ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p18267137/s58010832/8a1504ce-a705c283-a8afff9c-188070ea-b0126677.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p12354194/s53440055/d2f16d86-425c806e-26e33bc9-626ca404-6f3d45c5.jpg	diffuse increased vascular markings likely reflects chf. low inspiratory volumes noted.
MIMIC-CXR-JPG/2.0.0/files/p12788432/s59419664/29988205-df5967c0-f3af7108-1ffd0714-22f5f216.jpg	no visualized radiopaque foreign body which matches the needle count. this finding and the other above findings in the body of the report were discussed with dr , attending, at over the phone on.
MIMIC-CXR-JPG/2.0.0/files/p17041601/s51288067/d2f993cf-ea548231-d084ed95-85094a44-b6f04e5a.jpg	increased right lower lobe opacity and nodularity. heart size is slightly larger. findings may reflect asymmetric pulmonary edema with dilated vessels. metastasis is also possible and cannot be completely excluded. consider repeat chest radiograph after treatment to ensure resolution.
MIMIC-CXR-JPG/2.0.0/files/p17374306/s59363495/50bea85c-3d9e6c54-f1cb6927-e52249be-1ee04cbc.jpg	minimal bibasilar atelectasis, similar to the radiograph from. no focal consolidation or new area of opacity identified.
MIMIC-CXR-JPG/2.0.0/files/p14077750/s51013846/1eea9b25-639013ac-535611f0-29f2e4d7-79748e66.jpg	in comparison with the study of , there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. the right effusion has decreased with small residual or pleural scarring. no evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12181909/s53183155/d1ba40c7-f3a19d2f-bbad8fc3-faec283d-88e2bdec.jpg	right basal opacity could reflect effusion/atelectasis or rll pneumonia
MIMIC-CXR-JPG/2.0.0/files/p16471296/s53680279/77732977-9097889e-3eff197d-a7b566f5-5627c9f7.jpg	increased confluent opacification in bilateral lower lobes is concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15143785/s55818242/32784c2a-dad095dc-20d7c0e2-a96e9668-08464051.jpg	as compared to the recent radiograph of <num> day earlier, worsening bibasilar opacities are present, left greater than right, with probable adjacent small pleural effusions. no other relevant change since recent study.
MIMIC-CXR-JPG/2.0.0/files/p15884790/s51763428/fb142146-985d5470-846ff8c2-0614f960-fc89bd6f.jpg	right internal jugular line tip is at the level superior svc. cardiomegaly is unchanged. mediastinum is unchanged including bilateral hilar enlargement and there is interval progression of interstitial pulmonary edema. consolidations in the lung bases might reflect infectious process which is in combination with pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17223646/s50702905/52f7b13f-b4a67582-4a23a2af-1d0215a6-53f54e26.jpg	in comparison with the study of , there has been a thoracentesis performed on the right with removal of a substantial amount of pleural fluid. no evidence of pneumothorax. otherwise, little change in the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p12269173/s58655559/2b96eefb-717d42f8-84283796-da851c04-6c48c238.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19800320/s58822972/22d09988-8b7bdcaf-8dae34f4-f92f4fd8-edfc3cfd.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17337163/s57231262/43b1ba0e-6156817a-0cc3d63f-0858d0e2-3a1aa439.jpg	no evidence of pneumothorax or acute cardiopulmonary process. small pleural effusion in the major fissure on the right which has minimally increased from the prior study.
MIMIC-CXR-JPG/2.0.0/files/p13865397/s56559327/aa6daf75-b78e96e4-86c6a09a-26d47807-33295b0d.jpg	chronic volume loss of the right lung compared to the left. chronic blunting of the right costophrenic angle, trace pleural effusion versus pleural thickening. subtle increase in interstitial markings diffusely bilaterally may be due to minimal interstitial edema superimposed on copd. no lobar consolidation. if high clinical concern for mediastinal or hilar adenopathy, ct is more sensitive and should be considered.
MIMIC-CXR-JPG/2.0.0/files/p10497215/s59685881/d27ab14c-21313c3a-fc010e53-caa14d51-07f5b066.jpg	right lower lobe pneumonia. short radiographic followup is recommended within six to eight weeks and after treatment to document interval resolution.
MIMIC-CXR-JPG/2.0.0/files/p18695355/s54178996/a4c6e5c7-49b50ae4-4a175474-334a3c5b-04653ae9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18721510/s58712799/0ad34dc5-94ecda56-7d986e04-6232d224-e755337a.jpg	bilateral worsening pulmonary edema and worsening infectious process in the left midlung and right base
MIMIC-CXR-JPG/2.0.0/files/p13050725/s51330606/2cdcf818-6554a369-0ad0a1ab-377d777c-245c7664.jpg	no significant interval change. no pulmonary edema or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17924864/s50087103/9463a6e9-3612bef3-c8cbac7b-f8de412e-6d3a75c0.jpg	subpleural reticular opacities, particularly in the right lung, are consistent with underlying interstitial fibrosis.
MIMIC-CXR-JPG/2.0.0/files/p11656390/s51027753/7501766a-21880cba-5a76e7fc-3ddaa183-2ae1d132.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14111050/s52400311/1642614c-9afa93f6-dd7272f7-982169ad-ff1fa788.jpg	vague opacity in the left lower lung could represent atelectasis versus pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12877392/s55118954/2014c0f9-12200d6b-3f1ccd94-c39eca04-e50a3026.jpg	right pleural effusion with atelectasis. underlying consolidation at the right lung base cannot be excluded. slightly increased interstitial markings, which may represent interstitial edema versus atypical infection.
MIMIC-CXR-JPG/2.0.0/files/p17004299/s59585309/b60973a6-d547c83e-10fa5ca5-09fa1d32-1cb7a916.jpg	heterogeneous opacities in the right lower lung are suspicious for pneumonia. results were discussed over the telephone with dr by at on at time of initial review.
MIMIC-CXR-JPG/2.0.0/files/p13379816/s57749982/d8e0b944-26edb637-be96f27c-003d052e-59d5bf92.jpg	overall cardiac and mediastinal contours are unchanged. there has been improvement in the asymmetric interstitial edema, right greater than left. no pneumothorax. no focal airspace consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16864785/s59142914/899eb2e7-6f310f58-c9756cc3-9ae4f13c-80260ede.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12721439/s59577320/7994dd16-6d4a0ce3-d9a758cc-ee595abe-f83146fd.jpg	copd without superimposed pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18356168/s52590486/6307547c-a0d87657-170b3813-250e23f8-5fe6e9e8.jpg	compared to a chest radiographs since , most recently. linear scarring at the site of the suture in the right midlung is unchanged since. greater radiodensity projecting over the right mid and lower lung is probably due to differences in overlying soft tissue. there are no findings of pneumonia. heart size is normal. right pleural scarring is stable. there is no pleural effusion. wedge compression, mid thoracic vertebral body, is stable since at least.
MIMIC-CXR-JPG/2.0.0/files/p15673188/s51296363/02a5b24b-1c02545d-98d662dc-efbd86ad-4b23645c.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p19901090/s56230665/44b915ce-9b23a29c-58d90250-8fc9790d-eb95ffe1.jpg	right subclavian central venous infusion catheter ends in the mid right atrium, unchanged. lungs grossly clear. no pleural abnormality. normal cardiomediastinal silhouette. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10802618/s57937353/7306e2cc-c818b651-bb908b1e-0625ab27-86dbb84e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19011488/s58103311/feb62e34-37181da5-d4f38fec-3cb71469-52865001.jpg	worsening cardiomegaly, bilateral pulmonary edema, and widening of the vascular pedicle suggest chf exacerbation. left lower lung opacity is likely pleural effusion with a component of atelectasis, however, underlying pneumonia cannot be excluded. the above results were communicated via telephone by dr to dr at on , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p18477657/s57262228/c0d1fcc1-4890a17f-d6bc82e4-23165cf5-8f845712.jpg	top normal heart size. no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p19593675/s54834680/0af3c1e1-728ea82e-41ef1d0b-80a33504-f926b2e0.jpg	in comparison with the study of , the left picc line has been removed. cardiac silhouette remains enlarged, though the pulmonary vascularity has substantially improved and he is virtually at normal levels. blunting of the costophrenic angles is seen bilaterally, consistent with pleural fluid and some underlying compressive atelectasis. no evidence of acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17810664/s56062814/9cac97a0-9d870864-20e887aa-292fd22b-d19c8734.jpg	no acute cardiopulmonary process identified.
MIMIC-CXR-JPG/2.0.0/files/p12781299/s56760121/a7476818-93562f30-177a8648-e64bafbd-6af8744d.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p11000416/s57652741/0e687d5d-cb679f30-86eb7a01-d60349eb-b22d6bce.jpg	possible small right subpulmonic effusion. no other acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14629198/s51892891/199cc73c-5f5916f5-52bfd1f3-3682b4f8-7838debc.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12104328/s56404438/f2b5279e-5ca07d35-8816397b-5368090d-713496b0.jpg	no acute cardiothoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10899387/s50387509/a57f9f3b-ded0eb5d-2015063d-97a593c2-af4ae150.jpg	subtle left lower lobe opacity could represent pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14876071/s58126917/98a16123-72c6fbdb-9aac45d4-9c40306e-a483d5db.jpg	no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p19209223/s53102549/f48147c0-a20cce18-afb0a2b7-11263102-6d0d0ee5.jpg	increased interstitial markings in the lungs bilaterally more conspicuous on today's exam but present previously, potentially due to chronic interstitial process although component of interstitial edema or atypical infection are possible.
MIMIC-CXR-JPG/2.0.0/files/p13442915/s52785520/1cbb4264-85f7c501-79dec1b7-44d5f414-ccc83c10.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19162234/s56567653/22c43c3c-5a2a8e62-d7bbb61e-e0b872d6-bdd19f22.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16727170/s54088173/25902746-8b2c994d-07eb38f4-f065ea88-063670e2.jpg	bilateral hilar lymphadenopathy was better evaluated on prior ct chest.
MIMIC-CXR-JPG/2.0.0/files/p16497039/s51249865/404003c2-c35c014d-3988f1fe-40f0a1af-85b3d794.jpg	central pulmonary vascular congestion, without frank edema. endotracheal tube and left picc are appropriately placed.
MIMIC-CXR-JPG/2.0.0/files/p18796800/s53977495/aba42344-6cdfda70-9710382c-dc9ab045-6d2879f3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13050725/s52120407/4ce71e29-6a6c53e9-3acfc6d3-b7c9b2bc-f66a383c.jpg	no substantial interval change from the prior exams with postsurgical changes again demonstrated in the right lung. no new focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p18218394/s54132994/3805b982-f0c1c3c0-bf00611d-0b2ddc12-47272f27.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12886351/s59318936/3be4233a-8222aa4f-5d17e8f6-c359fd08-29d797c6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14290075/s52021839/42575e0f-2b6f8c71-af7e53e4-024005be-0f434c14.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19463037/s59438958/ccc66cb6-ec38730a-02feab26-62587c45-8eb45177.jpg	in comparison with study of , there are mild atelectatic changes at the left base. cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. apical pleural thickening on the right suggests old healed granulomatous disease. chronic mid thoracic compression deformities are again seen in the thoracic spine.
MIMIC-CXR-JPG/2.0.0/files/p17069014/s59831588/396edd04-06b66f16-83cfebf8-80cca34c-243cd6cf.jpg	hilar prominence with increased vascular markings and an enlarged right heart suggesting right sided heart failure. these abnormalities are fully characterized in subsequent ct.
MIMIC-CXR-JPG/2.0.0/files/p18624005/s52706891/7bc95030-39aeabaa-4982ccb2-cb75f846-fcf3daf3.jpg	in comparison with the study of , there is little significant change. again there is a a right pleural effusion with areas of patchy opacification that has previously represented hemorrhage. the left lung is clear. the dual-channel pacer is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p19871832/s53444757/3b0908a4-65221502-b909b99a-23d03317-0b5010cc.jpg	no radiographic evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11351165/s58674603/4ddf60a1-3f1e3a7e-e643f4f2-eaeeed9d-a198ab28.jpg	no acute intrathoracic abnormality is identified. no definite fracture is identified, however if there is further concern for a rib fracture, a dedicated rib-series with a bb-marker marking the site of pain would be advisable.
MIMIC-CXR-JPG/2.0.0/files/p16987914/s57728588/86299b4b-e0c2bcaa-ba2ed1e0-9053ede1-867a1ef6.jpg	a right pigtail catheter is in place. there e is small right apical pneumothorax, increased since the prior study. bibasal atelectasis is unchanged. left lung is clear. the exception is left basal atelectasis that appears to be stable as compared to the prior study and calcified pleural plaque on the left,
MIMIC-CXR-JPG/2.0.0/files/p15362885/s50942712/a826063f-c60c4232-6921346f-864871ed-9cf9a98e.jpg	no acute cardiopulmonary process seen. no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p13947130/s50524791/9cdee3e8-b822e996-f18796f6-77e4a373-4e0f2cdb.jpg	small layering bilateral pleural effusions have increased since. moderate cardiomegaly is stable since. previous interstitial pulmonary abnormality, manifested in the thickened septal lines has improved, probably mild edema. nevertheless there is a heterogeneous ground-glass opacity distributed in the lower lung zones, best appreciated on the lateral view, that could be diffuse infiltrative lung disease such as desquamative or nonspecific interstitial pneumonia. chest ct scanning would be helpful in defining that abnormality. recommendation(s): routine noncontrast chest ct.
MIMIC-CXR-JPG/2.0.0/files/p15388399/s52417596/cc683ad4-d98e3094-dd8db746-eca9cd7a-f3fd942c.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10038999/s57007792/f3dbc69b-dae408f2-92f39680-780b2b7a-04079c83.jpg	compared to chest radiographs through. previous pulmonary vascular congestion has resolved, but moderate enlargement of the cardiac silhouette remains, exaggerated by very low lung volumes. there is no mediastinal venous engorgement to suggest elevated central venous pressure. pleural effusions are likely, but not large. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17136992/s59457458/b7005445-104c013d-0d5f61e1-9bd5c075-949ceecf.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p14915616/s53243169/1d84154c-9b049375-a2afb7d5-f431f671-a651396c.jpg	comparison to. no relevant change. low lung volumes. moderate cardiomegaly. monitoring and support devices are in stable correct position. no pleural effusions. no overt pulmonary edema. retrocardiac atelectasis persists in unchanged manner.
MIMIC-CXR-JPG/2.0.0/files/p18969221/s56412953/eac8c08a-13c921bb-006ab6b5-83b17f71-f59b7551.jpg	ng tube tip isin the stomach a second enteric tube is probably in the proximal duodenum. et tube is in standard position. right basal chest tube is present. retrocardiac opacity is a combination of small effusion and atelectasis. sternal wires are aligned. there is no pneumothorax. widening of the mediastinum is stable. moderate to severe cardiomegaly is stable. severe scoliosis is again noted. left subclavian catheter tip is in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p10163774/s55554329/d9338427-3611c6a3-7d5fc320-c2efa6be-c8711870.jpg	in comparison with the earlier study of this date, there is no evidence of post procedure pneumothorax. otherwise, the study is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18975498/s56704744/c1f65874-3634f16f-702108f6-32fb8da4-216d64a0.jpg	compared to chest radiographs through. the larger of <num> left pleural drains has been partially withdrawn and at least one side port is outside the chest. the left pigtail pleural drain is unchanged in position. skin fold projecting over the left lower lateral chest mimics a pneumothorax. no appreciable left pleural effusion. tiny right apical pneumothorax and moderate persistent right pleural effusion stable, with right basal pigtail pleural drainage catheter unchanged. previous mild pulmonary edema has substantially improved. there is still large areas of consolidation and cavitation. heart size normal. tip of the endotracheal tube with the chin elevated, <num> cm above the carina, is -<num> mm lower than optimal. left pic line ends in the low svc. nasogastric drainage tube ends in the stomach.
MIMIC-CXR-JPG/2.0.0/files/p17655982/s54930659/44d5dbf2-a588f7de-95cbd6c1-5b02c01e-43cf6f91.jpg	in comparison to prior radiograph of <num> day earlier, pulmonary edema has worsened in severity and bilateral pleural effusions have increased in size. there remains dense left retrocardiac opacification which could be due to atelectasis or consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15339388/s56496848/3e6c082e-71a2e0f4-96e1b4f1-725ca999-233855df.jpg	limited due to patient rotation. subtle opacity in the right lower lung is potentially concerning for pneumonia. dedicated pa and lateral views would be helpful to confirm.
MIMIC-CXR-JPG/2.0.0/files/p15672159/s54331040/7e9d7487-1fa20cf2-374c2ad3-f74fd16d-0ebd0d3e.jpg	no evidence of infection. there is a nodular opacity projecting over the eighth lateral left rib for which repeat study with nipple markers and shallow oblique projections is recommended.
MIMIC-CXR-JPG/2.0.0/files/p12146585/s50900300/b5348601-b89b452c-9b0f52b3-0f94f58e-b9bdd2b2.jpg	no active disease.
MIMIC-CXR-JPG/2.0.0/files/p12204700/s51333712/c8d006bd-5e5edf07-fe79cb8f-b33e70f3-c0b91191.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p11280984/s56323508/0ef82c89-150f4c3c-9297fcd7-a5d007f7-a514674b.jpg	improved aeration of the left base.
MIMIC-CXR-JPG/2.0.0/files/p16319601/s54613857/7776d1fb-792c88a8-721a0773-7d142590-639999fb.jpg	bilateral small caliber pigtail and pleural drainage lines in place. pleural effusions have practically been eliminated. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13705993/s53297596/70cbe42c-0df9c82c-0a6c6b94-7674d2dd-f53bf656.jpg	left retrocardiac subsegmental atelectasis, possibly exaggerated due to small lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p12029365/s52701548/c6119e6a-d88c7b26-68d0f00d-2019ceca-2dd61638.jpg	no pneumothorax. mild pulmonary edema. increased opacity in the left lung could be focus of increased pulmonary edema although aspiration is also possible. followup chest radiograph is recommended. recommendation(s): followup chest radiograph is recommended.
MIMIC-CXR-JPG/2.0.0/files/p18861496/s53137447/1e0a116b-25a02581-cc125fd1-27dd27cf-de1abc67.jpg	as compared to the previous radiograph, no relevant change is seen. the tip of the endotracheal tube projects <num> cm above the carinal, unchanged as compared to the prior image. the nasogastric tube, the left picc line and the right internal jugular vein catheter are in unchanged position. also unchanged is the appearance of a left apical a zone of increased parenchymal radiodensity, combined <num> some air bronchograms and of right apical pleural thickening. unchanged appearance of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p18487334/s56858524/bd3badf2-83c4afdf-f177671f-f91d008a-5751464e.jpg	mild cardiomegaly. no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12809207/s58884783/8d907901-3244891b-e4498d85-d1d28f6a-a86f166f.jpg	compared to prior chest radiographs through. lung volumes are substantially lower exaggerating what is probably also a moderate increase in heart size. new opacification in the right midlung could be atelectasis or early pneumonia. pleural effusions are small if any. no pneumothorax. indwelling cardiopulmonary support devices in standard placements.
MIMIC-CXR-JPG/2.0.0/files/p16043637/s56104633/cfec6d9d-4bc06a39-db51e654-c78ce642-16ef1ae3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11885023/s56419826/e7f4e8b4-9ce03503-99d29d69-2e7386da-2e022867.jpg	no radiographic evidence for pneumonia. results were conveyed via telephoned to dr nurse by dr on at within five minutes of observation of findings.
MIMIC-CXR-JPG/2.0.0/files/p11816365/s59775701/e152ea31-bc339564-387398f9-42cd896e-e458f1ce.jpg	previous mediastinal and pulmonary vascular engorgement have resolved and heart size has returned to normal. right lower lobe atelectasis is new. no pleural abnormality. esophageal drainage tube passes into the stomach and out of view.
MIMIC-CXR-JPG/2.0.0/files/p13120648/s54317946/518d5892-686260e1-0a84ef2d-695e3f5e-758f0658.jpg	compared to chest radiographs since , most recently through. no recent change in moderate cardiomegaly, generalized pulmonary vascular congestion, mild pulmonary edema, as well as extensive infection responsible for large scale right middle and lower lobe consolidation and multiple pulmonary nodules. pleural effusion is presumed, but not appreciable. no pneumothorax. central venous infusion port catheter ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p14150037/s58913425/0bbbcdb4-484225ea-7c22e935-b77574ea-fa4b3f22.jpg	compared to chest radiographs through. moderately severe pulmonary edema has not worsened. severe cardiomegaly is stable. there is no appreciable pleural effusion no pneumothorax. cardiopulmonary support devices are all unchanged in standard placements. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg	again seen is extensive emphysema with prominent bullous changes particularly at the bases. however, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity. findings therefore raise the possibility of a loculated pneumothorax. followup imaging is recommended. endotracheal tube has its tip approximately <num> cm above the carina. a left subclavian picc line has its tip in the distal svc near the cavoatrial junction and a nasogastric tube is seen coursing below the diaphragm with the tip not identified. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17947897/s50129364/21aea3b6-ec0e9534-e217a93a-de7a315c-fd2068f0.jpg	improving opacities within the background of chronic changes in the right hemithorax.
MIMIC-CXR-JPG/2.0.0/files/p19666743/s59796261/1fcb32c9-87ab2f6b-5d855397-1a2c9c04-ff9d643a.jpg	ap chest compared to through , : mild pulmonary edema has improved since earlier in the day. lung volumes are maintained and in fact right infrahilar atelectasis or edema has improved. severe cardiomegaly is chronic. no pneumothorax. small pleural effusions are presumed.
MIMIC-CXR-JPG/2.0.0/files/p15133454/s56293488/806dcf39-b06943f4-b699abcc-ebd84041-a5b34dd1.jpg	enlarged cardiac silhouette without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15782217/s52815827/bc6a48c0-ee1bde82-c8664962-9190a1a4-16a8d9bc.jpg	the heart remains stably enlarged, likely reflecting cardiomegaly. the interstitium remains slightly prominent, reflecting age-related changes or small airways disease. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema. mediastinal contours are unchanged. no pneumothorax. there is deformity of the left lateral rib cage, likely reflecting remote trauma. in addition, there is evidence of vertebroplasty of one of the lower thoracic vertebrae. no acute bony abnormality is appreciated. the aorta remains unfolded and tortuous.
MIMIC-CXR-JPG/2.0.0/files/p17606572/s54061941/c34d10b9-1ab8284e-02800411-f81d4c3d-c279494e.jpg	lung volumes have improved, but heterogeneous bibasilar opacification has not. it is not entirely clear whether this is dependent edema or bilateral pneumonia due to recent aspiration. heart size is clearly normal and mediastinal veins slightly less dilated. upper lobe pulmonary vasculature is borderline in caliber. small left pleural effusion stable. no pneumothorax. transvenous right atrial right ventricular pacer defibrillator leads in standard placements unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17673557/s51913439/19e0deba-d57d2cd5-4858dbdf-16d86f86-72827a46.jpg	no acute cardiopulmonary process. findings suggestive of chronic interstitial lung disease.
MIMIC-CXR-JPG/2.0.0/files/p16906565/s50554104/865c455d-d00255aa-ab921080-a9d9601b-0545a977.jpg	no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17030061/s58076858/ab7b4150-7e093c0e-8ff3c9e8-3ed6cf11-96166c59.jpg	cardiomediastinal contours are normal. lungs and pleural surfaces are clear.
MIMIC-CXR-JPG/2.0.0/files/p19681434/s58057387/48b824a7-14fa17b5-19b2b333-75b96a6c-e8997031.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10169328/s52772430/d772598e-d8e042f1-82519e14-c90edf73-6729de28.jpg	unchanged moderate left and trace right pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19984881/s58978266/82b6a5a1-3ab60cb1-85deb51f-1517f941-dc9ab72c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12118872/s58118901/f31c4705-bffa3bba-284e3714-f3436e38-04e5e5db.jpg	no relevant change as compared to prior.
MIMIC-CXR-JPG/2.0.0/files/p13606080/s59806174/b32f582d-f4914d34-461dc560-17237d5a-02d2f2ce.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16660343/s54299027/75ba5dc3-8dedde69-24085c53-e5604a12-52b7bf7b.jpg	mild left basilar atelectasis with otherwise clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p10429629/s51622919/92ce0956-2623c1c6-006847df-acbc7e37-771a93bf.jpg	there is consolidation of the medial aspect of the left lower lobe which may represent atelectasis or an early pneumonia. i get the impression of volume loss which favors atelectasis. please take note of the low position of the ett.
MIMIC-CXR-JPG/2.0.0/files/p19088387/s51378573/d665772d-91ea781a-7d27a671-acac7b29-9f1051ea.jpg	in comparison to prior radiograph from several hr earlier, an impella cardiac assist device is been placed as well as an endotracheal tube and nasogastric tube. the side port of the nasogastric tube is not well visualizing could potentially be proximal to the ge junction. mild cardiomegaly is accompanied by slight improvement an an asymmetrical bilateral pulmonary edema pattern. bilateral pleural effusions are difficult to compare to the prior study due to positional differences of the patient.

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no evidence of acute disease.

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diffuse increased vascular markings likely reflects chf. low inspiratory volumes noted.

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no visualized radiopaque foreign body which matches the needle count. this finding and the other above findings in the body of the report were discussed with dr , attending, at over the phone on.

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increased right lower lobe opacity and nodularity. heart size is slightly larger. findings may reflect asymmetric pulmonary edema with dilated vessels. metastasis is also possible and cannot be completely excluded. consider repeat chest radiograph after treatment to ensure resolution.

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minimal bibasilar atelectasis, similar to the radiograph from. no focal consolidation or new area of opacity identified.

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in comparison with the study of , there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. the right effusion has decreased with small residual or pleural scarring. no evidence of acute pneumonia.

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right basal opacity could reflect effusion/atelectasis or rll pneumonia

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increased confluent opacification in bilateral lower lobes is concerning for pneumonia.

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as compared to the recent radiograph of <num> day earlier, worsening bibasilar opacities are present, left greater than right, with probable adjacent small pleural effusions. no other relevant change since recent study.

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right internal jugular line tip is at the level superior svc. cardiomegaly is unchanged. mediastinum is unchanged including bilateral hilar enlargement and there is interval progression of interstitial pulmonary edema. consolidations in the lung bases might reflect infectious process which is in combination with pulmonary edema.

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in comparison with the study of , there has been a thoracentesis performed on the right with removal of a substantial amount of pleural fluid. no evidence of pneumothorax. otherwise, little change in the heart and lungs.

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no evidence of pneumonia.

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no acute cardiopulmonary process.

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no evidence of pneumothorax or acute cardiopulmonary process. small pleural effusion in the major fissure on the right which has minimally increased from the prior study.

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chronic volume loss of the right lung compared to the left. chronic blunting of the right costophrenic angle, trace pleural effusion versus pleural thickening. subtle increase in interstitial markings diffusely bilaterally may be due to minimal interstitial edema superimposed on copd. no lobar consolidation. if high clinical concern for mediastinal or hilar adenopathy, ct is more sensitive and should be considered.

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right lower lobe pneumonia. short radiographic followup is recommended within six to eight weeks and after treatment to document interval resolution.

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no acute cardiopulmonary process.

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bilateral worsening pulmonary edema and worsening infectious process in the left midlung and right base

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no significant interval change. no pulmonary edema or pleural effusion.

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subpleural reticular opacities, particularly in the right lung, are consistent with underlying interstitial fibrosis.

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no acute intrathoracic process.

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vague opacity in the left lower lung could represent atelectasis versus pneumonia.

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right pleural effusion with atelectasis. underlying consolidation at the right lung base cannot be excluded. slightly increased interstitial markings, which may represent interstitial edema versus atypical infection.

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heterogeneous opacities in the right lower lung are suspicious for pneumonia. results were discussed over the telephone with dr by at on at time of initial review.

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overall cardiac and mediastinal contours are unchanged. there has been improvement in the asymmetric interstitial edema, right greater than left. no pneumothorax. no focal airspace consolidation to suggest pneumonia.

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no acute cardiopulmonary abnormality.

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copd without superimposed pneumonia.

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compared to a chest radiographs since , most recently. linear scarring at the site of the suture in the right midlung is unchanged since. greater radiodensity projecting over the right mid and lower lung is probably due to differences in overlying soft tissue. there are no findings of pneumonia. heart size is normal. right pleural scarring is stable. there is no pleural effusion. wedge compression, mid thoracic vertebral body, is stable since at least.

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no acute intrathoracic process.

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right subclavian central venous infusion catheter ends in the mid right atrium, unchanged. lungs grossly clear. no pleural abnormality. normal cardiomediastinal silhouette. no evidence of pneumonia.

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no acute cardiopulmonary abnormality.

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worsening cardiomegaly, bilateral pulmonary edema, and widening of the vascular pedicle suggest chf exacerbation. left lower lung opacity is likely pleural effusion with a component of atelectasis, however, underlying pneumonia cannot be excluded. the above results were communicated via telephone by dr to dr at on , <num> minutes after discovery.

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top normal heart size. no evidence of acute disease.

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in comparison with the study of , the left picc line has been removed. cardiac silhouette remains enlarged, though the pulmonary vascularity has substantially improved and he is virtually at normal levels. blunting of the costophrenic angles is seen bilaterally, consistent with pleural fluid and some underlying compressive atelectasis. no evidence of acute focal pneumonia.

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no acute cardiopulmonary process identified.

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no acute findings in the chest.

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possible small right subpulmonic effusion. no other acute cardiopulmonary process.

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no acute intrathoracic process.

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no acute cardiothoracic process.

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subtle left lower lobe opacity could represent pneumonia in the appropriate clinical setting.

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no evidence of acute cardiopulmonary abnormalities.

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increased interstitial markings in the lungs bilaterally more conspicuous on today's exam but present previously, potentially due to chronic interstitial process although component of interstitial edema or atypical infection are possible.

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no acute cardiopulmonary process.

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no evidence of acute cardiopulmonary process.

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bilateral hilar lymphadenopathy was better evaluated on prior ct chest.

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central pulmonary vascular congestion, without frank edema. endotracheal tube and left picc are appropriately placed.

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no acute cardiopulmonary process.

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no substantial interval change from the prior exams with postsurgical changes again demonstrated in the right lung. no new focal consolidation.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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in comparison with study of , there are mild atelectatic changes at the left base. cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. apical pleural thickening on the right suggests old healed granulomatous disease. chronic mid thoracic compression deformities are again seen in the thoracic spine.

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hilar prominence with increased vascular markings and an enlarged right heart suggesting right sided heart failure. these abnormalities are fully characterized in subsequent ct.

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in comparison with the study of , there is little significant change. again there is a a right pleural effusion with areas of patchy opacification that has previously represented hemorrhage. the left lung is clear. the dual-channel pacer is unchanged.

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no radiographic evidence of acute cardiopulmonary process.

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no acute intrathoracic abnormality is identified. no definite fracture is identified, however if there is further concern for a rib fracture, a dedicated rib-series with a bb-marker marking the site of pain would be advisable.

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a right pigtail catheter is in place. there e is small right apical pneumothorax, increased since the prior study. bibasal atelectasis is unchanged. left lung is clear. the exception is left basal atelectasis that appears to be stable as compared to the prior study and calcified pleural plaque on the left,

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no acute cardiopulmonary process seen. no pneumothorax

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small layering bilateral pleural effusions have increased since. moderate cardiomegaly is stable since. previous interstitial pulmonary abnormality, manifested in the thickened septal lines has improved, probably mild edema. nevertheless there is a heterogeneous ground-glass opacity distributed in the lower lung zones, best appreciated on the lateral view, that could be diffuse infiltrative lung disease such as desquamative or nonspecific interstitial pneumonia. chest ct scanning would be helpful in defining that abnormality. recommendation(s): routine noncontrast chest ct.

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no acute cardiopulmonary abnormality.

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compared to chest radiographs through. previous pulmonary vascular congestion has resolved, but moderate enlargement of the cardiac silhouette remains, exaggerated by very low lung volumes. there is no mediastinal venous engorgement to suggest elevated central venous pressure. pleural effusions are likely, but not large. no pneumothorax.

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normal chest radiograph.

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comparison to. no relevant change. low lung volumes. moderate cardiomegaly. monitoring and support devices are in stable correct position. no pleural effusions. no overt pulmonary edema. retrocardiac atelectasis persists in unchanged manner.

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ng tube tip isin the stomach a second enteric tube is probably in the proximal duodenum. et tube is in standard position. right basal chest tube is present. retrocardiac opacity is a combination of small effusion and atelectasis. sternal wires are aligned. there is no pneumothorax. widening of the mediastinum is stable. moderate to severe cardiomegaly is stable. severe scoliosis is again noted. left subclavian catheter tip is in the mid svc.

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in comparison with the earlier study of this date, there is no evidence of post procedure pneumothorax. otherwise, the study is unchanged.

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compared to chest radiographs through. the larger of <num> left pleural drains has been partially withdrawn and at least one side port is outside the chest. the left pigtail pleural drain is unchanged in position. skin fold projecting over the left lower lateral chest mimics a pneumothorax. no appreciable left pleural effusion. tiny right apical pneumothorax and moderate persistent right pleural effusion stable, with right basal pigtail pleural drainage catheter unchanged. previous mild pulmonary edema has substantially improved. there is still large areas of consolidation and cavitation. heart size normal. tip of the endotracheal tube with the chin elevated, <num> cm above the carina, is -<num> mm lower than optimal. left pic line ends in the low svc. nasogastric drainage tube ends in the stomach.

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in comparison to prior radiograph of <num> day earlier, pulmonary edema has worsened in severity and bilateral pleural effusions have increased in size. there remains dense left retrocardiac opacification which could be due to atelectasis or consolidation.

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limited due to patient rotation. subtle opacity in the right lower lung is potentially concerning for pneumonia. dedicated pa and lateral views would be helpful to confirm.

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no evidence of infection. there is a nodular opacity projecting over the eighth lateral left rib for which repeat study with nipple markers and shallow oblique projections is recommended.

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no active disease.

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no acute intrathoracic process.

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improved aeration of the left base.

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bilateral small caliber pigtail and pleural drainage lines in place. pleural effusions have practically been eliminated. no pneumothorax.

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left retrocardiac subsegmental atelectasis, possibly exaggerated due to small lung volumes.

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no pneumothorax. mild pulmonary edema. increased opacity in the left lung could be focus of increased pulmonary edema although aspiration is also possible. followup chest radiograph is recommended. recommendation(s): followup chest radiograph is recommended.

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as compared to the previous radiograph, no relevant change is seen. the tip of the endotracheal tube projects <num> cm above the carinal, unchanged as compared to the prior image. the nasogastric tube, the left picc line and the right internal jugular vein catheter are in unchanged position. also unchanged is the appearance of a left apical a zone of increased parenchymal radiodensity, combined <num> some air bronchograms and of right apical pleural thickening. unchanged appearance of the cardiac silhouette.

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mild cardiomegaly. no acute intrathoracic process.

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compared to prior chest radiographs through. lung volumes are substantially lower exaggerating what is probably also a moderate increase in heart size. new opacification in the right midlung could be atelectasis or early pneumonia. pleural effusions are small if any. no pneumothorax. indwelling cardiopulmonary support devices in standard placements.

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no acute cardiopulmonary process.

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no radiographic evidence for pneumonia. results were conveyed via telephoned to dr nurse by dr on at within five minutes of observation of findings.

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previous mediastinal and pulmonary vascular engorgement have resolved and heart size has returned to normal. right lower lobe atelectasis is new. no pleural abnormality. esophageal drainage tube passes into the stomach and out of view.

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compared to chest radiographs since , most recently through. no recent change in moderate cardiomegaly, generalized pulmonary vascular congestion, mild pulmonary edema, as well as extensive infection responsible for large scale right middle and lower lobe consolidation and multiple pulmonary nodules. pleural effusion is presumed, but not appreciable. no pneumothorax. central venous infusion port catheter ends in the low svc.

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compared to chest radiographs through. moderately severe pulmonary edema has not worsened. severe cardiomegaly is stable. there is no appreciable pleural effusion no pneumothorax. cardiopulmonary support devices are all unchanged in standard placements. no pneumothorax.

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again seen is extensive emphysema with prominent bullous changes particularly at the bases. however, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity. findings therefore raise the possibility of a loculated pneumothorax. followup imaging is recommended. endotracheal tube has its tip approximately <num> cm above the carina. a left subclavian picc line has its tip in the distal svc near the cavoatrial junction and a nasogastric tube is seen coursing below the diaphragm with the tip not identified. no pulmonary edema.

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improving opacities within the background of chronic changes in the right hemithorax.

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ap chest compared to through , : mild pulmonary edema has improved since earlier in the day. lung volumes are maintained and in fact right infrahilar atelectasis or edema has improved. severe cardiomegaly is chronic. no pneumothorax. small pleural effusions are presumed.

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enlarged cardiac silhouette without acute cardiopulmonary process.

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the heart remains stably enlarged, likely reflecting cardiomegaly. the interstitium remains slightly prominent, reflecting age-related changes or small airways disease. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema. mediastinal contours are unchanged. no pneumothorax. there is deformity of the left lateral rib cage, likely reflecting remote trauma. in addition, there is evidence of vertebroplasty of one of the lower thoracic vertebrae. no acute bony abnormality is appreciated. the aorta remains unfolded and tortuous.

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lung volumes have improved, but heterogeneous bibasilar opacification has not. it is not entirely clear whether this is dependent edema or bilateral pneumonia due to recent aspiration. heart size is clearly normal and mediastinal veins slightly less dilated. upper lobe pulmonary vasculature is borderline in caliber. small left pleural effusion stable. no pneumothorax. transvenous right atrial right ventricular pacer defibrillator leads in standard placements unchanged.

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no acute cardiopulmonary process. findings suggestive of chronic interstitial lung disease.

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no acute pulmonary process.

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cardiomediastinal contours are normal. lungs and pleural surfaces are clear.

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no radiographic evidence of pneumonia.

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unchanged moderate left and trace right pleural effusions.

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no acute cardiopulmonary process.

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no relevant change as compared to prior.

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no acute cardiopulmonary abnormality.

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mild left basilar atelectasis with otherwise clear lungs.

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there is consolidation of the medial aspect of the left lower lobe which may represent atelectasis or an early pneumonia. i get the impression of volume loss which favors atelectasis. please take note of the low position of the ett.

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in comparison to prior radiograph from several hr earlier, an impella cardiac assist device is been placed as well as an endotracheal tube and nasogastric tube. the side port of the nasogastric tube is not well visualizing could potentially be proximal to the ge junction. mild cardiomegaly is accompanied by slight improvement an an asymmetrical bilateral pulmonary edema pattern. bilateral pleural effusions are difficult to compare to the prior study due to positional differences of the patient.