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

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no acute cardiopulmonary process.
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<num>. small right lung base pneumothorax is minimally larger compared to <num> hr ago, likely a due to change in distribution. <num>. right chest tube is in unchanged position. if clinically indicated, the position of the chest tube can be better evaluated with ct which will be helpful to rule out the possibility of its position in the fissure. <num>. stable extensive subcutaneous emphysema.
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<num>. no acute chest abnormality. <num>. tortuous aorta, with dilation of the ascending aorta.
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new consolidation in the right lower lobe, in the setting of recent hemoptysis could represent an area of hemorrhage. however, in the appropriate clinical it could represent pneumonia. ct could be useful for further evaluation, if necessary. short radiographic followup is recommended upon completion of treatment to document resolution.
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no acute cardiopulmonary process.
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pulmonary fibrosis, basal predominant pattern with mild cardiomegaly. possible small bilateral pleural effusions.
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<num>. no acute cardiopulmonary abnormality. <num>. mild elevation of the right hemidiaphragm. <num>. no overt traumatic findings though dedicated rib series may be helpful if there is focality. <num>. possible suggestion of bronchiectasis in the lower lung fields.
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bibasilar atelectasis and mild pulmonary edema. refer to chest ct performed subsequently for further information.
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unchanged moderate cardiomegaly with small bilateral pleural effusions. no evidence for chf. these findings were discussed with dr. <unk> at <time> p.m. by phone.
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endotracheal tube tip at the carina and should be withdrawn several centimeters. enteric tube seen to the region of the ge junction potentially, but not definitely passing off the inferior field of view. this can be followed in subsequent exam. dr. <unk> was paged at <time> a.m. on <unk>.
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<num>. no evidence of pneumonia. unchanged hyperinflation of the lungs, and mild cardiomegaly. <num>. rounded nodule in the right midlung was not clearly visualized on the prior studies. recommend nonemergent chest ct for further evaluation.
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iterval improvement in appearance of the lungs; with small persistent bilateral effusions and mild pulmonary vascular congestion but no frank edema.
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no acute intrathoracic process
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right lower lung consolidation worrisome for infection/pneumonia. recommend followup to resolution to exclude underlying mass.
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no focal consolidations concerning for pneumonia identified.
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<num>. new ett terminates <num> cm above the carina. <num>. persistent focal bibasilar opacities, most consistent with infection, with stable pulmonary vascular congestion. findings were communicated via phone call by dr. <unk> to <unk>, micu resident, on <unk> at <time>.
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no acute cardiopulmonary process. no evidence of free air.
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no acute cardiopulmonary process. right-sided port-a-cath terminates in the mid svc.
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right lower lobe pneumonia.
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mild bibasilar opacities with interval improvement in aeration at the left lung base.
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<num>. no acute cardiopulmonary process. <num>. no free air below the hemidiaphragms.
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stable appearance of the chest without evidence for acute cardiopulmonary abnormalities. the large hiatal hernia limits evaluation of the lower lobes, as detailed above.
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<num>. new bilateral pleural effusions, small-to-moderate. <num>. et tube <num> cm from the carina, which should be withdrawn by several centimeters for more standard positioning.
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mild bilateral pleural effusion, unchanged.
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mild interstitial pulmonary edema and probable trace right pleural effusion.
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no acute intrathoracic process.
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re-expansion of the left lower lobe.
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<num>. no pneumoperitoneum or calcified (radiopaque) gallstones. <num>. no acute pulmonary process identified.
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no radiographic evidence for pneumothorax.
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persisting small bilateral effusions and retrocardiac opacity which could represent atelectasis or pneumonia.
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mild bibasilar opacities may reflect atelectasis. infection is not excluded in the correct clinical setting.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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chronic likely scarring in the left lower lobe. hazy opacity along the left chest wall is persistent and should be assessed with ct thorax. recommendation(s): ct thorax is recommended to assess the left lower lobe and chest wall.
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low lung volumes, with no acute chest pathology.
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no evidence of pneumothorax or rib fracture or compression fracture of the thoracic spine.
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slight interval increase in consolidation at the right middle lobe concerning for pneumonia.
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stable right pneumothorax.
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no pneumothorax.
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no change.
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cardiomegaly is unchanged. no pulmonary edema.
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endotracheal tube at the level the carina, heading toward the right mainstem bronchus. recommend withdrawal by approximately <num> cm. enteric tube courses below the diaphragm, out of the field of view. low lung volumes without definite focal consolidation.
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no acute cardiopulmonary abnormality.
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multiple patchy opacities throughout the right lung which, given the history, are worrisome for pulmonary contusions although pneumonia is not excluded. no fractures are identified however the sensitivity for rib fractures on chest radiography is low. if further suspicion of rib fractures persist, dedicated rib view radiographs are recommended.
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low lung volumes limits assessment. recommend repeat films with better inspiration.
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no acute findings in the chest.
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no focal infiltrate.
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<num>. minimal atelectasis and possible trace diffusion. no consolidation. <num>. multiple acute rib fractures are better evaluated on the ct scan from earlier today. no pneumothorax.
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no infiltrate.
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no acute cardiopulmonary process.
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previously moderate left pleural effusion is larger and small right effusion has improved. homogeneous area of opacification of the left lower lobe, likely atelectasis. heart size is mildly enlarged, though smaller compared to <unk>.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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patchy left lower lobe opacity, likely atelectasis.
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stable mild interstitial pulmonary edema after extubation.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. heterogeneous right lung opacifications predominantly relates to large pleural plaques. <num>. bibasilar opacities, possibly atelectasis, and a small left pleural effusion.
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no radiographic evidence for pneumonia. mediastinal contour appears less pronounced suggestive of improving lymphadenopathy. continued bilateral hilar lymphadenopathy.
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improvement of bilateral pulmonary edema, now minimal. persistent bibasilar small pleural effusion and left lower lobe atelectasis.
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status post left-sided chest tube placement with significant improvement of left-sided pleural effusion and small pneumothorax.
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endotracheal tube terminates <num> cm above the carina.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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<num>. since earlier same day chest radiograph, the right pigtail catheter appears kinked in position. otherwise, no interval changes are seen.
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new left lower lobe opacity has progressed since the prior examination. in this clinical setting could represent pneumonia/aspiration with adjacent pleural effusion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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endotracheal tube, right internal jugular introducer, left chest tube, mediastinal drains and nasogastric tube are unchanged in position. interval placement of a small bore right jugular catheter which has its tip in the proximal right atrium. status post median sternotomy for recent aortic repair. overall cardiac and mediastinal contours are unchanged. there is pneumopericardium. a small left effusion is seen with some associated patchy opacity suggestive of compressive atelectasis. no pneumothorax is seen. no evidence of pulmonary edema.
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no acute cardiopulmonary process.
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mild interstitial pulmonary edema. no focal consolidation.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion with mild atelectasis in the lung bases. no subdiaphragmatic free air.
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early/developing pneumonia in the left mid and lower lung.
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healing bilateral rib fractures. the nonspecific mid and lower lung opacities could potentially be due to pneumonia. ct may be helpful for more complete characterization of lung findings if warranted clinically.
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no acute intrathoracic process.
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increased opacity along the left lateral lung thought to represent overlying soft tissues. obliques views may be helpful to resolve this finding. otherwise unremarkable exam.
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new bilateral perihilar alveolar opacities, most likely reflective of moderate to severe pulmonary edema. pulmonary hemorrhage is not excluded.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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questionable sub cm left upper lobe nodular opacity, most likely due to superimposition of normal structures. repeat radiograph with repositioning of the scapula would be helpful to better evaluate this region, particularly considering clinical suspicion for septic emboli.
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no acute intrathoracic process
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<num>. stable cardiomegaly with mild pulmonary edema. <num>. prominent main pulmonary artery contour suggests pulmonary arterial hypertension.
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no acute cardiopulmonary process.
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minimal bibasilar atelectasis and small bilateral pleural effusions. no focal consolidation to suggest pneumonia.
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dobbhoff feeding tube coiled entirely within the hypopharynx. of note, this study is being dictated at a time when subsequent chest radiograph on <unk> shows removal of coiled dobbhoff tube in the hypopharynx.
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large left upper lobe mass, consistent with patient's known pancoast tumor, better evaluated on the ct from <unk>. new small/moderate left pleural effusion. moderate cardiomegaly, with pulmonary vascular congestion, however no overt edema.
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new bilateral pleural effusions and increasing adjacent bibasal opacities.
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no acute cardiopulmonary process.
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interval development of pulmonary edema.
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low lung volumes with minimal bibasilar and lingular atelectasis. no pneumonia.
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small left pneumothorax and bilateral small to moderately sized pleural effusions, with slight decrease in the left pleural effusion. these findings were communicated via telephone by <unk>, md, to <unk> <unk>, np, at <unk> on <unk>.
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moderate cardiomegaly with mild edema.
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cardiomegaly. no acute cardiopulmonary process.
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slight interval improvement in the bilateral pulmonary edema.
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new pulmonary vascular congestion, without evidence of focal consolidation.
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probable right middle lobe pneumonia.
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right perihilar opacity consistent with radiation changes.