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/p16329447/s57173376/ca53ac90-29730624-3f3324b0-7c8b4883-c5d41c7e.jpg	the heart remains markedly enlarged which may reflect cardiomegaly, although pericardial effusion should also be considered. there is perihilar vascular engorgement with interval improvement in the mild pulmonary edema. no focal airspace consolidation is seen to suggest pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10063534/s50088361/07b9bccc-c1e36b6e-afc32dcd-c133e887-1ba6d369.jpg	new bilateral pleural effusions and moderate pulmonary edema. left retrocardiac opacity may reflect atelectasis or pneumonia in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p18131843/s52834331/86e67dc5-17a0a3f5-7c1f3fc2-0a96ce4b-97c81278.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p17661205/s58255494/91257b88-d0a816be-fe0b8632-c22e4201-df62798a.jpg	pneumomediastinum with subcutaneous gas in the neck, similar to the prior exam from <num> hours ago.
MIMIC-CXR-JPG/2.0.0/files/p19903141/s57038243/2342a657-d5accfbf-4d9ac6b5-e4395023-a2d9111d.jpg	underpenetrated due to the patient's body habitus. given this, no definite acute cardiopulmonary process. non-optimal evaluation of the ribs.
MIMIC-CXR-JPG/2.0.0/files/p11432100/s58821669/88fa8bdd-e7aed52e-8ab709c2-63e2c3cb-f131a1ee.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p11422163/s50419114/f715a36c-9649bb58-42da40c6-d7b8985d-293dbf72.jpg	as compared to the previous radiograph, no relevant change is noted. mild fluid overload but no overt pulmonary edema. old bilateral healed rib fractures. borderline size of the cardiac silhouette. elongation of the descending aorta. no pleural effusions. no pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18932705/s55500545/4dcda8ea-a566194c-aa75b6cf-7e64f4d1-45a966a7.jpg	no evidence of pneumothorax or rib fracture, as clinically questioned. please note that chest radiographs are relatively insensitive for identifying rib fractures. no significant change in a large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. blunting of the right costophrenic angle, which may represent a small pleural effusion or pleural thickening
MIMIC-CXR-JPG/2.0.0/files/p15505660/s57414428/7519b573-123d9dbc-7d112633-0cf5329d-b6e2e2ce.jpg	no evidence of pleural effusions or focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16392878/s59190805/ab64b0de-c3c35d57-99f3d45e-e4c237a5-3d313d41.jpg	no radiographic evidence for acute cardiopulmonary process. moderate tracheal narrowing and mild deviation towards the right. recommend outpatient chest ct for further evaluation. findings were conveyed by dr to dr telephone at pm on , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p15567127/s58004336/be960f55-f7e81eb5-128a8351-2d73668f-4aa5fcf2.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10064049/s51373990/0d2315a9-37002083-5a3cf68e-93aaa37a-611eae68.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11536399/s51476324/6b6f2f83-6bcaf1c6-e5929947-8a92d430-58fe2bea.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11801365/s55776861/cebc6a2c-8cddcf6d-f3d43581-fbaf783a-2eb0cb02.jpg	ap chest compared to at : patient is rotated leftward. the heart is probably enlarged. right lung is clear. left infrahilar lung is consolidated, either atelectasis or less likely pneumonia. pleural effusions are small, if any. there is no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15778172/s59722786/930b9b27-83260a70-3a33224b-17e26030-b42c7198.jpg	free air below the diaphragm. ?? recent surgery. a ct may be obtained to further assess if there is no recent abdominal surgery. right upper lobe opacity concerning for mass or pneumonia. f/u to resolution or ct recommended to further assess.
MIMIC-CXR-JPG/2.0.0/files/p14714706/s58239565/32a52cb4-74ea8bd1-a2c83cfa-0d364118-0e0f0dc4.jpg	no radiographic evidence for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15439394/s54999771/46b560fe-d111c9f7-3e5da04c-1809ba4f-03522ea9.jpg	no chest radiographic evidence of pulmonary metastases. chronic interstitial lung disease ttern, more fully characterized on recent ct of.
MIMIC-CXR-JPG/2.0.0/files/p12477941/s51596944/970b2f10-2402e9dd-c29cc81b-328eba78-dd11a45a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14061482/s50930893/13dcb60c-e0c8a6c3-5f3b5218-285b996c-c74602e8.jpg	lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits. no acute bony abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16144348/s57677926/408a668c-baea3599-ea0066a9-0f86cb13-84657f2d.jpg	et tube and og tube positioned appropriately. increasing perihilar ground-glass opacity concerning for worsening edema versus aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18413600/s57027677/8898a726-e79743ab-9998b687-904992e8-460e13bb.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14581354/s59117195/f645847d-1ebcc9ff-db2e9999-a45e61c7-3a9b41a4.jpg	status post left pectoral pacemaker placement with leads in the expected position.
MIMIC-CXR-JPG/2.0.0/files/p17553262/s58409378/62a7328b-35a77d8b-4d0fb3ab-79abca05-0f70e59b.jpg	as compared to the previous radiograph, there is on going complete opacification of the left hemi thorax. subsequent overinflation of the right lung. in the overinflated lung, there is no evidence of pneumonia or other parenchymal pathology. in the interval, the patient has been extubated and the nasogastric tube has been removed.
MIMIC-CXR-JPG/2.0.0/files/p17895440/s54939002/6a825c1f-573153fd-c58d16d9-d31e3ab7-1809ed42.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p19509298/s57607899/36de2f34-93638131-f004d6ed-85f738b5-c4fc45df.jpg	persistent but markedly improved pneumonia. small right pleural effusion and atelectasis. improved edema and bronchovascular engorgement, now minimal in more symmetric.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s57175599/a17373f3-540bbd87-78708369-01a8724a-5a573f96.jpg	mild to moderate pulmonary vascular congestion/interstitial edema without pleural effusion, improved from.
MIMIC-CXR-JPG/2.0.0/files/p10122606/s58885079/6cc3ae63-ed82d06f-55481c0e-13eca4a5-5cf48c64.jpg	no acute cardiopulmonary radiographic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11174811/s54865968/5b25566c-a5b76c4d-96898b56-c4a8be72-5ffd3541.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12770117/s50282279/866ccb85-6d1c76c4-6067aae1-a5f4bace-78348ebe.jpg	as compared to the previous radiograph, no relevant change is seen. the right chest tube is in unchanged position. unchanged right apical consolidation. widespread bilateral parenchymal opacities are constant in extent and severity. no new opacities. unchanged monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p17416654/s57278133/5c17184d-cf95406a-bea2352f-9044f5ec-447f975c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10976883/s50648682/228e2db7-98ab088b-a7a412b7-4e923010-79cf4e4a.jpg	heterogeneous opacification of both lung bases has worsened. some of this is atelectasis. the distribution favors aspiration. heart is mildly enlarged. pulmonary vasculature is engorged but there is no pulmonary edema as yet. pleural effusions are presumed, but not substantial.
MIMIC-CXR-JPG/2.0.0/files/p19475604/s59648472/cb0bd5b4-88d8e14a-7e2c9dee-4af090f9-3962fb94.jpg	probable mild pulmonary edema. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14744884/s59794546/abe364f9-4042401f-a780b2fd-91b32996-dcf7b741.jpg	no acute cardiopulmonary process. bilateral low lung volumes with crowding of bronchovascular markings and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s58311137/469f67ad-ac996eef-7fc58c04-dc8ed43c-e124fe85.jpg	large bilateral pleural effusions have not improved. left lower lobe is still substantially atelectatic. pulmonary vascular engorgement and mild pulmonary edema are present. mild cardiomegaly has worsened. no pneumothorax. et tube, esophageal drainage tube, right picc and right central venous lines in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p16221025/s57214815/dd777af9-bde97216-0083025e-a8ea1a46-cb51f62e.jpg	low lung volumes with subsegmental left lower lung atelectasis. possible trace bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10297475/s54614005/513783d5-9fa14acf-8459e14d-334748da-a0202b17.jpg	stable appearance of the right lung with the right lower lobe and hilar mass and asymmetric lymphangitic carcinomatosis.
MIMIC-CXR-JPG/2.0.0/files/p19429514/s51090762/03abcafe-38f98a5f-c1e54b75-eb3cf1f5-821fb4b0.jpg	heart size and mediastinum are stable. lungs are essentially clear. there is no appreciable pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12862321/s51763105/2f8fa13a-4318fb03-21f2dd43-55fbdfd8-dc54f623.jpg	in comparison with the study of , the cardiac silhouette remains that the upper limits of normal in size. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. interval placement of a vascular shunt in the left brachiocephalic region.
MIMIC-CXR-JPG/2.0.0/files/p14153269/s56429352/93029fcc-6f7298d2-2e53676a-bb8bc980-e7bddbc8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17503825/s56688030/76ea5607-f4585186-14e46f68-1e700344-df4e1d95.jpg	as compared to the previous radiograph, no relevant change is seen. a large left perihilar mass is seen in unchanged manner. moderate scoliosis persists. normal size of the cardiac silhouette. several calcified granulomas in the right lung. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18335994/s56546768/94819251-f8912a28-ec8e2255-4605bec2-9a496b60.jpg	no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16897258/s57314855/1ab2bf6c-7fdbe207-a7835bb0-0db20c2b-52963f95.jpg	status post removal of one of two left chest tubes with loculated left pleural effusion and loculated hydropneumothoraces as described. clustered right mid lung nodules and scattered diffuse nodular opacities have been more fully characterized on recent outside ct of.
MIMIC-CXR-JPG/2.0.0/files/p18171850/s54508638/2842a5a8-c7e083f3-4c605dca-f7d5d774-4e6fd755.jpg	pulmonary vascular congestion, bilateral pleural effusions, moderate on the right and small on the left, and mild to moderate bibasilar atelectasis, left greater than right, are new since.
MIMIC-CXR-JPG/2.0.0/files/p17683120/s51424709/74092f28-545cff1f-e12f98bd-ff506d2d-276d9fad.jpg	no acute cardiopulmonary findings, specifically no lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p17293172/s52229174/486c0986-cda242f0-4f72a735-8d9b8fa9-1e876cc6.jpg	in comparison with the earlier study of this day, there has been placement of a pigtail catheter on the right with almost complete resolution of the large pneumothorax. mild atelectatic changes are seen at the left base.
MIMIC-CXR-JPG/2.0.0/files/p12761798/s56731181/20c9b3f5-3948dc0f-f542d989-400f8654-b0135fb4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19859524/s59784348/b192b96d-8046bf16-4b0aa744-7a870642-ccbdb9cb.jpg	mild cardiomegaly, otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p19616585/s58608846/cf98fd5d-9e11394c-98930e38-0822bf21-1bebf3bd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13502902/s55712825/7831305c-731fd327-30430aaf-efaeff33-5f5a97e7.jpg	compared to previous radiograph from several hr earlier, pulmonary edema has slightly worsened, and is accompanied by a moderate right and small to moderate left pleural effusions with adjacent bibasilar atelectasis and or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13894716/s55979282/6eb47aae-b9418849-f08de5c5-25a7216a-1f11ca7e.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10411588/s56930152/8ffe852f-b43093bb-24b4e59c-8486b060-e8afe761.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12668116/s55154491/7b70368c-a54f34e5-82154b43-bd025a74-02637c36.jpg	compared to the prior chest radiograph, there is a new left lung base opacity, which could represent effusion, however, cannot exclude consolidation. there is stable appearance of the right lung base opacity. known bilateral pulmonary metastases, better assessed on ct.
MIMIC-CXR-JPG/2.0.0/files/p12997114/s50129434/93e22d4b-9b1baa7e-0d143944-eeceb5d8-2ee23df3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17236865/s51072676/538c232b-311e4e31-15b19e69-5ffd6b4f-8849bdef.jpg	bilateral small pleural effusions with bibasal atelectasis. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14634306/s57360481/3fccd4a6-34028f69-765720b8-39eec757-cab23faa.jpg	in comparison with the study of , the monitoring and support devices are unchanged. there has been some decrease in the opacification in the lower half of the left hemithorax, consistent with re-expansion of some of the left lower lobe, presumably from expectoration of a mucous plug. nevertheless, there is still asymmetric opacification at the left base, consistent with volume loss and possible pleural fluid. the pulmonary vascularity remains engorged and indistinct, consistent with elevated pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p13126396/s58253166/85b9b960-e366fc1f-ab11824c-a28ac6ea-0442109f.jpg	no pneumothorax. normal positioned pacer leads
MIMIC-CXR-JPG/2.0.0/files/p11438173/s58244767/4131a6c9-2ba55671-236fecfb-df1ab0bc-c22359f2.jpg	the sharply defined pulmonary reticulation indicates widespread pulmonary fibrosis. mild edema has improved since. the heart is moderately enlarged. no pleural abnormality. tip of the right ventricular pacer lead projects beyond the cardiac apex. it is unchanged since at least and the recent abdomen ct showed no hemopericardium.
MIMIC-CXR-JPG/2.0.0/files/p15174979/s55299567/f8926a0f-b6072490-41fd2463-d9b5303e-e46b40d3.jpg	patchy opacity in the left lung base could reflect an area of infection or atelectasis with probable small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12276520/s54266065/e1e8c12c-9423d92b-3bcd619d-fb3a70a3-2e8f0001.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17460568/s58895944/c7e0502c-3b96d352-ed20773c-e5e13142-0e137da0.jpg	given for differences in technique, no significant change in moderate left effusion and atelectasis/consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13488246/s50829192/52d5aa2a-6e01bdde-4274b539-2fd79f11-8e707e51.jpg	nasogastric tube is seen coursing below the diaphragm with the tip not identified. endotracheal tube and left internal jugular central line are unchanged in position. overall cardiac and mediastinal contours are stably enlarged. there is interval worsening of a bilateral interstitial process, likely reflecting mild-to-moderate pulmonary edema. in addition, there are layering bilateral effusions with patchy bibasilar airspace disease, left greater than right, likely reflecting compressive atelectasis, although pneumonia or aspiration should also be considered. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15625104/s53745786/3816f7d3-1cbd6509-372d54c5-8e87bdc2-54baad6d.jpg	improved left upper lung aeration with moderate re-expansion pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13417063/s57799511/08170bec-07b90f3a-1a3c2854-2087181b-bec52236.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15811084/s57218849/9efb3d93-02bb44b4-e84e2b36-1820ac31-1f53c5d5.jpg	as compared to the previous radiograph, no relevant change is seen. the lung volumes remain normal. there are platelike atelectasis at the right lung bases. borderline size of the cardiac silhouette. a pre-existing parenchymal opacity at the right lung base is almost completely resolved. resolution is seen on both the frontal and the lateral radiograph. unchanged position of the right pectoral port-a-cath.
MIMIC-CXR-JPG/2.0.0/files/p16285590/s51485230/a8eaeca4-8ac25718-ac627afb-32305bdf-2925031d.jpg	ap chest compared to and : no real interval change in the radiographic appearance of the chest since and , except for development of a new small left pleural effusion, pigtail pleural drainage catheter still in place at the left lung base laterally. there is no pneumothorax. combination of bronchiectasis and interstitial abnormality in the lower lungs is stable recently. radiation fibrosis obscures the contours of the upper pole of the left hilus and adjacent aorta. heart is not particularly enlarged and there is no vascular engorgement to suggest cardiac decompensation.
MIMIC-CXR-JPG/2.0.0/files/p19937419/s51312441/d2abc551-257fd45d-c625a3f9-6db7ae22-9379efa8.jpg	right ij central venous line continues to course up the upper right ij. right lower lobe consolidation again seen but less apparent and may represent atelectasis or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14606872/s58968713/05fae8d1-1db684e5-6aa302e8-33b8b23f-53c31cf6.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p10979480/s52431909/da9ad75c-66135027-46391b9e-215ca7cf-c2300c83.jpg	heterogeneous left lung base opacity may represent atelectasis or infection in the appropriate clinical setting. kerly b line in the right lung base are new, could be inflammatory or new lympangitic spread of tumor in this patient with history of malignancy. pulmonary edema is unlikely.
MIMIC-CXR-JPG/2.0.0/files/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg	<num> catheters are seen projecting over the inferior aspect of the heart. there is a right sided central venous line with the distal lead tip at the cavoatrial junction. svc stent is also seen. there are low lung volumes due to poor inspiratory effort. there is some elevation of the left hemidiaphragm. there is again seen numerous parenchymal nodules better assessed on the prior ct scan.
MIMIC-CXR-JPG/2.0.0/files/p19014160/s50750189/ccf067c3-49b92a4a-be262606-e77c524e-ca3655f1.jpg	no acute cardiopulmonary process. no displaced rib fracture is seen. if there is continued concern, a dedicated rib series can be obtained.
MIMIC-CXR-JPG/2.0.0/files/p12199871/s55834680/705b0e15-36761a60-58f2c950-bb4f9a28-f1917f8e.jpg	interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. consider conventional pa and lateral radiograph or ct for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p14261056/s53317696/898fdc36-84daa4aa-a26dbd6c-8a82f192-f688ab5d.jpg	normal chest radiograph. specifically, no evidence of tb.
MIMIC-CXR-JPG/2.0.0/files/p19291771/s56728661/3f35a7c0-574f3367-cdf88087-9390deec-5f718ee9.jpg	there is prominence of the mediastinum and a left upper lobe mass/ consolidation which is unchanged. there is mild improved aeration at the right base. there remains bibasilar subsegmental atelectasis. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p11218208/s59327672/fd0a5be9-6d2f52ba-b45de904-ba9b8167-616c0f6d.jpg	comparison to. the tip of the endotracheal tube continues to be located <num> cm above the carinal and should potentially be pulled back by approximately <num> cm. the other monitoring and support devices are stable. very low lung volumes with mild cardiomegaly and mild to moderate pulmonary edema. retrocardiac atelectasis. the presence of a left pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p14121775/s50388904/6928536b-2440597d-d3bd4941-708afe15-71e0a055.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12677246/s58946272/5de77838-86e3ca84-417453ce-115a9cc8-8e84e245.jpg	new bilateral opacities at the lung bases likely reflect atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19948788/s56226482/a9f645ad-454c82b6-1d84911b-39c9f60a-63f86986.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19669999/s54112656/58d1a490-14ea6d05-e5f6f209-9052bcdd-abd37ea4.jpg	very large hiatal hernia. adjacent bibasilar opacities favor atelectasis, but aspiration pneumonia is not excluded in the appropriate setting.
MIMIC-CXR-JPG/2.0.0/files/p12513604/s58314903/862d8587-8fc2e04f-82672860-927198eb-8fe1f5b4.jpg	the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pulmonary edema. no pneumonia. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10136619/s54015202/c3ab3ba9-eaf93fd6-6fbe8559-1caad78c-e927ac68.jpg	latest radiograph shows slight interval decrease in moderate right pneumothorax with right apical pigtail catheter in place. unchanged diffuse bilateral airspace opacities are likely due to severe pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13228928/s51503868/928f251a-1c4c8115-f2b3e070-8ce25dd4-b098aecb.jpg	stable elevated left hemidiaphragm. no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p18781675/s53044200/15fc8ef4-88942e0d-1827e6f7-c79cba9c-9362f67c.jpg	no acute intrathoracic abnormality. inferior median sternotomy wires appear discontinuous, question integrity. bibasilar atelectasis, left greater than right.
MIMIC-CXR-JPG/2.0.0/files/p13880645/s59154544/034f162e-4ed6be00-39cc44a5-f55272da-a6be324a.jpg	lungs are fully expanded and essentially clear. heart size is top-normal. there is no obvious pleural abnormality. pulmonary vasculature is minimally engorged but there is no edema. right pic line ends in the upper svc. recommendation(s): conventional chest radiographs if
MIMIC-CXR-JPG/2.0.0/files/p17705518/s52737862/40346883-f9380fb9-be2ac6fd-ff324313-af76e094.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10516278/s59608565/76b436ea-ece3d26e-2dca97ce-e5c06722-57cd48d1.jpg	new diffuse interstitial pulmonary abnormality slight increase in heart size and central pulmonary vascular caliber are most readily explained by mild heart failure, which could be the result of tachycardia from an extrathoracic infection. alternatively we could be seeing diffuse interstitial pneumonia. chest ct scanning might be helpful in distinguishing between these possibilities. pleural effusion is small if any. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15875150/s57345098/0ee7ef84-71e6e4e9-172721b1-b5b8458a-cf83df9f.jpg	no evidence of acute cardiopulmonary process. left upper quadrant fullness. recommend correlation with physical exam.
MIMIC-CXR-JPG/2.0.0/files/p12481952/s53270205/d3d5e207-89d231c2-08bb216c-5571f34c-2dc86353.jpg	unchanged patchy opacities within the superior segment of the right lower lobe consistent with known history of cryptococcal pneumonia. no new consolidation, effusion, or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18757771/s56109948/ca970f32-2086f221-3c90902c-d4941ae0-379c2f2d.jpg	no acute intrathoracic process. no displaced rib fracture seen. if there is continued concern for a rib fracture, a dedicated rib series may be obtained.
MIMIC-CXR-JPG/2.0.0/files/p19839145/s58590216/1976912b-6c998e98-92cae787-7a8f32b4-27759f18.jpg	mild hyperexpansion is compatible with copd. there is no evidence of pneumonia. mild cardiomegaly is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13273041/s54386158/46f3e7fb-84791f3a-328393ab-8e4c6950-3fa1ec5a.jpg	bilateral pleural effusions, moderate on the right and small on left. stable cardiomegaly. right basal atelectasis, difficult to exclude underlying pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13230617/s54792282/398fb484-4f2e7e37-aa9df9a2-35a06ca3-48f03b5e.jpg	pa and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p12684112/s50675906/98ddb3f2-28304089-c37c7a2c-119280d7-4dc42c8f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11336923/s57164328/72e9fd5a-664c731e-63d60307-aa4d6b49-e0d5faba.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15170582/s58004183/f16a573f-93ed6932-a0443c99-d42ea463-d4a651ad.jpg	in comparison with study of , a there has been clearing of the pulmonary edema. no evidence of acute pneumonia or pleural effusion. regional osseous sclerosis is again seen in the right mid zone.
MIMIC-CXR-JPG/2.0.0/files/p17546051/s55436334/d4ab5587-9a062586-b69bb550-9ddf681b-b6ca76a1.jpg	probable right subpulmonic effusion with adjacent atelectasis with pulmonary vascular congestion and cardiomegaly similar to previous exam.
MIMIC-CXR-JPG/2.0.0/files/p12766828/s58927111/5e20f852-7f2acd4b-ad132c81-9c91e45e-77983e78.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17846223/s57032997/cb9d1d52-01f839b7-073b0dbc-d150d0ca-9649c889.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11404366/s55285117/d34cb4d5-8e2e7f1e-8c088393-c959db12-eb6cd2c7.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15479218/s54574805/5bffbc13-be706a73-e9225e27-4beb9839-de6de51a.jpg	right subclavian picc line, endotracheal tube, right pleural pigtail catheter, and feeding tube are likely unchanged in position. there are worsening layering effusions with associated patchy airspace disease more likely reflecting atelectasis, although superimposed pneumonia cannot be excluded. no evidence of pulmonary edema. the pulmonary vessels do appear somewhat cephalized which suggests pulmonary venous hypertension. no pneumothorax. overall cardiac and mediastinal contours are likely unchanged given differences in positioning.
MIMIC-CXR-JPG/2.0.0/files/p19044013/s57548784/7daa3aeb-ba41cb4e-1ac85eb2-0e2da06b-963d2734.jpg	findings suggestive of mild atelectasis as well as new mild relative elevation of the right hemidiaphragm; infection is difficult to exclude although doubted.

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the heart remains markedly enlarged which may reflect cardiomegaly, although pericardial effusion should also be considered. there is perihilar vascular engorgement with interval improvement in the mild pulmonary edema. no focal airspace consolidation is seen to suggest pneumonia. no pneumothorax.

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new bilateral pleural effusions and moderate pulmonary edema. left retrocardiac opacity may reflect atelectasis or pneumonia in the correct clinical setting.

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no acute findings in the chest.

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pneumomediastinum with subcutaneous gas in the neck, similar to the prior exam from <num> hours ago.

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underpenetrated due to the patient's body habitus. given this, no definite acute cardiopulmonary process. non-optimal evaluation of the ribs.

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no evidence of acute cardiopulmonary disease.

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as compared to the previous radiograph, no relevant change is noted. mild fluid overload but no overt pulmonary edema. old bilateral healed rib fractures. borderline size of the cardiac silhouette. elongation of the descending aorta. no pleural effusions. no pneumonia. no pneumothorax.

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no evidence of pneumothorax or rib fracture, as clinically questioned. please note that chest radiographs are relatively insensitive for identifying rib fractures. no significant change in a large right upper lobe mass, consistent with patient's history of non-small-cell lung carcinoma. blunting of the right costophrenic angle, which may represent a small pleural effusion or pleural thickening

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no evidence of pleural effusions or focal consolidation.

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no radiographic evidence for acute cardiopulmonary process. moderate tracheal narrowing and mild deviation towards the right. recommend outpatient chest ct for further evaluation. findings were conveyed by dr to dr telephone at pm on , <num> minutes after discovery.

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no pneumonia.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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ap chest compared to at : patient is rotated leftward. the heart is probably enlarged. right lung is clear. left infrahilar lung is consolidated, either atelectasis or less likely pneumonia. pleural effusions are small, if any. there is no pulmonary edema.

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free air below the diaphragm. ?? recent surgery. a ct may be obtained to further assess if there is no recent abdominal surgery. right upper lobe opacity concerning for mass or pneumonia. f/u to resolution or ct recommended to further assess.

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no radiographic evidence for pneumonia.

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no chest radiographic evidence of pulmonary metastases. chronic interstitial lung disease ttern, more fully characterized on recent ct of.

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no acute cardiopulmonary abnormality.

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lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits. no acute bony abnormality.

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et tube and og tube positioned appropriately. increasing perihilar ground-glass opacity concerning for worsening edema versus aspiration.

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no acute cardiopulmonary process.

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status post left pectoral pacemaker placement with leads in the expected position.

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as compared to the previous radiograph, there is on going complete opacification of the left hemi thorax. subsequent overinflation of the right lung. in the overinflated lung, there is no evidence of pneumonia or other parenchymal pathology. in the interval, the patient has been extubated and the nasogastric tube has been removed.

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no acute findings.

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persistent but markedly improved pneumonia. small right pleural effusion and atelectasis. improved edema and bronchovascular engorgement, now minimal in more symmetric.

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mild to moderate pulmonary vascular congestion/interstitial edema without pleural effusion, improved from.

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no acute cardiopulmonary radiographic abnormality.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, no relevant change is seen. the right chest tube is in unchanged position. unchanged right apical consolidation. widespread bilateral parenchymal opacities are constant in extent and severity. no new opacities. unchanged monitoring and support devices.

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no acute cardiopulmonary process.

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heterogeneous opacification of both lung bases has worsened. some of this is atelectasis. the distribution favors aspiration. heart is mildly enlarged. pulmonary vasculature is engorged but there is no pulmonary edema as yet. pleural effusions are presumed, but not substantial.

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probable mild pulmonary edema. no focal consolidation.

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no acute cardiopulmonary process. bilateral low lung volumes with crowding of bronchovascular markings and bibasilar atelectasis.

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large bilateral pleural effusions have not improved. left lower lobe is still substantially atelectatic. pulmonary vascular engorgement and mild pulmonary edema are present. mild cardiomegaly has worsened. no pneumothorax. et tube, esophageal drainage tube, right picc and right central venous lines in standard placements.

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low lung volumes with subsegmental left lower lung atelectasis. possible trace bilateral pleural effusions.

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stable appearance of the right lung with the right lower lobe and hilar mass and asymmetric lymphangitic carcinomatosis.

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heart size and mediastinum are stable. lungs are essentially clear. there is no appreciable pleural effusion or pneumothorax.

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in comparison with the study of , the cardiac silhouette remains that the upper limits of normal in size. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. interval placement of a vascular shunt in the left brachiocephalic region.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, no relevant change is seen. a large left perihilar mass is seen in unchanged manner. moderate scoliosis persists. normal size of the cardiac silhouette. several calcified granulomas in the right lung. no pleural effusions. no pneumonia, no pulmonary edema.

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no acute pulmonary process.

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status post removal of one of two left chest tubes with loculated left pleural effusion and loculated hydropneumothoraces as described. clustered right mid lung nodules and scattered diffuse nodular opacities have been more fully characterized on recent outside ct of.

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pulmonary vascular congestion, bilateral pleural effusions, moderate on the right and small on the left, and mild to moderate bibasilar atelectasis, left greater than right, are new since.

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no acute cardiopulmonary findings, specifically no lymphadenopathy.

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in comparison with the earlier study of this day, there has been placement of a pigtail catheter on the right with almost complete resolution of the large pneumothorax. mild atelectatic changes are seen at the left base.

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no acute cardiopulmonary process.

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mild cardiomegaly, otherwise unremarkable.

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no acute intrathoracic process.

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compared to previous radiograph from several hr earlier, pulmonary edema has slightly worsened, and is accompanied by a moderate right and small to moderate left pleural effusions with adjacent bibasilar atelectasis and or consolidation.

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no definite acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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compared to the prior chest radiograph, there is a new left lung base opacity, which could represent effusion, however, cannot exclude consolidation. there is stable appearance of the right lung base opacity. known bilateral pulmonary metastases, better assessed on ct.

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no acute cardiopulmonary process.

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bilateral small pleural effusions with bibasal atelectasis. no pulmonary edema.

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in comparison with the study of , the monitoring and support devices are unchanged. there has been some decrease in the opacification in the lower half of the left hemithorax, consistent with re-expansion of some of the left lower lobe, presumably from expectoration of a mucous plug. nevertheless, there is still asymmetric opacification at the left base, consistent with volume loss and possible pleural fluid. the pulmonary vascularity remains engorged and indistinct, consistent with elevated pulmonary venous pressure.

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no pneumothorax. normal positioned pacer leads

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the sharply defined pulmonary reticulation indicates widespread pulmonary fibrosis. mild edema has improved since. the heart is moderately enlarged. no pleural abnormality. tip of the right ventricular pacer lead projects beyond the cardiac apex. it is unchanged since at least and the recent abdomen ct showed no hemopericardium.

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patchy opacity in the left lung base could reflect an area of infection or atelectasis with probable small left pleural effusion.

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no acute cardiopulmonary abnormality.

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given for differences in technique, no significant change in moderate left effusion and atelectasis/consolidation.

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nasogastric tube is seen coursing below the diaphragm with the tip not identified. endotracheal tube and left internal jugular central line are unchanged in position. overall cardiac and mediastinal contours are stably enlarged. there is interval worsening of a bilateral interstitial process, likely reflecting mild-to-moderate pulmonary edema. in addition, there are layering bilateral effusions with patchy bibasilar airspace disease, left greater than right, likely reflecting compressive atelectasis, although pneumonia or aspiration should also be considered. no pneumothorax.

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improved left upper lung aeration with moderate re-expansion pulmonary edema.

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no evidence of acute cardiopulmonary process.

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as compared to the previous radiograph, no relevant change is seen. the lung volumes remain normal. there are platelike atelectasis at the right lung bases. borderline size of the cardiac silhouette. a pre-existing parenchymal opacity at the right lung base is almost completely resolved. resolution is seen on both the frontal and the lateral radiograph. unchanged position of the right pectoral port-a-cath.

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ap chest compared to and : no real interval change in the radiographic appearance of the chest since and , except for development of a new small left pleural effusion, pigtail pleural drainage catheter still in place at the left lung base laterally. there is no pneumothorax. combination of bronchiectasis and interstitial abnormality in the lower lungs is stable recently. radiation fibrosis obscures the contours of the upper pole of the left hilus and adjacent aorta. heart is not particularly enlarged and there is no vascular engorgement to suggest cardiac decompensation.

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right ij central venous line continues to course up the upper right ij. right lower lobe consolidation again seen but less apparent and may represent atelectasis or pneumonia.

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normal chest radiograph.

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heterogeneous left lung base opacity may represent atelectasis or infection in the appropriate clinical setting. kerly b line in the right lung base are new, could be inflammatory or new lympangitic spread of tumor in this patient with history of malignancy. pulmonary edema is unlikely.

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<num> catheters are seen projecting over the inferior aspect of the heart. there is a right sided central venous line with the distal lead tip at the cavoatrial junction. svc stent is also seen. there are low lung volumes due to poor inspiratory effort. there is some elevation of the left hemidiaphragm. there is again seen numerous parenchymal nodules better assessed on the prior ct scan.

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no acute cardiopulmonary process. no displaced rib fracture is seen. if there is continued concern, a dedicated rib series can be obtained.

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interstitial opacities may be due to pulmonary edema in the setting of cardiomegaly and vascular engorgement; however, given the clinical history, interstitial lung involvement due to sarcoidosis is also possible. consider conventional pa and lateral radiograph or ct for further evaluation.

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normal chest radiograph. specifically, no evidence of tb.

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there is prominence of the mediastinum and a left upper lobe mass/ consolidation which is unchanged. there is mild improved aeration at the right base. there remains bibasilar subsegmental atelectasis. no pneumothoraces are seen.

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comparison to. the tip of the endotracheal tube continues to be located <num> cm above the carinal and should potentially be pulled back by approximately <num> cm. the other monitoring and support devices are stable. very low lung volumes with mild cardiomegaly and mild to moderate pulmonary edema. retrocardiac atelectasis. the presence of a left pleural effusion

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no evidence of acute cardiopulmonary process.

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new bilateral opacities at the lung bases likely reflect atelectasis.

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no acute cardiopulmonary abnormality.

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very large hiatal hernia. adjacent bibasilar opacities favor atelectasis, but aspiration pneumonia is not excluded in the appropriate setting.

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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pulmonary edema. no pneumonia. no pneumothorax.

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latest radiograph shows slight interval decrease in moderate right pneumothorax with right apical pigtail catheter in place. unchanged diffuse bilateral airspace opacities are likely due to severe pulmonary edema.

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stable elevated left hemidiaphragm. no acute findings.

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no acute intrathoracic abnormality. inferior median sternotomy wires appear discontinuous, question integrity. bibasilar atelectasis, left greater than right.

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lungs are fully expanded and essentially clear. heart size is top-normal. there is no obvious pleural abnormality. pulmonary vasculature is minimally engorged but there is no edema. right pic line ends in the upper svc. recommendation(s): conventional chest radiographs if

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no acute intrathoracic abnormality.

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new diffuse interstitial pulmonary abnormality slight increase in heart size and central pulmonary vascular caliber are most readily explained by mild heart failure, which could be the result of tachycardia from an extrathoracic infection. alternatively we could be seeing diffuse interstitial pneumonia. chest ct scanning might be helpful in distinguishing between these possibilities. pleural effusion is small if any. no pneumothorax.

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no evidence of acute cardiopulmonary process. left upper quadrant fullness. recommend correlation with physical exam.

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unchanged patchy opacities within the superior segment of the right lower lobe consistent with known history of cryptococcal pneumonia. no new consolidation, effusion, or pneumothorax.

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no acute intrathoracic process. no displaced rib fracture seen. if there is continued concern for a rib fracture, a dedicated rib series may be obtained.

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mild hyperexpansion is compatible with copd. there is no evidence of pneumonia. mild cardiomegaly is unchanged.

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bilateral pleural effusions, moderate on the right and small on left. stable cardiomegaly. right basal atelectasis, difficult to exclude underlying pneumonia.

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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with study of , a there has been clearing of the pulmonary edema. no evidence of acute pneumonia or pleural effusion. regional osseous sclerosis is again seen in the right mid zone.

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probable right subpulmonic effusion with adjacent atelectasis with pulmonary vascular congestion and cardiomegaly similar to previous exam.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process.

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right subclavian picc line, endotracheal tube, right pleural pigtail catheter, and feeding tube are likely unchanged in position. there are worsening layering effusions with associated patchy airspace disease more likely reflecting atelectasis, although superimposed pneumonia cannot be excluded. no evidence of pulmonary edema. the pulmonary vessels do appear somewhat cephalized which suggests pulmonary venous hypertension. no pneumothorax. overall cardiac and mediastinal contours are likely unchanged given differences in positioning.

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findings suggestive of mild atelectasis as well as new mild relative elevation of the right hemidiaphragm; infection is difficult to exclude although doubted.