ChayanM/MIMIC-Impression-Dataset · Datasets at Hugging Face

File_Path stringlengths 94 94	Impression stringlengths 1 1.56k
MIMIC-CXR-JPG/2.0.0/files/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg	mild improvement of pulmonary vascular congestion and bilateral interstitial edema since without complete resolution. no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11967908/s57907800/728327a6-e23900e6-9f695954-9e39a864-f932b374.jpg	patchy vague opacity in the right mid lung field with associated peribronchial thickening could reflect an area of infection. mild pulmonary vascular congestion. small bilateral pleural effusions, right greater than left with associated bibasilar atelectasis, not significantly changed. unchanged right apical pleural thickening and scarring compatible with prior radiation changes.
MIMIC-CXR-JPG/2.0.0/files/p11767941/s51791422/ed602c68-45d6dcb3-214492dd-a35d39df-b0ac1be4.jpg	no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p18969510/s58397503/10d6f166-72d35682-d734fa1b-e82f79c5-1236bac4.jpg	no sign of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12232085/s54492441/472e351d-f13ba9cf-66012ba1-78c38b95-3eda855a.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19921229/s57074938/34e43cf0-3566a142-452320f1-544cdf29-0b2ecf26.jpg	ap chest compared to at : diffuse infiltrative pulmonary abnormality which progressed from through is probably worse, given greater radiodensity despite larger lung volumes. widespread abnormality is looking less and less like simple pulmonary edema. it could be atypical pneumonia, and the left perihilar component could be the same or a second pathogen. there could of course be some component of recoverable pulmonary edema. findings were discussed by telephone with the house officer caring for this patient at
MIMIC-CXR-JPG/2.0.0/files/p14348068/s57810991/dc15d4dc-1711cf2e-ac1a1b75-7ca29dbf-e5fd49ce.jpg	persistent prominence of the central pulmonary vasculature and cardiomegaly. no definite focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p16920248/s52001723/dec5ff7b-b08e18eb-b242caae-7172cd8c-7a3d67af.jpg	right subclavian line ends in the low svc. asymmetry in the contour of the upper mediastinum is probably normal variant. no pneumothorax or pleural effusion. pneumoperitoneum is presumably due to recent gastrostomy. cardiomegaly is mild.
MIMIC-CXR-JPG/2.0.0/files/p18117333/s58281787/264d5364-e735ee1e-f77dd4b1-6029a067-9bbbf351.jpg	new moderate heterogeneous interstitial abnormality, for which interstitial pulmonary edema should be considered. perhaps less likely, the appearance could reflect atypical infection in the appropriate setting.
MIMIC-CXR-JPG/2.0.0/files/p10803413/s57801732/5846e5ba-00589473-49986faf-0df4ca8d-5426a80c.jpg	as compared to the previous radiograph, there is a marked improvement, with a substantial decrease in severity of the pre-existing interstitial lung edema. mild edema, however, is still visible. no pleural effusions. unchanged appearance of the cardiac silhouette. unchanged position of the right port-a-cath.
MIMIC-CXR-JPG/2.0.0/files/p15944907/s57059683/35d74b4c-4aa4e1a2-f94f3f56-c5090254-2afc3e8d.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p17788370/s54044849/14380890-41e3dacc-ea9abf9e-14125f3c-b3e19fdc.jpg	interval exchange of chest tubes. no pneumothorax. persistent bilateral pleural effusion and stable pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p10314749/s58639386/cd7683ed-297eb7b6-e48bd0a3-5952fedf-9e7c4cc4.jpg	no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p16011412/s51296232/cd04c56c-7de0f477-df491aa7-17d3e56a-8a4d9ddf.jpg	in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. mild atelectatic changes at the bases with blunting of the costophrenic angles. however, no evidence of vascular congestion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p18485280/s57981281/8108ecd8-aeb0ef08-e7b518c2-4deffb16-bccf94dd.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16073006/s56772954/424ec6e6-d4f6483d-72a716a2-3f9e6778-b9b5c5f5.jpg	findings concerning for multifocal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13458107/s59203058/35d741b2-1bd5d51f-945aee80-c334e490-efbb9398.jpg	right middle lobe opacity slowly, but steadily improving. this can be followed with repeat chest radiograph in weeks. otherwise, ct-chest is recommended. findings were entered into the critical results dashboard by at on.
MIMIC-CXR-JPG/2.0.0/files/p19467588/s50895488/a06bce1a-a3a4769f-267ac288-9198bf10-3af5acae.jpg	left picc line ends at mid svc. bilateral lung volumes are low. bilateral lung opacities, prominant hila and fullness of azygous vein suggests a combination of mild to moderate bilateral pleural effusions, mild pulmonary edema and lower lung atelectasis. heart size is top normal.
MIMIC-CXR-JPG/2.0.0/files/p19829170/s58492839/e0e08b03-f50d8dc5-9973d2b3-6ed15f59-136db688.jpg	no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p10584187/s59474897/c2d9d502-227da822-9c42054b-632be7e0-8c7f8480.jpg	no acute cardiopulmonary process. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12905948/s50851644/b9d090cb-376951c9-7717214d-2283bcd6-53408180.jpg	interval worsening of a currently moderately-sized left pleural effusion with adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p19511895/s58716553/2996668f-553cf396-d3cd6a04-2dac59dc-c6cb8fa5.jpg	no evidence of acute cardiopulmonary process. mild hyperexpansion.
MIMIC-CXR-JPG/2.0.0/files/p19043930/s59416117/562caa0c-169f4df2-fe259751-cf0589a9-5a76aca7.jpg	mild to moderate pulmonary edema with bilateral pleural effusions and adjacent atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14247109/s54547759/74e91702-67252ff4-465ba094-81d78caf-23c20f8a.jpg	ap chest compared to : left picc line has been withdrawn to the left upper arm. the lungs are clear. previous vascular congestion has resolved. the heart size is upper normal. no pleural effusion or pneumothorax. dr was paged at <num>
MIMIC-CXR-JPG/2.0.0/files/p17989329/s53336842/3cd73910-f1981da5-870142e1-bfdf9e0b-3d40950d.jpg	pulmonary vascular congestion without overt edema. subtle left lower.
MIMIC-CXR-JPG/2.0.0/files/p11684990/s58696055/89d393c4-b63469ee-a4f04d66-31de86bc-6a99a6c5.jpg	the lung volumes are noted to be decreased. redemonstrated is a right-sided chest tube in place. there is a questionable, tiny right apical pneumothorax. bibasilar opacities, left greater than right, likely represent atelectasis. there is no focal consolidation, pleural effusion, or pulmonary edema identified. postoperative changes are seen at the right lower lobe. the heart size is top normal. mediastinal and hilar contours are stable.
MIMIC-CXR-JPG/2.0.0/files/p17921262/s52363392/73585392-e0da716b-65fbda23-eb2075cc-f66d2277.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12380407/s59335797/473290f0-64c086f2-08dcdb74-aa2be90d-d7af2c36.jpg	interval removal of the left chest tube. there is a persistent small left apical pneumothorax. continued close interval followup would be advised given the fact that the pneumothorax appeared after the chest tube had been placed on waterseal. right internal jugular dual-lumen catheter is unchanged in position. stable cardiac enlargement status post median sternotomy. mediastinal contours are unchanged. bibasilar opacities and associated layering effusions likely representing compressive atelectasis, although pneumonia or aspiration could have this appearance. interval improvement in the interstitial appearance suggestive of resolving pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11867957/s53440286/3831141b-a9e2e657-2acecb33-1acbf283-3d2990c8.jpg	ap chest compared to : mild pulmonary edema and mediastinal vascular congestion which developed on have improved. moderate-to-large right pleural effusion, however, is larger. heterogeneous opacification in the lungs could represent deposition of edema, small regions of pneumonia or atelectasis. the heart is mildly enlarged chronically. et tube is in standard placement, nasogastric drainage tube ends in the mid-to-low stomach. no central venous catheter noted. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p13030403/s51247864/c6928312-d0284320-11b3e17b-97a74238-6be8206f.jpg	radiograph centered at the upper abdomen was obtained for assessment of a nasogastric tube, which terminates within the stomach. low lying endotracheal tube is also demonstrated, with tip terminating within <num> cm of the carina. this could be withdrawn a few cm for standard positioning. as compared to recent radiograph of <num> day earlier, note is made of worsening pulmonary vascular congestion and increasing left lower lobe atelectasis with adjacent small pleural effusion. no other relevant change.
MIMIC-CXR-JPG/2.0.0/files/p15622498/s57258660/233496c2-cd522ef1-a4645771-ea51510b-d5514b6e.jpg	findings suggesting mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17400716/s56733486/b9ce47cf-097f3c81-23651d37-8288db8e-f08c99f8.jpg	moderate cardiomegaly and persistent mild pulmonary edema. improved aeration of the left lower lobe. interval resolution of left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p12078716/s58419606/dcbdcc69-b79cc1be-68cc8beb-21995992-9d72bd23.jpg	the final image shows a dobhoff tube positioned in the distal stomach or duodenum.
MIMIC-CXR-JPG/2.0.0/files/p10449660/s58430704/c16248e6-7b9f26e4-69163005-0eded474-416b1d69.jpg	low lung volumes. possible early consolidation in the right lung base. probably dilated esophagus
MIMIC-CXR-JPG/2.0.0/files/p11567955/s59140864/a20d6032-da50dfaa-43d5d153-ed3129b9-4299632f.jpg	no previous images. there is enlargement of the cardiac silhouette with <num> triple lead pacer device extending to the right atrium, right ventricle, and coronary sinus distribution. there may be minimal indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. there is increased opacification at the right base medially. this could represent merely crowding of vessels. however, in the appropriate clinical setting, s developing consolidation would have to be considered, especially in the absence of a lateral view.
MIMIC-CXR-JPG/2.0.0/files/p11161207/s59302945/4fa1bd45-754758bf-89f4d98d-fa2e9ef6-d4a81183.jpg	no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p14036171/s55958976/38bae818-fb28abdf-cb9e7040-e65bcc85-2d0c5295.jpg	ap chest reviewed in the absence of prior chest radiographs:
MIMIC-CXR-JPG/2.0.0/files/p19393990/s51892553/3e0e2018-0c75cecd-67451a7b-bbc228a6-8a443d96.jpg	top normal heart size without radiographic evidence for acute cardiopulmonary process. mid thoracic vertebral body loss of height, age indeterminate. clinical correlation for pain is recommended. these findings were reported to dr by dr by telephone at on at the time of initial review of the study.
MIMIC-CXR-JPG/2.0.0/files/p14464902/s56780215/bbdc6b34-da4dc707-7ea02592-b9c22da6-8bdae76e.jpg	mild pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15510824/s50584176/1d9a3a5a-fc294397-ba583c6c-0b93fd4a-dbfe6a9b.jpg	the pulmonary vasculature is congested compared to yesterday at.
MIMIC-CXR-JPG/2.0.0/files/p19450600/s52924054/7c4cb302-d833b492-aa1d0092-f9dec602-2ff08b7d.jpg	compared to chest radiographs since , most recently. lung volumes have improved. no pneumonia or pulmonary edema. severe cardiomegaly is stable and mediastinal vasculature is more engorged. no appreciable pleural effusion. recommendation(s): if there is clinical suspicion of acute aortic dissection, thoracic aortic cta would be required for assessment.
MIMIC-CXR-JPG/2.0.0/files/p10272120/s54794754/69c7aa2a-96c8f900-bc72837f-a02259fd-d4be3200.jpg	left lower lobe pneumonia and mild pulmonary edema superimposed upon severe pulmonary fibrosis.
MIMIC-CXR-JPG/2.0.0/files/p19890030/s59340980/7302c211-bcfb3845-18039b6f-551fc6f1-549ee247.jpg	moderate pulmonary edema with small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p13566153/s58469586/98e25ff2-2c97fb60-255aa2f1-80b0ea41-9867e6a6.jpg	three nodules in the right upper lobe and left mid lung, are concerning for an infectious process including fungal and nocardia infection. malignancy is also in the differential. please refer to the ct chest performed on the same day for further evaluation. the findings and biopsy recommendations were discussed with dr at
MIMIC-CXR-JPG/2.0.0/files/p14636526/s58240934/142be281-a4915565-69f5120c-4085f2c6-4217fbc7.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p10512303/s50082086/305e47b4-ce217613-d6a1f2d3-21d8bf8e-1773c488.jpg	right-sided central venous access catheter terminates in the mid svc, unchanged since. no radiographic explanation for current loss of blood return. these findings were discussed with by via telephone on at pm, time of discovery.
MIMIC-CXR-JPG/2.0.0/files/p17409226/s53715600/e9230094-3bc46e89-5c220ee1-885126e4-2d4adbd4.jpg	as compared to the previous image, the external pacemaker was removed. the patient now carries a right internal jugular vein catheter in correct position. moderate hiatal hernia. unchanged borderline size of the cardiac silhouette with mild left basilar atelectasis. no new focal parenchymal opacities. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p12888412/s52238770/009d18a9-36155a5b-e1cb2647-7c8aee74-e20626d0.jpg	moderate left lower lobe atelectasis, left pleural effusion, and likely left lower lobe pneumonia. minimal improvement in pulmonary edema. results were conveyed via telephone to by dr on at am within <num> minutes of observation of findings.
MIMIC-CXR-JPG/2.0.0/files/p12684822/s59082818/fd25acd1-e8a506cd-66605d46-35c2322c-11b17d31.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19577932/s58373974/229a05ff-0935b38b-b7277125-b09babb6-1b8f24c9.jpg	no acute cardiac or pulmonary findings.
MIMIC-CXR-JPG/2.0.0/files/p16960594/s54565221/28192955-29a51fb7-b8d526d1-d03f7e88-1f2405af.jpg	no evidence of pulmonary edema or pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10297774/s57803658/09db1ddd-015357ff-701bac8e-82b88f74-b8be90c6.jpg	unchanged left-sided aicd device without acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13897119/s58259157/faf7a287-a4d12000-0e038540-eb1179d4-c54de424.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11662712/s50146393/45881929-c83e45a8-0b48d61a-f32833c2-e796727c.jpg	hyperinflated lungs. otherwise, unremarkable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p18303502/s51653132/4d73956e-44d45a07-f32277fa-4dd54e70-4956687f.jpg	interval appearance of bibasilar airspace disease which may reflect pneumonia or aspiration. there has been interval placement of a left subclavian picc line with its tip in the mid superior vena cava. overall cardiac and mediastinal contours are likely unchanged. no large effusions. no evidence of pneumothorax. no acute bony abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15620117/s51773867/a75faaa8-4453b987-0d33ba8c-2c2bce98-053e0de8.jpg	new mild diffuse bilateral opacities and retrocardiac atelectasis may represent pulmonary edema although superimposed pneumonia cannot be excluded. enlarged bilateral hila may be seen in sarcoidosis. recommendation(s): a ct chest is recommended for further evaluation of enlarged hila.
MIMIC-CXR-JPG/2.0.0/files/p17896016/s58760571/2f7b82e0-666af6fd-3af7b9f6-04bf79f5-64073954.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15020653/s58244468/882d1fd9-56a2efd5-7ef03fd3-f0ae44f2-cd8eb155.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10278452/s54078876/372a710f-c59ad686-753b9d84-cd8b39cd-7570b9f0.jpg	left lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12917983/s58816919/8334e6b6-6a7d04b8-be89fee9-716c50dc-e398c237.jpg	no relevant change as compared to the previous image. no pneumonia, no pulmonary edema. no pleural effusions. borderline size of the cardiac silhouette. normal hilar and mediastinal contours.
MIMIC-CXR-JPG/2.0.0/files/p11064667/s55059118/d5240725-23e0945d-c6e7dc38-e572163b-42f28e36.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12138575/s51346146/0d494e9b-7a3617ae-9d53a124-2941075f-f2f2fc93.jpg	comparison to. the extent of the bilateral pneumothorax as has decreased. however both the left and the right pneumothorax are still clearly visualized. there is no evidence of tension. moderate left ap hilar scar is stable.
MIMIC-CXR-JPG/2.0.0/files/p15941554/s58263807/17110b0b-5ccd2e7e-798759b7-09ac4099-fcff90e8.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13438658/s50090678/ffed56cd-acdd29ac-e5adf0e1-20c634fd-a04ac50e.jpg	significant interval enlargement of the now large left hydrothorax. minimal aeration of left lung near the apex. significant new rightward shift of mediastinal structures. no pneumothorax identified.
MIMIC-CXR-JPG/2.0.0/files/p17336353/s57963363/8f6889bf-5365a865-5606e850-66e5d6f6-0278f780.jpg	ap chest compared to through at : lower lung volumes are even smaller today than earlier in the day. moderate left pneumothorax has not increased. the pleural effusion on the left is small if any. greater opacification at the left lung base is probably atelectasis. mild cardiomegaly and mediastinal vascular engorgement are exaggerated by low lung volume. subcutaneous emphysema persists in the left chest wall and the neck.
MIMIC-CXR-JPG/2.0.0/files/p19103939/s50789912/599fc86b-6d1edf5b-76c5a66f-2085222f-dd231938.jpg	no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p18410503/s51575174/429de416-f532fc0c-ef8c76a2-37236b12-333b2d25.jpg	new small right-sided pleural effusion with associated atelectasis. interval improvement of vascular congestion. stable moderate to severe cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p10820804/s50480963/16650ebe-e4f99f82-c88447e6-060442e8-c7ebb701.jpg	in comparison with the study , there is an placement of a right subclavian pacer with leads extending to the right atrium and apex of the right ventricle. no evidence of pneumothorax. no definite vascular congestion or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13515776/s57790540/9cbe53c0-ce5d1c91-45d23af1-458ca429-5cff901a.jpg	hyperinflated lungs without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19449400/s55957454/bcbcf13a-0a162f5e-88afaded-dbfcb265-25db744c.jpg	there is been no interval change the appearance of the chest since recent study of.
MIMIC-CXR-JPG/2.0.0/files/p17767787/s59471146/3c3c92c6-69d19a6f-454e46dc-53ac9076-2d83a2cd.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15424657/s58200136/b15f29cc-9ceddd31-6fe78f0d-81db342f-23030f5e.jpg	no acute cardiopulmonary process. mild dextroconvex scoliosis of the upper thoracic spine.
MIMIC-CXR-JPG/2.0.0/files/p15058800/s57726034/b376a016-7c98f400-7fce16be-964f08a5-2deba0eb.jpg	linear bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p18587352/s56021112/909384bd-b88cfe60-6f802615-9b8baad3-6ddc27e0.jpg	no acute cardiopulmonary process. the calcific density projecting over the left hilum can again be evaluated as per recommendations of prior study including shallow oblique radiographs or comparison with prior radiographs to assess for long term stability of this finding.
MIMIC-CXR-JPG/2.0.0/files/p17237302/s56535378/b4375cc8-d43bdf00-cd1cc1b4-c8055d0a-0aeba02e.jpg	bilateral upper zone opacities may represent infection or hemorrhage. two right pulmonary nodules warrant further evaluation with cross-sectional imaging. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17071231/s58488980/62064721-ff930826-4411d26d-6cdacf46-89e2db72.jpg	limited examination with low lung volumes. patchy bibasilar airspace opacities may reflect atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10121978/s55439111/3748a572-0846f224-8f115a7e-d73f7971-2215fc1e.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p10354450/s53842367/1c2451ce-2a086c47-197fc663-3ad60e75-14444f3c.jpg	in comparison with the study of , the monitoring and support devices are unchanged. hazy opacification at the left base with poor definition of the hemidiaphragm is again consistent with pleural fluid and worsening volume loss in the left lower lobe. minimal atelectatic changes are seen on the right in this patient with low lung volumes.
MIMIC-CXR-JPG/2.0.0/files/p11486239/s58397531/faa8ffd0-6c9c1873-32548dc2-0e0573be-9e28d3ff.jpg	increased opacification of the bilateral lung bases appears interstitial and could be a manifestation of elevated pulmonary venous pressure or chronic pulmonary disease. however, in the appropriate clinical setting, pneumonia is considered.
MIMIC-CXR-JPG/2.0.0/files/p18816230/s58784242/332c22c8-a1159d9f-bd74679a-ab6cc9b5-e34919be.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11683540/s54162609/8ba66767-c72b7d2f-32dc7a89-8df903e1-bd86a249.jpg	pa and lateral chest reviewed in the absence of prior chest imaging: heart size is top normal. lungs are clear and there is no pleural abnormality. scoliosis is mild. cardiomediastinal and hilar silhouettes are normal aside from what may be granulomatous calcifications in hilar lymph nodes. there is no evidence of active infection.
MIMIC-CXR-JPG/2.0.0/files/p17927709/s53996118/57da4e63-6ef26376-769d664b-37948cd8-b4933511.jpg	no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p16252508/s55555063/ecae6fbd-26d0818c-0cb3c701-7ae03585-9bf33bd8.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13735420/s57307895/2c6aba03-a0797832-c7c82bbb-01ea9f01-a6112eba.jpg	negative chest radiograph. specifically, no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15166831/s58807450/75bf4e30-520d0340-07733a02-dea2edb5-2c6a566d.jpg	no significant interval change.
MIMIC-CXR-JPG/2.0.0/files/p12620123/s50188542/09343a6e-8bc772fe-a87628a0-913dffca-76b317c3.jpg	moderate cardiomegaly is stable. bibasilar consolidations larger on the left side have minimally improved on the right. there is no evident pneumothorax. right ij catheter tip is in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p10291098/s55692564/5d51d778-625c4608-fd3762c0-4af452bd-ba0c90c8.jpg	collapse of the right upper lobe. heterogeneous airspace opacities are consistent with aspiration and pulmonary contusion.
MIMIC-CXR-JPG/2.0.0/files/p14014677/s57071359/dee35a49-51bc2416-ea220615-7504b22b-3187c3da.jpg	right-sided port-a-cath tip in the mid svc. no pneumothorax. moderate size hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p13472341/s59383786/b3cd7d12-c2031b01-33d6ce94-8f363567-3c66af4d.jpg	unchanged linear retrocardiac opacity, likely minimal atelectasis. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16402709/s59001464/256d44fd-f1380284-d64a9e61-d5facf32-a07bf304.jpg	dobhoff tube tip isin the stomach. there is new mild pulmonary edema. there are no other interval changes.
MIMIC-CXR-JPG/2.0.0/files/p18712225/s55918366/4ba48d4a-3a11380b-1fe13b0a-8533b402-c97c9d9f.jpg	bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14811786/s59430853/6cf635a4-caf50d0b-6ec776d6-c78c056e-9e8f36ed.jpg	lung volumes have improved and pulmonary vasculature is no longer engorged. moderate to severe cardiomegaly is chronic. trans subclavian atrial biventricular pacer defibrillator leads are unchanged, continuous from the left pectoral generator. lungs are clear. no pleural abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15197176/s53962332/0b026a28-3ab24fb7-3fae6040-62c9a17b-5619476f.jpg	mild improvement of left lung opacities which, likely related to prior radiation treatments.
MIMIC-CXR-JPG/2.0.0/files/p16099779/s56353872/3b7dc62c-ab4dc17c-486646e3-f3ecfdd9-ed79c15a.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18754359/s50361199/48587e1f-5bada42a-2abc7fd1-437c217a-0f488694.jpg	no acute intrathoracic process. dialysis catheter positioned appropriately.
MIMIC-CXR-JPG/2.0.0/files/p10425278/s53676949/7973c5e1-1d3d0b7d-41276a92-c1baa43c-d96c4588.jpg	no significant change
MIMIC-CXR-JPG/2.0.0/files/p13199697/s58382348/33f93db6-cd3420a9-c4f78f8e-74dd0833-c115a6de.jpg	in comparison with the study of , the there is substantial opacification at both bases with silhouetting of the hemidiaphragms, consistent with pleural effusions and compressive atelectasis at the bases. the upper zones are clear and there is no evidence of pulmonary vascular congestion. the right subclavian picc line tip remains in the mid to lower portion of the svc. the intestinal tube extends at least to the mid body of the stomach where it crosses the lower margin of the image.
MIMIC-CXR-JPG/2.0.0/files/p10790860/s53794969/76089f18-36133104-5a64131f-0cb9dc6c-768719dc.jpg	as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the parenchymal opacity on the right has minimally decreased in extent and severity. the opacity on the left, showing multiple air bronchograms, is not substantially changed. unchanged low lung volumes with mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p12032671/s53840852/b3ab0fe8-2a678168-78e6c517-b7ba14f2-b016d524.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17725507/s57776434/4075ec60-a055ff30-47fe3a48-6e9f85b6-5478d8c8.jpg	no acute cardiopulmonary process.

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mild improvement of pulmonary vascular congestion and bilateral interstitial edema since without complete resolution. no radiographic evidence of pneumonia.

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patchy vague opacity in the right mid lung field with associated peribronchial thickening could reflect an area of infection. mild pulmonary vascular congestion. small bilateral pleural effusions, right greater than left with associated bibasilar atelectasis, not significantly changed. unchanged right apical pleural thickening and scarring compatible with prior radiation changes.

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no acute cardiopulmonary abnormalities

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no sign of acute cardiopulmonary process.

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no acute cardiopulmonary process.

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ap chest compared to at : diffuse infiltrative pulmonary abnormality which progressed from through is probably worse, given greater radiodensity despite larger lung volumes. widespread abnormality is looking less and less like simple pulmonary edema. it could be atypical pneumonia, and the left perihilar component could be the same or a second pathogen. there could of course be some component of recoverable pulmonary edema. findings were discussed by telephone with the house officer caring for this patient at

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persistent prominence of the central pulmonary vasculature and cardiomegaly. no definite focal consolidation.

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right subclavian line ends in the low svc. asymmetry in the contour of the upper mediastinum is probably normal variant. no pneumothorax or pleural effusion. pneumoperitoneum is presumably due to recent gastrostomy. cardiomegaly is mild.

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new moderate heterogeneous interstitial abnormality, for which interstitial pulmonary edema should be considered. perhaps less likely, the appearance could reflect atypical infection in the appropriate setting.

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as compared to the previous radiograph, there is a marked improvement, with a substantial decrease in severity of the pre-existing interstitial lung edema. mild edema, however, is still visible. no pleural effusions. unchanged appearance of the cardiac silhouette. unchanged position of the right port-a-cath.

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no acute intrathoracic process.

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interval exchange of chest tubes. no pneumothorax. persistent bilateral pleural effusion and stable pulmonary edema.

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no pneumothorax.

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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. mild atelectatic changes at the bases with blunting of the costophrenic angles. however, no evidence of vascular congestion or acute focal pneumonia.

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no acute cardiopulmonary abnormality.

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findings concerning for multifocal pneumonia.

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right middle lobe opacity slowly, but steadily improving. this can be followed with repeat chest radiograph in weeks. otherwise, ct-chest is recommended. findings were entered into the critical results dashboard by at on.

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left picc line ends at mid svc. bilateral lung volumes are low. bilateral lung opacities, prominant hila and fullness of azygous vein suggests a combination of mild to moderate bilateral pleural effusions, mild pulmonary edema and lower lung atelectasis. heart size is top normal.

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no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.

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no acute cardiopulmonary process. no pneumonia.

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interval worsening of a currently moderately-sized left pleural effusion with adjacent atelectasis.

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no evidence of acute cardiopulmonary process. mild hyperexpansion.

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mild to moderate pulmonary edema with bilateral pleural effusions and adjacent atelectasis.

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ap chest compared to : left picc line has been withdrawn to the left upper arm. the lungs are clear. previous vascular congestion has resolved. the heart size is upper normal. no pleural effusion or pneumothorax. dr was paged at <num>

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pulmonary vascular congestion without overt edema. subtle left lower.

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the lung volumes are noted to be decreased. redemonstrated is a right-sided chest tube in place. there is a questionable, tiny right apical pneumothorax. bibasilar opacities, left greater than right, likely represent atelectasis. there is no focal consolidation, pleural effusion, or pulmonary edema identified. postoperative changes are seen at the right lower lobe. the heart size is top normal. mediastinal and hilar contours are stable.

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no acute cardiopulmonary process.

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interval removal of the left chest tube. there is a persistent small left apical pneumothorax. continued close interval followup would be advised given the fact that the pneumothorax appeared after the chest tube had been placed on waterseal. right internal jugular dual-lumen catheter is unchanged in position. stable cardiac enlargement status post median sternotomy. mediastinal contours are unchanged. bibasilar opacities and associated layering effusions likely representing compressive atelectasis, although pneumonia or aspiration could have this appearance. interval improvement in the interstitial appearance suggestive of resolving pulmonary edema.

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ap chest compared to : mild pulmonary edema and mediastinal vascular congestion which developed on have improved. moderate-to-large right pleural effusion, however, is larger. heterogeneous opacification in the lungs could represent deposition of edema, small regions of pneumonia or atelectasis. the heart is mildly enlarged chronically. et tube is in standard placement, nasogastric drainage tube ends in the mid-to-low stomach. no central venous catheter noted. no pneumothorax.

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radiograph centered at the upper abdomen was obtained for assessment of a nasogastric tube, which terminates within the stomach. low lying endotracheal tube is also demonstrated, with tip terminating within <num> cm of the carina. this could be withdrawn a few cm for standard positioning. as compared to recent radiograph of <num> day earlier, note is made of worsening pulmonary vascular congestion and increasing left lower lobe atelectasis with adjacent small pleural effusion. no other relevant change.

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findings suggesting mild pulmonary edema.

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moderate cardiomegaly and persistent mild pulmonary edema. improved aeration of the left lower lobe. interval resolution of left pleural effusion.

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the final image shows a dobhoff tube positioned in the distal stomach or duodenum.

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low lung volumes. possible early consolidation in the right lung base. probably dilated esophagus

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no previous images. there is enlargement of the cardiac silhouette with <num> triple lead pacer device extending to the right atrium, right ventricle, and coronary sinus distribution. there may be minimal indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. there is increased opacification at the right base medially. this could represent merely crowding of vessels. however, in the appropriate clinical setting, s developing consolidation would have to be considered, especially in the absence of a lateral view.

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no focal consolidation.

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ap chest reviewed in the absence of prior chest radiographs:

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top normal heart size without radiographic evidence for acute cardiopulmonary process. mid thoracic vertebral body loss of height, age indeterminate. clinical correlation for pain is recommended. these findings were reported to dr by dr by telephone at on at the time of initial review of the study.

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mild pulmonary edema.

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the pulmonary vasculature is congested compared to yesterday at.

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compared to chest radiographs since , most recently. lung volumes have improved. no pneumonia or pulmonary edema. severe cardiomegaly is stable and mediastinal vasculature is more engorged. no appreciable pleural effusion. recommendation(s): if there is clinical suspicion of acute aortic dissection, thoracic aortic cta would be required for assessment.

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left lower lobe pneumonia and mild pulmonary edema superimposed upon severe pulmonary fibrosis.

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moderate pulmonary edema with small bilateral pleural effusions.

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three nodules in the right upper lobe and left mid lung, are concerning for an infectious process including fungal and nocardia infection. malignancy is also in the differential. please refer to the ct chest performed on the same day for further evaluation. the findings and biopsy recommendations were discussed with dr at

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no evidence of acute cardiopulmonary disease.

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right-sided central venous access catheter terminates in the mid svc, unchanged since. no radiographic explanation for current loss of blood return. these findings were discussed with by via telephone on at pm, time of discovery.

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as compared to the previous image, the external pacemaker was removed. the patient now carries a right internal jugular vein catheter in correct position. moderate hiatal hernia. unchanged borderline size of the cardiac silhouette with mild left basilar atelectasis. no new focal parenchymal opacities. no pulmonary edema.

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moderate left lower lobe atelectasis, left pleural effusion, and likely left lower lobe pneumonia. minimal improvement in pulmonary edema. results were conveyed via telephone to by dr on at am within <num> minutes of observation of findings.

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no acute cardiopulmonary process.

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no acute cardiac or pulmonary findings.

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no evidence of pulmonary edema or pneumonia.

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unchanged left-sided aicd device without acute cardiopulmonary process.

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no acute cardiopulmonary process.

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hyperinflated lungs. otherwise, unremarkable chest radiograph.

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interval appearance of bibasilar airspace disease which may reflect pneumonia or aspiration. there has been interval placement of a left subclavian picc line with its tip in the mid superior vena cava. overall cardiac and mediastinal contours are likely unchanged. no large effusions. no evidence of pneumothorax. no acute bony abnormality.

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new mild diffuse bilateral opacities and retrocardiac atelectasis may represent pulmonary edema although superimposed pneumonia cannot be excluded. enlarged bilateral hila may be seen in sarcoidosis. recommendation(s): a ct chest is recommended for further evaluation of enlarged hila.

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no pneumonia.

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no acute cardiopulmonary process.

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left lower lobe pneumonia.

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no relevant change as compared to the previous image. no pneumonia, no pulmonary edema. no pleural effusions. borderline size of the cardiac silhouette. normal hilar and mediastinal contours.

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no acute cardiopulmonary process.

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comparison to. the extent of the bilateral pneumothorax as has decreased. however both the left and the right pneumothorax are still clearly visualized. there is no evidence of tension. moderate left ap hilar scar is stable.

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no acute cardiopulmonary process.

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significant interval enlargement of the now large left hydrothorax. minimal aeration of left lung near the apex. significant new rightward shift of mediastinal structures. no pneumothorax identified.

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ap chest compared to through at : lower lung volumes are even smaller today than earlier in the day. moderate left pneumothorax has not increased. the pleural effusion on the left is small if any. greater opacification at the left lung base is probably atelectasis. mild cardiomegaly and mediastinal vascular engorgement are exaggerated by low lung volume. subcutaneous emphysema persists in the left chest wall and the neck.

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no acute findings in the chest.

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new small right-sided pleural effusion with associated atelectasis. interval improvement of vascular congestion. stable moderate to severe cardiomegaly.

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in comparison with the study , there is an placement of a right subclavian pacer with leads extending to the right atrium and apex of the right ventricle. no evidence of pneumothorax. no definite vascular congestion or acute focal pneumonia.

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hyperinflated lungs without evidence of pneumonia.

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there is been no interval change the appearance of the chest since recent study of.

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no acute intrathoracic process.

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no acute cardiopulmonary process. mild dextroconvex scoliosis of the upper thoracic spine.

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linear bibasilar atelectasis.

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no acute cardiopulmonary process. the calcific density projecting over the left hilum can again be evaluated as per recommendations of prior study including shallow oblique radiographs or comparison with prior radiographs to assess for long term stability of this finding.

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bilateral upper zone opacities may represent infection or hemorrhage. two right pulmonary nodules warrant further evaluation with cross-sectional imaging. small bilateral pleural effusions.

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limited examination with low lung volumes. patchy bibasilar airspace opacities may reflect atelectasis.

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no evidence of acute disease.

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in comparison with the study of , the monitoring and support devices are unchanged. hazy opacification at the left base with poor definition of the hemidiaphragm is again consistent with pleural fluid and worsening volume loss in the left lower lobe. minimal atelectatic changes are seen on the right in this patient with low lung volumes.

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increased opacification of the bilateral lung bases appears interstitial and could be a manifestation of elevated pulmonary venous pressure or chronic pulmonary disease. however, in the appropriate clinical setting, pneumonia is considered.

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no acute cardiopulmonary process.

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pa and lateral chest reviewed in the absence of prior chest imaging: heart size is top normal. lungs are clear and there is no pleural abnormality. scoliosis is mild. cardiomediastinal and hilar silhouettes are normal aside from what may be granulomatous calcifications in hilar lymph nodes. there is no evidence of active infection.

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no evidence of acute disease.

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no acute cardiopulmonary abnormality.

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negative chest radiograph. specifically, no evidence of pneumonia.

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no significant interval change.

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moderate cardiomegaly is stable. bibasilar consolidations larger on the left side have minimally improved on the right. there is no evident pneumothorax. right ij catheter tip is in the mid svc.

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collapse of the right upper lobe. heterogeneous airspace opacities are consistent with aspiration and pulmonary contusion.

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right-sided port-a-cath tip in the mid svc. no pneumothorax. moderate size hiatal hernia.

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unchanged linear retrocardiac opacity, likely minimal atelectasis. stable mild cardiomegaly.

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dobhoff tube tip isin the stomach. there is new mild pulmonary edema. there are no other interval changes.

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bibasilar atelectasis.

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lung volumes have improved and pulmonary vasculature is no longer engorged. moderate to severe cardiomegaly is chronic. trans subclavian atrial biventricular pacer defibrillator leads are unchanged, continuous from the left pectoral generator. lungs are clear. no pleural abnormality.

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mild improvement of left lung opacities which, likely related to prior radiation treatments.

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no acute cardiopulmonary abnormality.

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no acute intrathoracic process. dialysis catheter positioned appropriately.

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no significant change

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in comparison with the study of , the there is substantial opacification at both bases with silhouetting of the hemidiaphragms, consistent with pleural effusions and compressive atelectasis at the bases. the upper zones are clear and there is no evidence of pulmonary vascular congestion. the right subclavian picc line tip remains in the mid to lower portion of the svc. the intestinal tube extends at least to the mid body of the stomach where it crosses the lower margin of the image.

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as compared to the previous radiograph, the monitoring and support devices are in unchanged position. the parenchymal opacity on the right has minimally decreased in extent and severity. the opacity on the left, showing multiple air bronchograms, is not substantially changed. unchanged low lung volumes with mild cardiomegaly.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.