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/p15862164/s52795364/8ea14112-3ad562cc-c9153333-639f533b-65efdedb.jpg	compared to chest radiographs through. lungs are now clear. heart size is normal. mediastinal veins are less engorged. no appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16950272/s53225472/29a8b8d1-e73126e2-ff57f9ba-f5aadcaf-02d3e3b5.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19249052/s53152526/a808896f-d3ac9ff6-e07deb0f-fb92f04b-2cbde1fb.jpg	successful drainage of right-sided pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p16394447/s59896994/e11114c3-45406a40-6238a67b-25dfa272-304ac4fc.jpg	ap chest compared to , heart size is borderline enlarged, as before. aside from a small region of linear atelectasis at the left lung base laterally, lungs are clear. there is no consolidation, edema, pleural effusion, or evidence of central lymph node enlargement.
MIMIC-CXR-JPG/2.0.0/files/p12567919/s51867378/e4a9bebd-33959341-ddd83ea5-5b24592b-912250fe.jpg	mild cardiomegaly with mild interstitial prominence, stable. no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16641118/s59575009/d5ef50ef-bb16d504-ac68a105-a82c36ab-d1e3f38c.jpg	mild enlargement of the cardiac silhouette. no focal consolidation.
MIMIC-CXR-JPG/2.0.0/files/p13538980/s53355706/c09ef3b9-c4fdb91c-849f43cc-4684b476-fd154e40.jpg	no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17717274/s58936993/4f764712-8892d28d-f2b2c8c0-08332d48-fdf47069.jpg	no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p18505898/s57001470/4523a2f2-6c2b87cc-8170341f-051b5e20-ffac8cfb.jpg	minimal improvement in ventilation of the left lung, however, with unchanged visibility of a large left central mass, likely contralateral lymphadenopathy and a moderate left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14450831/s52870071/a19fe0db-85fd653d-b5689e34-59e6b341-90c8152d.jpg	left lower lobe opacity again suspicious for malignancy. trace right effusion. bibasilar opacities, potentially due to atelectasis; however, clinical correlation would be necessary to exclude infection.
MIMIC-CXR-JPG/2.0.0/files/p19398915/s57368049/65764501-34929472-9b28c722-c86b9cfc-35b5a04f.jpg	decreased lung volumes, but other prior probably no significant change.
MIMIC-CXR-JPG/2.0.0/files/p17753504/s55599289/357007e5-bfd1755c-69f0ae21-4b39cdd1-dd560def.jpg	residual retrocardiac opacity, possibly atelectasis, though cannot exclude pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17470891/s55208353/8c912433-55f0e49c-58a49454-2f97e2b5-6bcf4f94.jpg	endotracheal tube terminates at the level of the carina. recommend withdrawal by at least <num> cm. mild pulmonary edema and small bilateral pleural effusions. bibasilar airspace opacities likely reflecting collapse though infection is not completely excluded.
MIMIC-CXR-JPG/2.0.0/files/p18933476/s50193896/45a17769-545e4731-696c72ec-aed68225-7d7e08ed.jpg	as compared to the previous radiograph, the right chest tube has been removed. the extent of the right pneumothorax is unchanged. minimal improvement of the right basilar atelectasis. unchanged appearance of the left hemithorax.
MIMIC-CXR-JPG/2.0.0/files/p19245176/s50781985/59d316d5-957e42fb-d25f514d-732df8ec-ffceb24b.jpg	in comparison with the study of , there has been a substantial increase in opacification in the lower half of the right hemithorax. this is consistent with worsening hemothorax according to clinical history. no definite pneumothorax, though this could be difficult to detect given the amount of fluid the absence of an erect view. left lung is stable with mild atelectatic changes. the multiple rib fractures are again seen.
MIMIC-CXR-JPG/2.0.0/files/p17524332/s52451386/8609e5d4-f7c37e18-0919a81a-d406b5d3-c8c5923a.jpg	no radiographic evidence of acute cardiopulmonary disease. a left suprahilar opacity is slightly more conspicuous when compared to the prior radiograph. recommendation(s):
MIMIC-CXR-JPG/2.0.0/files/p12972374/s57746373/c98c5345-c27faf48-3f1b083a-d1c3a3c5-1acf461f.jpg	no acute cardiopulmonary process. no evidence of foreign body.
MIMIC-CXR-JPG/2.0.0/files/p10723150/s59004786/60396bc7-19abe6e7-d5e1601f-1ef2aa7b-510a49f3.jpg	no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10452634/s58837458/f5dc7d0a-5cf3bbd2-d599536c-7c297a29-fb7e15c8.jpg	small left pneumothorax is again noted. left-sided chest tube appears stable in position. increased right basilar opacity which may represent atelectasis versus a new developing infectious process on the right. persistent left-sided opacities. these findings are likely representative of persisting left hemothorax and adjacent atelectasis/trauma in the region of chest tube. these findings were discussed by dr with dr telephone at the time of discovery at am on.
MIMIC-CXR-JPG/2.0.0/files/p12451629/s55394154/82f595a3-db1863db-dae5d89f-bbe85331-b9b1bbe7.jpg	normal chest radiograph
MIMIC-CXR-JPG/2.0.0/files/p19752571/s56467362/1be6ed63-566923d8-f03afcf9-4dacc0b8-19b5a7e6.jpg	no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12932363/s51091712/8270c958-ab1eba21-892f655d-5558cf22-2b3bb7fd.jpg	comparison to. no relevant change. cervical vertebral stabilization devices. moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. retrocardiac atelectasis. the presence of a minimal left pleural effusion cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p17080143/s59775664/2148e1e5-45fda922-d43b22ab-a0113912-ced01c63.jpg	minimal interval increase of the right lung base pleural effusion, still small, stability of the moderate left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p18298366/s54267207/4f1fabe9-fb36e078-bb94931e-d4c6acc1-7d133bf7.jpg	right lower lobe opacity most likely represents atelectasis. bilateral small pleural effusions are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p11395424/s59265936/5383c032-4844d1a4-eb64305e-0ade5e7f-9ba01dbe.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11988232/s58687356/9145e7a9-f6bfe96b-b6b79dbb-85136c46-f07c23c1.jpg	heart size and mediastinum are stable. lungs are slightly hyperinflated but essentially clear. there is no appreciable pleural effusion or pneumothorax. nodule projecting over the left apex appears to be within the posterior aspect of the third ribs as demonstrated on the view obtained and
MIMIC-CXR-JPG/2.0.0/files/p13294541/s51585613/81b2fd41-3cc2ef02-ba4a8871-ec374fe5-06491dbf.jpg	no evidence of acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15225349/s57620523/3703f13d-a140160b-f1a6382e-c7ba4965-2ddf3d73.jpg	interval near-complete resolution of the apical and retrosternal components of the left pneumothorax. residual left costophrenic angle small hydropneumothorax, possibly loculated. on the lateral view, components are seen both anteriorly and posteriorly. left pigtail catheter along the left chest wall is in unchanged, grossly appropriate position. stable small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14800359/s52323219/b8030471-37a6cb4e-c5a5fcad-4eac0b91-64687968.jpg	no pneumothorax. normal chest radiograph. the findings were discussed with , m. d. by , m. d. on the telephone on at am, <num> minutes after discovery of the findings.
MIMIC-CXR-JPG/2.0.0/files/p14459170/s59185800/0ab06906-2b73e57c-327b743c-8621f350-c5a3b67d.jpg	no evidence of injury.
MIMIC-CXR-JPG/2.0.0/files/p11329142/s52314866/689328f5-9205d2f9-b3042b04-d34fa42a-34300b93.jpg	right pic line ends in the mid svc. moderate cardiomegaly worsened slightly. no definite pulmonary edema. small bilateral pleural effusions unchanged. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p17732633/s50858712/e0067bca-a4bbaabc-26d8475b-35006095-6b9792aa.jpg	stable small right apical pneumothorax since.
MIMIC-CXR-JPG/2.0.0/files/p19685907/s55655544/5ec72c5f-a46bf98e-c60c062e-b3305add-a1847fd4.jpg	no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p13716409/s56155150/3b2d6d43-83b7d90d-a87c9963-53b98eca-6e598447.jpg	new left chest wall dual chamber pacemaker in standard position without pneumothorax. small bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p14590170/s51285862/817a21a8-d23d51cd-d1c9a943-b721f38f-26059b2f.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15149655/s58933976/12014a95-ca8680b4-73e2b7e4-6411443a-8e676a2c.jpg	mild central pulmonary vascular congestion. heart size top-normal to mildly enlarged, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p12024744/s58012441/526b6b18-04a5ff16-8c464878-5f5403de-16f8a88f.jpg	normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p18863639/s51695185/e48600a3-42fcc8e0-f6f1518a-0d7b1c9b-2f39a461.jpg	as compared to the previous radiograph, the extent of the known right pneumothorax has minimally decreased. the <num> right-sided chest tubes are in unchanged position. there is no evidence of tension. the soft tissue air collections are constant in appearance.
MIMIC-CXR-JPG/2.0.0/files/p11676062/s59012840/c3da023c-2530c6c0-8e3c8053-8c6cb89e-c23cca14.jpg	heart size and mediastinum are unchanged. right upper lobe postradiation changes are similar to previous examination. no new consolidation to suggest interval development of infectious process demonstrated. no pleural effusion or pneumothorax is seen.
MIMIC-CXR-JPG/2.0.0/files/p13062119/s57369186/7197484b-42addc6b-6a613b6b-02656e14-6785da12.jpg	no radiographic evidence for acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11581298/s59240489/039a1f0d-4a8848e9-a1ae82ee-82aa872d-39b1a915.jpg	mild pulmonary edema. probable retrocardiac atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11899569/s50598611/d5498d95-98269f82-6391e938-37e5a455-fae18108.jpg	compared to chest radiographs since , most recently. no apparent pneumothorax. subcutaneous emphysema is improving, still quite extensive along the right chest wall. no pleural effusion. pneumomediastinum, most visible on the lateral view is not worsening and is clinically insignificant. lungs clear.
MIMIC-CXR-JPG/2.0.0/files/p16352630/s57067582/76a12f7b-f396d847-6f3811d5-98630e94-8c076097.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10970124/s59555245/8bcae4f1-9d7cb07a-a667b682-e72933ae-7453184b.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10444265/s57140309/61365231-6fb807d8-7fdc3aaf-25a1e472-3f7492ae.jpg	no acute cardiopulmonary abnormality. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p19438923/s55725311/1d5ffd7c-6f01d498-cd09ed21-310a7a5d-96b07081.jpg	possible chronic obstructive airways disease. possible small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11518408/s51331365/b80e6637-f765d7d5-870ad060-9c5b8579-fd2b1566.jpg	no significant changes compared to the prior study. no acute pulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p16147352/s51315166/9583006c-fea33ef9-d2f1f465-521d1604-4a0805bf.jpg	small to moderate right-sided pneumothorax with loculations superolaterally and larger component at the base posteriorly as well. air-fluid level compatible with hemato or hydropneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15473766/s54407679/5e4706b4-26581c07-5a4796c2-f072b14f-d5885035.jpg	right apical loculated pleural effusion is unchanged as compared to the previous study with small focus of pneumothorax. lungs are clear. there is no pleural effusion seen on the left side. there is no pneumothorax on the left side noted. for pre size details please review ct chest obtained on at
MIMIC-CXR-JPG/2.0.0/files/p18055073/s51549369/8ec904c0-f51bd0a6-f04a0ddd-c9906112-a343f78e.jpg	right picc terminating in the right axilla needs repositioning to place in the low svc. persistent mild pulmonary edema improved from.
MIMIC-CXR-JPG/2.0.0/files/p19418948/s51803000/c72e6c05-13b1a6ad-1ce134a0-577a7a22-74c99405.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12246903/s55213866/93d10189-79fe6f03-378801a0-1ca9f30d-6eb49f3d.jpg	heart size and mediastinum are stable. pacemaker leads terminate in right atrium and ventricle. bilateral pigtail catheters have been removed. there is no definitive evidence of pneumothorax. interstitial abnormalities nodule or abnormalities are unchanged.
MIMIC-CXR-JPG/2.0.0/files/p14658826/s50965396/309d1b44-e3a2151b-b2084ccc-565366a7-457b50c0.jpg	diffuse reticulonodular interstitial pattern is chronic. due to the the severity of this chronic pathology, detection of subtle pneumonia would be difficult. there is no obvious large pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17455650/s57214742/2dea08d9-342c9632-cd708394-0dacc5b9-cd869c31.jpg	no acute cardiopulmonary process. no findings to explain patient's symptoms.
MIMIC-CXR-JPG/2.0.0/files/p10817099/s59649487/30b12960-af4bffa5-615613dd-d0a3cdcc-f885a90f.jpg	improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16440395/s55565253/4d17a0e9-a005996b-c8166faa-f8e353a1-a2cb7ac6.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15240391/s53898185/398875e4-df603c98-6f6d7fbb-586a73b2-7637aa21.jpg	no acute cardiopulmonary process; specifically, no evidence of pneumonia. results were discussed over the telephone with dr by at on at time of initial review.
MIMIC-CXR-JPG/2.0.0/files/p17876390/s55240853/ec72d01f-0fd2efad-acaaf739-a0258993-1227e287.jpg	no radiographic evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p14222981/s51635678/092ae55d-13c9c16c-34f77358-4c6bd47d-2ec02521.jpg	as compared to radiograph, bilateral pleural effusions have decreased in size. diffuse mediastinal widening is likely a combination of mediastinal lipomatosis and distended vessels, but the possibility of underlying lymphadenopathy is not excluded. as the patient reportedly has history of pe, correlation with outside cta study would be helpful. pulmonary vascular congestion has improved and multifocal pulmonary opacities have decreased in extent.
MIMIC-CXR-JPG/2.0.0/files/p18969221/s54500647/a9187ff6-f2490ce2-69a6eef5-f5da708a-64d7259c.jpg	previous postoperative pulmonary edema has almost cleared, bibasilar atelectasis has not. although the postoperative caliber of the upper mediastinal silhouette is comparable to the preoperative appearance, the width of the cardiac silhouette has decreased, due in part to evacuation of hemopericardium. no pneumothorax. tip of the endotracheal tube is less than <num> cm from the carina, but the chin is flexed, and the tube is acceptable in position. tip of the swan-ganz catheter is in the region of the pulmonic valve. midline drains in standard position. right pleural drain still in place. no appreciable pneumothorax. nasogastric tube ends in a nondistended stomach.
MIMIC-CXR-JPG/2.0.0/files/p12318385/s53199695/c9364523-bb30e51d-6162d055-39d413ec-188e7a0a.jpg	no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13876752/s58348202/fb379093-8a68dd26-f0a75b6c-53feb6dc-e22a522a.jpg	no acute pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14663881/s56209340/c17c5517-3c7d32fe-a22fb221-8877e7cf-6ef16deb.jpg	redevelopment of left apical pneumothorax with chest tube on water seal. small amount of free intraperitoneal air consistent with recent surgery. no other significant interval changes in chest x-ray.
MIMIC-CXR-JPG/2.0.0/files/p14288958/s50938140/cb70ff89-66c39232-5fa86bcf-8a6a5401-203cccd1.jpg	comparison to. 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/p10771396/s51838303/90acad5e-343a1c17-99e0c9fa-eaf2d845-962a377a.jpg	lungs are clear. no evidence of fracture on this nondedicated exam. correlate with focal exam findings an obtained dedicated radiographs specific to these regions as needed. recommendation(s): correlate focal exam findings an obtained dedicated radiographs specific to these regions to evaluate for fracture as needed.
MIMIC-CXR-JPG/2.0.0/files/p11028696/s50202907/9620e2d9-35d59cc9-326f9590-11ae9031-e825c89a.jpg	low lung volumes with bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17921262/s51401956/ad1e682b-87195b49-095581f4-a75de207-879dc833.jpg	no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19958337/s50070518/8a486b20-cec6ab52-fdd851db-4018f3db-72afb1da.jpg	ap chest reviewed in the absence of prior chest imaging: right subclavian line heads up into the neck and out of view, anatomic localization impossible on this single frontal projection. there is no evidence of mediastinal or intrathoracic bleeding associated with this line placement, nor pneumothorax. lungs are extremely low in volume, with relatively mild bibasilar atelectasis. heart size top normal. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p15853169/s53234082/d98588b5-c50a7dec-dea43165-1025c1bc-4b821940.jpg	no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11845452/s56586088/dcdaeb97-da7e2d5e-9e81bf0d-4d480c96-354555ea.jpg	mild bronchial wall inflammation.
MIMIC-CXR-JPG/2.0.0/files/p15853547/s55757069/70a71eee-6d242659-d45846a4-891a0618-d9518a03.jpg	no evidence of pneumonia. stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14190634/s51820671/5d353cd1-62ecaa29-3e65c6eb-f4617503-c30c0fdd.jpg	stable bilateral lower lobe atelectasis and moderate bilateral pleural effusions. mild pulmonary venous congestion. no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p16580009/s58029707/5f19a3b7-f90e4e82-fc764be9-078bbcbf-0f1530a3.jpg	no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p18912708/s54832858/4a148a09-3141de24-a3348f31-c94349b8-e90f8972.jpg	right basilar opacity, potentially atelectasis and due to overlying soft tissues. underlying parenchymal opacity is difficult to exclude.
MIMIC-CXR-JPG/2.0.0/files/p13415410/s58084973/8b0cb357-f34e4584-f63fe27b-4bb91b9c-c97ea630.jpg	increasing density in the right lung most concerning for chronic or recurrent pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p17947692/s59017463/a841affc-ec93b6bd-175f83c9-e88c3ea4-5db2be1e.jpg	a left lower lobe opacity may represent atelectasis or pneumonia in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p17054851/s54886438/f90badcd-5d68d690-cf156f03-0e1dfdff-bde80a42.jpg	as compared to the previous radiograph, the right pleural effusion has completely resolved. no effusion is seen on the frontal and the lateral radiograph. the right apical post surgical rib defect is seen in unchanged manner. there is no evidence of a right pneumothorax. minimal atelectasis at the right lung bases. no pneumonia, no pulmonary edema. normal size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p10959550/s58008729/e61ba2f1-66d750f6-26352c73-d219bf33-e8cd6755.jpg	no radiographic evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12156923/s59735292/2a2e8747-391818dd-29f00474-4643749f-89bf15da.jpg	comparison to. lung volumes have increased, likely reflecting improved ventilation. however, signs of moderate pulmonary edema persists. stable atelectasis in the retrocardiac lung region and at the bases of the left lung. no pleural effusions. in addition, there is a new perihilar opacity on the right, potentially reflecting developing pneumonia. stable position of the right picc line. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p14047852/s50995726/47ff7f60-c4d73713-1d4b189d-9d616005-7c96ce31.jpg	no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13688683/s51620787/257448c8-2c7f35cd-7d144213-be0b45a7-13e4ae7e.jpg	mild interstitial edema stable since , increased since.
MIMIC-CXR-JPG/2.0.0/files/p17468433/s51216698/70385134-42856288-7b221d30-017c4571-863994fc.jpg	endotracheal tube tip obscured by overlying spinal hardware. at best the endotracheal tube terminates <num> cm above the level of the carina. in a patient with neck flexed, this is appropriately placed.
MIMIC-CXR-JPG/2.0.0/files/p17982586/s58556445/3d1b1645-36f78258-ce078e33-5a2fc4cd-69cd302a.jpg	right-sided pneumothoraces, without significant change compared with earlier the same day.
MIMIC-CXR-JPG/2.0.0/files/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg	left mid to lower lung atelectasis. low lung volumes. the patient is status post sternotomy with fracture of at least the first and second sternotomy wires and possibly the lower most sternotomy wire.
MIMIC-CXR-JPG/2.0.0/files/p14920657/s56957968/dc03a93c-a3e86d48-b6ad7573-b97d0495-0566cbc8.jpg	no previous images. the cardiac silhouette is at the upper limits of normal or mildly enlarged. there is prominence of the transverse arch of the aorta with mild tortuosity of the lower thoracic aorta. ct would be necessary to assess the underlying type b dissection. there is engorgement of ill defined pulmonary vessels, consistent with elevated pulmonary venous pressure. no evidence of acute focal pneumonia. blunting of the right costophrenic angle could reflect small pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17978664/s53274537/3a9c0066-2f3fab57-92a6ad92-ee244fed-70a8b992.jpg	low lung volumes with patchy opacities in lung bases likely reflective of atelectasis. infection cannot be completely excluded in the correct clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p19522954/s54559739/a987d13c-0d9646ab-f74b4973-702f6fa4-da915356.jpg	stable chest findings, no evidence of major pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15623684/s58220307/275c1ebc-d6e88594-42e4f95a-6fd30fa9-79097b59.jpg	previously dense consolidation in the right upper lobe and less confluent perihilar infiltration in the left are both improving, although there has been an increase in milder degree of perihilar infiltration in the left lower lobe. i suspect this is generally due to improving edema, but contributions of recent aspiration are unclear. there is no lobar collapse. the left upper abdomen is not included on the study and that makes it difficult to exclude an anteriorly positioned pneumothorax. when feasible, an erect or semi-erect examination should be obtained to review that area. heart size is normal, smaller than on. there is no appreciable pleural effusion. et tube is in standard position. dr was paged at when the study was reviewed.
MIMIC-CXR-JPG/2.0.0/files/p18083755/s51808898/610e9963-3003d26e-a26da803-f765195b-0f3fcbcc.jpg	left trans subclavian atrioventricular pacer leads follow the standard pathways from the left pectoral pacemaker generator. no pneumothorax, pleural effusion, or mediastinal widening. aside from scarring in the right midlung and possible right hilar lymph node calcifications, the lungs are fully expanded and clear and there is no evidence of central lymph node enlargement. previous pleural effusions have cleared.
MIMIC-CXR-JPG/2.0.0/files/p19171754/s57941319/3f25a21b-73624e44-f33f3182-6d69a59b-b95abd66.jpg	in comparison with the study of , the patient has taken a much better inspiration. no evidence of acute pneumonia, vascular congestion, or pleural effusion. tip of the port-a-cath remains in the midportion of the svc.
MIMIC-CXR-JPG/2.0.0/files/p19335948/s56604728/35e905ef-d65f2f62-1e018252-b9b45109-377731ca.jpg	in comparison with the study of , there is increasing opacification at the right base with obscuration of the hemidiaphragm. although some of this could reflect asymmetric pulmonary edema or atelectasis. in the appropriate clinical setting this superimposed aspiration or infectious pneumonia certainly could be considered. monitoring and support devices are essentially unchanged and there again are diffuse sclerotic metastases.
MIMIC-CXR-JPG/2.0.0/files/p11228986/s54286323/588cf9e9-41514079-493d36e5-f6e1257b-ca0e0c2c.jpg	pacemaker leads terminate in right atrium and ventricle. heart size and mediastinum are unchanged. mild vascular congestion is noted. old rib fractures on the left are re- demonstrated.
MIMIC-CXR-JPG/2.0.0/files/p13202545/s57330496/29337323-daef7575-818473ca-936e960c-b60428c1.jpg	no acute cardiac or pulmonary findings. grossly intact bony thorax. if there is persistent concern for a rib fracture, further evaluation could be performed with a dedicated rib series, including an appropriately placed radiopaque skin marker.
MIMIC-CXR-JPG/2.0.0/files/p14348889/s57490038/55558507-15bf901d-1d306ecb-9f59b340-e6f63017.jpg	no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p14010624/s52036942/af4c0cb1-9e7159b7-ef8e7503-40215f2c-062733c4.jpg	no evidence of acute cardiopulmonary process. unchanged mild hyperinflation.
MIMIC-CXR-JPG/2.0.0/files/p11080959/s59479309/fdbec633-da9d80a2-f548def2-8b50a272-042a45b6.jpg	comparison to. stable appearance of the surgical clips projecting over the axilla. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions. no lung nodules or masses.
MIMIC-CXR-JPG/2.0.0/files/p17417511/s58039758/825ac501-1081b93c-20bd7c17-18c05c0c-061b341c.jpg	interval placement of right bronchial stent. no pneumothorax. new opacifications in the right mid-lung obscures the known large right perihilar mass. this may be postsurgical in nature, however, superimposed pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18622600/s53234986/709ff281-d8df179c-dae60f94-84fd5855-8eb79b96.jpg	as compared to the previous image, the pre-existing and previously minimal right pleural effusion has substantially increased. the effusion is now moderate to severe in extent. the patient also has developed a small left pleural effusion. the contour of the right upper mediastinal mass. is constant. unchanged monitoring and support devices. relatively extensive bilateral areas of mid and lower lung atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11453961/s50124110/32ea93d7-9efac928-cdf48f6d-8c762fa8-a523c81c.jpg	ap torso compared to : upper enteric feeding tube ends at the pylorus, traversing a non-distended stomach. aside from mild basal atelectasis, lower lungs are clear. heart size top normal. pleural effusion is small, if any. upper chest excluded from the examination.
MIMIC-CXR-JPG/2.0.0/files/p14394983/s57557256/c9aa5310-6886ca00-6b2904fc-02a9494a-f77e67bc.jpg	no acute intrathoracic process.

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compared to chest radiographs through. lungs are now clear. heart size is normal. mediastinal veins are less engorged. no appreciable pleural effusion.

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no acute cardiopulmonary abnormality.

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successful drainage of right-sided pleural effusion.

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ap chest compared to , heart size is borderline enlarged, as before. aside from a small region of linear atelectasis at the left lung base laterally, lungs are clear. there is no consolidation, edema, pleural effusion, or evidence of central lymph node enlargement.

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mild cardiomegaly with mild interstitial prominence, stable. no pneumonia.

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mild enlargement of the cardiac silhouette. no focal consolidation.

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no acute cardiopulmonary abnormality.

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no acute cardiopulmonary process seen.

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minimal improvement in ventilation of the left lung, however, with unchanged visibility of a large left central mass, likely contralateral lymphadenopathy and a moderate left pleural effusion.

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left lower lobe opacity again suspicious for malignancy. trace right effusion. bibasilar opacities, potentially due to atelectasis; however, clinical correlation would be necessary to exclude infection.

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decreased lung volumes, but other prior probably no significant change.

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residual retrocardiac opacity, possibly atelectasis, though cannot exclude pneumonia.

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endotracheal tube terminates at the level of the carina. recommend withdrawal by at least <num> cm. mild pulmonary edema and small bilateral pleural effusions. bibasilar airspace opacities likely reflecting collapse though infection is not completely excluded.

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as compared to the previous radiograph, the right chest tube has been removed. the extent of the right pneumothorax is unchanged. minimal improvement of the right basilar atelectasis. unchanged appearance of the left hemithorax.

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in comparison with the study of , there has been a substantial increase in opacification in the lower half of the right hemithorax. this is consistent with worsening hemothorax according to clinical history. no definite pneumothorax, though this could be difficult to detect given the amount of fluid the absence of an erect view. left lung is stable with mild atelectatic changes. the multiple rib fractures are again seen.

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no radiographic evidence of acute cardiopulmonary disease. a left suprahilar opacity is slightly more conspicuous when compared to the prior radiograph. recommendation(s):

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no acute cardiopulmonary process. no evidence of foreign body.

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no pneumonia.

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small left pneumothorax is again noted. left-sided chest tube appears stable in position. increased right basilar opacity which may represent atelectasis versus a new developing infectious process on the right. persistent left-sided opacities. these findings are likely representative of persisting left hemothorax and adjacent atelectasis/trauma in the region of chest tube. these findings were discussed by dr with dr telephone at the time of discovery at am on.

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normal chest radiograph

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no pneumothorax.

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comparison to. no relevant change. cervical vertebral stabilization devices. moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. retrocardiac atelectasis. the presence of a minimal left pleural effusion cannot be excluded.

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minimal interval increase of the right lung base pleural effusion, still small, stability of the moderate left pleural effusion.

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right lower lobe opacity most likely represents atelectasis. bilateral small pleural effusions are unchanged.

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no acute cardiopulmonary process.

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heart size and mediastinum are stable. lungs are slightly hyperinflated but essentially clear. there is no appreciable pleural effusion or pneumothorax. nodule projecting over the left apex appears to be within the posterior aspect of the third ribs as demonstrated on the view obtained and

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no evidence of acute cardiopulmonary abnormality.

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interval near-complete resolution of the apical and retrosternal components of the left pneumothorax. residual left costophrenic angle small hydropneumothorax, possibly loculated. on the lateral view, components are seen both anteriorly and posteriorly. left pigtail catheter along the left chest wall is in unchanged, grossly appropriate position. stable small right pleural effusion.

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no pneumothorax. normal chest radiograph. the findings were discussed with , m. d. by , m. d. on the telephone on at am, <num> minutes after discovery of the findings.

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no evidence of injury.

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right pic line ends in the mid svc. moderate cardiomegaly worsened slightly. no definite pulmonary edema. small bilateral pleural effusions unchanged. no pneumothorax.

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stable small right apical pneumothorax since.

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no acute intrathoracic process.

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new left chest wall dual chamber pacemaker in standard position without pneumothorax. small bilateral pleural effusions.

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no definite acute cardiopulmonary process.

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mild central pulmonary vascular congestion. heart size top-normal to mildly enlarged, unchanged.

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normal chest radiograph.

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as compared to the previous radiograph, the extent of the known right pneumothorax has minimally decreased. the <num> right-sided chest tubes are in unchanged position. there is no evidence of tension. the soft tissue air collections are constant in appearance.

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heart size and mediastinum are unchanged. right upper lobe postradiation changes are similar to previous examination. no new consolidation to suggest interval development of infectious process demonstrated. no pleural effusion or pneumothorax is seen.

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no radiographic evidence for acute cardiopulmonary process.

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mild pulmonary edema. probable retrocardiac atelectasis.

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compared to chest radiographs since , most recently. no apparent pneumothorax. subcutaneous emphysema is improving, still quite extensive along the right chest wall. no pleural effusion. pneumomediastinum, most visible on the lateral view is not worsening and is clinically insignificant. lungs clear.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process.

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no acute cardiopulmonary abnormality. mild cardiomegaly.

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possible chronic obstructive airways disease. possible small pleural effusions.

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no significant changes compared to the prior study. no acute pulmonary abnormalities.

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small to moderate right-sided pneumothorax with loculations superolaterally and larger component at the base posteriorly as well. air-fluid level compatible with hemato or hydropneumothorax.

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right apical loculated pleural effusion is unchanged as compared to the previous study with small focus of pneumothorax. lungs are clear. there is no pleural effusion seen on the left side. there is no pneumothorax on the left side noted. for pre size details please review ct chest obtained on at

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right picc terminating in the right axilla needs repositioning to place in the low svc. persistent mild pulmonary edema improved from.

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no acute cardiopulmonary process.

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heart size and mediastinum are stable. pacemaker leads terminate in right atrium and ventricle. bilateral pigtail catheters have been removed. there is no definitive evidence of pneumothorax. interstitial abnormalities nodule or abnormalities are unchanged.

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diffuse reticulonodular interstitial pattern is chronic. due to the the severity of this chronic pathology, detection of subtle pneumonia would be difficult. there is no obvious large pneumonia.

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no acute cardiopulmonary process. no findings to explain patient's symptoms.

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improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.

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no acute cardiopulmonary process.

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no acute cardiopulmonary process; specifically, no evidence of pneumonia. results were discussed over the telephone with dr by at on at time of initial review.

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no radiographic evidence of acute cardiopulmonary disease.

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as compared to radiograph, bilateral pleural effusions have decreased in size. diffuse mediastinal widening is likely a combination of mediastinal lipomatosis and distended vessels, but the possibility of underlying lymphadenopathy is not excluded. as the patient reportedly has history of pe, correlation with outside cta study would be helpful. pulmonary vascular congestion has improved and multifocal pulmonary opacities have decreased in extent.

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previous postoperative pulmonary edema has almost cleared, bibasilar atelectasis has not. although the postoperative caliber of the upper mediastinal silhouette is comparable to the preoperative appearance, the width of the cardiac silhouette has decreased, due in part to evacuation of hemopericardium. no pneumothorax. tip of the endotracheal tube is less than <num> cm from the carina, but the chin is flexed, and the tube is acceptable in position. tip of the swan-ganz catheter is in the region of the pulmonic valve. midline drains in standard position. right pleural drain still in place. no appreciable pneumothorax. nasogastric tube ends in a nondistended stomach.

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no definite acute cardiopulmonary process.

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no acute pulmonary process.

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redevelopment of left apical pneumothorax with chest tube on water seal. small amount of free intraperitoneal air consistent with recent surgery. no other significant interval changes in chest x-ray.

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comparison to. 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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lungs are clear. no evidence of fracture on this nondedicated exam. correlate with focal exam findings an obtained dedicated radiographs specific to these regions as needed. recommendation(s): correlate focal exam findings an obtained dedicated radiographs specific to these regions to evaluate for fracture as needed.

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low lung volumes with bibasilar atelectasis.

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no evidence of pneumonia.

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ap chest reviewed in the absence of prior chest imaging: right subclavian line heads up into the neck and out of view, anatomic localization impossible on this single frontal projection. there is no evidence of mediastinal or intrathoracic bleeding associated with this line placement, nor pneumothorax. lungs are extremely low in volume, with relatively mild bibasilar atelectasis. heart size top normal. no pulmonary edema.

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no evidence of acute cardiopulmonary process.

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mild bronchial wall inflammation.

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no evidence of pneumonia. stable mild cardiomegaly.

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stable bilateral lower lobe atelectasis and moderate bilateral pleural effusions. mild pulmonary venous congestion. no pulmonary edema.

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no evidence of acute cardiopulmonary disease.

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right basilar opacity, potentially atelectasis and due to overlying soft tissues. underlying parenchymal opacity is difficult to exclude.

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increasing density in the right lung most concerning for chronic or recurrent pneumonia.

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a left lower lobe opacity may represent atelectasis or pneumonia in the appropriate clinical setting.

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as compared to the previous radiograph, the right pleural effusion has completely resolved. no effusion is seen on the frontal and the lateral radiograph. the right apical post surgical rib defect is seen in unchanged manner. there is no evidence of a right pneumothorax. minimal atelectasis at the right lung bases. no pneumonia, no pulmonary edema. normal size of the cardiac silhouette.

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no radiographic evidence of pneumonia.

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comparison to. lung volumes have increased, likely reflecting improved ventilation. however, signs of moderate pulmonary edema persists. stable atelectasis in the retrocardiac lung region and at the bases of the left lung. no pleural effusions. in addition, there is a new perihilar opacity on the right, potentially reflecting developing pneumonia. stable position of the right picc line. no pneumothorax.

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no acute cardiopulmonary process.

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mild interstitial edema stable since , increased since.

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endotracheal tube tip obscured by overlying spinal hardware. at best the endotracheal tube terminates <num> cm above the level of the carina. in a patient with neck flexed, this is appropriately placed.

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right-sided pneumothoraces, without significant change compared with earlier the same day.

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left mid to lower lung atelectasis. low lung volumes. the patient is status post sternotomy with fracture of at least the first and second sternotomy wires and possibly the lower most sternotomy wire.

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no previous images. the cardiac silhouette is at the upper limits of normal or mildly enlarged. there is prominence of the transverse arch of the aorta with mild tortuosity of the lower thoracic aorta. ct would be necessary to assess the underlying type b dissection. there is engorgement of ill defined pulmonary vessels, consistent with elevated pulmonary venous pressure. no evidence of acute focal pneumonia. blunting of the right costophrenic angle could reflect small pleural effusion.

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low lung volumes with patchy opacities in lung bases likely reflective of atelectasis. infection cannot be completely excluded in the correct clinical setting.

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stable chest findings, no evidence of major pneumothorax.

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previously dense consolidation in the right upper lobe and less confluent perihilar infiltration in the left are both improving, although there has been an increase in milder degree of perihilar infiltration in the left lower lobe. i suspect this is generally due to improving edema, but contributions of recent aspiration are unclear. there is no lobar collapse. the left upper abdomen is not included on the study and that makes it difficult to exclude an anteriorly positioned pneumothorax. when feasible, an erect or semi-erect examination should be obtained to review that area. heart size is normal, smaller than on. there is no appreciable pleural effusion. et tube is in standard position. dr was paged at when the study was reviewed.

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left trans subclavian atrioventricular pacer leads follow the standard pathways from the left pectoral pacemaker generator. no pneumothorax, pleural effusion, or mediastinal widening. aside from scarring in the right midlung and possible right hilar lymph node calcifications, the lungs are fully expanded and clear and there is no evidence of central lymph node enlargement. previous pleural effusions have cleared.

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in comparison with the study of , the patient has taken a much better inspiration. no evidence of acute pneumonia, vascular congestion, or pleural effusion. tip of the port-a-cath remains in the midportion of the svc.

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in comparison with the study of , there is increasing opacification at the right base with obscuration of the hemidiaphragm. although some of this could reflect asymmetric pulmonary edema or atelectasis. in the appropriate clinical setting this superimposed aspiration or infectious pneumonia certainly could be considered. monitoring and support devices are essentially unchanged and there again are diffuse sclerotic metastases.

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pacemaker leads terminate in right atrium and ventricle. heart size and mediastinum are unchanged. mild vascular congestion is noted. old rib fractures on the left are re- demonstrated.

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no acute cardiac or pulmonary findings. grossly intact bony thorax. if there is persistent concern for a rib fracture, further evaluation could be performed with a dedicated rib series, including an appropriately placed radiopaque skin marker.

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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.

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no evidence of acute cardiopulmonary process. unchanged mild hyperinflation.

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comparison to. stable appearance of the surgical clips projecting over the axilla. borderline size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions. no lung nodules or masses.

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interval placement of right bronchial stent. no pneumothorax. new opacifications in the right mid-lung obscures the known large right perihilar mass. this may be postsurgical in nature, however, superimposed pneumonia cannot be excluded.

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as compared to the previous image, the pre-existing and previously minimal right pleural effusion has substantially increased. the effusion is now moderate to severe in extent. the patient also has developed a small left pleural effusion. the contour of the right upper mediastinal mass. is constant. unchanged monitoring and support devices. relatively extensive bilateral areas of mid and lower lung atelectasis.

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ap torso compared to : upper enteric feeding tube ends at the pylorus, traversing a non-distended stomach. aside from mild basal atelectasis, lower lungs are clear. heart size top normal. pleural effusion is small, if any. upper chest excluded from the examination.

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no acute intrathoracic process.