ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p10634195/s53748484/6c2c852f-951f747d-0ce98d7c-95e33d65-102c91d3.jpg	no focal consolidations concerning for pneumonia identified.
MIMIC-CXR-JPG/2.0.0/files/p16108033/s58292373/34cd79c7-ce2d461c-36fcc8af-3492b3dc-8e3f985e.jpg	right pigtail catheter placement with only trace residual right apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15683514/s58966021/0ba644ec-fbec1a96-6752340b-28d0d77f-85a44639.jpg	comparison. in the interval, the right chest tube has been removed. there is a minimal remnant right basal pleural air inclusion, associated to a minimal right pleural effusion. the known right basal opacities are minimally progressive. the heart and the left lung are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10979480/s57404536/ad61e762-bbfc1893-d9f91a10-41e5899f-1709062d.jpg	bibasilar pneumonia. findings were telephoned to dr at <num>pm on by dr.
MIMIC-CXR-JPG/2.0.0/files/p10516278/s55231104/799f826b-123555f6-0c349c86-22f7ddd1-bd2af44f.jpg	findings consistent with interval development of chf.
MIMIC-CXR-JPG/2.0.0/files/p18775105/s51334476/a63b7714-a04e5836-daa13e9d-11823291-2d233e55.jpg	ap chest compared to : cardiac silhouette is no longer enlarged, and pulmonary and mediastinal venous engorgement have improved substantially. there is no pleural effusion, pulmonary edema or pneumothorax. feeding tube passes into the duodenum and out of view. a dual-channel left supraclavicular dialysis catheter ends in the right atrium, and right picc line traverses a brachiocephalic venous stent, terminates at the origin of the svc or lower, obscured by the dialysis catheter. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11577780/s59733962/5d6908fb-8c78c942-127539a1-90d014f7-da8f1842.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11889439/s55856045/a86be532-fdae6cb2-d50f0e88-168abfd6-d0c14c00.jpg	no acute cardiopulmonary abnormality. tracheal deviation pattern suggestive of left thyroid lobe enlargement.
MIMIC-CXR-JPG/2.0.0/files/p17323683/s50574827/f0d7805f-091462aa-3236871e-db479cac-5597ae2e.jpg	there no prior chest radiographs available for review. bilateral pleural effusions are small. bibasilar atelectasis is mild. upper lungs are clear. heart size is normal. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10227569/s52902067/8e9c2b49-7639e0bc-1bf3f7ac-e71300aa-f4ac91c4.jpg	no acute cardiopulmonary abnormality. no fracture.
MIMIC-CXR-JPG/2.0.0/files/p17032041/s57442086/e9828fc2-569124ed-eb3ef4a3-9c827242-8b18dfb1.jpg	in comparison with the study of , the loculated pneumothorax at the left base has essentially cleared with the lung expanded. no evidence of apical pneumothorax. remainder of the study is essentially unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19405778/s55330554/d8729463-74e8a021-c4b66de2-7825bc1c-512e654f.jpg	low lung volumes and likely mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11811925/s59454080/0a5d2661-4ffbdc1a-fe005fa5-9fe35e05-c9b310c1.jpg	medial right upper lung and right perihilar opacities probably reflect a hematoma. mild pulmonary vascular congestion has improved.
MIMIC-CXR-JPG/2.0.0/files/p15581272/s52171355/c335b454-e6cfab28-bd203514-aa083845-d75fc398.jpg	clear hyperinflated lungs with new small right pleural effusion. if clinical suspicion for pneumonia remains high, a chest ct may be performed for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p18211571/s54721130/1fdb60ab-f782ac62-c6b860c0-af27dfa8-b093f568.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18569484/s58798612/3fb87741-353a9950-38ad62f8-a937adaa-d209014e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14856475/s59505506/1e79a458-5daf255b-52c3936c-11344ab3-a01b59f8.jpg	bibasilar atelectasis. retrocardiac opacity, likely hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p18374712/s59940481/6967d354-befa7181-d360ca6b-0891e4c1-ea001493.jpg	left lower lobe focal opacity concerning for pneumonia and partial collapse. patchy right basilar opacity may reflect an additional site of infection. followup radiographs after treatment are recommended to ensure resolution of this finding.
MIMIC-CXR-JPG/2.0.0/files/p19623193/s51875355/3179190e-04019dd6-14ecb220-aac4bcd1-3cd1a097.jpg	interval increased opacity at the left and right lung bases, which could reflect developing pneumonia, though a component of this change on the left could also be accounted for by increased effusion and atelectasis. clinical correlation or consideration of pa and lateral radiographs is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15611926/s54256378/eb4ee87c-e716e39d-a04fab52-075ab6e4-2296d665.jpg	orogastric tube and et tube in appropriate positions. worsening left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14813857/s53923971/0e812e0b-d603b595-cc38719c-57b849bc-9fdb7b70.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15642529/s54750986/8abc26e9-7dc1cad9-4bb58e59-c9e5ef2b-d21613fa.jpg	comparison to. no relevant change. no radiologic evidence of aspiration. a persistent right lower lung. atelectasis is constant in extent and severity. moderate cardiomegaly persists. the extent and severity of left pleural effusion is unchanged. no new focal parenchymal opacities.
MIMIC-CXR-JPG/2.0.0/files/p11734877/s58887539/19cf0574-e5138c8c-5a59b39e-79cf1413-0ad99346.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10955706/s58832988/bc4a9bee-cacebe5e-8a259e18-bc8ac32a-16b60494.jpg	endotracheal tube and right internal jugular central line are unchanged in position. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. overall, the lungs are unchanged in appearance with layering left effusion and bibasilar opacities suggestive of atelectasis, although pneumonia cannot be excluded. lung volumes are low with crowding of the pulmonary vasculature but no overt pulmonary edema. no obvious pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19640899/s53817254/23ec3510-eba5c97a-16783271-b1f294e1-46a267d4.jpg	no clear sternal fracture, but if clinical suspicion is high, dedicated sternal views are recommended for better evaluation. left basal atelectasis imporved since ; no indication of pneumonia. these findings were communicated via telephone by dr to dr at on.
MIMIC-CXR-JPG/2.0.0/files/p10483660/s59285384/87e3ee51-8d602d27-2b5208e5-35a04143-b027b07d.jpg	new consolidation at the left base, likely atelectasis; otherwise, no significant change from.
MIMIC-CXR-JPG/2.0.0/files/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg	no significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.
MIMIC-CXR-JPG/2.0.0/files/p12262929/s56035504/da85524c-50f7357c-b3ad209d-e5bd0127-b63ea411.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10884125/s58128114/3626262c-9e5e1000-13fc30b8-abfad2f3-28256dae.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16245190/s56144038/9c048406-2ab3dede-95abb4aa-261a40f4-8bc1b34b.jpg	low lung volumes without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18060940/s55732143/e3ae455a-03428e67-250d6d7b-c870bd07-923be0cd.jpg	diffuse patchy opacities that is likely due to both low lung volumes and mild pulmonary edema. interval placement of an enteric tube that extends to at least the stomach.
MIMIC-CXR-JPG/2.0.0/files/p11208729/s58242601/6ec4325c-fd3797ee-0a2c592e-9c3f755f-b499d0d7.jpg	et tube tip <num> cm above the carina. low lung volumes and left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12057859/s59155683/d9f85a76-496e599c-da101099-44387b80-dca74d1e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16321205/s55733655/df00f321-900931be-c638a239-2c299f3f-b3bec409.jpg	no pneumothorax. stable mild cardiomegaly with new vascular congestion
MIMIC-CXR-JPG/2.0.0/files/p15876666/s52079904/ef87bf8f-bfc20018-c84dc048-9b61fd6c-a6d041fc.jpg	multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11109203/s54224465/64f30712-82178f3a-b087b38e-a98a511e-553ebd30.jpg	cardiomegaly without evidence of pulmonary edema. no acute intrathoracic abnormality identified.
MIMIC-CXR-JPG/2.0.0/files/p13630653/s57914374/4b8a556b-f3f2a241-1926fa58-6a3b1ba6-83891d08.jpg	mild improvement in bilateral vascular congestion. enlarged heart again noted.
MIMIC-CXR-JPG/2.0.0/files/p10912127/s56645063/f9cdefa1-266d9c76-0c63e75e-fa6f2913-e0fbc1a0.jpg	ap chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. stomach is distended with fluid.
MIMIC-CXR-JPG/2.0.0/files/p14767827/s51057206/e52fac65-d974871d-2e388113-93c57f40-ba4b1741.jpg	bilateral pleural effusions larger on the left than on the right with interval slight enlargement on the left since last month's exam.
MIMIC-CXR-JPG/2.0.0/files/p11714491/s51748470/97bed026-b7b3e1c6-52f67f76-84b044d2-62dbcc73.jpg	compared to prior chest radiographs since , most recently through. right pic line ends in the low svc. small bilateral pleural effusions stable since. only a small region of consolidation remains at the base of the right lung. upper lungs clear. heart size normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13477622/s57525753/27af2450-5f72ba26-11892f06-47cda9eb-6d2e842a.jpg	as compared to the previous radiograph, the patient develops bilateral parenchymal areas of atelectasis, right more than left. pneumoperitoneum after esophageal surgery is still visualized. there is no evidence for pneumothorax. moderate cardiomegaly persists. no pulmonary edema. the nasogastric tube and the left cervical clips are constant in appearance. unchanged appearance of the other monitoring and support devices.
MIMIC-CXR-JPG/2.0.0/files/p12801699/s54235418/24dd919b-b9d30573-615a779f-8d782cb9-13761c98.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15614172/s53627449/ca94ef03-daee4f03-e3ec5bd2-cc51ef84-f061340f.jpg	previous vascular congestion and borderline interstitial edema have resolved, mild cardiomegaly has improved and mediastinal vascular engorgement is no longer present. there could be a new elliptical opacity in the left lung projecting lateral to the border or could be calcification in costal. shallow oblique views might be helpful to determine if this is genuine and a possible focus of infection.
MIMIC-CXR-JPG/2.0.0/files/p14330727/s55546787/cfe37011-58a3ec29-898039ef-d8524ab9-2aa45935.jpg	as compared to the previous image, no relevant change is seen. mild cardiomegaly. elongation of the descending aorta. no pleural effusion. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12807885/s59456356/3332ac04-744c3b36-33d3c2a7-661be43f-4a81ef99.jpg	support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p15093094/s52726612/3693b80c-d5b80876-7a322850-052029ad-a01015af.jpg	new right lower lobe opacity favoring atelectasis, with adjacent right small pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15672671/s51380339/1982f2c5-73d2f9d8-07491d42-b36cc388-68c4c438.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15041543/s58777569/0d34be82-4fec484d-fc891c6a-7580dd8f-01e47787.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10999395/s55145787/53a9feea-e43357a1-9922c59f-6dc99828-18220910.jpg	malposition of right picc line. mild pulmonary vascular congestion. recommendation(s): repositioning of right picc line.
MIMIC-CXR-JPG/2.0.0/files/p15023390/s56983900/7dcc117e-3794201e-c202514e-7129e309-d8b5642e.jpg	mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p13552058/s53856218/d6765da7-0ca6500f-42dd158b-6b68fdff-cd5d6a91.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15526642/s54993987/b5c96a46-4951f0c4-059e4896-5b037aa0-f151bc0d.jpg	no acute cardiopulmonary pathology.
MIMIC-CXR-JPG/2.0.0/files/p13697952/s51243245/0c7f47da-9672599e-08edd0a5-382ebfb9-ec33b354.jpg	trace linear atelectasis at the left base. no focal consolidation, pleural or pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12032991/s50519654/18fa9ed5-e00e94c8-b25ba4e3-7dd139b8-9c9b0a38.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10089767/s52342913/5dd52168-d3f28c0b-4fc20394-da3e1711-7e98acbd.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13532147/s52655559/1ae859b1-c1c9666a-e963d2ec-b1880ec4-d7b8975b.jpg	stable chronic lung disease. no acute lung abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p17493649/s59623825/a9d0daa9-11971bd1-a58db9d5-89494703-a8cd4d4a.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p19583131/s58737243/62956c97-b7f49e71-8346fa6d-67c69fe8-c34bab1f.jpg	no acute cardiopulmonary process. the aortic knob appears mildly dilated which could be further assessed for on non emergent chest ct.
MIMIC-CXR-JPG/2.0.0/files/p15946488/s51721109/843158b1-4c5fb179-6b28834f-780b4fcc-538c9f6b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19837155/s59748275/fc1d8d9c-959f542b-00caeec5-3654cfff-b0646c8a.jpg	pneumomediastinum and pneumopericardium, as partially seen on ct abdomen/ pelvis from the same day. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p10697727/s52428822/687a1363-d8325cef-5452667b-f07406fc-9e1e51d6.jpg	extensive pneumomediastinum as seen on the chest ct, extending up into the neck.
MIMIC-CXR-JPG/2.0.0/files/p18175344/s57180458/aa7d9f87-1505f1db-ca865783-737d91a8-fdb0795d.jpg	no evidence of acute cardiopulmonary process. scarring in the right lower lobe, pleural calcifications, chronic pleural effusion/bluting of the right costophrenic angle appear to be a chronic process.
MIMIC-CXR-JPG/2.0.0/files/p11703425/s57910269/570abaa1-86a0c06f-95b9055d-d2bc7c18-52f7784d.jpg	worse in fluid status compared to the prior day. an underlying infectious infiltrate can't be excluded
MIMIC-CXR-JPG/2.0.0/files/p12447402/s56948954/7e3dccbb-7b781c20-73babf3e-78ab0b9e-5b5823de.jpg	slightly larger right effusion.
MIMIC-CXR-JPG/2.0.0/files/p14894642/s59340196/51051662-ded7e7f7-d5667648-595baecb-a668be16.jpg	findings compatible with pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13208073/s50948338/cd4f89a4-4ef4ad6b-e773ad29-fd3ffacc-8168279a.jpg	new left lower lung opacity associated with likely left-ward mediastinal shift, altogether suggesting volume loss due to mucus plugging.
MIMIC-CXR-JPG/2.0.0/files/p19255522/s50307103/35ba81ff-c0483c55-1b848aa7-c1b840d2-a9f218b4.jpg	right subclavian line tip is at the level of lower svc. heart size mediastinum are stable. pleural calcifications on the right are unchanged. there is no interval development of pulmonary edema or focal consolidations. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19361236/s50310514/7326d5a5-15623384-da7d1ffb-a00743e0-19496fa8.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p13232427/s55505292/d2c86e8c-83d54bda-8a00ae62-6a02a319-4e427dcf.jpg	new consolidation at the left lung base is accompanied by ipsilateral mediastinal shift suggesting it is more likely large scale atelectasis rather than pneumonia, but infection is not excluded and followup is advised. small left pleural effusion is likely. there is no pleural effusion on the right, and no pulmonary edema. heart is normal size. no pneumothorax. right jugular line ends in the upper svc.
MIMIC-CXR-JPG/2.0.0/files/p19496864/s51423949/9c412957-5f383174-967de55c-a6048d39-b404ab08.jpg	compared to chest radiographs and. consolidation continues to progress in the right lower lobe. yesterday left lower lobe will consolidation was almost as severe, and today it has improved slightly. findings could be due to atelectasis alone, but sudden onset suggests aspiration may have occurred putting the patient at risk for pneumonia. small pleural effusions may be present. upper lungs are clear. heart is normal size. right diaphragmatic pleural calcification is incidental. et tube, right internal jugular line, and transesophageal gastric drainage tube are in standard placements respectively. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13905725/s50995652/5752ceeb-84373625-2ec1aeea-21c9ab0c-78540b96.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15328320/s54304806/9d442bbb-04ad66d1-215c2948-1de4b0ed-dcd14ada.jpg	as compared to the previous image, the patient is intubated. the tip of the and the tracheal tube projects <num> cm above the carinal. mild retrocardiac atelectasis. otherwise normal lungs. no pneumothorax. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p18980509/s57032357/29e18c36-22ea1d63-6732895c-39823e18-cbfdc574.jpg	scattered opacities in the lower lungs, most confluent in the left lower lung, compatible with pneumonia. followup to resolution is advised.
MIMIC-CXR-JPG/2.0.0/files/p12661332/s55769808/1161a148-3f5a57c2-66b6ea54-9c0b3d0c-568fe3ef.jpg	no definite acute cardiopulmonary process based on this limited exam as detailed above.
MIMIC-CXR-JPG/2.0.0/files/p10942511/s53741425/d188325e-6b8ed04c-efd1739a-a257801f-d2f24d07.jpg	the et tube is <num> mm from the carinal with the chin down. recommend pull back by <num> cm for optimal placement. progressive consolidation in the right lower lobe that may be a worsening pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16090831/s57663793/60558ea2-b7198c20-130d0f28-7b266daa-adec0047.jpg	as compared to , there is an increase in extent of a retrocardiac atelectasis. the monitoring and support devices are constant. the presence of a minimal left pleural effusion cannot be excluded. unchanged normal size of the cardiac silhouette. no pneumonia, no pulmonary edema. an increase in radiodensity at the left lung apex is likely caused by a slight rotation of the patient.
MIMIC-CXR-JPG/2.0.0/files/p15951258/s53039250/eb6d2386-bc534ee3-1741604b-126b1adf-27267b68.jpg	pa and lateral chest compared to through : there is no pneumonia. moderate cardiomegaly is chronic. there is no longer pulmonary edema. moderate pulmonary vascular engorgement and distended mediastinal veins are longstanding. no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14695516/s58611160/f6f248e9-d73b486b-ce1f1aa5-aa14ce8c-63402bae.jpg	unremarkable chest radiographic examination.
MIMIC-CXR-JPG/2.0.0/files/p16392389/s55553801/d7f33667-b136733b-df76ccf2-97652634-c45a66c9.jpg	significant improvement since prior
MIMIC-CXR-JPG/2.0.0/files/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg	no new opacity concerning for infection.
MIMIC-CXR-JPG/2.0.0/files/p13187486/s57635063/463ba0ad-17a6ed2f-c5f93c4c-621e1acd-4365956b.jpg	the final radiograph demonstrates an endotracheal tube terminating <num> cm above the carina.
MIMIC-CXR-JPG/2.0.0/files/p13448296/s59854628/0c9ca960-9513a487-8ead3fc3-2db06d7b-9c14ef70.jpg	left base opacity which could be due to consolidation from infection or aspiration versus atelectasis. dedicated pa and lateral views would be helpful for further evaluation if/when patient able.
MIMIC-CXR-JPG/2.0.0/files/p19464961/s52382468/f6f4b262-39a6a535-f9eee785-79d91ab4-0ea5974c.jpg	no pneumonia, edema or effusion.
MIMIC-CXR-JPG/2.0.0/files/p19261055/s57906965/fe781418-fff8c18f-a712993f-3d3f7baf-736d5e16.jpg	there has been interval placement of a right subclavian picc line with its tip in the distal svc. the tracheostomy tube and feeding tube are likely unchanged in position. there is a diffuse bilateral reticulonodular interstitial process with no focal area of consolidation. these findings could reflect an atypical infectious process or interstitial edema. clinical correlation is advised. no pleural effusions or pneumothorax. overall, cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p18533354/s55338096/8611769d-9af43591-a5ee672b-61e505de-46694689.jpg	only mild edema persists in the left lung and a moderate left pleural effusion is stable or smaller. on the right however there is new large scale consolidation in the upper and lower lung zones either pneumonia or pulmonary hemorrhage. av very small bore right pleural drainage catheter is folded several times as it projects over the right lower chest. nevertheless a piece small to moderate right pleural effusion has decreased since.
MIMIC-CXR-JPG/2.0.0/files/p12553538/s54753657/7f99db1a-c48ad4be-06ef8215-8b682141-658baa9a.jpg	pulmonary vascular congestion, no definite other acute process.
MIMIC-CXR-JPG/2.0.0/files/p11263198/s58713413/62f08fc5-948e7f48-4af9f17b-24838d6d-68811a36.jpg	right basilar pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg	following thoracocentesis, large right pleural effusion has substantially resolved with residual mild-to-moderate fluid and minimal right lung base and middle lobe atelectasis. opacity in the right upper lobe is consolidation unless otherwise proven. <num>-mm granuloma in the left mid lung
MIMIC-CXR-JPG/2.0.0/files/p10709162/s50014734/56b4122e-33db0a70-2873ad34-03c6aacc-ce1f9ca4.jpg	moderately enlarged cardiac silhouette and a mild central pulmonary vascular engorgement without overt pulmonary edema. <num> cm ovoid density projecting over the lower right paratracheal region of unclear clinical significance, but may represent a calcified lymph node. this could be confirmed on a non urgent chest ct.
MIMIC-CXR-JPG/2.0.0/files/p11576607/s59293211/484defb1-70706716-eaf6eead-b86280dd-53a891dd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17277688/s53273796/5475b684-19ce2fa6-38d8ad8f-4f7f16f9-69052e59.jpg	in comparison with the study of , there is little interval change in the monitoring and support devices. again there is substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications. these most likely reflect substantial pulmonary edema, though in the appropriate clinical setting superimposed pneumonia or even ards would have to be considered.
MIMIC-CXR-JPG/2.0.0/files/p13904837/s57894822/e8a6e470-a9335e04-0af3ae1c-aa534ee3-038ad97d.jpg	findings suggestive of mild fluid overload, similar to prior exam.
MIMIC-CXR-JPG/2.0.0/files/p16151261/s55077161/28f19c22-ac9d13a7-e535d92b-7fcc51e2-0df46405.jpg	in comparison with the study of , there are slightly lower lung volumes. the left subclavian catheter is been pulled back to about the level of the cavoatrial junction. otherwise, there is little overall change in the appearance of the heart and lungs. opacification at the right base medially above the elevated hemidiaphragm could reflect crowding of vessels or atelectasis. in the appropriate clinical setting, superimposed pneumonia could be considered. comminuted fracture of the right clavicle is again seen, as is a fusion device in the cervical spine.
MIMIC-CXR-JPG/2.0.0/files/p18490806/s53836729/2a4d8ba5-6db7b152-b5d0e9f7-ecad7fa8-e355058d.jpg	no rib fracture seen. however if there is continued clinical suspicion, a dedicated rib series with localized area of pain may be obtained for further evaluation. small focal patchy opacity in the right upper lobe. if previous studies elsewhere do not become available for comparison, a dedicated non-emergent chest ct is recommended for further evaluation to exclude underlying mass. findings discussed with dr by dr telephone at am on.
MIMIC-CXR-JPG/2.0.0/files/p15002538/s58326480/7d2b4106-de040a6a-68e9a669-d9300406-6b4d2ea4.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16707561/s54271757/ab2876b6-ac883516-4e422bc1-def6827b-9244837f.jpg	basilar opacity, likley on the right, potentially due to atelectasis given lower lung volumes on the lateral view, however infection cannot be excluded. hilar and mediastinal calcified lymph nodes are compatible with treated lymphoma, and are not significantly changed from , allowing for difference in techniques.
MIMIC-CXR-JPG/2.0.0/files/p14391494/s57486621/1baa605c-1d83e351-1b67cb43-0cbcc0a0-446fd274.jpg	cardiomegaly with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19914788/s54618924/c338a6a5-1e575372-bad3ad5f-61168766-3ba854d9.jpg	no radiographic sequela of granulomatosis with polyangiitis.
MIMIC-CXR-JPG/2.0.0/files/p13181125/s55891368/2a126e35-4ac64750-5d8314e2-7e36f2ad-2ab592b4.jpg	mild volume overload.
MIMIC-CXR-JPG/2.0.0/files/p18470489/s58855159/a9a9bb28-a1df4736-8244e9ef-a88060bb-8318b270.jpg	comparison to. overall unchanged radiograph with moderate cardiomegaly. mild retrocardiac atelectasis, mild fluid overload but no overt pulmonary edema. the monitoring and support devices are stable.

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no focal consolidations concerning for pneumonia identified.

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right pigtail catheter placement with only trace residual right apical pneumothorax.

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comparison. in the interval, the right chest tube has been removed. there is a minimal remnant right basal pleural air inclusion, associated to a minimal right pleural effusion. the known right basal opacities are minimally progressive. the heart and the left lung are unchanged.

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bibasilar pneumonia. findings were telephoned to dr at <num>pm on by dr.

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findings consistent with interval development of chf.

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ap chest compared to : cardiac silhouette is no longer enlarged, and pulmonary and mediastinal venous engorgement have improved substantially. there is no pleural effusion, pulmonary edema or pneumothorax. feeding tube passes into the duodenum and out of view. a dual-channel left supraclavicular dialysis catheter ends in the right atrium, and right picc line traverses a brachiocephalic venous stent, terminates at the origin of the svc or lower, obscured by the dialysis catheter. no pneumothorax.

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no acute intrathoracic process.

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no acute cardiopulmonary abnormality. tracheal deviation pattern suggestive of left thyroid lobe enlargement.

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there no prior chest radiographs available for review. bilateral pleural effusions are small. bibasilar atelectasis is mild. upper lungs are clear. heart size is normal. there is no pneumothorax.

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no acute cardiopulmonary abnormality. no fracture.

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in comparison with the study of , the loculated pneumothorax at the left base has essentially cleared with the lung expanded. no evidence of apical pneumothorax. remainder of the study is essentially unchanged.

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low lung volumes and likely mild interstitial pulmonary edema.

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medial right upper lung and right perihilar opacities probably reflect a hematoma. mild pulmonary vascular congestion has improved.

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clear hyperinflated lungs with new small right pleural effusion. if clinical suspicion for pneumonia remains high, a chest ct may be performed for further evaluation.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary abnormality.

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bibasilar atelectasis. retrocardiac opacity, likely hiatal hernia.

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left lower lobe focal opacity concerning for pneumonia and partial collapse. patchy right basilar opacity may reflect an additional site of infection. followup radiographs after treatment are recommended to ensure resolution of this finding.

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interval increased opacity at the left and right lung bases, which could reflect developing pneumonia, though a component of this change on the left could also be accounted for by increased effusion and atelectasis. clinical correlation or consideration of pa and lateral radiographs is recommended.

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orogastric tube and et tube in appropriate positions. worsening left basilar atelectasis.

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no acute cardiopulmonary abnormality.

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comparison to. no relevant change. no radiologic evidence of aspiration. a persistent right lower lung. atelectasis is constant in extent and severity. moderate cardiomegaly persists. the extent and severity of left pleural effusion is unchanged. no new focal parenchymal opacities.

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no acute cardiopulmonary process.

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endotracheal tube and right internal jugular central line are unchanged in position. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. overall, the lungs are unchanged in appearance with layering left effusion and bibasilar opacities suggestive of atelectasis, although pneumonia cannot be excluded. lung volumes are low with crowding of the pulmonary vasculature but no overt pulmonary edema. no obvious pneumothorax.

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no clear sternal fracture, but if clinical suspicion is high, dedicated sternal views are recommended for better evaluation. left basal atelectasis imporved since ; no indication of pneumonia. these findings were communicated via telephone by dr to dr at on.

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new consolidation at the left base, likely atelectasis; otherwise, no significant change from.

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no significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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low lung volumes without acute cardiopulmonary process.

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diffuse patchy opacities that is likely due to both low lung volumes and mild pulmonary edema. interval placement of an enteric tube that extends to at least the stomach.

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et tube tip <num> cm above the carina. low lung volumes and left basilar atelectasis.

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no acute cardiopulmonary process.

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no pneumothorax. stable mild cardiomegaly with new vascular congestion

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multifocal pneumonia.

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cardiomegaly without evidence of pulmonary edema. no acute intrathoracic abnormality identified.

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mild improvement in bilateral vascular congestion. enlarged heart again noted.

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ap chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. stomach is distended with fluid.

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bilateral pleural effusions larger on the left than on the right with interval slight enlargement on the left since last month's exam.

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compared to prior chest radiographs since , most recently through. right pic line ends in the low svc. small bilateral pleural effusions stable since. only a small region of consolidation remains at the base of the right lung. upper lungs clear. heart size normal. no pneumothorax.

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as compared to the previous radiograph, the patient develops bilateral parenchymal areas of atelectasis, right more than left. pneumoperitoneum after esophageal surgery is still visualized. there is no evidence for pneumothorax. moderate cardiomegaly persists. no pulmonary edema. the nasogastric tube and the left cervical clips are constant in appearance. unchanged appearance of the other monitoring and support devices.

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no acute cardiopulmonary process.

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previous vascular congestion and borderline interstitial edema have resolved, mild cardiomegaly has improved and mediastinal vascular engorgement is no longer present. there could be a new elliptical opacity in the left lung projecting lateral to the border or could be calcification in costal. shallow oblique views might be helpful to determine if this is genuine and a possible focus of infection.

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as compared to the previous image, no relevant change is seen. mild cardiomegaly. elongation of the descending aorta. no pleural effusion. no pneumonia, no pulmonary edema.

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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there are no focal consolidations, pleural effusion, or pulmonary edema. there are no pneumothoraces.

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new right lower lobe opacity favoring atelectasis, with adjacent right small pleural effusion.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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malposition of right picc line. mild pulmonary vascular congestion. recommendation(s): repositioning of right picc line.

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mild interstitial edema.

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no acute cardiopulmonary process.

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no acute cardiopulmonary pathology.

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trace linear atelectasis at the left base. no focal consolidation, pleural or pneumothorax.

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no acute intrathoracic process.

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no evidence of acute cardiopulmonary process.

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stable chronic lung disease. no acute lung abnormalities.

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no evidence of acute disease.

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no acute cardiopulmonary process. the aortic knob appears mildly dilated which could be further assessed for on non emergent chest ct.

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no acute cardiopulmonary process.

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pneumomediastinum and pneumopericardium, as partially seen on ct abdomen/ pelvis from the same day. no focal consolidation.

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extensive pneumomediastinum as seen on the chest ct, extending up into the neck.

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no evidence of acute cardiopulmonary process. scarring in the right lower lobe, pleural calcifications, chronic pleural effusion/bluting of the right costophrenic angle appear to be a chronic process.

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worse in fluid status compared to the prior day. an underlying infectious infiltrate can't be excluded

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slightly larger right effusion.

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findings compatible with pulmonary edema.

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new left lower lung opacity associated with likely left-ward mediastinal shift, altogether suggesting volume loss due to mucus plugging.

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right subclavian line tip is at the level of lower svc. heart size mediastinum are stable. pleural calcifications on the right are unchanged. there is no interval development of pulmonary edema or focal consolidations. no pneumothorax.

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no evidence of acute cardiopulmonary disease.

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new consolidation at the left lung base is accompanied by ipsilateral mediastinal shift suggesting it is more likely large scale atelectasis rather than pneumonia, but infection is not excluded and followup is advised. small left pleural effusion is likely. there is no pleural effusion on the right, and no pulmonary edema. heart is normal size. no pneumothorax. right jugular line ends in the upper svc.

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compared to chest radiographs and. consolidation continues to progress in the right lower lobe. yesterday left lower lobe will consolidation was almost as severe, and today it has improved slightly. findings could be due to atelectasis alone, but sudden onset suggests aspiration may have occurred putting the patient at risk for pneumonia. small pleural effusions may be present. upper lungs are clear. heart is normal size. right diaphragmatic pleural calcification is incidental. et tube, right internal jugular line, and transesophageal gastric drainage tube are in standard placements respectively. no pneumothorax.

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no acute cardiopulmonary abnormality.

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as compared to the previous image, the patient is intubated. the tip of the and the tracheal tube projects <num> cm above the carinal. mild retrocardiac atelectasis. otherwise normal lungs. no pneumothorax. normal size of the cardiac silhouette.

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scattered opacities in the lower lungs, most confluent in the left lower lung, compatible with pneumonia. followup to resolution is advised.

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no definite acute cardiopulmonary process based on this limited exam as detailed above.

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the et tube is <num> mm from the carinal with the chin down. recommend pull back by <num> cm for optimal placement. progressive consolidation in the right lower lobe that may be a worsening pneumonia.

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as compared to , there is an increase in extent of a retrocardiac atelectasis. the monitoring and support devices are constant. the presence of a minimal left pleural effusion cannot be excluded. unchanged normal size of the cardiac silhouette. no pneumonia, no pulmonary edema. an increase in radiodensity at the left lung apex is likely caused by a slight rotation of the patient.

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pa and lateral chest compared to through : there is no pneumonia. moderate cardiomegaly is chronic. there is no longer pulmonary edema. moderate pulmonary vascular engorgement and distended mediastinal veins are longstanding. no pleural effusion.

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unremarkable chest radiographic examination.

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significant improvement since prior

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no new opacity concerning for infection.

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the final radiograph demonstrates an endotracheal tube terminating <num> cm above the carina.

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left base opacity which could be due to consolidation from infection or aspiration versus atelectasis. dedicated pa and lateral views would be helpful for further evaluation if/when patient able.

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no pneumonia, edema or effusion.

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there has been interval placement of a right subclavian picc line with its tip in the distal svc. the tracheostomy tube and feeding tube are likely unchanged in position. there is a diffuse bilateral reticulonodular interstitial process with no focal area of consolidation. these findings could reflect an atypical infectious process or interstitial edema. clinical correlation is advised. no pleural effusions or pneumothorax. overall, cardiac and mediastinal contours are stable.

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only mild edema persists in the left lung and a moderate left pleural effusion is stable or smaller. on the right however there is new large scale consolidation in the upper and lower lung zones either pneumonia or pulmonary hemorrhage. av very small bore right pleural drainage catheter is folded several times as it projects over the right lower chest. nevertheless a piece small to moderate right pleural effusion has decreased since.

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pulmonary vascular congestion, no definite other acute process.

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right basilar pneumonia.

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following thoracocentesis, large right pleural effusion has substantially resolved with residual mild-to-moderate fluid and minimal right lung base and middle lobe atelectasis. opacity in the right upper lobe is consolidation unless otherwise proven. <num>-mm granuloma in the left mid lung

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moderately enlarged cardiac silhouette and a mild central pulmonary vascular engorgement without overt pulmonary edema. <num> cm ovoid density projecting over the lower right paratracheal region of unclear clinical significance, but may represent a calcified lymph node. this could be confirmed on a non urgent chest ct.

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no acute cardiopulmonary abnormality.

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in comparison with the study of , there is little interval change in the monitoring and support devices. again there is substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications. these most likely reflect substantial pulmonary edema, though in the appropriate clinical setting superimposed pneumonia or even ards would have to be considered.

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findings suggestive of mild fluid overload, similar to prior exam.

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in comparison with the study of , there are slightly lower lung volumes. the left subclavian catheter is been pulled back to about the level of the cavoatrial junction. otherwise, there is little overall change in the appearance of the heart and lungs. opacification at the right base medially above the elevated hemidiaphragm could reflect crowding of vessels or atelectasis. in the appropriate clinical setting, superimposed pneumonia could be considered. comminuted fracture of the right clavicle is again seen, as is a fusion device in the cervical spine.

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no rib fracture seen. however if there is continued clinical suspicion, a dedicated rib series with localized area of pain may be obtained for further evaluation. small focal patchy opacity in the right upper lobe. if previous studies elsewhere do not become available for comparison, a dedicated non-emergent chest ct is recommended for further evaluation to exclude underlying mass. findings discussed with dr by dr telephone at am on.

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no acute cardiopulmonary process.

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basilar opacity, likley on the right, potentially due to atelectasis given lower lung volumes on the lateral view, however infection cannot be excluded. hilar and mediastinal calcified lymph nodes are compatible with treated lymphoma, and are not significantly changed from , allowing for difference in techniques.

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cardiomegaly with mild pulmonary edema.

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no radiographic sequela of granulomatosis with polyangiitis.

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mild volume overload.

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comparison to. overall unchanged radiograph with moderate cardiomegaly. mild retrocardiac atelectasis, mild fluid overload but no overt pulmonary edema. the monitoring and support devices are stable.