ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p13595620/s55703365/fe68ba87-96c913eb-b3224c90-7613b80e-8c820496.jpg	stable cardiomegaly with mild vascular congestion. no overt pulmonary edema is seen.
MIMIC-CXR-JPG/2.0.0/files/p18340313/s55802790/efec858a-6359e512-3f547243-ecc0c8ac-a6ad29b4.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p12232510/s57553326/b3b7dd9a-71ee1973-f32221e5-5a8ce464-40e41a53.jpg	right subclavian picc line is unchanged in position. lung volumes remain somewhat diminished, and there is some crowding of the perihilar vasculature. there are patchy bibasilar opacities which could represent atelectasis in the setting of diminished lung volumes, although pneumonia should also be considered. overall cardiac and mediastinal contours are stable. no pneumothorax. no evidence of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17073597/s53318234/449e16a9-940dfa7d-7074b7bc-e62aaa8f-61c6c7ae.jpg	as compared to chest radiograph, lung volumes are slightly increased with associated improved aeration at the lung bases. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p11028216/s59723351/be6382f5-06eba032-067c9ce3-f9f6c5ad-68c7b8c2.jpg	in comparison with the study of , the substantially lower lung volumes makes it difficult to compare the degree of pleural effusion with the previous study. the hemidiaphragms are not sharply seen bilaterally and the findings are again consistent with layering pleural effusions and compressive basilar atelectasis. the upper zones are clear and there is no definite vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13945794/s56352315/6597dbe9-d44b5a99-c29a8c58-3fbf6c08-a71fec19.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14828993/s54095441/8c4cb561-2e5e8a95-23236caa-fabd02dd-da08d7cd.jpg	mild cardiomegaly, unchanged. otherwise, unremarkable study. specifically, no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17303323/s54956781/c9071234-57b2ea92-582dc056-40c8db8e-d10eaa6a.jpg	the swan-ganz catheter tip terminates in the distal right pulmonary artery. severe cardiomegaly, unchanged compared to multiple prior studies.
MIMIC-CXR-JPG/2.0.0/files/p15192329/s52768607/8597ef30-6be04117-0b198a90-427f34cb-dd8baca9.jpg	no acute cardiopulmonary process. significant (>%) loss of anterior vertebral body height of a mid thoracic vertebral body, age-indeterminate in the absence of priors. correlate with clinical assessment and any prior exams if available. mr could be performed to determine acuity if clinically necessary. recommendation(s): correlate with clinical assessment and any prior exams if available for mid thoracic vertebral body wedge fracture. mri could be performed of the thoracic spine to determine acuity if deemed clinically necessary.
MIMIC-CXR-JPG/2.0.0/files/p15731226/s53721997/b670a79c-8a323035-0239ed62-ffcbc195-2cd387bc.jpg	no relevant change as compared to the previous examination. small right pleural effusion with subsequent atelectasis. moderate cardiomegaly with mild fluid overload. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13013082/s59909424/d5a9c11d-0049e5aa-ca3ccdc6-5f6df0b0-3f56cd08.jpg	ng tube positioned appropriately. moderate bilateral pleural effusions with probable compressive lower lobe atelectasis. picc line unchanged in position.
MIMIC-CXR-JPG/2.0.0/files/p14253818/s58059115/73a9457c-9ac5836a-6ab28316-b227201e-ffa97c0b.jpg	hyperinflation and suggestion of peribronchial cuffing which may indicate an inflammation of lower airways, but not striking; correlation regarding any possibility of reactive airway disease is suggested. no evidence of focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p17741319/s51310703/710dec07-dc47c4c3-cb186410-d92af066-10e4c8d4.jpg	the bibasilar pleural fluid is increased, especially on the right lung there is mild pulmonary edema, with mild heart enlargement
MIMIC-CXR-JPG/2.0.0/files/p15546145/s50707057/e7571f80-07e6e1b4-ecd9275c-945ee307-d48682d3.jpg	focal opacity in the superior segment of the right lower lobe is consistent with pneumonia in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14707553/s59793351/a1d73111-83d45b27-b8f35cfa-dd734cd4-c4b97999.jpg	moderate right pleural effusion appears decreased since the prior study. essentially resolved left pleural effusion. right picc continues to terminate in mean proximal right atrium an again, could be pulled back <num> cm.
MIMIC-CXR-JPG/2.0.0/files/p19280225/s54480194/ee7d38dc-3e632ddc-77358031-dad7504f-b4e1b1be.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18312580/s56821662/f0c98b3b-0ec7950d-74ceeb68-1115295f-0a6178f5.jpg	hyperinflation with chronic increased interstitial markings, potentially due to chronic interstitial process, although interstitial edema is possible. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13594224/s55335974/5656986a-603a01d4-2c1a07ba-20f2775c-6e92cc61.jpg	opacity at the left lower lung likely reflecting pleural effusion with a component of volume loss. underlying infection should be considered. these results were telephoned to by at , , <num> minutes after discovery.
MIMIC-CXR-JPG/2.0.0/files/p12684253/s50096675/0f88d7ee-93c89994-2c4be1b6-4395b7ca-d61f9ef2.jpg	as compared to the previous radiograph, the large left pleural effusion and the small right pleural effusions are constant. constant appearance of the cardiac silhouette. no new parenchymal opacities. both the lateral and the frontal radiograph show no substantial changes.
MIMIC-CXR-JPG/2.0.0/files/p16906565/s51211539/e8b61d14-43fd73a1-434bb96a-2da78db6-36eb930d.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18553055/s57579867/fa42b1de-8787e18d-3455452c-524459cb-e4d13f69.jpg	satisfactory position of endotracheal tube. nasogastric tube could be advanced approximately <num> cm for more optimal positioning.
MIMIC-CXR-JPG/2.0.0/files/p12773787/s54516648/a1d4bdd2-2fac8836-e798f8d4-cf3d51d8-c17f4bb7.jpg	pa and lateral chest compared to : no pneumothorax, pleural effusion or mediastinal widening. moderate cardiomegaly unchanged since. no pulmonary edema. transvenous right ventricular pacer defibrillator lead follows the expected course from the right pectoral pacemaker. remnant right ventricular leads are coiled in the left upper chest. thoracic aorta is markedly tortuous, exaggerated by scoliosis, but not clearly aneurysmal.
MIMIC-CXR-JPG/2.0.0/files/p12204256/s59978778/dfc3b845-4d3c63a3-ddb1a056-4bf59f83-2d3412f7.jpg	no acute cardiopulmonary process. stable right lower lobe postoperative change.
MIMIC-CXR-JPG/2.0.0/files/p10268465/s53466049/322ae071-5f1cde0d-c33c10bf-bc36f054-007f7d39.jpg	dobbhoff tube tip is in the stomach. right central venous line terminates in the right atrium. right picc line tip is at the level of mid svc. cardiomediastinal silhouette is stable. there is no interval development of large pleural effusion and there is interval improvement of pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15528228/s58843035/dc911021-f5a25125-049a88fb-91ee6903-99aa2cff.jpg	there has been interval placement of a feeding tube, which descends beneath the diaphragm and appears to have its tip in the proximal jejunum. there continues to be an area of consolidation in the left mid to lower lung which has somewhat improved in aeration suggestive of resolving pneumonia. right lung remains clear. no pulmonary edema or pneumothorax. no layering effusions. there has been interval removal of the right picc line. overall cardiac and mediastinal contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p16848753/s57968609/baf983e2-7b30ee19-65688dfd-625b61b7-51f343b7.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18600028/s51137616/45b11218-941e4924-17778d30-8cb4bd17-17426cbe.jpg	low lung volumes without focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11784692/s57661509/dca165ed-4a8d79af-f4e8553d-687222c3-e9f4a37b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12191196/s58026582/1f029ab2-0fa3515f-297dc1fa-3cd928e0-61c67c77.jpg	normal appearance of the lung parenchyma. no pulmonary infection, no tuberculosis. normal size of the heart.
MIMIC-CXR-JPG/2.0.0/files/p16571143/s56609864/25c8fff3-d486daf7-fb7f06b4-2f140e17-40a98f33.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12578953/s54252184/0187870c-77ef2e50-aad03b9c-430166d0-61726d94.jpg	no acute cardiopulmonary abnormality. diffuse distention of colonic loops of bowel in the upper abdomen.
MIMIC-CXR-JPG/2.0.0/files/p16650418/s52087631/ec006d9a-70bc5abe-2709118f-2d47e657-6a728c09.jpg	persistent right basilar opacity is less defined on this supine radiograph, and may reflect pleural effusion rather than focal consolidation. unchanged left retrocardiac opacity.
MIMIC-CXR-JPG/2.0.0/files/p11752817/s54050620/eb80250b-97125548-0677f796-4bec9521-ec6bee32.jpg	grossly stable appearance of loculated right pleural effusion with possible mild improvement in aeration of the right lung.
MIMIC-CXR-JPG/2.0.0/files/p10326925/s59231023/6f3b8ee4-dd287f68-dcf978ae-fe66d40a-a7b36a77.jpg	chest xray examination within normal limits. please note that chest radiographs are not sensitive for detection of subtle chest wall trauma. if there are focal areas of pain, dedicated views of those areas are recommended.
MIMIC-CXR-JPG/2.0.0/files/p16956951/s56529497/3e6d1a08-e8375f60-48391c01-3883dbfe-6d736d0d.jpg	left pleural thickening/effusion is small. stable volume loss in the left lung. no acute focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p12105725/s57199981/77f5088b-56640d18-14f0ddbd-798d6d7d-e4ebe5a3.jpg	no acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15942934/s53535440/dcd075d8-433aaba4-906a2b7b-9dbe6d35-c3383d37.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17831676/s54172720/9582519a-8cbda63d-ddbde8e1-b0c60f21-f940cb42.jpg	as compared chest radiograph, cardiomediastinal contours are normal. interval improved aeration at both lung bases, with minimal residual patchy opacity at the right base. no new or progressive pulmonary opacities to suggest a site of infection. possible small bilateral pleural effusions. no visible pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p10892023/s57042895/e3d6f1fe-6e7c07d5-0c84ecf0-03e53bb5-81dc1795.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13918658/s58725123/2b20ed69-ad9fc408-c6e4e699-2442e9d0-8c9960c5.jpg	low lung volumes, which accentuate the bronchovascular markings. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14931360/s59080309/924725ef-4e8c4f19-04675943-5cfb553d-aa1b7683.jpg	no definite acute cardiopulmonary process. presumably in part post-treatment changes with volume loss in the right pleurx catheter and right paramediastinal soft tissue density.
MIMIC-CXR-JPG/2.0.0/files/p16901210/s59353625/158389ad-e4cfdff1-e79365d2-a22be826-95181c0c.jpg	as compared to the previous image, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina, the tube could be advanced by <num> cm. lung volumes are low. mild right basilar atelectasis. no pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13846611/s57799097/2d69eabe-20723051-74b2a551-c14fb9d2-1fce9d17.jpg	hyperinflated lungs with streaky opacities in the lower lungs slightly increased on the right concerning for acute on chronic infection. tiny right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p19461484/s54403128/0eae987b-c47d0133-fad48b69-68dcc9c9-6ff854d5.jpg	abnormal prominence of the right pulmonary hilum is likely technique due to rotation. consider repeat study to clarify. otherwise, unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p11664084/s55846119/83f95d28-20b8a0b0-494cfa41-927a93f2-cc1cb6a4.jpg	lung volumes are low. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13268981/s55527674/5f71f710-713a5cf4-a6b74bd8-3816b20f-7d40daa2.jpg	in comparison with the study of , the cardiac silhouette remains within normal limits. elevation of the left hemidiaphragm is seen with blunting of the costophrenic angle. streaks of atelectasis is seen in the mid lung bilaterally. no evidence of acute focal pneumonia or vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19281698/s50681517/ad10bd6f-bf35975e-68303847-a8d6e7e8-9fb6355a.jpg	no acute cardiopulmonary process, including no radiographic evidence of aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12535433/s51806367/8bb99cc5-3e7dcf5f-e22da099-d03d75c2-a2308861.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12182463/s54348692/12bde669-f51e3739-2bf5d48b-adc61392-b41ecc25.jpg	there is mild platelike atelectasis at left lung base, otherwise no notable change.
MIMIC-CXR-JPG/2.0.0/files/p14146667/s55518483/27f1b737-af2dff06-ee03f236-a9bd27af-da599328.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19062760/s50380766/f83cecc6-793611d7-434593b1-aaaec7f1-d0fa576b.jpg	unchanged moderate bilateral pleural effusions and interstitial pulmonary edema with left lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14868106/s54145031/5e8829cf-8446cb5a-b54fc4df-4757d031-e65a24f9.jpg	no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p15058965/s58535542/9609be76-3d435019-b4231283-7b293f2c-715345e3.jpg	patchy nodular opacities in the right lung. in the appropriate clinical setting, these could be related to infection in which case repeat after treatment to document resolution is advised. however, if symptoms not present, additional imaging with ct is suggested.
MIMIC-CXR-JPG/2.0.0/files/p11770498/s56582035/46b62773-4af2c243-7d4c96bf-722fbe8f-9d53a53e.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19930326/s59842105/cd96c041-d393cf59-ff0b0a95-c5ed904b-f1db9c65.jpg	as compared to the previous radiograph, the lung volumes remain low. borderline size of the cardiac silhouette without pulmonary edema. no pneumonia, no pleural effusions. normal appearance of the hilar and mediastinal structures.
MIMIC-CXR-JPG/2.0.0/files/p15041543/s58797010/d31718c5-6dab69e6-c99ed419-cc631e29-bc245697.jpg	ap chest compared to : lungs are reasonably well expanded and clear of any consolidation or other findings of pneumonia. the heart is normal size. there is no pulmonary vascular abnormality or pleural effusion. diminished vascularity in the right mid and upper lung zone suggests emphysema. feeding tube ends in the stomach. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12629934/s50775529/d997ad68-8e672114-a05b8d49-cad27a70-b02c7057.jpg	small left pneumothorax has minimally increased. cardiomediastinal contours are midline and unchanged. right lower atelectasis have increased. retrocardiac atelectasis are stable. left chest tubes remain in place
MIMIC-CXR-JPG/2.0.0/files/p15692542/s54132021/a41c7214-dd53a1c8-fdd53f39-45879b2d-0deda441.jpg	prior right branching hilar opacity consistent with pulmonary vasculature. no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16529096/s52628197/67c45bc7-6ed54c69-91e5170c-0b3a0c0e-1f3ac9cb.jpg	in comparison with the study , there are slightly lower lung volumes. continued enlargement of the cardiac silhouette with bibasilar opacifications, more prominent on the right, consistent with pleural fluid and underlying atelectasis. no definite pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p18140944/s59677386/856f6f1a-91f84035-a6864c4b-05eec83d-0706666c.jpg	in comparison with the study of , there is little overall change. specifically, no evidence of prominence of interstitial markings to suggest amiodarone toxicity. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13132968/s57181842/d1775a43-16db5c8a-066777ee-d9ec14d5-9b5f7447.jpg	no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15225349/s59329148/a0dfccb6-65fafe00-d68ed56e-fa119779-559190f1.jpg	in comparison with the earlier study of this date, there is mild increase in the size of the left apical pneumothorax after clamping of the chest tube. otherwise little change.
MIMIC-CXR-JPG/2.0.0/files/p19700882/s58263516/1800b187-4135a403-7d624912-e692a989-9c98902d.jpg	heart size and mediastinum are stable. right upper lobe opacity is consistent with known lesion. fiducial marker has been placed. right basal opacity might potentially represent consolidation due to<num> pre-existing bronchiectasis and infection, unchanged dating back to. no appreciable pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15365444/s57385805/637f364e-bd6e805d-ad857df9-7153f99f-e0fdb257.jpg	in comparison to exam, there is interval decrease in small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17292202/s52749388/c6283da1-306a76b1-c3ba8612-e6c82a13-0908acb8.jpg	mild pulmonary edema, with likely superimposed pneumonia in the right lung base.
MIMIC-CXR-JPG/2.0.0/files/p19516231/s53420299/629565ce-bfe39aa0-99760d46-fef6cb9e-93d2580a.jpg	bilateral pleural effusions, left greater than right. a widened paratracheal stripe suggests possible lymphadenopathy. ct is recommended for further evaluation. these findings were entered onto the critical communications dashboard by dr at on.
MIMIC-CXR-JPG/2.0.0/files/p18884046/s57878131/1447c4c4-d1778a67-bb73cc82-70c45734-c02f8ba0.jpg	no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the central catheters are somewhat difficult to assess, though both appear to lie above the cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p13042648/s54923133/61ce8b32-2dbf6bbe-677619fe-42db2448-9620b536.jpg	et tube in standard placement. aeration has improved substantially in the right lung since at , revealing large areas of consolidation and probably moderate right pleural effusion left lower lobe consolidation is probably new <num>, suggesting another focus of widespread pneumonia. heart is normal size. there is no pneumothorax. right jugular line ends in the low svc.
MIMIC-CXR-JPG/2.0.0/files/p17436136/s54343280/79fb773b-f1ab9a8a-aefbfbc9-b509cfcb-ae93733f.jpg	no acute findings.
MIMIC-CXR-JPG/2.0.0/files/p12446471/s56928884/727e1529-214c3f05-d83108f6-1fa8ff03-28e74e18.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p13460406/s50549718/041abc45-a801145d-9bf86fe0-706346c9-4f2b3f25.jpg	ap chest compared to : lungs are well expanded and perfectly clear. no appreciable pleural abnormality. moderate cardiomegaly improved since.
MIMIC-CXR-JPG/2.0.0/files/p12462658/s55482298/4e7c5265-5a19d53b-db03b2d9-7bb7522d-aa6e36ca.jpg	no evidence of a pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18751587/s56434020/2aa68e2d-4f8fc032-4a8e4d6c-40d24a4c-03c990e4.jpg	few, bilateral pulmonary lesions are seen and are better characterized on recent chest ct from. no evidence of chf, acute pulmonary infiltrate, or pneumothorax. pleural fluid and/or thickening at the right lung base, new or more pronounced compared with the ct scan. this appears to be associated with a known metastatic lesion involving the right eighth rib. the possibility of a minimally displaced pathologic fracture in this location would be difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p13987082/s51000479/01011d66-3f2e3c7a-5167a97a-5826d358-91493dc0.jpg	subsegmental atelectasis in the right lower lobe.
MIMIC-CXR-JPG/2.0.0/files/p13854902/s52804178/da5da647-b239f3ab-d044728a-705448a2-735318cb.jpg	mild right basilar atelectasis. follow up radiograph is recommended for evaluation of resolution.
MIMIC-CXR-JPG/2.0.0/files/p19209035/s59018929/da96220c-9b7d3da7-217ad204-13fa1fc7-3e70ed17.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15808118/s58774518/541287ae-d4c870fc-ef14a4fc-74087086-7f1439a5.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p12336653/s51035493/6d2e6d67-3cf1848b-6cce22ae-e59f11a9-e235e2d9.jpg	findings concerning for right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10947173/s57926501/f0bc2dbb-02ca8cfd-5d77df04-120f3efa-2af33044.jpg	new prominence of the cardiomediastinal silhouette and central vessels suggests mild cardiac decompensation. no pleural effusion. no focal opacification concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18595502/s59676085/868fbc6d-3562949d-bbbb5013-6701f3d2-9a4ef10a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12784606/s58463577/a5ccc5bb-017bec99-c00dbba8-f0471f78-d385f99f.jpg	normal chest radiograph. no pneumonia. of note ct is more sensitive in detection of subtle abnormalities in immunocompromised patients.
MIMIC-CXR-JPG/2.0.0/files/p11585485/s56341658/5d6650b8-293f8a0b-298812e1-a0b97afd-fedb95f1.jpg	since , a right lower lobe consolidation has become more confluent and is concerning for infectious pneumonia. adjacent small right pleural effusion has increased in size, and there is a possible small left pleural effusion as well. remainder of exam is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11601011/s54441282/bcd1765d-24a9718d-95445c02-158eab7d-74442c71.jpg	limited, negative.
MIMIC-CXR-JPG/2.0.0/files/p13541583/s57719385/cf426d4d-1e7bff23-1100a953-489112a8-efeaafbe.jpg	stable appearance of pacemaker and unchanged position of leads.
MIMIC-CXR-JPG/2.0.0/files/p13820366/s57445723/64573388-5c8dd8b8-e4350788-73fc6349-e21769b7.jpg	similar cardiomegaly. no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11816462/s54814091/38209756-afe325f5-a6936769-ed6132ba-fa4157f2.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11692070/s57467374/71d4ac05-f773a7bf-e36a27f9-309e553d-efee2527.jpg	right middle lobe partial atelectasis. no pneumonia. wet read was called to dr at by dr telephone at the time of discovery on.
MIMIC-CXR-JPG/2.0.0/files/p10906447/s56941652/719680b1-689e440d-622ade19-a1b47949-2777a096.jpg	right internal jugular line tip is at the level of cavoatrial junction. since the prior study there is progression of bibasal consolidations. mild vascular congestion is noted. ng tube tip is most likely in the stomach. et tube tip is <num> cm above the carinal.
MIMIC-CXR-JPG/2.0.0/files/p11314492/s57425542/ddf78b3d-571ccb57-c05df430-4bbed3bd-9d5da512.jpg	in comparison with the study of , there has been placement of a left pigtail catheter with removal of a huge amount of pleural fluid. some residual basilar opacification is seen bilaterally along with substantial pulmonary vascular congestion. no evidence of post procedure pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11512104/s56889771/84d8e0b6-5b77cf98-4137deac-e588d6e8-ed535ab1.jpg	moderate pulmonary edema and cardiomegaly, with associated small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16277483/s56337494/dd3f6d14-4b270a72-6487a3f0-645d4a18-4df1cff8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14318581/s58443040/cabc4a11-b0abf0f7-3ea32f7f-f75e22a8-6198b2f9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18543532/s59648032/85954633-c9bb2e0d-3e1c05ad-666abfcf-81264c8b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16181369/s54973424/f62a566f-1ea84c86-c23c1b16-d92ffa8a-050a798e.jpg	ng tube tip is in the stomach. et tube tip is approximately <num> cm above the carinal. cardiomediastinal silhouette is stable. left retrocardiac consolidation and left pleural effusion appears to be unchanged but there is interval progression of interstitial opacities concerning for progression of interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16583629/s56023185/1d3e18e2-973a70ba-9e6971f8-3c33d83e-bef6ea2c.jpg	no acute intrathoracic process, specifically no pneumonia. chronic mid thoracic spine compression fracture.
MIMIC-CXR-JPG/2.0.0/files/p17622718/s53472404/cb591237-f88d3087-35b44de4-92a921de-c3e4c489.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12320644/s57547044/d5c2652d-3f2725cb-8e7152a4-74f3ed3f-c86cd468.jpg	no definite acute cardiopulmonary process. suspected hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p10080961/s51592221/a458b266-00adf153-15c34b44-94ade90e-0a5d1249.jpg	in comparison with the study of , the endotracheal tube and nasogastric tube have been removed. the cardiac silhouette remains at the upper limits of normal in size without vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15866068/s55435319/78daadd4-e65e348e-7f3b2434-8abd97a7-e2ff26a9.jpg	no evidence of acute cardiopulmonary disease. left-sided picc line terminating in the left brachiocephalic vein.
MIMIC-CXR-JPG/2.0.0/files/p10745480/s53210181/87dcbef1-3e38e039-ae6d01aa-027b46b9-ed022c0f.jpg	no acute cardiopulmonary process.

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stable cardiomegaly with mild vascular congestion. no overt pulmonary edema is seen.

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no significant interval change.

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right subclavian picc line is unchanged in position. lung volumes remain somewhat diminished, and there is some crowding of the perihilar vasculature. there are patchy bibasilar opacities which could represent atelectasis in the setting of diminished lung volumes, although pneumonia should also be considered. overall cardiac and mediastinal contours are stable. no pneumothorax. no evidence of pulmonary edema.

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as compared to chest radiograph, lung volumes are slightly increased with associated improved aeration at the lung bases. no other relevant change.

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in comparison with the study of , the substantially lower lung volumes makes it difficult to compare the degree of pleural effusion with the previous study. the hemidiaphragms are not sharply seen bilaterally and the findings are again consistent with layering pleural effusions and compressive basilar atelectasis. the upper zones are clear and there is no definite vascular congestion.

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no evidence of acute cardiopulmonary process.

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mild cardiomegaly, unchanged. otherwise, unremarkable study. specifically, no evidence of pneumonia.

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the swan-ganz catheter tip terminates in the distal right pulmonary artery. severe cardiomegaly, unchanged compared to multiple prior studies.

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no acute cardiopulmonary process. significant (>%) loss of anterior vertebral body height of a mid thoracic vertebral body, age-indeterminate in the absence of priors. correlate with clinical assessment and any prior exams if available. mr could be performed to determine acuity if clinically necessary. recommendation(s): correlate with clinical assessment and any prior exams if available for mid thoracic vertebral body wedge fracture. mri could be performed of the thoracic spine to determine acuity if deemed clinically necessary.

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no relevant change as compared to the previous examination. small right pleural effusion with subsequent atelectasis. moderate cardiomegaly with mild fluid overload. no pneumonia.

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ng tube positioned appropriately. moderate bilateral pleural effusions with probable compressive lower lobe atelectasis. picc line unchanged in position.

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hyperinflation and suggestion of peribronchial cuffing which may indicate an inflammation of lower airways, but not striking; correlation regarding any possibility of reactive airway disease is suggested. no evidence of focal consolidation.

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the bibasilar pleural fluid is increased, especially on the right lung there is mild pulmonary edema, with mild heart enlargement

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focal opacity in the superior segment of the right lower lobe is consistent with pneumonia in the correct clinical setting.

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moderate right pleural effusion appears decreased since the prior study. essentially resolved left pleural effusion. right picc continues to terminate in mean proximal right atrium an again, could be pulled back <num> cm.

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no acute cardiopulmonary process.

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hyperinflation with chronic increased interstitial markings, potentially due to chronic interstitial process, although interstitial edema is possible. no focal consolidation.

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opacity at the left lower lung likely reflecting pleural effusion with a component of volume loss. underlying infection should be considered. these results were telephoned to by at , , <num> minutes after discovery.

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as compared to the previous radiograph, the large left pleural effusion and the small right pleural effusions are constant. constant appearance of the cardiac silhouette. no new parenchymal opacities. both the lateral and the frontal radiograph show no substantial changes.

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no acute cardiopulmonary process.

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satisfactory position of endotracheal tube. nasogastric tube could be advanced approximately <num> cm for more optimal positioning.

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pa and lateral chest compared to : no pneumothorax, pleural effusion or mediastinal widening. moderate cardiomegaly unchanged since. no pulmonary edema. transvenous right ventricular pacer defibrillator lead follows the expected course from the right pectoral pacemaker. remnant right ventricular leads are coiled in the left upper chest. thoracic aorta is markedly tortuous, exaggerated by scoliosis, but not clearly aneurysmal.

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no acute cardiopulmonary process. stable right lower lobe postoperative change.

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dobbhoff tube tip is in the stomach. right central venous line terminates in the right atrium. right picc line tip is at the level of mid svc. cardiomediastinal silhouette is stable. there is no interval development of large pleural effusion and there is interval improvement of pulmonary edema.

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there has been interval placement of a feeding tube, which descends beneath the diaphragm and appears to have its tip in the proximal jejunum. there continues to be an area of consolidation in the left mid to lower lung which has somewhat improved in aeration suggestive of resolving pneumonia. right lung remains clear. no pulmonary edema or pneumothorax. no layering effusions. there has been interval removal of the right picc line. overall cardiac and mediastinal contours are stable.

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no acute cardiopulmonary process.

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low lung volumes without focal consolidation to suggest pneumonia.

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no acute cardiopulmonary process.

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normal appearance of the lung parenchyma. no pulmonary infection, no tuberculosis. normal size of the heart.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. diffuse distention of colonic loops of bowel in the upper abdomen.

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persistent right basilar opacity is less defined on this supine radiograph, and may reflect pleural effusion rather than focal consolidation. unchanged left retrocardiac opacity.

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grossly stable appearance of loculated right pleural effusion with possible mild improvement in aeration of the right lung.

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chest xray examination within normal limits. please note that chest radiographs are not sensitive for detection of subtle chest wall trauma. if there are focal areas of pain, dedicated views of those areas are recommended.

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left pleural thickening/effusion is small. stable volume loss in the left lung. no acute focal consolidation.

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no acute pneumonia.

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no acute cardiopulmonary abnormality.

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as compared chest radiograph, cardiomediastinal contours are normal. interval improved aeration at both lung bases, with minimal residual patchy opacity at the right base. no new or progressive pulmonary opacities to suggest a site of infection. possible small bilateral pleural effusions. no visible pneumothorax.

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no evidence of pneumonia.

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low lung volumes, which accentuate the bronchovascular markings. otherwise, no acute cardiopulmonary process.

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no definite acute cardiopulmonary process. presumably in part post-treatment changes with volume loss in the right pleurx catheter and right paramediastinal soft tissue density.

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as compared to the previous image, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina, the tube could be advanced by <num> cm. lung volumes are low. mild right basilar atelectasis. no pulmonary edema. no pleural effusions.

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hyperinflated lungs with streaky opacities in the lower lungs slightly increased on the right concerning for acute on chronic infection. tiny right pleural effusion.

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abnormal prominence of the right pulmonary hilum is likely technique due to rotation. consider repeat study to clarify. otherwise, unremarkable.

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lung volumes are low. no acute cardiopulmonary process.

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in comparison with the study of , the cardiac silhouette remains within normal limits. elevation of the left hemidiaphragm is seen with blunting of the costophrenic angle. streaks of atelectasis is seen in the mid lung bilaterally. no evidence of acute focal pneumonia or vascular congestion.

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no acute cardiopulmonary process, including no radiographic evidence of aspiration.

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no acute cardiopulmonary process.

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there is mild platelike atelectasis at left lung base, otherwise no notable change.

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no acute cardiopulmonary process.

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unchanged moderate bilateral pleural effusions and interstitial pulmonary edema with left lower lobe atelectasis.

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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.

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patchy nodular opacities in the right lung. in the appropriate clinical setting, these could be related to infection in which case repeat after treatment to document resolution is advised. however, if symptoms not present, additional imaging with ct is suggested.

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no acute cardiopulmonary abnormality.

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as compared to the previous radiograph, the lung volumes remain low. borderline size of the cardiac silhouette without pulmonary edema. no pneumonia, no pleural effusions. normal appearance of the hilar and mediastinal structures.

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ap chest compared to : lungs are reasonably well expanded and clear of any consolidation or other findings of pneumonia. the heart is normal size. there is no pulmonary vascular abnormality or pleural effusion. diminished vascularity in the right mid and upper lung zone suggests emphysema. feeding tube ends in the stomach. no pneumothorax.

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small left pneumothorax has minimally increased. cardiomediastinal contours are midline and unchanged. right lower atelectasis have increased. retrocardiac atelectasis are stable. left chest tubes remain in place

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prior right branching hilar opacity consistent with pulmonary vasculature. no acute cardiopulmonary process.

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in comparison with the study , there are slightly lower lung volumes. continued enlargement of the cardiac silhouette with bibasilar opacifications, more prominent on the right, consistent with pleural fluid and underlying atelectasis. no definite pulmonary vascular congestion.

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in comparison with the study of , there is little overall change. specifically, no evidence of prominence of interstitial markings to suggest amiodarone toxicity. no evidence of acute pneumonia, vascular congestion, or pleural effusion.

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no acute intrathoracic abnormality.

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in comparison with the earlier study of this date, there is mild increase in the size of the left apical pneumothorax after clamping of the chest tube. otherwise little change.

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heart size and mediastinum are stable. right upper lobe opacity is consistent with known lesion. fiducial marker has been placed. right basal opacity might potentially represent consolidation due to<num> pre-existing bronchiectasis and infection, unchanged dating back to. no appreciable pneumothorax.

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in comparison to exam, there is interval decrease in small left pleural effusion.

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mild pulmonary edema, with likely superimposed pneumonia in the right lung base.

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bilateral pleural effusions, left greater than right. a widened paratracheal stripe suggests possible lymphadenopathy. ct is recommended for further evaluation. these findings were entered onto the critical communications dashboard by dr at on.

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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the central catheters are somewhat difficult to assess, though both appear to lie above the cavoatrial junction.

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et tube in standard placement. aeration has improved substantially in the right lung since at , revealing large areas of consolidation and probably moderate right pleural effusion left lower lobe consolidation is probably new <num>, suggesting another focus of widespread pneumonia. heart is normal size. there is no pneumothorax. right jugular line ends in the low svc.

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no acute findings.

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no evidence of acute disease.

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ap chest compared to : lungs are well expanded and perfectly clear. no appreciable pleural abnormality. moderate cardiomegaly improved since.

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no evidence of a pneumonia.

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few, bilateral pulmonary lesions are seen and are better characterized on recent chest ct from. no evidence of chf, acute pulmonary infiltrate, or pneumothorax. pleural fluid and/or thickening at the right lung base, new or more pronounced compared with the ct scan. this appears to be associated with a known metastatic lesion involving the right eighth rib. the possibility of a minimally displaced pathologic fracture in this location would be difficult to exclude.

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subsegmental atelectasis in the right lower lobe.

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mild right basilar atelectasis. follow up radiograph is recommended for evaluation of resolution.

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no acute cardiopulmonary process.

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normal chest radiograph.

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findings concerning for right lower lobe pneumonia.

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new prominence of the cardiomediastinal silhouette and central vessels suggests mild cardiac decompensation. no pleural effusion. no focal opacification concerning for pneumonia.

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no acute cardiopulmonary process.

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normal chest radiograph. no pneumonia. of note ct is more sensitive in detection of subtle abnormalities in immunocompromised patients.

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since , a right lower lobe consolidation has become more confluent and is concerning for infectious pneumonia. adjacent small right pleural effusion has increased in size, and there is a possible small left pleural effusion as well. remainder of exam is unchanged.

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limited, negative.

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stable appearance of pacemaker and unchanged position of leads.

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similar cardiomegaly. no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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right middle lobe partial atelectasis. no pneumonia. wet read was called to dr at by dr telephone at the time of discovery on.

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right internal jugular line tip is at the level of cavoatrial junction. since the prior study there is progression of bibasal consolidations. mild vascular congestion is noted. ng tube tip is most likely in the stomach. et tube tip is <num> cm above the carinal.

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in comparison with the study of , there has been placement of a left pigtail catheter with removal of a huge amount of pleural fluid. some residual basilar opacification is seen bilaterally along with substantial pulmonary vascular congestion. no evidence of post procedure pneumothorax.

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moderate pulmonary edema and cardiomegaly, with associated small bilateral pleural effusions.

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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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ng tube tip is in the stomach. et tube tip is approximately <num> cm above the carinal. cardiomediastinal silhouette is stable. left retrocardiac consolidation and left pleural effusion appears to be unchanged but there is interval progression of interstitial opacities concerning for progression of interstitial pulmonary edema.

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no acute intrathoracic process, specifically no pneumonia. chronic mid thoracic spine compression fracture.

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no radiographic evidence for acute cardiopulmonary process.

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no definite acute cardiopulmonary process. suspected hiatal hernia.

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in comparison with the study of , the endotracheal tube and nasogastric tube have been removed. the cardiac silhouette remains at the upper limits of normal in size without vascular congestion, pleural effusion, or acute focal pneumonia.

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no evidence of acute cardiopulmonary disease. left-sided picc line terminating in the left brachiocephalic vein.

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no acute cardiopulmonary process.