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

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low lung volumes with mild pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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no interval change of moderate right pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. enlarged cardiac silhouette compared to ct <unk>. given the presence of pericardial effusion on prior ct, enlarging pericardial should be considered . correlate for cardiac tamponade. <num>. widened mediastinal silhouette consistent with known mediastinal mass.
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there are low lung volumes, which accentuate the bronchovascular markings. given this, there bibasilar atelectasis. hilar and perihilar opacities may be due to a mild pulmonary edema, again exaggerated by the low lung volumes. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
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no acute cardiopulmonary process.
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no evidence of chf.
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partially imaged small right apical pneumothorax seen on cervical spine ct earlier this same date is not as well appreciated radiographically.
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no acute cardiopulmonary process. moderate hiatal hernia again noted.
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no evidence of pneumothorax.
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no acute cardiopulmonary process.
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<num> cm diameter right upper lobe nodule, for which chest ct is recommended for further characterization as communicated by telephone to dr. <unk> at <time> a.m. on <unk> at the time of discovery.
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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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bibasilar atelectasis without focal consolidation concerning for pneumonia.
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mild pulmonary edema, new in the interval, and similar-appearing small right pleural effusion. patchy atelectasis in the lung bases.
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<num>. emphysema/ild without superimposed pneumonia. <num>. known right humeral head fracture.
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cardiomegaly compatible with patient's history without definite acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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minimal perihilar bronchial cuffing. otherwise, no acute cardiopulmonary process. no pneumothorax.
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<num>. new bibasilar opacities may represent aspiration pneumonia in the appropriate clinical setting. an asymmetrical distribution of pulmonary edema is considered less likely. <num>. gradual increase an opacity in the right apex is concerning for local recurrence of lung cancer. <num>. slight interval increase in small bilateral pleural effusions. recommendation(s): contrast-enhanced chest ct to assess for possible lung cancer recurrence
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no acute intrathoracic process.
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<num>. no acute intrathoracic process. <num>. no fracture.
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persistent complete collapse of left lung in the setting of a known obstructed bronchial stent, with adjacent left pleural effusion. widespread pulmonary metastases.
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no pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no pneumothorax or pneumoperitoneum.
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appropriate positioning of the endotracheal tube. left basal atelectasis.
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resolution of pneumonia. large hiatal hernia.
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no acute findings. specifically, no sign of rib fracture or pneumothorax.
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probable background copd. increased interstitial markings in both lungs. please see comment above.
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no acute cardiopulmonary process.
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no focal consolidation to suggest pneumonia. mild basilar atelectasis.
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no evidence of acute cardiopulmonary process.
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<num>. no pneumothorax. <num>. small right lung base atelectasis and presumed small right pleural effusions are unchanged.
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subtle left base opacity most likely represents atelectasis and/or vascular structures rather than focal consolidation.
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no acute intrathoracic process.
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engorged pulmonary vasculature and right pleural effusion without frank pulmonary edema.
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persistent left lower lobe opacity is unchanged since <unk> and may reflect atelectasis. there is no convincing evidence of pneumonia.
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<num>. endotracheal tube positioned low, retraction by <num>-<num> cm advised. <num>. ng tube coiled in the esophagus. repositioning is needed. <num>. severe cardiomegaly and left lower consolidation which may represent pneumonia or aspiration.
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persistent cardiomegaly. pulmonary vascular congestion. no pleural effusion seen.
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no focal consolidation concerning for pneumonia. low lung volumes.
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no radiographic evidence of significant cardiopulmonary abnormalities.
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<num>. significant improvement of right-sided pleural effusion with no pneumothorax. <num>. small left pleural effusion.
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no significant interval change.
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unremarkable chest radiograph.
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no change.
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<num>. linear opacity in the right lung, improved since prior chest radiograph from <unk>. findings are better assessed on ct performed the same date. <num>. slight blunting of the bilateral posterior costophrenic angles may be due to trace pleural effusions or atelectasis.
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<num>. right picc tip terminates in the low svc. <num>. mild pulmonary vascular congestion.
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no acute cardiopulmonary process. no evidence of pulmonary vascular congestion or edema.
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no radiographic evidence for acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute intrathoracic process.
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bibasilar patchy opacities likely atelectasis.
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no pneumonia.
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no acute cardiopulmonary process.
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streaky left posterior lobe opacities, probably atelectasis.
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no radiographic evidence for acute cardiopulmonary or chronic granulomatous disease.
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no acute cardiopulmonary process.
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patchy posterior left basilar opacity, probably due to atelectasis, although a small focus of aspiration is possible.
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no evidence of acute cardiopulmonary disease.
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no radiographic evidence of pneumonia.
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<num>. no acute cardiopulmonary process. <num>. large hiatal hernia, similar prior exam.
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clear lungs.
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no evidence of acute cardiopulmonary process.
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<num>. interval increase in the right lower lobe opacification compared to the prior exam. this could be secondary to progression of pneumonitis, or if the patient is clinically presenting with cough/fever, could be secondary to an infectious etiology. <num>. slight interval increase in right-sided pulmonary edema and pulmonary vascular congestion compared to the prior study.
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no evidence of chronic aspiration.
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<num>. resolution of pneumonia since <unk> radiograph. no evidence of recurrence pneumonia
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<num>. persistent low lung volumes with slight interval decrease in the left lower lobe opacity that is most likely atelectasis. <num>. no evidence of fracture but this exam is not dedicated for imaging of the ribs. there is clinical concern for fracture, dedicated radiograph should be obtained. recommendation(s): dedicated rib radiographs corresponding to focal exam findings if clinical concern for fracture.
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ap chest compared to <unk> through <unk>. <num>: endotracheal tube in standard placement. nasogastric tube ends in the lower esophagus and would need to be advanced <num> cm to move all the side ports into the stomach. limited views of the upper abdomen show a generally distended colon, redundant in the right upper abdominal quadrant, making it difficult to exclude pneumoperitoneum. an upright view is recommended when feasible. there may be herniation of a loop of bowel in a posterior (bochdalek) hernia. lung volumes are appreciably lower today than on <unk>. new opacification in the infrahilar left lower lobe is either atelectasis or consolidation due to pneumonia. supine positioning exaggerates moderate cardiomegaly as well as azygos distention. no pneumothorax. pleural effusions are small, if any.
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mild pulmonary edema and small bilateral effusions. deviation of the trachea to the right at the thoracic inlet could be due to underlying right-sided thyroid enlargement for which nonurgent thyroid ultrasound can be performed.
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no evidence of malignancy or infection.
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no acute cardiopulmonary process.
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bilateral lower lobe opacities in a pattern similar to multiple prior images, consistent in appearance with multifocal pneumonia. consider non-emergent, outpatient evaluation with ct to further assess in the setting of nonresolving opacity.
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no acute intrathoracic process
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no radiographic evidence of pneumonia.
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limited study with crowding of bronchovasculature in the lower lungs. no clear signs of pneumonia.
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<num>. moderate to moderately severe cardiomegaly, unchanged. <num>. chf, with interstitial and question alveolar edema, slightly improved compared with <unk>. <num>. left lower lobe collapse and/or consolidation, also slightly improved. this could include an area of pneumonic infiltrate. <num>. hazy nodular densities right lung base, newly visible. question artifact due to resolving pulmonary edema versus callus about anterior rib fractures. attention to these areas on followup films are requested.
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cardiac opacity could represent summation or new infectious process. recommend lateral chest x-ray for further evaluation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval decrease/resolution fluid overload. ill-defined small opacity projecting over the anterior right third rib, measuring approximately <num> cm, seen not clearly seen on prior studies, although an early focus of developing consolidation is not excluded. recommend followup to resolution.
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no acute cardiopulmonary process. no significant interval change.
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significant progression of a large right pleural effusion. discussed with dr <unk> <unk> phone at <unk>.
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no acute cardiopulmonary process.
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clear hyperinflated lungs. cardiomegaly is mild to moderate. no other evidence of cardiac decompensation. intrathoracic stomach via hiatus hernia, larger today than in <unk>. the configuration suggests the potential for a gastric torsion.
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<num>. no evidence of pneumothorax. small right pleural effusion. <num>. parenchymal opacity in the right upper lung, corresponding to cystic lesion and surrounding opacity seen on the prior ct.
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low lung volumes, with bronchovascular crowding and bibasilar atelectasis. a retrocardiac opacity is redemonstrated, likely unchanged compared to the prior exam. this again may represent atelectasis, but superimposed pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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pulmonary edema with small bilateral pleural effusions and cardiomegaly.
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no acute cardiopulmonary process. no evidence of clavicle or rib fractures.
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<num>. mild pulmonary vascular congestion and small right pleural effusion. <num>. retrocardiac opacity could reflect atelectasis but infection and aspiration are not excluded.
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no acute intrathoracic process.
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ng tube not well visualized, but may pass into the abdomen. if it is a better visualization is desired, repeat radiographs with abdominal technique can be performed.
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<num>. mild interstitial pulmonary edema. <num>. unchanged moderate cardiomegaly. <num>. possible trace left pleural effusion.