ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p15676539/s57817376/348102bc-ea9d5dd0-35c3637c-d28a6c31-2c87ab00.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15942111/s54478698/88c9272d-3ea586e1-d00c4d9c-fef82fa5-861cbadf.jpg	low lung volumes with similar appearance of bilateral perihilar and right basilar opacities compatible with known sarcoidosis. no signs of pneumoperitoneum.
MIMIC-CXR-JPG/2.0.0/files/p15051145/s58360922/730a89bc-7afcb26e-957f18de-5675c5d2-634f578f.jpg	no acute pulmonary process identified. minimal atelectasis left base, similar to the radiographs.
MIMIC-CXR-JPG/2.0.0/files/p19025568/s59603258/34d45504-9565bfa3-c557ecbf-8fb4400e-05502acb.jpg	mild cardiomegaly. no signs of pneumonia or edema.
MIMIC-CXR-JPG/2.0.0/files/p14788557/s55055551/d03b42a1-0a2012ef-14dffa28-a34f7e26-c8417a0a.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11798066/s50182644/a1a83f99-33af6b4a-e031f0bc-80e49a58-a8062b65.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14189966/s51813123/6c8761bc-ab538b83-1c2d8093-1f4e39bb-29ad11f6.jpg	cardiac and mediastinal contours are within normal limits. lungs are well inflated without evidence of focal airspace consolidation, pleural effusions or pneumothorax. no acute bony abnormality is appreciated.
MIMIC-CXR-JPG/2.0.0/files/p15460742/s50164836/3f8ac074-ea7445de-401023d1-06e3036b-9efae267.jpg	mild pulmonary vascular congestion. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16893819/s52385437/18db9a86-f53b896d-669d9822-62f670bd-961b6e05.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14014948/s58953078/d89fb578-18650497-9c0edad5-f7830af3-b1fc430a.jpg	in comparison with the study of , the monitoring and support devices remain in satisfactory position. patchy areas of opacification in the right upper and left lower zones again are worrisome for pneumonia with some component of volume loss in the right upper lobe. poor definition of the right hemidiaphragm is consistent with small layering effusion and atelectatic changes.
MIMIC-CXR-JPG/2.0.0/files/p12363835/s56974137/85cb7845-90c24fd5-7e21dfb4-3f468041-c17272da.jpg	mild congestive heart failure. small right pleural effusion, increased compared to the previous exam. patchy opacity in the right lung base may reflect atelectasis but infection is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p16201176/s59007723/5b594ae4-b0df7e21-a63b143a-8b25c2f0-7a6f1f10.jpg	moderate left pleural effusion, worsened since. more overriding appearance of left -<num>th rib fractures compared to.
MIMIC-CXR-JPG/2.0.0/files/p16089469/s54986144/1f8c04e3-49bc0c90-149764a9-f64852a5-366b04cb.jpg	increasing size in right pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17425647/s58170185/aeffe011-08cfc431-0c327dab-60a1c232-3dfabd5b.jpg	no significant change compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p18874187/s58416272/59df0196-95326e14-9b237e8c-6dcb5864-35ab2dd3.jpg	heart size and mediastinum are stable. bilateral pleural effusions, right more than left are demonstrated. there is no pneumothorax. there is mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p17020556/s57725136/718e0440-3a23286c-93275f71-a1f6c621-d41c7687.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p11372885/s59009398/d48bd93c-8a379381-60ee7ec3-aba9f27e-4f69d4ca.jpg	right does suprahilar parahilar infiltrate is well as minimal patchy density in the right base.
MIMIC-CXR-JPG/2.0.0/files/p19156950/s57774500/28a7fdb0-a3b1c1a3-b48e945c-3284a45e-9f4d8e71.jpg	no evidence of acute cardiopulmonary process to explain back pain.
MIMIC-CXR-JPG/2.0.0/files/p14294338/s55062016/e876ab01-f1f7fdfa-27644ac6-f558190f-9ad1eae9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15798647/s57905007/0921a30b-06e21aae-13c8b8a3-2ff0fa17-a26d6bce.jpg	in comparison with the study , the endotracheal tube is been removed. nasogastric tube extends to the distal stomach. right pigtail catheter is in place and there is opacification at the base consistent with right lower and probably middle lobe collapse with pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10638098/s52494731/39183063-f7ba86bf-0467e13b-c4108d8e-61b87e49.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16406717/s51977342/d58e111c-eb923def-6e103d94-e46c789a-58b1c823.jpg	the patient is somewhat kyphotic in positioning. the right picc line tip is in the svc right atrial junction. there is no pneumothorax. there is atelectasis/consolidation in the left lung base. there may be a small left effusion.
MIMIC-CXR-JPG/2.0.0/files/p14117308/s50639086/67ca5c32-ec53f73c-db0ad1fd-a0e4d204-c10523b2.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18934111/s51985737/da7039d5-b99593e0-be0ba163-22c66dd8-48c2249d.jpg	lower lung atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13131584/s51609240/aab56051-0961e5e8-880f760a-eda927ce-466f7298.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12455543/s52223425/4e1c93f2-a0e65f9d-8789fdc8-0d79bc0e-1cd682ef.jpg	small right pleural effusion improved since. right upper lobe opacity previously described on is cleared. chronic interstitial changes consistent with emphysema.
MIMIC-CXR-JPG/2.0.0/files/p14903739/s57652194/1e9dc73b-5b779134-279c5333-5f21ad01-47bb4956.jpg	support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is a left retrocardiac opacity. opacity at the right base is unchanged. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p14067176/s52615731/5df53993-512bcddd-b978595a-631c0deb-c1ce47a5.jpg	no relevant change as compared to the previous examination. minimal atelectasis at the left lung bases. no pneumonia, no pulmonary edema, no pleural effusions. borderline size of the cardiac silhouette. mild elongation of the descending aorta.
MIMIC-CXR-JPG/2.0.0/files/p10216097/s54115167/25b54f76-c3cd5530-53933e4b-fe71f1e1-5795a929.jpg	in comparison with the earlier study of this date, the pa catheter is been pulled back to a good position within the mediastinal portion of the right pulmonary artery. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p13295971/s50691309/18f09211-be9dea32-c1d6978d-92b1ef62-265845b1.jpg	compared to chest radiographs since , most recently. patient is no longer in pulmonary edema but pulmonary vasculature is substantially engorged. heart size is top-normal. small left pleural effusion seen best on the lateral view.
MIMIC-CXR-JPG/2.0.0/files/p11316304/s50353715/0de26700-3e747018-4b1c85e7-eb135219-d8ee08ce.jpg	no pneumonia. severe dextroscoliosis stable from.
MIMIC-CXR-JPG/2.0.0/files/p10978711/s53259899/388c522f-6feb65f6-38dbad6e-922fe1fa-a8942570.jpg	there is a linear density lateral to the descending aorta of unclear etiology. additionally, there is a density lateral to the aortic arch. these findings are nonspecific and a dedicated chest ct is recommended for further evaluation.
MIMIC-CXR-JPG/2.0.0/files/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg	interval increase in interstitial markings raises concern for pulmonary edema. retrocardiac opacity is consistent with atelectasis or less likely pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16960460/s55817014/09cacb9b-3b098bb2-160d1582-3c9c99be-1fc2944b.jpg	no acute cardiopulmonary process. subtle irregular distribution of the peripheral pulmonary vasculature is consistent with copd or asthma. findings communicated by dr to the office assistant of dr by phone at pm on.
MIMIC-CXR-JPG/2.0.0/files/p12332623/s58536837/cf1bc604-6834526a-16700ee8-a392d90d-559ef01c.jpg	nasogastric tube in inappropriate position, terminating over the left lower hemithorax concerning for within the left lower lung, alternatively this could be within a hiatal hernia, although is above the level of the diaphragm and in inappropriate position. recommend withdrawal and repositioning. this finding and recommendation was discussed with dr in the emergency department at on , three minutes after discovery. extensive, right greater than left pulmonary alveolar opacities, centered in the perihilar regions but also involving all lobes, could be due to asymmetric edema, pulmonary hemorrhage/contusion; in the appropriate clinical setting, underlying infection not excluded. blunting of the right costophrenic angle may be due to a pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p11443083/s52657995/2ff39ae3-953a57de-cb7778b6-1e54ea6a-bb0e6e28.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14574396/s55178476/1e9c3009-ac8c0906-1638217e-d50bc913-da873f18.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13716770/s57020312/15cdb5b9-a4aacce7-2d6da2b6-56653e28-5f272a90.jpg	right pneumothorax has moderately increased in size.
MIMIC-CXR-JPG/2.0.0/files/p10843492/s58543616/e9bd0e7e-e16615e1-605c1fee-8d0bca2e-e2ccd538.jpg	top normal heart size, without acute chest pathology. calcified structure seen posterior to the heart on the lateral view might represent a calcified lymph node.
MIMIC-CXR-JPG/2.0.0/files/p15484935/s56630463/1f2182d3-4b8622c9-2d65fa8c-a08fd926-d004c0fa.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19879454/s56363521/e76e19f7-5d115d53-5448e63f-c01efdcd-ea30a4bf.jpg	stable cardiomegaly with hilar congestion and mild edema.
MIMIC-CXR-JPG/2.0.0/files/p12935888/s54075429/5c0c90e6-d0ed4642-be653675-a2907952-5b97da2f.jpg	<num>) low lung volumes crowd the bronchovascular markings. there are bibasilar opacities that may represent atelectasis due to low lung volumes, however, infection cannot be ruled out. if clinically indicated, repeat frontal radiograph with better lung volumes could help for further assessment. <num>) no focal infiltrate seen elsewhere in either lung.
MIMIC-CXR-JPG/2.0.0/files/p12262929/s52999436/00bda359-3544e043-4e12a5a8-cbacad36-3a289f3f.jpg	no new opacity concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11821317/s54189898/cae9019b-6cfc60bf-995e8716-03831d8e-e942cb59.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11104877/s51189215/db98aefe-76ccb925-cf39fdcf-eadc849f-ae750423.jpg	in the last image tube tip isout of view, below the diaphragm. no other interval change from prior study.
MIMIC-CXR-JPG/2.0.0/files/p19657904/s52640512/1f60fb02-acc14823-5745934f-464a9259-7988ca8b.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18874854/s51051026/6cc8adc8-5362c2b2-ca5457ec-84f9bd92-ab01f3ae.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14873487/s55162615/86642011-d3a2669d-c78ae171-30725c17-9d87d123.jpg	endotracheal tube at the level the carina, heading toward the right mainstem bronchus. recommend withdrawal by approximately <num> cm. enteric tube courses below the diaphragm, out of the field of view. low lung volumes without definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17734241/s55982489/cc9460f5-cd68ff10-0cd975e4-01910145-08678c7b.jpg	no evidence of acute cardiopulmonary process. stable large hiatal hernia and leftward deviation of the trachea secondary to goiter.
MIMIC-CXR-JPG/2.0.0/files/p13769924/s52992296/19b4793e-10a48ece-a02defe9-e595a500-e2f21308.jpg	right picc tip is in the right atrium. severe cardiomegaly is a stable. pacer leads are in standard position. bilateral effusions moderate on the right and small on the left are associated with adjacent atelectasis, grossly unchanged allowing the difference in positioning of the patient. moderate vascular congestion is stable. there is no evident pneumothorax. sternal wires are aligned
MIMIC-CXR-JPG/2.0.0/files/p16782585/s58721435/4bc44664-a213c147-d77eafdf-66046ff1-a1c06306.jpg	in comparison with the study of , there has been placement of a nasogastric tube that extends to the distal stomach. dilatation of loops of small bowel are strongly suggestive of small bowel obstruction. little change in the appearance of the heart and lungs.
MIMIC-CXR-JPG/2.0.0/files/p18562330/s57456642/e2f5cb7f-4e1c938c-f262913c-8828a30e-36a6aa41.jpg	no evidence of pneumonia or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18028180/s55973443/8d768d16-c6643078-6203094e-25de1c14-efe6f9b2.jpg	increased density over the lower spine with air bronchograms, suggestive of a peribronchial processes. in the appropriate clinical setting, this could represent pneumonia however lymphomatous infiltration not excluded.
MIMIC-CXR-JPG/2.0.0/files/p18634175/s51261016/f56690e6-18f434fc-180014e3-ace29a3c-edcf428a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16696377/s52308337/24236652-2489379d-efe8b929-893183cd-eb2030e2.jpg	allowing for technical differences between the exams, there has not been a substantial change in the appearance of the chest since recent study of <num> days earlier.
MIMIC-CXR-JPG/2.0.0/files/p16701759/s56326681/14b0f3d2-97c975b3-a007abe9-44ccaa8b-a1ce7796.jpg	baseline cardiac size with minimal pulmonary vascular engorgement, but no frank interstitial edema. faint opacity at the right lung base may represent atelectasis or early consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15289580/s57786219/558a6395-2f13a57d-eff7a6fc-19d41803-a223678d.jpg	as compared to , pneumomediastinum and subcutaneous emphysema have minimally decreased in extent. small right apical pneumothorax is in retrospect unchanged, and widespread pulmonary opacities are a persistent finding.
MIMIC-CXR-JPG/2.0.0/files/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg	new bibasilar opacities, which given the clinical history are suspicious for aspiration, possibly developing pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12713831/s59213405/29230094-8314d3e9-dab44a48-363d1dfa-e76e9a48.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19782969/s55939983/e1f5cf0e-f0d0667e-5ce6296f-dd975dab-11e1cada.jpg	in comparison with the study of , there is again is enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. no evidence of old tuberculous disease.
MIMIC-CXR-JPG/2.0.0/files/p19509694/s57167437/d6e2199a-92f9f210-9ecf407d-47193fc0-865d04a3.jpg	dramatically improved appearance of crack cocaine lung injury from. stable borderline cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p18202111/s56521378/1e771b65-ff78154d-46ebbbe5-1ea09548-01093eba.jpg	increased nodular opacities within the left lower lobe, particularly about the surgical site. these previously have been suggested to be rheumatoid nodules, but a followup nonemergent chest ct is suggested.
MIMIC-CXR-JPG/2.0.0/files/p11737430/s53976277/a0dcb746-075fb685-5186daaa-2c3a0d77-91d0e3b5.jpg	top normal cardiac silhouette with faint retrocardiac opacity, likely atelectasis given low lung volumes, cannot entirely exclude pneumonia, but unlikely given the lack of evidence change.
MIMIC-CXR-JPG/2.0.0/files/p11817840/s56856140/3ff84f88-7dedba51-fd25f09a-a4d09823-047daa7e.jpg	left subclavian catheter tip is in themid svc. et tube is in standard position. ng tube tip is out of view below the diaphragm. cardiac size is top-normal. opacities in the right base are a combination of pleural effusion and adjacent consolidation, the consolidation could be atelectasis or pneumonia. retrocardiac opacities have minimally improved. .
MIMIC-CXR-JPG/2.0.0/files/p13752677/s51480702/6bb283ed-189bf940-f4f766e0-f8113690-cf8a8699.jpg	dobhoff tube the tip in the region of the ge junction, unchanged from prior. persistent bilateral pleural effusions and pulmonary edema, unchanged from prior.
MIMIC-CXR-JPG/2.0.0/files/p11201842/s52400867/18e5e411-a1b89a69-0a736a38-7dc4fd37-058965f8.jpg	overall appearance is similar to the prior study. subtle improvement at the right base and subtle improvement at the left base are suggested. no obvious right-sided pneumothorax, though extensive subcutaneous emphysema is again seen on the right.
MIMIC-CXR-JPG/2.0.0/files/p15388022/s53506319/d6dcd0f3-489cf707-ebfe44ab-d8799dd0-2a6327f5.jpg	patient has had median sternotomy. alignment of sternal wires is unchanged, but wire fractures are noted. postoperative cardiomediastinal silhouette is stable and unremarkable. also unchanged is thickening of the retrosternal tissue best appreciated on the lateral view, but unlikely to be of any clinical significance given its stability since. lungs are clear and there is no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16055278/s59243588/527e6331-e96e10ea-eb25d66e-170188c2-18e17e46.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17699605/s57457812/da5f9476-6784ddda-91f9098c-1464f381-02947986.jpg	right-sided central line is unchanged with the distal lead tip in the mid svc. there are markedly low lung volumes with crowding of the pulmonary vascular markings and atelectasis at the lung bases, unchanged from prior. there are no pneumothoraces.
MIMIC-CXR-JPG/2.0.0/files/p11617629/s55494873/7d7fa07f-7ea0dee1-cb690417-b986576e-94c24606.jpg	there remains a swan- catheter with the distal lead tip at the main pulmonary outflow tract. the endotracheal tube, feeding tube, and mediastinal drains have been removed. there is unchanged cardiomegaly. there is a new left retrocardiac opacity. there remains mild pulmonary edema. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p13031024/s50637311/d301d789-c1393cfd-63856c44-96617a62-a5540500.jpg	mild cardiomegaly. clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p11263089/s59102245/7188423f-fe617446-e71cb32c-bc09a425-4de37231.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14494263/s51887420/8ea8f60a-398c0df6-0364714b-15ef3045-92cedf49.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15791079/s53694017/4b3efb2f-2e76272d-8be8b1bf-ecd117d3-63177173.jpg	cardiomegaly without signs of pneumonia or edema peer
MIMIC-CXR-JPG/2.0.0/files/p15140256/s58420395/9de9d79c-37abd618-1d496a3f-c03e78d5-56603d86.jpg	mild cardiomegaly. no signs of chf or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13692674/s54744176/dc7472dd-e61979b7-d3357f39-65dfab4b-ed05d50f.jpg	minimal left base atelectasis. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16165900/s54214746/a1442017-b4ad8c01-c5bbd5fa-83f33f3b-b20db01d.jpg	normal chest
MIMIC-CXR-JPG/2.0.0/files/p11244690/s58553204/867a66e6-122b7eb7-927e9903-283ec816-dedeec4d.jpg	normal chest radiograph without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13173458/s56607281/ac03fa6c-f3abc5ef-f7d1ad17-5cd9cc71-fe2ea1d2.jpg	bibasilar atelectasis and low lung volumes. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17083786/s54134757/ca6f4c27-7c333c80-688997a5-1f7f1768-140af231.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17754292/s59673249/a17ae7f7-a69405c1-73243471-4c3faebf-48660005.jpg	interval development of small bilateral pleural effusion, otherwise no interval change.
MIMIC-CXR-JPG/2.0.0/files/p10224171/s59724435/704bbe65-b1772785-b609eaee-e1d232cb-c9657282.jpg	interval removal of right chest tube, with evidence of a small right apical pneumothorax. decreased right pleural effusion. increased right mid/lower lung opacification is nonspecific, and my represent edema, pneumonia, hemorrhage or other alveolar process.
MIMIC-CXR-JPG/2.0.0/files/p18567332/s52093626/b773f4c5-1c9c4c5e-3350dc3d-c4acbff1-92521287.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16546768/s56903827/8b092cdb-1f097c7d-f30a0e93-f6b7581c-3f253f8b.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p19457417/s59885886/944dbf97-e7701f91-ce5a403c-5611dfee-16c6c4c0.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15448132/s58009701/36b0567e-32fb38ed-f482a630-ac39414f-71533f66.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10040221/s51524239/6c19e92f-027ef13e-0541e747-efa2c2bc-b0d02f83.jpg	normal radiographic examination of the chest. these findings were reported to dr office at <num> o'clock on by telephone.
MIMIC-CXR-JPG/2.0.0/files/p15103276/s52752441/763b900a-0e0fdac5-dad56302-61e053bc-372c4e73.jpg	no definite acute cardiopulmonary process noting poor inspiratory effort.
MIMIC-CXR-JPG/2.0.0/files/p14757056/s59441638/343a9cca-519da753-0f5ceb63-4d2d1587-2096d025.jpg	heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. large spine osteophyte on the left are noted at the thoracic spine.
MIMIC-CXR-JPG/2.0.0/files/p14605415/s52692032/77dae9b6-20ee916f-2377e7df-9413d0d6-038ffae0.jpg	in comparison with study of , there has been some decrease in opacification in the right hemithorax. continued substantial enlargement of the cardiac silhouette with moderate pulmonary edema, more prominent on the right.
MIMIC-CXR-JPG/2.0.0/files/p18110592/s53257043/2fd1abb0-7182a32b-e9970586-53b047f3-befbcf45.jpg	no new consolidation.
MIMIC-CXR-JPG/2.0.0/files/p15426866/s53433543/89373b05-dfc27e20-c3ba8227-65770cd4-ccdf56af.jpg	no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p18112598/s53344499/253fdd9f-41ba4c74-cc20288b-977b1fe7-deae19ce.jpg	mild cardiomegaly with pulmonary vascular congestion
MIMIC-CXR-JPG/2.0.0/files/p19143018/s56329878/3a6db9ee-3f7901bb-bc39203a-3180a318-2ca686aa.jpg	mild bibasilar atelectasis with small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15562294/s58736932/6f5e13d6-761c00ff-c336de32-fc434ff3-458543ff.jpg	top-normal cardiac silhouette size without pulmonary edema. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14048212/s59814754/46b14220-16d7a44f-a77caaa7-001e82d6-560b06b6.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15712372/s59737816/d939bd48-0818c509-c3652bd1-3bcd529c-66f14d93.jpg	no significant changes compared to the prior study.
MIMIC-CXR-JPG/2.0.0/files/p18618203/s57497935/e6b55c19-ddb462e4-4be47108-b2d882f3-9c2802be.jpg	confluent left lower lobe and patchy right lower lobe opacities, which may represent aspiration pneumonia given clinical suspicion for this entity. poorly defined peripheral right upper lobe opacity, possibly corresponding to the site of a lung nodule on chest cta of. once the lower lobe opacities have cleared on followup chest radiographs, consider a followup chest ct to assess for possible interval growth of the right upper lobe abnormality, which could potentially represent an early focus of lung neoplasm.
MIMIC-CXR-JPG/2.0.0/files/p18426683/s53251273/4f8bf2df-05b6ef93-6395fe18-9aec164a-d8c75e09.jpg	right picc tip in the mid svc. no other change.
MIMIC-CXR-JPG/2.0.0/files/p11595894/s51679277/fe64220d-87e1aed5-116f9f2e-5c6988da-b44b410f.jpg	no acute intrathoracic findings.

MIMIC-CXR-JPG/2.0.0/files/p15676539/s57817376/348102bc-ea9d5dd0-35c3637c-d28a6c31-2c87ab00.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p15942111/s54478698/88c9272d-3ea586e1-d00c4d9c-fef82fa5-861cbadf.jpg

low lung volumes with similar appearance of bilateral perihilar and right basilar opacities compatible with known sarcoidosis. no signs of pneumoperitoneum.

MIMIC-CXR-JPG/2.0.0/files/p15051145/s58360922/730a89bc-7afcb26e-957f18de-5675c5d2-634f578f.jpg

no acute pulmonary process identified. minimal atelectasis left base, similar to the radiographs.

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mild cardiomegaly. no signs of pneumonia or edema.

MIMIC-CXR-JPG/2.0.0/files/p14788557/s55055551/d03b42a1-0a2012ef-14dffa28-a34f7e26-c8417a0a.jpg

no acute intrathoracic abnormality.

MIMIC-CXR-JPG/2.0.0/files/p11798066/s50182644/a1a83f99-33af6b4a-e031f0bc-80e49a58-a8062b65.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p14189966/s51813123/6c8761bc-ab538b83-1c2d8093-1f4e39bb-29ad11f6.jpg

cardiac and mediastinal contours are within normal limits. lungs are well inflated without evidence of focal airspace consolidation, pleural effusions or pneumothorax. no acute bony abnormality is appreciated.

MIMIC-CXR-JPG/2.0.0/files/p15460742/s50164836/3f8ac074-ea7445de-401023d1-06e3036b-9efae267.jpg

mild pulmonary vascular congestion. no pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p16893819/s52385437/18db9a86-f53b896d-669d9822-62f670bd-961b6e05.jpg

no acute cardiopulmonary process.

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in comparison with the study of , the monitoring and support devices remain in satisfactory position. patchy areas of opacification in the right upper and left lower zones again are worrisome for pneumonia with some component of volume loss in the right upper lobe. poor definition of the right hemidiaphragm is consistent with small layering effusion and atelectatic changes.

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mild congestive heart failure. small right pleural effusion, increased compared to the previous exam. patchy opacity in the right lung base may reflect atelectasis but infection is not excluded.

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moderate left pleural effusion, worsened since. more overriding appearance of left -<num>th rib fractures compared to.

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increasing size in right pneumothorax.

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no significant change compared to the prior study.

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heart size and mediastinum are stable. bilateral pleural effusions, right more than left are demonstrated. there is no pneumothorax. there is mild vascular congestion.

MIMIC-CXR-JPG/2.0.0/files/p17020556/s57725136/718e0440-3a23286c-93275f71-a1f6c621-d41c7687.jpg

no acute cardiopulmonary abnormalities

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right does suprahilar parahilar infiltrate is well as minimal patchy density in the right base.

MIMIC-CXR-JPG/2.0.0/files/p19156950/s57774500/28a7fdb0-a3b1c1a3-b48e945c-3284a45e-9f4d8e71.jpg

no evidence of acute cardiopulmonary process to explain back pain.

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no acute cardiopulmonary process.

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in comparison with the study , the endotracheal tube is been removed. nasogastric tube extends to the distal stomach. right pigtail catheter is in place and there is opacification at the base consistent with right lower and probably middle lobe collapse with pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p10638098/s52494731/39183063-f7ba86bf-0467e13b-c4108d8e-61b87e49.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p16406717/s51977342/d58e111c-eb923def-6e103d94-e46c789a-58b1c823.jpg

the patient is somewhat kyphotic in positioning. the right picc line tip is in the svc right atrial junction. there is no pneumothorax. there is atelectasis/consolidation in the left lung base. there may be a small left effusion.

MIMIC-CXR-JPG/2.0.0/files/p14117308/s50639086/67ca5c32-ec53f73c-db0ad1fd-a0e4d204-c10523b2.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p18934111/s51985737/da7039d5-b99593e0-be0ba163-22c66dd8-48c2249d.jpg

lower lung atelectasis.

MIMIC-CXR-JPG/2.0.0/files/p13131584/s51609240/aab56051-0961e5e8-880f760a-eda927ce-466f7298.jpg

no acute intrathoracic process.

MIMIC-CXR-JPG/2.0.0/files/p12455543/s52223425/4e1c93f2-a0e65f9d-8789fdc8-0d79bc0e-1cd682ef.jpg

small right pleural effusion improved since. right upper lobe opacity previously described on is cleared. chronic interstitial changes consistent with emphysema.

MIMIC-CXR-JPG/2.0.0/files/p14903739/s57652194/1e9dc73b-5b779134-279c5333-5f21ad01-47bb4956.jpg

support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is a left retrocardiac opacity. opacity at the right base is unchanged. there are no pneumothoraces.

MIMIC-CXR-JPG/2.0.0/files/p14067176/s52615731/5df53993-512bcddd-b978595a-631c0deb-c1ce47a5.jpg

no relevant change as compared to the previous examination. minimal atelectasis at the left lung bases. no pneumonia, no pulmonary edema, no pleural effusions. borderline size of the cardiac silhouette. mild elongation of the descending aorta.

MIMIC-CXR-JPG/2.0.0/files/p10216097/s54115167/25b54f76-c3cd5530-53933e4b-fe71f1e1-5795a929.jpg

in comparison with the earlier study of this date, the pa catheter is been pulled back to a good position within the mediastinal portion of the right pulmonary artery. otherwise little change.

MIMIC-CXR-JPG/2.0.0/files/p13295971/s50691309/18f09211-be9dea32-c1d6978d-92b1ef62-265845b1.jpg

compared to chest radiographs since , most recently. patient is no longer in pulmonary edema but pulmonary vasculature is substantially engorged. heart size is top-normal. small left pleural effusion seen best on the lateral view.

MIMIC-CXR-JPG/2.0.0/files/p11316304/s50353715/0de26700-3e747018-4b1c85e7-eb135219-d8ee08ce.jpg

no pneumonia. severe dextroscoliosis stable from.

MIMIC-CXR-JPG/2.0.0/files/p10978711/s53259899/388c522f-6feb65f6-38dbad6e-922fe1fa-a8942570.jpg

there is a linear density lateral to the descending aorta of unclear etiology. additionally, there is a density lateral to the aortic arch. these findings are nonspecific and a dedicated chest ct is recommended for further evaluation.

MIMIC-CXR-JPG/2.0.0/files/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg

interval increase in interstitial markings raises concern for pulmonary edema. retrocardiac opacity is consistent with atelectasis or less likely pneumonia.

MIMIC-CXR-JPG/2.0.0/files/p16960460/s55817014/09cacb9b-3b098bb2-160d1582-3c9c99be-1fc2944b.jpg

no acute cardiopulmonary process. subtle irregular distribution of the peripheral pulmonary vasculature is consistent with copd or asthma. findings communicated by dr to the office assistant of dr by phone at pm on.

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nasogastric tube in inappropriate position, terminating over the left lower hemithorax concerning for within the left lower lung, alternatively this could be within a hiatal hernia, although is above the level of the diaphragm and in inappropriate position. recommend withdrawal and repositioning. this finding and recommendation was discussed with dr in the emergency department at on , three minutes after discovery. extensive, right greater than left pulmonary alveolar opacities, centered in the perihilar regions but also involving all lobes, could be due to asymmetric edema, pulmonary hemorrhage/contusion; in the appropriate clinical setting, underlying infection not excluded. blunting of the right costophrenic angle may be due to a pleural effusion.

MIMIC-CXR-JPG/2.0.0/files/p11443083/s52657995/2ff39ae3-953a57de-cb7778b6-1e54ea6a-bb0e6e28.jpg

no acute cardiopulmonary process.

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no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p13716770/s57020312/15cdb5b9-a4aacce7-2d6da2b6-56653e28-5f272a90.jpg

right pneumothorax has moderately increased in size.

MIMIC-CXR-JPG/2.0.0/files/p10843492/s58543616/e9bd0e7e-e16615e1-605c1fee-8d0bca2e-e2ccd538.jpg

top normal heart size, without acute chest pathology. calcified structure seen posterior to the heart on the lateral view might represent a calcified lymph node.

MIMIC-CXR-JPG/2.0.0/files/p15484935/s56630463/1f2182d3-4b8622c9-2d65fa8c-a08fd926-d004c0fa.jpg

no acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p19879454/s56363521/e76e19f7-5d115d53-5448e63f-c01efdcd-ea30a4bf.jpg

stable cardiomegaly with hilar congestion and mild edema.

MIMIC-CXR-JPG/2.0.0/files/p12935888/s54075429/5c0c90e6-d0ed4642-be653675-a2907952-5b97da2f.jpg

<num>) low lung volumes crowd the bronchovascular markings. there are bibasilar opacities that may represent atelectasis due to low lung volumes, however, infection cannot be ruled out. if clinically indicated, repeat frontal radiograph with better lung volumes could help for further assessment. <num>) no focal infiltrate seen elsewhere in either lung.

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no new opacity concerning for pneumonia.

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no evidence of acute cardiopulmonary process.

MIMIC-CXR-JPG/2.0.0/files/p11104877/s51189215/db98aefe-76ccb925-cf39fdcf-eadc849f-ae750423.jpg

in the last image tube tip isout of view, below the diaphragm. no other interval change from prior study.

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no acute intrathoracic process.

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no acute intrathoracic process.

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endotracheal tube at the level the carina, heading toward the right mainstem bronchus. recommend withdrawal by approximately <num> cm. enteric tube courses below the diaphragm, out of the field of view. low lung volumes without definite focal consolidation.

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no evidence of acute cardiopulmonary process. stable large hiatal hernia and leftward deviation of the trachea secondary to goiter.

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right picc tip is in the right atrium. severe cardiomegaly is a stable. pacer leads are in standard position. bilateral effusions moderate on the right and small on the left are associated with adjacent atelectasis, grossly unchanged allowing the difference in positioning of the patient. moderate vascular congestion is stable. there is no evident pneumothorax. sternal wires are aligned

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in comparison with the study of , there has been placement of a nasogastric tube that extends to the distal stomach. dilatation of loops of small bowel are strongly suggestive of small bowel obstruction. little change in the appearance of the heart and lungs.

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no evidence of pneumonia or pleural effusion.

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increased density over the lower spine with air bronchograms, suggestive of a peribronchial processes. in the appropriate clinical setting, this could represent pneumonia however lymphomatous infiltration not excluded.

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no acute cardiopulmonary process.

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allowing for technical differences between the exams, there has not been a substantial change in the appearance of the chest since recent study of <num> days earlier.

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baseline cardiac size with minimal pulmonary vascular engorgement, but no frank interstitial edema. faint opacity at the right lung base may represent atelectasis or early consolidation.

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as compared to , pneumomediastinum and subcutaneous emphysema have minimally decreased in extent. small right apical pneumothorax is in retrospect unchanged, and widespread pulmonary opacities are a persistent finding.

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new bibasilar opacities, which given the clinical history are suspicious for aspiration, possibly developing pneumonia.

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no acute cardiopulmonary process.

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in comparison with the study of , there is again is enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. no evidence of old tuberculous disease.

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dramatically improved appearance of crack cocaine lung injury from. stable borderline cardiomegaly.

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increased nodular opacities within the left lower lobe, particularly about the surgical site. these previously have been suggested to be rheumatoid nodules, but a followup nonemergent chest ct is suggested.

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top normal cardiac silhouette with faint retrocardiac opacity, likely atelectasis given low lung volumes, cannot entirely exclude pneumonia, but unlikely given the lack of evidence change.

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left subclavian catheter tip is in themid svc. et tube is in standard position. ng tube tip is out of view below the diaphragm. cardiac size is top-normal. opacities in the right base are a combination of pleural effusion and adjacent consolidation, the consolidation could be atelectasis or pneumonia. retrocardiac opacities have minimally improved. .

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dobhoff tube the tip in the region of the ge junction, unchanged from prior. persistent bilateral pleural effusions and pulmonary edema, unchanged from prior.

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overall appearance is similar to the prior study. subtle improvement at the right base and subtle improvement at the left base are suggested. no obvious right-sided pneumothorax, though extensive subcutaneous emphysema is again seen on the right.

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patient has had median sternotomy. alignment of sternal wires is unchanged, but wire fractures are noted. postoperative cardiomediastinal silhouette is stable and unremarkable. also unchanged is thickening of the retrosternal tissue best appreciated on the lateral view, but unlikely to be of any clinical significance given its stability since. lungs are clear and there is no pleural abnormality.

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no acute cardiopulmonary process.

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right-sided central line is unchanged with the distal lead tip in the mid svc. there are markedly low lung volumes with crowding of the pulmonary vascular markings and atelectasis at the lung bases, unchanged from prior. there are no pneumothoraces.

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there remains a swan- catheter with the distal lead tip at the main pulmonary outflow tract. the endotracheal tube, feeding tube, and mediastinal drains have been removed. there is unchanged cardiomegaly. there is a new left retrocardiac opacity. there remains mild pulmonary edema. no pneumothoraces are seen.

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mild cardiomegaly. clear lungs.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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cardiomegaly without signs of pneumonia or edema peer

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mild cardiomegaly. no signs of chf or pneumonia.

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minimal left base atelectasis. otherwise, no acute cardiopulmonary process.

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normal chest

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normal chest radiograph without evidence of pneumonia.

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bibasilar atelectasis and low lung volumes. no evidence of pneumonia.

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no acute intrathoracic process.

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interval development of small bilateral pleural effusion, otherwise no interval change.

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interval removal of right chest tube, with evidence of a small right apical pneumothorax. decreased right pleural effusion. increased right mid/lower lung opacification is nonspecific, and my represent edema, pneumonia, hemorrhage or other alveolar process.

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no evidence of acute disease.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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normal radiographic examination of the chest. these findings were reported to dr office at <num> o'clock on by telephone.

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no definite acute cardiopulmonary process noting poor inspiratory effort.

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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. large spine osteophyte on the left are noted at the thoracic spine.

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in comparison with study of , there has been some decrease in opacification in the right hemithorax. continued substantial enlargement of the cardiac silhouette with moderate pulmonary edema, more prominent on the right.

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no new consolidation.

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no acute intrathoracic abnormalities identified.

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mild cardiomegaly with pulmonary vascular congestion

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mild bibasilar atelectasis with small right pleural effusion.

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top-normal cardiac silhouette size without pulmonary edema. no focal consolidation to suggest pneumonia.

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no acute intrathoracic process.

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no significant changes compared to the prior study.

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confluent left lower lobe and patchy right lower lobe opacities, which may represent aspiration pneumonia given clinical suspicion for this entity. poorly defined peripheral right upper lobe opacity, possibly corresponding to the site of a lung nodule on chest cta of. once the lower lobe opacities have cleared on followup chest radiographs, consider a followup chest ct to assess for possible interval growth of the right upper lobe abnormality, which could potentially represent an early focus of lung neoplasm.

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right picc tip in the mid svc. no other change.

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no acute intrathoracic findings.