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

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Impression
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/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p12773850/s51067237/0051da12-c76c7853-f0b632b0-733c0432-fef487d2.jpg
no evidence of infection or malignancy.
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increased interstitial markings and bibasilar atelectasis, without effusion or definite upper zone redistribution. question due to chf, though early pneumonic infiltrates could account for changes at the bases, particularly on the left side. in the appropriate clinical setting, an interstitial infiltrate could have a similar appearance. suspect mild cardiomegaly, unchanged. tiny calcified granuloma at the left lung apex.
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no evidence of pneumonia.
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low lung volumes crowd the pulmonary vasculature and give overall a more hazy appearance to the lungs. there is no definite focal parenchymal opacity reflecting pneumonia.
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no acute cardiopulmonary process.
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right apparent infrahilar opacities as well as left base opacity may be due to multifocal pneumonia with possible superimposed pulmonary edema.
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moderate cardiomegaly. no acute cardiopulmonary abnormality.
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unchanged positioning of left-sided picc line terminating in the mid svc. no pneumothorax. lungs are clear.
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<num>. two displaced left lateral rib fractures. no pneumothorax. <num>. linear lucency through the left scapula which may represent a non-displaced fracture. dedicated scapular views are recommended for further evaluation. dr. <unk> <unk> these results with dr. <unk> at <time> pm on <unk> via telephone.
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no acute cardiopulmonary process. no definite radiopaque foreign body seen radiographically.
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low lung volumes with left greater than right prominent plate-like atelectasis and mid lung atelectasis. possible trace left pleural effusion. underlying left basilar consolidation not excluded.
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<num>. no acute cardiopulmonary process in the setting of copd. <num>. hiatal hernia. <num>. rib deformities and s-shaped thoracic scoliosis.
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no acute cardiopulmonary disease including pneumonia.
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stable mild cardiomegaly. no evidence of pneumonia or pulmonary edema.
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possible trace left pleural effusion. otherwise, no acute cardiopulmonary process. improved aeration of the left lower lobe.
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interval improvement in bilateral pulmonary opacities.
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no pneumonia.
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patchy and linear bibasilar airspace opacities most likely reflect atelectasis in the setting of low lung volumes. infection, however, is not completely excluded, and consider repeat examination with improved inspiratory effort for further assessment.
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<num>. small left pleural effusion, smaller since the study of <unk>, and adjacent atelectasis. <num>. stable moderate cardiomegaly.
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stable chest findings as can be identified on single ap chest view in the latest day examination interval.
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new medial right lower lobe opacity, concerning for pneumonia.
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cardiopulmonary support devices are in standard placements. no pneumothorax.
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no focal consolidation or pulmonary edema. mild to moderate enlargement of the cardiac silhouette.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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near resolution of right lower lobe pneumonia. additional followup chest x-ray in <num> weeks may be helpful to document complete resolution or stability of residual right infrahilar opacity.
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acute minimally displaced fracture of the left lateral <num>th rib. no pneumothorax.
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new left basilar opacity compatible with pneumonia in the proper clinical setting. recommend repeat chest x-ray after treatment to document resolution.
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no acute cardiopulmonary process.
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vague opacities in the left lower lung, which may reflect pneumonia in the appropriate setting.
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no acute cardiopulmonary process.
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limited by low lung volumes with basilar atelectasis and bronchovascular crowding. no overt abnormality.
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no acute cardiopulmonary process.
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right middle lobe pneumonia. recommend repeat radiographs after treatment to ensure resolution especially given the patient's emphysematous changes.
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lingular and middle lobe opacities with some element of atelectasis is most likely due to bronchitis. dr. <unk> discussed the findings with referring physician, <unk>. <unk> <unk> by phone on <unk> at <time> p.m.
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stable radiographic appearance of the chest with no evidence of pneumonia.
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<num>. no acute cardiopulmonary process. <num>. lucency under the hemidiaphragms bilaterally is likely contained within bowel. if there is clinical concern for intraperitoneal free air, a left lateral decubitus abdominal radiograph can be obtained, as clinically indicated.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute pulmonary process identified. these findings were discussed with dr. <unk> by dr. <unk> in person at <time> a.m. on <unk>.
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mild cardiomegaly, hiatal hernia, stable calcified granulomas.
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interval worsening of t<num> compression fracture. there is no pleural effusion or infiltrate.
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<num>. left lower lobe pneumonia. <num>. no change in widespread, multifocal osteoblastic disease.
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no acute cardiopulmonary abnormalities
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<num>. no evidence of pneumonia. bronchial thickening may be secondary to bronchitis. <num>. small right pleural effusion.
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no evidence for acute cardiopulmonary disease or free air.
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unchanged left lower lobe consolidation and nodular opacity in the right lower lobe. no new consolidation concerning for pneumonia.
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no acute findings.
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no acute cardiopulmonary process.
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no significant interval change.
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cardiomegaly without superimposed pneumonia or edema.
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bibasilar reticular opacities could be due to chronic lung disease versus aspiration. atypical infection is less likely.
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left base atelectasis. no focal consolidation.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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new small left pleural effusion and left lung base opacity could be an infectious process or atelectasis. if clinically indicated, ct is recommended for further evaluation.
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persistent, moderate left sided pleural effusion.
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no evidence of acute cardiopulmonary disease.
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no findings suggestive of congestive heart failure, but multiple nodular opacities, worrisome for malignancy, although other etiologies could be considered. correlation with clinical history and chest ct are suggested if the etiology for these is unknown. findings discussed with dr. <unk> at <time> am by telephone on <unk>.
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findings consistent with pneumonia. given the predominance of streaky perihilar opacification, in addition to typical bronchopneumonia, atypical infection could also be considered as a potential etiology.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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lateral right middle lobe opacity corresponds to pulmonary infarct seen on recent prior ct in this patient with pulmonary embolism. small right pleural effusion. no pulmonary edema.
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no evidence of acute cardiopulmonary process.
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multiple findings related to mediastinal surgery, detailed above. the intra-aortic balloon pump is no longer visualized. gauzes are noted. mild vascular plethora, consistent with mild chf. interval improvement in previously seen right lung hazy opacity, question resolving pulmonary edema. mild retrocardiac opacity and left perihilar persist. no new consolidation. no effusion. no pneumothorax detected. large gallstone noted.
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unremarkable study.
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increasing right pleural effusion with increasing right mid to low lung collapse. recommend thoracentesis with fluid analysis and ct to further assess. findings were discussed with dr. <unk>.
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no acute cardiopulmonary process.
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small right-sided pneumothorax status post right-sided chest tube placement with significant decrease in size of pleural effusion.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion.
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patchy basilar opacities suggesting minor atelectasis in the setting of low lung volumes. no definite change in the size of the cardiac shadow allowing for differences in technique, although it is hard to exclude a small pericardial effusion.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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no acute cardiopulmonary process. the mediastinum is not widened. no focal consolidation is seen.
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retrocardiac opacity, which likely represents atelectasis but which could reflect pneumonia or aspiration in the right clinical setting. trace bilateral pleural effusions.
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pneumomediastinum. progressive collapse of the right upper lobe.
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no acute cardiopulmonary process.
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mild left base linear atelectasis/scarring. mild cardiomegaly with left ventricular configuration. no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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mild pulmonary vascular congestion and possible trace bilateral pleural effusions.
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persistent left greater than right small pleural effusions with bibasilar atelectasis.
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right-sided chest tube in place with tip projecting over the inferior right hilus with trace apical of residual component of pneumothorax.
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no evidence of pneumonia.
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findings worrisome for early left lower lobe pneumonia with small left pleural effusion.
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top-normal to mildly enlarged cardiac silhouette without definite focal consolidation.
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interval removal of picc line. increasing opacity at right lung base, likely atelectasis versus pneumonia. right chest tube in place.
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normal chest.
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no acute cardiopulmonary process.
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minimal right basilar atelectasis. no radiographic evidence for pneumonia.
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no acute cardiopulmonary abnormality or pneumothorax
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<num>. new left lung base opacity, worrisome for pneumonia. <num>. cardiomegaly without evidence of pulmonary edema. findings were communicated with dr. <unk> by dr.<unk> <unk> telephone at the time of discovery at <time> on <unk>.
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no evidence of pneumonia. no acute cardiopulmonary process.
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no acute pulmonary process identified.
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<num>. stable chest. no evidence of pneumonia. <num>. stable calcified mediastinal lymph node.
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faint left perihilar opacity raises concern for infection. lymphomatous disease involvement or pulmonary hemorrhage would also be in the differential. recommend followup to resolution.
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mild pulmonary edema and cardiomegaly, increased in the interval with new small to moderate size bilateral layering pleural effusions. bibasilar airspace opacities may reflect atelectasis but infection is not excluded in correct setting