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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/p19655369/s57184350/42b77d3a-baec34e9-a9b3bdb4-ef864169-2f888158.jpg
normal chest radiograph.
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no pneumonia.
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hiatal hernia, otherwise unremarkable.
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radiographic findings most consistent with congestive heart failure, including cardiomegaly, pulmonary vascular congestion, and bilateral pleural effusions.
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new <num> cm poorly defined nodule in left upper lobe is suspicious for a pulmonary malignancy in the absence of infectious symptoms. alternatively this may represent developing round pneumonia in correct clinical setting. recommendation(s): if the clinical picture fits pneumonia, follow up radiograph <num> weeks after completion of treatment is recommended to document resolution. if patient does not have clinical symptoms of pneumonia, chest ct is recommended to further evaluate the left upper lobe lesion.
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mild bibasilar atelectasis. otherwise, no acute cardiac or pulmonary process.
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focal pleural opacity in lower left hemithorax could reflect a localized pleural plaque, other cause of pleural thickening, or a focal extrapleural lipoma. in the absence of prior radiographs for comparison, followup radiograph in three months may be helpful to assess for stability and to exclude an active process in this region. findings entered into radiology communications dashboard on <unk>.
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<num>. new patchy opacification in right upper lung, concerning for aspiration. <num>. unchanged positioning of all lines and tubes. <num>. unchanged bilateral pleural effusions with compressive atelectasis.
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no acute cardiopulmonary process.
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left subclavian central venous catheter terminates in known left svc. these findings were discussed with <unk>, pa by dr. <unk>, via telephone on <unk> at <time> p.m., at time of discovery.
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no evidence of acute cardiopulmonary disease.
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<num>. no evidence of pneumonia. <num>. a new <num> mm rounded density projecting over the mid thoracic spine may be a pulmonary nodule or within the bone. shallow lateral oblique views are recommended for further evaluation.
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no acute cardiopulmonary process.
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normal chest radiograph.
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no evidence of acute cardiopulmonary process.
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mild congestive heart failure with mild pulmonary edema, small bilateral pleural effusions, and bibasilar atelectasis.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. compression of at least one and possibly two mid-to-lower thoracic vertebral bodies, of indeterminate age. recommend clinical correlation for acuity.
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no acute cardipulmonary process.
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no acute intrathoracic process.
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<num>. no suspicious nodules or masses. <num>. moderate hyperexpansion has increased.
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chronic lung changes with no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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normal radiographs of the chest.
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stable cardiomegaly. no focal consolidation or pneumothorax is identified. there may be a small left pleural effusion as the left costophrenic angle is not well seen. consider followup chest radiograph with lateral view for further evaluation if clinically indicated.
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no acute intrathoracic process.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia. results were discussed over the telephone with dr. <unk> by <unk> at <time> p.m. on <unk> at time of initial review.
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mild bibasilar atelectasis without definite focal consolidation, however, and the appropriate clinical setting an early pneumonia is difficult to entirely exclude.
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hiatal hernia, small right pleural effusion. no overt edema or pneumonia.
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radiopaque tip of dobbhoff tube most likely still lies within the stomach. worsening retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. increased vascular plethora. clinical correlation is requested. it is possible that these findings are accentuated by lower inspiratory volumes on the current radiograph.
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low lung volumes with asymmetric left basilar opacity. while this could be due to atelectasis, infection would also be possible. consider pa and lateral views for improved characterization.
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clear lungs.
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lung hyperinflation suggestive of copd with bibasilar atelectasis or scarring.
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right middle lobe opacity is worse than on <unk>. if clinically asymptomatic or improving, repeat chest radiograph in <num> weeks is recommended. if not resolved then, chest ct is recommended to exclude post obstructive lesion. recommendation(s): if clinically asymptomatic or improving, repeat chest radiograph in <num> weeks is recommended. if not resolved then, chest ct is recommended to exclude post obstructive lesion.
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unremarkable chest radiographic examination. although no rib fractures are identified, this study has suboptimal sensitivity for detection of rib fractures. if there is further clinical concern dedicated rib views should be obtained.
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no evidence of acute cardiopulmonary process.
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<num>. hyperinflation without definite evidence of consolidation. increased interstitial markings in the lungs, which could be due to chronic lung disease; however, a component of edema is also possible. <num>. wedge deformities of lower thoracic and upper lumbar vertebral bodies, the acuity of which is uncertain, and clinical correlation is suggested.
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<num>. appropriate position of support lines and tubes. <num>. moderate bilateral pleural effusions. <num>. mild interstitial edema.
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no acute intrathoracic abnormality.
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no acute findings in the chest.
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no acute findings in the chest.
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left base opacity may be due to combination of pleural effusion and atelectasis.
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cardiomegaly and moderate pulmonary edema. bilateral pleural effusions left greater than right.
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unremarkable chest radiographic examination.
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interval development of moderate pulmonary edema and small effusion. new left retrocardiac opacity can be consolidation/atelectasis.
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no acute cardiopulmonary process.
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bilateral lung nodules, concerning for possible metastatic disease in this patient with history of melanoma. further evaluation with chest ct is suggested as entered into radiology communications dashboard on the date of the study.
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no acute cardiopulmonary process.
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normal chest.
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cardiomegaly unchanged.
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no acute cardiopulmonary process.
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large right-sided pleural effusion with compressive atelectasis.
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<num>. decrease in right pleural effusion with re-expansion of the right lung <num>. left lung consolidation concerning for pneumonia. <num>. multiple pulmonary nodules better seen on the recent chest ct.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. stable moderate cardiomegaly.
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no evidence of acute disease or free air.
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large left lower lobe consolidation, persistent over <num> days, could represent pneumonia or lobar collapse.
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bilateral peribronchial coughing and subtle interstitial opacity, suggestive of atypical pneumonia. followup chest radiographs in <unk> weeks is recommended to evaluate a more focal area of heterogeneous opacity in the left mid lung.
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no acute findings in basilar-predominant interstitial lung disease.
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persistent right lower lobe opacity appears to likely represent atelectasis on prior chest ct from <unk>. recommend continued followup to exclude obstructing lesion. possible right pleural effusion.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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<num>. left lower lobe pneumonia for which repeat radiographs in <num> weeks after treatment are recommended to document resolution. <num>. stable postsurgical and postradiation changes of the right lung and hilum.
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no evidence of acute cardiopulmonary disease.
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pulmonary edema with bilateral moderate-sized pleural effusions.
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no acute cardiopulmonary process.
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mostly resolved pleural effusion on the right, although with residual opacity probably localizing to the posterior right lower lobe, where there may be a residual pleural effusion.
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no acute cardiopulmonary process.
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large opacification involving the right hemithorax, new from prior as well as persistent left upper lung opacification could represent infection or spread of metastatic disease, edema is less likely given asymmetry.
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no acute intrathoracic process.
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no acute cardiopulmonary process. cardiomegaly again seen.
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status post left chest tube removal. no evidence of pneumothorax.
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picc line tip in the low svc. no acute cardiopulmonary process to explain tachycardia. findings were discussed via telephone with dr. <unk> at <time> on <unk>.
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endotracheal tube and bilateral internal jugular central lines are unchanged in position. status post median sternotomy for valve replacement with stable postoperative cardiac and mediastinal contours. slightly worsening diffuse bilateral parenchymal process, but more focally in the left upper lobe and at both bases. although this may represent a worsening infectious process, this all could be related to progression of pulmonary and interstitial edema. clinical correlation is recommended. no pneumothorax.
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no radiographic evidence for pneumonia. left upper lobe opacity corresponds to known mass as seen on recent ct. reticulation and streaky opacification in the lower lobes bilaterally corresponding to minimal fibrosis seen on the previous examination.
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no acute intrathoracic process.
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no acute intrathoracic abnormality
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persistent pulmonary edema with mild interval improvement including improving bilateral pleural effusions and left retrocardiac opacity that likely represents atelectasis.
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cardiomegaly. vague right lower lung opacity could be atelectasis or in part due to overlying soft tissues noting infection cannot be entirely excluded.
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no acute cardiopulmonary abnormality.
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resolution of previously identified left-sided perihilar infiltrate in patient undergoing chemotherapy.
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no acute cardiopulmonary abnormality.
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<num>. continued clearing of the acute diffuse opacification present for the last several weeks. <num>. extensive interstitial fibrosis consistent with nsip. <num>. in view of extensive pulmonary changes, it is impossible to exclude super infection.
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no acute cardiopulmonary process. copd.
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<num>. hyperinflated lungs with flattening of the diaphragm may be due to emphysema or small airways obstruction. <num>. chronically tortuous or dilated aorta. recommendation(s): for further evaluation of the aorta, an echocardiogram may be obtained.
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no acute cardiopulmonary process.
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the heart is likely stably enlarged despite marked patient rotation on the current study. the patient is status post median sternotomy. there are layering bilateral effusions with patchy bibasilar airspace disease likely reflecting compressive atelectasis. there has been interval decrease in the mild pulmonary and interstitial edema. there is of residual perihilar vascular fullness suggestive of a fluid replete state. no pneumothorax.
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increasing patchy opacities in the lung bases are nonspecific, and could reflect areas of atelectasis though infection cannot be excluded. regions of scarring in the right apex and left lung base appear relatively unchanged.
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no acute cardiopulmonary process.
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bilateral airspace opacities are partially due to chf. the assymetric hilar enlargement suggests that there may be an additional component of infection and reactive adenopathy on the right.
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no focal infiltrate
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possible minimal improvement in right lower lobe atelectasis. otherwise unchanged chest radiograph.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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resolved pulmonary edema
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no acute cardiopulmonary process.
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similar appearance of small left pleural effusion with left basilar streaky opacity, likely atelectasis, but infection is not excluded.
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mild pulmonary edema, tiny pleural effusions.