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

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low lung volumes with bibasilar and left retrocardiac atelectasis.
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stable chest findings. no evidence of acute pulmonary infiltrate in patient who has temperature.
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<num>. pulmonary fibrosis. <num>. tiny right apical pneumothorax.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no pneumonia. mild bronchial wall thickening could reflect chronic airway inflammation or acute bronchitis in the appropriate clinical setting.
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patchy opacity in the right cardiophrenic region and in the infrahilar region on the lateral radiograph is most consistent with atelectasis, however clinical correlation is recommended to assess for superimposed infection. s
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known right infrahilar mass lesion without definite superimposed acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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stable mild cardiomegaly. no pneumonia.
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no acute cardiopulmonary abnormality. no displaced rib fracture is seen, although if there is continued concern, a dedicated rib series is recommended.
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bilateral pleural effusions with pulmonary vascular congestion, slightly improved since prior exam.
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mild-to-moderate pulmonary edema. moderate cardiomegaly.
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mild pulmonary vascular congestion. chronic bibasilar opacities likely a combination of scarring and/or atelectasis.
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<num>. ill-defined opacity appreciated only on the lateral view in the posterior inferior lower lung overlying the spine shadow is concerning for pneumonia and since it is not clearly defined on the frontal view, it suggests lower lobe pneumonia either involving the right or left side. <num>. copd. <num>. pulmonary artery hypertension, unchanged since <unk>. findings were discussed with dr. <unk> on <unk> at <time> p.m.
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moderate pulmonary edema. please note superimposed component of infection is not excluded. repeat after dialysis is suggested.
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similar postoperative appearance of the chest to <unk>, except for slight improvement in left lower lobe atelectasis.
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no acute intrathoracic process.
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<num>. patchy left lower lung opacity, not definitely seen on the prior study concerning for infection and/or aspiration. elevation of the right hemidiaphragm and right base atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. no significant interval change in size of loculated fluid within the left pleural space. <num>. unchanged moderate left and minimal right basilar atelectasis. <num>. unchanged small right pleural effusion.
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no acute cardiopulmonary process. multiple dilated air-filled loops of bowel are suspicious for small bowel obstruction versus ileus.
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no evidence of latent or active tuberculosis.
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worsening opacities within the right upper lobe, right lung base and left perihilar region are concerning for multifocal pneumonia. these findings were discussed with <unk> by dr. <unk> via telephone on <unk> at <time> p.m., at the time of discovery.
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lateral segment right middle lobe pneumonia. recommendation(s): recommend follow-up radiograph in <num> - <num> weeks to assess for resolution.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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appropriately positioned right arm picc line. no acute intrathoracic process.
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chilaiditis with or without free air under the right hemidiaphragm. recommend clinical correlation and followup. findings called to <unk> at the time of interpretation of the films at <time> pm by dr. <unk> by phone.
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findings suggesting mild vascular congestion. suspected left basilar atelectasis; otherwise unremarkable.
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no acute cardiopulmonary process.
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status post extubation without evidence of pulmonary consolidation or pneumothorax.
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no significant change from the prior exam, including right basilar opacification, volume loss, and a small right pleural effusion. while the opacity and volume loss together suggest atelectasis, a component of infection cannot be completely excluded.
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no acute cardiopulmonary process.
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questionable zone of increased density at the right medial lung bases. given the clinical history and a subsequent increased risk the finding should be confirmed or excluded using ct.
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<num>. loculated moderate right pleural effusion, increased from prior exam. <num>. stable right middle lobe and right lower lobe opacities, likely representing atelectasis. <num>. linear opacity in the left lung base, likely representing atelectasis, with possible small left pleural effusion.
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interval repositioning of the left picc, with its tip terminating in the low svc.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence acute cardiopulmonary disease.
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bilateral pleural effusions, moderate on the right and small on the left with compressive bibasilar atelectasis.
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subtle right lower lobe opacity concerning for early pneumonia.
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no acute cardiothoracic process. dilated left upper quadrant large bowel loop.
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new retrocardiac and right midlung field opacities are concerning for multifocal pneumonia.
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unremarkable chest radiographic examination.
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a left picc terminates proximal to the chest wall and should be repositioned.
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left upper lung and patchy right mid and lower lung opacities are worrisome for multifocal pneumonia. recommend followup to resolution. no prior for comparison. possible component of overlying mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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<num>. new endotracheal tube ends <unk>.<num> cm from the carina and should be advanced <num>-<num> cm for optimal seating within the trachea. <num>. no evidence of acute cardiopulmonary process.
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right lower lobe opacity may represent pneumonia in the appropriate clinical context.
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no evidence of active or latent tb.
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mild congestive heart failure.
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possible trace left-sided pleural effusion, but no evidence of pneumonia.
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no acute intrathoracic process.
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increased pulmonary edema and bilateral pleural effusion especially on the right base.
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stable atelectatic changes bilaterally with no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. posterior left rib fractures are well-healed, seen previously.
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<num>. right middle lobe and bibasilar atelectasis. no focal consolidation concerning for pneumonia. <num>. stable cardiomegaly and tortuous aorta.
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no acute cardiopulmonary process. results were communicated with dr. <unk> at <time> a.m. on <unk> via telephone by dr. <unk>.
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possible mild pulmonary vascular congestion, similar to prior.
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vague opacity in the right mid lung might represent early/developing pneumonia in the appropriate clinical setting.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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left picc now terminates in the lower svc. otherwise no significant change compared to chest radiograph on <unk>.
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interval resolution of prior pleural effusions. right basilar opacity could be due to prominent mediastinal fat given configuration on the lateral view though infection is difficult to entirely exclude.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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moderate right pleural effusion reaccumulation and associated right basilar atelectasis. small left pleural effusion and mild cardiomegaly, unchanged. mild pulmonary edema increasing.
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no acute cardiopulmonary process.
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<num>. interval improvement of the bibasilar consolidations with small residual consolidation most notable at the left lung base. <num>. stable hyperinflation consistent with chronic pulmonary disease and emphysema.
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slight suspected interstitial process, although not striking, probably mild fluid overload.
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no acute cardiopulmonary process.
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right lower lobe opacity, which may represent pneumonia in the correct clinical setting.
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bibasilar opacities likely reflecting atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting.
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no evidence of acute cardiopulmonary process. improved pulmonary congestion.
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no evidence of focal pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. no substantial pneumothorax. <num>. opacification overlying the spine likely represents a combination of atelectasis, pleural effusion, and postoperative changes although the pneumonia cannot be excluded if there is clinical concern.
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tenting and scarring at the right lung base is similar to <unk>. no obvious superimposed pneumonic infiltrate identified. a small amount of pleural fluid would be difficult to exclude. upper zone redistribution, without overt chf. cardiomegaly and copd, similar to prior. right paratracheal calcifications again noted. allowing for this, no right upper lobe lesion is identified. trabecular pattern of the visualized vertebral bodies is compatible with renal osteodystrophy. there is suggestion of a rugger <unk> bone density pattern in the vertebral bodies which can be seen with hyperparathyroidism.
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<num>. compared with the prior radiograph, there is new interstitial pulmonary edema and small bilateral pleural effusions. <num>. persistent bilateral lower lung opacities concerning for multifocal pneumonia. these have improved in the right lung base, but are stable to marginally worsened in the left lung base.
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findings as above. if strong concern for pneumonia, dedicated pa and lateral views of the chest advised.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. improved pulmonary vascular congestion, no pulmonary edema. <num>. stable small right pleural effusion. <num>. unchanged apical pleural thickening and calcification compatible with radiation changes from prior treatment of breast cancer.
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endotracheal tube terminates approximately <num> cm above the level of carina, recommend withdrawal by approximately at least <num>-<num> cm. this finding was discussed with dr. <unk> at <time> p.m. on <unk>.
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right upper and left lower lobe opacities consistent with multifocal pneumonia.
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no acute cardiopulmonary process.
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mid and lower lung predominant interstitial opacities, concerning for chronic interstitial lung disease such as nsip or uip. recommend high-resolution chest ct for further characterization, as well as to evaluate a more focal area of abnormality in the lingula. findings entered into radiology communications dashboard on <unk>.
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bibasilar patchy airspace opacities, compatible with pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. et tube tip <num> cm from the carinal and should be advanced several cm. <num>. diffuse bilateral parenchymal opacities, potentially due to pulmonary edema, bilateral infection or ards.
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no acute cardiopulmonary process.
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findings consistent with mild congestive heart failure and a right pleural effusion.