ChayanM/MIMIC-Impression-Dataset · Datasets at Fast360

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p18855147/s57863444/29481f39-ab51b96a-2a696f80-7ee66b4f-2ded1b3e.jpg	no evidence of acute pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17738700/s50599795/2c227a5a-466da833-7b91e386-027a816c-0dac213c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11158326/s50059248/23a4500c-1c4eb424-cfacaada-c06df65a-1e0e28eb.jpg	as compared to chest radiograph, pulmonary edema has worsened in severity and is accompanied by slightly increasing moderate sized pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16177747/s55189672/1afc6576-0dc5b37b-1ef778c9-6bca0219-465cd109.jpg	ap chest compared to : severe cardiomegaly is unchanged. lungs are clear and pleural surfaces are normal. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15075859/s53436597/d5ac5497-056911f6-3632f387-a2f42ad4-44225ce3.jpg	small left pneumothorax is stable. cardiomegaly is stable. right ij catheter tip is in the confluence of the brachiocephalic veins. sternal wires are aligned. patient is status post cabg. mediastinal lymphadenopathy is better seen in prior ct. small bilateral effusions larger on the right side are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p10956814/s54017368/1e4e179e-cd6fa67f-e80d53ef-f669db9f-d3bd98d0.jpg	bilateral pleural effusions are moderate to large, unchanged. cardiomediastinal silhouette is unchanged. there is no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p15392906/s52990492/27754001-b8ef3fd7-2966bbee-f742e6b1-9cbdd3c8.jpg	no acute cardiopulmonary process. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p15831207/s58803483/3c033500-8082b7c9-b2134e6c-5361c33d-8cc17855.jpg	stable postoperative cardiac and mediastinal contours in this patient with a neo esophagus. bibasilar patchy opacities which have increased suggestive of worsening atelectasis, although pneumonia or aspiration should also be considered in the correct clinical setting. the right subclavian port-a-cath is unchanged in position. no evidence of pulmonary edema, pneumothorax or pneumomediastinum. probable small bilateral effusions versus chronic pleural thickening given blunting of both costophrenic angles on the lateral projection.
MIMIC-CXR-JPG/2.0.0/files/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg	interval worsening of now moderate interstitial pulmonary edema. dobbhoff tube tip is demonstrated in the region of the pylorus and a post-pyloric position cannot be confirmed.
MIMIC-CXR-JPG/2.0.0/files/p10561909/s59058781/5f7bf4fc-c0004e6d-82365285-868ba903-64615772.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18747069/s55360571/e20ce028-984602fc-6a77f9dc-63b823e1-adc3c791.jpg	small to moderate pleural effusion on the left and very small pleural effusion on the right. no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13045791/s58888065/55933f0a-c70ae4c8-f1a56000-11a38f60-934d0864.jpg	although the left pneumothorax is not well appreciated on frontal view, the straight interface of fluid on lateral view suggests the presence of air in the pleural cavity. increased left pleural effusion. decreased left base atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10578325/s57473907/25b5761d-97c5feae-0660f36e-3f638f43-e8835cfa.jpg	bibasilar opacities and right upper lobe opacity in the appropriate clinical context may represent multifocal pneumonia. follow-up examination in weeks is recommended to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p12363835/s56333051/8d828b75-0f7a4cfc-370f4e2f-1231048a-ab5e4ae4.jpg	stable moderate to severe enlargement of the cardiac silhouette with bilateral pleural effusions, suggesting a picture of mild congestion. interval resolution of the previously described right-sided pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14450927/s50282557/9eec12b1-44dffd62-e8a4ced8-03773cd9-573c56a3.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11512173/s53539415/4f85c03c-f65c0567-6cd8dc37-1171d64c-5e307cd6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15321314/s54072328/81992fc9-01ed1608-e6f614d1-559c24b4-279efc3a.jpg	heart size is top-normal. mediastinum is stable in appearance. extensive chest wall and left neck soft tissue air is present. there is a small amount of pneumomediastinum. no pneumothorax is seen. there is pulmonary vascular engorgement and pulmonary edema with a small right pleural effusion. preliminary findings were communicated to dr by dr , phone on at pm, <num> minute(s) after discovery.
MIMIC-CXR-JPG/2.0.0/files/p17119475/s53350198/9278d36a-5fd63f96-dbda9d63-a768b634-d4994fde.jpg	no evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p17533213/s52771589/9dfa251b-055adb90-36a20749-381776d5-021398f2.jpg	right internal catheter sheath has been removed. right picc tip appears to be in the cavoatrial junction. pacer leads are in standard position. the lungs are grossly clear. there is no pneumothorax. if any there is a small left effusion.
MIMIC-CXR-JPG/2.0.0/files/p12365988/s56568116/0bdc1037-2bec12b9-39a5fe7e-784fbf58-b9be279d.jpg	mild left basal atelectasis. hiatal hernia. otherwise unremarkable.
MIMIC-CXR-JPG/2.0.0/files/p13012527/s53322566/e0d68151-9c687c49-511d8e50-60604a8f-78639cd9.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19826913/s56420582/08a89429-3cc68a80-588b61f1-afb21dc9-f02ee766.jpg	no evidence of active or latent tuberculosis.
MIMIC-CXR-JPG/2.0.0/files/p15405231/s55063690/7cb7f653-77a2cb3b-b84ad9b5-9cb5d1cc-8a2cbfc5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18703095/s55045330/9db6dee9-b46a24e2-42899623-b55bfc5c-4ce469ed.jpg	age indeterminate fractures of the right second and eleventh ribs. this should be correlated with the patient's pain on exam and trauma history.
MIMIC-CXR-JPG/2.0.0/files/p17058555/s59440512/d0c630c5-f1cef5f9-b53cb673-91d0f4ac-dce1a50c.jpg	nasogastric tube tip within the stomach. the side port is just below the gastroesophageal junction.
MIMIC-CXR-JPG/2.0.0/files/p11228986/s58980847/86bcc2fa-6d3926fe-74e5584a-4ecddbbd-c19f85f0.jpg	stable exam
MIMIC-CXR-JPG/2.0.0/files/p12174941/s55528391/4ce7b381-eb7b0aa0-f6f11afb-60d863a6-14788c15.jpg	low lung volumes with bibasilar atelectasis. pulmonary edema seen on exam has resolved.
MIMIC-CXR-JPG/2.0.0/files/p18299037/s52340653/20bc2620-81aba8e5-36d6d7e6-135cfa77-e3601546.jpg	ap chest compared to through : mild-to-moderate pulmonary edema is new. moderate cardiomegaly is worsened and there is now a new small pleural effusion. extensive pulmonary metastasis is only partially visible. interval increase in mediastinal caliber is probably due to venous engorgement, baseline widening due to extensive fat deposition and some lymph node enlargement. right jugular line ends low in the svc. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16724062/s55009682/df08d808-04466f04-2c8a40cf-630250e1-9e993c29.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18148620/s57991093/7078fd10-95318147-1734fa4c-b3bbefce-01e65263.jpg	right lateral rib fractures which appear displaced with small associated effusion, potentially hemothorax. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16326093/s51716485/f947f54e-24bb3682-fe4553df-16b376a3-2035e230.jpg	as compared to chest radiograph, pulmonary edema has nearly resolved. more confluent opacities at the lung bases persist and may be related to history of multifocal pneumonia. small to moderate pleural effusions are also present, with interval increase on the right.
MIMIC-CXR-JPG/2.0.0/files/p12440965/s55315295/b7106e27-1d7a22ed-92db6036-62635631-694fb37f.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10192644/s50310613/19ae447a-df6cdec0-e6dad58a-d19c1de1-a8f6c164.jpg	compared to the prior exam the left lower lobe appears slightly worse.
MIMIC-CXR-JPG/2.0.0/files/p18170084/s53736317/3bf221a7-a064d9c1-eca04469-2c50c0ce-9cfff4df.jpg	low lung volumes with bibasilar atelectasis. multinodular thyroid goiter causing rightward deviation of the trachea, as seen on the ct of the cervical spine.
MIMIC-CXR-JPG/2.0.0/files/p18311244/s55442052/20bfcc8f-2a92e9c8-d046507c-7a33d9a1-5cd64e56.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13943619/s59164462/8187318a-5400e386-6d9fc2e1-84aedc79-c0ab958b.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14874258/s59163243/6cbefb1c-7c852f0a-26c67d30-cc2a3fc5-00d17b4a.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p16145193/s57890861/d3e58786-6b534960-e4e099b9-4f086b44-5453818c.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19260107/s54881052/905bc999-dd8c41f2-d2f604df-eb8a6613-717218f6.jpg	limited study with low lung volumes. no overt evidence of pneumonia or chf. if there is strong clinical concern for acute pathology, a repeat is recommended with more optimized technique.
MIMIC-CXR-JPG/2.0.0/files/p19244599/s51079500/7950ee6d-002b9538-ef113760-b06f0c9a-03808afc.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16948106/s53946027/9d80be20-b72b35c2-a4745fd0-efa49bfb-e95eb82b.jpg	no acute cardiopulmonary process. atelectasis at the left base.
MIMIC-CXR-JPG/2.0.0/files/p13043397/s50953647/bc644ef4-d9b50756-090510c1-b8655b19-d035acd8.jpg	persistent enlargement of the cardiac silhouette, which could be due to underlying cardiomyopathy or pericardial effusion. persistent trace pleural effusion. no overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p18373515/s56097606/4d3a923b-695effa2-c55250e5-8ca8b644-7914a84e.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13527822/s50078419/c95970b5-c55767cd-598ce714-cae7b81b-8cf8c5e8.jpg	no evidence of pneumonia. no significant change compared to.
MIMIC-CXR-JPG/2.0.0/files/p17071420/s52072904/b505ec97-7de8c639-908e6fd4-dbff7659-e0ccde23.jpg	overall, the appearance is predominantly similar to the prior film. subtle interval changes may be present, detailed above. no pneumothorax is identified.
MIMIC-CXR-JPG/2.0.0/files/p18286057/s56850025/86b1633f-d7bdac03-7ef2725a-3dd7cc7e-ae145dca.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17512773/s57349754/864400dd-74ae991c-658c8788-27f0cb02-489d5cd3.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11850430/s59558536/aa99afac-f3f975a2-fbb6ee1e-92068ec2-f4ab96f1.jpg	enteric tube in right lower lobe airway. recommend removal.
MIMIC-CXR-JPG/2.0.0/files/p19843082/s58999512/d37b11a6-2c6614e4-f0b0ccd7-50d79484-8184f8d2.jpg	as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly and very extensive bilateral diffuse parenchymal opacities, predominating at the lung bases and in the perihilar lung regions, are constant in appearance. no new opacities. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19389879/s51631880/05665070-1eca6aef-5e4d098e-d5509646-4451e00a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12097756/s55253050/c3cc66c9-6097c8be-5bdd715a-37c67af5-42bfe8b8.jpg	compared to chest radiographs. normal postoperative appearance of the mediastinum following esophagectomy and gastric pull-up. no appreciable pneumothorax or pleural effusion, right pleural drainage tube in place. transesophageal tube appears to have <num> components, one ending above the diaphragm and the internal one in the upper stomach. mild edema is present at the right lung base, mild atelectasis at the left. heart size normal. no et tube noted.
MIMIC-CXR-JPG/2.0.0/files/p12651710/s51502708/d5b26294-cc86b616-b7e77b63-ac7cbf28-862a7c01.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19192473/s53324060/c81535cf-34f6afd0-d1654787-a192fada-9e864f6a.jpg	calcified granuloma in the mid right lung and clustered calcifications in the mediastinum, probably associated with prior granulomatous exposure. no evidence of acute disease, however.
MIMIC-CXR-JPG/2.0.0/files/p18106673/s58879724/079d988d-67878239-2e604cfb-8059053d-8861e9bb.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14772964/s51198374/3a357937-8ea4d4ad-092ebf8e-754e5052-daed41c2.jpg	no acute cardiopulmonary process. persistent enlargement of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16020842/s50331436/0780b23d-dd4d95ba-23491b1b-426a0f92-c57b7778.jpg	ett appropriately positioned. small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12435705/s53793123/1aa20b0e-7b86918d-d3762fed-348c3e79-54124a0d.jpg	in the interval, the patient has developed mild pulmonary edema. otherwise the radiograph is unchanged. bilateral areas of atelectasis, left more than right. borderline size of the cardiac silhouette. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13543264/s52595445/04bc103f-ea50bafa-00aa667e-d014d873-012fbfee.jpg	in comparison with study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15904475/s52125821/da8e46b7-3d7c00c9-cd032925-5d7b6732-b9d46410.jpg	stable moderate cardiomegaly, with mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19609578/s53209131/80100271-d3358513-61276e16-f0d7482b-46580688.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15524974/s58338600/3a49e9c5-9829f2f2-0b4805f5-ae1c481e-98bd543d.jpg	stable exam
MIMIC-CXR-JPG/2.0.0/files/p14322068/s56930565/1a57a713-d8199d4a-85403238-bfe469f1-a06283e0.jpg	no acute cardiopulmonary process. no free air seen beneath the diaphragms. no radiopaque foreign object identified.
MIMIC-CXR-JPG/2.0.0/files/p15634524/s53014937/1e785719-59ac807a-17006172-51ef2cd6-a0e16d2c.jpg	nodular opacities within right upper lobe may represent mucous plugging and small airways disease. <num> mm rounded opacification the left lobe lung may reflect a nipple shadow. followup chest radiographs with and without nipple markers in <num> weeks is recommended.
MIMIC-CXR-JPG/2.0.0/files/p15084163/s53523781/6245b53d-302446c5-b1343210-a41b9e95-c3bef983.jpg	mild pulmonary edema is slightly increased compared to
MIMIC-CXR-JPG/2.0.0/files/p17997063/s50571713/5bea148b-c056db70-e07f8643-0a111445-57b09a18.jpg	mild pulmonary vascular congestion. no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18659631/s59284918/af8f292e-eecbb702-9aeef1d2-46861e97-709d3307.jpg	persistent right upper lobe opacification has only mildly improved since. multiple rib fractures of varying age and an old left clavicular fracture with lytic destruction of the several right lower thoracic ribs more apparent since.
MIMIC-CXR-JPG/2.0.0/files/p14867487/s54218489/cdb7cbcd-8637af06-32ccb67d-a134c187-2ff15db5.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19684272/s56517682/66c9458a-b8455ee7-4a5f6345-b3119f51-0d5bb47c.jpg	no acute abnormalities identified. impression on the right side of the trachea, likely secondary to a thyroid abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16766491/s56278789/a6713327-75a4a248-63c75003-b4475181-3b8a17fb.jpg	no focal consolidation to suggest pneumonia. right pleural thickening and loss of volume of the right chest with increased interstitial markings in the right base.
MIMIC-CXR-JPG/2.0.0/files/p12381874/s58854171/76a8a4d8-5e600c83-638a6ab7-a98de374-de072804.jpg	no acute intrathoracic process
MIMIC-CXR-JPG/2.0.0/files/p18933099/s55928893/d36e9c01-06f96328-d779bd50-e86978dc-c35a81dc.jpg	compared to chest radiographs through. feeding tube, with the wire stylet in place ends in the upper stomach. right pic line ends in the region of the superior cavoatrial junction. small left pleural effusion decreased. lungs grossly clear. heart size normal. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18632166/s59589933/a3f1c202-732ae1e6-9ff069d6-b6465794-ca93dd21.jpg	mild interstitial abnormality has developed in the lower lungs since. because mild cardiomegaly is larger today than it was on , the first diagnosis to consider is pulmonary edema. if diuresis is unsuccessful, and interstitial reaction to chemotherapy or atypical pneumonia such as pneumocystis should be considered. right supraclavicular central venous infusion catheter ends in the midportion of the right atrium, as before.
MIMIC-CXR-JPG/2.0.0/files/p12627028/s57134892/f2437ef7-adc72ac3-30a20ac1-2e401c01-c677bab4.jpg	low lung volumes. subtle bibasilar opacities most likely reflect atelectasis however infection should be considered in the appropriate setting.
MIMIC-CXR-JPG/2.0.0/files/p13717952/s56002758/d1461e2d-e1565199-c47aae3a-7a8d0da3-61eccffd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16403658/s52890034/86edc5b9-422c708b-23d5affd-ab90d202-1c2ea7a3.jpg	status post removal of right-sided chest tube with near complete resolution of right apical pneumothorax. stable small left pleural effusion with stable retrocardiac opacity most consistent with combination of atelectasis and pleural effusion. stable trace right pleural effusion. small amount of residual contrast within the left upper abdomen and at the level of the diaphragmatic crus is unchanged since prior examination. assessment of location is limited.
MIMIC-CXR-JPG/2.0.0/files/p14619073/s53698403/87a01e85-5d446669-150939ae-00b5db83-39f536bd.jpg	bibasilar streaky airspace opacities could reflect infection or aspiration.
MIMIC-CXR-JPG/2.0.0/files/p11325169/s57548943/f0e1716e-181cb4b1-bf02ce7d-d3624843-1b3f29c2.jpg	in comparison with the study of , the diffuse bilateral pulmonary opacifications consistent with pulmonary edema have cleared. continued enlargement of the cardiac silhouette with possible low minimal residual congestion. blunting of the left costophrenic angle is consistent with residual effusion or pleural thickening. pacer device extends to the apex the right ventricle. large bore central catheter tip is in the region of the cavoatrial junction.
MIMIC-CXR-JPG/2.0.0/files/p19623193/s59241121/652c14a3-9870e02a-7c8b8707-2876fde8-c4a1f24b.jpg	mild improvement of previously identified scattered parenchymal infiltrates superimposed on chronic chf.
MIMIC-CXR-JPG/2.0.0/files/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg	new pulmonary parenchymal abnormalities on top of chronic pulmonary fibrosis most likely represents pulmonary edema. infection is less likely.
MIMIC-CXR-JPG/2.0.0/files/p17547651/s53278136/ee02a4c3-89b2441e-30f9954c-8481f6d2-78d8f97b.jpg	in comparison with the study of , there are lower lung volumes following surgery. on the right there are atelectatic changes at the bases and possible small effusion. slightly larger effusion with atelectatic changes at the bases seen on the left. no evidence of pulmonary vascular congestion or definite consolidation, though pneumonia in the lower lung could be considered in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12148208/s51064905/6743ecf8-f04b63d0-33b740f1-46eda2d4-e63ec9ed.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10949720/s52020508/81713421-0d9ca1ef-1aa6ff37-2bff4908-0b9efe5d.jpg	slightly increasing heart size and moderately distended pulmonary vascular pattern indicative of mild degree of chronic left-sided failure. comparison shows the patient is more congested than she was on previous examination in. efforts with dehydration therapy will probably correct this finding which could be documented on a followup chest examination in a week or two of so required.
MIMIC-CXR-JPG/2.0.0/files/p15796335/s55001180/d14f68ef-8186e537-33f83eab-0f4dbcfe-d43ede32.jpg	right chest tube remains in place. a right internal jugular central line and dual-lumen catheter remains unchanged in position. endotracheal tube has its tip the thoracic inlet and a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach and the sideport port near the gastroesophageal junction. interval progression of extensive subcutaneous emphysema as well as the pneumomediastinum, which is now slightly more evident. given the extensive subcutaneous emphysema, evaluation for a pneumothorax is somewhat challenging. no large pneumothorax is seen. however, there is now intraperitoneal free air beneath the right hemidiaphragm. overall, cardiomediastinal contours are stable. the left lung appears grossly clear with no evidence of a pleural effusion. results of this examination were conveyed to the resident caring for the patient, dr , on at pm.
MIMIC-CXR-JPG/2.0.0/files/p17200669/s53954059/058f9d9e-5b80a524-32a88863-69bf1a34-c662cec3.jpg	small left basilar opacity, which given the size, is likely atelectasis. an early pneumonia cannot be completely excluded in the proper clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14494263/s55562422/3f014fcc-e92bdb71-d994e624-91f07002-dfa4c67d.jpg	low lung volumes with patchy opacities at the lung bases likely reflective of atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p12907811/s53173328/1c164c82-7f19ca59-e03d462e-a87b5b4d-8fc19a5c.jpg	status post mediastinoscopy without evidence of complication.
MIMIC-CXR-JPG/2.0.0/files/p15889331/s53810880/c952194f-4faaadc1-c5b1de1e-7058c9da-c5e088e8.jpg	three views of the chest are submitted. first view shows feeding tube with the wire stylet in place in the periphery of the right bronchial tree probably in the middle lobe. this is responsible for new right middle and lower lobe atelectasis. second view shows the feeding tube lodged in either the upper airway or upper esophagus above the level of the clavicles. right middle and lower lobe are still collapsed. third view shows the feeding tube folded in the mid esophagus. right middle and lower lobe are still collapsed. when this examination was reviewed, the subsequent chest radiograph, , showing the feeding tube repositioned in the stomach had already been performed, and direct notification of the referring physician was no longer necessary.
MIMIC-CXR-JPG/2.0.0/files/p15434390/s50001596/3bbe67ac-2d215fc2-88cc6377-4fd27d94-5edeac19.jpg	evidence of failure.
MIMIC-CXR-JPG/2.0.0/files/p18274821/s58880174/2ab6c8da-953e27be-bfd118e9-4c03a71f-1c669d6b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19972172/s53366510/9e63d1fe-eb9139e5-47d8cb69-111204e9-28d46069.jpg	as compared to the previous radiograph, the patient was extubated. a hyperlucent line at the level of the right lung apex is a skin fold. there currently is no evidence for the presence of a pneumothorax. small right pleural effusion and left retrocardiac atelectasis as well as moderate cardiomegaly are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p18977683/s54446126/43eeeb20-d1fd50de-90fd5261-1a55c040-c0079a28.jpg	ap chest compared to and : severely dilated pulmonary arteries are longstanding. lungs are essentially clear. heart is normal in size. there is no pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14566882/s57024550/be8ab8f0-901ff94a-5af8cd3a-36d90538-e2051d07.jpg	comparison to. stable appearance of the lung parenchyma, with improved retrocardiac atelectasis. stable right basilar atelectasis. stable moderate cardiomegaly. no overt pulmonary edema. no larger pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p12227694/s53898192/da4b77d4-c2229d3f-e2d0c3ff-89ca99ed-c4d61f17.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11772631/s56852854/c46878bd-5d13e65b-fa754ca9-092c2559-71ac1535.jpg	left lower lobe opacity concerning for pneumonia with associated small pleural effusion. recommend followup to resolution.
MIMIC-CXR-JPG/2.0.0/files/p19943755/s55446609/7f4a6de5-393791da-e1e87f5f-82364133-6746bbbc.jpg	improvement in left pleural effusion and slight increase in right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10251081/s51641086/4beba316-b3762ef0-02651174-bfd31bf3-83c1ab5f.jpg	large left pleural effusion mild pulmonary edema seen primarily in the right lung. the heart appears minimally increased in size from the prior examination which may reflect a small pericardial effusion or rightward displacement from the large left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17192583/s53064565/03eb0cd6-24d15da9-0e7cdd4c-58c8356f-0bf91abc.jpg	no acute intrathoracic process. round left basilar and right hilar densities warrant further evaluation with oblique views to exclude true masses. updated findings were discussed by dr with dr telephone at am on.
MIMIC-CXR-JPG/2.0.0/files/p10345069/s54735560/e0acf35f-28a0bdde-0c459d57-c1ade8a8-bfeceef0.jpg	in comparison with the study of , there is little change. no evidence of pneumonia, vascular congestion, or pleural effusion. continued elevation of the right hemidiaphragmatic contour. unchanged dual-channel pacer device in this patient with previous cabg procedure and intact midline sternal wires.
MIMIC-CXR-JPG/2.0.0/files/p10795507/s54710797/f275f29a-ef03b16e-ece7d8ab-8b421d7b-77ac0559.jpg	small to moderate left pleural effusion with overlying atelectasis. left mid lung and right mid to lower lung patchy opacities are seen which could be due to multifocal infection or aspiration. correlate with history of malignancy.

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no evidence of acute pneumonia.

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no acute cardiopulmonary process.

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as compared to chest radiograph, pulmonary edema has worsened in severity and is accompanied by slightly increasing moderate sized pleural effusions.

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ap chest compared to : severe cardiomegaly is unchanged. lungs are clear and pleural surfaces are normal. no evidence of pneumonia.

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small left pneumothorax is stable. cardiomegaly is stable. right ij catheter tip is in the confluence of the brachiocephalic veins. sternal wires are aligned. patient is status post cabg. mediastinal lymphadenopathy is better seen in prior ct. small bilateral effusions larger on the right side are unchanged.

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bilateral pleural effusions are moderate to large, unchanged. cardiomediastinal silhouette is unchanged. there is no pneumothorax

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no acute cardiopulmonary process. stable mild cardiomegaly.

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stable postoperative cardiac and mediastinal contours in this patient with a neo esophagus. bibasilar patchy opacities which have increased suggestive of worsening atelectasis, although pneumonia or aspiration should also be considered in the correct clinical setting. the right subclavian port-a-cath is unchanged in position. no evidence of pulmonary edema, pneumothorax or pneumomediastinum. probable small bilateral effusions versus chronic pleural thickening given blunting of both costophrenic angles on the lateral projection.

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interval worsening of now moderate interstitial pulmonary edema. dobbhoff tube tip is demonstrated in the region of the pylorus and a post-pyloric position cannot be confirmed.

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no acute cardiopulmonary process.

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small to moderate pleural effusion on the left and very small pleural effusion on the right. no evidence of pneumonia.

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although the left pneumothorax is not well appreciated on frontal view, the straight interface of fluid on lateral view suggests the presence of air in the pleural cavity. increased left pleural effusion. decreased left base atelectasis.

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bibasilar opacities and right upper lobe opacity in the appropriate clinical context may represent multifocal pneumonia. follow-up examination in weeks is recommended to document resolution.

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stable moderate to severe enlargement of the cardiac silhouette with bilateral pleural effusions, suggesting a picture of mild congestion. interval resolution of the previously described right-sided pneumothorax.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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heart size is top-normal. mediastinum is stable in appearance. extensive chest wall and left neck soft tissue air is present. there is a small amount of pneumomediastinum. no pneumothorax is seen. there is pulmonary vascular engorgement and pulmonary edema with a small right pleural effusion. preliminary findings were communicated to dr by dr , phone on at pm, <num> minute(s) after discovery.

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no evidence of pneumonia

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right internal catheter sheath has been removed. right picc tip appears to be in the cavoatrial junction. pacer leads are in standard position. the lungs are grossly clear. there is no pneumothorax. if any there is a small left effusion.

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mild left basal atelectasis. hiatal hernia. otherwise unremarkable.

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no acute cardiopulmonary process.

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no evidence of active or latent tuberculosis.

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no acute cardiopulmonary process.

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age indeterminate fractures of the right second and eleventh ribs. this should be correlated with the patient's pain on exam and trauma history.

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nasogastric tube tip within the stomach. the side port is just below the gastroesophageal junction.

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stable exam

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low lung volumes with bibasilar atelectasis. pulmonary edema seen on exam has resolved.

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ap chest compared to through : mild-to-moderate pulmonary edema is new. moderate cardiomegaly is worsened and there is now a new small pleural effusion. extensive pulmonary metastasis is only partially visible. interval increase in mediastinal caliber is probably due to venous engorgement, baseline widening due to extensive fat deposition and some lymph node enlargement. right jugular line ends low in the svc. no pneumothorax.

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no acute cardiopulmonary process.

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right lateral rib fractures which appear displaced with small associated effusion, potentially hemothorax. no pneumothorax.

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as compared to chest radiograph, pulmonary edema has nearly resolved. more confluent opacities at the lung bases persist and may be related to history of multifocal pneumonia. small to moderate pleural effusions are also present, with interval increase on the right.

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no acute cardiopulmonary abnormality.

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compared to the prior exam the left lower lobe appears slightly worse.

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low lung volumes with bibasilar atelectasis. multinodular thyroid goiter causing rightward deviation of the trachea, as seen on the ct of the cervical spine.

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no definite acute cardiopulmonary process.

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no pneumonia.

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no evidence of acute cardiopulmonary disease.

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no acute cardiopulmonary process.

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limited study with low lung volumes. no overt evidence of pneumonia or chf. if there is strong clinical concern for acute pathology, a repeat is recommended with more optimized technique.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process. atelectasis at the left base.

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persistent enlargement of the cardiac silhouette, which could be due to underlying cardiomyopathy or pericardial effusion. persistent trace pleural effusion. no overt pulmonary edema.

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no acute cardiopulmonary process.

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no evidence of pneumonia. no significant change compared to.

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overall, the appearance is predominantly similar to the prior film. subtle interval changes may be present, detailed above. no pneumothorax is identified.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality.

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enteric tube in right lower lobe airway. recommend removal.

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as compared to the previous radiograph, no relevant change is seen. moderate cardiomegaly and very extensive bilateral diffuse parenchymal opacities, predominating at the lung bases and in the perihilar lung regions, are constant in appearance. no new opacities. no pneumothorax.

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no acute cardiopulmonary process.

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compared to chest radiographs. normal postoperative appearance of the mediastinum following esophagectomy and gastric pull-up. no appreciable pneumothorax or pleural effusion, right pleural drainage tube in place. transesophageal tube appears to have <num> components, one ending above the diaphragm and the internal one in the upper stomach. mild edema is present at the right lung base, mild atelectasis at the left. heart size normal. no et tube noted.

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no acute cardiopulmonary process.

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calcified granuloma in the mid right lung and clustered calcifications in the mediastinum, probably associated with prior granulomatous exposure. no evidence of acute disease, however.

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no evidence of acute cardiopulmonary process.

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no acute cardiopulmonary process. persistent enlargement of the cardiac silhouette.

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ett appropriately positioned. small left pleural effusion.

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no acute cardiopulmonary process.

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in the interval, the patient has developed mild pulmonary edema. otherwise the radiograph is unchanged. bilateral areas of atelectasis, left more than right. borderline size of the cardiac silhouette. no larger pleural effusions.

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in comparison with study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.

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stable moderate cardiomegaly, with mild pulmonary edema.

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no acute cardiopulmonary abnormality.

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stable exam

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no acute cardiopulmonary process. no free air seen beneath the diaphragms. no radiopaque foreign object identified.

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nodular opacities within right upper lobe may represent mucous plugging and small airways disease. <num> mm rounded opacification the left lobe lung may reflect a nipple shadow. followup chest radiographs with and without nipple markers in <num> weeks is recommended.

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mild pulmonary edema is slightly increased compared to

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mild pulmonary vascular congestion. no focal consolidation concerning for pneumonia.

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persistent right upper lobe opacification has only mildly improved since. multiple rib fractures of varying age and an old left clavicular fracture with lytic destruction of the several right lower thoracic ribs more apparent since.

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no acute cardiopulmonary process.

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no acute abnormalities identified. impression on the right side of the trachea, likely secondary to a thyroid abnormality.

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no focal consolidation to suggest pneumonia. right pleural thickening and loss of volume of the right chest with increased interstitial markings in the right base.

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no acute intrathoracic process

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compared to chest radiographs through. feeding tube, with the wire stylet in place ends in the upper stomach. right pic line ends in the region of the superior cavoatrial junction. small left pleural effusion decreased. lungs grossly clear. heart size normal. no pneumothorax.

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mild interstitial abnormality has developed in the lower lungs since. because mild cardiomegaly is larger today than it was on , the first diagnosis to consider is pulmonary edema. if diuresis is unsuccessful, and interstitial reaction to chemotherapy or atypical pneumonia such as pneumocystis should be considered. right supraclavicular central venous infusion catheter ends in the midportion of the right atrium, as before.

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low lung volumes. subtle bibasilar opacities most likely reflect atelectasis however infection should be considered in the appropriate setting.

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no acute intrathoracic process.

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status post removal of right-sided chest tube with near complete resolution of right apical pneumothorax. stable small left pleural effusion with stable retrocardiac opacity most consistent with combination of atelectasis and pleural effusion. stable trace right pleural effusion. small amount of residual contrast within the left upper abdomen and at the level of the diaphragmatic crus is unchanged since prior examination. assessment of location is limited.

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bibasilar streaky airspace opacities could reflect infection or aspiration.

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in comparison with the study of , the diffuse bilateral pulmonary opacifications consistent with pulmonary edema have cleared. continued enlargement of the cardiac silhouette with possible low minimal residual congestion. blunting of the left costophrenic angle is consistent with residual effusion or pleural thickening. pacer device extends to the apex the right ventricle. large bore central catheter tip is in the region of the cavoatrial junction.

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mild improvement of previously identified scattered parenchymal infiltrates superimposed on chronic chf.

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new pulmonary parenchymal abnormalities on top of chronic pulmonary fibrosis most likely represents pulmonary edema. infection is less likely.

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in comparison with the study of , there are lower lung volumes following surgery. on the right there are atelectatic changes at the bases and possible small effusion. slightly larger effusion with atelectatic changes at the bases seen on the left. no evidence of pulmonary vascular congestion or definite consolidation, though pneumonia in the lower lung could be considered in the appropriate clinical setting.

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no evidence of acute disease.

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slightly increasing heart size and moderately distended pulmonary vascular pattern indicative of mild degree of chronic left-sided failure. comparison shows the patient is more congested than she was on previous examination in. efforts with dehydration therapy will probably correct this finding which could be documented on a followup chest examination in a week or two of so required.

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right chest tube remains in place. a right internal jugular central line and dual-lumen catheter remains unchanged in position. endotracheal tube has its tip the thoracic inlet and a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach and the sideport port near the gastroesophageal junction. interval progression of extensive subcutaneous emphysema as well as the pneumomediastinum, which is now slightly more evident. given the extensive subcutaneous emphysema, evaluation for a pneumothorax is somewhat challenging. no large pneumothorax is seen. however, there is now intraperitoneal free air beneath the right hemidiaphragm. overall, cardiomediastinal contours are stable. the left lung appears grossly clear with no evidence of a pleural effusion. results of this examination were conveyed to the resident caring for the patient, dr , on at pm.

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small left basilar opacity, which given the size, is likely atelectasis. an early pneumonia cannot be completely excluded in the proper clinical setting.

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low lung volumes with patchy opacities at the lung bases likely reflective of atelectasis.

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status post mediastinoscopy without evidence of complication.

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three views of the chest are submitted. first view shows feeding tube with the wire stylet in place in the periphery of the right bronchial tree probably in the middle lobe. this is responsible for new right middle and lower lobe atelectasis. second view shows the feeding tube lodged in either the upper airway or upper esophagus above the level of the clavicles. right middle and lower lobe are still collapsed. third view shows the feeding tube folded in the mid esophagus. right middle and lower lobe are still collapsed. when this examination was reviewed, the subsequent chest radiograph, , showing the feeding tube repositioned in the stomach had already been performed, and direct notification of the referring physician was no longer necessary.

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evidence of failure.

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no acute cardiopulmonary process.

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as compared to the previous radiograph, the patient was extubated. a hyperlucent line at the level of the right lung apex is a skin fold. there currently is no evidence for the presence of a pneumothorax. small right pleural effusion and left retrocardiac atelectasis as well as moderate cardiomegaly are unchanged.

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ap chest compared to and : severely dilated pulmonary arteries are longstanding. lungs are essentially clear. heart is normal in size. there is no pleural effusion.

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comparison to. stable appearance of the lung parenchyma, with improved retrocardiac atelectasis. stable right basilar atelectasis. stable moderate cardiomegaly. no overt pulmonary edema. no larger pleural effusions.

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no acute cardiopulmonary process.

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left lower lobe opacity concerning for pneumonia with associated small pleural effusion. recommend followup to resolution.

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improvement in left pleural effusion and slight increase in right pleural effusion.

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large left pleural effusion mild pulmonary edema seen primarily in the right lung. the heart appears minimally increased in size from the prior examination which may reflect a small pericardial effusion or rightward displacement from the large left pleural effusion.

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no acute intrathoracic process. round left basilar and right hilar densities warrant further evaluation with oblique views to exclude true masses. updated findings were discussed by dr with dr telephone at am on.

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in comparison with the study of , there is little change. no evidence of pneumonia, vascular congestion, or pleural effusion. continued elevation of the right hemidiaphragmatic contour. unchanged dual-channel pacer device in this patient with previous cabg procedure and intact midline sternal wires.

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small to moderate left pleural effusion with overlying atelectasis. left mid lung and right mid to lower lung patchy opacities are seen which could be due to multifocal infection or aspiration. correlate with history of malignancy.