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ChayanM
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MIMIC-Impression-Only-Data-Train-Test

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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13944872/s50918543/189a68e4-f14204a5-c67a5f57-3e157dd9-532ead10.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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small left pleural effusion and possible atelectasis, though infection is not excluded. findings were discussed with dr. <unk> at <time> p.m.
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no acute intrathoracic abnormality.
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findings similar to the prior study from <unk> at <time> a.m.. possible slight interval improvement in chf findings.
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stable though high position of the ivc filter. please correlate clinically. subtle nodules in the left upper lung appear stable since <unk>.
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no acute cardiopulmonary process.
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no focal consolidation.
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small left apical pneumothorax likely stable allowing for differences in technique with postprocedure changes in the left upper lung.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13569749/s53443614/bdba6f8f-3260a3ad-5030113c-eedd7de3-0af7df34.jpg
no acute cardiopulmonary process.
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no evidence of pneumonia. new mild cardiomegaly.
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reaccumulation of large right pleural effusion with mild leftward mediastinal shift. the patient has an appointment with dr. <unk> <unk> the study.
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lower lung atelectasis, low lung volumes. no acute findings.
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no acute cardiopulmonary process.
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mild cardiomegaly which given patient's age warrants an aggressive workup.
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no acute cardiopulmonary abnormality.
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new parenchymal opacities in the right upper lobe likely reflect hematoma or hemorrhage after biopsy. any pneumothorax, if present, is too small to be seen.
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no acute cardiopulmonary process.
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probable tiny pleural effusions. port-a-cath in appropriate and unchanged position. no definite signs of pneumonia.
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no acute cardiopulmonary process.
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endotracheal tube terminates approximately <num> cm above the carina. likely bibasilar atelectasis. right base opacity is felt to most likely represent atelectasis; however, continued attention at followup.
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subtle opacity in the left lower lobe compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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moderate interstitial pulmonary edema.
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no acute intrathoracic process.
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new, mild pulmonary edema superimposed on chronic interstitial lung disease.
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normal chest radiograph.
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markedly improved multifocal pneumonia
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increased retrocardiac opacity which may reflect atelectasis or consolidation. the known bilateral diffuse patchy consolidations were better evaluated on the recent ct scan of the chest.
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no acute cardiopulmonary process.
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large left effusion. the additional presence of a pneumonia or renal metastasis cannot be delineated. repeat radiographs after diuresis will be helpful. ct may eventually be required to better characterize the left lower lobe process and left upper lobe opacity.
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<num>. new left lower lobe opacification, likely representing combination of pleural fluid, atelectasis, and pulmonary consolidation. findings support the diagnosis of pneumonia. <num>. known left upper lobe mass is less well appreciated on the current radiograph than on prior cross-sectional imaging.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia
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<num>. unchanged positioning of right ij catheter. <num>. no evidence of pneumonia.
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<num>. no focal consolidation concerning for pneumonia. <num>. severe cardiomegaly is unchanged. post asd repair.
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<num>. no significant interval change and severe bilateral multifocal pneumonia when compared to ct from <unk>. the degree of infection is markedly worse than on the prior radiograph from <unk>. <num>. small bilateral pleural effusions, better demonstrated on prior ct. <num>. appropriately positioned lines and tubes.
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no acute cardiopulmonary process. hyperinflated but clear lungs. possible bronchiectasis in the anterior segment of one of the upper lobes seen on lateral view.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p14663313/s54259474/903adcc7-6054c381-cad2d23a-edb8766d-767be3c0.jpg
no acute findings in the chest.
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no acute traumatic injury.
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<num>. interval retraction of picc line, which now overlies the proximal svc, with focal curving of the distal segment of the line. <num>. upper zone predominant thigh lateral alveolar opacities are similar to the prior film. no new opacity identified.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19520579/s55902618/f103818a-62f38466-1d817fab-c611af74-3ca3ee38.jpg
no acute cardiopulmonary process.
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findings most consistent with mild pulmonary edema. new mild lower thoracic compression fracture, although not necessarily acute.
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no acute cardiopulmonary process.
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no focal consolidations concerning for pneumonia identified.
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right upper lobe opacity suspicious for pneumonia is increased in setting of slightly increased background mild pulmonary edema.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no signs of pneumonia.
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no evidence of acute disease.
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no radiographic evidence of pneumonia. mild cardiomegaly is new since <unk>.
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tube placement as described.
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lingular opacity likely representing pneumonia. no comparison radiographs are available. follow up radiographs after treatment are suggested.
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as above.
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no acute intrathoracic process.
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no acute cardiopulmonary process. mild anterior wedging of two contiguous lower thoracic vertebral bodies.
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low lung volumes with suspected superimposed pulmonary edema. more focal opacity in the retrocardiac region may represent a combination of edema and atelectasis, however in the appropriate clinical setting pneumonia cannot be excluded.
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no acute abnormality.
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mild subsegmental atelectasis in the lung bases.
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no significant interval change. no focal consolidation to suggest pneumonia.
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continued concern for possible mediastinal enlargement. however, the appearance is improved compared with earlier the same day. this would be best further assessed with upright pa and lateral cxr views, when the patient is able to tolerate it. alternatively, chest ct could help for further assessment.
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small bilateral pleural effusions and mild dependent atelectasis
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atelectasis of the right lower lobe accompanied by a small right pleural effusion. given the unusual nature of the presentation, if there is further clinical concern, more definitive evaluation could be considered with ct. preliminary impression communicated to dr. <unk> by dr. <unk> <unk> telephone <unk> at <time> am.
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slight increase in cardiac size since the prior study could be due to cardiomyopathy or pericardial effusion. follow up routine pa and lateral chest radiographs are recommended for evaluation of stability. the above findings were communicated to dr. <unk> by dr. <unk> <unk> telephone at <time> p.m., one minute after discovery.
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appropriately placed ng tube.
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<num>. et tube in appropriate position at <num> cm above the carina. og tube coiled in pharynx. <num>. worsening bilateral pulmonary edema with small left pleural effusion and stable moderate cardiomegaly.
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bilateral pleural effusions and stable moderate cardiomegaly. no subdiaphragmatic free air.
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<num>. endotracheal tube ends above the thoracic inlet and should be advanced for more optimal positioning, at the time of this dictation a subsequent radiograph demonstrated appropriate position of the tube. <num>. mild pulmonary edema. <num>. probably right middle lobe pneumonia.
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persistent right middle lobe opacity, similar in appearance to chest radiographs two days prior, pneumonia versus less likely fluid in expanded fissure. recommend followup to resolution.
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no acute cardiopulmonary abnormality.
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patchy lingular opacity, pneumonia versus and/or atelectasis. no priors for comparison.
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small bilateral pleural effusions, decreased in size compared to the prior study, with associated bibasilar atelectasis. more focal nodular opacity projecting over the peripheral aspect of the left mid lung field appears new, and could reflect additional site of atelectasis but infection or inflammation is not excluded.
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no evidence of acute cardiopulmonary disease. stable appearance of the chest.
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no acute intrathoracic abnormality.
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no evidence of acute cardiopulmonary process given low lung volumes.
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single lead defibrillator in appropriate position without pneumothorax. stable moderate cardiomegaly and small left pleural effusion.
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<num>. two areas of increased radiodensity, one in the right upper lobe and one in the left upper lobe, which in the correct clinical setting may represent pneumonia. <num>. possible left hilar lymphadenopathy. <num>. possible emphysema and mild interstitial lung abnormality, probably due to smoking. <num>. possible small right lung nodules. <num>. chest ct with intravenous contrast is recommended to assess all these findings, either now or within several weeks after presumed pneumonia has been treated. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> pm, <num> minutes after the time of discovery.
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small left pleural effusion. patchy opacities in the lung bases likely reflect areas of atelectasis, but aspiration or infection cannot be excluded in the correct clinical setting.
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no acute cardiopulmonary findings.
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no significant interval change. again seen slight prominence at the ap window could be due to underlying lymph node or mildly prominent pulmonary artery. findings could be further assessed on follow-up chest ct.
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no pneumonia or edema. possible tiny left pleural effusion.
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<num>. new left picc terminates in the right brachiocephalic vein. subsequent radiographs demonstrate proper position of the picc. <num>. persistent left lower lobe collapse. <num>. slightly enlarged right pleural effusion with adjacent atelectasis.
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stable right apical pneumothorax and right base atelectasis and pleural effusion.
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normal chest radiograph.
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evaluation is limited due to patient body habitus. there are bibasilar opacities, right greater than left, which may be representative of small layering pleural effusions or overlying soft tissue structures. correlation may be obtained with a lateral radiograph.
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multifocal pneumonia in the right middle lobe and left lung base. small bilateral pleural effusions.
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no acute intrathoracic process.
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<num>. no acute cardiac or pulmonary findings. <num>. normal appearance of the mediastinum.
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no acute intrathoracic process.
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persistent marked cardiomegaly and findings suggestive of possible pulmonary arterial hypertension. no evidence of active pulmonary infection.
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no acute cardiothoracic process.
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no acute cardiopulmonary process.
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mild retrocardiac atelectasis and mild pulmonary vascular congestion.
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no acute cardiopulmonary process, specifically no evidence of pneumothorax.
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no radiographic evidence for pneumonia.
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mild blunting of the right costophrenic angle may be due to a small chronic pleural effusion/pleural thickening. no definite focal consolidation seen. slight increase in prominence of the right hilum is nonspecific but in a patient with history of lymphoma, underlying lymphadenopathy is not excluded and could be further assessed on non-urgent chest ct.
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changes of known left lower lobe lymphangitic carcinomatosis and left hilar adenopathy. no definite superimposed acute cardiopulmonary process.
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no defintie acute cardiopulmonary process.