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/p16662316/s50074184/49d47140-69d47642-b0184b0e-7faf527c-d9edb9ef.jpg	new opacity obscuring left heart border is worrisome for a lingular pneumonia. clinical correlation recommended. copd/emphysema. chronic right middle lobe collapse.
MIMIC-CXR-JPG/2.0.0/files/p10259507/s51118634/112654a1-bf5336a6-5e18d5cb-6e26a0c4-9e0c4edb.jpg	cardiomegaly without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19085941/s51551647/b99dc6cc-9ef9db53-04ba3a10-f55ac523-f5f04af9.jpg	heart size and mediastinum are stable in appearance. mild interstitial edema is noted and has progressed in the interim. a left basal atelectasis is unchanged. left picc line tip terminates at the level of lower svc. slightly more focused left upper lobe opacity is to be further followed to exclude the possibility of developing infection
MIMIC-CXR-JPG/2.0.0/files/p11210454/s59203939/8f3b7f05-c2713dcd-b750b3e2-e83e1e43-ce811be4.jpg	endotracheal and enteric tubes in standard positions. low lung volumes. patchy opacities in the lung bases may reflect areas of atelectasis but infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p18212177/s53128221/c972bbb0-08104beb-5dadb551-4db0c058-7fd82a0d.jpg	bibasilar atelectasis. no definite infiltrate. if there is high suspicion for a pneumonic infiltrate, then a lateral view could help for further assessment.
MIMIC-CXR-JPG/2.0.0/files/p12763117/s57741081/16427bb8-039d8813-44f06d53-bef42136-f098bdab.jpg	subtle patchy opacity at the right lung base in the region of overlying skinfold may be due to overlying structures; however, early infectious process or aspiration is not excluded in the appropriate clinical setting. consider repeat or dedicated pa and lateral views for further and better evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11411718/s59302169/faa24415-488a0a62-4f1b4e0c-2e15a7ed-90c17526.jpg	new focal consolidation in the right lower lobe concerning for pneumonia. recommend follow up radiographs after treatment to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p15295205/s55917718/cc0de677-0e4698f5-07e27391-ddf5f738-c497edcd.jpg	new or larger bilateral effusions, with new right and more pronounced left base collapse and/or consolidation. upper zone redistribution and mild vascular plethora is similar to the prior study. et tube and ng tube are unchanged, with ett lying at the level of the upper edge of the clavicular heads and the ng tube side port in the region of the ge junction.
MIMIC-CXR-JPG/2.0.0/files/p15936063/s56261968/c9d47209-4c77f336-1f9b513c-d2410aab-ff795213.jpg	bibasilar opacities, likely reflecting atelectasis, however, underlying consolidations cannot be excluded. mild pulmonary vascular congestion and edema, with a small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17532709/s52935682/543d9527-9123f81e-259347e5-81cfcbd9-66f46636.jpg	comparison to. the patient has been extubated and the nasogastric tube was removed. the left chest tube is also removed. removal of the right chest tube. no evidence of pneumothorax. minimal atelectasis at the left lung basis. no pulmonary edema. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16103537/s53503405/42de91b5-0a29a507-072e47b9-bead3bbf-28c0d94e.jpg	in comparison with the study of , there is little overall change. the huge hiatal hernia again extends well to the right of the mediastinum. dual-channel pacer device remains in place. continued enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p13383248/s52828606/7ba5eae6-1aaff5f6-db4d6b3c-4aae0de3-516831f1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12127491/s53453619/4f521989-e6901e77-e9487d2a-e6ada12d-7c4eec21.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10522319/s53231216/bb7a2e20-db26af2c-aaff08ad-a2fa6cfe-e796248f.jpg	pa and lateral chest compared to : lungs are fully expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. minimal relative elevation of the left hemidiaphragm is unchanged, of no active clinical significance.
MIMIC-CXR-JPG/2.0.0/files/p12855476/s53375328/b6760df0-0dc55354-6a0de09c-78df5a86-13ee37ac.jpg	stable bibasilar opacifications, consistent with pleural effusion and adjacent compressive atelectasis. interval decrease in pulmonary edema, which now appears mild.
MIMIC-CXR-JPG/2.0.0/files/p18974881/s58070560/81c5ed0e-de112dce-92c337de-b9ed56d4-9c480b52.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p14391048/s55575842/51bba262-a151fbbe-15d82270-35f56e77-31f2954a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19900981/s50124389/cd25b79d-d6a1fd43-d7ff1cc0-fa36e151-65912568.jpg	subtle left base retrocardiac opacity most likely represents combination of overlap of vascular structures and atelectasis, less likely consolidation. no large pleural effusion, possible trace left pleural effusion, similar to prior. persistent cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17078867/s53033953/4dbf8ba8-8dd3096d-f36ed8f3-8f19ab24-6e2b414b.jpg	as compared to radiograph, cardiomediastinal contours are stable, and circumferential left pleural thickening consistent with known to me is a daily adenoma appears unchanged. pulmonary vascular congestion and mild edema are new. worsening bibasilar opacities (left greater than right) atelectasis and or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16052230/s57878532/611e54ff-df577c62-67686e32-09b09adf-5d5131b1.jpg	there is a moderate to large right-sided pleural effusion with substantial volume loss in the right lower lung with probable collapse of the right middle and a portion of the right lower lobes. the left lung remains well inflated and clear. no evidence of pulmonary edema. a feeding tube is seen coursing below the diaphragm with the tip not identified. assessment of the cardiac and mediastinal contours is difficult given due to marked patient rotation on the current study. overall, when compared to the most recent prior study, there is no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p17767787/s52583609/f8fc0f9c-cbdc2dae-2f41c4c2-5ad39bb7-e8283ce0.jpg	overall there is interval improvement with mild residual hilar congestion and small bilateral pleural effusions. top-normal heart size.
MIMIC-CXR-JPG/2.0.0/files/p12064183/s59253640/92845444-112f4e18-0fec5bf4-4305740b-74a607cf.jpg	minimal change of a left retrocardiac opacity since the examination, which may reflect any combination of atelectasis, consolidation, and/or effusion.
MIMIC-CXR-JPG/2.0.0/files/p10490202/s57970829/820a3586-85a50fd1-2747b8d3-b2bc037b-1481a98b.jpg	perihilar opacities could reflect pulmonary edema with more confluent retrocardiac opacity which is concerning for aspiration given the clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19272183/s54692148/e2174f38-a4aed0be-417253d7-012837ec-2525ea11.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18702681/s59672838/b04f9fef-5b72001e-46fc811f-7d860821-a1d975b6.jpg	endotracheal tube, nasogastric tube and right internal jugular central line are likely unchanged in position. there is a retrocardiac consolidation likely representing partial lower lobe collapse. in addition, a patchy opacity at the right base is seen and this may reflect compressive atelectasis as there are bilateral layering effusions. improving mild pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17339765/s53459889/bf445b7e-bccca36e-79ed6823-d02b5e82-644d58a8.jpg	cardiomegaly and worsening bilateral pleural effusions, left greater than right as well as pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13796064/s50647567/ffe24560-d249675b-e0bcaebb-ae3a09aa-fb31606e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11422321/s53211156/9f0841e8-579f4af8-c5c0fc43-4cb7a395-70ade3d6.jpg	moderate cardiomegaly. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17985961/s59321899/60f31487-a0daed5a-415d9793-9dd4ae65-0cecf01d.jpg	previous pulmonary vascular engorgement has improved. heart size top- normal. no pulmonary edema. lung volumes are lower, reflected in subsegmental atelectasis at the lung bases. no pneumothorax or pleural effusion. tip of the endotracheal tube is no less than <num> cm from the carina, and could be withdrawn another <num> mm to avoid unilateral intubation with subsequent change in the position of the head and neck. right subclavian line ends in the low svc and an esophageal drainage tube ends in the upper portion of a non dilated stomach
MIMIC-CXR-JPG/2.0.0/files/p13461895/s59276746/f4b35eb4-84bca8e2-336e9b6f-85f73e28-3a8840d3.jpg	mild septal thickening, scattered throughout the lungs, is unchanged over many years, and the decrease in pulmonary vascularity in the lower lungs, also long-standing suggests a component of emphysema. there is no new consolidation, nodulation, or scarring. central lymph nodes are not enlarged and there is no pleural effusion. heart size is normal. it is conceivable that chest ct scanning would reveal findings not apparent on conventional radiographs.
MIMIC-CXR-JPG/2.0.0/files/p11028216/s57900681/e48b673b-1642288b-c82991d0-e201e343-8ff22e6c.jpg	moderate size left and small right bilateral pleural effusions, similar compared to the previous study. bibasilar airspace opacities likely reflect compressive atelectasis though infection and aspiration cannot be completely excluded. gaseous dilatation of a small bowel loop on the lateral view. consider abdominal radiographs for further assessment.
MIMIC-CXR-JPG/2.0.0/files/p14892655/s59157829/624903cb-063bb2ae-dfc8d478-c71b7ccb-e3a1d2f1.jpg	no substantial change.
MIMIC-CXR-JPG/2.0.0/files/p11425766/s51771118/6402aa44-62bb3ec3-3d240128-ba8c82bf-68aad262.jpg	improved pulmonary edema. stable moderate pleural effusions with left basilar subsegmental atelectasis. asymmetric right upper lobe subpleural opacity but warrants re-evaluation with well positioned pa, lateral and apical lordotic radiographs, prior to discharge the to exclude active infection or malignancy.
MIMIC-CXR-JPG/2.0.0/files/p19978454/s53346010/ce1b588b-81afc17b-f6506799-61eae1fc-6f883f29.jpg	no acute intrathoracic process. no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s59460332/02600ef7-6b1125a0-2c016629-6dcf0c71-3b276dca.jpg	stable baseline chronic lung disease without superimposed acute process.
MIMIC-CXR-JPG/2.0.0/files/p19960115/s53198889/35a4f3bc-9467e984-29635e35-fb8ae8f8-e04bca84.jpg	no relevant change. slightly increasing left pleural effusion. constant right pleural effusion. low lung volumes. moderate cardiomegaly. mild pulmonary edema and bilateral areas of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11901665/s50703603/26c6f365-18e3d520-fade82b5-6521c722-56d222c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18221225/s53931510/e0977b45-49f31947-dad55ab3-be13ece4-7125abc5.jpg	pa and lateral chest compared to : previous right pneumothorax has resolved and there is no appreciable right pleural effusion, apical pleural tube still in place. aside from a small lesion at the right lung base which could be a laceration or contusion, the right lung is clear. small region of heterogeneous opacification in the left apex would be an unusual distribution of atelectasis and is more concerning for pneumonia. left lower lung is clear and there is no left pleural effusion. heart size is normal.
MIMIC-CXR-JPG/2.0.0/files/p14585953/s55982372/2bd8dde5-0da7642a-15c9b9ed-37c36f1f-4518ad70.jpg	no evidence of pneumonia. trace, if any, bilateral pleural effusions or pleural thickening. stable moderate-to-severe cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18416120/s52997827/ac9b6302-55d2feae-0a13fe98-2fd865b7-bbe57f70.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14260816/s53965947/86e25cf8-5d0f10f5-c742055b-bdfb96cb-47ace953.jpg	heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. overall normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13687936/s54651223/d978cdb9-20f1f71a-0f2e5db3-faaf27bb-43d3c8e5.jpg	as compared to the previous radiograph, the left picc line was removed. moderate cardiomegaly with elongation of the descending aorta persists. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18414211/s53309856/9e43e023-496c95e7-d9705a70-d4b589f6-9b4ddda4.jpg	bilateral small pleural effusions and thickening are stable.
MIMIC-CXR-JPG/2.0.0/files/p16226845/s58284146/b29ba493-bb7b1ede-753eb073-c4e34dde-98aa3fb7.jpg	in comparison with the study of , there has been placement of a right pigtail catheter with withdrawal of some of pleural effusion with no evidence of post - procedure pneumothorax. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p11799411/s53471558/682b336f-09a8e704-ee274a79-5c8e5d90-6e9fd43f.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16127913/s50543002/c39783b8-c7564c00-fe187846-71da0022-edebd37c.jpg	fracture involving the right clavicle. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18412168/s54358022/b1fba7a7-fc8ff507-ff8afcbd-7fda16e6-2fe754cf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11508535/s52500885/9f615769-eb031b6c-800d8e93-324302b9-19819e34.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11752817/s54050620/900548a0-120c735f-11fc7b62-66da0730-3ff9e9cb.jpg	grossly stable appearance of loculated right pleural effusion with possible mild improvement in aeration of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p18087759/s56767418/25a5acff-f12ff8df-4c2264ae-f19122e9-ffb87c51.jpg	no previous images. the heart is normal in size and there is no vascular congestion or pleural effusion. specifically, no evidence of acute pneumonia or hilar or mediastinal adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p12907811/s58380156/76381a11-4c682b98-5b310502-9db466f0-e4a739be.jpg	appropriate position of ett, no pneumothorax related to placement.
MIMIC-CXR-JPG/2.0.0/files/p19542419/s59653907/dff17b6d-859cc664-15a7bf24-e8e9f328-31223c37.jpg	satisfactory position of et tube, which should not be withdrawn any further as it is at thoracic inlet. non-displaced right second rib fracture. possible right distal clavicular fracture.
MIMIC-CXR-JPG/2.0.0/files/p15506863/s57447923/4543b52e-ae963caf-e259cd30-a0c23d96-d53dfe67.jpg	in comparison with the study of , the calcified granuloma is again seen in the right upper lobe. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15227454/s50055774/44acadf3-5e851482-cf3b7cbf-aaefa825-6e5642ad.jpg	resolution of small right pneumothorax. unchanged right pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11205852/s56852324/9baee5d1-960d090e-92ba3b40-c5d353d3-a7826472.jpg	et tube terminates approximately <num> cm above the carina. subtle consolidation at the right lung base is likely secondary to atelectasis however aspiration cannot be excluded. diffuse mild bilateral pulmonary edema. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11268845/s50606541/ff647efb-1ce094cf-ceaa2f64-a89d1d50-eafe7b76.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17807140/s51417933/b4d91ecd-435c6212-181022da-345b34e5-cb1d5ff8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13071041/s53275563/702cea48-7950aea1-46431054-f4344235-fe403f0d.jpg	stable mild cardiomegaly and mild pulmonary edema. small bilateral pleural effusions with adjacent right basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13864598/s53387327/74452926-055ff893-554ade14-0b847630-a646c7ee.jpg	limited exam, but no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17439447/s55439293/1cd969c2-5a26eaa4-71f24d35-7182032f-a410c758.jpg	right picc line tip is at the cavoatrial junction. heart size and mediastinum are stable. lungs are clear. small amount of left pleural effusion versus pleural thickening is demonstrated, more conspicuous on the current study.
MIMIC-CXR-JPG/2.0.0/files/p18734362/s56892616/4536d3e7-738236fd-ca14daa0-f8cd47b3-120aea5a.jpg	pulmonary vascular congestion. area of increased opacity lateral right upper lung could be due to overlying vascular and osseous structures, although underlying consolidation may be present, due to infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p19017808/s52103790/de47cc50-67c64c92-99473e08-6660108b-ee74f5ea.jpg	no radiographic evidence of pneumonia. mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p17804606/s56594015/f6255ad1-442fc8eb-5704ffc1-317349f0-649dfb5f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14915616/s54920610/49ceb897-b460a86e-da852ce0-96894f0b-ec954ca6.jpg	bibasilar atelectasis. slight blunting of the bilateral costophrenic angles felt to more likely be due to atelectasis rather than trace pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10699336/s50898556/ddecdf1c-e10617e8-7886b116-27f9dd10-41f36a72.jpg	new spinal stabilization device in the cervicothoracic region. change in the configuration of consolidation at the base of the left lung is suggestive of pneumonia than atelectasis. mild edema is recognized in the right lower lobe. left pleural effusion is small if any, alongside the displaced fractures of left middle ribs laterally, close to the diaphragm. there is no pneumothorax. nasogastric tube ends in the stomach. tracheostomy tube in standard placement. left subclavian catheter is been withdrawn to the proximal left brachiocephalic vein. bilateral pleural drains are unchanged in their respective positions, both contiguous with the mediastinum, as before.
MIMIC-CXR-JPG/2.0.0/files/p19214430/s59333875/09b91570-856d945d-19afd7c4-529ed6be-7aa90830.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19688039/s54182038/d672e4da-cc46c910-06c7b775-523456ae-044f531b.jpg	no evidence of acute cardiopulmonary process. this preliminary report was reviewed with dr , radiologist.
MIMIC-CXR-JPG/2.0.0/files/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p13205603/s50299752/19a21440-49e7822a-50ec86a4-61c275a6-b72e4bb2.jpg	one pacemaker lead is in the right atrium and the other is in the right ventricle. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10246405/s53091920/83a17d68-f46562c5-0772bd41-c4608b03-a683e52c.jpg	endotracheal tube <num> cm above the carina. opacity at the lungs bases could represent atelectasis or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12213423/s53261074/eaeeaa5b-0f8a152b-5ee672b1-47f87fe9-77ff2432.jpg	small to moderate right pleural effusion has decreased since , and pulmonary vascular congestion has improved. left lower lobe is largely obscured by the chronically moderately enlarged heart, but probably atelectatic. upper lobe is well aerated. severe mediastinal widening is due to fatty infiltration. there is no pneumothorax. et tube and left internal jugular line are in standard placements respectively. a right jugular line ends above the origin of the right brachiocephalic vein, unchanged since.
MIMIC-CXR-JPG/2.0.0/files/p11545313/s55006481/38b7f27e-81d56093-8d69599e-ba8acbc2-0fbd6c52.jpg	cardiomegaly is substantial, unchanged. mild interstitial pulmonary edema is present but slightly progressed since the prior study. more focal opacity is noted in the left lower lung which might potentially represent developing infection, attention to this area on the subsequent studies is recommended impression: concern for left lower lobe pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17200404/s52586870/e7645943-4b72f53a-fab894c9-db22b988-b310c1ed.jpg	no radiographic evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p11224762/s58675809/0d5dd44a-54391e22-c4404897-83ba9d75-9cbedfea.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17948002/s55329896/7302c8a7-97a7766a-698f25ed-9d68e4be-92ba9612.jpg	in comparison to chest radiograph, there has not been appreciable change in the appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p14065514/s54615396/f22ce138-8a031f98-0f20b62f-4cdee8b6-d62358b4.jpg	persistent small bilateral pleural effusions, with slight interval decrease in the amount of loculated fluid laterally on the right and improvement in aeration of the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p19943755/s58457803/5298dcfd-ea2da3ee-579926aa-0a423a8c-f0bea9d9.jpg	ap chest compared to : moderate right pleural effusion is larger, no pneumothorax. pulmonary vascular engorgement has worsened and left perihilar opacification could be due to edema locally. heart is moderately enlarged, unchanged recently. transvenous right atrial and right ventricular pacer leads follow their expected courses. a fissural pleural collection in the right hemithorax is slightly larger. findings were discussed by telephone with dr at when the findings were recognized.
MIMIC-CXR-JPG/2.0.0/files/p12868210/s59139187/e11e2320-ea32885f-a5ecb889-82aa7d86-f63f85c3.jpg	normal chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p11276090/s52961561/81c421f3-39db8cf9-4188608e-506f6c6d-636cb3ee.jpg	no acute findings. probable underlying emphysema.
MIMIC-CXR-JPG/2.0.0/files/p11808646/s52737273/e8bcccd4-09c9849e-8562010c-4228986b-db288f65.jpg	the left port-a-cath has migrated with the tip now terminating in the azygos vein, in appropriate position. this finding was relayed to the emergency department by urgent wet reading. mild left basilar atelectasis and possible trace bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18551091/s59718118/4a303100-f25cf7f3-bb08efd5-033e670a-5ce4396e.jpg	small right apical pneumothorax as well as loculated air in the proximity of the right chest tube. right midlung pulmonary edema, likely secondary to re-expansion.
MIMIC-CXR-JPG/2.0.0/files/p17763712/s58312999/3940daf4-19dc4b66-c82f2039-7493bd82-62d1e924.jpg	right port-a-cath appears unchanged terminating in the region of the cavoatrial junction without disruption or kinking of the tubing. small right and moderate-large left pleural effusions are increased from , with moderate rate of accumulation. no pulmonary edema or pneumothorax. left upper lobe opacity appears unchanged.
MIMIC-CXR-JPG/2.0.0/files/p12598850/s50359590/53f93561-6359846b-bff5d3a8-7afbddbc-4efeb48c.jpg	low lung volumes, but otherwise normal exam.
MIMIC-CXR-JPG/2.0.0/files/p13820366/s57798676/4a83b37a-23203e27-02d50dff-e844997a-a60ee329.jpg	moderate cardiomegaly. bibasilar interstitial prominence may reflect atelectasis or pneumonitis. no consolidative pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12303032/s56825272/29ef6cc9-a3e82549-c782b2f2-020364d1-c4e88a50.jpg	no acute intrathoracic process. atelectasis and scarring at the right lung base with elevated right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p14808570/s51399436/66dd8d42-e51c1a18-3e851512-69fc449b-5cb52b8c.jpg	there has been very little change in the chest since including a large multiloculated right pleural effusion, with a substantial fissural component. some right pleural effusion is dependent in the right posterior hemi thorax and could be layering. widening of the middle and anterior mediastinum due to adenopathy extending from the thoracic inlet to the level of the hila is also unchanged. the only pleural drain identified is in the left hemithorax at the base of the lung.
MIMIC-CXR-JPG/2.0.0/files/p18375223/s50540978/fe58fc60-1d7e29e0-5c44ef80-4e196784-98d21c94.jpg	no interval reaccumulation of left pleural effusion. interval increase of the left mid to lower lung opacification, likely due to re-expansion edema but superimposed infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p10694040/s58649377/f2cb8567-d3f2bd0f-9bf57c98-152000e8-6657f045.jpg	unchanged lead position.
MIMIC-CXR-JPG/2.0.0/files/p16515399/s52640281/7c4778e0-36c14e02-9c92b172-00d50488-41ac87b3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16146005/s51788210/4f99427b-81b5a9e0-7499b0b0-b56d1977-92591d6f.jpg	no pulmonary edema or pneumonia. small left effusion increased from prior
MIMIC-CXR-JPG/2.0.0/files/p14601638/s52495699/16c85947-b965c7f1-ad2186ac-19a5fff4-1e664369.jpg	hyperexpanded lungs without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18303844/s59875943/6b393448-1612b448-641f5728-5f954d0f-d25d9e87.jpg	improvement of right hilar contour, no further followup required. improved pulmonary edema and pulmonary vascular congestion, now mild. vascular distribution suggests pulmonary valve pathology, echocardiogram is recommended if clinically indicated.
MIMIC-CXR-JPG/2.0.0/files/p16254515/s51148659/21e524d4-cd80ec25-e00f6ddc-b03023c8-5b23b755.jpg	slight interval improvement in lung aeration, otherwise no significant interval change in diffuse bilateral patchy airspace opacities which can be seen with multifocal pneumonia or ards.
MIMIC-CXR-JPG/2.0.0/files/p17521365/s53906693/e4d18427-2d092eb0-08a2e03e-ef44c2db-0beb9156.jpg	the endotracheal tube is in standard position. no evidence of pneumothorax. widened cardiomediastinal silhouette attributable to the limitations of a portable study in patient positioning.
MIMIC-CXR-JPG/2.0.0/files/p16333429/s50220797/7036a07f-5b1a889e-e5357508-9ddb4719-f3ae4a0d.jpg	tiny right apical pneumothorax is not clearly visualized on this exam.
MIMIC-CXR-JPG/2.0.0/files/p11182667/s51578468/22892557-07719d96-4e24d52d-c3698d82-f850d1e1.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19889178/s56959863/8939730d-f7161f63-e9195e60-31f5d976-9234b820.jpg	mild cardiomegaly, small pleural effusions and mild pulmonary edema with congestion.
MIMIC-CXR-JPG/2.0.0/files/p12970898/s58330112/30d2937f-ac38c9a8-029f5c01-5103593a-0336e02f.jpg	normal chest radiographs. discussed with dr by phone at.
MIMIC-CXR-JPG/2.0.0/files/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg	slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11596805/s56044905/436002e4-67fb70fd-3d1d1d3f-efa8b2ed-3908cbb9.jpg	left chest tube in place, no residual pneumothorax seen. persistent atelectasis in the left lower lung.

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new opacity obscuring left heart border is worrisome for a lingular pneumonia. clinical correlation recommended. copd/emphysema. chronic right middle lobe collapse.

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cardiomegaly without acute cardiopulmonary process.

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heart size and mediastinum are stable in appearance. mild interstitial edema is noted and has progressed in the interim. a left basal atelectasis is unchanged. left picc line tip terminates at the level of lower svc. slightly more focused left upper lobe opacity is to be further followed to exclude the possibility of developing infection

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endotracheal and enteric tubes in standard positions. low lung volumes. patchy opacities in the lung bases may reflect areas of atelectasis but infection is not excluded.

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bibasilar atelectasis. no definite infiltrate. if there is high suspicion for a pneumonic infiltrate, then a lateral view could help for further assessment.

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subtle patchy opacity at the right lung base in the region of overlying skinfold may be due to overlying structures; however, early infectious process or aspiration is not excluded in the appropriate clinical setting. consider repeat or dedicated pa and lateral views for further and better evaluation.

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new focal consolidation in the right lower lobe concerning for pneumonia. recommend follow up radiographs after treatment to ensure resolution.

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new or larger bilateral effusions, with new right and more pronounced left base collapse and/or consolidation. upper zone redistribution and mild vascular plethora is similar to the prior study. et tube and ng tube are unchanged, with ett lying at the level of the upper edge of the clavicular heads and the ng tube side port in the region of the ge junction.

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bibasilar opacities, likely reflecting atelectasis, however, underlying consolidations cannot be excluded. mild pulmonary vascular congestion and edema, with a small left pleural effusion.

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comparison to. the patient has been extubated and the nasogastric tube was removed. the left chest tube is also removed. removal of the right chest tube. no evidence of pneumothorax. minimal atelectasis at the left lung basis. no pulmonary edema. no larger pleural effusions.

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in comparison with the study of , there is little overall change. the huge hiatal hernia again extends well to the right of the mediastinum. dual-channel pacer device remains in place. continued enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure.

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no acute cardiopulmonary process.

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no focal consolidation.

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pa and lateral chest compared to : lungs are fully expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces. minimal relative elevation of the left hemidiaphragm is unchanged, of no active clinical significance.

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stable bibasilar opacifications, consistent with pleural effusion and adjacent compressive atelectasis. interval decrease in pulmonary edema, which now appears mild.

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normal chest x-ray.

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no acute intrathoracic process.

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subtle left base retrocardiac opacity most likely represents combination of overlap of vascular structures and atelectasis, less likely consolidation. no large pleural effusion, possible trace left pleural effusion, similar to prior. persistent cardiomegaly.

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as compared to radiograph, cardiomediastinal contours are stable, and circumferential left pleural thickening consistent with known to me is a daily adenoma appears unchanged. pulmonary vascular congestion and mild edema are new. worsening bibasilar opacities (left greater than right) atelectasis and or consolidation.

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there is a moderate to large right-sided pleural effusion with substantial volume loss in the right lower lung with probable collapse of the right middle and a portion of the right lower lobes. the left lung remains well inflated and clear. no evidence of pulmonary edema. a feeding tube is seen coursing below the diaphragm with the tip not identified. assessment of the cardiac and mediastinal contours is difficult given due to marked patient rotation on the current study. overall, when compared to the most recent prior study, there is no significant interval change.

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overall there is interval improvement with mild residual hilar congestion and small bilateral pleural effusions. top-normal heart size.

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minimal change of a left retrocardiac opacity since the examination, which may reflect any combination of atelectasis, consolidation, and/or effusion.

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perihilar opacities could reflect pulmonary edema with more confluent retrocardiac opacity which is concerning for aspiration given the clinical setting.

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no acute intrathoracic process.

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endotracheal tube, nasogastric tube and right internal jugular central line are likely unchanged in position. there is a retrocardiac consolidation likely representing partial lower lobe collapse. in addition, a patchy opacity at the right base is seen and this may reflect compressive atelectasis as there are bilateral layering effusions. improving mild pulmonary edema. no pneumothorax.

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cardiomegaly and worsening bilateral pleural effusions, left greater than right as well as pulmonary edema.

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no acute cardiopulmonary process.

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moderate cardiomegaly. no acute cardiopulmonary process.

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previous pulmonary vascular engorgement has improved. heart size top- normal. no pulmonary edema. lung volumes are lower, reflected in subsegmental atelectasis at the lung bases. no pneumothorax or pleural effusion. tip of the endotracheal tube is no less than <num> cm from the carina, and could be withdrawn another <num> mm to avoid unilateral intubation with subsequent change in the position of the head and neck. right subclavian line ends in the low svc and an esophageal drainage tube ends in the upper portion of a non dilated stomach

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mild septal thickening, scattered throughout the lungs, is unchanged over many years, and the decrease in pulmonary vascularity in the lower lungs, also long-standing suggests a component of emphysema. there is no new consolidation, nodulation, or scarring. central lymph nodes are not enlarged and there is no pleural effusion. heart size is normal. it is conceivable that chest ct scanning would reveal findings not apparent on conventional radiographs.

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moderate size left and small right bilateral pleural effusions, similar compared to the previous study. bibasilar airspace opacities likely reflect compressive atelectasis though infection and aspiration cannot be completely excluded. gaseous dilatation of a small bowel loop on the lateral view. consider abdominal radiographs for further assessment.

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no substantial change.

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improved pulmonary edema. stable moderate pleural effusions with left basilar subsegmental atelectasis. asymmetric right upper lobe subpleural opacity but warrants re-evaluation with well positioned pa, lateral and apical lordotic radiographs, prior to discharge the to exclude active infection or malignancy.

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no acute intrathoracic process. no free air below the right hemidiaphragm.

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stable baseline chronic lung disease without superimposed acute process.

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no relevant change. slightly increasing left pleural effusion. constant right pleural effusion. low lung volumes. moderate cardiomegaly. mild pulmonary edema and bilateral areas of atelectasis.

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no acute cardiopulmonary process.

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pa and lateral chest compared to : previous right pneumothorax has resolved and there is no appreciable right pleural effusion, apical pleural tube still in place. aside from a small lesion at the right lung base which could be a laceration or contusion, the right lung is clear. small region of heterogeneous opacification in the left apex would be an unusual distribution of atelectasis and is more concerning for pneumonia. left lower lung is clear and there is no left pleural effusion. heart size is normal.

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no evidence of pneumonia. trace, if any, bilateral pleural effusions or pleural thickening. stable moderate-to-severe cardiomegaly.

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no acute intrathoracic process.

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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. overall normal chest radiograph.

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as compared to the previous radiograph, the left picc line was removed. moderate cardiomegaly with elongation of the descending aorta persists. no pleural effusions. no pneumonia, no pulmonary edema.

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bilateral small pleural effusions and thickening are stable.

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in comparison with the study of , there has been placement of a right pigtail catheter with withdrawal of some of pleural effusion with no evidence of post - procedure pneumothorax. otherwise little change.

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no acute intrathoracic process.

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fracture involving the right clavicle. no acute intrathoracic process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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grossly stable appearance of loculated right pleural effusion with possible mild improvement in aeration of the right lung.

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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 pneumonia or hilar or mediastinal adenopathy.

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appropriate position of ett, no pneumothorax related to placement.

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satisfactory position of et tube, which should not be withdrawn any further as it is at thoracic inlet. non-displaced right second rib fracture. possible right distal clavicular fracture.

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in comparison with the study of , the calcified granuloma is again seen in the right upper lobe. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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resolution of small right pneumothorax. unchanged right pulmonary edema.

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et tube terminates approximately <num> cm above the carina. subtle consolidation at the right lung base is likely secondary to atelectasis however aspiration cannot be excluded. diffuse mild bilateral pulmonary edema. small left pleural effusion.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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stable mild cardiomegaly and mild pulmonary edema. small bilateral pleural effusions with adjacent right basilar atelectasis.

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limited exam, but no acute cardiopulmonary process.

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right picc line tip is at the cavoatrial junction. heart size and mediastinum are stable. lungs are clear. small amount of left pleural effusion versus pleural thickening is demonstrated, more conspicuous on the current study.

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pulmonary vascular congestion. area of increased opacity lateral right upper lung could be due to overlying vascular and osseous structures, although underlying consolidation may be present, due to infection or aspiration.

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no radiographic evidence of pneumonia. mild interstitial edema.

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no acute cardiopulmonary process.

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bibasilar atelectasis. slight blunting of the bilateral costophrenic angles felt to more likely be due to atelectasis rather than trace pleural effusions.

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new spinal stabilization device in the cervicothoracic region. change in the configuration of consolidation at the base of the left lung is suggestive of pneumonia than atelectasis. mild edema is recognized in the right lower lobe. left pleural effusion is small if any, alongside the displaced fractures of left middle ribs laterally, close to the diaphragm. there is no pneumothorax. nasogastric tube ends in the stomach. tracheostomy tube in standard placement. left subclavian catheter is been withdrawn to the proximal left brachiocephalic vein. bilateral pleural drains are unchanged in their respective positions, both contiguous with the mediastinum, as before.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process. this preliminary report was reviewed with dr , radiologist.

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no significant interval change.

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one pacemaker lead is in the right atrium and the other is in the right ventricle. no pneumothorax.

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endotracheal tube <num> cm above the carina. opacity at the lungs bases could represent atelectasis or aspiration.

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small to moderate right pleural effusion has decreased since , and pulmonary vascular congestion has improved. left lower lobe is largely obscured by the chronically moderately enlarged heart, but probably atelectatic. upper lobe is well aerated. severe mediastinal widening is due to fatty infiltration. there is no pneumothorax. et tube and left internal jugular line are in standard placements respectively. a right jugular line ends above the origin of the right brachiocephalic vein, unchanged since.

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cardiomegaly is substantial, unchanged. mild interstitial pulmonary edema is present but slightly progressed since the prior study. more focal opacity is noted in the left lower lung which might potentially represent developing infection, attention to this area on the subsequent studies is recommended impression: concern for left lower lobe pneumonia

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no radiographic evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary abnormality.

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in comparison to chest radiograph, there has not been appreciable change in the appearance of the chest.

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persistent small bilateral pleural effusions, with slight interval decrease in the amount of loculated fluid laterally on the right and improvement in aeration of the right lung base.

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ap chest compared to : moderate right pleural effusion is larger, no pneumothorax. pulmonary vascular engorgement has worsened and left perihilar opacification could be due to edema locally. heart is moderately enlarged, unchanged recently. transvenous right atrial and right ventricular pacer leads follow their expected courses. a fissural pleural collection in the right hemithorax is slightly larger. findings were discussed by telephone with dr at when the findings were recognized.

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normal chest radiographic examination.

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no acute findings. probable underlying emphysema.

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the left port-a-cath has migrated with the tip now terminating in the azygos vein, in appropriate position. this finding was relayed to the emergency department by urgent wet reading. mild left basilar atelectasis and possible trace bilateral pleural effusions.

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small right apical pneumothorax as well as loculated air in the proximity of the right chest tube. right midlung pulmonary edema, likely secondary to re-expansion.

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right port-a-cath appears unchanged terminating in the region of the cavoatrial junction without disruption or kinking of the tubing. small right and moderate-large left pleural effusions are increased from , with moderate rate of accumulation. no pulmonary edema or pneumothorax. left upper lobe opacity appears unchanged.

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low lung volumes, but otherwise normal exam.

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moderate cardiomegaly. bibasilar interstitial prominence may reflect atelectasis or pneumonitis. no consolidative pneumonia.

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no acute intrathoracic process. atelectasis and scarring at the right lung base with elevated right hemidiaphragm.

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there has been very little change in the chest since including a large multiloculated right pleural effusion, with a substantial fissural component. some right pleural effusion is dependent in the right posterior hemi thorax and could be layering. widening of the middle and anterior mediastinum due to adenopathy extending from the thoracic inlet to the level of the hila is also unchanged. the only pleural drain identified is in the left hemithorax at the base of the lung.

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no interval reaccumulation of left pleural effusion. interval increase of the left mid to lower lung opacification, likely due to re-expansion edema but superimposed infection cannot be excluded.

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unchanged lead position.

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no acute cardiopulmonary abnormality.

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no pulmonary edema or pneumonia. small left effusion increased from prior

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hyperexpanded lungs without evidence of pneumonia.

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improvement of right hilar contour, no further followup required. improved pulmonary edema and pulmonary vascular congestion, now mild. vascular distribution suggests pulmonary valve pathology, echocardiogram is recommended if clinically indicated.

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slight interval improvement in lung aeration, otherwise no significant interval change in diffuse bilateral patchy airspace opacities which can be seen with multifocal pneumonia or ards.

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the endotracheal tube is in standard position. no evidence of pneumothorax. widened cardiomediastinal silhouette attributable to the limitations of a portable study in patient positioning.

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tiny right apical pneumothorax is not clearly visualized on this exam.

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no acute cardiopulmonary process.

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mild cardiomegaly, small pleural effusions and mild pulmonary edema with congestion.

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normal chest radiographs. discussed with dr by phone at.

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slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.

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left chest tube in place, no residual pneumothorax seen. persistent atelectasis in the left lower lung.