowding.

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patchy opacities at the left lung base and in the right mid lung do not appear to be significantly changed, and are consistent with multifocal pneumonia. no pleural effusions or pneumothoraces. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax.

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cardiomediastinal silhouette is within normal limits. there are no signs for overt pulmonary edema. there is mild prominence of the pulmonary interstitial markings. there are some hazy densities at the right base which may represent atelectasis or developing infiltrate. there are no pneumothoraces.

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improved pulmonary edema.

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pa and lateral chest reviewed in the absence of prior chest radiographs: left hemidiaphragm is mildly elevated, without obvious explanation, not sufficiently to raise any concern for phrenic nerve palsy. lungs are otherwise fully expanded, and clear. there is no pleural abnormality or evidence of central adenopathy. heart size is normal.

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no acute cardiopulmonary process.

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right base opacity could be due to pneumonia and/ or atelectasis.

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unchanged left upper lobe lung mass compatible with known malignancy and multiple bilateral pulmonary metastases.

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fiducial marker in the left lower lobe opacity is no longer seen in this patient status post transbronchial biopsy in which was negative for malignancy. lungs remain hyperinflated consistent with underlying emphysema. there are patchy peripheral opacities in the left lung base and to a lesser extent in the right lung base. overall, it appears that the opacities at the left base are slightly more confluent when compared to the prior study suggesting an ongoing infectious process. no pleural effusions. no pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax.

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bilateral pleural plaques suggest asbestos exposure. subtle opacity projecting over the right mid lung could be due to pneumonia or underlying pleural plaque, appears new/increased compared to the prior study. dedicated pa and lateral views when patient able could be helpful for further evaluation.

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no acute cardiopulmonary abnormalities

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no acute cardiopulmonary process.

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focal airspace consolidation in at least the superior segment of the left lower lobe consistent with pneumonia. linear opacity at the right lung base likely reflects scarring or subsegmental atelectasis. cardiac and mediastinal contours are within normal limits. minimal blunting of the left costophrenic angle may reflect a tiny pleural effusion. no pneumothorax.

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no acute cardiopulmonary process. stable, top-normal in size cardiac silhouette.

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moderate cardiomegaly and left hemidiaphragm elevation. no acute cardiopulmonary process.

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focal left mediastinal contour abnormality, which may correspond to an area of thymic tissue on previous cta of the chest of. it is uncertain whether this represents asymmetrical residual thymus tissue or a thymic epithelial neoplasm. recommend a chest ct to allow more accurate comparison to the prior ct of the chest of , as entered into the radiology communications dashboard on.

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no evidence of pneumonia.

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the right picc line is located in the upper svc.

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new trans subclavian right atrial ventricular pacer leads are continuous from the left pectoral generator. small bilateral pleural effusions are new since. there is no mediastinal widening or pleural effusion. moderate cardiomegaly is chronic. there is no pulmonary edema.

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as compared to the previous radiograph, all monitoring and support devices are in unchanged position. the patient is slightly rotated to the right. but neither the size of the cardiac silhouette nor the appearance of the lung parenchyma have substantially changed. a minimal left pleural effusion might be present.

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picc line terminating in the lower superior vena cava. no evidence of acute disease.

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in comparison with a study , there is again prominence of both hilar regions with a dense band of atelectasis in the left mid zone. interstitial prominence is again seen at the right base consistent with chronic pulmonary disease. at the left base, there is increasing prominence of opacification consistent with pleural effusion and underlying volume loss. this makes it difficult to exclude the possibility of superimposed pneumonia. there may be some mild elevation of pulmonary venous pressure.

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pulmonary edema with increasing lower lung opacities raising concern for pneumonia.

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low lung volumes accentuating pulmonary vasculature. no displaced rib fracture. of note, conventional chest radiography is not sensitive for detection of rib fractures.

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only a tiny residual left apical pneumothorax remains. left pleural effusion has been nearly entirely evacuated. left upper pigtail pleural drainage catheter unchanged in position. heart size normal. a lobulated <num> mm wide lesion projecting over the right second anterior interspace could be an surface artifact. i would recommend repeat frontal view with the patient dystrophic to the waist, and shown to a radiologist before the patient leaves the department to see if shallow oblique views are in a cyst to assess a possible lung nodule.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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minimal left basal platelike atelectasis. otherwise unremarkable.

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no focal opacity identified. no evidence of free air. mild non-specific interstitial prominence.

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no acute intrathoracic process.

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findings consistent with chf, with bibasilar atelectasis. a superimposed pneumonic infiltrate would be difficult to exclude. small bilateral effusions. these findings are new compared with. cardiomediastinal enlargement, slightly more pronounced than on.

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in comparison with the study of earlier in this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. pulmonary edema appears to be worsening.

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free air below the right hemidiaphragm is unchanged from prior ct abdomen pelvis. small right pleural effusion with right basal atelectasis.

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as compared to the previous image, no relevant change is seen. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema.

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no acute cardiopulmonary process. no significant interval change.

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left basilar air-fluid levels may represent hydropneumothorax, posterior loculated pleural air fluid collection, or diaphragmatic herniation. conventional pa and lateral radiographs are recommended if possible.

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no acute cardiopulmonary process.

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right picc line tip is at the level of mid svc. elevated right hemidiaphragm and potential atelectasis of the right lower lobe is unchanged. mild vascular congestion is noted, slightly increased since the prior study. no pneumothorax is seen.

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no evidence of acute cardiopulmonary process.

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no acute findings in the chest.

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no acute cardiopulmonary process.

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ap chest compared to through : widespread heterogeneous pulmonary opacification has not improved appreciably since. the process developed progressively through when consolidation was global and relatively homogeneous on conventional chest radiographs, but ct scanning showed combination of alveolitis in the upper lungs and severe pneumonia in the lower. since that time, the development of discrete lucencies in both lungs could be due either to cavitation or pulmonary interstitial emphysema due to barotrauma. there is a suggestion of a small component of pneumomediastinum and pneumopericardium today along the left heart border. there is no pneumothorax. lung volumes remain exceedingly low, but this is not a new finding. pleural effusions are presumed, but not large. et tube and right pic line are in standard placements and an upper enteric drainage tube passes into a non-distended stomach and out of view.

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no acute cardiopulmonary abnormalities

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vague opacity in the right mid-to-upper lung, question early pneumonia. recommend followup to resolution.

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compared to prior chest radiographs, through. et tube, right internal jugular line, nasogastric drainage tube all in standard placements. bibasilar consolidation has not improved. pulmonary vasculature is engorged and chronic severe cardiomegaly is unchanged. no pneumothorax.

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right pigtail pleural catheter has been placed with apparent kink in the catheter proximal to the pigtail portion. there is a small residual right pleural effusion but no pneumothorax. exam is otherwise remarkable for improved pulmonary edema and persistent small to moderate left pleural effusion as well as right rib fractures.

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small atelectasis at the left lung basis. otherwise unremarkable chest radiograph.

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as compared to the previous radiograph, the lung volumes have decreased. this causes at currently increased extent and severity of the pre-existing parenchymal opacities. moderate cardiomegaly and mild fluid overload persists. no larger pleural effusions. unchanged course and position of the monitoring and support devices.

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no evidence of acute disease.

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no acute cardiopulmonary process. no displaced fracture. if clinical concern for rib fracture is high, consider dedicated rib series, which is more sensitive.

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no prior chest radiographs available for review. patient's is turned severely to her right. right hemidiaphragm may be elevated, due to right lower lobe atelectasis. repeat view carefully positioned would be helpful in that assessment and judging heart size. left lung is clear and there is no appreciable left pleural abnormality.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute intrathoracic process. hiatal hernia is minimally increased in size from the prior examination in.

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no acute cardiopulmonary process.

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stable appearance of right upper lobe thick-walled cavitary lesions, the differential for which includes mycobacterial infection or malignancy. no new consolidation or cavitated mass.

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images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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status post extubation. there is interval development of increasing density in the right lung base that may represent parenchymal consolidation.

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compared to chest radiographs go. previous moderate pulmonary edema has substantially improved. residual abnormality predominantly in the perihilar left lung should be followed to exclude concurrent pneumonia. heart is moderately enlarged. no appreciable pleural effusion. right pic line ends close to the superior cavoatrial junction.

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unremarkable chest x-ray.

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no evidence of pneumonia.

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in comparison with the study of , there again is enlargement of the cardiac silhouette with pulmonary vascular congestion. the hemidiaphragms are more sharply seen consistent with improving bilateral pleural effusions, though some of this could merely represent a more upright position of the patient. suggestion of a more coalescent area of opacification at the left base. in the appropriate clinical setting, this could represent a superimposed pneumonia. , md =

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blunting of the right costophrenic angle is unchanged and may reflect a small pleural effusion. otherwise, no acute cardiopulmonary process.

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compared to chest radiographs through. severe cardiomegaly and moderate pulmonary edema have worsened. small pleural effusions are presumed. no pneumothorax. with the chin down, endotracheal tube new ending at the thoracic inlet should not be withdrawn any further. it could be left internal jugular central venous line ends in the upper right atrium. mild upper mediastinal widening is explained by vascular engorgement, not pulmonary hemorrhage related to right internal jugular line withdrawal. esophageal drainage tube ends in the upper portion of a moderately distended stomach.

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elevation of the right hemidiaphragm is chronic. heterogeneous opacification developing at the lung bases is probably worsening interstitial edema accompanied by increasing small right pleural effusion. mild cardiomegaly is essentially stable. no pneumothorax. nasogastric tube ends in the upper stomach and would need to be advanced at least <num> cm to move all the side ports below the diaphragm.

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compared to chest radiographs through at. mild to moderate pulmonary edema and right basal consolidation worsened since :<num>. moderate right pleural effusion increased slightly. heart size normal. no pneumothorax. left pic line ends in the mid svc. left basal pigtail pleural drainage catheter unchanged in position.

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in comparison with the study of , there is little interval change. monitoring and support devices are stable. continued moderate m cardiomegaly with a pulmonary vascular congestion and substantial pleural effusions with compressive basilar atelectasis, more prominent on the right.

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no evidence of pneumonia.

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subtle opacity in the periphery of the right mid lung a which could represent a very early pneumonia in the correct clinical setting.

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no evidence of pneumonia.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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bilateral pigtail catheters are seen projecting over the lower chest/upper abdomen, stable. heart size upper limits of normal. there is a dual lead left-sided pacemaker. there is persistent mild pulmonary edema and a left retrocardiac opacity. there are no pneumothoraces. irregularity of the right proximal humerus may be related to prior old trauma. there is elevation of the left humeral head likely due to rotator cuff rupture.

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normal chest radiograph.

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no focal consolidation.

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compared to prior chest radiographs, since , most recently. large right pleural effusion has increased substantially, shifting the mediastinum to the left, responsible for more collapse in the right middle and lower lobes. numerous lung nodules have increased in size and number since. right central venous infusion catheter ends in the svc. it is shifted more medially than the remainder the mediastinum suggesting that the cava is either thrombosed or severely narrowed.

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no acute cardiopulmonary process.

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ap chest compared to and at : following extubation, lung volumes are much lower and this could account substantially for the apparent increased caliber of the mediastinum in the region of the aorta. some mediastinum bleeding could be present as well. the same is true for small left pleural effusion. on the right with a pleural drain in place, there is no pleural effusion or evidence of pneumothorax. right lung shows no pulmonary edema. left lung has mild edema. midline drains in place. swan-ganz catheter ends in the right pulmonary artery, obscured by sternal wire.

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bibasilar pneumonia.

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successful right-sided thoracocentesis with eliminating pleural effusion almost totally. no evidence of pneumothorax following the procedure.

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no acute cardiopulmonary process identified. no lobar consolidation.

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no acute cardiopulmonary abnormality. no overt traumatic findings. previously identified right apical spiculated nodule is not detected on radiography.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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the opacity in the right mid lung could be atelectasis, however pulmonary contusion or pneumonia is also possible in correct clinical setting.

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no evidence to suggest congestive heart failure.

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no acute cardiopulmonary process.

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comparison to. the lung volumes have decreased. subsequent increase in size of the cardiac silhouette and of the hilar and mediastinal contours. notably the right hilus appears slightly enlarged, despite the correlate on the lateral radiograph this change should be further worked up by ct. no pneumonia, no pulmonary edema, no pleural effusions.

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no acute cardiopulmonary process. normal chest radiograph.

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no acute intrathoracic process.

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dobbhoff tube in the stomach.

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ap chest compared to : tip of the endotracheal tube in standard position, <num> cm above the carina. small right pleural effusion unchanged. right basal consolidation or atelectasis improved. borderline interstitial pulmonary edema present. heart size normal. left lower lobe atelectasis mild to moderate, change in distribution but not in overall severity. no pneumothorax. upper enteric drainage tube passes into the stomach and out of view. left jugular line ends at the junction of brachiocephalic veins.