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

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no acute cardiopulmonary abnormality. no radiopaque foreign bodies seen.
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known right hilar mass is stable since prior exam on <unk> with interval increased in mild adjacent atelectasis. there is no new focal consolidation.
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findings suggesting mild pulmonary vascular congestion. non-displaced right-sided rib fractures although not necessarily acute.
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no acute cardiopulmonary abnormality. <num> mm spiculated nodular opacity in the left upper lobe is grossly unchanged, but should be better evaluated with ct of the chest for direct comparison with prior ct chest. recommendation(s): ct chest for improved comparison of the left upper lobe spiculated nodule.
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mild improvement in bibasilar opacities.
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hazy opacities projecting over the right mid to upper lung and over the lower lobes on the lateral view. this could be due to similar process as on prior including infection or potentially aspiration. followup will be necessary.
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<num>. small right pleural effusion is unchanged since <unk> exam. <num>. new mild cardiomegaly and/or pericardial effusion. <num>. right basal edema, or early pneumonia. distinguishing between the two, and evaluating possible pericardial effusion could be achieved by chest ct performed with the patient prone. i discussed these findings by telephone with housestaff [details addended].
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no acute intrathoracic process.
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acute exacerbation over <num> hours in severe chronic chf. dr <unk> was paged to discuss these findings.
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no acute cardiopulmonary process.
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faint bilateral interstitial opacities may be representative of a viral infection, atypical infection, or aspiration.
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no acute cardiopulmonary process.
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significant decrease in amount of right pleural effusion with small amount of remnant fluid and adjacent consolidation. right chest tube in place without pneumothorax.
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clear lungs. no pulmonary edema. possible prior fracture of the posterior lateral left <num>th rib. expansion of the distal right clavicle, not well evaluated, correlate for history of prior trauma at this site.
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normal chest radiograph.
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no acute cardiopulmonary abnormality. emphysema.
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lingular pneumonia. recommend followup to resolution. findings were discussed with dr. <unk> at <time> p.m. via telephone by dr. <unk> on <unk>.
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mild pulmonary vascular congestion. slight blunting of the costophrenic angles may be due to trace pleural effusions versus pleural thickening.
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no acute cardiopulmonary process with low lung volumes.
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interval resolution of pulmonary edema with small residual right pleural effusion.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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normal chest radiograph.
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<num>. no evidence of pneumonia. <num>. stable hyperinflation, consistent with copd, and mild cardiomegaly. <num>. stable dilated descending thoracic aorta; if further evaluation is indicated, could obtain a ct of the chest. results were discussed with dr. <unk> at <time> p.m. on <unk> via telephone by dr. <unk> at the time the findings were discovered.
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right airspace opacification is concerning for aspiration.
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no acute cardiopulmonary process. hyperinflated lungs, consistent with emphysema.
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no acute cardiopulmonary process.
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unchanged obliquely oriented opacity in the right hemithorax without evidence of acute process.
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<num>. standard position of support devices. <num>. no acute cardiopulmonary process. <num>. densities projecting over the right upper quadrant may represent nephrolithiasis or cholelithiasis.
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no acute intrathoracic process.
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two, small rounded opacities projected over the right upper lung may represent areas of focal pneumonia. recommend followup chest radiograph <unk> weeks after the completion of treatment. recommendation(s): updated findings emailed to the ed qa nurses at <time> on <unk> by dr. <unk>.
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<num>. right lower lobe pneumonia. a followup chest radiograph is recommended in four to six weeks to confirm resolution after appropriate therapy. findings were communicated by dr. <unk> to <unk> by phone at <time> p.m. on <unk>.
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no new consolidation, pleural effusion, pulmonary edema, or pneumothorax. stat read was called to dr. <unk> by dr. <unk> <unk> telephone at <time> am on <unk>, at the time of discovery.
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no acute cardiopulmonary abnormality. chronic left cervicothoracic mass, could be thyroid. clinical correlation advised. recommendation(s): clinical evaluation for possible left thyroid mass.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. no evidence for active tuberculosis.
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no acute chest abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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pulmonary edema with bibasilar air space opacities that could represent superimposed pneumonia.
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no acute cardiopulmonary process.
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mild cardiomegaly, with interval cardiac surgery since <unk>. possible minimal subsegmental atelectasis at the left base. no focal infiltrate to suggest pneumonia.
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left perihilar opacity could be due to pneumonia however, underlying pulmonary lesion/malignancy not excluded. recommend chest ct.
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no acute cardiopulmonary process.
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narrowing of the trachea may be caused by a a large brachiocephalic trunk or alternatively lymphadenopathy or hematoma in the appropriate clinical settings.
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no significant interval change. ct is more sensitive in detecting/assessing pulmonary nodules.
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no significant change since yesterday's exam. right upper lobe mass again noted. bilateral parenchymal opacities which may be due to pulmonary edema although atypical infection or reaction to chemotherapy are other possible etiologies.
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limited exam. patchy right basilar opacity may reflect atelectasis or infection. no displaced rib fractures seen, but assessment of the right-sided ribs is limited on this study. please note that a dedicated rib series can be obtained for further assessment.
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limited exam. right internal jugular central venous catheter tip in the mid/lower svc. no large pneumothorax seen on this supine exam.
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no acute cardiopulmonary process.
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minor basilar atelectasis without focal consolidation.
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<num>. left ij terminates at the brachiocephalic/svc junction without evidence of pneumothorax. <num>. cardiomegaly, pleural effusions, and pulmonary edema, suggest chf, underlying infection not excluded.
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no significant interval change.
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no change.
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no acute cardiopulmonary process.
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unchanged left lateral and basilar pleural thickening and calcifications. no focal consolidation.
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no acute cardiopulmonary process.
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interval development of small left pleural effusion and moderate left basilar atelectasis since <unk>.
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limited exam without definite acute cardiopulmonary process.
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<num>. focal opacification of the mid right lung likely represent post-surgical changes and is consistent with hemorrhage and/or atelectasis. <num>. bibasilar atelectasis.
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interval placement of a left ij catheter that terminates at the low svc.
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low lung volumes with right basilar atelectasis.
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no pneumonia.
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<num>. low lung volumes. basilar atelectasis. no focal pneumonia. <num>. multifocal osseous abnormalities involving several ribs, unchanged from prior, likely reflective of myelomatous involvement.
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findings consistent with interstitial pulmonary edema.
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appropriately placed picc with no radiographic evidence of failure.
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minimal improvement in moderate pulmonary edema with partial clearing of heterogeneous right upper lung opacity.
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low lung volumes with bibasilar atelectasis. no frank consolidation identified.
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bilateral lower lobe infiltrates. it is unclear if these are due to infection or pulmonary edema. they have increased compared to prior
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no acute cardiopulmonary process.
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no acute traumatic injury.
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no evidence of pneumonia or pleural effusion.
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stable cardiomegaly, mild congestion. limited exam.
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no acute cardiopulmonary process. linear radiodensity projecting over the left neck seen on the frontal view.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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low lung volumes without acute cardiopulmonary process.
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possible trace pleural effusions. otherwise no acute cardiopulmonary process. no visualized rib fracture, however consider dedicated rib series.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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<num>. increasing bilateral perihilar opacities could reflect fluid overload, however infection is a strong consideration. <num>. endotracheal tube terminating less than <num> cm from the carina, as before. consider retraction.
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interval removal of et and ng tube and interval improvement in bilateral opacities. mild residual opacity is seen bilaterally.
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<num>. interval placement of a tracheostomy and peg tube. <num>. apparent bibasilar opacities likely represent change in appearance of layering effusions with supine positioning.
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left basilar opacity, potentially due to atelectasis; however, early infiltrate is not excluded. clinical correlation is suggested.
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there are new bibasilar opacities, left worse than right, suspicious for aspiration at the left lung base. there is increased pulmonary vessel congestion and bilateral pleural effusions, moderate on the left and small on the right.
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no acute cardiopulmonary process.
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low lung volumes without evidence of acute cardiopulmonary process. diffuse gaseous distention of multiple loops of large and small bowel worrisome for ileus or obstruction. consider dedicated abdominal imaging.
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right middle lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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findings compatible with multifocal pneumonia.
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mildly hyperinflated lungs without radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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postsurgical changes in the right suprahilar region without definite acute cardiopulmonary process.
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right internal jugular swan-ganz catheter, endotracheal tube, and mediastinal and chest tubes are unchanged in position. nasogastric tube is seen coursing below the diaphragm with the tip not identified. the patient is status post median sternotomy for cabg with expected postoperative cardiac and mediastinal contours. interval improvement in aeration of the left lung but persistent mild to moderate pulmonary and interstitial edema. layering left effusion with more focal patchy airspace disease at the left base favoring atelectasis, although pneumonia cannot be excluded. no obvious pneumothorax.
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normal radiographic examination of the chest.
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no acute cardiopulmonary process.
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probable small left pleural effusion and left basilar opacity likely reflecting atelectasis, though assessment is difficult given pre-existing chronic fibrotic changes in the lung bases. no overt pulmonary edema.
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no evidence of acute cardiopulmonary abnormality.
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mild interval improvement in left upper lobe post-obstructive pneumonia/atelectasis.
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increased opacification of the right lung base is likely a combination of pleural effusion and atelectasis, suspicious for pneumonia.