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/p11077329/s57520467/d4e03ae3-c81d37d8-14c85e19-1ba0e118-655daa7d.jpg	no acute cardiopulmonary process. mid and distal descending aorta contour abnormalities consistent with focal aneurysmal dilatation are unchanged from.
MIMIC-CXR-JPG/2.0.0/files/p17423827/s56210990/3b9d678e-ec2e7b18-cd2da28c-b57af4a4-528cfd5b.jpg	as compared to radiograph, a nasogastric tube has been placed, terminating within a large hiatal hernia. exam is otherwise remarkable for persistent left basilar atelectasis and or aspiration, an development of linear atelectasis at the right base. questionable small left pleural effusion is also noted.
MIMIC-CXR-JPG/2.0.0/files/p11080116/s55628643/c27ce36a-470e1961-2d1d0784-adb29c6a-92dc5ab3.jpg	status post rfa with no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17436979/s56637323/e8789b17-947ad385-4aaf7792-f3e8590c-ecac62bc.jpg	no radiographic evidence of an acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13197030/s59577505/725bcab4-ac240209-51d3159c-2d0d239f-07b6ba1b.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14131135/s57243864/fd624a11-880fdeb1-f18cee1a-3a7721bf-b4aa39eb.jpg	post radiation fibrosis again visualized in the left lung and left perihilar region. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16524597/s55345547/ccad72e0-d2bf7b15-614c8c7a-aca76468-f09c2cbf.jpg	mildly indistinct pulmonary vascular markings may be due to minimal fluid overload, but no frank evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18691393/s52958333/65c65663-3cbaf88b-fd144043-b2db2197-f405087a.jpg	pigtail drainage catheter projects over the liver without evidence of pneumoperitoneum. small bilateral pleural effusions with adjacent bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19624478/s50277888/d358bb80-c926b1b9-d2ac6365-eaef4046-d73e31ac.jpg	as compared to the previous radiograph, the pre-existing multifocal pneumonia has completely resolved. neither the frontal nor the lateral radiograph show remnants or complications. moderate cardiomegaly persists. mild elongation of the descending aorta. the tracheostomy tube and the previously malpositioned left picc line has been removed.
MIMIC-CXR-JPG/2.0.0/files/p13364314/s57511518/80fd700d-380c5d3b-61132ff8-4ba8eb3d-887ab925.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19132989/s53429810/49740769-8d2b3cb0-e75a52ae-74e0acf7-8c46eeb6.jpg	retrocardiac opacity, potentially atelectasis given lower lung volumes, noting that infection cannot be entirely excluded. otherwise, unremarkable chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p18331406/s51311012/61eb36cc-a0662d00-ec8a0e20-de5b54cb-926cad33.jpg	as compared to the previous radiograph, no relevant change is seen. minimal overinflation, minimal atelectasis at the left and right lung bases. no masses, no pneumonia, no pulmonary edema. borderline size of the heart with tortuosity of the thoracic aorta.
MIMIC-CXR-JPG/2.0.0/files/p14023296/s57502329/5a148e5e-b737c56d-dee032d7-c67d7a8c-584e9a9e.jpg	pa and lateral chest compared to : roughly -mm right suprahilar nodular opacity, visible only on the frontal view, is unchanged since. i suspect this is a tortuous vessel. other smaller nodular opacities including nipple shadows are unchanged and there are no new lesions. heart is normal size. thoracic aorta is generally large, but not focally aneurysmal and not changed. healed multiple left-sided rib fractures. thoracic configuration suggests hyperinflation due to emphysema. mild loss of height in the lower thoracic vertebral body is unchanged and there are no new thoracic spine abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p15233042/s51968075/76ec346a-61febf51-153b370e-34fcfc6d-c085d8a1.jpg	pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19004451/s54514645/7d9fc358-4e7f140c-cd4260ce-8debc3fb-8fffa2b9.jpg	patchy new right lower lobe opacity with possible small pleural effusion. depending on the clinical setting, mild pneumonia or sequelae of aspiration could be considered, although evolving scarring or atelectasis with associated with an interval effusion could also be considered.
MIMIC-CXR-JPG/2.0.0/files/p17776931/s55462263/706c0f29-a12ebc5a-9adce892-b421c55c-7d0fa602.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19169852/s50161519/70fb3947-947b0c43-a9696d82-5689474a-e87b2afc.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18847661/s50871253/ca643635-cce3309f-3d70597f-ddaf2e6e-27c014a8.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17620904/s53576326/d9aad721-52ce082a-767dc454-8636221b-cfa90259.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15514793/s55916185/d321f4cd-039d60b9-c687c9b7-288aa7c7-10aef4b3.jpg	stable appearance of the right pleural effusion and pleural thickening.
MIMIC-CXR-JPG/2.0.0/files/p14644195/s55890557/fc2ee30f-ccb63214-9749cd31-cd7012fd-07decda9.jpg	in comparison with the study , the right ij catheter has been removed. there is decreased opacification at the left base, consistent with either improvement of pleural effusion and basilar atelectasis or merely a a more upright position of the patient. no evidence of vascular congestion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15289551/s57041120/85169e14-5784b3f5-f3dc13b3-a1b9ff89-20f4016e.jpg	improved but persistent opacification of the left lower lobe. recommend follow-up to resolution.
MIMIC-CXR-JPG/2.0.0/files/p12340060/s58732228/5c16665b-b010ed7a-9d580eff-3273cd73-b76916a6.jpg	improvement in pulmonary edema on the right with resolution on the left. persistent free air beneath the left hemidiaphragm. recommendation(s): follow-up chest radiographs to ensure clearance of persistent right basilar opacity.
MIMIC-CXR-JPG/2.0.0/files/p12119271/s57509448/6c565d9a-206b7e8f-497e0cc6-42c843b2-633bb725.jpg	in comparison with the study of , the endotracheal and nasogastric tubes have been removed. there are lower lung volumes, but the diffuse bilateral pulmonary opacification process.
MIMIC-CXR-JPG/2.0.0/files/p18793292/s50806810/bfa575ed-66f35164-62660c7a-a1b282b9-8bf495b0.jpg	no acute cardiopulmonary process; specifically, no evidence of pneumonia. worsened compression deformity in a mid thoracic vertebral body. stable mild compression deformity in a upper lumbar vertebral body.
MIMIC-CXR-JPG/2.0.0/files/p12989304/s53602962/81f96f18-95b8c526-d0fd5790-b8509319-5e05baa6.jpg	ap chest compared to : asymmetric pulmonary edema, moderately severe in the right lower lung, mild elsewhere, is presumably reexpansion edema following right middle lobectomy. lobular thickening of the right apical pleural margin is probably loculated fluid. right-sided pleural tube crosses from front to back to the right of the mediastinum at the level of the aortic arch. left lung is clear. heart size is normal. the stomach is moderately distended with air. no upper enteric drainage tube is seen.
MIMIC-CXR-JPG/2.0.0/files/p18023511/s55232155/8334bb10-4c1dc800-c2de8954-214e630a-701e100e.jpg	retrocardiac opacification may reflect bronchovascular crowding though aspiration or pneumonia are possible. recommend dedicated pa and lateral chest radiographs when patient is able for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18007589/s51817781/43b761b5-fbc9c501-dd84815b-72951bf9-f059d7a3.jpg	copd. enlarged cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p17834931/s58773245/13a6e779-62148b52-9d606bbd-7ea7df8c-67bdf0c6.jpg	bibasilar atelectasis without evidence of pneumonia or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12756008/s57626634/9160413b-97400d01-5fc88f92-f4c92700-3b973b72.jpg	no cardiomegaly or pneumonia. evidence of copd and nodular by apical scarring, which warrants comparison to prior imaging or additional characterization with non urgent/outpatient chest ct. differential includes reactivation tuberculosis, mycetoma, or malignancy.
MIMIC-CXR-JPG/2.0.0/files/p16114040/s53631185/967beb57-ad499585-788713b6-723d6343-eed7a9e9.jpg	left lung remains clear. overall, cardiac and mediastinal contours are stable. a right basilar chest tube remains in place, and there continues to be some right lateral pleural thickening, subcutaneous emphysema of the right lateral chest wall soft tissues, chain sutures at the right lung base and the right mid lung, surgical clips at the right base and a streaky opacity in the right upper lobe which likely represents post-surgical or post-inflammatory change. clinical correlation is advised. clips in the right upper quadrant are consistent with cholecystectomy. no pneumothorax is appreciated. there is no evidence of pulmonary edema. probable small right effusion.
MIMIC-CXR-JPG/2.0.0/files/p19705919/s56305943/70552792-ed674937-9079a0c6-62f0ea8b-5eabcec8.jpg	as compared to the previous image, the aortic balloon pump has been advanced. the pump is now within <num> cm of the most apical aspect of the aortic arch. no evidence of complications, but the device should probably be pulled back by several mm. no pneumothorax. unchanged normal size of the cardiac silhouette. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18883141/s52586803/661cde99-358df935-3f6ee6ef-37d5a654-b880d906.jpg	retrocardiac and right lung base densities, most suggestive of atelectasis. however, close monitoring is recommended. probable small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17647154/s51622083/b55dfd15-32b8be6d-417f2ae6-155f5a0c-0a326c36.jpg	ap chest compared to : small right pneumothorax has decreased in size since earlier in the day following placement of a right pleural tube ending at the level the upper pole of the right hilus. it is possible that this tube is fissural. followup advised. right pleural effusion is minimal if any. heart size normal. mediastinal contour is unremarkable. smaller left apical and medial pneumothorax stable since earlier in the day, small left pleural effusion has increased.
MIMIC-CXR-JPG/2.0.0/files/p19701828/s56466313/ed0f579a-0b04bc49-239d2924-5161411e-e49aeada.jpg	clear lungs. superior two sternal wires are fractured.
MIMIC-CXR-JPG/2.0.0/files/p15015358/s53631412/0ad6c6b9-be6d4415-0c582cde-8d7c7b22-619184b6.jpg	retrocardiac opacity likely representing consolidation and volume loss in the mid and lower left lung. these findings were discussed with at on by telephone.
MIMIC-CXR-JPG/2.0.0/files/p14230528/s53384420/32e1fd6e-34441fcd-46cee9da-11b88e4d-5cd797f5.jpg	since :<num>, pulmonary edema and moderate right pleural effusion have worsened. right lower lobe consolidation is probably pneumonia, which has not improved. moderate to severe cardiomegaly stable. no endotracheal tube is visible below c<num>, the upper margin of this study. swan-ganz catheter ends in the right descending pulmonary artery. esophageal drainage tube passes to the distal stomach.
MIMIC-CXR-JPG/2.0.0/files/p19167301/s50469737/d79acc4c-76c3390f-5c3c3159-35dfc94d-914271dc.jpg	as compared to chest radiograph, tip of endotracheal tube remains low the seated, but may be accentuated by flexed position of the patient's neck. repeat radiograph with neck in neutral position may be helpful in this regard. stable cardiomegaly accompanied by pulmonary vascular congestion and mild edema. right pleural effusion has apparently decreased in size although positional differences may contribute to this apparent change. additionally, note is made of slight improvement in left retrocardiac opacification and adjacent small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17800953/s54654730/c277f2fd-7d042d7c-bf63b988-6d183999-e11b4fda.jpg	persistant minimal atelectasis at the left lung base, improved since. mild emphysema.
MIMIC-CXR-JPG/2.0.0/files/p10108868/s57567183/529e4559-0e4ba57b-a5cd7e72-84e28992-92e67030.jpg	no relevant change as compared to the previous image. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. millimetric calcified right upper lobe granuloma.
MIMIC-CXR-JPG/2.0.0/files/p10590743/s56935758/d0868b19-891802ab-67772a11-d82cc63e-0100cfec.jpg	clear lungs with no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11297219/s59246255/a1a35649-f94ef7f5-6ff6bf3d-a09da33e-1622610c.jpg	is chronic. pulmonary congestion is slightly more pronounced, while the caliber of mediastinal vessels has decreased. there is no pulmonary edema, evidence of infection, or pleural effusion. the right ventricular defibrillator lead and left ventricular pacer lead are little changed in their respective positions over many previous chest radiographs since
MIMIC-CXR-JPG/2.0.0/files/p12500505/s54722802/6338a798-b1ee0627-ec9633f2-329bded2-8878eb07.jpg	no focal consolidation to suggest pneumonia. low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p17469186/s54101114/2fabefd7-f08ec88f-32b8b0bd-2d1c16b5-64b15291.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16660935/s54829079/dd5d654a-afc1c2f5-fc7b0b5c-b52e42ef-e82c943f.jpg	bilateral consolidations compatible with aspiration, better delineated on the same day chest ct. right pleural effusion. upper positioning of support lines and devices.
MIMIC-CXR-JPG/2.0.0/files/p17524454/s56223207/36a7804f-916c4e4d-e62a3919-57671e38-21c1901f.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12411890/s50829513/59c047c5-6c85deaa-2b72e10e-c1b4626e-b3d90ac7.jpg	increased bibasilar interstitial markings, right greater the left, could represent an early atypical infectious process or mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17640354/s54461754/a6ba08e3-35f41d8d-0da273c8-ae28a765-69304c12.jpg	compared to chest radiographs through at. left pic line is been repositioned, now ends in the upper svc. severe left lower lobe atelectasis is still present, accompanied by small left pleural effusion. lungs otherwise clear. heart size normal. tracheostomy tube in standard placement.
MIMIC-CXR-JPG/2.0.0/files/p13483060/s50707809/6ac0202b-f60f46ec-dba80b03-24ff66cd-017e70f9.jpg	low lung volumes. no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18134008/s52845683/c1f8178e-35c89da3-fd03a8f5-de0cebaa-e7f50868.jpg	interval increase in right infrahilar opacity concerning for infection versus aspiration. follow up radiography may be helpful to confirm this; however, this appearance may be part of a more generalized pattern of pulmonary edema without an additional process. findingsl consistent with mild to moderate pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg	ap chest compared to : lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since. there is no good evidence for pneumonia and pleural effusions are small if any. mild-to-moderate cardiomegaly unchanged. right pic line ends just before the junction of the brachiocephalic veins. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12960800/s57290491/33f39725-76086f4a-be8e969f-e74051fe-b01340f5.jpg	no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14567414/s56213576/d30feac6-611fc4a6-4e5aaac9-08866e36-1234500c.jpg	no focal consolidation or obvious paraesophageal hernia.
MIMIC-CXR-JPG/2.0.0/files/p16006840/s50528150/7b7a7a70-fb91d784-0a6986b2-290f594c-03ebe19c.jpg	new retrocardiac opacification concerning for atelectasis or developing pneumonia. these findings were discussed with the house staff caring for the patient by dr telephone at on.
MIMIC-CXR-JPG/2.0.0/files/p13502274/s58395835/9f8530f7-c2373949-ec34e030-1bdad889-958155c3.jpg	crescentic opacity in the left mid lung is likely atalectasis but should be followed up with chest radiograph. updated results were telephoned by to at am, , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p17049635/s54387797/94244f00-0aeaa760-6f4ac1cc-911c831d-7cc7f027.jpg	grossly stable right mid to lower lung opacities with continued increase in left upper lobe opacity, concerning for worsening of the left upper lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13921082/s50727005/048c6306-392518ef-5480a6c2-90c2edd7-9cc42840.jpg	hyperinflation with possible retrocardiac opacity, for which dedicated two-view chest x-ray is suggested to further characterize if patient is amenable.
MIMIC-CXR-JPG/2.0.0/files/p15510911/s55203083/ba5578d5-1a0d8a94-964d7b24-ae262823-0d881b53.jpg	new feeding tube seen to the level of distal stomach
MIMIC-CXR-JPG/2.0.0/files/p11316104/s54334207/5ac37bb4-1cef19d7-7091b4af-f0a8e85b-370ddf62.jpg	no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14638845/s59337320/aca8a32e-444139f8-a41798aa-571a1524-a18fec09.jpg	no acute cardiopulmonary process. previously seen ground-glass nodule in the right upper lobe is not clearly demonstrated on this exam, though a followup chest ct is still recommended as per prior recommendations on the ct report.
MIMIC-CXR-JPG/2.0.0/files/p15835317/s56730305/74de5262-89cf1dca-0a90ff7a-aa425f43-6fb33cad.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17559000/s51042995/6f083f0e-df4a290f-e02efcb2-b8025aeb-f369a28b.jpg	persistent left basilar opacification suggesting pleural effusion with associated atelectasis. infection is difficult to exclude, however. small area of lucency along the course of the prior chest tube near its entry site into the right lower lateral chest, suggesting a very small loculated pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18520455/s57734653/8504a069-4376d098-0b8ec493-cdc90b31-7b035676.jpg	intra-aortic balloon pump tip terminates at the level of the left main bronchus, <num> cm below the aortic knob apex. improved right basilar atelectasis. the right atrial pacemaker lead points medially.
MIMIC-CXR-JPG/2.0.0/files/p19509298/s55095003/be39b8d0-eff4aad1-9c33ec99-278358cc-2ad607a9.jpg	unchanged persistent left retrocardiac opacity, which may reflect atelectasis or small consolidation. small left pleural effusion. persistent right elevated right hemidiaphragm with adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10677466/s54532274/8e9477e8-aa688386-0c9c119e-4dccf07a-d4d93e5b.jpg	comparison to. the lung volumes are low. minimal atelectasis at the left lung bases. borderline size of the cardiac silhouette. no pulmonary edema, no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17392229/s52199553/626536ca-673a1f6b-676744fe-2b2cff66-18191210.jpg	heart size and mediastinum are stable. post sternotomy wires are stable. lungs are clear. there is no pleural effusion or pneumothorax. there is no evidence of amiodarone lung toxicity.
MIMIC-CXR-JPG/2.0.0/files/p12233085/s58854268/6ba0de45-4d9e71cc-ab79d7d3-bec4ec93-abc7bb24.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13919890/s58103747/2ecaee2e-cb986af5-d793831c-581ee6de-ed5d14e3.jpg	persistent bilateral pleural effusions not significantly changed. nodular opacity projecting over the left upper lung laterally.
MIMIC-CXR-JPG/2.0.0/files/p13920236/s52833111/3852e4cc-5b72620f-b9f48817-e689f7a2-737e0ed2.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17373149/s52212089/126add6f-b9230bae-12072743-0c5800d4-195ca471.jpg	nearly resolved bilateral perihilar and lower lobe opacities, reflecting improved pulmonary edema. increased mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15562978/s53318498/fe759bb9-b58fc523-e87c941f-19e3140f-94ef3421.jpg	right port a cath tip is in the upper right atrium. there is no pneumothorax. cardiac size is top-normal. there are low lung volumes. there is no pleural effusion. there are bibasilar atelectasis
MIMIC-CXR-JPG/2.0.0/files/p12431406/s54802674/f2354f68-616c0924-ff2d59b4-2dd50b72-3c2f76b4.jpg	no acute cardiopulmonary process. specifically, no pneumothorax or pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p17265012/s51804596/0574cfa3-9df3588b-dfc9cb79-35da28f1-698d6670.jpg	cardiomegaly unchanged. stable elevated right hemidiaphragm. no convincing signs of pneumonia or edema.
MIMIC-CXR-JPG/2.0.0/files/p15699372/s50696648/20407be1-d38845d3-b22f32db-9aaed3b9-77c07a8c.jpg	no acute intrathoracic process. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12774304/s57774501/b9a1f923-da40c2b1-fc1acb34-72c98e25-adb80463.jpg	feeding tube has been advanced to the upper stomach. mild to moderate pulmonary edema moderate cardiomegaly or unchanged since :<num>. pleural effusion small if any. no pneumothorax. left internal jugular line ends lobe on the svc.
MIMIC-CXR-JPG/2.0.0/files/p12223122/s50774694/0b539fae-f13756e8-1137e84f-fc2f6a16-52462dd5.jpg	cardiac size is top-normal. the lungs are clear. there is no pneumothorax or pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p11737252/s53182152/d069076a-ab8e372b-096fb711-7b0b7a21-5093f04d.jpg	no previous images. the heart is normal in size and there is no vascular congestion or pleural effusion. specifically, no evidence of acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14983047/s50398455/4c061fab-3d534ecd-7cd94985-f3177cdc-bc59d746.jpg	no comparison. mild scoliosis. normal lung volumes. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16707579/s57105216/fd54bd04-5e771588-32e8e21b-777d7e8d-3d7b11af.jpg	orogastric tube ends in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p17105206/s54372089/fd0db063-bfa64f8f-033abeaf-fcae8d3c-9c4ea222.jpg	bilateral patchy opacities, non-specific, but consistent with multifocal pneumonic infiltrates. background copd. stable mild cardiomegaly. doubt significant chf. small bilateral effusions are similar to the study.
MIMIC-CXR-JPG/2.0.0/files/p10650200/s53455015/2e20a64e-62f64f6f-755608e0-ce0ac101-9a64f6dd.jpg	in comparison with the study , the patient has taken a much better inspiration. the cute fractures of the third and fourth ribs on the left are again seen, without evidence of pneumothorax. continued elevation of the left hemidiaphragm with atelectatic streaks, most likely related to some residual splinting. the right lung is clear.
MIMIC-CXR-JPG/2.0.0/files/p15581272/s52171355/affd697c-1ad8e33b-787d5c5a-89c9ab1f-6ffd20a3.jpg	clear hyperinflated lungs with new small right pleural effusion. if clinical suspicion for pneumonia remains high, a chest ct may be performed for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11747400/s58688535/5e8ae823-48f17e4d-e05eb3f8-de345371-84f5e40a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15787637/s58064170/a0597cff-283f10ca-d8347ca7-47eb0244-90b8fa37.jpg	equivocal opacity at the right heart border may represent crowding of mediastinal structures due to low lung volumes, however pneumonia cannot be excluded. recommendation(s): a lateral view is recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p16517161/s54375970/56ea9d60-709beea8-a55dae4c-65ff3ed7-57d87c80.jpg	similar radiographic appearance of left-sided port-a-catheter, terminating in the mid superior vena cava.
MIMIC-CXR-JPG/2.0.0/files/p18963865/s50740771/d326f390-f2b90c86-1bc47b0f-6317e48d-bc601199.jpg	right basilar and the left retrocardiac basilar opacities are mildly improved with residual focal atelectasis or scarring. recommendation(s): recommend continued follow up conventional radiographs to document full resolution.
MIMIC-CXR-JPG/2.0.0/files/p15398519/s50158266/a7ba525f-78b8cacc-75dfee3a-bcb866d1-a96e0268.jpg	mild improvement in right lower lobe infiltrate.
MIMIC-CXR-JPG/2.0.0/files/p16601063/s51904548/4f9b6414-7d585edb-b3efe659-2bae51d5-285348f4.jpg	probable right distal clavicle fracture with possible right ac joint separation. dedicated views of the right shoulder advised.
MIMIC-CXR-JPG/2.0.0/files/p13179429/s53619184/a165519d-3c3093b4-9c261b7b-a9bb043d-fc93da1a.jpg	low lung volumes, with bronchovascular crowding and bibasilar atelectasis. a retrocardiac opacity is redemonstrated, likely unchanged compared to the prior exam. this again may represent atelectasis, but superimposed pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11974854/s50484680/493ce542-24ea48aa-21f197da-8e07b47f-19467e67.jpg	subtle increased opacity in the left upper lung on the frontal view which certainly could represent subtle pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10996599/s53389907/26f76831-fdcbcd4c-d62aa523-adf20b64-5dae1700.jpg	ap chest compared to through at : tiny right apical pneumothorax is unchanged, small multifocal right pleural collection is larger, particularly in the upper aspect of the right major fissure, following removal of the most lateral of three right pleural drains, two of which persist at the base and medially. severe bibasilar atelectasis is unchanged. left upper lung is clear. mediastinum is normal. enlargement of the cardiac silhouette is most likely due to paramediastinal pleural effusion. substantial intestinal distention is seen in the imaged portion of the upper abdomen.
MIMIC-CXR-JPG/2.0.0/files/p12375900/s53166871/18e2e7f4-0480dae0-9eb8ed98-8182c929-9392aaf4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16468958/s51699703/c5cec9bc-cc91c609-f470eac4-dc0829ea-e00c8b3d.jpg	subtle focal patchy opacity projecting over the anterior lower lung on the lateral view, and not well substantiated on the frontal view, could represent a small focus of infection or atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10435823/s53967241/c79ba583-cb06386a-02506048-36089009-5008cb2e.jpg	pa and lateral chest compared to : previous small-to-moderate left pleural effusion and atelectasis or consolidation has resolved over the past three weeks. hyperinflated lungs are clear. the patient probably has emphysema. cardiomediastinal and hilar silhouettes and pleural surfaces are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p16490898/s51870800/63e439b3-79840f86-98fd9726-67f3ac00-f1a1aa62.jpg	no prior radiographs available for review. lungs are clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. elevation left hemidiaphragm is probably due to colonic distention.
MIMIC-CXR-JPG/2.0.0/files/p17214156/s58170110/4f70902d-7bbfa8f5-e8af0c34-8f66939a-822bad63.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15938562/s52557171/7c31ab14-42929886-340f79c2-4d30ce22-3d5ef38a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18992807/s52293204/0f89e60f-e5a89e41-d6f26a71-c891696f-4c5c0c33.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13232427/s50769154/dd82ff5d-20829f5a-fcd5875d-0a491973-ea448dd3.jpg	as compared to the previous radiograph, the tracheostomy tube is in unchanged position. there is no evidence of a pneumomediastinum. also unchanged is the right internal jugular vein catheter. the lung volumes remain low. mild to moderate pleural effusions are present bilaterally, right more than left, an cause subsequent basal areas of atelectasis. no overt pulmonary edema. no new focal parenchymal opacities suggesting pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17898461/s52150223/d91af3c0-cbfc6f86-1df1a32a-625d8167-bda41328.jpg	no radiographic evidence of acute cardiopulmonary disease. if there is ongoing clinical concern for an acute rib fracture, dedicated rib radiographs could be considered.

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no acute cardiopulmonary process. mid and distal descending aorta contour abnormalities consistent with focal aneurysmal dilatation are unchanged from.

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as compared to radiograph, a nasogastric tube has been placed, terminating within a large hiatal hernia. exam is otherwise remarkable for persistent left basilar atelectasis and or aspiration, an development of linear atelectasis at the right base. questionable small left pleural effusion is also noted.

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status post rfa with no evidence of pneumothorax.

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no radiographic evidence of an acute cardiopulmonary process.

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no evidence of pneumonia.

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post radiation fibrosis again visualized in the left lung and left perihilar region. no focal consolidation.

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mildly indistinct pulmonary vascular markings may be due to minimal fluid overload, but no frank evidence of pulmonary edema.

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pigtail drainage catheter projects over the liver without evidence of pneumoperitoneum. small bilateral pleural effusions with adjacent bibasilar atelectasis.

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as compared to the previous radiograph, the pre-existing multifocal pneumonia has completely resolved. neither the frontal nor the lateral radiograph show remnants or complications. moderate cardiomegaly persists. mild elongation of the descending aorta. the tracheostomy tube and the previously malpositioned left picc line has been removed.

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no evidence of acute cardiopulmonary process.

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retrocardiac opacity, potentially atelectasis given lower lung volumes, noting that infection cannot be entirely excluded. otherwise, unremarkable chest x-ray.

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as compared to the previous radiograph, no relevant change is seen. minimal overinflation, minimal atelectasis at the left and right lung bases. no masses, no pneumonia, no pulmonary edema. borderline size of the heart with tortuosity of the thoracic aorta.

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pa and lateral chest compared to : roughly -mm right suprahilar nodular opacity, visible only on the frontal view, is unchanged since. i suspect this is a tortuous vessel. other smaller nodular opacities including nipple shadows are unchanged and there are no new lesions. heart is normal size. thoracic aorta is generally large, but not focally aneurysmal and not changed. healed multiple left-sided rib fractures. thoracic configuration suggests hyperinflation due to emphysema. mild loss of height in the lower thoracic vertebral body is unchanged and there are no new thoracic spine abnormalities.

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pulmonary edema.

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patchy new right lower lobe opacity with possible small pleural effusion. depending on the clinical setting, mild pneumonia or sequelae of aspiration could be considered, although evolving scarring or atelectasis with associated with an interval effusion could also be considered.

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no definite acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute intrathoracic process.

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no acute intrathoracic process.

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stable appearance of the right pleural effusion and pleural thickening.

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in comparison with the study , the right ij catheter has been removed. there is decreased opacification at the left base, consistent with either improvement of pleural effusion and basilar atelectasis or merely a a more upright position of the patient. no evidence of vascular congestion or acute focal pneumonia.

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improved but persistent opacification of the left lower lobe. recommend follow-up to resolution.

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improvement in pulmonary edema on the right with resolution on the left. persistent free air beneath the left hemidiaphragm. recommendation(s): follow-up chest radiographs to ensure clearance of persistent right basilar opacity.

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in comparison with the study of , the endotracheal and nasogastric tubes have been removed. there are lower lung volumes, but the diffuse bilateral pulmonary opacification process.

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no acute cardiopulmonary process; specifically, no evidence of pneumonia. worsened compression deformity in a mid thoracic vertebral body. stable mild compression deformity in a upper lumbar vertebral body.

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ap chest compared to : asymmetric pulmonary edema, moderately severe in the right lower lung, mild elsewhere, is presumably reexpansion edema following right middle lobectomy. lobular thickening of the right apical pleural margin is probably loculated fluid. right-sided pleural tube crosses from front to back to the right of the mediastinum at the level of the aortic arch. left lung is clear. heart size is normal. the stomach is moderately distended with air. no upper enteric drainage tube is seen.

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retrocardiac opacification may reflect bronchovascular crowding though aspiration or pneumonia are possible. recommend dedicated pa and lateral chest radiographs when patient is able for further evaluation.

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copd. enlarged cardiac silhouette.

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bibasilar atelectasis without evidence of pneumonia or pneumothorax.

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no cardiomegaly or pneumonia. evidence of copd and nodular by apical scarring, which warrants comparison to prior imaging or additional characterization with non urgent/outpatient chest ct. differential includes reactivation tuberculosis, mycetoma, or malignancy.

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left lung remains clear. overall, cardiac and mediastinal contours are stable. a right basilar chest tube remains in place, and there continues to be some right lateral pleural thickening, subcutaneous emphysema of the right lateral chest wall soft tissues, chain sutures at the right lung base and the right mid lung, surgical clips at the right base and a streaky opacity in the right upper lobe which likely represents post-surgical or post-inflammatory change. clinical correlation is advised. clips in the right upper quadrant are consistent with cholecystectomy. no pneumothorax is appreciated. there is no evidence of pulmonary edema. probable small right effusion.

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as compared to the previous image, the aortic balloon pump has been advanced. the pump is now within <num> cm of the most apical aspect of the aortic arch. no evidence of complications, but the device should probably be pulled back by several mm. no pneumothorax. unchanged normal size of the cardiac silhouette. no pleural effusions. no pneumonia.

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retrocardiac and right lung base densities, most suggestive of atelectasis. however, close monitoring is recommended. probable small bilateral pleural effusions.

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ap chest compared to : small right pneumothorax has decreased in size since earlier in the day following placement of a right pleural tube ending at the level the upper pole of the right hilus. it is possible that this tube is fissural. followup advised. right pleural effusion is minimal if any. heart size normal. mediastinal contour is unremarkable. smaller left apical and medial pneumothorax stable since earlier in the day, small left pleural effusion has increased.

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clear lungs. superior two sternal wires are fractured.

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retrocardiac opacity likely representing consolidation and volume loss in the mid and lower left lung. these findings were discussed with at on by telephone.

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since :<num>, pulmonary edema and moderate right pleural effusion have worsened. right lower lobe consolidation is probably pneumonia, which has not improved. moderate to severe cardiomegaly stable. no endotracheal tube is visible below c<num>, the upper margin of this study. swan-ganz catheter ends in the right descending pulmonary artery. esophageal drainage tube passes to the distal stomach.

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as compared to chest radiograph, tip of endotracheal tube remains low the seated, but may be accentuated by flexed position of the patient's neck. repeat radiograph with neck in neutral position may be helpful in this regard. stable cardiomegaly accompanied by pulmonary vascular congestion and mild edema. right pleural effusion has apparently decreased in size although positional differences may contribute to this apparent change. additionally, note is made of slight improvement in left retrocardiac opacification and adjacent small left pleural effusion.

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persistant minimal atelectasis at the left lung base, improved since. mild emphysema.

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no relevant change as compared to the previous image. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. millimetric calcified right upper lobe granuloma.

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clear lungs with no evidence of pneumonia.

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is chronic. pulmonary congestion is slightly more pronounced, while the caliber of mediastinal vessels has decreased. there is no pulmonary edema, evidence of infection, or pleural effusion. the right ventricular defibrillator lead and left ventricular pacer lead are little changed in their respective positions over many previous chest radiographs since

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no focal consolidation to suggest pneumonia. low lung volumes.

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no evidence of pneumonia.

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bilateral consolidations compatible with aspiration, better delineated on the same day chest ct. right pleural effusion. upper positioning of support lines and devices.

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no evidence of acute cardiopulmonary process.

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increased bibasilar interstitial markings, right greater the left, could represent an early atypical infectious process or mild pulmonary edema.

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compared to chest radiographs through at. left pic line is been repositioned, now ends in the upper svc. severe left lower lobe atelectasis is still present, accompanied by small left pleural effusion. lungs otherwise clear. heart size normal. tracheostomy tube in standard placement.

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low lung volumes. no definite acute cardiopulmonary process.

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interval increase in right infrahilar opacity concerning for infection versus aspiration. follow up radiography may be helpful to confirm this; however, this appearance may be part of a more generalized pattern of pulmonary edema without an additional process. findingsl consistent with mild to moderate pulmonary edema.

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ap chest compared to : lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since. there is no good evidence for pneumonia and pleural effusions are small if any. mild-to-moderate cardiomegaly unchanged. right pic line ends just before the junction of the brachiocephalic veins. no pneumothorax.

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no focal consolidation to suggest pneumonia.

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no focal consolidation or obvious paraesophageal hernia.

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new retrocardiac opacification concerning for atelectasis or developing pneumonia. these findings were discussed with the house staff caring for the patient by dr telephone at on.

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crescentic opacity in the left mid lung is likely atalectasis but should be followed up with chest radiograph. updated results were telephoned by to at am, , <num> minutes after discovery.

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grossly stable right mid to lower lung opacities with continued increase in left upper lobe opacity, concerning for worsening of the left upper lobe pneumonia.

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hyperinflation with possible retrocardiac opacity, for which dedicated two-view chest x-ray is suggested to further characterize if patient is amenable.

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new feeding tube seen to the level of distal stomach

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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours no pneumonia, no pulmonary edema, no pleural effusions.

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no acute cardiopulmonary process. previously seen ground-glass nodule in the right upper lobe is not clearly demonstrated on this exam, though a followup chest ct is still recommended as per prior recommendations on the ct report.

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mild pulmonary edema.

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persistent left basilar opacification suggesting pleural effusion with associated atelectasis. infection is difficult to exclude, however. small area of lucency along the course of the prior chest tube near its entry site into the right lower lateral chest, suggesting a very small loculated pneumothorax.

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intra-aortic balloon pump tip terminates at the level of the left main bronchus, <num> cm below the aortic knob apex. improved right basilar atelectasis. the right atrial pacemaker lead points medially.

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unchanged persistent left retrocardiac opacity, which may reflect atelectasis or small consolidation. small left pleural effusion. persistent right elevated right hemidiaphragm with adjacent atelectasis.

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comparison to. the lung volumes are low. minimal atelectasis at the left lung bases. borderline size of the cardiac silhouette. no pulmonary edema, no pleural effusions. no pneumonia.

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heart size and mediastinum are stable. post sternotomy wires are stable. lungs are clear. there is no pleural effusion or pneumothorax. there is no evidence of amiodarone lung toxicity.

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no evidence of acute cardiopulmonary process.

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persistent bilateral pleural effusions not significantly changed. nodular opacity projecting over the left upper lung laterally.

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no evidence of acute cardiopulmonary disease.

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nearly resolved bilateral perihilar and lower lobe opacities, reflecting improved pulmonary edema. increased mild cardiomegaly.

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right port a cath tip is in the upper right atrium. there is no pneumothorax. cardiac size is top-normal. there are low lung volumes. there is no pleural effusion. there are bibasilar atelectasis

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no acute cardiopulmonary process. specifically, no pneumothorax or pneumomediastinum.

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cardiomegaly unchanged. stable elevated right hemidiaphragm. no convincing signs of pneumonia or edema.

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no acute intrathoracic process. mild cardiomegaly.

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feeding tube has been advanced to the upper stomach. mild to moderate pulmonary edema moderate cardiomegaly or unchanged since :<num>. pleural effusion small if any. no pneumothorax. left internal jugular line ends lobe on the svc.

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cardiac size is top-normal. the lungs are clear. there is no pneumothorax or pleural effusion

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

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no comparison. mild scoliosis. normal lung volumes. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema.

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orogastric tube ends in the stomach.

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bilateral patchy opacities, non-specific, but consistent with multifocal pneumonic infiltrates. background copd. stable mild cardiomegaly. doubt significant chf. small bilateral effusions are similar to the study.

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in comparison with the study , the patient has taken a much better inspiration. the cute fractures of the third and fourth ribs on the left are again seen, without evidence of pneumothorax. continued elevation of the left hemidiaphragm with atelectatic streaks, most likely related to some residual splinting. the right lung is clear.

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clear hyperinflated lungs with new small right pleural effusion. if clinical suspicion for pneumonia remains high, a chest ct may be performed for further evaluation.

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no acute cardiopulmonary process.

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equivocal opacity at the right heart border may represent crowding of mediastinal structures due to low lung volumes, however pneumonia cannot be excluded. recommendation(s): a lateral view is recommended for further evaluation.

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similar radiographic appearance of left-sided port-a-catheter, terminating in the mid superior vena cava.

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right basilar and the left retrocardiac basilar opacities are mildly improved with residual focal atelectasis or scarring. recommendation(s): recommend continued follow up conventional radiographs to document full resolution.

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mild improvement in right lower lobe infiltrate.

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probable right distal clavicle fracture with possible right ac joint separation. dedicated views of the right shoulder advised.

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low lung volumes, with bronchovascular crowding and bibasilar atelectasis. a retrocardiac opacity is redemonstrated, likely unchanged compared to the prior exam. this again may represent atelectasis, but superimposed pneumonia cannot be excluded.

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subtle increased opacity in the left upper lung on the frontal view which certainly could represent subtle pneumonia.

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ap chest compared to through at : tiny right apical pneumothorax is unchanged, small multifocal right pleural collection is larger, particularly in the upper aspect of the right major fissure, following removal of the most lateral of three right pleural drains, two of which persist at the base and medially. severe bibasilar atelectasis is unchanged. left upper lung is clear. mediastinum is normal. enlargement of the cardiac silhouette is most likely due to paramediastinal pleural effusion. substantial intestinal distention is seen in the imaged portion of the upper abdomen.

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no acute cardiopulmonary abnormality.

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subtle focal patchy opacity projecting over the anterior lower lung on the lateral view, and not well substantiated on the frontal view, could represent a small focus of infection or atelectasis.

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pa and lateral chest compared to : previous small-to-moderate left pleural effusion and atelectasis or consolidation has resolved over the past three weeks. hyperinflated lungs are clear. the patient probably has emphysema. cardiomediastinal and hilar silhouettes and pleural surfaces are unremarkable.

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no prior radiographs available for review. lungs are clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. elevation left hemidiaphragm is probably due to colonic distention.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the tracheostomy tube is in unchanged position. there is no evidence of a pneumomediastinum. also unchanged is the right internal jugular vein catheter. the lung volumes remain low. mild to moderate pleural effusions are present bilaterally, right more than left, an cause subsequent basal areas of atelectasis. no overt pulmonary edema. no new focal parenchymal opacities suggesting pneumonia.

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no radiographic evidence of acute cardiopulmonary disease. if there is ongoing clinical concern for an acute rib fracture, dedicated rib radiographs could be considered.