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/p15696083/s59426181/08efa1e6-cb6f4c1b-751cdd26-07827c34-fb065f85.jpg	tube and line placement as described. bibasilar subsegmental atelectasis. no definite effusion.
MIMIC-CXR-JPG/2.0.0/files/p11380364/s53493141/d5ceea4e-5c569315-6681e028-c2ca62bc-3b8814a9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17677443/s57295964/d07f2686-2605577a-ff3b2d30-4e29e4a3-a9a4e985.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11505559/s52927201/111c180f-fc4cf7fd-12145dc3-8193510a-ba3c410f.jpg	tip of pacer wire projects over the superior aspect of right atrium. unchanged moderate pulmonary edema. unchanged cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15285300/s55014874/eb2f6ccd-8a3fbc99-3fdc1000-98ca6f99-84230a3a.jpg	findings suggesting hilar adenopathy. recommend ct for further evaluation of this and right upper lung nodules.
MIMIC-CXR-JPG/2.0.0/files/p10624765/s53851643/cab3e64e-0d9c96e3-65305808-5878ea06-971b4b00.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16660367/s58287234/acfb1409-bc115d48-98a56fc3-a7c9f6e6-ff58ac3d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12280935/s54541763/10180b5f-6bdec337-3764b068-f9e23470-20504d69.jpg	no acute cardiopulmonary process. borderline heart size.
MIMIC-CXR-JPG/2.0.0/files/p17295976/s59151586/3be796e1-c1eec696-47c3d6e1-3cfffaf7-7b64afd0.jpg	bilateral upper lobe ground-glass opacity and central pulmonary vascular engorgement compatible with pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12523062/s58507595/4207eec8-6d954bc8-e63378b5-9f93db5b-a58d5c6b.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p18128235/s59338560/a3c8e9f8-ff615667-b8692832-5446c884-c316d20b.jpg	left lower hemithorax retrocardiac density may related to recent paraesophageal hernia repair/paraesophageal hernia. small left sided pleural effusion. no focal consolidation convincing for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18193001/s55152079/67c7e6e7-ac63f79d-a9954d32-0713bb6b-4a1b9645.jpg	endotracheal and orogastric tube tips in standard positions. patchy opacities in the lung bases likely reflective of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11281418/s59483755/f0ae8d8a-6ce8b601-e646053e-7b8d9f94-0eb40091.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19555900/s55259245/301e8cb7-628b2419-3c67078e-dde44ad9-6f48583c.jpg	no acute cardiopulmonary process. left humerus fracture, better assessed on dedicated radiographs.
MIMIC-CXR-JPG/2.0.0/files/p12440965/s58232619/67fec354-91d8b505-4a82c778-a577749d-11f1b013.jpg	compared to prior chest radiographs since one , most recently. mild pulmonary edema, right lower lobe atelectasis have worsened. small bilateral pleural effusions and moderate cardiomegaly are unchanged. esophageal drainage tube ends in the mid esophagus and would need to be advanced at least <num> cm to move all the side ports into the stomach.
MIMIC-CXR-JPG/2.0.0/files/p12043836/s51856753/ff3eaa71-7065ba2e-bf6457f0-4645998a-bb57ca8f.jpg	as compared to the previous radiograph, the <num> right-sided chest tubes are in unchanged position. the left central access line is also unchanged. minimal increase in extent of the right pleural effusion. otherwise no relevant change.
MIMIC-CXR-JPG/2.0.0/files/p11279168/s53647256/839d50fa-520828bc-e729c514-09443d0a-c39a6e8d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11945588/s54626878/c3c3be14-900cb3db-dc055085-e17783b9-2e2dbb96.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p17429794/s50786871/c67281d6-30b65bb7-ae9aec2e-3388564f-820b9503.jpg	in comparison with the earlier study of this date, there has been a thoracentesis with removal of a substantial amount of fluid from the right pleural space. some residual fluid and atelectasis are seen, but there is no evidence of post procedure pneumothorax. continued enlargement of cardiac silhouette with indistinctness of pulmonary vessels consistent with elevation of pulmonary venous pressure. central catheter remains in good position.
MIMIC-CXR-JPG/2.0.0/files/p15456953/s51984383/58ebe120-49792034-eba7b724-9f739114-bfad3ec3.jpg	in comparison with the study of , there is little overall change. cardiac silhouette remains within overall limits of normal or slightly enlarged. atelectatic changes are fibrosis are seen at the left base. no evidence of acute pneumonia, vascular congestion, or pleural effusion. there is some anterior compression deformity of a mid dorsal vertebra and a prosthetic right shoulder.
MIMIC-CXR-JPG/2.0.0/files/p16696733/s54810726/8bc11fea-07f21a69-4cc88a32-bf08292d-71ca2678.jpg	new focal area of consolidation left lung base potentially pneumonia in the proper clinical setting. focal opacities in the right upper lung laterally and at the apex unchanged from prior exams from. as previously recommended, follow up ct scan is suggested and can be used to follow resolution of the left lung base opacity after treatment if administered.
MIMIC-CXR-JPG/2.0.0/files/p19650702/s50932889/187408c5-ccba1ec5-f8708828-b91559b6-bbaff245.jpg	compared to prior chest radiographs. upper right atrium, approximately <num> cm below the estimated location of the superior cavoatrial junction. pulmonary vascular congestion has improved, and mild edema in the lower lungs has resolved the. top- normal heart size is smaller. right pleural thickening adjacent to upper rib resection is stable. no appreciable pleural effusion. right pic line ends in the
MIMIC-CXR-JPG/2.0.0/files/p15060903/s50681442/ef5a446a-4e7f7efc-420d4502-d3f21a7f-c2cabe2d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17224446/s51208933/bbd506d3-737506f4-8d67583b-ab827198-977ab000.jpg	no evidence of active or latent tuberculosis infection.
MIMIC-CXR-JPG/2.0.0/files/p17078582/s51603317/ef128ee5-cf914993-6a207cf5-ce0c8ebd-05738a8a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14123600/s57207391/49cae0e6-09a62102-a88d79bd-e6c922d7-9cdc8c75.jpg	appropriate positioning of support lines/devices as described above. mild to moderate pulmonary edema. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10261290/s54057150/10d3296c-eb2fc0c2-c73fa5a3-23a03bfb-a228ad8b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11372027/s50504892/f9a32e85-ed4f76a2-1f9d80bd-ed999dab-fd627226.jpg	interval increase in interstitial markings and prominence of the pulmonary vasculature, suggestive of mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13486674/s56477529/ed7b6911-715ae00b-9888deb7-bc9c2212-993fc44c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12082168/s51837085/38377b2d-75856408-03b32d65-15dba150-afb34d41.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10525106/s51008838/7d56937d-bdefefff-414e7076-93ce1f0b-db133733.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12286821/s58150683/f27950ec-10b23599-fa93b026-a2ec5e37-f7d0a655.jpg	in comparison to chest radiograph, there has been apparent interval increase in size of a moderate left pleural effusion with adjacent left basilar atelectasis, with otherwise similar appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p16053405/s56476283/690ac013-d153905f-42ea4635-fd6d0007-f486c443.jpg	mild pulmonary edema developed on , improved on , and has recurred today. cardiomediastinal caliber is normal for supine positioning. there is no appreciable pleural effusion. tracheostomy tube in standard placement. right pic line ends in the region of the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p16005374/s59607876/c8645571-3dfc2362-72dc373f-fba209f0-3f401ddb.jpg	retrocardiac opacity which could represent left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18726372/s50395831/1caab8ec-56f8119f-53b4c6fb-c358c336-e59f27c6.jpg	low lung volumes limit assessment of the lung bases. streaky bibasilar airspace opacities most likely reflect atelectasis. as before, infection or aspiration within the lung bases cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p19975796/s52082171/70ef4fec-99dac796-d063be85-5f52a4e3-57378615.jpg	large right hilar mass most likely representing malignancy recommendation(s): ct for further evaluation
MIMIC-CXR-JPG/2.0.0/files/p14074203/s51510040/0be30716-d16cefb5-19958120-2b322983-0a9078e0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11961015/s59879615/8d4c4c5d-6cd1fdda-7148789e-acdacfc3-ba431130.jpg	no acute cardiac or pulmonary process. no free air under the diaphragm.
MIMIC-CXR-JPG/2.0.0/files/p14841920/s50930034/71d7e65d-4a79f107-0ce01e04-45782180-46220e50.jpg	severe consolidative abnormality in the left lung has improved. smaller right basal consolidation is essentially stable. these findings could be due to pneumonia or pulmonary hemorrhage. borderline interstitial edema has developed. heart size is normal. mediastinal veins are not distended. et tube, right internal jugular, and right pic line are in standard placements. nasogastric tube passes into the stomach and out of view. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11941410/s59617133/9aef6012-d41fda99-4ecb4669-f6c92c31-ad432708.jpg	in comparison with the study of , the cardiac silhouette is essentially within normal limits with moderate pulmonary vascular congestion and stable pacer leads. atelectatic changes are seen at the right base, though the costophrenic angle is sharp. more prominent opacification is seen at the left base with blunting of the costophrenic angle. although this could merely represent atelectasis, in the appropriate clinical setting superimposed pneumonia would have to be seriously considered.
MIMIC-CXR-JPG/2.0.0/files/p18022328/s50489243/9d8c6915-2170ddcc-106a2c17-8e7fb385-99fd4aa4.jpg	the lung volumes are low. mild pulmonary edema. borderline size of the cardiac silhouette. known left rib fracture that was better characterized on the dedicated rib series. no pleural effusions. no pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16163540/s53283688/c9449857-bec52ac2-2fac2195-5228d5ac-11af769c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19770195/s50965654/0eb0c97e-a86ebb59-bf846ca9-360f034f-c95086f7.jpg	large hiatal hernia without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16414432/s56380135/4c60b622-6366e35b-3c12af1f-e5571259-61e61b58.jpg	persistent complete collapse of left lung in the setting of a known obstructed bronchial stent, with adjacent left pleural effusion. widespread pulmonary metastases.
MIMIC-CXR-JPG/2.0.0/files/p18010883/s50817623/944d7b46-82e064bc-c9d13c6a-308c2e52-55436112.jpg	clear lungs. no focal consolidation to suggest pneumonia. slight prominence at the ap window, underlying lymphadenopathy not excluded and could be further evaluated for on ct. findings emailed to the ed qa nurses on at pm.
MIMIC-CXR-JPG/2.0.0/files/p10524188/s55603490/49d5d6d6-5834e00c-919748fd-e1f78a9b-d4fb840a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16057707/s58706676/a4c0b93b-9ceff54f-793e3e5c-84828a7b-2a32ff83.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18087960/s55660782/2873e1ed-8aafec63-d73e01fd-ea88acbe-6724faee.jpg	comparison to. the doboff catheter is now in correct position, projecting over the central parts of the stomach. massive cardiomegaly. status post cabg and valvular replacement. the parenchymal opacity at the right lung bases is not substantially changed in extent and severity. a left retrocardiac atelectasis persists. unchanged signs of mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12340465/s58984040/9b51610c-075b4dc3-1d0a0012-2971a887-6748bff6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10417160/s53970814/2bbb1786-41a498a7-3cd4517d-541b2b8d-22944415.jpg	interval improvement in previously noted scattered pulmonary opacities. there is a probable component of fibrosis likely accounting for interstitial coarsening.
MIMIC-CXR-JPG/2.0.0/files/p10384095/s58589339/8ab102a2-6c381da9-473f01cb-9b506961-9ad2b1a7.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/p19920914/s57502816/74932640-3ab6a74a-f14e082b-ab0cd67a-c28ef8eb.jpg	equivocal tiny left apical pneumothorax versus artifact from the luftsichel sign. continued surveillance is recommended. lucency within the left mid lung may represent a necrotic, air-filled mass. the findings could be further evaluated with a lateral view. increased opacification of the left lung may reflect further collapse in the left lung and/or a pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10595263/s55902579/0ab11efb-3ccd3135-da3076d8-6081f2a8-125a2d9b.jpg	no focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14767018/s51015816/76780e70-fc056c00-accfeb7a-6000b906-b8696e7f.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. again there are low lung volumes with bibasilar atelectatic changes. some indistinctness of pulmonary vessels suggests elevated pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p10375986/s58493775/83653111-286f5a96-f1a8325b-c90d540e-68b4dcc7.jpg	in comparison with the study of , of the uptake tip of the dobbhoff tube lies just distal to the esophagogastric junction it could be pushed forward several cm. low lung volumes may partially be responsible for the prominence of the transverse diameter of the heart. there is no evidence of acute pneumonia or vascular congestion or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13536330/s55047601/381664a1-a675d9f1-005d012b-95436942-1a795195.jpg	cardiomegaly with hilar congestion.
MIMIC-CXR-JPG/2.0.0/files/p19557250/s52450256/58ab4beb-d60425ab-82dd1e73-fe7214c4-3d324aa8.jpg	in comparison with the study of , the tracheostomy tube and nasogastric tube are unchanged. low lung volumes accentuate the enlargement of the cardiac silhouette. obscuration of the left hemidiaphragm is consistent with substantial volume loss in the left lower lobe and some pleural fluid. the right lung is essentially clear and there is no definite vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p14618856/s57540765/54bc774d-94dc2940-45ba7e5a-86b1a542-9922c7e7.jpg	no radiographic evidence for pneumonia. unchanged widening of the superior mediastinal contour from. while this could be due to the presence of mediastinal fat, underlying lymphadenopathy or mass is not completely excluded. consider further assessment with ct of the chest. recommendation(s): consider further assessment of the superior mediastinal widening with ct of the chest.
MIMIC-CXR-JPG/2.0.0/files/p11012243/s53466008/0ce2c73e-b0c6b051-bb95981d-fe7260c7-2e46121b.jpg	ng tube in situ with the tip in the mid stomach.
MIMIC-CXR-JPG/2.0.0/files/p12057859/s51497725/54bf3f38-393f3be1-26894b61-5d9fd0cd-1bb6526e.jpg	marked cardiomegaly. large hiatal hernia. findings suggesting pulmonary venous hypertension.
MIMIC-CXR-JPG/2.0.0/files/p16988716/s57347699/228770c6-37b8be69-5d245a1b-d064169f-292bfdf5.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12981575/s57156923/9dee2b6b-3bda334a-649c4068-3c20387f-26a6fd74.jpg	right basilar opacity may represent pneumonia in the appropriate clinical context.
MIMIC-CXR-JPG/2.0.0/files/p12233384/s53753981/7b2e8221-65c5448c-5e3a83c4-63d39feb-aeba84d0.jpg	no acute cardiopulmonary process. mild chronic interstitial fibrosis.
MIMIC-CXR-JPG/2.0.0/files/p14941305/s57386511/01dbbd1a-8c9a49c6-31ec3148-eb6e94d2-246c6930.jpg	multiple small opacities throughout both lung fields that possibly represent a multifocal infectious process. compression fracture in the thoracic spine, unchanged appearance from.
MIMIC-CXR-JPG/2.0.0/files/p18435084/s58603450/5fb7f5c7-b1e26b1a-eee50108-95096413-bffc63be.jpg	in comparison with the study , there are lower lung volumes. streaks of atelectasis are seen at both bases, without evidence of acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17032657/s57629189/4a886861-df89e11c-024edaa4-4e340513-98d3302d.jpg	persistent reticular nodular opacities in this patient with history of bronchiectasis/chronic lung disease. right base opacity persists, may be combination bronchiectasis and mucous plugging, underlying infection is difficult to exclude. hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p11079788/s52948447/e67d0e5b-6291a054-a24cf3aa-3e34169a-ee3bc92f.jpg	very limited exam due to low lung volumes. enlarged azygous vein suggests elevated central venous pressure, for which the differential diagnosis is isolated right heart failure, a pericardial effusion, or a large pulmonary embolism. probable small left pleural effusion. results were discussed with dr resident) at on via telephone by dr.
MIMIC-CXR-JPG/2.0.0/files/p15445599/s53667093/98e11e4c-e0665d55-d2df1490-d210654e-1bc51bd0.jpg	moderate atelectasis, right, was not present on chest ct. new bronchial stent in the bronchus intermedius, left lung clear. no pneumothorax or pleural effusion. heart is normal size.
MIMIC-CXR-JPG/2.0.0/files/p18553055/s56866856/73302ee8-9dd49d75-db70cba1-ed1e3cb1-43e2bad2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11885477/s58375196/355c0fd5-26a2cff7-9345bc65-51c76762-31a15b23.jpg	left lung base atelectasis is improved. mild pulmonary edema is stable.
MIMIC-CXR-JPG/2.0.0/files/p13352386/s57226077/3db0b373-e5eb65fb-81a84bd4-ee2c122a-8b900251.jpg	there has been a substantial increase in right perihilar consolidation since. the differential diagnosis of this change, includes pulmonary hemorrhage related to transbronchial biopsy. chest cta on showed disseminated nodules in the lung and coarse interstitial infiltration, suggesting widespread disseminated metastases. there is also possibility of concurrent infection which might be responsible for the right perihilar consolidation that is worse today. heart is normal size. there is no pneumothorax and pleural effusions are small if any.
MIMIC-CXR-JPG/2.0.0/files/p12746991/s55864138/06fc3f4c-4a80344d-9abbd2cb-fc4614af-defc240b.jpg	no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12990153/s58652184/6a3f2577-07a3701e-1bef9bb9-72fe1e0a-3f5733f3.jpg	small bilateral pleural effusions are unchanged. adjacent bibasilar opacities likely reflect compressive atelectasis however infection should be considered in the appropriate setting.
MIMIC-CXR-JPG/2.0.0/files/p11417888/s56186718/702d0882-87cb34ab-e0989fc7-1109eb94-7411de61.jpg	no fracture or acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17206800/s56903095/95c1977d-722a01cb-82d4ac6c-ddce6f4d-e4f0527d.jpg	heart size is normal. mediastinum is normal. there is vascular congestion. there is no pleural effusion. there is no pneumothorax. pacemaker leads terminate in right atrium and right ventricle.
MIMIC-CXR-JPG/2.0.0/files/p14634306/s52716937/846f9f61-c4297144-2e1fd43c-be58b32b-64d07d1c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17201534/s51896000/a889c547-9cd7d972-5f337ea3-24300dd5-1fbac57c.jpg	comparison to. stable position of the monitoring and support devices. the pre-existing right pleural effusion has almost completely resolved. no new effusions are noted. improved ventilation of the lung parenchyma. stable borderline size of the heart.
MIMIC-CXR-JPG/2.0.0/files/p16989180/s57122955/0c21d3fa-b4c4df29-271e37cb-c6c095e8-7cfacd76.jpg	small right apical pneumothorax is stable. no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p10716785/s50509886/2d5d629b-877ddb36-c840a703-bcf24b64-aac2893b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14256999/s50558821/88a9ddfc-031f94b4-92c7cce4-4056670c-639a7fa1.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14080594/s58544955/15c52061-3ff51f97-1df637c0-3272ebb2-06457f75.jpg	picc tip projecting over the expected location of the distal svc.
MIMIC-CXR-JPG/2.0.0/files/p15689523/s56902990/7b653d3c-e541a4c2-cd25b05e-f49dfc33-3da5ad2d.jpg	as compared to the previous image, the patient has undergone right thoracocentesis. the extent of the right pleural effusion has slightly decreased but the effusion is still clearly visible. there is no evidence of pneumothorax. the relatively extensive parenchymal opacities, dominating on the right, and the calcified known paratracheal lymph node is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg	previous pneumonia resolved since. no evidence of current infection. emphysema. small right pleural effusion or pleural scarring, clinically insignificant.
MIMIC-CXR-JPG/2.0.0/files/p19377812/s55374899/ffa3e5df-2e200f37-2d02d2f6-a74c3174-5ad7a8a5.jpg	ett not visualized. significant interval decrease in the left lung opacity and atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15486233/s52051131/7001c9db-0badb0ff-c1e6f7bc-d93e7f34-5ac3aed0.jpg	as compared to the previous radiograph, no relevant change is seen. the pleural drain on the right has been removed. there is no pneumothorax. the pleural fluid collection is of unchanged presentation. also unchanged is a large platelike atelectasis at the right lung bases. the remaining lung parenchyma is also constant in appearance. mild cardiomegaly without pulmonary edema. the left picc line is in normal constant position.
MIMIC-CXR-JPG/2.0.0/files/p11193011/s53079765/00310158-dd5d7474-b63294ee-d2a436e7-e823a07a.jpg	no acute cardiopulmonary process - discussed with at on by over the phone.
MIMIC-CXR-JPG/2.0.0/files/p19293646/s56654132/abc3ca0c-31f68cce-8377e342-34299c1e-07f5de59.jpg	in comparison with the study of , there is little overall change. endotracheal tube tip is about <num> cm above the carina. patchy heterogeneous opacification at the bases, especially on the right, is again consistent with aspiration or infectious pneumonia. small pleural effusion is again seen on the left.
MIMIC-CXR-JPG/2.0.0/files/p10109668/s59929104/b9d04069-04b18a39-2cbd0ed6-17c3ce61-a63626a1.jpg	mild cardiomegaly, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p13407964/s50955954/dc524c82-95e0b971-713dd54b-a479afaa-f516bec6.jpg	no evidence of acute disease or free air.
MIMIC-CXR-JPG/2.0.0/files/p14306198/s50866587/7e2e23c4-d374427e-2cef426a-1b38bcb2-3cf87a9c.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18099579/s55376830/8a0c4665-5a6b1e63-d6f4d13d-cf4d3500-2edc8b9f.jpg	in comparison with the study of common there is little overall change. extensive bilateral parenchymal opacities are essentially unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19834564/s52545541/a44fdd13-46676c6b-bd57c9e4-fe6657f8-b74ac227.jpg	no acute cardiopulmonary process. no displaced fracture seen. if clinical concern for rib fracture persists, consider dedicated rib series which is more sensitive.
MIMIC-CXR-JPG/2.0.0/files/p17355488/s59098172/e5772b5c-66aff9ca-d1e5fbfc-5acf7d56-ee78729e.jpg	diffuse multifocal pneumonia, right worse than left, has progressed compared to radiograph. comparison is difficult between modalities, and the pneumonia may be stable or worse compared to ct chest from. recommendation(s): subsequent follow-up with conventional chest radiographs rather than ct.
MIMIC-CXR-JPG/2.0.0/files/p12641056/s56493820/1803c066-1309e0fa-d876e546-93fbb50e-0baeac68.jpg	normal chest radiograph. no right apical mass identified.
MIMIC-CXR-JPG/2.0.0/files/p18887130/s55814566/066b389f-b52c5e34-1392a0d5-3bd9dacb-a4c48c44.jpg	no findings to suggest infection.
MIMIC-CXR-JPG/2.0.0/files/p11069516/s58847984/be52427f-52dfcc27-b3570c12-b7d90742-cbe2d26c.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19648244/s57068238/98540fbf-744cbf45-cbfcce53-0891d807-05780165.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13091997/s56468928/9f48f677-d5c35d78-ff940870-dc9967b7-cc728a05.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p10760364/s52957007/5cd619bb-57989e55-95db7f0a-c4787b6e-71bff71f.jpg	no relevant change as compared to the previous image. the monitoring and support devices are in correct position. low lung volumes. mild cardiomegaly. bilateral areas of atelectasis, left more than right. no overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14704535/s57964441/9adcf225-44d573a5-4d12843c-3dff24b9-8b7d38a4.jpg	no acute intrathoracic abnormality.

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tube and line placement as described. bibasilar subsegmental atelectasis. no definite effusion.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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tip of pacer wire projects over the superior aspect of right atrium. unchanged moderate pulmonary edema. unchanged cardiomegaly.

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findings suggesting hilar adenopathy. recommend ct for further evaluation of this and right upper lung nodules.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiopulmonary process. borderline heart size.

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bilateral upper lobe ground-glass opacity and central pulmonary vascular engorgement compatible with pulmonary edema.

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no evidence of acute disease.

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left lower hemithorax retrocardiac density may related to recent paraesophageal hernia repair/paraesophageal hernia. small left sided pleural effusion. no focal consolidation convincing for pneumonia.

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endotracheal and orogastric tube tips in standard positions. patchy opacities in the lung bases likely reflective of atelectasis.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process. left humerus fracture, better assessed on dedicated radiographs.

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compared to prior chest radiographs since one , most recently. mild pulmonary edema, right lower lobe atelectasis have worsened. small bilateral pleural effusions and moderate cardiomegaly are unchanged. esophageal drainage tube ends in the mid esophagus and would need to be advanced at least <num> cm to move all the side ports into the stomach.

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as compared to the previous radiograph, the <num> right-sided chest tubes are in unchanged position. the left central access line is also unchanged. minimal increase in extent of the right pleural effusion. otherwise no relevant change.

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no acute cardiopulmonary process.

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no evidence of acute disease.

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in comparison with the earlier study of this date, there has been a thoracentesis with removal of a substantial amount of fluid from the right pleural space. some residual fluid and atelectasis are seen, but there is no evidence of post procedure pneumothorax. continued enlargement of cardiac silhouette with indistinctness of pulmonary vessels consistent with elevation of pulmonary venous pressure. central catheter remains in good position.

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in comparison with the study of , there is little overall change. cardiac silhouette remains within overall limits of normal or slightly enlarged. atelectatic changes are fibrosis are seen at the left base. no evidence of acute pneumonia, vascular congestion, or pleural effusion. there is some anterior compression deformity of a mid dorsal vertebra and a prosthetic right shoulder.

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new focal area of consolidation left lung base potentially pneumonia in the proper clinical setting. focal opacities in the right upper lung laterally and at the apex unchanged from prior exams from. as previously recommended, follow up ct scan is suggested and can be used to follow resolution of the left lung base opacity after treatment if administered.

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compared to prior chest radiographs. upper right atrium, approximately <num> cm below the estimated location of the superior cavoatrial junction. pulmonary vascular congestion has improved, and mild edema in the lower lungs has resolved the. top- normal heart size is smaller. right pleural thickening adjacent to upper rib resection is stable. no appreciable pleural effusion. right pic line ends in the

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no acute intrathoracic process.

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no evidence of active or latent tuberculosis infection.

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no acute cardiopulmonary process.

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appropriate positioning of support lines/devices as described above. mild to moderate pulmonary edema. small bilateral pleural effusions.

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no acute cardiopulmonary process.

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interval increase in interstitial markings and prominence of the pulmonary vasculature, suggestive of mild pulmonary edema.

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no acute intrathoracic process.

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no evidence of pneumonia.

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no acute cardiopulmonary process.

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in comparison to chest radiograph, there has been apparent interval increase in size of a moderate left pleural effusion with adjacent left basilar atelectasis, with otherwise similar appearance of the chest.

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mild pulmonary edema developed on , improved on , and has recurred today. cardiomediastinal caliber is normal for supine positioning. there is no appreciable pleural effusion. tracheostomy tube in standard placement. right pic line ends in the region of the superior cavoatrial junction.

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retrocardiac opacity which could represent left lower lobe pneumonia.

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low lung volumes limit assessment of the lung bases. streaky bibasilar airspace opacities most likely reflect atelectasis. as before, infection or aspiration within the lung bases cannot be completely excluded.

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large right hilar mass most likely representing malignancy recommendation(s): ct for further evaluation

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no acute cardiopulmonary process.

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no acute cardiac or pulmonary process. no free air under the diaphragm.

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severe consolidative abnormality in the left lung has improved. smaller right basal consolidation is essentially stable. these findings could be due to pneumonia or pulmonary hemorrhage. borderline interstitial edema has developed. heart size is normal. mediastinal veins are not distended. et tube, right internal jugular, and right pic line are in standard placements. nasogastric tube passes into the stomach and out of view. no pneumothorax.

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in comparison with the study of , the cardiac silhouette is essentially within normal limits with moderate pulmonary vascular congestion and stable pacer leads. atelectatic changes are seen at the right base, though the costophrenic angle is sharp. more prominent opacification is seen at the left base with blunting of the costophrenic angle. although this could merely represent atelectasis, in the appropriate clinical setting superimposed pneumonia would have to be seriously considered.

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the lung volumes are low. mild pulmonary edema. borderline size of the cardiac silhouette. known left rib fracture that was better characterized on the dedicated rib series. no pleural effusions. no pneumonia. no pneumothorax.

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no acute intrathoracic process.

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large hiatal hernia without acute cardiopulmonary process.

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persistent complete collapse of left lung in the setting of a known obstructed bronchial stent, with adjacent left pleural effusion. widespread pulmonary metastases.

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clear lungs. no focal consolidation to suggest pneumonia. slight prominence at the ap window, underlying lymphadenopathy not excluded and could be further evaluated for on ct. findings emailed to the ed qa nurses on at pm.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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comparison to. the doboff catheter is now in correct position, projecting over the central parts of the stomach. massive cardiomegaly. status post cabg and valvular replacement. the parenchymal opacity at the right lung bases is not substantially changed in extent and severity. a left retrocardiac atelectasis persists. unchanged signs of mild pulmonary edema.

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no acute cardiopulmonary process.

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interval improvement in previously noted scattered pulmonary opacities. there is a probable component of fibrosis likely accounting for interstitial coarsening.

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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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equivocal tiny left apical pneumothorax versus artifact from the luftsichel sign. continued surveillance is recommended. lucency within the left mid lung may represent a necrotic, air-filled mass. the findings could be further evaluated with a lateral view. increased opacification of the left lung may reflect further collapse in the left lung and/or a pleural effusion.

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no focal pneumonia.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there are low lung volumes with bibasilar atelectatic changes. some indistinctness of pulmonary vessels suggests elevated pulmonary venous pressure.

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in comparison with the study of , of the uptake tip of the dobbhoff tube lies just distal to the esophagogastric junction it could be pushed forward several cm. low lung volumes may partially be responsible for the prominence of the transverse diameter of the heart. there is no evidence of acute pneumonia or vascular congestion or pleural effusion.

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cardiomegaly with hilar congestion.

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in comparison with the study of , the tracheostomy tube and nasogastric tube are unchanged. low lung volumes accentuate the enlargement of the cardiac silhouette. obscuration of the left hemidiaphragm is consistent with substantial volume loss in the left lower lobe and some pleural fluid. the right lung is essentially clear and there is no definite vascular congestion.

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no radiographic evidence for pneumonia. unchanged widening of the superior mediastinal contour from. while this could be due to the presence of mediastinal fat, underlying lymphadenopathy or mass is not completely excluded. consider further assessment with ct of the chest. recommendation(s): consider further assessment of the superior mediastinal widening with ct of the chest.

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ng tube in situ with the tip in the mid stomach.

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marked cardiomegaly. large hiatal hernia. findings suggesting pulmonary venous hypertension.

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no radiographic evidence for acute cardiopulmonary process.

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right basilar opacity may represent pneumonia in the appropriate clinical context.

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no acute cardiopulmonary process. mild chronic interstitial fibrosis.

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multiple small opacities throughout both lung fields that possibly represent a multifocal infectious process. compression fracture in the thoracic spine, unchanged appearance from.

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in comparison with the study , there are lower lung volumes. streaks of atelectasis are seen at both bases, without evidence of acute pneumonia or vascular congestion.

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persistent reticular nodular opacities in this patient with history of bronchiectasis/chronic lung disease. right base opacity persists, may be combination bronchiectasis and mucous plugging, underlying infection is difficult to exclude. hiatal hernia.

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very limited exam due to low lung volumes. enlarged azygous vein suggests elevated central venous pressure, for which the differential diagnosis is isolated right heart failure, a pericardial effusion, or a large pulmonary embolism. probable small left pleural effusion. results were discussed with dr resident) at on via telephone by dr.

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moderate atelectasis, right, was not present on chest ct. new bronchial stent in the bronchus intermedius, left lung clear. no pneumothorax or pleural effusion. heart is normal size.

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no acute cardiopulmonary process.

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left lung base atelectasis is improved. mild pulmonary edema is stable.

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there has been a substantial increase in right perihilar consolidation since. the differential diagnosis of this change, includes pulmonary hemorrhage related to transbronchial biopsy. chest cta on showed disseminated nodules in the lung and coarse interstitial infiltration, suggesting widespread disseminated metastases. there is also possibility of concurrent infection which might be responsible for the right perihilar consolidation that is worse today. heart is normal size. there is no pneumothorax and pleural effusions are small if any.

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no previous images. the cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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small bilateral pleural effusions are unchanged. adjacent bibasilar opacities likely reflect compressive atelectasis however infection should be considered in the appropriate setting.

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no fracture or acute cardiopulmonary process.

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heart size is normal. mediastinum is normal. there is vascular congestion. there is no pleural effusion. there is no pneumothorax. pacemaker leads terminate in right atrium and right ventricle.

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no acute cardiopulmonary process.

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comparison to. stable position of the monitoring and support devices. the pre-existing right pleural effusion has almost completely resolved. no new effusions are noted. improved ventilation of the lung parenchyma. stable borderline size of the heart.

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small right apical pneumothorax is stable. no other interval change from prior study.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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picc tip projecting over the expected location of the distal svc.

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as compared to the previous image, the patient has undergone right thoracocentesis. the extent of the right pleural effusion has slightly decreased but the effusion is still clearly visible. there is no evidence of pneumothorax. the relatively extensive parenchymal opacities, dominating on the right, and the calcified known paratracheal lymph node is unchanged.

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previous pneumonia resolved since. no evidence of current infection. emphysema. small right pleural effusion or pleural scarring, clinically insignificant.

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ett not visualized. significant interval decrease in the left lung opacity and atelectasis.

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as compared to the previous radiograph, no relevant change is seen. the pleural drain on the right has been removed. there is no pneumothorax. the pleural fluid collection is of unchanged presentation. also unchanged is a large platelike atelectasis at the right lung bases. the remaining lung parenchyma is also constant in appearance. mild cardiomegaly without pulmonary edema. the left picc line is in normal constant position.

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no acute cardiopulmonary process - discussed with at on by over the phone.

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in comparison with the study of , there is little overall change. endotracheal tube tip is about <num> cm above the carina. patchy heterogeneous opacification at the bases, especially on the right, is again consistent with aspiration or infectious pneumonia. small pleural effusion is again seen on the left.

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mild cardiomegaly, otherwise unremarkable.

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no evidence of acute disease or free air.

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no evidence of acute cardiopulmonary process.

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in comparison with the study of common there is little overall change. extensive bilateral parenchymal opacities are essentially unchanged.

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

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diffuse multifocal pneumonia, right worse than left, has progressed compared to radiograph. comparison is difficult between modalities, and the pneumonia may be stable or worse compared to ct chest from. recommendation(s): subsequent follow-up with conventional chest radiographs rather than ct.

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normal chest radiograph. no right apical mass identified.

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no findings to suggest infection.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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no acute findings.

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no relevant change as compared to the previous image. the monitoring and support devices are in correct position. low lung volumes. mild cardiomegaly. bilateral areas of atelectasis, left more than right. no overt pulmonary edema.

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no acute intrathoracic abnormality.