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/p18990850/s53846029/69e4daad-f8f28a7e-52774831-59c6999f-343d46b1.jpg	in comparison with the study of , the monitoring and support devices are essentially unchanged. no evidence of pneumothorax. bibasilar opacifications are again seen, consistent with atelectasis and effusion. however, in the appropriate clinical setting, a superimposed pneumonia must be considered. no evidence of appreciable pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18180846/s54590099/65c3a61f-f3aa0fe9-f80e1be3-f1d0603e-ac2530df.jpg	no acute intrathoracic process. please refer to subsequent ct abdomen and pelvis for further details.
MIMIC-CXR-JPG/2.0.0/files/p17775867/s55418461/f9cf30e2-1477da8a-a7fe6fa5-8b424783-1e12ccd2.jpg	no acute cardiopulmonary process; streaky left basilar opacity is likely to represent minor atelectasis or scarring. moderate cardiomegaly. right diaphragmatic eventration.
MIMIC-CXR-JPG/2.0.0/files/p18172029/s54911734/600d3173-a5befae2-27850b27-c765796c-cce303ab.jpg	comparison to. no relevant change. the nasogastric tube has been removed. normal size of the cardiac silhouette. normal appearance of the lung parenchyma. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19069061/s50506471/1afa5e50-01b9aa2d-029f1283-508d9111-01345b33.jpg	no acute intrathoracic process. intervally resolved pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11523129/s59806889/7dbd06a2-dd282962-569a2b68-60db5086-5ccfde32.jpg	interval placement of endotracheal and enteric tubes in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p12921405/s58176979/ac5608bd-953072f1-515e7f72-c1fa1dd3-b5b315d4.jpg	ap chest compared to through. pulmonary edema developed between and and subsequently worsened. since then, major changes have been greater opacification at the lung bases and radiographically one cannot distinguish between combination of dependent edema and atelectasis with the development of concurrent pneumonia. the cardiac configuration favors a very large left atrium. mild edema is still present in the upper lungs, and pleural effusions are presumed, but not large. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16030932/s57107484/05a69446-b8dcfb34-5f10eb82-8202f631-4c613095.jpg	small left pleural effusion, similar to the previous study, with continued left basilar opacity potentially reflective of compressive atelectasis but infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11731500/s58481900/869ce78f-6de0b5c9-40514fb6-5e0f5f2c-ab1ebf87.jpg	questionable area of increased opacity in right infrahilar region for which repeat chest radiograph is recommended within <num> hours to exclude early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18431965/s54555919/01a1067f-24454eb9-fc149042-fa887707-566af0f1.jpg	as compared radiograph, pulmonary edema has worsened and is now moderate in severity with bilateral small pleural effusions, right greater than left. endotracheal tube has been advanced, with tip at the level of the carina directed towards the right main bronchus.
MIMIC-CXR-JPG/2.0.0/files/p17959879/s53821502/00be0048-9b01ab37-bf652a63-fc4e6861-880688ed.jpg	interval improvement/near resolution of the right-sided pneumonia. should symptoms persist, repeat studies are recommended, otherwise, follow up is not necessary.
MIMIC-CXR-JPG/2.0.0/files/p19547734/s51294390/cc3ae2e2-f6a24416-c544b06c-bbbc2a12-6121149a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12378259/s50417322/2bd5d2fc-a15386c4-d0324974-562586f5-8feaca68.jpg	substantial interval progression of pulmonary edema is demonstrated with widening out of the lungs bilaterally. right internal jugular line tip is at the level of superior svc. pacemaker defibrillator leads are in expected positions. cardiomegaly is unchanged. calcified mediastinal lymph nodes are re- demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p15108590/s51672335/0e18d0c1-8147664a-dba77119-e6077c14-fbc4711f.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11532890/s50897099/76653994-6350b387-f7468d10-715b2e84-8c2eb937.jpg	coned-down radiograph of the thoracoabdominal junction demonstrates advancement of a feeding tube within the stomach. distal tip is directed cephalad. exam is otherwise remarkable for apparent increase in size of right pleural effusion, difficult to accurately compare due to positional differences and incomplete imaging of the chest.
MIMIC-CXR-JPG/2.0.0/files/p15287015/s54157140/2749aaec-36a4de61-2413f3b3-a7040706-047c5c30.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15420465/s55643493/a5270299-b555f732-2e9078db-6cef53d6-5ec5dc0a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11119827/s58207030/b9211ae2-f50836c8-3c4e9e79-d3181756-cfebc7cf.jpg	no evidence of acute traumatic injury. however, known fracture of the left transverse process of t<num> is not appreciated on this study.
MIMIC-CXR-JPG/2.0.0/files/p19231238/s57527203/32fa86b3-0786be2b-6e758d96-8d2f507d-15c9b823.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16320616/s56854548/c33f3e32-efb538b1-882841ba-3c352ff2-54c7d8cd.jpg	new right mid lung zone opacity most consistent with pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15632719/s51035983/cf5f48ea-128511d4-ab8489a8-0a0374b1-7d3af04e.jpg	overall stable appearance of known lung masses as compared to prior chest ct. no definite new focal consolidation identified however small superimposed infections may not be visualized given extensive bilateral opacities. small right -sided pleural effusion appears slightly increased in size.
MIMIC-CXR-JPG/2.0.0/files/p18638427/s56068430/89fb3b18-e31f1c05-2857c4f8-be2c31ed-39035536.jpg	in comparison with the study of , there is now complete opacification of the right hemithorax without shift in mediastinal contents to the opposite side. this most likely represents extensive hydrothorax as in the clinical history with compensatory volume loss in the underlying lungs so that there is no shift of the mediastinum. the left lung is essentially clear. monitoring and support devices remain in place.
MIMIC-CXR-JPG/2.0.0/files/p19607020/s52274122/688f86af-a77c0b1b-088914af-fa4afbbe-d32e4d68.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14668556/s51241374/333ae37b-c6324368-575784af-43ee10da-6ba6296e.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13054145/s53129862/9e11b0f3-2b2a9ef6-7f85f754-0ff56fd4-0a1aa7e9.jpg	apparent widening of the mediastinum is likely due to low lung volumes, patient positioning, and ap technique. no pneumothorax or pulmonary edema. retrocardiac opacity is likely due to atelectasis, but in the appropriate clinical setting, infection could be a possibility. recommendation(s): repeat radiographs with a true symmetric frontal view are recommended.
MIMIC-CXR-JPG/2.0.0/files/p14776055/s59821645/5efc7955-b9a991d5-7104e838-3bf3a7af-e06fa189.jpg	progression of moderate pulmonary edema. a followup radiograph after diuresis is recommended to assess for underlying infection given clinical concern for pneumonia. new small bilateral pleural effusions, left greater than right.
MIMIC-CXR-JPG/2.0.0/files/p16041733/s56198368/0643ed9f-0ceac276-c0165bf0-3d24ede4-836b613c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14594112/s53621174/33f7863d-4d3452d0-526a126e-163eaaed-24e11b01.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15163819/s56338404/950f8a37-b8f4aa14-44efc2ff-b1e8c898-96f16f91.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19150392/s58406525/ac096086-de29cced-fd9e3c94-422c8e4a-ce28e361.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10526322/s58793311/977d9206-4f8156aa-fd0a9f57-a0e5b984-c38aad69.jpg	in comparison with the study of , the cardiac silhouette is within upper limits of normal in size without vascular congestion, pleural effusion, or acute focal pneumonia. dual-channel pacer leads extend to the right atrium and right ventricle in this patient with prosthetic valve and intact midline sternal wires.
MIMIC-CXR-JPG/2.0.0/files/p18532641/s50343436/fd82f8fb-8d626b82-1919a082-f4753451-c6a1eef3.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18151002/s54415063/5565b2ca-571d2b21-c48391af-2d5c1a81-0131409d.jpg	probable early/focal right middle lobe pneumonia. considering clinical suspicion for pneumonia, recommend followup chest x-ray in weeks after antibiotic therapy to assess for resolution.
MIMIC-CXR-JPG/2.0.0/files/p15382060/s52767718/341b2580-442e0567-aa7f247d-e9e2c1fe-a04eb1c4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15760171/s57498470/a0ef8e0f-3b569b66-5b0d1f6b-0766e74d-c84bf34f.jpg	normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis, or cardiac decompensation.
MIMIC-CXR-JPG/2.0.0/files/p12426774/s53420656/380c5622-1c0d2025-99c8a27c-1ba88dde-7bf2b566.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17713592/s58495157/b6fa716b-c45e1f19-47d35ec7-c8a396ec-428ffbfc.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10578209/s50372858/b858b02a-fe240a5f-abc92b3c-d48d8f94-787287a9.jpg	compared to the only prior chest radiographs available,. very small region of new consolidation in the right middle lobe is seen only on the lateral view against the major fissure. lungs are otherwise clear. cardiomediastinal and hilar silhouettes are normal. there is no pleural abnormality. indwelling dual channel right transjugular central venous infusion catheter ends in the mid svc as before. findings could be due to very early pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17197845/s57107267/4658ce0b-0d8fe8c6-c56ee5d5-966c175d-9fd53fd1.jpg	low lung volumes and elevated right hemidiaphragm. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16702889/s51832322/51e6f991-588f6dd2-42bbea62-1e3acb7d-815dffc6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15306238/s56300351/a94165bd-8c8f560a-3b63fbbe-4f5c8162-d7fc658f.jpg	marked interval improvement in the appearance of the lungs. trace effusions without evidence of consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17421577/s55588423/37e590dc-884a22a8-58629481-0ba37f8e-1dcd7f2e.jpg	mild increase in interstitial markings fairly diffusely bilaterally, could represent mild interstitial edema, but atypical infection not excluded. posterior basilar opacity seen on the lateral view may relate overlap of structures although subtle consolidation not excluded.
MIMIC-CXR-JPG/2.0.0/files/p16560125/s57940007/1f8934b0-7f9c37cf-af43ba20-cb8caa6e-fc151284.jpg	no new pulmonary abnormalities in this patient with history of neoesophagus complicated with right sided chest wall empyema.
MIMIC-CXR-JPG/2.0.0/files/p10620423/s51193705/db4b169a-96ecceb0-ef981342-178aacd4-316a5455.jpg	no findings suggestive of pneumonia. focal rounded density at the right lung base may represent an overlying nipple shadow. however, in the absence of prior imaging studies and for a complete evaluation, repeat examination with nipple markers is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15110770/s50313491/c499f1de-addfaa81-78c0e53a-a80a1871-ce81d755.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p16935781/s51634765/80dd8eed-5b7c5417-977938b6-eeeed886-c4c7d57b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14208070/s51984293/8fa5a99f-fe8059f0-0bd0a497-83313742-0d6d716b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12277658/s55998068/1312ce02-19afe42b-a2be4e73-66d377d8-b6e086ce.jpg	in comparison with the study of , there is suggestion of an area of increased opacification in the retrocardiac region on the lateral view. on the frontal image, this probably is projected on the left and is consistent with a developing left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18573443/s58218130/e9c2a53b-5a1d411f-294beb22-16edcedc-574b5291.jpg	new moderate cardiomegaly and/or pericardial effusion. probable volume overload
MIMIC-CXR-JPG/2.0.0/files/p17148127/s55008222/5ae34170-f07c7eaf-d296c7e2-2a00a4a1-276389f5.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13333702/s57928237/fd503faa-d281c80f-9b479ff9-ffad87b4-5d9b0258.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10482167/s54642843/530098f6-7fdfa06b-a594a7c0-ff52e66a-7eae2a1c.jpg	right central venous catheter terminates at the cavoatrial junction. bibasilar opacities suggestive of mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16826135/s54347449/9e775ff3-a0870f75-c91bf3e4-78c6772c-89287ff1.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17547554/s53397107/34b86810-f035a8c6-a0d1e56b-0363c930-8de2b199.jpg	new mild pulmonary edema. stable small bilateral pleural effusions, slightly greater on the left than the right. stable left upper lobe nodule and ill-defined right upper lobe opacity which may be a second nodule or a fibrotic conglomerate.
MIMIC-CXR-JPG/2.0.0/files/p17847031/s56996065/7340a237-3eb83241-34e582c2-58fa3a96-34fc3450.jpg	acute left lateral seventh rib fracture. ed qa nurses were emailed at am after attending review.
MIMIC-CXR-JPG/2.0.0/files/p11158861/s53062118/f77a82dc-7bd75500-f78f766e-3b0ae029-32f4a198.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18818975/s53969748/b962defc-aabdf9fb-8354cf1d-33968fa0-56301605.jpg	as compared to the previous radiograph, there is improvement of the pre-existing right upper lobe parenchymal opacity. newly occurred retrocardiac atelectasis. no other parenchymal changes. the patient has been extubated, the nasogastric tube and the left subclavian line are in unchanged position.
MIMIC-CXR-JPG/2.0.0/files/p10583673/s51435289/a566157f-4643d5ab-4fc525db-0d62b541-ed2418e2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10561909/s57294396/13c89dfc-2862b9f2-236397d5-c15da9c0-700aabcf.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15226510/s56239093/4966e5dd-a5b4796b-b20fa619-f38c43f2-5f87e3ee.jpg	little change from one day prior. small bilateral pleural effusions and mild vascular congestion persist.
MIMIC-CXR-JPG/2.0.0/files/p10718588/s59509348/57b969e4-8f0e7a0a-6c5e266e-194461e2-a5c9d583.jpg	pulmonary edema persists but is improved compared to <num> hours earlier with a small left pleural effusion. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10052277/s53462370/f62186af-b6cc12ec-0c5caebd-507165d3-e1d291fc.jpg	no conventional radiographic evidence of interstitial lung disease. however, if clinical suspicion is high, consider a high-resolution chest ct, as it is more sensitive than radiographs for detecting interstitial abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p11858720/s58193778/99599c18-8741c478-c31dd196-c7d01dce-df4a83a9.jpg	known large left upper lobe pulmonary mass. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p11540763/s58907226/636d1a0c-ef695104-4f2cd812-fc4ad832-09afb2f9.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15913953/s51469479/c84ca198-672a785a-a57d7244-ee40a3b5-0fe00550.jpg	in comparison to , cardiomediastinal contours are stable. new left retrocardiac opacity favors atelectasis, although aspiration and an evolving infectious pneumonia are additional considerations. small left pleural effusion is a persistent finding. dilated loops of bowel in the imaged upper abdomen are incompletely evaluated on this chest radiograph. dedicated abdominal radiographs may be helpful to exclude the possibility of an obstructive pattern.
MIMIC-CXR-JPG/2.0.0/files/p19499595/s51712579/7ddbb51e-55d7dd8d-8627c186-c5bc068b-ddb034e8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10627556/s56378316/caf53a58-19bcf979-8f3f1c7f-3fa4b69c-2f63c147.jpg	worsening congestive heart failure with increasing interstitial edema. focal opacity in left upper lobe. followup radiographs after diuresis may be helpful to distinguish an asymmetrical area of edema from a focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15738526/s59980972/0ab88ed0-03597a98-31aa4d7b-10265fd8-aa726687.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15033616/s55415217/5c164314-1e63ff63-a11f53a0-803142e1-5b3fe586.jpg	heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17587573/s53644439/a43c402a-e99e4c89-3768f660-6333ebda-f25cd7b6.jpg	left picc ends in the proximal to mid svc. persistent cardiomegaly and left pleural effusion. interstitial edema. redemonstrated left apical mass like opacity corresponding to lesion seen in this location on prior ct scan.
MIMIC-CXR-JPG/2.0.0/files/p16065359/s57737143/5c139420-159b4411-00d2d9a3-4266cb6a-c3f59439.jpg	opacity in the lingula. given recent infection, pneumonia is likely; however, given long history of smoking, a mass cannot be ruled out. followup imaging is recommended.
MIMIC-CXR-JPG/2.0.0/files/p13299566/s55025097/7604c9e0-1b2d9e73-a484694e-962770b9-e299772a.jpg	possible mild central pulmonary vascular engorgement without overt pulmonary edema. persistent mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12840815/s55060200/7573743a-50f67c82-0b69f2a4-b1c8b209-150e6ff2.jpg	small left pleural effusion. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16731888/s57836168/d3ee3b26-42645736-442ac842-155572ef-62f18e9d.jpg	re-expansion of the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p10535715/s53957082/35c78e72-d98f9490-d130a8f9-9c66f235-1742484e.jpg	retrocardiac opacities in likely reflect left lower lobe atelectasis but infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18751336/s51940116/05b5b13a-5ec58784-0fc0a220-9c33569c-acada24e.jpg	prominent pulmonary arteries, suggesting pulmonary arterial hypertension. right tracheal deviation at the level of the aortic arch; aneurysm cannot be excluded. compression deformity of a lower thoracic or upper lumbar vertebral body, age indeterminate. correlation for pain at this level is recommended. findings were reported to by by telephone at on at the time of discovery of these findings.
MIMIC-CXR-JPG/2.0.0/files/p10584345/s59923906/a58c5008-01df9c33-9a4b7478-58f180d2-6eb3fbfe.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p14197893/s58243243/0974a1e1-83059055-b351e74c-7988ae9e-37aad433.jpg	small airways obstruction. heart mildly enlarged, unchanged since. lungs clear. no mediastinal or hilar abnormalities. normal pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p12726628/s57965817/28a21330-f82df350-65f81c99-a551c8f5-eeb59d4d.jpg	mediastinal and hilar adenopathy with parenchymal nodular densities. there is no definite change in the degree of adenopathy from chest radiograph. for assessment of subtle changes in adenopathy, chest ct is recommended.
MIMIC-CXR-JPG/2.0.0/files/p12836341/s59857236/6d8aa3ef-fe565e3f-d9030910-3f0ad9ff-e46024f7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11741555/s52003692/51a35f40-feb3964b-b06bc9d2-323a287a-63ede292.jpg	recent appearance to the mediastinum compared outside study. patient has known aortic dissection.
MIMIC-CXR-JPG/2.0.0/files/p17978572/s52521981/0b4ef7b2-47264311-8bf43ceb-2a0053ae-98b25acd.jpg	pa and lateral chest compared to : moderate right pleural effusion is recurring. elliptical opacity in the right mid lung in the region of clearing atelectasis and consolidation is concerning for lung abscess, given appearance of chest ct scans showing a focus of necrosis in the consolidated right upper lobe. left lung grossly clear. moderate cardiomegaly is stable. there is no pulmonary edema. transvenous right atrial pacer and right ventricular pacer leads are in standard placements. was paged to report these findings at , at the time of discovery, and we discussed them at am.
MIMIC-CXR-JPG/2.0.0/files/p18699864/s50185831/7a60f9c9-0c9b2e6b-4f66d855-8578cbc9-021a6a3d.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p18765859/s50620063/06aa86ab-fe7c9ff3-c067964b-43113be0-6a824ffc.jpg	normal radiographic chest with no explanation for patient's symptoms.
MIMIC-CXR-JPG/2.0.0/files/p11793360/s54389540/c79b6426-8064cbc0-8a8817d8-ea12a5b2-f52291d9.jpg	top-normal heart size is unchanged dating back to. right basal consolidation continues to be substantial, slightly more conspicuous concerning for infection. left retrocardiac opacity is present as well, also concerning for potential infectious process. atelectasis, although possibility my potentially obscure infectious process. please correlate with patient clinical symptoms.
MIMIC-CXR-JPG/2.0.0/files/p14575349/s53835921/503038d9-caee6fa5-92d1e252-8a45e69f-a0c363bc.jpg	interval increased prominence of right middle lobe opacity, suggesting possible chronic middle lobe syndrome with or potentially chronic mac infection - follow-up with short-term radiographs or chest ct could be performed if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p16809525/s51379720/fc3fb418-4b80e4fb-3d229192-272b1e1a-9720b60f.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13485127/s57595857/804c2d8d-d6f5d6be-c1da9ba2-b37038e2-d7503aea.jpg	small left pleural effusion. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10507647/s50528424/bac6c691-754cea20-6a4720f1-95486d70-1a4735cc.jpg	no acute infectious process.
MIMIC-CXR-JPG/2.0.0/files/p17028437/s51092207/a021b242-0a9d1154-0e9261c3-572ef1d4-4687c2aa.jpg	no new opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14878930/s54064034/841bc517-26c598a9-38a38c9a-2402d0c9-91042f19.jpg	in comparison with the earlier study of this date, there is little change. tracheostomy tube remains in good position. retrocardiac opacification with obscuration of the hemidiaphragm again is consistent with volume loss in the left lower lobe with pleural fluid. cardiac silhouette remains enlarged with mild elevation of pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p10873606/s50656059/4487789b-4d6b4e88-dc056b47-73bdedd8-0d554d59.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12183714/s58562614/5f9fce07-43ae0ee5-ace91a04-46170436-70e73501.jpg	slight interval increase in the mild right pleural effusion and adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13876660/s57289159/d947c413-6b2ac011-645102a8-5028b5da-a0f0584a.jpg	retrocardiac opacity which could be atelectasis however infection cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p16972833/s58650748/34712668-edd72082-46a80b7a-9b6638fe-e960aa98.jpg	hyperexpanded lungs, a large bleb and prominent interstitial markings is consistent with chronic lung disease. prominence of the cardiac silhouette and mild vascular congestion is consistent with chronic heart disease. left lower lobe consolidation could be due to atelectasis, pleural effusion or consolidation and in the appropriate clinical setting is worrisome for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12035173/s58560571/76c662b2-2a1a76cd-fa38a88b-cc2c173a-9055c998.jpg	this study is not designed for evaluation of interim cervical stabilization. small to moderate bilateral pleural effusion and some bibasilar atelectasis are new postoperatively. upper lungs are clear. there is no pneumothorax. heart size is normal. et tube is in standard placement. upper enteric drain passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p12691429/s53111772/991f2aa6-7c3edece-f0119c08-d0f1ce32-36d1083d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11446556/s58803489/c739b963-61387340-faf36a1f-98391498-52dd1f86.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10146735/s51894296/ddc7b8b0-50b5b154-c843b5ab-408719aa-29f28718.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11976982/s59331867/4441bb84-0a7c0e71-f54ca21c-f81da437-7731a77b.jpg	increasing patchy consolidation of the left lung. given the short time interval, this change is likely either due to worsening infection, edema, or hemorrhage, rather than tumor spread superimposed on the known metastases. stable near-complete opacification of the right lung from effusion, consolidation, and tumor burder. diffuse widespread osseous metastases.

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in comparison with the study of , the monitoring and support devices are essentially unchanged. no evidence of pneumothorax. bibasilar opacifications are again seen, consistent with atelectasis and effusion. however, in the appropriate clinical setting, a superimposed pneumonia must be considered. no evidence of appreciable pulmonary edema.

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no acute intrathoracic process. please refer to subsequent ct abdomen and pelvis for further details.

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no acute cardiopulmonary process; streaky left basilar opacity is likely to represent minor atelectasis or scarring. moderate cardiomegaly. right diaphragmatic eventration.

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comparison to. no relevant change. the nasogastric tube has been removed. normal size of the cardiac silhouette. normal appearance of the lung parenchyma. no pneumonia, no pulmonary edema, no pleural effusions.

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no acute intrathoracic process. intervally resolved pleural effusions.

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interval placement of endotracheal and enteric tubes in appropriate position.

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ap chest compared to through. pulmonary edema developed between and and subsequently worsened. since then, major changes have been greater opacification at the lung bases and radiographically one cannot distinguish between combination of dependent edema and atelectasis with the development of concurrent pneumonia. the cardiac configuration favors a very large left atrium. mild edema is still present in the upper lungs, and pleural effusions are presumed, but not large. no pneumothorax.

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small left pleural effusion, similar to the previous study, with continued left basilar opacity potentially reflective of compressive atelectasis but infection cannot be excluded.

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questionable area of increased opacity in right infrahilar region for which repeat chest radiograph is recommended within <num> hours to exclude early pneumonia.

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as compared radiograph, pulmonary edema has worsened and is now moderate in severity with bilateral small pleural effusions, right greater than left. endotracheal tube has been advanced, with tip at the level of the carina directed towards the right main bronchus.

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interval improvement/near resolution of the right-sided pneumonia. should symptoms persist, repeat studies are recommended, otherwise, follow up is not necessary.

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no acute cardiopulmonary process.

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substantial interval progression of pulmonary edema is demonstrated with widening out of the lungs bilaterally. right internal jugular line tip is at the level of superior svc. pacemaker defibrillator leads are in expected positions. cardiomegaly is unchanged. calcified mediastinal lymph nodes are re- demonstrated.

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no acute intrathoracic process.

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coned-down radiograph of the thoracoabdominal junction demonstrates advancement of a feeding tube within the stomach. distal tip is directed cephalad. exam is otherwise remarkable for apparent increase in size of right pleural effusion, difficult to accurately compare due to positional differences and incomplete imaging of the chest.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no evidence of acute traumatic injury. however, known fracture of the left transverse process of t<num> is not appreciated on this study.

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no definite acute cardiopulmonary process.

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new right mid lung zone opacity most consistent with pneumonia.

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overall stable appearance of known lung masses as compared to prior chest ct. no definite new focal consolidation identified however small superimposed infections may not be visualized given extensive bilateral opacities. small right -sided pleural effusion appears slightly increased in size.

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in comparison with the study of , there is now complete opacification of the right hemithorax without shift in mediastinal contents to the opposite side. this most likely represents extensive hydrothorax as in the clinical history with compensatory volume loss in the underlying lungs so that there is no shift of the mediastinum. the left lung is essentially clear. monitoring and support devices remain in place.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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apparent widening of the mediastinum is likely due to low lung volumes, patient positioning, and ap technique. no pneumothorax or pulmonary edema. retrocardiac opacity is likely due to atelectasis, but in the appropriate clinical setting, infection could be a possibility. recommendation(s): repeat radiographs with a true symmetric frontal view are recommended.

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progression of moderate pulmonary edema. a followup radiograph after diuresis is recommended to assess for underlying infection given clinical concern for pneumonia. new small bilateral pleural effusions, left greater than right.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , the cardiac silhouette is within upper limits of normal in size without vascular congestion, pleural effusion, or acute focal pneumonia. dual-channel pacer leads extend to the right atrium and right ventricle in this patient with prosthetic valve and intact midline sternal wires.

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no acute intrathoracic process.

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probable early/focal right middle lobe pneumonia. considering clinical suspicion for pneumonia, recommend followup chest x-ray in weeks after antibiotic therapy to assess for resolution.

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no acute cardiopulmonary process.

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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis, or cardiac decompensation.

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no definite acute cardiopulmonary process.

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no acute intrathoracic process.

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compared to the only prior chest radiographs available,. very small region of new consolidation in the right middle lobe is seen only on the lateral view against the major fissure. lungs are otherwise clear. cardiomediastinal and hilar silhouettes are normal. there is no pleural abnormality. indwelling dual channel right transjugular central venous infusion catheter ends in the mid svc as before. findings could be due to very early pneumonia.

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low lung volumes and elevated right hemidiaphragm. no focal consolidation.

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no acute cardiopulmonary process.

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marked interval improvement in the appearance of the lungs. trace effusions without evidence of consolidation.

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mild increase in interstitial markings fairly diffusely bilaterally, could represent mild interstitial edema, but atypical infection not excluded. posterior basilar opacity seen on the lateral view may relate overlap of structures although subtle consolidation not excluded.

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no new pulmonary abnormalities in this patient with history of neoesophagus complicated with right sided chest wall empyema.

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no findings suggestive of pneumonia. focal rounded density at the right lung base may represent an overlying nipple shadow. however, in the absence of prior imaging studies and for a complete evaluation, repeat examination with nipple markers is recommended.

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no acute findings in the chest.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with the study of , there is suggestion of an area of increased opacification in the retrocardiac region on the lateral view. on the frontal image, this probably is projected on the left and is consistent with a developing left lower lobe pneumonia.

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new moderate cardiomegaly and/or pericardial effusion. probable volume overload

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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right central venous catheter terminates at the cavoatrial junction. bibasilar opacities suggestive of mild interstitial pulmonary edema.

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no acute cardiopulmonary abnormality.

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new mild pulmonary edema. stable small bilateral pleural effusions, slightly greater on the left than the right. stable left upper lobe nodule and ill-defined right upper lobe opacity which may be a second nodule or a fibrotic conglomerate.

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acute left lateral seventh rib fracture. ed qa nurses were emailed at am after attending review.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, there is improvement of the pre-existing right upper lobe parenchymal opacity. newly occurred retrocardiac atelectasis. no other parenchymal changes. the patient has been extubated, the nasogastric tube and the left subclavian line are in unchanged position.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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little change from one day prior. small bilateral pleural effusions and mild vascular congestion persist.

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pulmonary edema persists but is improved compared to <num> hours earlier with a small left pleural effusion. no focal consolidation to suggest pneumonia.

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no conventional radiographic evidence of interstitial lung disease. however, if clinical suspicion is high, consider a high-resolution chest ct, as it is more sensitive than radiographs for detecting interstitial abnormalities.

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known large left upper lobe pulmonary mass. no new focal consolidation.

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no acute intrathoracic process.

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in comparison to , cardiomediastinal contours are stable. new left retrocardiac opacity favors atelectasis, although aspiration and an evolving infectious pneumonia are additional considerations. small left pleural effusion is a persistent finding. dilated loops of bowel in the imaged upper abdomen are incompletely evaluated on this chest radiograph. dedicated abdominal radiographs may be helpful to exclude the possibility of an obstructive pattern.

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no acute cardiopulmonary abnormality.

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worsening congestive heart failure with increasing interstitial edema. focal opacity in left upper lobe. followup radiographs after diuresis may be helpful to distinguish an asymmetrical area of edema from a focal pneumonia.

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no acute cardiopulmonary process.

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

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left picc ends in the proximal to mid svc. persistent cardiomegaly and left pleural effusion. interstitial edema. redemonstrated left apical mass like opacity corresponding to lesion seen in this location on prior ct scan.

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opacity in the lingula. given recent infection, pneumonia is likely; however, given long history of smoking, a mass cannot be ruled out. followup imaging is recommended.

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possible mild central pulmonary vascular engorgement without overt pulmonary edema. persistent mild cardiomegaly.

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small left pleural effusion. otherwise, no acute cardiopulmonary process.

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re-expansion of the left lower lobe.

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retrocardiac opacities in likely reflect left lower lobe atelectasis but infection cannot be excluded.

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prominent pulmonary arteries, suggesting pulmonary arterial hypertension. right tracheal deviation at the level of the aortic arch; aneurysm cannot be excluded. compression deformity of a lower thoracic or upper lumbar vertebral body, age indeterminate. correlation for pain at this level is recommended. findings were reported to by by telephone at on at the time of discovery of these findings.

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no evidence of acute disease.

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small airways obstruction. heart mildly enlarged, unchanged since. lungs clear. no mediastinal or hilar abnormalities. normal pleural surfaces.

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mediastinal and hilar adenopathy with parenchymal nodular densities. there is no definite change in the degree of adenopathy from chest radiograph. for assessment of subtle changes in adenopathy, chest ct is recommended.

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no acute cardiopulmonary process.

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recent appearance to the mediastinum compared outside study. patient has known aortic dissection.

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pa and lateral chest compared to : moderate right pleural effusion is recurring. elliptical opacity in the right mid lung in the region of clearing atelectasis and consolidation is concerning for lung abscess, given appearance of chest ct scans showing a focus of necrosis in the consolidated right upper lobe. left lung grossly clear. moderate cardiomegaly is stable. there is no pulmonary edema. transvenous right atrial pacer and right ventricular pacer leads are in standard placements. was paged to report these findings at , at the time of discovery, and we discussed them at am.

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no acute findings in the chest.

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normal radiographic chest with no explanation for patient's symptoms.

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top-normal heart size is unchanged dating back to. right basal consolidation continues to be substantial, slightly more conspicuous concerning for infection. left retrocardiac opacity is present as well, also concerning for potential infectious process. atelectasis, although possibility my potentially obscure infectious process. please correlate with patient clinical symptoms.

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interval increased prominence of right middle lobe opacity, suggesting possible chronic middle lobe syndrome with or potentially chronic mac infection - follow-up with short-term radiographs or chest ct could be performed if warranted clinically.

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no definite acute cardiopulmonary process.

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small left pleural effusion. no evidence of pneumonia.

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no acute infectious process.

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no new opacity concerning for pneumonia.

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in comparison with the earlier study of this date, there is little change. tracheostomy tube remains in good position. retrocardiac opacification with obscuration of the hemidiaphragm again is consistent with volume loss in the left lower lobe with pleural fluid. cardiac silhouette remains enlarged with mild elevation of pulmonary venous pressure.

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no focal consolidation.

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slight interval increase in the mild right pleural effusion and adjacent atelectasis.

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retrocardiac opacity which could be atelectasis however infection cannot be entirely excluded.

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hyperexpanded lungs, a large bleb and prominent interstitial markings is consistent with chronic lung disease. prominence of the cardiac silhouette and mild vascular congestion is consistent with chronic heart disease. left lower lobe consolidation could be due to atelectasis, pleural effusion or consolidation and in the appropriate clinical setting is worrisome for pneumonia.

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this study is not designed for evaluation of interim cervical stabilization. small to moderate bilateral pleural effusion and some bibasilar atelectasis are new postoperatively. upper lungs are clear. there is no pneumothorax. heart size is normal. et tube is in standard placement. upper enteric drain passes into the stomach and out of view.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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increasing patchy consolidation of the left lung. given the short time interval, this change is likely either due to worsening infection, edema, or hemorrhage, rather than tumor spread superimposed on the known metastases. stable near-complete opacification of the right lung from effusion, consolidation, and tumor burder. diffuse widespread osseous metastases.