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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/p19454512/s56232974/97e9eb91-23258e6a-8577ab5a-a4e8c31b-cd9bbb85.jpg
stable appearance of the chest with diffuse hazy opacity and prominence of interstitial markings, raising potential concern for pulmonary edema versus a chronic inflammatory process. no focal consolidation.
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opacification of the right hemithorax has slightly improved most notably with improved aeration along the right heart border. no large pneumothorax.
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<num>. left lower lobe consolidation which may be consistent with aspiration or pneumonia in the correct clinical setting. <num>. widening of the right paratracheal stripe, which is new since <unk> but stable since <unk>. while this may represent developing tortuosity of mediastinal vasculature, a pa chest radiograph is recommended on a nonurgent basis for further evaluation.
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nodular opacity at the right lung base most likely represents nipple shadow. repeat chest radiograph with nipple markers recommended for further evaluation. no overt pulmonary edema or evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no radiopaque foreign body identified within the thorax.
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small bilateral pleural effusions are similar in degree when compared to the prior study.
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no acute cardiopulmonary process.
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increased opacity in the left lower lobe and mid lung is consistent with aspiration pneumonia.
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no focal consolidation concerning for pneumonia. stable moderate gastic hiatus hernia.
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mild left base atelectasis. otherwise, no acute cardiopulmonary process.
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no evidence of pneumonia.
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mild bibasilar atelectasis. no definite evidence of pneumonia.
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no radiographic evidence for acute cardiopulmonary process. findings were communicated by dr. <unk> to <unk>, np via telephone at <unk>:<unk>am on <unk>, <num> minutes after discovery.
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findings suggesting minimal fluid overload; no focal opacity to suggest pneumonia.
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new <num>mm right apical lung nodule. recommend ct of the chest for further evaluation. these findings were entered into the radiology results dashboard.
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<num>. diffuse pattern of reticulonodular opacity is seen in the left mid and lower lung, similar to prior exam and of indeterminate etiology. recommend clinical correlation. nonemergent ct could be performed for further evaluation, if clinically indicated. <num>. linear opacity in the right lung base, likely representing atelectasis. <num>. no acute fracture is seen, however if clinical concern for rib fracture persists, dedicated films could be obtained.
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clear lungs with no evidence of pneumonia.
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small left apical pneumothorax is decreased from the prior exam. small left pleural effusion is minimally increased in size. no other significant change. multiple left-sided rib fractures are again seen as mentioned above including a possible osseous lesion affecting the left <num>th rib.
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no focal consolidation.
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no acute cardiopulmonary process.
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<num>. no lobar consolidation to suggest bacterial pneumonia. as describe on prior report, subtle bibasilar opacities may represent viral/atypical infection; followup imaging is recommended after therapy to document resolution. <num>. apparent right glenohumeral joint subluxation. correlate for pain.
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increase in size of multiple right lung masses, consistent with metastatic disease progression of known non-small cell lung cancer. please refer to same day ct chest for additional details.
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no evidence of acute fracture or cardiopulmonary process.
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streaky opacities at the left lung base likely represent atelectasis.
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no acute intrathoracic process.
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low lung volumes with increased interstitial markings which may indicate mild pulmonary vascular congestion.
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no radiographic explanation for chest pain.
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low lung volumes. no evidence of acute intrathoracic injury.
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no focal consolidation concerning for pneumonia. please note that cross-sectional imaging would be more sensitive for the detection of malignancy.
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no focal consolidations concerning for pneumonia identified.
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right lower lobe opacity with prominence of the right hilum raises concern for right lower lung mass with right-sided lymphadenopathy given lack of infectious symptoms. chest ct is pending.
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blunting of the left lateral costophrenic angle, potentially atelectasis versus pleural scarring. retrocardiac opacity which could potentially be infection in the proper clinical setting. proximal right humerus fracture as seen on recent shoulder films. lower thoracic and upper lumbar compression deformities.
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no significant interval change given differences in technique.
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the left-sided port-a-cath is unchanged in position. lungs are hyperinflated consistent with underlying emphysema. there is increasing airspace consolidation at the right base concerning for pneumonia or aspiration most likely within the right middle lobe. no pneumothorax. no pulmonary edema. no large pleural effusions. overall cardiac and mediastinal contours are stable.
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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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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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<num>. left picc line is in the right atrium. retracting it by <num>cm would place the tip in the lower svc. <num>. interval resolution of large right effusion. stable small left effusion.
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no acute cardiopulmonary abnormality. no evidence of tuberculosis.
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no acute cardiopulmonary process.
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findings most consistent with pulmonary edema. short-term radiographic followup is recommended after diuresis to exclude the possibility of coinciding pneumonia.
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no acute cardiopulmonary process.
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mild left basal atelectasis. otherwise unremarkable.
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no pneumothorax following left chest tube removal.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
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<num>. left basilar opacity likely combination of small pleural effusion and atelectasis, pneumonia not excluded. <num>. interstitial abnormalities with probable component of chronic underlying interstitial process with possible superimposed acute infection in the right upper lung. <num>. mild cardiomegaly. recommendation(s): consider pa and lateral for further characterization.
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no acute cardiopulmonary process.
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increased atelectasis, particularly at the right base. appropriately positioned endotracheal tube.
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streaky perihilar opacities are unchanged. please refer to subsequently obtained ct chest for further details.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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redemonstration of a small amount of pneumomediastinum, with a similar amount of air somewhat redistributed.
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no acute cardiopulmonary abnormality. no focal consolidation identified to suggest pneumonia.
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no acute intrathoracic abnormalities identified.
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normal chest radiograph. no pneumoperitoneum.
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no evidence of acute disease.
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bibasilar opacities, left greater than right suggest infection or atelectasis. mild cardiomegaly is stable.
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small persistent left pleural effusion.
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no acute intrathoracic abnormality.
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possible nondisplaced fractures of the lateral/anterolateral left <unk> and <num>th ribs without pneumothorax or significant pleural effusion. consider rib series if clinically relevant.
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cardiomegaly without pulmonary edema or other acute intrathoracic abnormality.
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limited study without sefinite signs of pneumonia or overt chf. please refer to subsequent cta chest for additional details.
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no acute intrathoracic abnormality.
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no acute intrathoracic process.
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interval worsening of the airspace consolidation involving the right lung, may reflect secondary atypical infection including viral or fungal to the known nocardia infection.
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no acute cardiopulmonary abnormality.
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right picc with tip in proximal right atrium and could be retracted <num>-<num> cm to place in the low svc. possible small right pleural effusion.
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the endotracheal tube is in appropriate position. the nasogastric tube ends in the stomach, however, the most proximal side port is at the gastroesophageal junction and could be advanced.
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expected postoperative changes after esophagectomy.
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lungs remain well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pleural effusions, pulmonary edema or pneumothorax. stable cardiac and mediastinal contours. left shoulder hardware is incompletely visualized.
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no pneumothorax and improved right lung inflation after removal of right chest tube.
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no significant interval change when compared to the prior study.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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right internal jugular central line continues to have its tip in the right atrium. an endotracheal tube has its tip approximately <num> cm above the carina. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. increasing patchy bibasilar opacities which may reflect worsening atelectasis, although pneumonia or aspiration should also be considered. clinical correlation is advised. probable layering small effusions. no evidence of pulmonary edema. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable.
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no significant interval change in the left basilar retrocardiac airspace opacity, which may be due to atelectasis or aspiration.
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persistent moderate left pleural effusion and a trace right pleural effusion.
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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>. unchanged left lower lobe collapse. <num>. large soft tissue mass overlying the left hemi thorax, with involvement of the left fourth rib, better seen on the dedicated chest ct.
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no acute cardiopulmonary process.
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<num>. diffuse parenchymal opacities could represent severe pulmonary edema or ards, infection or pulmonary hemorrhage cannot be excluded. close followup with sequential radiographs is recommended. <num>. moderate left pleural effusion. <num>. endotracheal tube ends <num> cm the carina. <num>. enteric tube terminates above the diaphragm and should be advanced for optimal positioning. <num>. calcification projecting over the right axilla middle is calcified lymph node or heterotopic ossification.
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no acute cardiopulmonary process.
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<num>. mild pulmonary edema. <num>. no pneumonia.
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stable interstitial abnormality suggesting combination of interstitial edema and underlying known interstitial lung disease.
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increased size of large right pleural effusion, with a component loculated in the fissure and continued right basilar atelectasis. mediastinal lymphadenopathy is better assessed on recent pet-ct.
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<num>. abnormal soft tissue in the upper mediastinum, left greater than right, may be due to underlying mass or aortic abnormality. this will be further evaluated on the ct chest. <num>. right basilar and right upper lung consolidations are also present. <num>. endotracheal tube terminates <num> cm above the carina and should be advanced. <num>. enteric tube projects over the upper thorax, and should also be advanced.
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the lateral view is suboptimal due to patient positioning. bibasilar opacities are seen which may be due to pleural effusions and overlying atelectasis but consolidations are not excluded. there is prominence indistinctness of the central pulmonary vasculature suggesting congestion. the cardiac silhouette is not well assessed but appears enlarged.
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<num>. increased interstitial lung markings throughout the lungs more confluent at the bases, likely reflecting at least some component chronic interstitial process. a superimposed component of edema or infection would be possible. <num>. right lateral rib fractures involving ribs <unk> which show some callous formation on recent ct indicated they are not acute.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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low lung volumes without definite acute cardiopulmonary process.