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/p13795723/s50625717/aef3e4c0-66a6ef64-4d5acd79-8bd75411-f3fec1b6.jpg	no evidence of pneumothorax or definitive pneumonia. interval improvement in the patient's pulmonary edema, now mild. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11937460/s54423721/21a0b40b-e39f0c12-f5fd0080-b294d567-a052ef6f.jpg	ett <num> cm above carina. bilateral pleural effusions. perihilar opacities, favor pulmonary edema. left basilar consolidation, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19946380/s59203865/f67c0519-56647e06-3ba3bd29-6322cac2-69f045b6.jpg	findings are suggestive of bilateral lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17116160/s54412227/3558e837-b78cf9a8-520cc935-133f58c4-0f19e716.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11381324/s52085940/eec6fdc0-a5589ffc-906c3302-64f9b82b-bdb06ca9.jpg	no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19158091/s53394995/674b9ea7-9bdca07e-7fadd9a1-14dd2e04-821cfe81.jpg	cardiomegaly, but no evidence of fluid overload.
MIMIC-CXR-JPG/2.0.0/files/p11345357/s53313957/6a58ba99-48966e61-d5a83bd5-6d970732-e69780bb.jpg	in comparison with the earlier study of this date, there is an placement of a nasogastric tube that extends at least to the upper stomach. the side-port is not definitely seen and it cannot be definitively determined that it is below the eg junction. a repeat study using abdominal technique and centered at the hilum of the lung would be recommended. there is an placement of an endotracheal tube with its tip approximately <num> cm above the carina. continued low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p10538657/s51815127/537dce0d-5e6a4f23-ca3ee0f5-341e7430-bca54e71.jpg	appropriately positioned biventricular aicd device. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11193980/s51127428/b95949ee-bc9f6f8d-0f2b173f-855ac35c-ee39d5d0.jpg	no comparison. the lung volumes are low. minimal atelectasis at the right lung basis. no cardiomegaly. no pulmonary edema, no pleural effusions. the patient has received a nasogastric tube, the tip is not visualized on the image. no evidence of free air.
MIMIC-CXR-JPG/2.0.0/files/p11752817/s57748178/af53925c-41ac01d6-1fb41739-35eb339c-ded42dba.jpg	feeding tube now ends in stomach. otherwise no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p18281104/s54374685/8e9b878c-9531aed3-a32a240f-fb1bebeb-4c2dfaac.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14552782/s53540865/1ac8e6c8-c35b1b68-f5508a90-9dc9fd54-ff651113.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11276636/s59331452/221ec055-114d62ea-19d9e59e-985dd3b4-022c68e7.jpg	as compared to the previous radiograph, the pre-existing pulmonary edema has minimally improved. there still is mild pulmonary edema. mild to moderate cardiomegaly. no pleural effusions. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s52505425/6b9adbc5-5a5ea850-592d464a-16c98641-b2e91c33.jpg	similar appearance of moderately increased interstitial lung markings suggestive of pulmonary fibrosis.
MIMIC-CXR-JPG/2.0.0/files/p13551252/s57246651/3e97d5f8-5f678d55-f6b08f71-5c2d2be6-db1fca6f.jpg	central asymmetric opacities can be asymmetric edema or right-sided aspiration pneumonia with superimposed edema. this has slightly progressed.
MIMIC-CXR-JPG/2.0.0/files/p14551698/s55172879/064c48ed-ca659195-e24b463c-e1127c09-7f041ac4.jpg	compared to prior chest radiographs only at. severe cardiomegaly and mediastinal venous engorgement have both increased since. there is no pulmonary edema or appreciable pleural effusion. upper lungs are clear. greater opacification at the base the right lung is equivocal, could be recent aspiration or developing pneumonia. followup advised. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16088813/s59059610/c4a3fba1-7e5e515d-08f4b945-fd72e791-dfa238cf.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19408736/s58072494/2c0bd9ad-67e7f0de-e32820b7-c2d7f217-7fd986f4.jpg	multifocal pneumonia. small left effusion. difficult to exclude a component of mild edema/ congestion.
MIMIC-CXR-JPG/2.0.0/files/p17014569/s58390062/ef5af6dc-08f0c95b-44f4f9fc-ef3199ad-882a5733.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12340484/s55538514/2c3f29b8-7b9f3a85-f9691f15-93887a64-276e9577.jpg	the third of <num> images displays a newly inserted tube projecting over the middle parts of the stomach. no complications, notably no pneumothorax. otherwise unchanged radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19760462/s52838865/e38081bb-c6624b30-6a1b7301-5a8b8454-be8703fa.jpg	as compared to the previous radiograph, no relevant change is seen. the lung volumes are normal. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette. unchanged position of the right pectoral port-a-cath.
MIMIC-CXR-JPG/2.0.0/files/p11459120/s54407986/85ec88e1-750e15f1-1cf19418-0b77b906-a5e6bc37.jpg	mild asymmetric pulmonary edema. additional more peripheral opacities on the right could be concerning for an underlying infectious process. recommend follow up radiographs after diuresis.
MIMIC-CXR-JPG/2.0.0/files/p11014822/s55495019/e229228e-f82fb12b-319dca54-d1cacf00-a27b15dd.jpg	slight increase in pulmonary vascular caliber and mild increase in radiodensity in the lower lungs. this could be dependent edema aspiration. followup advised. upper lungs are clear. no pleural abnormality. heart size normal. et tube, right pic line, and esophageal drainage tube in standard placements respectively
MIMIC-CXR-JPG/2.0.0/files/p13306609/s52368762/07f7dc0b-087c668e-6c512ede-0c7ae31e-197c8081.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16321890/s56770016/7c75c14b-f185c030-85517af5-a2db2f46-e0eb801e.jpg	cardiomediastinal contours are stable. left mid and bilateral lower lung opacities have resolved in the interval. questionable new lung opacity in periphery of right upper lobe may be due to overlying scapular margin, but followup radiograph with repositioning of the scapula may be helpful to confirm this impression.
MIMIC-CXR-JPG/2.0.0/files/p19683840/s52826457/9ef43316-ab10ed55-516f8986-3c64ea22-cba6cea7.jpg	probable interval increase in size of moderate to large layering right pleural effusion, unchanged small left pleural effusion. bibasilar atelectasis. mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p12927984/s59002223/e6ef029e-d1ddcc47-560b314b-9ba80154-778ae1aa.jpg	as compared to chest radiograph, there has not been a relevant change in the appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p13681703/s59528676/a9f4a595-30ea3434-6e902362-630057f2-cce4f355.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17207111/s50874086/f0530189-294668d3-81f4e8b9-441a3814-1afc8072.jpg	no acute intrathoracic process. , md
MIMIC-CXR-JPG/2.0.0/files/p12345740/s55663565/06e4c660-a77050cb-43c8b10a-ae3e019f-d4809829.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17033324/s53537307/fc497cf1-ef40a28e-580997dc-d1e6dcf9-546a334e.jpg	subtle right basal opacity could represent atelectasis or infection in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17336284/s59497158/6ab8eb7d-c135e426-028021c3-db2d5314-fad73fbd.jpg	in comparison with the study of , there is still substantial enlargement of the cardiac silhouette with pacer in place. there is still some elevation of pulmonary venous pressure, but certainly improvement since the pulmonary edema pattern of the previous study.
MIMIC-CXR-JPG/2.0.0/files/p18120946/s58517759/141284c9-199d2493-76fd5fe0-af3eb002-42a8ff92.jpg	et tube terminating <num> cm above the carina. the tube cuff is expanded just beyond tracheal caliber. unchanged small left pleural effusion and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13204640/s57402906/3fcedce7-a603fc79-513ce4ee-be821277-b57be8b8.jpg	nasogastric tube passing into the gastric cardia but advancing the tube somewhat further into the stomach is recommended for more optimal positioning.
MIMIC-CXR-JPG/2.0.0/files/p12903663/s59978339/642c11e1-1702ab2a-8bb23b5a-2f78911f-6ab45b9d.jpg	mild pulmonary vascular congestion and small bilateral pleural effusions. enlargement of the hila bilaterally may suggest underlying pulmonary arterial hypertension.
MIMIC-CXR-JPG/2.0.0/files/p18094547/s52666240/c639248b-a3455a98-4219341e-4b763e50-12d97e07.jpg	no acute cardiopulmonary process. no significant interval change. if high clinical concern for pneumothorax persists, consider inspiratory and expiratory views.
MIMIC-CXR-JPG/2.0.0/files/p19666608/s55047035/b76fdebd-fdefcdc2-47834746-ad49ca73-011a550c.jpg	left apical pleural tube in place. pneumothorax minimal if any. no pleural effusion. lungs fully expanded and clear. normal postoperative appearance to the mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p16663465/s51795432/f0558268-b2eec1e1-1aba9b19-dd13acb9-57e0d144.jpg	cardiomegaly and upper zone redistribution. prominence of the vessels/interstitial markings in the right cardiophrenic region, ? area of atelectasis. an early area of aspiration or pneumonia would be difficult to exclude. suspect background copd.
MIMIC-CXR-JPG/2.0.0/files/p15826218/s51330563/8d3af8e4-4e6bf640-969cf897-9ebd9804-3feb69ef.jpg	cardiomegaly, mild pulmonary edema. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19523301/s54131024/2ffc8486-a464e3ec-e856e53a-bf0522cd-01db3e7d.jpg	no acute cardiopulmonary process. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13684209/s58680455/f136be83-494c6ca1-c01c11a9-d69f8ea6-4e2be1ef.jpg	right middle lobe pneumonia. a message was called to dr service but a callback was not received as of pm.
MIMIC-CXR-JPG/2.0.0/files/p18799590/s57525111/fd354599-548537be-2a230d23-55b414bb-be43fb5b.jpg	no acute cardiopulmonary process. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10476869/s58095696/723cca0b-a2e9287c-24ff79e8-fbb234c4-126d795d.jpg	stable chest findings. no interval change since.
MIMIC-CXR-JPG/2.0.0/files/p14509395/s50347654/a65298d7-df41039b-ea5b5c63-ca7a2738-db14f48a.jpg	new bilateral parenchymal opacities, more extensive on the left than on the right. clinical correlation will be necessary. infection is possible in the proper clinical setting. underlying malignancy is not excluded. if appropriate, treatment for infection is suggested with follow-up imaging to document resolution. if symptoms are less compatible with infection, additional imaging could be performed at this time for further assessment.
MIMIC-CXR-JPG/2.0.0/files/p14136828/s58937986/60e8b13a-f0c1c1b3-7b84e663-5bc9faed-22db22ff.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p14647939/s59894174/75798ce6-e270dd56-18a53d35-3aee0bfe-4729e336.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p18235625/s56514428/40d9d2d0-9dac00a4-c56b48b3-d13b3ce6-1246be45.jpg	no radiopaque foreign body. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19109464/s54519720/85798a56-3df2145b-1ac81262-42f7905d-51813f67.jpg	bibasilar opacities are most consistent with atelectasis, however pneumonia cannot be excluded in the appropriate clinical setting. mild rightwards tracheal deviation suggests an enlarged left thyroid lobe. recommend non urgent thyroid ultrasound for further evaluation. recommendation(s): recommend non urgent thyroid ultrasound for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11003927/s53081119/9dcdcdcf-b414cc6d-c9d2e4e5-d171d13f-6f3c277d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14280192/s57466697/38369821-c7fe8c8b-f1d2e8a3-93590dcd-49455386.jpg	compared to chest radiographs through. moderate left pleural effusion unchanged. left lung consolidation developed on , unchanged. new heterogeneous consolidation in the right lung has worsened in the upper and lower lobes. findings are concerning for widespread multifocal pneumonia. some component of pulmonary edema may be present as well. mild enlargement postoperative cardiomediastinal silhouette, unchanged since. no pneumothorax. cardiopulmonary support devices in standard placements unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19402233/s51310945/31858ac6-27acf610-6cc8c60c-e059a98f-2a86891c.jpg	ap chest reviewed in the absence of a conventional chest radiograph more recent than : lung volumes are very low and in addition to the unmistakable atelectasis at the right lung base, consolidation at the left is probably atelectasis as well if the patient has had recent surgery. low lung volumes exaggerate a mildly enlarged heart. there is probably a small left pleural effusion, but no pneumothorax. upper lungs do not show edema, although there is mild vascular congestion. no pneumothorax is present.
MIMIC-CXR-JPG/2.0.0/files/p14136035/s56627558/22f17a80-b44f1c70-3a8488b2-83bd9d11-40d60229.jpg	pa and lateral chest compared to through : hyperinflation is chronic, consistent with copd, either emphysema or chronic small airway obstruction. enlargement of the hila suggests elevated pulmonary artery pressure, although overall heart size is normal. there is no pleural effusion or evidence of central adenopathy. lateral view shows atherosclerotic calcification in the proximal head and neck vessels. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16379195/s54933837/55f0f504-48b06815-b48ec036-21dab4dc-62626473.jpg	ap single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of copd. there are no new consolidations or nodules. stable right lower lobe bronchial wall thickening might be due to chronic airway inflammation. cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19727446/s56129083/b5910db8-475607e6-54471daf-2ccaeb46-2ce13309.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12445708/s51543282/51f0692f-a301361d-1cd8b8e6-3f7c1764-30de8cf5.jpg	in comparison with the study of , there is little change in the appearance of the extensive architectural distortion with fibrotic changes throughout both lungs, consistent with the ct diagnosis of end-stage sarcoidosis. in view of the diffuse changes, it would be extremely difficult to determine whether there is any acute pneumonia superimposed.
MIMIC-CXR-JPG/2.0.0/files/p18130295/s50969399/e06b3eba-fbd76c31-132e3ac2-68325cbd-5540f6fb.jpg	in comparison with the earlier study of this date, there is an placement of a left chest tube with its tip just below the apex of the left lung. there may be a small pneumothorax. allowing for differences in elevation of the patient, there is probably little change in the degree of pleural effusion and underlying compressive atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15566609/s54377191/d297eaea-19226434-40b45995-b5c0ae45-be3011e7.jpg	small right apical pneumothorax is minimally larger, despite <num> right pleural drains, unchanged in position. right pleural effusion is small if any. severe widening of the cardiac silhouette is stable. bibasilar atelectasis is unchanged. left upper lung is clear.
MIMIC-CXR-JPG/2.0.0/files/p14278335/s53855064/89147ca5-4bc60a21-d5d4c085-25623ba9-9cc1b24c.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15842401/s56457491/52a293af-0460929a-4d19baf8-43f01bf9-7da589fd.jpg	multifocal pneumonia. left fourth anterior rib deformity may represent a chronic fracture although ct chest is recommended to exclude osseous malignancy. recommendation(s): noncontrast ct of the chest is recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p10970781/s50479109/7ef9db81-b9652588-3457430a-89933df2-7ac8804e.jpg	lungs are hyperinflated, consistent with copd, but clear of any focal abnormality, either consolidation, nodule, or atelectasis. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
MIMIC-CXR-JPG/2.0.0/files/p14709954/s55256484/c347f952-86ca48b6-122cbac0-668659d4-a8c35b7c.jpg	comparison to. mild scoliosis, causing asymmetry of the ribcage. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10819799/s58215221/eaf6fbe8-33e4dab1-348f8af3-4752c183-d56d72b2.jpg	low lung volumes, with bibasilar atelectasis, greater on the right, however, left basilar pneumonia cannot be excluded. stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p11725969/s51801267/d996ab17-8302b634-e96f3a5d-6b8d707b-a61b1764.jpg	small bilateral pleural effusions without pulmonary edema. bibasilar atelectasis and stable cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p17107885/s55296993/2c575fc1-99b4e895-48c4d7ca-6f63fe2e-2cff325c.jpg	no acute cardiopulmonary abnormality. no overt traumatic findings. dedicated rib series may be helpful if there is focality on physical exam.
MIMIC-CXR-JPG/2.0.0/files/p15808806/s55995520/d7bc7610-08a02b6c-0b8582d9-ef3284c3-e81197c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14880550/s56222705/9df4ee04-0c3ae969-a877df66-223c08b1-797b6cdb.jpg	low lung volumes with possible small left-sided effusion and bibasilar atelectasis. no clear focal consolidation worrisome for pneumonia however this study is limited and conventional pa and lateral views may be helpful if possible.
MIMIC-CXR-JPG/2.0.0/files/p16381749/s50477228/fb007192-ca454dea-61ad6257-e9fcd2d1-fe947dc0.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18299020/s53702719/74ddf84b-2038dd23-2a4dc86b-83725b52-1f53cf1d.jpg	there is a left sided pigtail catheter. there remains a moderate size left pleural effusion which is slightly smaller than previous. there is now mild pulmonary edema. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p16574411/s54904135/a078cf53-de620ddf-706ca8ba-f513b12d-30831f01.jpg	small right pleural effusion with associated atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10778630/s51182789/80909153-ab0fed68-57d30e05-dddec500-06d0fe0f.jpg	no pleural effusions. other than dextroscoliosis, essentially normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16105001/s54178828/d407b130-99ad55cb-dfeab669-392df955-8ee3d95c.jpg	mild, stable cardiomegaly without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10896351/s50906903/4a6c3a35-dfe7e953-86d970a6-5d352b99-4045b984.jpg	the cardiac silhouette is unchanged. there is no chf, pneumothorax. there is persistent linear atelectasis in the right lung base and the right perihilar region.
MIMIC-CXR-JPG/2.0.0/files/p14083630/s51891912/cbf1faf6-46012c21-c650a1c4-d1af8a37-c0b05bb3.jpg	in comparison with the study of , there is again hyperexpansion of the lungs without evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16648018/s56638041/d4231378-bb4e1124-44efa7c2-879af3b6-c2419a94.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg	no acute intrathoracic process. stable bilateral interstitial markings, likely chronic lung disease. coronary artery calcifications.
MIMIC-CXR-JPG/2.0.0/files/p12445879/s54788891/311a03f9-74cf505b-b5671c7e-e57e25ca-45accc83.jpg	as compared to the previous radiograph, the patient has received a right-sided picc line. the course of the line is unremarkable, the tip of the line projects over the mid svc. there is no evidence of complications, notably no pneumothorax. moderate cardiomegaly, sternal wires in unchanged alignment. no pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15937134/s53173137/c7ffdad5-0ed1fb0c-a2860cf1-05303c0a-248994f0.jpg	ng tube tip is in the stomach. the upper chest was not included in the field of view. bibasal atelectasis is noted in the image portion of the lower chest. the central venous line tip terminates at the level of cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p13224377/s58379810/cc4267f3-dc01f9cb-ac6065a7-86310614-a3c1403b.jpg	tunneled right central venous catheter remains in the mid svc. mild progression of left midlung opacities
MIMIC-CXR-JPG/2.0.0/files/p12009886/s55681321/a1927112-56a7b236-48fd613d-dfec341f-67d3d1ef.jpg	clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p10726497/s54937748/e09c7d22-4fa6216f-6237ef58-ab2f5406-f4a602a6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18398671/s59796452/68ae7aee-748160e7-c3c9e68d-d1b7f3d8-e4180889.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10519663/s56247489/0f72ad37-2c6b970c-b2c99514-2a81ee94-4db60736.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17034594/s56690393/89c82b19-d0575c51-7c9e7fce-dbda79c5-4070c594.jpg	interval development of central vascular congestion and a new small left pleural effusion with adjacent atelectasis. the gastric tube extends into the body of stomach.
MIMIC-CXR-JPG/2.0.0/files/p14658826/s57806805/9c2e918b-280ad418-1373274c-2bdef0f2-f3cb2299.jpg	stable appearance of massive diffuse bilateral micronodular pattern in both lungs which is concerning for metastatic disease. no pneumonia. recommend ct of the chest for additional evaluation of symptoms persist.
MIMIC-CXR-JPG/2.0.0/files/p10670364/s54499826/709b8271-014e04a9-a346e8fa-f2d3766d-3b41e32d.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14795382/s51248212/2b841504-4d5cf550-e295c47c-c1c627b5-5e7c3650.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. there has been some re aeration of the right upper lobe. continued opacification at the right base is consistent with a combination of pneumonia, pleural fluid, and volume loss in the lower lung. widespread areas of opacification in the left hemithorax are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17232310/s52925791/2207b197-16711ac5-a7d72ab1-a5e7d7fc-ae206077.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16387058/s56647261/98e31d00-eafabe73-9b80b86f-0b3c92d8-11770b0c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14798972/s57788036/7c43e78d-ab1bda95-4c4e1601-f5dbfd62-b4890b04.jpg	pa and lateral chest compared to :<num> : moderate-to-large right pneumothorax has increased over the past five hours, now surrounds the entire right lung, previously basal. new leftward mediastinal shift despite persistent right lower lobe collapse, which would be expected to move the mediastinum rightward, suggests the pneumothorax is accumulating under pressure. left lung grossly clear. heart size normal. findings were discussed by dr with dr at on.
MIMIC-CXR-JPG/2.0.0/files/p15937283/s58892539/a40ffdca-2963a002-a8bd6459-2d95802c-f9ea0be2.jpg	mild to moderate pulmonary edema and small right pleural effusion, new in the interval.
MIMIC-CXR-JPG/2.0.0/files/p17412820/s50806491/799c72bf-963dc37c-49ba2b2b-3b5ab945-28dd9553.jpg	mild right basal atelectasis, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p16833478/s51463875/2c168478-fb4d3bf8-4cb56ded-605e895b-bf75dd34.jpg	as compared to the previous radiograph, the left chest tube is in unchanged position. minimal left pleural effusion, limited to the costophrenic sinus. unchanged appearance of the right lung and the cardiac silhouette, with a persistent small right basal pleural effusion. no new parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p18364319/s58142771/bd8b064d-e6027bc7-7f901357-a30f4ee7-b1304fad.jpg	no definite acute cardiopulmonary process. rightward deviation of the trachea at the thoracic inlet, potentially positional and from low lung volumes although followup is suggested when patient is amenable with a pa film to ensure that there is no underlying space-occupying process.
MIMIC-CXR-JPG/2.0.0/files/p16087181/s55390129/c43ecca4-aac6b5ad-f2a62060-78438148-4f6ca00b.jpg	compared to prior chest radiographs. hyperinflation is moderate to severe, worse today than on suggesting a component of acute airway obstruction. lungs are clear of focal abnormality. heart size is normal. mediastinal and hilar contours and pleural surfaces
MIMIC-CXR-JPG/2.0.0/files/p18414211/s58388788/3eeb3d61-7ef39054-c4e13661-d09ccb38-9c1d49e2.jpg	no previous images. the cardiac silhouette he is within normal limits without definite vascular congestion. there is a small right and mild left pleural effusion with underlying atelectatic changes. however, no evidence of acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19965011/s55402485/347e26ce-f91fdb68-045d0272-a2fc5e94-baab01c3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15933903/s51332714/7cbf7561-a952dbd6-60e10d32-c2a44219-3ea44cf5.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18007190/s54047126/67e56a8d-aa0a87f9-58b7ab53-0ca62ac7-19e5ab9d.jpg	normal chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p17261183/s53847153/76852faa-5e448c84-f7cda0c5-20292bae-d2820021.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16924642/s54579466/29a851b1-4e8af7d5-f7e4c5fd-ddc80da2-9e3d705e.jpg	as compared to the previous image, no relevant change is seen. a pre-existing right basal pneumonia has now completely cleared. the only remnant change is a minimal band-like scar. no pneumonia. no pleural effusion. no pulmonary edema. normal size of the heart. mild elongation of the descending aorta.

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no evidence of pneumothorax or definitive pneumonia. interval improvement in the patient's pulmonary edema, now mild. stable moderate cardiomegaly.

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ett <num> cm above carina. bilateral pleural effusions. perihilar opacities, favor pulmonary edema. left basilar consolidation, likely atelectasis.

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findings are suggestive of bilateral lower lobe pneumonia.

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no acute cardiopulmonary process.

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no acute pulmonary process.

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cardiomegaly, but no evidence of fluid overload.

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in comparison with the earlier study of this date, there is an placement of a nasogastric tube that extends at least to the upper stomach. the side-port is not definitely seen and it cannot be definitively determined that it is below the eg junction. a repeat study using abdominal technique and centered at the hilum of the lung would be recommended. there is an placement of an endotracheal tube with its tip approximately <num> cm above the carina. continued low lung volumes.

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appropriately positioned biventricular aicd device. no pneumothorax.

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no comparison. the lung volumes are low. minimal atelectasis at the right lung basis. no cardiomegaly. no pulmonary edema, no pleural effusions. the patient has received a nasogastric tube, the tip is not visualized on the image. no evidence of free air.

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feeding tube now ends in stomach. otherwise no significant interval change.

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no acute intrathoracic process.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the pre-existing pulmonary edema has minimally improved. there still is mild pulmonary edema. mild to moderate cardiomegaly. no pleural effusions. no pneumonia.

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similar appearance of moderately increased interstitial lung markings suggestive of pulmonary fibrosis.

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central asymmetric opacities can be asymmetric edema or right-sided aspiration pneumonia with superimposed edema. this has slightly progressed.

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compared to prior chest radiographs only at. severe cardiomegaly and mediastinal venous engorgement have both increased since. there is no pulmonary edema or appreciable pleural effusion. upper lungs are clear. greater opacification at the base the right lung is equivocal, could be recent aspiration or developing pneumonia. followup advised. no pneumothorax.

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no evidence of pneumonia.

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multifocal pneumonia. small left effusion. difficult to exclude a component of mild edema/ congestion.

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no acute cardiopulmonary process.

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the third of <num> images displays a newly inserted tube projecting over the middle parts of the stomach. no complications, notably no pneumothorax. otherwise unchanged radiograph.

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as compared to the previous radiograph, no relevant change is seen. the lung volumes are normal. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette. unchanged position of the right pectoral port-a-cath.

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mild asymmetric pulmonary edema. additional more peripheral opacities on the right could be concerning for an underlying infectious process. recommend follow up radiographs after diuresis.

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slight increase in pulmonary vascular caliber and mild increase in radiodensity in the lower lungs. this could be dependent edema aspiration. followup advised. upper lungs are clear. no pleural abnormality. heart size normal. et tube, right pic line, and esophageal drainage tube in standard placements respectively

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no acute cardiopulmonary process.

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cardiomediastinal contours are stable. left mid and bilateral lower lung opacities have resolved in the interval. questionable new lung opacity in periphery of right upper lobe may be due to overlying scapular margin, but followup radiograph with repositioning of the scapula may be helpful to confirm this impression.

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probable interval increase in size of moderate to large layering right pleural effusion, unchanged small left pleural effusion. bibasilar atelectasis. mild pulmonary vascular congestion.

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as compared to chest radiograph, there has not been a relevant change in the appearance of the chest.

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no acute intrathoracic process

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no acute intrathoracic process. , md

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no acute cardiopulmonary process.

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subtle right basal opacity could represent atelectasis or infection in the appropriate clinical setting.

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in comparison with the study of , there is still substantial enlargement of the cardiac silhouette with pacer in place. there is still some elevation of pulmonary venous pressure, but certainly improvement since the pulmonary edema pattern of the previous study.

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et tube terminating <num> cm above the carina. the tube cuff is expanded just beyond tracheal caliber. unchanged small left pleural effusion and bibasilar atelectasis.

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nasogastric tube passing into the gastric cardia but advancing the tube somewhat further into the stomach is recommended for more optimal positioning.

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mild pulmonary vascular congestion and small bilateral pleural effusions. enlargement of the hila bilaterally may suggest underlying pulmonary arterial hypertension.

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no acute cardiopulmonary process. no significant interval change. if high clinical concern for pneumothorax persists, consider inspiratory and expiratory views.

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left apical pleural tube in place. pneumothorax minimal if any. no pleural effusion. lungs fully expanded and clear. normal postoperative appearance to the mediastinum.

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cardiomegaly and upper zone redistribution. prominence of the vessels/interstitial markings in the right cardiophrenic region, ? area of atelectasis. an early area of aspiration or pneumonia would be difficult to exclude. suspect background copd.

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cardiomegaly, mild pulmonary edema. small bilateral pleural effusions.

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no acute cardiopulmonary process. no pneumonia.

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right middle lobe pneumonia. a message was called to dr service but a callback was not received as of pm.

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no acute cardiopulmonary process. no pneumonia.

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stable chest findings. no interval change since.

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new bilateral parenchymal opacities, more extensive on the left than on the right. clinical correlation will be necessary. infection is possible in the proper clinical setting. underlying malignancy is not excluded. if appropriate, treatment for infection is suggested with follow-up imaging to document resolution. if symptoms are less compatible with infection, additional imaging could be performed at this time for further assessment.

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no significant interval change.

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no acute intrathoracic process

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no radiopaque foreign body. no acute cardiopulmonary process.

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bibasilar opacities are most consistent with atelectasis, however pneumonia cannot be excluded in the appropriate clinical setting. mild rightwards tracheal deviation suggests an enlarged left thyroid lobe. recommend non urgent thyroid ultrasound for further evaluation. recommendation(s): recommend non urgent thyroid ultrasound for further evaluation.

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no acute cardiopulmonary process.

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compared to chest radiographs through. moderate left pleural effusion unchanged. left lung consolidation developed on , unchanged. new heterogeneous consolidation in the right lung has worsened in the upper and lower lobes. findings are concerning for widespread multifocal pneumonia. some component of pulmonary edema may be present as well. mild enlargement postoperative cardiomediastinal silhouette, unchanged since. no pneumothorax. cardiopulmonary support devices in standard placements unchanged.

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ap chest reviewed in the absence of a conventional chest radiograph more recent than : lung volumes are very low and in addition to the unmistakable atelectasis at the right lung base, consolidation at the left is probably atelectasis as well if the patient has had recent surgery. low lung volumes exaggerate a mildly enlarged heart. there is probably a small left pleural effusion, but no pneumothorax. upper lungs do not show edema, although there is mild vascular congestion. no pneumothorax is present.

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pa and lateral chest compared to through : hyperinflation is chronic, consistent with copd, either emphysema or chronic small airway obstruction. enlargement of the hila suggests elevated pulmonary artery pressure, although overall heart size is normal. there is no pleural effusion or evidence of central adenopathy. lateral view shows atherosclerotic calcification in the proximal head and neck vessels. no pneumonia.

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ap single view of the chest shows mild hyperinflation with flattening of the diaphragm compatible with known history of copd. there are no new consolidations or nodules. stable right lower lobe bronchial wall thickening might be due to chronic airway inflammation. cardiomediastinal silhouette is normal. there is no pneumothorax or pleural effusion.

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no acute intrathoracic process.

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in comparison with the study of , there is little change in the appearance of the extensive architectural distortion with fibrotic changes throughout both lungs, consistent with the ct diagnosis of end-stage sarcoidosis. in view of the diffuse changes, it would be extremely difficult to determine whether there is any acute pneumonia superimposed.

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in comparison with the earlier study of this date, there is an placement of a left chest tube with its tip just below the apex of the left lung. there may be a small pneumothorax. allowing for differences in elevation of the patient, there is probably little change in the degree of pleural effusion and underlying compressive atelectasis.

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small right apical pneumothorax is minimally larger, despite <num> right pleural drains, unchanged in position. right pleural effusion is small if any. severe widening of the cardiac silhouette is stable. bibasilar atelectasis is unchanged. left upper lung is clear.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.

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multifocal pneumonia. left fourth anterior rib deformity may represent a chronic fracture although ct chest is recommended to exclude osseous malignancy. recommendation(s): noncontrast ct of the chest is recommended for further evaluation.

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lungs are hyperinflated, consistent with copd, but clear of any focal abnormality, either consolidation, nodule, or atelectasis. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.

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comparison to. mild scoliosis, causing asymmetry of the ribcage. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.

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low lung volumes, with bibasilar atelectasis, greater on the right, however, left basilar pneumonia cannot be excluded. stable cardiomegaly.

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small bilateral pleural effusions without pulmonary edema. bibasilar atelectasis and stable cardiomegaly.

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no acute cardiopulmonary abnormality. no overt traumatic findings. dedicated rib series may be helpful if there is focality on physical exam.

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no acute cardiopulmonary process.

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low lung volumes with possible small left-sided effusion and bibasilar atelectasis. no clear focal consolidation worrisome for pneumonia however this study is limited and conventional pa and lateral views may be helpful if possible.

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mild pulmonary edema.

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there is a left sided pigtail catheter. there remains a moderate size left pleural effusion which is slightly smaller than previous. there is now mild pulmonary edema. no pneumothoraces are seen.

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small right pleural effusion with associated atelectasis.

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no pleural effusions. other than dextroscoliosis, essentially normal chest radiograph.

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mild, stable cardiomegaly without acute cardiopulmonary process.

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the cardiac silhouette is unchanged. there is no chf, pneumothorax. there is persistent linear atelectasis in the right lung base and the right perihilar region.

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in comparison with the study of , there is again hyperexpansion of the lungs without evidence of acute pneumonia, vascular congestion, or pleural effusion.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process. stable bilateral interstitial markings, likely chronic lung disease. coronary artery calcifications.

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as compared to the previous radiograph, the patient has received a right-sided picc line. the course of the line is unremarkable, the tip of the line projects over the mid svc. there is no evidence of complications, notably no pneumothorax. moderate cardiomegaly, sternal wires in unchanged alignment. no pulmonary edema. no pleural effusions.

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ng tube tip is in the stomach. the upper chest was not included in the field of view. bibasal atelectasis is noted in the image portion of the lower chest. the central venous line tip terminates at the level of cavoatrial junction.

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tunneled right central venous catheter remains in the mid svc. mild progression of left midlung opacities

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clear lungs.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no evidence of acute cardiopulmonary disease.

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interval development of central vascular congestion and a new small left pleural effusion with adjacent atelectasis. the gastric tube extends into the body of stomach.

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stable appearance of massive diffuse bilateral micronodular pattern in both lungs which is concerning for metastatic disease. no pneumonia. recommend ct of the chest for additional evaluation of symptoms persist.

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no radiographic evidence of pneumonia.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. there has been some re aeration of the right upper lobe. continued opacification at the right base is consistent with a combination of pneumonia, pleural fluid, and volume loss in the lower lung. widespread areas of opacification in the left hemithorax are unchanged.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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pa and lateral chest compared to :<num> : moderate-to-large right pneumothorax has increased over the past five hours, now surrounds the entire right lung, previously basal. new leftward mediastinal shift despite persistent right lower lobe collapse, which would be expected to move the mediastinum rightward, suggests the pneumothorax is accumulating under pressure. left lung grossly clear. heart size normal. findings were discussed by dr with dr at on.

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mild to moderate pulmonary edema and small right pleural effusion, new in the interval.

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mild right basal atelectasis, otherwise unremarkable.

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as compared to the previous radiograph, the left chest tube is in unchanged position. minimal left pleural effusion, limited to the costophrenic sinus. unchanged appearance of the right lung and the cardiac silhouette, with a persistent small right basal pleural effusion. no new parenchymal opacities.

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no definite acute cardiopulmonary process. rightward deviation of the trachea at the thoracic inlet, potentially positional and from low lung volumes although followup is suggested when patient is amenable with a pa film to ensure that there is no underlying space-occupying process.

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compared to prior chest radiographs. hyperinflation is moderate to severe, worse today than on suggesting a component of acute airway obstruction. lungs are clear of focal abnormality. heart size is normal. mediastinal and hilar contours and pleural surfaces

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no previous images. the cardiac silhouette he is within normal limits without definite vascular congestion. there is a small right and mild left pleural effusion with underlying atelectatic changes. however, no evidence of acute focal pneumonia.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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normal chest x-ray.

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no evidence of acute cardiopulmonary disease.

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as compared to the previous image, no relevant change is seen. a pre-existing right basal pneumonia has now completely cleared. the only remnant change is a minimal band-like scar. no pneumonia. no pleural effusion. no pulmonary edema. normal size of the heart. mild elongation of the descending aorta.