ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p16284438/s55578551/7f71a9f7-b4feebd5-5d748299-72c272d5-e0666ab8.jpg	compared to chest radiographs through :<num>. combination of small right pleural effusion and moderate right lower lobe atelectasis has improved. small left apical pneumothorax is probably unchanged though easier to see now than earlier in the day. heart size normal. right subclavian infusion port ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p18239510/s57037683/c948114f-14022df2-0b8f4498-04311bb7-b0c1ee74.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15282328/s53775495/a284b8fd-3a102bf8-5df4f9f9-6d97f697-7dbc9b88.jpg	no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17800373/s56785117/21f6eefe-5801e631-e5eb5a50-c7ddef94-08af039d.jpg	no radiographic evidence of acute cardiopulmonary process. please refer to same day chest ct for further details.
MIMIC-CXR-JPG/2.0.0/files/p16126391/s53064586/107d2332-37af99ea-f72750a0-711b2286-da43467f.jpg	right internal jugular approach central line terminates with tip in lower svc.
MIMIC-CXR-JPG/2.0.0/files/p14515761/s50200398/01171184-673cbbe7-7afd5aa1-a670c052-4f30b9a9.jpg	mild pulmonary edema
MIMIC-CXR-JPG/2.0.0/files/p17759280/s58577234/e77c883d-54b26747-e8aa265a-cc25145d-b1d12c82.jpg	findings compatible with right middle lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14835486/s54985387/3a76c97c-1e9c047c-4fa89d73-98151b49-e77b7d78.jpg	stable appearance of the chest, including cardiomegaly, mediastinal widening, volume loss and atelectasis in the right hemithorax, probably chronic. possible pleural effusion on the left, potentially loculated, although probably not an acute process.
MIMIC-CXR-JPG/2.0.0/files/p15255487/s59353485/2a277795-169dae63-08743e8e-dd52d6aa-a76bc909.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14568274/s58409494/d56f2c0d-9471dd6c-54271dfd-1913c117-b2266f94.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18738984/s55335405/27bdc897-e0237f30-9e486d51-2ddd3325-67acfc3e.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13388462/s59497774/67ea558f-dcb7571b-e828e400-bdd8286f-b2c23d2b.jpg	minimally displaced right ninth rib fracture. nondisplaced right sixth rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p12964119/s56178105/245d2570-5d895694-b6312803-abd69267-00773795.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p14717765/s52385135/7a9013f3-a01d243f-e279b1f7-6e5a4fdf-efb46dc2.jpg	mild vascular congestion and mild interstitial pulmonary edema. small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15261324/s53707921/60d13fc9-5f63fbaf-c97bfe79-aeb51fd8-bb8a9365.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19994730/s51369728/729086b9-02c8cbc1-612a546c-eac707f1-be5ff3d0.jpg	no pneumonia or other acute process in the chest. mediastinal prominence is compatible with known lymphadenopathy in the setting of lymphoma.
MIMIC-CXR-JPG/2.0.0/files/p10762352/s56277525/d83aa69e-e9573c43-dbf6f383-5de2c197-c1668bd1.jpg	in comparison with the study of , the left chest tube has been removed. the left apical region is difficult to see due to overlying bony structures and there may be a small pneumothorax. the other monitoring and support devices have been removed. there is elevation of the right hemidiaphragmatic contour consistent with pleural fluid and with fluid tracking into the major fissure. mild atelectatic changes seen at the right base. the lung left lung shows no evidence of pneumonia. the postoperative pneumomediastinum and pneumopericardium have cleared.
MIMIC-CXR-JPG/2.0.0/files/p16108772/s57056332/c0069944-a557759d-3318ac73-fbe85b41-d486b2d3.jpg	pa and lateral chest compared to and. chest cage is distorted by moderate-to-severe scoliosis. there is no pulmonary edema. heart size is normal. lungs are clear. pleural effusion is minimal if any and there is no evidence of central lymph node enlargement.
MIMIC-CXR-JPG/2.0.0/files/p10959007/s59227947/ac069357-9fc9ad3a-3b1a428a-b58c5698-f71eb8d8.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17229811/s59161356/a4c7b568-46e1d5e4-b91fa16b-1b0df8cf-8f5d7320.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17757036/s57717307/d1b5efb9-aee04e9c-c69a0382-e0a2077b-800ae55b.jpg	normal radiographs of the chest.
MIMIC-CXR-JPG/2.0.0/files/p11517525/s54076440/f8bd86fa-38192cd7-0586d9b1-647d1bcf-d9df830f.jpg	extensive bilateral opacities, greater on the right, and suggestive of a multifocal infectious process and better delineated on dedicated chest cta from same day. extensive hilar and mediastinal lymphadenopathy is noted and may be reactive disease overlying known sarcoidosis.
MIMIC-CXR-JPG/2.0.0/files/p13696494/s52076008/9f2850a7-186112f4-0942b87e-6d6df9aa-055d1962.jpg	stable left perihilar and bibasilar alveolar opacities concerning for moderate bilateral pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18800814/s55863870/64a0b31c-4fa27842-719d548f-d9b0bfad-27c96a9c.jpg	new right upper lung opacity may reflect pneumonia. other etiologies for focal opacities are not excluded. followup radiograph is recommended in <num> weeks after the completion of treatment to insure resolution and rule out possibility of a mass. recommendation(s): followup radiograph is recommended in <num> weeks after the completion of treatment to insure resolution and rule out possibility of a mass.
MIMIC-CXR-JPG/2.0.0/files/p14267880/s57205973/fdd27801-117f71a8-647a7065-4127367c-9896b2fd.jpg	swan-ganz catheter tip overlies the pulmonary outflow tract. no pneumothorax. pulmonary edema has resolved. stable left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10924565/s54872480/ae6b92bd-ed80f07a-30c1b57f-8c2ee59c-803fcec9.jpg	no significant change. left lower lobe mass with adjacent atelectasis. mild right basal atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11319594/s57293538/49ff5994-204031e3-b884f839-6ec8a5e8-2229bbdd.jpg	as compared to chest radiograph, pulmonary vascular congestion and interstitial edema have slightly improved. there remains moderate elevation of the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p13497508/s51928270/9a73da63-db571269-335daee1-7983c16e-11befe96.jpg	patchy opacity within the right lung base projecting over the right cardiophrenic angle concerning for early infection.
MIMIC-CXR-JPG/2.0.0/files/p16509312/s51062733/f80098c9-9e8171c8-776acc8d-24edb695-30eb5477.jpg	pneumomediastinum with extension into the soft tissues of the neck. by telephone to dr at pm, , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p13560498/s50571001/85b75d6a-e5fb2195-121daa50-a4913ffd-e1d431a3.jpg	evolving left lower lobe pneumonia with increased small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15023519/s54223337/00fbcea3-67f7d380-930a2eb3-70e15815-6fe0e259.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11988172/s55868688/8ea28ea5-2f56d0d3-715131cf-f3d70432-7808eada.jpg	as compared to the previous examination, no relevant change is seen. low lung volumes. moderate cardiomegaly with areas of atelectasis at the right and the left lung bases. no larger pleural effusions. the monitoring and support devices, including the endotracheal tube and the nasogastric tube are in constant position. overall, notably on the right, the radiodensity of the lung parenchyma has decreased, likely reflecting improved ventilation or higher respiratory pressures.
MIMIC-CXR-JPG/2.0.0/files/p12183439/s50657368/ad6c87ac-9e3e63dd-c27c9239-38602016-783ec410.jpg	low lung volumes and mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17131436/s54580157/ab1c2d85-a747bce0-08f13924-3788d594-d841e312.jpg	moderate cardiomegaly with moderate pulmonary edema. bilateral pleural effusions, left greater than right, with associated compressive atelectasis. indentation on left trachea may reflect an enlarged goiter. follow-up with thyroid ultrasound if clinically relevant.
MIMIC-CXR-JPG/2.0.0/files/p14899291/s50192466/075a7b72-0a59e51b-da20a449-2a85f7c8-366c587c.jpg	left lower lobe opacity is consistent with pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19671670/s55973577/aa7eb3f7-5dfb8c81-ed1d2309-6af33f7d-1837e022.jpg	new left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17116674/s57135070/614fcd41-b2e20967-0e954f19-b9881ba4-89b168cb.jpg	small bilateral pleural effusions with bibasilar atelectasis. no interval change in the radiographic appearance of the mediastinum.
MIMIC-CXR-JPG/2.0.0/files/p18942108/s58682386/806fd4d6-72c9e381-38da0a8a-02039755-68ba608d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12332171/s59626186/3b1d6926-7323d9c3-07ef7af8-b0442fcf-eb7722fd.jpg	top normal heart size. no free air below the right hemidiaphragm.
MIMIC-CXR-JPG/2.0.0/files/p12029365/s52772600/c464f279-f52fe654-9f34497e-12e8321a-fc7e4161.jpg	right basal pleural drainage tube unchanged in position. residual right pleural effusion small if any, unchanged. no pneumothorax. lungs grossly clear. moderate cardiomegaly is chronic. there is no longer any pulmonary edema but there is still some pulmonary vascular congestion. left trans subclavian right atrial ventricular pacer defibrillator leads in standard placements, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17421663/s53139578/79922abd-7b1f1786-d58f597d-f795d439-53e7e944.jpg	rapid clearing of diffuse opacities, findings consistent with improving pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15388623/s55233851/dd9059a2-51b9212d-ffa9df97-c4c3015b-1b1f5521.jpg	left pic catheter projects over mid svc, however, its distal <num> mm tip appears hyperdense, which is likely due to catheter folding on itself. widened mediastinum and prominent descending aorta, more conspicuous since prior, which likely relates to patient positioning. repeat chest radiograph is recommended with better positioning to assess for possible underlying pathology. right lung opacities have been slightly increased since exam, and likely reflect multifocal infection in the appropriate clinical setting. findings discussed with dr at , by phone at the time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p18916224/s50773983/405c059a-47588f13-ce1b9586-701fe414-8934d9c3.jpg	nasogastric tube in stomach. no acute process in lungs.
MIMIC-CXR-JPG/2.0.0/files/p13735655/s55423058/373fb876-b4031f92-008e1690-86cedd5d-86dd174c.jpg	no evidence of acute cardiopulmonary abnormalities. opacity described in prior radiograph is no longer visualized. there is no evidence of tb
MIMIC-CXR-JPG/2.0.0/files/p19127495/s56206146/2e4a48e0-d5405036-52bfa288-dac7179f-d1208c7c.jpg	lungs are hyperinflated, consistent with underlying emphysema. this increased right paratracheal soft tissue and it appears that there is deviation of the trachea. although these findings could be related to a thyroid goiter, without comparison images, this is difficult to ascertain and therefore a comparison to remote plain film images or ct should be considered. the heart is upper limits of normal in size with left ventricular prominence, consistent with a left ventricular hypertrophy. no focal airspace consolidation is seen to suggest pneumonia. streaky linear opacities at the left base likely reflect scarring or subsegmental atelectasis. no pneumothorax. calcification of the aorta is consistent with atherosclerosis. no evidence of pulmonary edema. degenerative changes in the thoracic spine with no obvious vertebral compression fractures. osteopenia.
MIMIC-CXR-JPG/2.0.0/files/p19589069/s55742355/a691a8a5-bf67da61-0122940b-154357ad-308f490e.jpg	no previous images. low lung volumes accentuate the transverse diameter of the heart. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13934074/s56740073/2d602632-2976539c-8e870178-5094c535-f998c2fe.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19736038/s54065255/6c4b6336-ca751bad-0712c2bd-9ea5f678-4d8f7865.jpg	consolidation and pleural effusion in the left lower lobe. atelectasis versus consolidation in the right middle lobe.
MIMIC-CXR-JPG/2.0.0/files/p12038559/s51166482/79b45e35-a20d2900-18cd2042-3fa06ffa-e026992e.jpg	as compared to radiograph, postoperative appearance of cardiomediastinal contours stable. bibasilar atelectasis has decreased in severity, and small bilateral pleural effusions have also apparently decreased in size in the interval. retrosternal streaks of gas on the lateral view are likely related to recent sternotomy procedure. small curvilinear lucency adjacent to right hemidiaphragm is not fully evaluated. if there is clinical suspicion for free intraperitoneal air, left lateral decubitus abdominal radiograph would be recommended for initial further assessment.
MIMIC-CXR-JPG/2.0.0/files/p14011248/s57486990/200f424c-ee44b0c9-3e8e11b0-2419effc-616fee6a.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12611156/s54189726/87423012-f1027705-a194eabd-7df7cbfd-0735d5e6.jpg	increased left effusion with mediastinal shift to the right.
MIMIC-CXR-JPG/2.0.0/files/p11166655/s54584573/43503d7f-04d8fbab-33a7f637-f02a9cf2-fd6d92dc.jpg	dialysis catheter positioned appropriately. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12602264/s56742734/18c6deee-fe393bc6-a31e6ec0-64ed3517-286ebfb5.jpg	no evidence of pneumonia. no significant change in chronic findings.
MIMIC-CXR-JPG/2.0.0/files/p15119590/s59732645/5d68b5b4-31bcad78-21926542-372fd1bb-f1e83117.jpg	ap chest compared to : moderate right pleural effusion has increased, displacing mediastinum to the left. moderate cardiomegaly and severe pulmonary artery dilatation, accompanied by pulmonary vascular congestion are longstanding. the patient has borderline pulmonary edema. right internal jugular line ends in the mid svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17043686/s53367138/d1535ab5-66e750fb-15522293-9f548fd6-5f72bd97.jpg	in comparison with the study of , there is again substantial enlargement of the cardiac silhouette with what appears to be worsening pulmonary edema. opacification at the left base silhouetting the hemidiaphragm and blunting the costophrenic angle is consistent with a combination of pleural effusion and volume loss in the left lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p15816613/s57940496/2b47b505-ce67830c-39380fca-944da66a-e5c0c635.jpg	left pleural effusion is smaller compared to.
MIMIC-CXR-JPG/2.0.0/files/p18761260/s59958528/cd2cde22-4ffcabea-075048c7-0b0eee16-ed509f3d.jpg	slight interval progression of mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17430637/s51324165/f1ea9f57-c3404c56-4b07b53b-e964bf8f-d2c11271.jpg	low lung volumes with bibasilar atelectasis, but no pneumonia. mitral annulus calcifications
MIMIC-CXR-JPG/2.0.0/files/p14995538/s53441616/0fbbe7a3-9e57b423-cb325c6d-b1661a61-c7867ac1.jpg	right lower lobe opacity is improved from. left lung base opacity concerning for pneumonia is not changed. prominence and haziness of the pulmonary vasculature are consistent with mild pulmonary edema, unchanged from.
MIMIC-CXR-JPG/2.0.0/files/p17936913/s56603636/531b37fb-98b3102b-4aefabdc-85ad3259-9f78671d.jpg	monitoring and support devices are in satisfactory position. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14716808/s52355000/b5c07912-7ae17085-50066989-559e9758-198cd6ed.jpg	linear opacity in the lower lung zones bilateral most likely represents atelectasis, but in the correct clinical setting this could also represent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14452488/s57348984/e602e3e2-f0c1c2fe-d8e5d6bf-9d559195-e983a24b.jpg	cardiomegaly. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19899252/s53076390/e29781dd-4f8c5cd6-ba4bb1c8-ba3b20fb-b01efefe.jpg	persistent tiny left apical pneumothorax. small bilateral pleural effusions with compressive atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17554575/s56469540/08ef5f9b-baf09975-68b57639-6f1f0160-1c6b3127.jpg	stable appearance of the chest without evidence for acute cardiopulmonary abnormalities. the large hiatal hernia limits evaluation of the lower lobes, as detailed above.
MIMIC-CXR-JPG/2.0.0/files/p11098850/s52166017/baaa4ab9-906385f2-50e9be78-b5f6144e-de6532e5.jpg	endotracheal tube and nasogastric tube in appropriate position.
MIMIC-CXR-JPG/2.0.0/files/p19325025/s53844733/4fdec019-0b88db64-95c1ae52-d682351a-025d33a4.jpg	as compared to the previous radiograph, there is improved ventilation on both the left and the right lung. the changes could be the consequence of increased respiratory pressures. no pneumothorax. unchanged monitoring and support devices. unchanged appearance of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p15635029/s57061182/6a889e60-06b15724-f38c94d1-585bfd65-8f7dc575.jpg	heart size and mediastinum are stable. left retrocardiac consolidation is concerning for infectious process, unchanged since the prior study but more conspicuous on current examination. small amount of left pleural effusion is present. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12761798/s54417894/d2fec9a9-b341c7c8-2a0367ac-b691249e-5e30bdfa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16262495/s51324464/d6da4f11-e7c0f37a-9c9f6634-6038c56d-fdb27407.jpg	unchanged cardiomegaly. no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p12652642/s56868709/0cde5aa2-8cca4386-95aa9160-cc23a3bd-f0bb3f10.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13567471/s52350233/5b0dfbda-0414a29f-ebed6895-f0a357ea-e7e3e64d.jpg	<num>) probable bibasilar atelectasis. an early infiltrate at the left base is considered less likely, but remains in the differential. attention to opacity at the left base is recommended to confirm resolution. <num>) compared with , the overall appearance is similar, except for slight clearing of changes at the right base.
MIMIC-CXR-JPG/2.0.0/files/p14114609/s59797602/f24e131f-2cb28d7d-b4c275c0-77e606b9-b32bbd9e.jpg	small bilateral pleural effusions and evidence of supraclavicular, mediastinal, and hilar lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p11558814/s55950047/ccb04640-0a9766ad-54b78401-bfaf1bb2-0d715dbc.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15447063/s52499661/d50f4046-272aa7ba-71e7772d-e95e9c95-e03db6f9.jpg	interval increased hazy opacity in the left lung base, could represent either atelectasis or infectious process.
MIMIC-CXR-JPG/2.0.0/files/p13574901/s58215960/271d48c8-decc3c17-85f3564a-f3b5f6dc-ad677b28.jpg	subtle ovoid <num> mm nodular opacity projecting over the right lung base only seen along the frontal images, not on the other frontal images, most likely a nipple shadow or artifact, similar in appearance as compared to the prior study. similar size. findings can be further assessed with repeat with nipple markers.
MIMIC-CXR-JPG/2.0.0/files/p19937166/s50616844/1aff4edf-2e648b46-9d5df839-1a048c88-b2ad48e2.jpg	no acute process.
MIMIC-CXR-JPG/2.0.0/files/p13080805/s59961560/c60138bd-b4b8edd9-8bfe4c35-2b502d18-21513d5d.jpg	patient has been extubated. cardiomediastinal contours are unchanged. the lungs are clear. there is no pneumothorax or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16474066/s59442986/bb7f74be-aae67432-3c100d4c-4d618a68-2e93e3f0.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10462684/s54426494/b091e4a8-a490f7e0-43a08e8c-b46d65e5-40f7e94b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10697727/s52428822/f4c40dfa-78401c76-8001b42a-67054d1a-c18d1815.jpg	extensive pneumomediastinum as seen on the chest ct, extending up into the neck.
MIMIC-CXR-JPG/2.0.0/files/p18150264/s50538202/ed4a0f60-20d35cd0-518a8e0e-c4c4ff91-308eb44c.jpg	in comparison study of , there has been substantial enlargement of the large right pleural effusion. there is no shift of the mediastinum to the normal left side, indicating complete collapse of the right middle and lower lobe. no evidence of pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p10266717/s51677770/da3072de-d9fe6a8d-9d39d65d-27b84c09-d566e54e.jpg	cardiomegaly. no superimposed acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13215053/s56360117/2100ec18-322e5d23-d53ab47e-d7788571-c5bd41f8.jpg	right greater than left basal opacities concerning for aspiration or infection with trace effusions.
MIMIC-CXR-JPG/2.0.0/files/p15559090/s56233634/4567ff9c-3c0e05e8-69ae0747-af156445-a635b79f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18923738/s58277246/ec47101d-34d82ddb-df7318b1-7682d7e7-c8a3a5f4.jpg	vague opacity in the left lower lobe concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16046748/s51852076/b6a6fddd-be4ce4ee-12285308-84895786-3b53fc98.jpg	no acute cardiopulmonary disease and no evidence of fracture. recommend focused rib series to further evaluate for rib fracture if clinically warranted.
MIMIC-CXR-JPG/2.0.0/files/p17528748/s57942885/f7fd2cb4-60ec82b9-d0b490cc-e1588aa4-d6686129.jpg	patchy opacities at both lung bases, right-greater-than-left, more pronounced than on. the appearance is most suggestive of bibasilar atelectasis. superimposed infection, particularly on the right, is considered less likely, but would be difficult to exclude in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p13901886/s58377098/b82b9b51-6da93b0c-4643399f-b662b63e-3f5463c5.jpg	mild pulmonary vascular congestion, bibasilar atelectasis and small to moderate left pleural effusion. left picc in the mid-svc.
MIMIC-CXR-JPG/2.0.0/files/p13364025/s52238266/23b1c868-756f5269-d2a87a3c-6aa7479a-ea08faa9.jpg	in comparison with study of , there has been placement of a single lead icd that extends to the region of the apex of the right ventricle. no evidence of post procedure pneumothorax. continued enlargement of the cardiac silhouette with moderate pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p11941487/s57818787/d190c814-1c8598f7-9097eae2-3fa18869-4c3939f0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13353252/s53798119/eed7bb8f-130adc64-19179950-d2f7f269-1110edbd.jpg	streaky basilar retrocardiac opacities may be due to atelectasis, but infection is not excluded in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19528617/s58395224/806dde3c-c54cd53b-29bb8b90-1bd52995-ac992100.jpg	low lung volumes with possible mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11280909/s58703541/b33694a1-ec88af4d-d0838d93-10ac9fb1-779cd45f.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19019018/s57017662/2ed4d08a-28d0f2b4-bab233a7-02dd3e87-98a65ca4.jpg	small/trace right pleural effusion. no overt pulmonary edema. persistent mild enlargement of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p15267742/s59153208/aae72838-956724e9-85723829-9998db8a-a7da896d.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18654576/s57723439/adc9e127-b114b033-e0f31050-84587d96-058c1ed4.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12456080/s53991023/511ad1f7-1f6dbbe6-639abb3c-7aa3249f-0fa3cd5b.jpg	cardiomegaly, hilar congestion with pleural effusions, left greater than right. increasing right basal opacity which could represent atelectasis versus pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13830137/s56672827/252a0898-3c41c0cc-2779b0b7-c8a863ce-826a16de.jpg	in comparison with the study of , the monitoring and support devices are unchanged. there are slightly lower lung volumes with continued prominence of the cardiac silhouette and evidence for elevation of pulmonary venous pressure. continued bibasilar opacifications most likely represent atelectasis, though in the appropriate clinical setting superimposed pneumonia would be difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p17521365/s51089580/8cb0b4e2-d1e67bb4-8bca064a-ca5760c5-81d04d20.jpg	in comparison with the study , the monitoring support devices remain in place. again there are low lung volumes that a increase the transverse diameter of the heart. opacification at the right base is consistent with increasing atelectatic changes. less prominent streaks of atelectasis are seen at the left base. no evidence of pulmonary vascular congestion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16952444/s50047241/4206214d-f6f53cda-a4e7e212-e9a67a1d-bc7cb508.jpg	no significant interval change from prior with unchanged right hilar mass with right basilar atelectasis.

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compared to chest radiographs through :<num>. combination of small right pleural effusion and moderate right lower lobe atelectasis has improved. small left apical pneumothorax is probably unchanged though easier to see now than earlier in the day. heart size normal. right subclavian infusion port ends in the low svc.

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no acute cardiopulmonary process.

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no acute cardiac or pulmonary process.

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no radiographic evidence of acute cardiopulmonary process. please refer to same day chest ct for further details.

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right internal jugular approach central line terminates with tip in lower svc.

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mild pulmonary edema

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findings compatible with right middle lobe pneumonia.

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stable appearance of the chest, including cardiomegaly, mediastinal widening, volume loss and atelectasis in the right hemithorax, probably chronic. possible pleural effusion on the left, potentially loculated, although probably not an acute process.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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no acute intrathoracic process.

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minimally displaced right ninth rib fracture. nondisplaced right sixth rib fracture.

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no evidence of acute disease.

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mild vascular congestion and mild interstitial pulmonary edema. small right pleural effusion.

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no acute cardiopulmonary process.

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no pneumonia or other acute process in the chest. mediastinal prominence is compatible with known lymphadenopathy in the setting of lymphoma.

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in comparison with the study of , the left chest tube has been removed. the left apical region is difficult to see due to overlying bony structures and there may be a small pneumothorax. the other monitoring and support devices have been removed. there is elevation of the right hemidiaphragmatic contour consistent with pleural fluid and with fluid tracking into the major fissure. mild atelectatic changes seen at the right base. the lung left lung shows no evidence of pneumonia. the postoperative pneumomediastinum and pneumopericardium have cleared.

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pa and lateral chest compared to and. chest cage is distorted by moderate-to-severe scoliosis. there is no pulmonary edema. heart size is normal. lungs are clear. pleural effusion is minimal if any and there is no evidence of central lymph node enlargement.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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normal radiographs of the chest.

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extensive bilateral opacities, greater on the right, and suggestive of a multifocal infectious process and better delineated on dedicated chest cta from same day. extensive hilar and mediastinal lymphadenopathy is noted and may be reactive disease overlying known sarcoidosis.

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stable left perihilar and bibasilar alveolar opacities concerning for moderate bilateral pulmonary edema.

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new right upper lung opacity may reflect pneumonia. other etiologies for focal opacities are not excluded. followup radiograph is recommended in <num> weeks after the completion of treatment to insure resolution and rule out possibility of a mass. recommendation(s): followup radiograph is recommended in <num> weeks after the completion of treatment to insure resolution and rule out possibility of a mass.

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swan-ganz catheter tip overlies the pulmonary outflow tract. no pneumothorax. pulmonary edema has resolved. stable left pleural effusion.

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no significant change. left lower lobe mass with adjacent atelectasis. mild right basal atelectasis.

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as compared to chest radiograph, pulmonary vascular congestion and interstitial edema have slightly improved. there remains moderate elevation of the right hemidiaphragm.

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patchy opacity within the right lung base projecting over the right cardiophrenic angle concerning for early infection.

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pneumomediastinum with extension into the soft tissues of the neck. by telephone to dr at pm, , <num> minutes after discovery.

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evolving left lower lobe pneumonia with increased small left pleural effusion.

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no acute intrathoracic process.

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as compared to the previous examination, no relevant change is seen. low lung volumes. moderate cardiomegaly with areas of atelectasis at the right and the left lung bases. no larger pleural effusions. the monitoring and support devices, including the endotracheal tube and the nasogastric tube are in constant position. overall, notably on the right, the radiodensity of the lung parenchyma has decreased, likely reflecting improved ventilation or higher respiratory pressures.

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low lung volumes and mild bibasilar atelectasis.

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moderate cardiomegaly with moderate pulmonary edema. bilateral pleural effusions, left greater than right, with associated compressive atelectasis. indentation on left trachea may reflect an enlarged goiter. follow-up with thyroid ultrasound if clinically relevant.

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left lower lobe opacity is consistent with pneumonia.

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new left lower lobe pneumonia.

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small bilateral pleural effusions with bibasilar atelectasis. no interval change in the radiographic appearance of the mediastinum.

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no acute cardiopulmonary process.

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top normal heart size. no free air below the right hemidiaphragm.

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right basal pleural drainage tube unchanged in position. residual right pleural effusion small if any, unchanged. no pneumothorax. lungs grossly clear. moderate cardiomegaly is chronic. there is no longer any pulmonary edema but there is still some pulmonary vascular congestion. left trans subclavian right atrial ventricular pacer defibrillator leads in standard placements, unchanged.

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rapid clearing of diffuse opacities, findings consistent with improving pulmonary edema.

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left pic catheter projects over mid svc, however, its distal <num> mm tip appears hyperdense, which is likely due to catheter folding on itself. widened mediastinum and prominent descending aorta, more conspicuous since prior, which likely relates to patient positioning. repeat chest radiograph is recommended with better positioning to assess for possible underlying pathology. right lung opacities have been slightly increased since exam, and likely reflect multifocal infection in the appropriate clinical setting. findings discussed with dr at , by phone at the time of discovery.

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nasogastric tube in stomach. no acute process in lungs.

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no evidence of acute cardiopulmonary abnormalities. opacity described in prior radiograph is no longer visualized. there is no evidence of tb

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lungs are hyperinflated, consistent with underlying emphysema. this increased right paratracheal soft tissue and it appears that there is deviation of the trachea. although these findings could be related to a thyroid goiter, without comparison images, this is difficult to ascertain and therefore a comparison to remote plain film images or ct should be considered. the heart is upper limits of normal in size with left ventricular prominence, consistent with a left ventricular hypertrophy. no focal airspace consolidation is seen to suggest pneumonia. streaky linear opacities at the left base likely reflect scarring or subsegmental atelectasis. no pneumothorax. calcification of the aorta is consistent with atherosclerosis. no evidence of pulmonary edema. degenerative changes in the thoracic spine with no obvious vertebral compression fractures. osteopenia.

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no previous images. low lung volumes accentuate the transverse diameter of the heart. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.

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normal chest radiograph.

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consolidation and pleural effusion in the left lower lobe. atelectasis versus consolidation in the right middle lobe.

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as compared to radiograph, postoperative appearance of cardiomediastinal contours stable. bibasilar atelectasis has decreased in severity, and small bilateral pleural effusions have also apparently decreased in size in the interval. retrosternal streaks of gas on the lateral view are likely related to recent sternotomy procedure. small curvilinear lucency adjacent to right hemidiaphragm is not fully evaluated. if there is clinical suspicion for free intraperitoneal air, left lateral decubitus abdominal radiograph would be recommended for initial further assessment.

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no pneumonia.

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increased left effusion with mediastinal shift to the right.

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dialysis catheter positioned appropriately. no acute intrathoracic process.

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no evidence of pneumonia. no significant change in chronic findings.

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ap chest compared to : moderate right pleural effusion has increased, displacing mediastinum to the left. moderate cardiomegaly and severe pulmonary artery dilatation, accompanied by pulmonary vascular congestion are longstanding. the patient has borderline pulmonary edema. right internal jugular line ends in the mid svc. no pneumothorax.

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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette with what appears to be worsening pulmonary edema. opacification at the left base silhouetting the hemidiaphragm and blunting the costophrenic angle is consistent with a combination of pleural effusion and volume loss in the left lower lobe.

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left pleural effusion is smaller compared to.

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slight interval progression of mild pulmonary edema.

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low lung volumes with bibasilar atelectasis, but no pneumonia. mitral annulus calcifications

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right lower lobe opacity is improved from. left lung base opacity concerning for pneumonia is not changed. prominence and haziness of the pulmonary vasculature are consistent with mild pulmonary edema, unchanged from.

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monitoring and support devices are in satisfactory position. no acute cardiopulmonary process.

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linear opacity in the lower lung zones bilateral most likely represents atelectasis, but in the correct clinical setting this could also represent pneumonia.

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cardiomegaly. no acute cardiopulmonary process.

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persistent tiny left apical pneumothorax. small bilateral pleural effusions with compressive atelectasis.

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stable appearance of the chest without evidence for acute cardiopulmonary abnormalities. the large hiatal hernia limits evaluation of the lower lobes, as detailed above.

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endotracheal tube and nasogastric tube in appropriate position.

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as compared to the previous radiograph, there is improved ventilation on both the left and the right lung. the changes could be the consequence of increased respiratory pressures. no pneumothorax. unchanged monitoring and support devices. unchanged appearance of the cardiac silhouette.

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heart size and mediastinum are stable. left retrocardiac consolidation is concerning for infectious process, unchanged since the prior study but more conspicuous on current examination. small amount of left pleural effusion is present. there is no pneumothorax.

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no acute cardiopulmonary process.

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unchanged cardiomegaly. no evidence of acute cardiopulmonary disease.

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no evidence of pneumonia.

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<num>) probable bibasilar atelectasis. an early infiltrate at the left base is considered less likely, but remains in the differential. attention to opacity at the left base is recommended to confirm resolution. <num>) compared with , the overall appearance is similar, except for slight clearing of changes at the right base.

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small bilateral pleural effusions and evidence of supraclavicular, mediastinal, and hilar lymphadenopathy.

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no acute cardiopulmonary process.

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interval increased hazy opacity in the left lung base, could represent either atelectasis or infectious process.

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subtle ovoid <num> mm nodular opacity projecting over the right lung base only seen along the frontal images, not on the other frontal images, most likely a nipple shadow or artifact, similar in appearance as compared to the prior study. similar size. findings can be further assessed with repeat with nipple markers.

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no acute process.

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patient has been extubated. cardiomediastinal contours are unchanged. the lungs are clear. there is no pneumothorax or pleural effusion.

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no acute intrathoracic process.

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no acute cardiopulmonary process.

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

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in comparison study of , there has been substantial enlargement of the large right pleural effusion. there is no shift of the mediastinum to the normal left side, indicating complete collapse of the right middle and lower lobe. no evidence of pulmonary vascular congestion.

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cardiomegaly. no superimposed acute cardiopulmonary process.

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right greater than left basal opacities concerning for aspiration or infection with trace effusions.

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no acute cardiopulmonary process.

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vague opacity in the left lower lobe concerning for pneumonia.

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no acute cardiopulmonary disease and no evidence of fracture. recommend focused rib series to further evaluate for rib fracture if clinically warranted.

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patchy opacities at both lung bases, right-greater-than-left, more pronounced than on. the appearance is most suggestive of bibasilar atelectasis. superimposed infection, particularly on the right, is considered less likely, but would be difficult to exclude in the appropriate clinical setting.

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mild pulmonary vascular congestion, bibasilar atelectasis and small to moderate left pleural effusion. left picc in the mid-svc.

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in comparison with study of , there has been placement of a single lead icd that extends to the region of the apex of the right ventricle. no evidence of post procedure pneumothorax. continued enlargement of the cardiac silhouette with moderate pulmonary vascular congestion.

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no acute cardiopulmonary process.

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streaky basilar retrocardiac opacities may be due to atelectasis, but infection is not excluded in the appropriate clinical setting.

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low lung volumes with possible mild pulmonary edema.

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no acute cardiopulmonary process.

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small/trace right pleural effusion. no overt pulmonary edema. persistent mild enlargement of the cardiac silhouette.

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no acute intrathoracic abnormality.

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no acute cardiopulmonary abnormality.

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cardiomegaly, hilar congestion with pleural effusions, left greater than right. increasing right basal opacity which could represent atelectasis versus pneumonia.

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in comparison with the study of , the monitoring and support devices are unchanged. there are slightly lower lung volumes with continued prominence of the cardiac silhouette and evidence for elevation of pulmonary venous pressure. continued bibasilar opacifications most likely represent atelectasis, though in the appropriate clinical setting superimposed pneumonia would be difficult to exclude.

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in comparison with the study , the monitoring support devices remain in place. again there are low lung volumes that a increase the transverse diameter of the heart. opacification at the right base is consistent with increasing atelectatic changes. less prominent streaks of atelectasis are seen at the left base. no evidence of pulmonary vascular congestion or acute focal pneumonia.

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no significant interval change from prior with unchanged right hilar mass with right basilar atelectasis.