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/p11007330/s54640282/96d06e9f-a1048184-4cb0e2f0-b2be7517-48f07d14.jpg	faint opacity at the left base likely reflects pericardial fat pad, less likely pneumonia. curvilinear opacity at the medial right hemidiaphragm is likely contained within bowel. intraperitoneal free air is difficult to exclude completely, however a left lateral decubitus radiograph of the abdomen should be able to answer the question.
MIMIC-CXR-JPG/2.0.0/files/p19907502/s50863479/737eac0f-3a8e4a4c-905e3c5e-1e576e34-57d55222.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13962306/s58694768/dc61f5da-59dbafee-5cfb179d-6ddaba2f-0acdb7d6.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p13520806/s58449113/f32b268f-126793bd-165052ce-1220cd94-ba214780.jpg	interval development of large left and small-to-moderate right pleural effusions, of unclear etiology, and adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15063680/s51190771/f85e19eb-ea6f5c29-acc6b6ed-4a665dd0-0964591e.jpg	linear opacity in the right upper lung zone, which has increased in size since the prior exam. given the underlying copd, recommend further characterization with a non-emergent ct of the chest to exclude malignancy. results were emailed to the ed nurses on by dr.
MIMIC-CXR-JPG/2.0.0/files/p17336743/s53097598/371f4c12-af37bb94-42dbbef6-499178f4-62555f41.jpg	since the prior study there has been readjustment of the left chest tube. minimal left apical pneumothorax is still suspected although smaller. there is interval improvement of the left perihilar opacity but increase in the right infrahilar opacity concerning for aspiration. et tube tip is better adjusted, terminating <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p19557250/s53936566/deee5b7f-3f69de75-ce2a9bd3-95d416b1-844147de.jpg	comparison to. monitoring and support devices are in constant position. an atelectasis at the right lung bases has resolved. moderate cardiomegaly with retrocardiac atelectasis persists. no larger pleural effusions. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14274761/s59129181/0808a350-e3357e06-0d0022b3-843a5116-7dd573c8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18823293/s54563016/475a485b-2731192a-dcabd04a-006326b6-d2ce9e7d.jpg	cardiomegaly, mild pulmonary edema and pacemaker in place.
MIMIC-CXR-JPG/2.0.0/files/p17543503/s53082367/b3279838-780b2c71-0aa71eea-2d20a90f-a3fff6a5.jpg	as compared to the previous radiograph, the left and right lung base have increased in radiolucency, likely reflecting improved ventilation. unchanged borderline size of the cardiac silhouette. unchanged monitoring and support devices. no new focal or diffuse parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p16070835/s54791264/a36c30d4-52fb0181-bf11ea2d-052be2a7-dfb7c8ed.jpg	no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. some elevation of the right hemidiaphragmatic contour is seen.
MIMIC-CXR-JPG/2.0.0/files/p17096578/s51953751/785a70dc-8f7cf86d-b4de4617-e075b27a-a6e160ba.jpg	findings concerning for pneumonia in the right lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p10637168/s50569114/35e205b5-2e5a5077-d084d8b9-38bf41c7-0ffdf6d3.jpg	interval improvement of previously noted pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15979773/s58720115/accccec0-b319feb6-d5bd6b6c-35f692b3-c8bbd2fc.jpg	endotracheal tube terminates <num> cm above the carina in appropriate position. lung volumes are low with bibasilar atelectasis. previously described right middle lobe opacity is not well visualized due to overlapping cardiac silhouette and patient rotation. no pleural effusion or pneumothorax. chronic elevation of the left hemidiaphragm is unchanged. right humeral head surgical hardware is partially visualized.
MIMIC-CXR-JPG/2.0.0/files/p14153990/s54873948/0666474d-8336a6f1-cab05f91-2bba4af5-bd98d81d.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p15115062/s58594641/c24b42ff-e6abe0c0-c7363dc3-068e95f7-4ab0c021.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17983903/s51807093/386ae106-bfc80f0f-1d09c7c8-795beba6-fc44aff6.jpg	as compared to the previous image, the nasogastric tube has been advanced. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carina. no pleural effusions. no pneumonia. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10378109/s58277651/edc18e13-a60bf1c3-d32d0408-9ddff84a-92d66119.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13784236/s55572975/d28ef464-b945efc6-e8eb0e96-1c387a56-ca6e3240.jpg	as compared to the previous radiograph, the dobbhoff catheter was repositioned. the catheter now shows a normal course, the tip is located in the middle parts of the stomach. no complications, notably no pneumothorax. otherwise, the radiograph is unchanged as compared to the previous image.
MIMIC-CXR-JPG/2.0.0/files/p16295551/s52950951/cde13eb3-15c69dd3-7091a4b1-eff9f674-3cf2fc64.jpg	low lung volumes. interval placement of a chest tube with a somewhat loculated pneumothorax in the right apex and the lateral lung in the area of recent surgery. multiple chain sutures are present with some adjacent opacity likely representing post-operative changes. left lung appears grossly clear. heart is upper limits of normal in size given portable technique. overall mediastinal contours are likely stable. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p14963499/s50525245/4e987bfb-287a540a-32692d39-1bf273f9-c18ea29a.jpg	as compared to the previous image, there is a newly appeared centralized bilateral and symmetrical pattern of parenchymal opacities, predominantly alveolar in morphology, an combined to enlarged vessels and an enlarged cardiac silhouette. although massive pneumonia could be possible, the simultaneous presence of minimal pleural effusions, seen on the lateral radiograph, rather suggests acute or subacute centralized pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16831093/s53062737/abd4ad41-4c6f47a8-6cd01ee5-8f12b7ff-cdf13390.jpg	normal chest. please note that radiography is not sensitive for chest wall trauma.
MIMIC-CXR-JPG/2.0.0/files/p19548130/s55625790/2173d725-4693b5e4-57b0ba17-3f90503c-b91d3f51.jpg	diffuse interstitial opacities with no significant change from prior. no new consolidation is appreciated but impossible to exclude due to the diffuse interstitial opacities.
MIMIC-CXR-JPG/2.0.0/files/p12032671/s51941502/738a49f6-f7798b22-62eb85e9-ceb6d863-03ec6afc.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p17215379/s58884247/21a9fd32-349da3cd-85897110-19ed4a4d-79468132.jpg	bibasilar subsegmental atelectasis and tiny bilateral pleural effusions, decreased in size from the prior study. pacing leads in unchanged positions. mild cardiomegaly, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p15447063/s58049977/80c1d88e-0a84c04d-30ce809e-9692febe-25a3dc59.jpg	mild interstitial pulmonary edema, worse when compared to prior study. small bilateral pleural effusions. patchy ill-defined opacities within the periphery of the right upper and left mid lung fields. findings are nonspecific but may represent areas of developing infection.
MIMIC-CXR-JPG/2.0.0/files/p19544359/s51066752/89dbd647-c5ded058-662d961e-0731d8c4-158705bf.jpg	right basilar pigtail catheter is seen. there continues to be a lateral and basilar hydropneumothorax with interval decrease in the apical component. patchy opacity at the right lung base reflects partial atelectasis of the right middle and lower lobes. the left lung remains clear. there is likely a small residual right effusion. several lytic bone lesions are seen involving the ribs consistent with known metastatic disease. overall, cardiac and mediastinal contours are stable. radiopaque densities projecting over the left upper quadrant are felt to represent artifact.
MIMIC-CXR-JPG/2.0.0/files/p10600719/s55595999/48311abd-a7f9f804-7818817d-a4bc12c0-acb69c1b.jpg	in comparison with the study of , there is again some hyperexpansion of the lungs suggesting chronic pulmonary disease. no evidence of pneumonia, vascular congestion, or pleural effusion. pacer leads remain in place.
MIMIC-CXR-JPG/2.0.0/files/p15461553/s50350313/f869bb85-3e2e2e88-934475fc-5916bf19-648aab52.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17750991/s58445293/b538d690-8c319829-8103f3f2-1c0fe0b6-234968df.jpg	mild bibasilar atelectasis in the setting of low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p14297485/s59530110/6f601c51-ab0dfaf6-69fc50f2-0e96a20d-1cccac73.jpg	no relevant change as compared to prior. no pneumonia. blunting of the right costophrenic sinus is caused by a pericardial fat pad.
MIMIC-CXR-JPG/2.0.0/files/p18625288/s56184821/9e9d2eaf-04263980-3859cd2a-eaf2032f-d97c0228.jpg	ap chest compared to. previous pneumoperitoneum is resolved. right supraclavicular central venous infusion port ends at a level nearly <num> cm below the carina and would need to be withdrawn <num> cm to re-position it low in the svc. lungs are clear. pleural and mediastinal contours are unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p15010038/s56836887/d2f52ab3-221196b5-086554a4-0a0999be-66bfb26e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13427502/s54257131/9684e5d4-89375abb-a3fe9ccf-5d7c91de-322ab4d0.jpg	no evidence for acute cardiopulmonary disease or free air.
MIMIC-CXR-JPG/2.0.0/files/p12466486/s58247455/b2180551-50d0d6c7-b0d1871d-13c26a21-0fef5288.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13706076/s50919906/7ab5cdd0-04b31b85-6777325d-a3d5b69d-99362688.jpg	no injury seen in the chest.
MIMIC-CXR-JPG/2.0.0/files/p13198542/s51209282/3799d074-79c00f51-65bd6099-ac607b38-966e3213.jpg	ap chest compared to : lungs are low in volume but nearly clear; right basal atelectasis has improved. borderline cardiomegaly and mediastinal vascular engorgement have increased, but pulmonary vasculature is normal and there is no edema or appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16024297/s50027618/43954a37-79b936e3-a2548f4e-732e828f-98770688.jpg	left lateral chest wall subcutaneous emphysema again noted. the previously reported small left apical pneumothorax is not definitively seen on this examination. patchy bibasilar opacities, left greater than right, which likely reflect atelectasis, although superimposed pneumonia cannot be excluded. there continues to be left lateral pleural thickening which could reflect a component of loculated fluid. no evidence of pulmonary edema. overall cardiac and mediastinal contours are likely unchanged but somewhat difficult to assess due to the opacification at the left base.
MIMIC-CXR-JPG/2.0.0/files/p10867166/s55238910/1c1a5765-2f12f0cc-bb530594-c4ffb848-66d80524.jpg	in comparison with the study , there is continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure that may be less prominent than on the previous study. bibasilar opacifications are consistent with pleural effusions and compressive basilar atelectasis. dual-channel pacer device is now in place from a left subclavian approach with leads in the region of the right atrium and apex of the right ventricle.
MIMIC-CXR-JPG/2.0.0/files/p16477996/s59323005/3fd1f3c1-ffec1d07-9e88c0c4-a8ff9d5a-f91e068a.jpg	right peribronchial opacity may be attributed to a central airway infection such as a bronchopnuemonia. however, if symptoms persist, repeat radiographs should be performed with shallow oblique views to reassess the finding. this recommendation was communicated with the ed nurse team via email at on
MIMIC-CXR-JPG/2.0.0/files/p10509294/s50283471/60f7f9c7-2b6a03e2-19489362-a3ff17b6-b14922b5.jpg	ap chest compared to : tip of the endotracheal tube above the upper margin of the clavicles, at least <num> cm from the carina, should be advanced <num> to <num> cm for more secured seating. lungs low in volume but clear. heart size normal. no pleural abnormality. right jugular line ends low in the svc.
MIMIC-CXR-JPG/2.0.0/files/p13595620/s55209985/6e19ef01-fde63db1-4b47794a-419a4ccf-12a2de2f.jpg	mild interstitial pulmonary edema with small bilateral pleural effusions and moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p10470881/s57585545/bb52de02-95f6f692-e3af01f0-d4dd47d4-5e14fb2f.jpg	compared to chest radiographs. mild pulmonary edema has improved. heart size is normal. pulmonary vasculature is mildly engorged in the upper lungs, but mediastinal veins are not distended. small right pleural effusion is presumed. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18035291/s51937453/1d1eed00-ed91be1e-8340c3ba-e3637c29-4abd4965.jpg	as compared to the previous radiograph, the lung volumes have substantially increased, likely reflecting improved ventilation. today's radiograph shows no evidence of any lung parenchymal abnormality. no evidence of pleural effusions on the lateral image. normal size of the cardiac silhouette. mild elongation of the descending aorta.
MIMIC-CXR-JPG/2.0.0/files/p11667471/s58635270/c6aa502d-e6e8b118-f70e741d-b28dfc45-c73c705d.jpg	study is essentially unchanged from prior. stable left-sided atelectasis and pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14574396/s58999496/c3b45f13-448d26df-b3fb2558-5642a892-a7bfdd65.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13378489/s55854236/cf841efc-ef7ecf35-a620e6a6-bb61a5c5-d62e9635.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15111504/s55421744/14d9e1dd-e47d8fab-7cb1eee0-c5a276de-8f9e3420.jpg	early left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15645371/s57613096/cfc6eb82-19a599f8-4b0d0032-64c08a0d-c5b75305.jpg	as compared to the previous radiograph, no relevant change is seen. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions. normal hilar and mediastinal structures.
MIMIC-CXR-JPG/2.0.0/files/p11868766/s56526330/b97c048a-84856b8c-103284eb-b6f32d4d-8ad1ce89.jpg	in comparison with the study of , allowing for differences in patient position, there is probably little overall change in the appearance of the heart and lungs. the endotracheal tube is been pulled back so that the tip now lies approximately <num> cm above the carina. right ij swan-ganz catheter is unchanged, as is the left chest tube. no evidence of pneumothorax, though there is opacification silhouetting the left hemidiaphragm consistent with pleural fluid and volume loss in the left lower lobe. mild indistinctness of pulmonary vessels is consistent with some elevation in pulmonary venous pressure.
MIMIC-CXR-JPG/2.0.0/files/p10480982/s57567354/41713c55-af96fa68-4219f957-0286ac6f-8f2e9b03.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16779215/s54198194/4acec7c5-af3e495a-efff99c5-2b08f4b6-a4778c81.jpg	compared to prior chest radiographs , read in conjunction with the torso ct on. patient has been extubated and radiographic positioning has changed, but it is safe to say that there is still marked elevation of the base of the aerated right lung. there is probably still substantial right pleural effusion and collapse of the lower lobe, and some atelectasis in the middle lobe. left lower lobe is still consolidated. pulmonary vasculature is engorged but there is no edema. no pneumothorax. cardiac silhouette is partially obscured, but probably unchanged acutely. right upper thoracostomy tube in place. right pic line is looped outside the chest in the right axilla. recommendation(s): if there is clinical justification for better assessment of the nature of bibasilar consolidation in the volume of pleural fluid, ct scanning, ideally with intravenous contrast, would be required.
MIMIC-CXR-JPG/2.0.0/files/p19437821/s59797105/d9941fa3-1e1744ee-7f0c9a5d-cbe62d7b-42ba5071.jpg	large right and small left pleural effusions. moderate right and mild left opacities, which are not specific but could be seen with associated compressive basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17936825/s58490296/a050ec6f-cdc07f8b-26771f30-0eb39ebe-27c3996b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17717052/s53624349/595bb5a8-fec3434c-faaced51-8cfad246-5ef3b7fd.jpg	small right pleural effusion and mild cardiomegaly. no airspace consolidation or pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10724345/s58409000/a9fd9635-1dbc4b41-ddb9c1ba-1866fca3-6a7f7dff.jpg	et tube tip approximately <num> cm above the carina. additional lines and tubes as described. patchy opacity in retrocardiac region consistent with left lower lobe collapse and/or consolidation is probably slightly worse. a small left effusion is also present.
MIMIC-CXR-JPG/2.0.0/files/p12770117/s55194986/98219b36-3bb6e3db-26e3cb30-637b979b-e3614723.jpg	as compared to the previous radiograph, the patient has received a right-sided pigtail catheter. the position of the catheter is unremarkable. the pre-existing right pleural effusion has almost completely drained. the apical portion of the effusion, however, is constant. no pneumothorax. unchanged monitoring and support devices. unchanged extensive opacities in the left lung.
MIMIC-CXR-JPG/2.0.0/files/p15165618/s51756077/404e875f-050a7bd0-917f16f6-a19c55e7-9d02ba7e.jpg	left subclavian picc line is unchanged in position. although the lung volumes have slightly diminished, no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or large effusions. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p17596629/s57800558/b05c80ff-839528e2-a0a09f7f-4892bbb5-396228a3.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p17282121/s57437202/6f6a65ab-6d26dc52-0c70957b-d650ab0a-5c60b8fc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11947272/s55333685/c848e68c-0cc47ff7-6670e380-0f874d68-ac5134dc.jpg	hyperinflated lungs without definite sign of pneumonia or chf.
MIMIC-CXR-JPG/2.0.0/files/p12950544/s55069593/905ce570-36ccb686-1ba87e68-940fb084-ba37e320.jpg	no evidence of acute cardiopulmonary abnormality. mild interstitial lung abnormality and/or airway inflammation, usually chronic.
MIMIC-CXR-JPG/2.0.0/files/p15324066/s56584978/90ac1a07-c2fddaa4-d1662710-321b7823-74780967.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16909197/s52116034/9e395314-18911722-fd2ecfc8-f5de24d6-f9c90cd3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11945588/s57588668/a2c9af7d-101ffb0a-ae4c0f1b-209033bc-6506dbb1.jpg	as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. no nasogastric tube is visible. newly appeared multifocal opacities, predominating in the right upper lobe and at the bases of the left lower lobe. mild fluid overload overlays these opacities. no larger pleural effusions are visualized. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p15877362/s51198686/1709c3d5-fdf247a1-9780c516-f10ee1c5-9453ed42.jpg	subtle opacity of the left lower lung abutting the left heart border which may represent an early lingular pneumonia. please refer to subsequent cta chest for additional details.
MIMIC-CXR-JPG/2.0.0/files/p17540937/s56355393/c076112d-4334cf85-f98d3939-91bb064e-9c36236b.jpg	no acute cardiac or pulmonary process. no definite rib fracture. if there is persistent concern for a rib fracture, further evaluation could be performed with a dedicated rib series including an appropriately placed radiopaque skin marker.
MIMIC-CXR-JPG/2.0.0/files/p11969967/s50260930/7561e5e6-558435d8-34666716-ff6b2c1d-38648ab6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17229811/s57430001/dbb414a9-723f7492-2dd93456-e62599ac-0b3edd36.jpg	right lower lobe focal consolidation consistent with pneumonia. followup chest radiograph is recommended in four weeks to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p19747287/s51763515/9f505091-acf113ab-d9b4e793-7b55c106-e75f11f5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16865608/s55575461/08336dd8-d257a0ea-ea2a8f61-11a5af2b-497a5798.jpg	comparison to. enlargement of the bilateral pulmonary hilar vascular structures, suggestive of pulmonary hypertension. signs of mild pulmonary edema with basal apical blood flow redistribution. additional mild right basal parenchymal opacity, potentially representing pneumonia. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18878115/s51998946/2fe0c6c6-5683f4ed-61db6e04-74666eb2-fdfa8686.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16691654/s53164549/dac33317-692d696d-906d0c43-856338db-ed7a6172.jpg	normal radiographic study of the chest.
MIMIC-CXR-JPG/2.0.0/files/p14281506/s50939879/5cfe8c3c-6c4f22f3-ed9b8a8a-be7b27f1-7b4d7f20.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17858377/s51874203/e5d13a4c-c557cb4b-f24dcddc-ced8d1a7-5ade6e45.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19299068/s58223632/a9ec7cd5-eaede2b0-357b0d30-86beeb13-a4220ba8.jpg	diffuse interstitial anatomy interstitial abnormality compatible with patient's history of nsip. no definite superimposed acute consolidation one could be obscured by the diffuse underlying abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18413332/s57341907/aa027d43-4c19ce4b-4a8f9ba4-a7946eb5-480682c4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10274714/s55423693/5a3556bc-74b37558-34330460-e05f52f3-4e4a5c1a.jpg	no radiographic evidence of sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p14208745/s53307044/bc393641-c3a9e3f1-bf3c5e5d-e11119de-216bcd5b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12292383/s53456056/0ef250a4-5ea5edff-1b1ee569-b9012656-3a403d9c.jpg	previous vascular congestion in the lungs has resolved. moderate cardiomegaly improved. pleural effusion small if any on the right. no pneumothorax. lungs grossly clear. transvenous right atrial and left ventricular pacer leads and <num> right ventricular pacer defibrillator leads are unchanged in their respective positions since at least. no pneumothorax or mediastinal widening.
MIMIC-CXR-JPG/2.0.0/files/p18156009/s57192606/aa91f3b5-734853c1-2c7b204f-646f055e-17e705fa.jpg	interval resolution of right middle lobe opacification. dense appearing major fissure may represent atelectatic changes or pleural pleural fluid collection.
MIMIC-CXR-JPG/2.0.0/files/p12311494/s56706182/af3c8795-91a59b97-a7d5ec43-ca3d10e5-75ab66dd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13528093/s55532744/87cb5a7e-a85693c8-42c54884-cab4f082-3b37fb6a.jpg	there has been interval removal of the right pigtail catheter with placement of a chest tube. there has been interval decrease in size of the right lateral and apical pneumothorax with only a tiny residual pneumothorax visible on the current study. the left lung is grossly clear. overall, cardiac and mediastinal contours are within normal limits. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16623281/s57647893/a665c3eb-02d00956-a6d6d066-f2652314-e812b4b5.jpg	faint opacity overlying the right lower lobe may be representative of atelectasis versus early developing pneumonia in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19507539/s50688278/14d7cad6-2051a65d-7648df7e-ed14581d-88a27586.jpg	continue interval progression of diffuse lung opacities, the differential diagnosis still includes: edema, infection or ards. patient has known emphysema. mild cardiomegaly has minimally increased. amount of pleural effusions is difficult to evaluate presumably present and small. ng tube tip is in the stomach. left picc tip is at the cavoatrial junction. there are low lung volumes
MIMIC-CXR-JPG/2.0.0/files/p18867154/s59172694/9ee3935c-7133821e-ed425f90-874e69b4-0c9c30eb.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14958140/s59663932/52511ecf-f173ea4b-f78194de-ab2e240a-429329c4.jpg	no pneumonia, edema or effusion. recommend repeat radiograph with nipple markers with shallow obliques to evaluate right lower lung nodule. recommendations discussed with dr by phone at am.
MIMIC-CXR-JPG/2.0.0/files/p11071924/s58120864/c78ac0e3-9bbeacf6-fea9d33d-a1d9a00e-47ddca85.jpg	no acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19328896/s53897236/a8538e5f-1a38424c-54349523-d8f92040-52fefcc7.jpg	lingular pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14045846/s58117554/d66054ac-8789334e-73c605da-22f38712-7c73a890.jpg	there is a right sided picc line with the distal lead tip in the distal svc. heart size is within normal limits. surgical clips are seen projecting over the ge junction. there is mild prominence of the pulmonary interstitial markings with minimal atelectasis at the lung bases. no definite consolidation or pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p11459825/s53370483/ac298069-7b16574d-3910df7b-447b126b-aecba59b.jpg	increased interstitial markings in the lung, suggestive of mild pulmonary edema. possibility of chronic underlying interstitial process is also possible.
MIMIC-CXR-JPG/2.0.0/files/p16649023/s53419527/7e4c4687-f6c6abc5-b6334f77-103108d9-d43ecb87.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p10870329/s53381903/5624e50c-102b53b5-0b7e02f1-dff07e41-0d876b9f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19098873/s52051067/be9ed7a6-3dea5d4f-00fdeb44-80954be5-7c371f12.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15616719/s53708113/cfaced17-a711fa7f-6122c245-4f783582-58c9586c.jpg	compared to chest radiographs through. <num> successive chest radiographs show advancement of the esophageal feeding tube from the mid esophagus to the upper stomach to the mid stomach. wire stylet is still in place. mild cardiomegaly stable. lungs grossly clear. tracheostomy tube in standard position. right pic line ends close to the superior cavoatrial junction as before. no pneumothorax or appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15788134/s53133162/b17a40fc-cc3f39da-16f72b6a-e987cdab-d17bd5d8.jpg	persistent elevation of the right hemidiaphragm. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11625397/s51233665/fac5b4ff-ceb0ec3e-fa86c15a-10186970-5471ace2.jpg	cardiomegaly and mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19051689/s54912915/82fd311a-8c130085-2f90173e-25ce7a69-d9494078.jpg	no previous images. cardiac silhouette is within upper limits of normal in this patient with intact midline sternal wires. mild engorgement and indistinctness of pulmonary vessels is consistent with some elevation of pulmonary venous pressure. the left hemidiaphragm and costophrenic angle are not well seen, suggesting some layering effusion with compressive atelectasis at the base. no evidence of acute focal pneumonia, though this would be difficult t definitely exclude in the appropriate clinical setting, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p13112524/s59938353/993f231f-3876caa3-779e3342-1727cf9b-38fb096c.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16106379/s57161389/0f03d308-7fb9c6a3-24066e6c-8f3a135b-a8a55882.jpg	mild cardiomegaly without pulmonary edema.

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faint opacity at the left base likely reflects pericardial fat pad, less likely pneumonia. curvilinear opacity at the medial right hemidiaphragm is likely contained within bowel. intraperitoneal free air is difficult to exclude completely, however a left lateral decubitus radiograph of the abdomen should be able to answer the question.

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no acute cardiopulmonary process.

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normal chest radiograph.

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interval development of large left and small-to-moderate right pleural effusions, of unclear etiology, and adjacent atelectasis.

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linear opacity in the right upper lung zone, which has increased in size since the prior exam. given the underlying copd, recommend further characterization with a non-emergent ct of the chest to exclude malignancy. results were emailed to the ed nurses on by dr.

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since the prior study there has been readjustment of the left chest tube. minimal left apical pneumothorax is still suspected although smaller. there is interval improvement of the left perihilar opacity but increase in the right infrahilar opacity concerning for aspiration. et tube tip is better adjusted, terminating <num> cm above the carina.

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comparison to. monitoring and support devices are in constant position. an atelectasis at the right lung bases has resolved. moderate cardiomegaly with retrocardiac atelectasis persists. no larger pleural effusions. no pulmonary edema.

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no acute cardiopulmonary abnormality.

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cardiomegaly, mild pulmonary edema and pacemaker in place.

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as compared to the previous radiograph, the left and right lung base have increased in radiolucency, likely reflecting improved ventilation. unchanged borderline size of the cardiac silhouette. unchanged monitoring and support devices. no new focal or diffuse parenchymal opacities.

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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. some elevation of the right hemidiaphragmatic contour is seen.

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findings concerning for pneumonia in the right lower lobe.

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interval improvement of previously noted pulmonary edema.

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endotracheal tube terminates <num> cm above the carina in appropriate position. lung volumes are low with bibasilar atelectasis. previously described right middle lobe opacity is not well visualized due to overlapping cardiac silhouette and patient rotation. no pleural effusion or pneumothorax. chronic elevation of the left hemidiaphragm is unchanged. right humeral head surgical hardware is partially visualized.

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no acute findings in the chest.

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no definite acute cardiopulmonary process.

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as compared to the previous image, the nasogastric tube has been advanced. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carina. no pleural effusions. no pneumonia. no pulmonary edema.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the dobbhoff catheter was repositioned. the catheter now shows a normal course, the tip is located in the middle parts of the stomach. no complications, notably no pneumothorax. otherwise, the radiograph is unchanged as compared to the previous image.

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low lung volumes. interval placement of a chest tube with a somewhat loculated pneumothorax in the right apex and the lateral lung in the area of recent surgery. multiple chain sutures are present with some adjacent opacity likely representing post-operative changes. left lung appears grossly clear. heart is upper limits of normal in size given portable technique. overall mediastinal contours are likely stable. no evidence of pulmonary edema.

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as compared to the previous image, there is a newly appeared centralized bilateral and symmetrical pattern of parenchymal opacities, predominantly alveolar in morphology, an combined to enlarged vessels and an enlarged cardiac silhouette. although massive pneumonia could be possible, the simultaneous presence of minimal pleural effusions, seen on the lateral radiograph, rather suggests acute or subacute centralized pulmonary edema.

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normal chest. please note that radiography is not sensitive for chest wall trauma.

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diffuse interstitial opacities with no significant change from prior. no new consolidation is appreciated but impossible to exclude due to the diffuse interstitial opacities.

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no evidence of acute cardiopulmonary disease.

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bibasilar subsegmental atelectasis and tiny bilateral pleural effusions, decreased in size from the prior study. pacing leads in unchanged positions. mild cardiomegaly, unchanged.

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mild interstitial pulmonary edema, worse when compared to prior study. small bilateral pleural effusions. patchy ill-defined opacities within the periphery of the right upper and left mid lung fields. findings are nonspecific but may represent areas of developing infection.

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right basilar pigtail catheter is seen. there continues to be a lateral and basilar hydropneumothorax with interval decrease in the apical component. patchy opacity at the right lung base reflects partial atelectasis of the right middle and lower lobes. the left lung remains clear. there is likely a small residual right effusion. several lytic bone lesions are seen involving the ribs consistent with known metastatic disease. overall, cardiac and mediastinal contours are stable. radiopaque densities projecting over the left upper quadrant are felt to represent artifact.

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in comparison with the study of , there is again some hyperexpansion of the lungs suggesting chronic pulmonary disease. no evidence of pneumonia, vascular congestion, or pleural effusion. pacer leads remain in place.

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no acute cardiopulmonary process.

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mild bibasilar atelectasis in the setting of low lung volumes.

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no relevant change as compared to prior. no pneumonia. blunting of the right costophrenic sinus is caused by a pericardial fat pad.

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ap chest compared to. previous pneumoperitoneum is resolved. right supraclavicular central venous infusion port ends at a level nearly <num> cm below the carina and would need to be withdrawn <num> cm to re-position it low in the svc. lungs are clear. pleural and mediastinal contours are unremarkable.

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no acute intrathoracic process.

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no evidence for acute cardiopulmonary disease or free air.

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no acute cardiopulmonary abnormality.

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no injury seen in the chest.

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ap chest compared to : lungs are low in volume but nearly clear; right basal atelectasis has improved. borderline cardiomegaly and mediastinal vascular engorgement have increased, but pulmonary vasculature is normal and there is no edema or appreciable pleural effusion.

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left lateral chest wall subcutaneous emphysema again noted. the previously reported small left apical pneumothorax is not definitively seen on this examination. patchy bibasilar opacities, left greater than right, which likely reflect atelectasis, although superimposed pneumonia cannot be excluded. there continues to be left lateral pleural thickening which could reflect a component of loculated fluid. no evidence of pulmonary edema. overall cardiac and mediastinal contours are likely unchanged but somewhat difficult to assess due to the opacification at the left base.

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in comparison with the study , there is continued enlargement of the cardiac silhouette with elevation of pulmonary venous pressure that may be less prominent than on the previous study. bibasilar opacifications are consistent with pleural effusions and compressive basilar atelectasis. dual-channel pacer device is now in place from a left subclavian approach with leads in the region of the right atrium and apex of the right ventricle.

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right peribronchial opacity may be attributed to a central airway infection such as a bronchopnuemonia. however, if symptoms persist, repeat radiographs should be performed with shallow oblique views to reassess the finding. this recommendation was communicated with the ed nurse team via email at on

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ap chest compared to : tip of the endotracheal tube above the upper margin of the clavicles, at least <num> cm from the carina, should be advanced <num> to <num> cm for more secured seating. lungs low in volume but clear. heart size normal. no pleural abnormality. right jugular line ends low in the svc.

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mild interstitial pulmonary edema with small bilateral pleural effusions and moderate cardiomegaly.

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compared to chest radiographs. mild pulmonary edema has improved. heart size is normal. pulmonary vasculature is mildly engorged in the upper lungs, but mediastinal veins are not distended. small right pleural effusion is presumed. no pneumothorax.

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as compared to the previous radiograph, the lung volumes have substantially increased, likely reflecting improved ventilation. today's radiograph shows no evidence of any lung parenchymal abnormality. no evidence of pleural effusions on the lateral image. normal size of the cardiac silhouette. mild elongation of the descending aorta.

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study is essentially unchanged from prior. stable left-sided atelectasis and pleural effusion. no pneumothorax.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process.

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early left lower lobe pneumonia.

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as compared to the previous radiograph, no relevant change is seen. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions. normal hilar and mediastinal structures.

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in comparison with the study of , allowing for differences in patient position, there is probably little overall change in the appearance of the heart and lungs. the endotracheal tube is been pulled back so that the tip now lies approximately <num> cm above the carina. right ij swan-ganz catheter is unchanged, as is the left chest tube. no evidence of pneumothorax, though there is opacification silhouetting the left hemidiaphragm consistent with pleural fluid and volume loss in the left lower lobe. mild indistinctness of pulmonary vessels is consistent with some elevation in pulmonary venous pressure.

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no acute intrathoracic process.

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compared to prior chest radiographs , read in conjunction with the torso ct on. patient has been extubated and radiographic positioning has changed, but it is safe to say that there is still marked elevation of the base of the aerated right lung. there is probably still substantial right pleural effusion and collapse of the lower lobe, and some atelectasis in the middle lobe. left lower lobe is still consolidated. pulmonary vasculature is engorged but there is no edema. no pneumothorax. cardiac silhouette is partially obscured, but probably unchanged acutely. right upper thoracostomy tube in place. right pic line is looped outside the chest in the right axilla. recommendation(s): if there is clinical justification for better assessment of the nature of bibasilar consolidation in the volume of pleural fluid, ct scanning, ideally with intravenous contrast, would be required.

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large right and small left pleural effusions. moderate right and mild left opacities, which are not specific but could be seen with associated compressive basilar atelectasis.

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no acute cardiopulmonary process.

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small right pleural effusion and mild cardiomegaly. no airspace consolidation or pulmonary edema.

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et tube tip approximately <num> cm above the carina. additional lines and tubes as described. patchy opacity in retrocardiac region consistent with left lower lobe collapse and/or consolidation is probably slightly worse. a small left effusion is also present.

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as compared to the previous radiograph, the patient has received a right-sided pigtail catheter. the position of the catheter is unremarkable. the pre-existing right pleural effusion has almost completely drained. the apical portion of the effusion, however, is constant. no pneumothorax. unchanged monitoring and support devices. unchanged extensive opacities in the left lung.

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left subclavian picc line is unchanged in position. although the lung volumes have slightly diminished, no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema or large effusions. overall cardiac and mediastinal contours are stable.

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no acute intrathoracic process

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no acute cardiopulmonary process.

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hyperinflated lungs without definite sign of pneumonia or chf.

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no evidence of acute cardiopulmonary abnormality. mild interstitial lung abnormality and/or airway inflammation, usually chronic.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carinal. no nasogastric tube is visible. newly appeared multifocal opacities, predominating in the right upper lobe and at the bases of the left lower lobe. mild fluid overload overlays these opacities. no larger pleural effusions are visualized. borderline size of the cardiac silhouette.

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subtle opacity of the left lower lung abutting the left heart border which may represent an early lingular pneumonia. please refer to subsequent cta chest for additional details.

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no acute cardiac or pulmonary process. no definite rib fracture. if there is persistent concern for a rib fracture, further evaluation could be performed with a dedicated rib series including an appropriately placed radiopaque skin marker.

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no acute cardiopulmonary process.

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right lower lobe focal consolidation consistent with pneumonia. followup chest radiograph is recommended in four weeks to document resolution.

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no acute cardiopulmonary process.

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comparison to. enlargement of the bilateral pulmonary hilar vascular structures, suggestive of pulmonary hypertension. signs of mild pulmonary edema with basal apical blood flow redistribution. additional mild right basal parenchymal opacity, potentially representing pneumonia. no pleural effusions.

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no acute cardiopulmonary process.

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normal radiographic study of the chest.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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diffuse interstitial anatomy interstitial abnormality compatible with patient's history of nsip. no definite superimposed acute consolidation one could be obscured by the diffuse underlying abnormality.

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no acute cardiopulmonary abnormality.

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no radiographic evidence of sarcoidosis.

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no acute intrathoracic process.

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previous vascular congestion in the lungs has resolved. moderate cardiomegaly improved. pleural effusion small if any on the right. no pneumothorax. lungs grossly clear. transvenous right atrial and left ventricular pacer leads and <num> right ventricular pacer defibrillator leads are unchanged in their respective positions since at least. no pneumothorax or mediastinal widening.

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interval resolution of right middle lobe opacification. dense appearing major fissure may represent atelectatic changes or pleural pleural fluid collection.

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no acute intrathoracic process.

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there has been interval removal of the right pigtail catheter with placement of a chest tube. there has been interval decrease in size of the right lateral and apical pneumothorax with only a tiny residual pneumothorax visible on the current study. the left lung is grossly clear. overall, cardiac and mediastinal contours are within normal limits. no pleural effusions.

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faint opacity overlying the right lower lobe may be representative of atelectasis versus early developing pneumonia in the proper clinical setting.

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continue interval progression of diffuse lung opacities, the differential diagnosis still includes: edema, infection or ards. patient has known emphysema. mild cardiomegaly has minimally increased. amount of pleural effusions is difficult to evaluate presumably present and small. ng tube tip is in the stomach. left picc tip is at the cavoatrial junction. there are low lung volumes

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no evidence of acute cardiopulmonary process.

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no pneumonia, edema or effusion. recommend repeat radiograph with nipple markers with shallow obliques to evaluate right lower lung nodule. recommendations discussed with dr by phone at am.

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no acute cardiopulmonary disease.

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lingular pneumonia.

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there is a right sided picc line with the distal lead tip in the distal svc. heart size is within normal limits. surgical clips are seen projecting over the ge junction. there is mild prominence of the pulmonary interstitial markings with minimal atelectasis at the lung bases. no definite consolidation or pneumothoraces are seen.

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increased interstitial markings in the lung, suggestive of mild pulmonary edema. possibility of chronic underlying interstitial process is also possible.

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no significant interval change.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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compared to chest radiographs through. <num> successive chest radiographs show advancement of the esophageal feeding tube from the mid esophagus to the upper stomach to the mid stomach. wire stylet is still in place. mild cardiomegaly stable. lungs grossly clear. tracheostomy tube in standard position. right pic line ends close to the superior cavoatrial junction as before. no pneumothorax or appreciable pleural effusion.

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persistent elevation of the right hemidiaphragm. no acute cardiopulmonary process.

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cardiomegaly and mild pulmonary edema.

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no previous images. cardiac silhouette is within upper limits of normal in this patient with intact midline sternal wires. mild engorgement and indistinctness of pulmonary vessels is consistent with some elevation of pulmonary venous pressure. the left hemidiaphragm and costophrenic angle are not well seen, suggesting some layering effusion with compressive atelectasis at the base. no evidence of acute focal pneumonia, though this would be difficult t definitely exclude in the appropriate clinical setting, especially in the absence of a lateral view.

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normal chest radiograph.

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mild cardiomegaly without pulmonary edema.