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/p17545517/s56098603/ab2b668a-9373765b-54ea2e38-e28dfb55-2d08e069.jpg	no acute cardiopulmonary abnormality. thyroid goiter, which narrows and displaces the airway to the left. no definite displaced rib fractures are noted, but if there is continued clinical concern, a dedicated rib series can be obtained.
MIMIC-CXR-JPG/2.0.0/files/p12236712/s52905222/ffc77675-48f82dde-6b1bd3eb-709dd481-ff7f9c04.jpg	parenchymal opacities in both lungs, obscuring the mediastinum, but there is suggestion of considerable rightward shift of the mediastinum. the left hemidiaphragm is elevated. chf and small effusions are likely present. the possibility of underlying consolidation would be difficult to exclude in this setting. if clinically indicated, chest ct may help for further assessment.
MIMIC-CXR-JPG/2.0.0/files/p16513924/s51580109/64707fe8-9711f604-e8f30e7c-4e0b4d3c-13162fe0.jpg	small focal opacity in the right lower lobe is new since the prior study and may represent pneumonia or aspiration in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p15633246/s58290608/c0ad1233-81a615f0-724debbe-cffdaf42-99b25c8e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15808548/s52858671/291353a7-652d1f53-96b78f37-6e909f0f-f716e8df.jpg	in comparison with the study of , the degree of opacification at the left base has decreased. even though this is now an upright view, the left pleural effusion is smaller. some residual atelectatic changes is seen at the base. blunting of the right costophrenic angle with mild atelectatic changes is also seen. there is enlargement of the cardiac silhouette and hyperexpansion of the lungs. some prominence of interstitial markings could reflect elevation of pulmonary venous pressure, chronic lung disease, or both.
MIMIC-CXR-JPG/2.0.0/files/p12244155/s56652035/035e149d-fd0a76c8-3ceb7105-f47b0089-9c78a5f7.jpg	heart size and mediastinum are stable. pacemaker leads terminate supposedly in right atrium and right ventricle. of note is that the position of the right ventricular (supposedly) lead is projected posteriorly. alternatively it might represent right atrial lead. please correlate with the output of the pacemakers. there is no pneumothorax. small amount of bilateral pleural effusion is better appreciated on the lateral view. lungs are clear.
MIMIC-CXR-JPG/2.0.0/files/p17285723/s55102861/3b8808c2-7dfb9e49-d2b3c583-1e2e9277-d5600c25.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11348514/s53170012/514f3999-4262beae-737c6352-3c93b612-5740f524.jpg	pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. left coronary stent unchanged in position.
MIMIC-CXR-JPG/2.0.0/files/p11278447/s58196628/f7ee62c4-5fa4be17-61e9c7df-27b8b381-2d4f5560.jpg	no previous images. the heart is at the upper limits of normal in size or slightly enlarged with mild tortuosity of the aorta. no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17127677/s55007591/b5b316b7-a3d678ae-877ef143-252fd65f-adedf8f1.jpg	dilated right pulmonary hilus raises concern for possible pulmonary embolism. results were conveyed via telephone to , medicine sub-intern by dr on at within <num> minutes after initial review.
MIMIC-CXR-JPG/2.0.0/files/p19306731/s57346321/df6729d4-ffd8b99a-3f9689bf-4412230a-0e6391cb.jpg	heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16892632/s54968406/d1932ede-c0e45370-ebe576b5-e52770f2-35eb7d65.jpg	persistent left-sided pleural effusion without superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15159987/s52073610/9681a97d-4ca96ca5-56bf71d5-f1411833-a85c48bb.jpg	no acute radiographic intrathoracic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10640492/s50963553/1320072f-5c34304e-fc95905c-3a4c87e8-2ed4d77a.jpg	mildly engorged central pulmonary vasculature without overt pulmonary edema. no definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17245999/s58643606/a9c8d01e-9f1e5218-523eeb7b-40e79675-8aceedd3.jpg	stable appearance of new pacer generator in the left chest wall with appropriately positioned atrial and ventricular leads, only one of which is plugged into the generator. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14895079/s51784445/be056df3-5bda0862-b0740006-5eb844fa-ceaa5722.jpg	slight decrease in left effusion. stable appearance of the right hemi thorax.
MIMIC-CXR-JPG/2.0.0/files/p10221805/s56643945/54d59c5b-48c36ad6-2a053a31-e36e2a13-73c477b8.jpg	mild pulmonary edema and mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12921089/s57546786/b4cc754f-8d940bcf-9a138b6c-9c06ff4c-a1bd66b5.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p11386629/s50572884/c872245c-bbf113f8-63f1fb31-980f8732-583eec5b.jpg	comparison to. moderate cardiomegaly. elongation of the descending aorta. no pulmonary edema, no pneumonia, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17643481/s51983052/f596dc60-d9ccccbf-2df44665-063dedff-d822b7bc.jpg	small right pleural effusion is smaller compared to. mild opacity at the right lung base is likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19516596/s57334529/54dc3631-48bb49e7-5d820ecc-d9d69c65-edd7aa1c.jpg	in comparison with the study of , there is little interval change. cardiac silhouette remains at the upper limits of normal in size. probable pleural scarring at the left base with mild atelectatic changes. no acute pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18718997/s51355628/9e05c72c-c12c1025-77353a87-b7e344ea-9fc6cffc.jpg	low lung volumes without an acute process.
MIMIC-CXR-JPG/2.0.0/files/p12220797/s54378364/45dae5b5-3e6bb07a-69b3646a-f93fd9c1-498651a2.jpg	heart size is within normal limits. there is atelectasis at the lung bases. no focal consolidation, pleural effusions or pneumothoraces are seen. bony structures are grossly intact.
MIMIC-CXR-JPG/2.0.0/files/p12839549/s59435309/46c362a7-67f000ac-1db11fc0-a6a1a571-d8473998.jpg	bilateral increased infrahilar opacities can be seen with early bronchopneumonia in the appropriate clinical situation. follow-up radiograph in weeks after treatment to ensure resolution is recommended. recommendation(s): follow-up radiograph in weeks after treatment to ensure resolution is recommended.
MIMIC-CXR-JPG/2.0.0/files/p12958328/s59737006/4a501ec2-804c26cd-12aab0db-72a152f9-cca428ef.jpg	persistent opacification of the right medial lung consistent with right middle lobe pneumonia or atelectasis. improved mild bibasilar opacification from. small bilateral pleural effusions, slightly increased from. no findings to suggest acute heart failure. findings were discussed by dr with dr by phone at am on.
MIMIC-CXR-JPG/2.0.0/files/p19941474/s59882824/d4cf6f4e-0e4273da-ffe1bdd5-fd49e706-99beb50d.jpg	the moderate volume of air loculated in the left lower pleural space, following evacuation of pleural effusion is is probably smaller, compared to , but there is probably an increase in the volume of residual pleural fluid, as well as persistent thickening of the pleura that is probably responsible for failure of the largely atelectatic lingula and left lower lobe to re-expand. in the superior division of the left upper lobe mild pulmonary edema persists. there is new atelectasis at the base the right lung. the right upper lung is clear. pleural effusion on the right is minimal if any. no pneumothorax on that side. supraclavicular central venous infusion port catheter ends in the mid right atrium as before.
MIMIC-CXR-JPG/2.0.0/files/p14189127/s50323551/ae45a7c3-99cd687b-97418456-1101f326-ca712508.jpg	subtle ill-defined opacity within the right lung base concerning for an area of developing infection.
MIMIC-CXR-JPG/2.0.0/files/p15092156/s55760624/de53c3de-a50c984f-1019de60-e328ec5f-c6e98551.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19809023/s55055362/622cf301-c01968c7-3871db38-cdb3f976-b66a7680.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16876494/s58978392/75e9867d-a6d30ed3-18e03d12-d4124945-01d737ee.jpg	patchy left lower lobe opacity may reflect atelectasis, but cannot be excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19640899/s58268732/d901bd41-93a8f4aa-61cab003-a0660248-1b4ba1b5.jpg	mild interstitial pulmonary edema with small bilateral pleural effusions, slightly increased in size compared to the previous exam. bibasilar streaky opacities likely reflect atelectasis but infection cannot be completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p14557146/s58112287/eeda7e50-cad9c7dc-d34c3ad5-6f40c326-4f66a086.jpg	little change.
MIMIC-CXR-JPG/2.0.0/files/p16098894/s53685142/a0b03504-40bc4870-cd5ab671-9754a15b-3438cab1.jpg	as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. low lung volumes. borderline size of the cardiac silhouette. minimal retrocardiac atelectasis. no pulmonary edema, no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13681651/s50222745/5b6a9de9-6dbddd3f-4dbaab3f-5d3c84f8-3d21a90c.jpg	as compared to the previous radiograph, the signs indicative of pulmonary edema have substantially decreased in severity. no new focal parenchymal opacities. also decreased is the extent of a small left pleural effusion and of the subsequent left basal atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16177747/s57177282/50626b63-4bdcf48b-3d3ad11d-c9989797-1f896d9f.jpg	mild pulmonary vascular congestion. no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16159717/s55303615/82fe4aa1-81817475-5d09c48c-afd1149f-933d298b.jpg	enteric tube coiled in the region of the pharynx.
MIMIC-CXR-JPG/2.0.0/files/p16878717/s56264505/152721b9-33d3aab8-4cf35f88-d9ab4025-7dfe5484.jpg	there is interval worsening of mild-to-moderate pulmonary edema. minimal blunting of both costophrenic angles likely reflects tiny effusions. no pneumothorax. overall cardiac and mediastinal contours are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p12855109/s52870011/881a9645-221c6c90-fa424cf8-78558c80-fb22b5b0.jpg	moderate right pneumothorax with features of tension. these findings were reported to dr via phone at by.
MIMIC-CXR-JPG/2.0.0/files/p19040738/s57065564/9664a411-c55768a3-ef8f4b03-ba43ae5e-91e66ed7.jpg	interval insertion of tracheostomy in standard position; no complications. interval worsening of the moderate pulmonary edema. stable bilateral pleural effusions and basal opacities.
MIMIC-CXR-JPG/2.0.0/files/p10639500/s53443093/3c09c43d-67c670c3-0cc3d621-31cdbeea-3e65fb18.jpg	unchanged inappropriate position of right-sided picc, coursing into the right neck and extending out of view.
MIMIC-CXR-JPG/2.0.0/files/p17904720/s53657475/abb93d7a-21d88d8b-58b41585-5914633c-9edce336.jpg	as compared to chest radiograph, a moderate sized right pleural effusion has developed and is accompanied by adjacent right middle and lower lung atelectasis and or consolidation. a pre-existing left pleural effusion is not substantially changed. marked cardiomegaly is accompanied by pulmonary vascular congestion and minimal interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p13659269/s54630884/10fb6dea-1d3b4512-0f0996be-3db1d155-51b3dc40.jpg	small bilateral effusions with adjacent atelectasis stable cardiomediastinal silhouette.
MIMIC-CXR-JPG/2.0.0/files/p13870141/s51449981/2c36c938-c673ae9f-be6053f5-31aee9da-603090a6.jpg	continued interval improvement of the bilateral parenchymal opacities and essentially resolved bilateral pleural effusions. more conspicuous opacity projecting over the heart on the lateral view potentially within the right middle lobe may be atelectasis although infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p14208367/s55832081/5d422165-3b83a7f6-d34005f8-3889e9c5-0e2153b8.jpg	increased moderate right pleural effusion. new vague left basilar opacity, which may reflect atelectasis. underlying consolidation cannot be excluded. the impression was placed on the critical findings dashboard by dr on.
MIMIC-CXR-JPG/2.0.0/files/p13899061/s55086378/d8fa2e2c-b4ce2d08-f8cdef0c-6a05e416-827ad109.jpg	et tube in good position. very dense left lower lobe consolidation, with some probable volume loss, progressed from. this likely represents atelectasis versus pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15880542/s57508323/b0a720fd-8fdf071a-14f4c8b1-93acd79d-e993f2d5.jpg	left greater than right bibasilar consolidations worrisome for infection. the particularly large area of consolidation in the left lower lung is suggestive of aspiration or an atypical etiology such as legionella or mycoplasma. a wet read was entered into this system by dr on at.
MIMIC-CXR-JPG/2.0.0/files/p15199994/s51496619/93799c37-3429a39f-3666d4ba-9e56a4b8-f5ab1bce.jpg	streaky bibasilar opacities, likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19219660/s58661953/34a9d674-3e8ac6ee-64d62465-4e2936ec-f7f2429e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15615945/s50955834/1a949bfe-5559cc64-cc4fc2ea-340100cc-368b693b.jpg	moderately severe pulmonary edema and small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15862403/s51429668/34ff3d53-4b7e46c8-dba6fb06-2c60d153-ffb6fd23.jpg	ap chest compared to : widespread pulmonary opacification has shifted in distribution but not in overall severity. post-explanation is pulmonary edema, but there is sufficient heterogeneity in the involvement of the lungs to raise serious concern about multifocal pneumonia, perhaps even cavitation. moderate right pleural effusion has increased since. heart is not particularly enlarged. azygos and mediastinal veins are more dilated today than yesterday. et tube, right internal jugular line, and upper elementary drainage tube are in standard placements. no pneumothorax is present.
MIMIC-CXR-JPG/2.0.0/files/p12812679/s54881130/d0b3857e-94a805df-f80f35b9-00c23cce-193dfeed.jpg	no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16478334/s59257879/5d933cab-a7ddff61-38bf9d7a-87c8dd6f-c92c80bd.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12049120/s58605979/52be80fe-ac54a083-63cccb4b-b381bf29-8569a2c0.jpg	unchanged small bilateral effusions without definite superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19068326/s52554083/0a35ce60-97c20baa-4d046d7a-9af10798-8b2c3fb0.jpg	new multifocal consolidations concerning for multifocal pneumonia. new mildly prominent left hilus may represent reactive lymphadenopathy. attention on follow-up is recommended.
MIMIC-CXR-JPG/2.0.0/files/p14080963/s51667373/d46be897-4c1821ba-9474ff58-bb8cedb4-009402e5.jpg	top normal heart size without definite signs of pneumonia or chf. please refer to subsequent ct of the chest for further details.
MIMIC-CXR-JPG/2.0.0/files/p10062501/s57987233/ef2c584f-7ed0840f-82db3767-e8830856-47ecab32.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10072167/s55283974/250a78d4-af5baabd-28ba3b84-13941316-dc3f1d7d.jpg	in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. specifically, at the limits of plain radiography, there is no evidence of pulmonary or skeletal metastasis.
MIMIC-CXR-JPG/2.0.0/files/p15706386/s50340276/36b9d479-f4e24b1f-ddc8fd96-f635a663-8606faaf.jpg	normal radiograph of the chest.
MIMIC-CXR-JPG/2.0.0/files/p19958323/s52517623/97d2bd48-4c000f5c-fbf12147-4a67292b-d5775d2b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10261509/s53686995/dfcd1e0b-07e9cb55-8e57cd84-5c073ea5-65d40b2a.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14509285/s50460124/943e6467-4cd0d333-20569d4b-579e2cce-e66e8dd7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12152816/s56234110/eb6b04cb-323ad74d-fa19c691-89fb4cb9-06cd1e3e.jpg	small bilateral pleural effusions, right greater than left, both decreased in size since the cardiac mr from seven days prior. bilateral patchy pulmonary opacities at the lung bases, consistent with atelectasis. x <num> mm opacity projecting over the right sixth anterior rib. recommend shallow oblique views to delineate the location of this opacity.
MIMIC-CXR-JPG/2.0.0/files/p11180362/s52383220/7942dd5a-e9c041e2-6269b5d9-98604965-9fa86295.jpg	a left upper lobe mass-like opacity is more confluent and increased in extent, concerning for progressive malignancy. right lower lung consolidation may reflect asymmetrical edema, aspiration, or infection. recommendation(s): consider ct for more comprehensive assessment of the left upper lobe neoplasm and right lower lobe process if warranted clinically.
MIMIC-CXR-JPG/2.0.0/files/p15301471/s52462621/5b0a01e1-9da99c44-ca9e81d1-d4be73b6-db33f48a.jpg	mild pulmonary edema which developed between and has substantially resolved. small region of residual edema or atelectasis persists at the left base. et tube tip at the thoracic inlet, <num> cm from the carina could be advanced <num> cm for more secure placement. right subclavian line ends in the low svc. no pneumothorax pleural effusion or mediastinal widening.
MIMIC-CXR-JPG/2.0.0/files/p11739489/s53297730/fdd1a511-3536f86a-5dffbb2c-c1a0bc89-484d5313.jpg	unchanged appearance of left pectoral dual-chamber pacemaker and its leads. stable moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16833478/s57304773/1497340d-c6dfaf04-8662a9f4-dcaddf09-eb756188.jpg	new left upper zone opacity, concerning for aspiration or infection. resolution of a right pleural effusion. unchanged small left pleural effusion
MIMIC-CXR-JPG/2.0.0/files/p18292095/s52522789/7e9dd821-871c39fc-c34e8767-f531ef6d-51fd8649.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15942546/s57461975/8c33e857-81f93def-efd08420-70bd99bb-44c17e40.jpg	no evidence of acute pulmonary infiltrates in this patient with history of asthma and worsening related to inhalation of noxious fumes last week.
MIMIC-CXR-JPG/2.0.0/files/p10330091/s57279702/d94ca26f-b09ff76d-e5a1de97-e225f2fd-83fc9577.jpg	cardiomediastinal contours are stable. improving bibasilar atelectasis, with no new focal areas of consolidation to suggest the presence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18426683/s53275042/6043b47b-bfb45ef3-6ed9cb92-2381888f-9e91f2b8.jpg	in comparison with the study of , the dobbhoff tube has been removed. again there are diffuse bilateral pulmonary opacifications, especially in the mid zones bilaterally, consistent with recurrent pneumonia. retrocardiac opacification again is consistent with volume loss in the left lower lobe. bilateral pleural effusions are again seen. no evidence of acute collapse or shift of the mediastinal structures.
MIMIC-CXR-JPG/2.0.0/files/p13184997/s58169179/0fc2d717-115dd39b-7ec11f8c-32c302a4-41939393.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15022141/s50719811/6dffcf71-9a15f45d-22de9dfe-35cda08e-a023831c.jpg	mild cardiomegaly with hilar congestion and mild interstitial pulmonary edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13686671/s51064187/d7c1817e-2be65777-de1bc1b3-94d3b2ff-9914b985.jpg	frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach.
MIMIC-CXR-JPG/2.0.0/files/p17841897/s54595507/ad76ccde-5c8db7df-5c8280dc-c2c09e68-7bbf2d7b.jpg	in comparison with the study of , there again is enlargement of the cardiac silhouette. there may be mild elevation of pulmonary venous pressure. opacification at the left base silhouetting the hemidiaphragm is consistent with pleural effusion and substantial volume loss in the left lower lobe. no definite acute focal pneumonia, though this would be difficult to unequivocally exclude in the appropriate clinical setting, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p18165789/s53748287/4ca50a06-eb8dd958-81b1ff9d-255ee853-bbcb1a89.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11681010/s58260962/12fd48f3-444c5cf5-0d1d9cd9-a9148e4b-6100757a.jpg	in comparison with the study of , there is little overall change. again there are bilateral pleural effusions, more prominent on the right, with underlying atelectatic changes. there may be mild residual elevation of pulmonary venous pressure with continued enlargement of the cardiac silhouette. retrocardiac opacification again is consistent with volume loss in the left lower lobe. the right ij catheter has been removed. leads of the dual-channel pacer remain in place.
MIMIC-CXR-JPG/2.0.0/files/p12500900/s59278618/b8105d33-2214affa-0dfd8766-6237acf7-8d426381.jpg	subsegmental bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16596926/s56942714/c4e75dc3-5b39cc13-cffedf68-3fd1f4d3-d59ce038.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10251081/s59730737/ac5b010a-df37c976-a5fe67fa-406295c2-38e0e220.jpg	moderate left-sided pleural effusion. multifocal opacities have substantially improved, can be treated infection.
MIMIC-CXR-JPG/2.0.0/files/p17716210/s57912328/e157b8a8-cbb81d8a-41064605-0a8948cc-ac9146c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12011149/s59575321/29aa6973-9e92ae22-007e86ba-f79fd38b-dc6695e2.jpg	heart size and mediastinum are stable. right basal consolidation and atelectasis appear to be unchanged. there is interval substantial improvement in pulmonary edema. the patient has been extubated. there is no pneumothorax. followup of the right basal opacity to exclude the possibility of developing infection is recommended.
MIMIC-CXR-JPG/2.0.0/files/p11206414/s50943596/7c3a6368-823fa046-73a4991c-4f5b2e34-7b37f4c6.jpg	residual small left apical pneumothorax. small to moderate left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17871820/s51421266/cfd45fa8-dacb19b3-b5b1c4f9-f982ceee-4677043c.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p15857827/s58028188/b53c9eb3-5731f73e-cfe88f62-0664d8d4-93c44a97.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19962250/s50871654/2b9f0009-40865074-1a08f0eb-714f27ad-50b5d50b.jpg	comparison to. stable appearance of the lung parenchyma. no pneumonia, no pulmonary edema. no pleural effusions. mild cardiomegaly with elongation of the descending aorta. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19062044/s57392116/3c89aa8a-82adfa4a-2318681f-18742530-c4607671.jpg	heart size and mediastinum are stable. left retrocardiac consolidation has minimally improved in the interim consistent with gradual improvement of pneumonia. lungs are hyperinflated, unchanged. no appreciable pleural effusion. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18505436/s55178174/69ed2967-6059bccb-a7978fd0-ce2af9b2-e9a66bf2.jpg	coarsened interstitial markings with ground-glass opacities are nonspecific, however, could indicate infection including atypical infection such as pcp.
MIMIC-CXR-JPG/2.0.0/files/p13109480/s52801632/b0520c59-595d1305-b9023fde-0526bf5f-d487fe6e.jpg	vague opacities in the lower lungs could represent en face calcified pleural plaque as is seen in the lateral projection however, an subtle infection cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p15541773/s56820016/1669fede-2e703c61-92541d71-da88485f-6e7a9039.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13563024/s50339164/71fe15f0-e968bfe1-967ef6d3-7837538e-e9ceeea0.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p19933809/s54979151/8b47bf41-e20e9ea5-bcf2e1a9-e037abcf-54edfec4.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19041107/s58656040/f3082f10-582d39a7-cc896643-c6c49d6b-28348fdb.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p13688709/s54631907/06097676-30c46a13-faa0123d-961c942d-b48bba59.jpg	significant interval increase in right-sided pulmonary opacity. differential diagnosis includes worsening of malignant process, with possible underlying right pleural effusion, and/or underlying infectious process. there are areas of lucency projecting over the opacity which may relate to aerated lung although underlying cavitation is not excluded. left lower lobe opacity to a lesser extent than the right. differential diagnosis include infection, aspiration, disease spread.
MIMIC-CXR-JPG/2.0.0/files/p12041762/s52821596/817d39da-be1f0a8f-53f9d61f-5464123a-d5387ba4.jpg	no evidence of acute cardiopulmonary disease. air-fluid levels in the imaged epigastric region, predominantly along the splenic flexure of the colon, a non-specific finding for which clinical correlation is suggested.
MIMIC-CXR-JPG/2.0.0/files/p14725443/s52965972/c59d7d8b-5042d806-a2d8af57-98b335d2-186fd9ef.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19131048/s50227955/be2a6907-4848e383-55c6fcd1-15468f49-84834522.jpg	moderate bilateral pleural effusions and severe bibasilar atelectasis, unchanged over several days. heart size mildly enlarged. previous pulmonary vascular congestion has resolved. no pneumothorax. right pic line ends close to the superior cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p12943704/s56650020/e1e73f6c-ee16bec8-1cec8bf1-64085574-4e402f3f.jpg	severe cardiomegaly with no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18207287/s53524132/d7c0144e-19fd2a95-ae2e68e2-78e93a64-1e82f552.jpg	clear lungs no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12669967/s59300638/2d7acac7-af7f1130-0de15386-89bd626e-6925247f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19564054/s58480766/ee0b91a0-1dbbdc2f-ef002cdf-1bc1ef30-4404ce49.jpg	moderate pulmonary edema and cardiomegaly consistent with cardiogenic shock. the intra-aortic balloon pump tip terminates at the border of the aortic arch. recommend retraction by <num> cm.

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no acute cardiopulmonary abnormality. thyroid goiter, which narrows and displaces the airway to the left. no definite displaced rib fractures are noted, but if there is continued clinical concern, a dedicated rib series can be obtained.

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parenchymal opacities in both lungs, obscuring the mediastinum, but there is suggestion of considerable rightward shift of the mediastinum. the left hemidiaphragm is elevated. chf and small effusions are likely present. the possibility of underlying consolidation would be difficult to exclude in this setting. if clinically indicated, chest ct may help for further assessment.

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small focal opacity in the right lower lobe is new since the prior study and may represent pneumonia or aspiration in the correct clinical setting.

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no acute cardiopulmonary process.

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in comparison with the study of , the degree of opacification at the left base has decreased. even though this is now an upright view, the left pleural effusion is smaller. some residual atelectatic changes is seen at the base. blunting of the right costophrenic angle with mild atelectatic changes is also seen. there is enlargement of the cardiac silhouette and hyperexpansion of the lungs. some prominence of interstitial markings could reflect elevation of pulmonary venous pressure, chronic lung disease, or both.

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heart size and mediastinum are stable. pacemaker leads terminate supposedly in right atrium and right ventricle. of note is that the position of the right ventricular (supposedly) lead is projected posteriorly. alternatively it might represent right atrial lead. please correlate with the output of the pacemakers. there is no pneumothorax. small amount of bilateral pleural effusion is better appreciated on the lateral view. lungs are clear.

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no acute cardiopulmonary process.

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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. left coronary stent unchanged in position.

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no previous images. the heart is at the upper limits of normal in size or slightly enlarged with mild tortuosity of the aorta. no vascular congestion, pleural effusion, or acute focal pneumonia.

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dilated right pulmonary hilus raises concern for possible pulmonary embolism. results were conveyed via telephone to , medicine sub-intern by dr on at within <num> minutes after initial review.

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heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and small pleural effusions.

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persistent left-sided pleural effusion without superimposed acute cardiopulmonary process.

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no acute radiographic intrathoracic pulmonary disease.

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mildly engorged central pulmonary vasculature without overt pulmonary edema. no definite focal consolidation.

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stable appearance of new pacer generator in the left chest wall with appropriately positioned atrial and ventricular leads, only one of which is plugged into the generator. no pneumothorax.

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slight decrease in left effusion. stable appearance of the right hemi thorax.

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mild pulmonary edema and mild bibasilar atelectasis.

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normal chest radiograph.

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comparison to. moderate cardiomegaly. elongation of the descending aorta. no pulmonary edema, no pneumonia, no pleural effusions.

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small right pleural effusion is smaller compared to. mild opacity at the right lung base is likely atelectasis.

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in comparison with the study of , there is little interval change. cardiac silhouette remains at the upper limits of normal in size. probable pleural scarring at the left base with mild atelectatic changes. no acute pneumonia or vascular congestion.

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low lung volumes without an acute process.

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heart size is within normal limits. there is atelectasis at the lung bases. no focal consolidation, pleural effusions or pneumothoraces are seen. bony structures are grossly intact.

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bilateral increased infrahilar opacities can be seen with early bronchopneumonia in the appropriate clinical situation. follow-up radiograph in weeks after treatment to ensure resolution is recommended. recommendation(s): follow-up radiograph in weeks after treatment to ensure resolution is recommended.

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persistent opacification of the right medial lung consistent with right middle lobe pneumonia or atelectasis. improved mild bibasilar opacification from. small bilateral pleural effusions, slightly increased from. no findings to suggest acute heart failure. findings were discussed by dr with dr by phone at am on.

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the moderate volume of air loculated in the left lower pleural space, following evacuation of pleural effusion is is probably smaller, compared to , but there is probably an increase in the volume of residual pleural fluid, as well as persistent thickening of the pleura that is probably responsible for failure of the largely atelectatic lingula and left lower lobe to re-expand. in the superior division of the left upper lobe mild pulmonary edema persists. there is new atelectasis at the base the right lung. the right upper lung is clear. pleural effusion on the right is minimal if any. no pneumothorax on that side. supraclavicular central venous infusion port catheter ends in the mid right atrium as before.

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subtle ill-defined opacity within the right lung base concerning for an area of developing infection.

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no acute cardiopulmonary process.

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normal chest radiograph.

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patchy left lower lobe opacity may reflect atelectasis, but cannot be excluded in the correct clinical setting.

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mild interstitial pulmonary edema with small bilateral pleural effusions, slightly increased in size compared to the previous exam. bibasilar streaky opacities likely reflect atelectasis but infection cannot be completely excluded.

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little change.

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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. low lung volumes. borderline size of the cardiac silhouette. minimal retrocardiac atelectasis. no pulmonary edema, no pneumonia.

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as compared to the previous radiograph, the signs indicative of pulmonary edema have substantially decreased in severity. no new focal parenchymal opacities. also decreased is the extent of a small left pleural effusion and of the subsequent left basal atelectasis.

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mild pulmonary vascular congestion. no focal consolidation concerning for pneumonia.

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enteric tube coiled in the region of the pharynx.

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there is interval worsening of mild-to-moderate pulmonary edema. minimal blunting of both costophrenic angles likely reflects tiny effusions. no pneumothorax. overall cardiac and mediastinal contours are unchanged.

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moderate right pneumothorax with features of tension. these findings were reported to dr via phone at by.

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interval insertion of tracheostomy in standard position; no complications. interval worsening of the moderate pulmonary edema. stable bilateral pleural effusions and basal opacities.

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unchanged inappropriate position of right-sided picc, coursing into the right neck and extending out of view.

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as compared to chest radiograph, a moderate sized right pleural effusion has developed and is accompanied by adjacent right middle and lower lung atelectasis and or consolidation. a pre-existing left pleural effusion is not substantially changed. marked cardiomegaly is accompanied by pulmonary vascular congestion and minimal interstitial edema.

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small bilateral effusions with adjacent atelectasis stable cardiomediastinal silhouette.

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continued interval improvement of the bilateral parenchymal opacities and essentially resolved bilateral pleural effusions. more conspicuous opacity projecting over the heart on the lateral view potentially within the right middle lobe may be atelectasis although infection is not excluded.

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increased moderate right pleural effusion. new vague left basilar opacity, which may reflect atelectasis. underlying consolidation cannot be excluded. the impression was placed on the critical findings dashboard by dr on.

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et tube in good position. very dense left lower lobe consolidation, with some probable volume loss, progressed from. this likely represents atelectasis versus pneumonia.

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left greater than right bibasilar consolidations worrisome for infection. the particularly large area of consolidation in the left lower lung is suggestive of aspiration or an atypical etiology such as legionella or mycoplasma. a wet read was entered into this system by dr on at.

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streaky bibasilar opacities, likely atelectasis.

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no acute cardiopulmonary process.

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moderately severe pulmonary edema and small bilateral pleural effusions.

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ap chest compared to : widespread pulmonary opacification has shifted in distribution but not in overall severity. post-explanation is pulmonary edema, but there is sufficient heterogeneity in the involvement of the lungs to raise serious concern about multifocal pneumonia, perhaps even cavitation. moderate right pleural effusion has increased since. heart is not particularly enlarged. azygos and mediastinal veins are more dilated today than yesterday. et tube, right internal jugular line, and upper elementary drainage tube are in standard placements. no pneumothorax is present.

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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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no acute cardiopulmonary process.

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unchanged small bilateral effusions without definite superimposed acute cardiopulmonary process.

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new multifocal consolidations concerning for multifocal pneumonia. new mildly prominent left hilus may represent reactive lymphadenopathy. attention on follow-up is recommended.

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top normal heart size without definite signs of pneumonia or chf. please refer to subsequent ct of the chest for further details.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion. specifically, at the limits of plain radiography, there is no evidence of pulmonary or skeletal metastasis.

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normal radiograph of the chest.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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small bilateral pleural effusions, right greater than left, both decreased in size since the cardiac mr from seven days prior. bilateral patchy pulmonary opacities at the lung bases, consistent with atelectasis. x <num> mm opacity projecting over the right sixth anterior rib. recommend shallow oblique views to delineate the location of this opacity.

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a left upper lobe mass-like opacity is more confluent and increased in extent, concerning for progressive malignancy. right lower lung consolidation may reflect asymmetrical edema, aspiration, or infection. recommendation(s): consider ct for more comprehensive assessment of the left upper lobe neoplasm and right lower lobe process if warranted clinically.

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mild pulmonary edema which developed between and has substantially resolved. small region of residual edema or atelectasis persists at the left base. et tube tip at the thoracic inlet, <num> cm from the carina could be advanced <num> cm for more secure placement. right subclavian line ends in the low svc. no pneumothorax pleural effusion or mediastinal widening.

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unchanged appearance of left pectoral dual-chamber pacemaker and its leads. stable moderate cardiomegaly.

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new left upper zone opacity, concerning for aspiration or infection. resolution of a right pleural effusion. unchanged small left pleural effusion

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no acute intrathoracic process.

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no evidence of acute pulmonary infiltrates in this patient with history of asthma and worsening related to inhalation of noxious fumes last week.

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cardiomediastinal contours are stable. improving bibasilar atelectasis, with no new focal areas of consolidation to suggest the presence of pneumonia.

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in comparison with the study of , the dobbhoff tube has been removed. again there are diffuse bilateral pulmonary opacifications, especially in the mid zones bilaterally, consistent with recurrent pneumonia. retrocardiac opacification again is consistent with volume loss in the left lower lobe. bilateral pleural effusions are again seen. no evidence of acute collapse or shift of the mediastinal structures.

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no evidence of acute cardiopulmonary disease.

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

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frontal view of the supine torso centered at the umbilicus shows a feeding tube with wire stylet in place ending in the upper stomach, and a nasogastric tube extending just beyond to the mid stomach.

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in comparison with the study of , there again is enlargement of the cardiac silhouette. there may be mild elevation of pulmonary venous pressure. opacification at the left base silhouetting the hemidiaphragm is consistent with pleural effusion and substantial volume loss in the left lower lobe. no definite acute focal pneumonia, though this would be difficult to unequivocally exclude in the appropriate clinical setting, especially in the absence of a lateral view.

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no acute cardiopulmonary process.

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in comparison with the study of , there is little overall change. again there are bilateral pleural effusions, more prominent on the right, with underlying atelectatic changes. there may be mild residual elevation of pulmonary venous pressure with continued enlargement of the cardiac silhouette. retrocardiac opacification again is consistent with volume loss in the left lower lobe. the right ij catheter has been removed. leads of the dual-channel pacer remain in place.

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subsegmental bibasilar atelectasis.

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no acute intrathoracic process.

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moderate left-sided pleural effusion. multifocal opacities have substantially improved, can be treated infection.

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no acute cardiopulmonary process.

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heart size and mediastinum are stable. right basal consolidation and atelectasis appear to be unchanged. there is interval substantial improvement in pulmonary edema. the patient has been extubated. there is no pneumothorax. followup of the right basal opacity to exclude the possibility of developing infection is recommended.

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residual small left apical pneumothorax. small to moderate left pleural effusion.

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no acute cardiopulmonary pathology.

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no evidence of acute cardiopulmonary process.

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comparison to. stable appearance of the lung parenchyma. no pneumonia, no pulmonary edema. no pleural effusions. mild cardiomegaly with elongation of the descending aorta. no pneumothorax.

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heart size and mediastinum are stable. left retrocardiac consolidation has minimally improved in the interim consistent with gradual improvement of pneumonia. lungs are hyperinflated, unchanged. no appreciable pleural effusion. no pneumothorax.

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coarsened interstitial markings with ground-glass opacities are nonspecific, however, could indicate infection including atypical infection such as pcp.

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vague opacities in the lower lungs could represent en face calcified pleural plaque as is seen in the lateral projection however, an subtle infection cannot be excluded.

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no acute cardiopulmonary process.

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no acute cardiopulmonary pathology.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary abnormalities

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significant interval increase in right-sided pulmonary opacity. differential diagnosis includes worsening of malignant process, with possible underlying right pleural effusion, and/or underlying infectious process. there are areas of lucency projecting over the opacity which may relate to aerated lung although underlying cavitation is not excluded. left lower lobe opacity to a lesser extent than the right. differential diagnosis include infection, aspiration, disease spread.

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no evidence of acute cardiopulmonary disease. air-fluid levels in the imaged epigastric region, predominantly along the splenic flexure of the colon, a non-specific finding for which clinical correlation is suggested.

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no acute intrathoracic process.

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moderate bilateral pleural effusions and severe bibasilar atelectasis, unchanged over several days. heart size mildly enlarged. previous pulmonary vascular congestion has resolved. no pneumothorax. right pic line ends close to the superior cavoatrial junction.

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severe cardiomegaly with no acute cardiopulmonary process.

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clear lungs no radiographic evidence of pneumonia.

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no acute cardiopulmonary process.

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moderate pulmonary edema and cardiomegaly consistent with cardiogenic shock. the intra-aortic balloon pump tip terminates at the border of the aortic arch. recommend retraction by <num> cm.