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/p13774741/s58645858/4c9017e9-27497504-93954496-4f5d3160-8c74aa64.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19795825/s52834369/26de0b45-4e682e60-9635d3cd-ab8afddb-63e34240.jpg	pa and lateral chest compared to : right pleural scarring is stable. lungs are essentially clear. there is probably no pleural effusion. heart size is normal, although the configuration of the left heart border raises the possibility of left atrial enlargement, but there has been no interval change and the pulmonary and mediastinal vasculature are normal.
MIMIC-CXR-JPG/2.0.0/files/p10394530/s53738159/7cefcec6-3b3f61b1-230c77e4-22aa2dbe-144aa7ad.jpg	no acute cardiopulmonary process. no radiographic evidence of acute process.
MIMIC-CXR-JPG/2.0.0/files/p10804100/s58888111/f6e6ac4d-41c1e018-dfbb31bc-8e594180-79792135.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15032392/s53640505/02b0de5b-2b9af244-79a71ae0-cf7fff2b-0bc90557.jpg	unchanged right upper lobe parenchymal consolidation. unchanged left lower lobe consolidation, likely a combination of pleural effusion and atelectasis, although multifocal pneumonia is possible.
MIMIC-CXR-JPG/2.0.0/files/p16908110/s50974777/06ffb02d-d5ee3d54-6bd9df18-a5e94877-b9f566b3.jpg	no evidence of acute cardiopulmonary disease. calcified pleural plaques, frequently seen in the setting of prior asbestos exposure.
MIMIC-CXR-JPG/2.0.0/files/p11833586/s51069987/cd0d45ad-ae7ede3e-ce6c28e6-70d8d0d5-23f0cd8a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17111103/s51483414/8dc64f2a-680e3ef7-b9ec0644-18c1d7ed-6d754267.jpg	mild cardiomegaly with no evidence of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p18131667/s53240533/c2fd90c3-89f7ba24-c2754da4-c3b0732a-357c5859.jpg	right-sided picc line terminates within the right axilla, with the line coiled at the level of the insertion site.
MIMIC-CXR-JPG/2.0.0/files/p16477848/s56708170/e9782290-ff94809e-c5ff6d60-16f10731-33b0a323.jpg	mild cardiomegaly without evidence of congestive heart failure.
MIMIC-CXR-JPG/2.0.0/files/p16472682/s50228428/4efe9453-bf60b9d6-2f4d16ab-4bdae6b3-7422a1cc.jpg	stable large bilateral pleural effusions as well as left lower lobe and right middle lobe atelectasis. endotracheal tube is well positioned <num> cm above the carina. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15906640/s53257168/0f3c9522-76a3d21c-3acba1a9-87a6046b-e40ac45d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18983249/s52074086/4cac7c21-e3e59062-3115f852-e92fba58-32aa391a.jpg	mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10384095/s58589339/29e81970-99ec818a-c9561cea-b1d38fc5-172b9d99.jpg	patchy right lower lobe opacity could reflect patchy atelectasis, aspiration, or an early focus of infectious pneumonia. short-term followup radiographs may be helpful in this regard.
MIMIC-CXR-JPG/2.0.0/files/p18621835/s55719773/9fecedb8-1701c1cf-110b5c0d-c3a05a93-d2bc2b27.jpg	mild retrocardiac opacification in the setting of low lung volumes most likely represents atelectasis. in the appropriate clinical context, superimposed infection is not entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p15029537/s59873030/8dad838a-2d8f3d44-181a3abd-c6297083-4025a35b.jpg	congestive heart failure with interstitial edema and small pleural effusions appear
MIMIC-CXR-JPG/2.0.0/files/p19836795/s52768314/02c63565-094d4c6b-1c2756d6-9b2a1597-8aaf1fb8.jpg	compared to chest radiographs through. large left and moderate right pleural effusions are both substantially larger. no pneumothorax. normal postoperative cardiomediastinal silhouette. cardiopulmonary support devices in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p19001598/s54038226/2c8f15e6-d3fed417-e5c8efc5-20074fce-ef925ffa.jpg	no acute cardiopulmonary abnormality. no free air under the diaphragms.
MIMIC-CXR-JPG/2.0.0/files/p12105841/s50611368/32b74e03-5544b366-d03f9020-16867dd0-39d862c6.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15859905/s57987957/cb461f97-726f5723-e88f8a68-7ea21ee5-57d03cbe.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10525806/s50390189/c7598a3f-963e99dc-9405c470-cda1b186-a5d4b5b6.jpg	large scale pneumonia in the lower right lung and a smaller region in the left lower lobe, not changed appreciably. distribution suggests massive aspiration. heart size top- normal. pulmonary vasculature is mildly engorged but there is no edema. pleural effusions are presumed, but not large. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12784119/s58081572/a20c06d8-0e70def9-e41fbb6e-2c590f78-6a1aace1.jpg	continued interval improvement of the right parenchymal opacities. no other change.
MIMIC-CXR-JPG/2.0.0/files/p13845600/s54929858/b5f8e30a-bdf9cf9a-2ffa43a7-8c3d23ae-525e904b.jpg	no significant change in <num> cm mass or abscess in the right middle lobe, seen on ct from.
MIMIC-CXR-JPG/2.0.0/files/p18270760/s59376154/dc0df4f1-9c3761e0-e1228979-c730d052-861cd0e4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17313092/s56174959/d736fcb4-23bcfa95-c706b406-2324084d-d27906d2.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p13253226/s59304457/a79dc83c-ff2e7f51-e05a9e53-a9520227-b7462837.jpg	lower lung volumes on the current exam. left lower lobe opacity seen medially, potentially due to atelectasis; however, infiltrate is not completely excluded. clinical correlation is suggested.
MIMIC-CXR-JPG/2.0.0/files/p12760459/s56020959/514fa8dc-3132035e-96369dff-2e63571c-a31a2c13.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p14003502/s50753769/ad7e71ea-cbe14ecf-30e3ffcf-fe3e9479-7712415a.jpg	hyperinflation of the right lung and the configuration of the right hemidiaphragm indicate air trapping, perhaps chronic, but more pronounced today than on. convex upward contour of the left diaphragmatic surface laterally is due to pleural scarring or small retained left pleural effusion. there is no pneumothorax. aside from a small elliptical region of atelectasis and contiguous subsegmental atelectasis in the left mid and lower lung, lungs are clear of any focal abnormality. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p12811704/s58532760/ca168bb0-e627fe10-d224f0d4-93657710-c22380a5.jpg	patchy new right infrahilar and mid lung opacities suggesting pneumonia. this includes a newly apparent nodular opacity projecting over the right mid lung, probably due to pneumonia although a new pulmonary nodule or sequelae of rib trauma could also be considered. summary of final report including recommendation for follow-up radiographs within eight weeks emailed to ed qa nursing group at <num> pm on.
MIMIC-CXR-JPG/2.0.0/files/p11763878/s58004257/c3b2ff2b-efb308ef-d0893855-dbc7cc65-bb7e245e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12340484/s53733070/16069232-fdfccbee-e4740b04-eb7196a2-17456b13.jpg	double tube tip is in the stomach. heart size and mediastinum are stable. multifocal opacities appear to be more pronounced than on the prior study, concerning for interval worsening.
MIMIC-CXR-JPG/2.0.0/files/p18626051/s51023920/6dbec987-8da605b8-59925ca2-9642c189-a31ca912.jpg	no acute cardiopulmonary process. no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13703773/s56677975/2c063c57-ac0d9c6b-aea4bd93-427f5a2e-9e2306a0.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13117065/s50286767/73f4a8b5-1eed9d35-e1fa85f8-b49322e9-ccf1c52c.jpg	<num>) small possibility of pneumothorax of the left lung. given the patient's clinically complaint, repeat expiratory and oblique views should be obtained to better evaluate this. <num>) post-radiation and surgical treatment changes in the right upper lobe. discussed with at by via telephone, <num> minutes after the initial discovery of the findings.
MIMIC-CXR-JPG/2.0.0/files/p17051420/s53674148/cb835b37-0e6bc9f8-46b4b9e9-04dd9c55-69a5682d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19920914/s52150877/3c38cede-b0253c53-8275656f-5d19750a-4c6ae153.jpg	no right pneumothorax. unchanged small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11858658/s53953735/8f05ffed-7ff5ba9d-c29b1b80-536d33a8-0b322c54.jpg	subtle air is opacity opacity in the bilateral mid lung zones could be due to infection. these findings are new as compared to the prior study, and best seen on the frontal view.
MIMIC-CXR-JPG/2.0.0/files/p13082017/s56592019/5766b703-0b576084-625ef3e4-41ad8978-bd4556d7.jpg	opacities in both lung bases greater on the left which could represent atelectasis although consolidation cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p16997368/s58391178/5ada8c51-695a48c7-e10cad07-b53e084b-e0dc5e99.jpg	increased opacity projecting over the lateral left lung base may reflect atelectasis, but an infectious process cannot be excluded. particularly given history of no improvement on antibiotics, postobstructive pneumonia is a concern. recommendation(s): ct for evaluation of the airways is advised.
MIMIC-CXR-JPG/2.0.0/files/p10867166/s52151611/9489c140-dfcf8afd-88a9c33d-3248be76-fd6b555a.jpg	moderate pulmonary edema, unchanged. bibasilar opacities, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19563570/s54573702/ea815246-546977e4-1b2b4d31-d87575dc-5325d922.jpg	pa and lateral chest compared to through : postoperative cardiomediastinal widening was most severe on , accompanied by moderate left pleural effusion. subsequently, there has been some slow decrease in the extent of mediastinal widening, and initially in the volume of left pleural effusion, but moderate volume of left pleural fluid has increased since. smaller right pleural effusion has remained stable. concurrence of dominant left pleural effusion and persistent widening of the cardiomediastinal silhouette raise possibility of post-pericardiotomy syndrome, but variety of other combinations can produce same findings, including slowly resolving mediastinal hematoma and atypical left-sided predominant pleural effusion due to volume overload or subdiaphragmatic pathology such as pancreatitis. the right lung is perfectly clear and there is no pulmonary edema. no pneumothorax is present. left upper lung is essentially clear. lower lobe atelectatic.
MIMIC-CXR-JPG/2.0.0/files/p12885815/s53196760/b7e6a61f-6754f9c8-4306c2db-9a59c5f4-d7f24162.jpg	as compared to the previous radiograph, the pre described right upper lobe parenchymal opacity in is more subtle but still visible. however, the since the previous radiograph, there is a new left epihilar consolidation adjacent to the aortopulmonary window. given the presence of the these abnormalities ct is recommended to workup the chest radiographic findings. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16214121/s54118939/6c826282-9be06ca8-d6bbc12a-659e74d6-a1b111af.jpg	cardiomegaly without signs of pneumothorax or traumatic lung injury.
MIMIC-CXR-JPG/2.0.0/files/p18463780/s57451141/9933d44f-5f734c6c-c3b4ef24-2daf27b9-f824712b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12668281/s52190344/f4ee7660-ea77de13-01ecd500-ccb29b88-1cfd9abd.jpg	no pneumonia, edema, or effusion. right renal stone.
MIMIC-CXR-JPG/2.0.0/files/p12637238/s51920684/f3bf0b72-a86d98c4-8cb9403a-e8d2e63f-1f77885f.jpg	no radiographic evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16686709/s54972246/d427f37c-80ba9ad5-31471868-a3ec2ec6-6ecda2f3.jpg	no evidence of post-operative pneumonic infiltrate as identified on single ap chest view.
MIMIC-CXR-JPG/2.0.0/files/p19807371/s56169595/5971b833-02394984-c884ad91-3259bf7d-f7eba35b.jpg	no acute chest pathology.
MIMIC-CXR-JPG/2.0.0/files/p19930554/s58147412/b601aaa6-afa5b874-9655d1e3-1c413163-faaf8f37.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12730395/s51400240/ad57b8ae-808f7000-ada32ea5-d6d54383-fbe643bd.jpg	moderate right pneumothorax, largely basal, has not changed appreciably since earlier in the day, pleural drainage catheter still in place in the right lower hemi thorax. right pleural effusion is small and loculated, if any. more likely this is a thickening of the costal pleural surface. mild pulmonary edema in the left lung is exaggerated by lower lung volume. mild cardiomegaly stable. et tube in standard placement. right pic line ends in the right atrium. nasogastric tube ends in the upper portion of a nondistended stomach. no left pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18694307/s51772803/26bd1979-89b71907-cef8f4ea-032467a0-8f61a47a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18405111/s59402757/0c4a6f24-b3bab84f-0175093c-c994ac5c-e7da9fa0.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p17951619/s51054687/039a2835-e012e0c2-708d5772-926f6c36-e2a7429c.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p13851193/s58160719/e44064dd-751c7673-211a6869-679b0631-7cad81c9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14330526/s50340462/b28616b3-7b48d19f-e7a6653e-f03bf9aa-cfd3c6d2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10189939/s53854760/654a5dbc-8b235624-be59b6a4-fe9b996a-e5dfff3a.jpg	no acute intrathoracic process. appropriately positioned nasogastric tube.
MIMIC-CXR-JPG/2.0.0/files/p15390166/s54539583/a870c267-98e34280-f2adc388-319fc7c7-68941502.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10309385/s52658061/b9dfc984-0f85ab09-4fe3a853-35f2c3d5-57ecec9d.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10979480/s51725692/0acbc9b0-3513dcb0-b161e203-531c5428-d9612f66.jpg	stable bibasilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18947160/s59162437/42f73b98-519631cd-41bff980-ff07d5d1-586dcb96.jpg	ap and lateral chest compared to at : previous pulmonary vascular congestion has decreased. small right and small-to-moderate left pleural effusion persist and partially obscure what could be areas of consolidation in both lower lungs. cardiac silhouette is moderately enlarged. fullness in the mediastinum in the region of the pulmonary outflow tract raises the possibility of pulmonary hypertension. in addition to a possibility of pneumonia in both lower lobes, particularly the left, clinical attention should be paid to the possibility of pericardial effusion, although i see no evidence of elevated central venous pressure by way of mediastinal widening. right internal jugular introducer ends at the junction of the brachiocephalic veins. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11737430/s51823867/cac7afc7-8d59321f-b0c00fb8-f3f9a54d-59687340.jpg	overall lung volumes have improved and there is resolution of the previously seen pulmonary edema. there are residual streaky bibasilar opacities likely reflecting atelectasis or scarring. no focal airspace consolidation is seen to suggest pneumonia. overall cardiac and mediastinal contours are stable with the heart being mildly enlarged. there are marked degenerative changes in the thoracic spine. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18169393/s53120681/0959fab6-71d82a9d-ee2280be-8e171372-80967683.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15711610/s52751686/82883a83-1d1d9ccc-db533ce2-04c3229d-3b0f5ba1.jpg	in comparison with studies dating back to , there is little substantial change in the right upper is and zone opacity medially. this probably represents some combination of calcification in the cartilage of the first ribs and vascular prominence. combined pa and lateral view could be helpful for further evaluation. otherwise, there is again enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. there is suggestion of an area of increased opacification in the left lower neck, which could conceivably represent a thyroid adenoma.
MIMIC-CXR-JPG/2.0.0/files/p11109203/s56279660/42666d92-dfa0167d-169c79c7-21f5d25f-f1b43459.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17288578/s58038894/c140814e-1a5efd8d-54668c63-8b298e73-566d7b52.jpg	moderate cardiomegaly, and mild interstitial edema. small left pleural effusion. right picc line is in appropriate position in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p17254925/s54357383/082acc9c-165aa56b-f87eb245-c89db3b3-0572e7da.jpg	cardiomegaly without acute cardiopulmonary process. no displaced fractures on these nondedicated views.
MIMIC-CXR-JPG/2.0.0/files/p19884620/s51346774/5d8405b6-401cfa41-5e10605c-c2b881cc-f4f215b9.jpg	increase large bilateral pleural effusions
MIMIC-CXR-JPG/2.0.0/files/p11465247/s54829511/7da61e0c-128804f1-b17951e5-5e34acbe-c01fd2fd.jpg	pa and lateral chest compared to : previous pneumonia in lingula has resolved. lungs are now clear. heart size is normal. there is no pleural abnormality or evidence of central lymph node enlargement. thoracic aorta is tortuous but not clearly aneurysmal.
MIMIC-CXR-JPG/2.0.0/files/p10039272/s59975213/783d435f-76b7792a-676c2685-d33e2ca5-eed1f920.jpg	right middle lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19170368/s55531691/0e97d187-e3d88f0c-3436f998-2d171649-ebc3189a.jpg	tiny right apical pneumothorax with the chest tubes to water seal.
MIMIC-CXR-JPG/2.0.0/files/p15781781/s56817997/03ee1d71-cbd855c6-bf602501-bd449fc3-4888fd84.jpg	in comparison with the study of , the cardiac silhouette is more prominent and there has been the development of substantial pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. in view of these pulmonary changes, it would be extremely difficult to exclude superimposed pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p15214825/s59232174/714e3742-530f79b0-2cb09ec1-3341ad8e-a5ec52ff.jpg	comparison to. in the interval, the patient has developed mild to moderate pulmonary edema. moderate cardiomegaly persists. feeding tube is in stable position. platelike atelectasis at the right lung basis.
MIMIC-CXR-JPG/2.0.0/files/p16399070/s52887328/b3fe7cb4-f6e6fdfe-f0bb4a90-7de5abe5-ea2abfef.jpg	et tube near the right mainstem bronchus. recommend retracting <num> cm. these findings were discussed with by dr telephone at
MIMIC-CXR-JPG/2.0.0/files/p14047315/s56382002/7e78faad-9db65c56-3dfde8a8-c0fa81b7-af9f0e26.jpg	there is increasing opacity at the left base which although could reflect atelectasis, is concerning for aspiration or pneumonia. no pulmonary edema. overall cardiac and mediastinal contours are stable given differences in patient positioning. right subclavian picc line continues to have its tip at the cavoatrial junction. a right-sided vp shunt is again visualized. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14948491/s59441466/9c76127a-23f02032-7d0bfa4e-a49e491d-ce1a0928.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10705890/s52199804/05b5d306-0db550ce-483b438a-0c11a904-2d7f7153.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19554899/s50483818/d7f0adcc-d4fce5d7-b4ddd42e-f02c3205-bc6e28f5.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15503011/s58641153/e9e1cd99-3bcf579b-bf213b22-a776b98e-53bf3579.jpg	in comparison with the study of , there is little change in no evidence of acute cardiopulmonary disease. cardiac monitoring device again projects over the medial and mid portion of the left hemithorax. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16568324/s57234822/81ad2993-043a82c7-b11d92a1-9b584764-d84f3480.jpg	bibasilar opacities worrisome for aspiration. next hiatal hernia no pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p14634689/s53853646/af7b2c99-c4444501-64f79743-a2df734e-4932f866.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15209552/s56072350/f27ede0a-831aab00-80ea71f4-6221c7a6-e792a720.jpg	worsening moderate pulmonary edema with increased moderate bilateral pleural effusions and bibasilar subsegmental atelectasis. superimposed pneumonia cannot be excluded in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p10732095/s53634277/dc0f7dc8-18ab3763-a86f9c0a-c5866693-a1e87bb5.jpg	no rib fracture appreciated. please refer to report on dedicated rib films obtained today for further assessment of rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p13505226/s59735973/e16c06d2-5614f0b5-d379188a-341718d5-f389e91b.jpg	right ij catheter is in the lower svc.
MIMIC-CXR-JPG/2.0.0/files/p19895187/s53378493/d4e431e0-fa51c4b1-2d1939ca-1dad6187-f157e8a5.jpg	mild pulmonary vascular engorgement.
MIMIC-CXR-JPG/2.0.0/files/p17031563/s52825820/5daa7bb9-fd452fa4-b4f33756-e28c6d3e-1f2c2159.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13056974/s54587883/822d06c7-ac74cd8d-5ae9723e-88fe6d5f-4f959ce2.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19548620/s53077153/9ee6ddf5-65030423-f9fe6273-74157f6b-0d89d93c.jpg	mild cardiomegaly. lungs fully expanded and clear. normal pulmonary and mediastinal vasculature. normal hilar and mediastinal contours and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p10482766/s58288693/00403194-74208678-d1960975-ebca4fc1-dc803228.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12686893/s57006426/ad53ab28-1d8d7002-57f6dd13-c089541a-47412e93.jpg	no previous images. there is enlargement of the cardiac silhouette with indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. hazy opacification at the bases with poor definition of the hemidiaphragms could reflect layering pleural effusions and compressive atelectasis, worse on the left. although no definite focal consolidation is appreciated, in the appropriate clinical setting this would be difficult to exclude. if the condition of the patient could permit, a lateral view could be helpful.
MIMIC-CXR-JPG/2.0.0/files/p19244673/s51985269/0b61cd4e-42baa724-371b2786-486336b1-4806929e.jpg	bibasilar atelectasis and probable mild pulmonary vascular engorgement.
MIMIC-CXR-JPG/2.0.0/files/p17635175/s57668597/2b7182ce-26cfbc6b-69148eba-ab4d176c-6cecf305.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p12998776/s52094441/02d6a3dc-b5a3ab01-abc5cb5e-9955ec92-5ca09ed2.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p11601553/s50973673/15c389a3-be09b621-86a36d4f-d59453e7-0238ec76.jpg	in comparison with study of , there again is substantial enlargement of the cardiac silhouette with worsening pulmonary edema. opacification at the left base again is consistent with pleural fluid and substantial volume loss in the left lower lobe. in the appropriate clinical setting, it would be difficult to unequivocally exclude superimposed pneumonia, especially in the absence of a lateral view. central catheter tip again extends to the lower svc.
MIMIC-CXR-JPG/2.0.0/files/p10538657/s53038491/4594c069-6871096e-8ef4bfd3-b35e6168-4caf53d1.jpg	unchanged moderate cardiomegaly. pacemaker/aicd leads intact and in standard position. no pulmonary edema or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17978572/s53907792/350bbb9b-5cf73637-ed5fb0bb-555e132b-7970d234.jpg	ap chest compared to : et tube, transvenous right atrial pacer and ventricular defibrillator leads are in standard placements. upper enteric tube passes into the stomach and out of view. left pic line can be traced as far as the left subclavian vein, but the tip is obscured. mild-to-moderate pulmonary edema has improved since , as have large areas of consolidation in the axillary regions of both lungs. moderate-to-severe cardiomegaly has decreased. substantial right pleural effusion is still present. there is no pneumothorax. overall, findings suggest improvement in cardiac decompensation and clearing of what is probably bilateral pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12190919/s54864834/f1c41647-3dc63b2c-40850776-2b55ca03-cc2f5acd.jpg	no evidence of pneumonia. lung hyperinflation.
MIMIC-CXR-JPG/2.0.0/files/p15002645/s56625756/949ed43c-19fe0723-61e985c6-73cac5c9-16d02b30.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14033331/s53409913/6fcce529-33567348-b8e01dcc-4a035937-a057787f.jpg	stable positioning of dialysis catheter. no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p12461334/s57308158/a9700ffc-609f4b48-94ec5528-afa20b1e-e550cdc9.jpg	no radiographic evidence for pneumonia. persistent subsegmental right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11369634/s59003257/e7a81a77-66176d5a-8acd7dde-f1818ae7-5aaa711c.jpg	resolved pneumonia when compared to prior study

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no acute cardiopulmonary process.

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pa and lateral chest compared to : right pleural scarring is stable. lungs are essentially clear. there is probably no pleural effusion. heart size is normal, although the configuration of the left heart border raises the possibility of left atrial enlargement, but there has been no interval change and the pulmonary and mediastinal vasculature are normal.

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no acute cardiopulmonary process. no radiographic evidence of acute process.

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no acute cardiopulmonary process.

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unchanged right upper lobe parenchymal consolidation. unchanged left lower lobe consolidation, likely a combination of pleural effusion and atelectasis, although multifocal pneumonia is possible.

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no evidence of acute cardiopulmonary disease. calcified pleural plaques, frequently seen in the setting of prior asbestos exposure.

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no acute cardiopulmonary abnormality.

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mild cardiomegaly with no evidence of pneumonia or chf.

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right-sided picc line terminates within the right axilla, with the line coiled at the level of the insertion site.

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mild cardiomegaly without evidence of congestive heart failure.

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stable large bilateral pleural effusions as well as left lower lobe and right middle lobe atelectasis. endotracheal tube is well positioned <num> cm above the carina. no pneumothorax.

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no acute cardiopulmonary process.

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mild bibasilar atelectasis.

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patchy right lower lobe opacity could reflect patchy atelectasis, aspiration, or an early focus of infectious pneumonia. short-term followup radiographs may be helpful in this regard.

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mild retrocardiac opacification in the setting of low lung volumes most likely represents atelectasis. in the appropriate clinical context, superimposed infection is not entirely excluded.

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congestive heart failure with interstitial edema and small pleural effusions appear

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compared to chest radiographs through. large left and moderate right pleural effusions are both substantially larger. no pneumothorax. normal postoperative cardiomediastinal silhouette. cardiopulmonary support devices in standard placements.

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no acute cardiopulmonary abnormality. no free air under the diaphragms.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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large scale pneumonia in the lower right lung and a smaller region in the left lower lobe, not changed appreciably. distribution suggests massive aspiration. heart size top- normal. pulmonary vasculature is mildly engorged but there is no edema. pleural effusions are presumed, but not large. no pneumothorax.

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continued interval improvement of the right parenchymal opacities. no other change.

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no significant change in <num> cm mass or abscess in the right middle lobe, seen on ct from.

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no acute cardiopulmonary abnormality.

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no evidence of acute disease.

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lower lung volumes on the current exam. left lower lobe opacity seen medially, potentially due to atelectasis; however, infiltrate is not completely excluded. clinical correlation is suggested.

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no acute cardiopulmonary pathology.

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hyperinflation of the right lung and the configuration of the right hemidiaphragm indicate air trapping, perhaps chronic, but more pronounced today than on. convex upward contour of the left diaphragmatic surface laterally is due to pleural scarring or small retained left pleural effusion. there is no pneumothorax. aside from a small elliptical region of atelectasis and contiguous subsegmental atelectasis in the left mid and lower lung, lungs are clear of any focal abnormality. heart size is normal.

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patchy new right infrahilar and mid lung opacities suggesting pneumonia. this includes a newly apparent nodular opacity projecting over the right mid lung, probably due to pneumonia although a new pulmonary nodule or sequelae of rib trauma could also be considered. summary of final report including recommendation for follow-up radiographs within eight weeks emailed to ed qa nursing group at <num> pm on.

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no acute cardiopulmonary process.

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double tube tip is in the stomach. heart size and mediastinum are stable. multifocal opacities appear to be more pronounced than on the prior study, concerning for interval worsening.

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no acute cardiopulmonary process. no radiographic evidence of pneumonia.

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no acute intrathoracic process.

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<num>) small possibility of pneumothorax of the left lung. given the patient's clinically complaint, repeat expiratory and oblique views should be obtained to better evaluate this. <num>) post-radiation and surgical treatment changes in the right upper lobe. discussed with at by via telephone, <num> minutes after the initial discovery of the findings.

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no acute cardiopulmonary process.

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no right pneumothorax. unchanged small right pleural effusion.

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subtle air is opacity opacity in the bilateral mid lung zones could be due to infection. these findings are new as compared to the prior study, and best seen on the frontal view.

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opacities in both lung bases greater on the left which could represent atelectasis although consolidation cannot be excluded.

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increased opacity projecting over the lateral left lung base may reflect atelectasis, but an infectious process cannot be excluded. particularly given history of no improvement on antibiotics, postobstructive pneumonia is a concern. recommendation(s): ct for evaluation of the airways is advised.

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moderate pulmonary edema, unchanged. bibasilar opacities, likely atelectasis.

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pa and lateral chest compared to through : postoperative cardiomediastinal widening was most severe on , accompanied by moderate left pleural effusion. subsequently, there has been some slow decrease in the extent of mediastinal widening, and initially in the volume of left pleural effusion, but moderate volume of left pleural fluid has increased since. smaller right pleural effusion has remained stable. concurrence of dominant left pleural effusion and persistent widening of the cardiomediastinal silhouette raise possibility of post-pericardiotomy syndrome, but variety of other combinations can produce same findings, including slowly resolving mediastinal hematoma and atypical left-sided predominant pleural effusion due to volume overload or subdiaphragmatic pathology such as pancreatitis. the right lung is perfectly clear and there is no pulmonary edema. no pneumothorax is present. left upper lung is essentially clear. lower lobe atelectatic.

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as compared to the previous radiograph, the pre described right upper lobe parenchymal opacity in is more subtle but still visible. however, the since the previous radiograph, there is a new left epihilar consolidation adjacent to the aortopulmonary window. given the presence of the these abnormalities ct is recommended to workup the chest radiographic findings. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette.

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cardiomegaly without signs of pneumothorax or traumatic lung injury.

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no acute cardiopulmonary process.

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no pneumonia, edema, or effusion. right renal stone.

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no radiographic evidence of acute cardiopulmonary disease.

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no evidence of post-operative pneumonic infiltrate as identified on single ap chest view.

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no acute chest pathology.

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no acute cardiopulmonary process.

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moderate right pneumothorax, largely basal, has not changed appreciably since earlier in the day, pleural drainage catheter still in place in the right lower hemi thorax. right pleural effusion is small and loculated, if any. more likely this is a thickening of the costal pleural surface. mild pulmonary edema in the left lung is exaggerated by lower lung volume. mild cardiomegaly stable. et tube in standard placement. right pic line ends in the right atrium. nasogastric tube ends in the upper portion of a nondistended stomach. no left pneumothorax or pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary pathology.

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no significant interval change.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute intrathoracic process. appropriately positioned nasogastric tube.

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no acute cardiopulmonary process.

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no acute intrathoracic abnormality.

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stable bibasilar pneumonia.

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ap and lateral chest compared to at : previous pulmonary vascular congestion has decreased. small right and small-to-moderate left pleural effusion persist and partially obscure what could be areas of consolidation in both lower lungs. cardiac silhouette is moderately enlarged. fullness in the mediastinum in the region of the pulmonary outflow tract raises the possibility of pulmonary hypertension. in addition to a possibility of pneumonia in both lower lobes, particularly the left, clinical attention should be paid to the possibility of pericardial effusion, although i see no evidence of elevated central venous pressure by way of mediastinal widening. right internal jugular introducer ends at the junction of the brachiocephalic veins. there is no pneumothorax.

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overall lung volumes have improved and there is resolution of the previously seen pulmonary edema. there are residual streaky bibasilar opacities likely reflecting atelectasis or scarring. no focal airspace consolidation is seen to suggest pneumonia. overall cardiac and mediastinal contours are stable with the heart being mildly enlarged. there are marked degenerative changes in the thoracic spine. no pneumothorax.

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no acute intrathoracic process.

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in comparison with studies dating back to , there is little substantial change in the right upper is and zone opacity medially. this probably represents some combination of calcification in the cartilage of the first ribs and vascular prominence. combined pa and lateral view could be helpful for further evaluation. otherwise, there is again enlargement of the cardiac silhouette with a pacer device in place, but no evidence of pulmonary edema. there is suggestion of an area of increased opacification in the left lower neck, which could conceivably represent a thyroid adenoma.

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no acute cardiopulmonary process.

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moderate cardiomegaly, and mild interstitial edema. small left pleural effusion. right picc line is in appropriate position in the mid svc.

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cardiomegaly without acute cardiopulmonary process. no displaced fractures on these nondedicated views.

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increase large bilateral pleural effusions

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pa and lateral chest compared to : previous pneumonia in lingula has resolved. lungs are now clear. heart size is normal. there is no pleural abnormality or evidence of central lymph node enlargement. thoracic aorta is tortuous but not clearly aneurysmal.

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right middle lobe pneumonia.

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tiny right apical pneumothorax with the chest tubes to water seal.

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in comparison with the study of , the cardiac silhouette is more prominent and there has been the development of substantial pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis at the bases. in view of these pulmonary changes, it would be extremely difficult to exclude superimposed pneumonia in the appropriate clinical setting.

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comparison to. in the interval, the patient has developed mild to moderate pulmonary edema. moderate cardiomegaly persists. feeding tube is in stable position. platelike atelectasis at the right lung basis.

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et tube near the right mainstem bronchus. recommend retracting <num> cm. these findings were discussed with by dr telephone at

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there is increasing opacity at the left base which although could reflect atelectasis, is concerning for aspiration or pneumonia. no pulmonary edema. overall cardiac and mediastinal contours are stable given differences in patient positioning. right subclavian picc line continues to have its tip at the cavoatrial junction. a right-sided vp shunt is again visualized. no pneumothorax.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary disease.

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in comparison with the study of , there is little change in no evidence of acute cardiopulmonary disease. cardiac monitoring device again projects over the medial and mid portion of the left hemithorax. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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bibasilar opacities worrisome for aspiration. next hiatal hernia no pulmonary edema

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no acute intrathoracic process.

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worsening moderate pulmonary edema with increased moderate bilateral pleural effusions and bibasilar subsegmental atelectasis. superimposed pneumonia cannot be excluded in the appropriate clinical setting.

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no rib fracture appreciated. please refer to report on dedicated rib films obtained today for further assessment of rib fracture.

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right ij catheter is in the lower svc.

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mild pulmonary vascular engorgement.

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no focal consolidation.

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no evidence of pneumonia.

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mild cardiomegaly. lungs fully expanded and clear. normal pulmonary and mediastinal vasculature. normal hilar and mediastinal contours and pleural surfaces.

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no acute cardiopulmonary process.

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no previous images. there is enlargement of the cardiac silhouette with indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. hazy opacification at the bases with poor definition of the hemidiaphragms could reflect layering pleural effusions and compressive atelectasis, worse on the left. although no definite focal consolidation is appreciated, in the appropriate clinical setting this would be difficult to exclude. if the condition of the patient could permit, a lateral view could be helpful.

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bibasilar atelectasis and probable mild pulmonary vascular engorgement.

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no active disease.

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no acute findings in the chest.

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in comparison with study of , there again is substantial enlargement of the cardiac silhouette with worsening pulmonary edema. opacification at the left base again is consistent with pleural fluid and substantial volume loss in the left lower lobe. in the appropriate clinical setting, it would be difficult to unequivocally exclude superimposed pneumonia, especially in the absence of a lateral view. central catheter tip again extends to the lower svc.

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unchanged moderate cardiomegaly. pacemaker/aicd leads intact and in standard position. no pulmonary edema or consolidation.

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ap chest compared to : et tube, transvenous right atrial pacer and ventricular defibrillator leads are in standard placements. upper enteric tube passes into the stomach and out of view. left pic line can be traced as far as the left subclavian vein, but the tip is obscured. mild-to-moderate pulmonary edema has improved since , as have large areas of consolidation in the axillary regions of both lungs. moderate-to-severe cardiomegaly has decreased. substantial right pleural effusion is still present. there is no pneumothorax. overall, findings suggest improvement in cardiac decompensation and clearing of what is probably bilateral pneumonia.

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no evidence of pneumonia. lung hyperinflation.

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no acute intrathoracic abnormality.

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stable positioning of dialysis catheter. no evidence of acute cardiopulmonary disease.

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no radiographic evidence for pneumonia. persistent subsegmental right basilar atelectasis.

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resolved pneumonia when compared to prior study