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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/p16754117/s52447239/ca8fbb40-c1487fb8-476cc752-fe043705-f74cfe72.jpg
no acute cardiopulmonary abnormality.
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lower lung volumes with crowding of the bronchovascular markings and left base opacity, potentially due to atelectasis, although infection is not entirely excluded.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16720509/s56688514/aaf32d4b-7de5ccba-81e57100-0e65fca3-f50c4333.jpg
cardiomegaly with an a symmetric chf in the right lung.
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dual lead pacemaker with the leads unchanged in position overlying the right atrium and ventricle, without radiographic abnormality. a preliminary read was provided, via telephone, by <unk>, md, to <unk>, np, at <unk> on <unk>.
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endotracheal and and enteric tubes in appropriate position. new streaky basilar opacities, right greater than left, may be due to atelectasis and/ aspiration.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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at least <num>, perhaps <num> new lung nodules suspicious for malignancy accompanied by an increase in what may have been pre-existing lymph node enlargement in the right paratracheal station of the mediastinum and the right hilus. if there are any calcifications in the left hilus, it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules, due to sarcoidosis instead. i strongly recommend ct scanning and comparison with any pre-existing cross-sectional imaging of the chest.
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indistinct pulmonary vasculature markings, potentially due to atelectasis and low lung volumes with component of vascular congestion is also possible.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16790250/s51168986/a1d75c63-1e02d014-cf2115b1-adba9aa7-4d4ebbb1.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12958380/s55543205/3b7aa8e8-62c421e3-3ae563b2-3159948c-d217750f.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p13101879/s54012187/b3edbe6e-d751479d-fbb27fbe-50ee9958-cc53ac0f.jpg
no acute cardiopulmonary process. follow-up for right middle lobe pulmonary nodule as previously recommended
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18011616/s50977977/7fe8aaf9-c4244f32-837898f9-a70072cc-379c5bc0.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18336195/s50997431/f6c855db-c2a7292f-9bb25c23-42908587-c06099b6.jpg
no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p18259094/s55125014/1fa8468a-c2e132d6-759f59cb-24358f7c-8da2f6b4.jpg
severe cardiomegaly. no evidence of pulmonary edema or pneumonia.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15659181/s51363438/6bee882f-357d1846-ca771638-0a877fc8-6d19d615.jpg
no acute cardiopulmonary process.
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persistent evidence of cardiac failure with bilateral pleural effusions. this episode of cardiac failure has now been documented on six sequential chest examinations. the degree of acute pulmonary vascular congestion is slightly less marked in comparison to the examination <unk> <unk>.
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no evidence of pneumonia. new small right pleural effusion
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gastric tube with the tip projecting over the body of the stomach. left pleural effusion with left lower lobe atelectasis.
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normal radiographic study of the chest.
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mild cardiomegaly and mild pulmonary edema.
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<num>. mild interstitial pulmonary edema versus atypical infectious process. background chronic interstitial abnormality. <num>. enteric catheter continues to end in the upper stomach with its sidehole at the level of the gastroesophageal junction. advancement recommended. <num>. small right pleural effusion, not significantly changed. findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on the day of the study.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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findings consistent with left basilar atelectasis; otherwise unremarkable study.
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no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19286498/s56479163/d5fb5e2a-c71f0d9c-ab87a783-15219d40-fcdcd5dc.jpg
no pneumothorax. atelectasis at the right base and low lung volumes.
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no acute cardiopulmonary process.
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chf with mild interstitial edema.
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mild pulmonary edema. focal consolidation in the right lower lung, which may represent atelectasis with pneumonia not excluded in the appropriate clinical setting. small right pleural effusion.
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no acute findings in the chest.
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slight change in distribution of multiloculated left pleural effusion, minimally decreased in size. known pleural implants are seen to better detail on recent ct.
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medial right basilar opacity. pneumonia is a differential consideration but atelectasis could also be considered. reimaging with standard pa and lateral radiographs may be helpful if there is a diagnostic dilemma.
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no evidence of active or latent tb.
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bibasilar opacities most likely represent atelectasis, but aspiration cannot be excluded.
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limited exam due to low lung volumes with bronchovascular crowding likely accounting for the lower lung opacity seen on the frontal projection only. consider dedicated pa and lateral views of the chest with more optimal inspiratory effort to better assessed.
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<num>. endotracheal tube in a somewhat high lying position, approximately <num> cm above the carina. if clinically indicated, the tube could be advanced by approximately <num> cm. <num>. right basilar opacification with volume loss including suspicion for a pleural effusion.
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interval improvement in the small right pleural effusion. no new consolidations concerning for pneumonia identified.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15345456/s53335829/7d9f85be-2f30b66d-9dc4f357-5937789e-cf609dca.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p17616048/s52969097/4d208b74-3418b170-b7266226-aea325e5-befeca39.jpg
no radiographic evidence of intrathoracic malignancy.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. nondisplaced right posterolateral eighth rib fracture of indeterminate chronicity.
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progression of chronic lung disease/emphysema with increased opacity at the left lung base which given symptoms of fever and cough raises concern for a superimposed pneumonia. findings were discussed by dr. <unk> with dr. <unk> <unk> telephone at <num> p.m. on <unk>.
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any consolidation at the right base has cleared. no acute cardiopulmonary abnormality.
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<num>. new right parenchymal opacity and pleural effusion, possibly secondary to aspiration and/or edema. <num>. possible new pneumomediastinum. ct could be performed for more definitive evaluation. <num>. distended stomach. findings discussed with <unk> by <unk> by phone at <time> p.m. on <unk> after attending radiologist review.
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the evidence of pneumonia.
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no pneumonia. telephone notification to dr. <unk> by dr. <unk> at <time> p.m. on <unk> per request.
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no evidence of injury.
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moderate size right pleural effusion and associated atelectasis. superimposed consolidation cannot be excluded.
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left pleural effusion is small. displaced fractures at left fourth and fifth ribs are identified.
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no acute cardiopulmonary abnormality. large hiatal hernia.
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no acute cardiopulmonary process. bibasilar atelectasis.
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moderately sized right-sided pleural density that has increased considerably since the next preceding outside chest examination dated <unk>.
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no acute cardiopulmonary process.
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subtle linear abnormality of the right apex may represent a pneumothorax in the appropriate clinical context. no focal consolidation identified.
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no acute cardiopulmonary process.
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no acute findings.
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no acute cardiopulmonary process.
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high-lying endotracheal tube, as above. recommend repositioning.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion, likely accentuated by low lung volumes.
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no evidence of acute cardiopulmonary process.
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<num>. unchanged left apical pneumothorax, with the left chest tube in the fissure. <num>. increased posterior left pleural fluid collection is concerning for increased hemothorax. <num>. slightly increased lingular opacity may represent continued lingular hemorrhage, as seen on recent ct chest. these findings were discussed via telephone by <unk>, md, with <unk> <unk>, np, at <unk> on <unk>.
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<num>. mild pulmonary vascular congestion. <num>. no pneumonia.
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no acute intrathoracic process.
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clear lungs, with unchanged support devices.
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relatively unchanged appearance of the heart and lungs since <unk>. cardiomegaly, low lung volumes and atelectasis of the right lung base.
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normal chest.
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no acute intrathoracic abnormality.
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no evidence of infection or malignancy.
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minimal streaky bibasilar opacities may reflect atelectasis but infection is not excluded. small bilateral pleural effusions.
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stable, mild cardiomegaly.
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no acute cardiopulmonary process.
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right lower lobe opacity may represent early/developing infectious pneumonia.
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<num>. left lung consolidation, mildly improved. <num>. persistent low lung volumes. <num>. bilateral subsegmental atelectasis.
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mild prominence of the interstitium in setting of cardiomegaly reflects mild fluid overload. <num> mm left upper lobe opacity corresponds with known mass. no pleural effusions.
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<num>. small bilateral pleural effusions and moderate cardiomegaly. bibasilar atelectasis. widened mediastinum, which may be due to tortuous intrathoracic aorta.
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new small left pleural effusion
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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normal chest radiograph without evidence of pleural effusions.
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<num>. multiple ill-defined opacities the right and left lung representing multifocal pneumonia. <num>. <num> subcentimeter rounded opacities in the left mid lung, which may have been present in <unk>, however follow-up chest x-ray after resolution of infection is recommended.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no radiographic evidence for acute cardiopulmonary process.
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no pneumothorax. possible trace pneumomediastinum. <unk> communicated these findings to <unk> at <time> on <unk> via telephone <num> hour after discovery of findings.
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malpositioned orogastric tube. moderate hiatal hernia, as before. no evidence of acute disease.
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<num>. moderate pulmonary edema. <num>. unchanged mild-to-moderate cardiomegaly. <num>. probable small bilateral pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. moderate cardiomegaly with mild vascular congestion and pulmonary edema. <num>. round <num> cm left lower lobe nodule that requires follow-up imaging for further characterization. recommendation(s): recommend follow up ct chest for further characterization of left lower lobe nodule.
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small, intervally increased left pleural effusion.
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subtle left base opacity may be due to minor atelectasis and overlap of vascular structures early, developing consolidation is not excluded in the appropriate clinical setting, although felt less likely.
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right middle lobe atelectasis with crowding of vasculature, this may present early developing pneumonia in the appropriate clinical setting.