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

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moderate cardiac enlargement but no evidence of advanced interstitial or alveolar edema or pleural effusion. no remaining evidence of retro- cardiac parenchymal density observed on previous examinations.
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no evidence to suggest active or chronic tuberculosis.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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basilar atelectasis. no pneumothorax.
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displaced fractures of the posterior right third and fourth ribs. no definite evidence of a pneumothorax or pleural fluid.
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mild cardiomegaly and pulmonary edema.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process. hyperinflated lungs.
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pulmonary vascular congestion. continued elevation of the right hemidiaphragm with adjacent right basilar atelectasis. small right pleural effusion.
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cardiomegaly and right greater than left lung opacification compatible with asymmetric pulmonary edema. given relative asymmetry of findings pneumonia is also possible in the correct clinical setting.
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bibasilar atelectasis. no focal consolidation.
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as above.
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right middle lobe consolidation worrisome for pneumonia.
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bibasilar atelectasis and trace left pleural effusion, similar compared to the prior exam.
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somewhat limited examination, but substantial cardiomegaly without definite evidence for acute disease.
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no evidence of fracture. however, chest radiograph is not an optimal method to evaluate the osseous structures. if clinical concern remains, consider ct chest or bone enhanced views.
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decreased heart size, pulmonary vascularity since prior exam.
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bilateral pleural effusions, moderate and increased on the right, small and stable on the left.
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cardiomegaly unchanged. stable elevated right hemidiaphragm. no convincing signs of pneumonia or edema.
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mild cardiomegaly with mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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right ij catheter appears kinked at the supraclavicular level. right ij catheter tip in the svc. large bilateral pleural effusions left greater than right with bibasilar atelectasis. no pulmonary edema.
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picc line positioned appropriately.
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mild left basilar atelectasis.
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mild interstitial opacity of unknown chronicity
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no acute cardiopulmonary process.
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no acute findings in the chest.
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low lung volumes and likely mild interstitial pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of acute disease. nodular focus projecting over the left lower lung. when clinically appropriate, a chest ct is suggested to evaluate further. an email regarding the recommendation was sent to the ed qa nursing group on <unk>.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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interval resolution of previously seen pulmonary edema. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. stable appearance of moderate left apical pneumothorax.
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normal chest radiograph.
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no evidence of pneumonia.
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<num>. mild interstitial pulmonary edema, new compared to the prior radiograph from earlier today. <num>. slight increase in moderate cardiomegaly. <num>. small bilateral pleural effusions.
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moderate right pleural effusion, bibasilar atelectasis, and mild cardiomegaly.
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limited study, however a new retrocardiac opacity may represent atelectasis or pneumonia.
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tiny right apical pneumothorax.
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chronic changes in the lungs without definite superimposed acute cardiopulmonary process, noting that subtle change could easily be obscured.
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no acute cardiopulmonary process.
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stable left apical lung nodule. otherwise, unremarkable.
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bibasilar opacities most likely atelectasis though infection cannot be excluded.
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no acute intrathoracic process. left subclavian dialysis catheter terminates in right atrium.
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<num>. no acute cardiac or pulmonary process. <num>. no definite rib fracture, although this study is not technically adequate to exclude a non-displaced anterior rib fracture. additionally, the position of the skin marker indicates the patient's pain is near the costochrondral junction, a site which is difficult to evaluate with conventional radiography.
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suspected new small pleural effusion on the right with patchy minor atelectasis, although no definite parenchymal edema. similar marked cardiomegaly.
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no acute cardiopulmonary abnormalities
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no evidence of pneumonia.
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no acute findings in the chest.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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atelectasis at the bases without evidence of acute intrathoracic abnormality.
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hyperinflated lungs without focal consolidation.
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low lung volumes with bibasilar airspace opacities, likely atelectasis. infection, however, cannot be excluded in the correct clinical setting.
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the right middle lobe opacity has resolved and the lungs are now clear.
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lower lobe opacity, which may represent pneumonia in the right clinical setting.
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no acute cardiopulmonary process.
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given differences in technique, the bilateral diffuse airspace process is not significantly changed. there are likely layering bilateral effusions. nasogastric tube and left internal jugular central line are unchanged in position. the endotracheal tube now has its tip approximately <num> cm above the carina.
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new right pigtail pleural catheter with decreased right pleural effusion, now moderate. moderate left pleural effusion and pulmonary vascular congestion are similar to prior.
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no acute intrathoracic process.
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mild interstitial edema, slightly improved. stable support lines and tubes. no significant pneumothorax.
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left-sided pacer unchanged in position. status post median sternotomy with valve replacement and cabg and stable postoperative cardiac and mediastinal contours. linear opacity at the right base likely represents subsegmental atelectasis. there is likely a small right effusion. persistent consolidation in the retrocardiac region with an associated effusion favors compressive lower lobe atelectasis. perihilar vascular fullness but no overt pulmonary edema at this time. no pneumothorax. degenerative changes in the thoracic spine.
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low lung volumes. patchy left base retrocardiac opacity could relate to atelectasis, although pneumonia is not excluded in the appropriate clinical setting.
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worsened left basilar opacity, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. pulmonary vascularity has mildly improved.
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no acute cardiopulmonary abnormality.
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pulmonary congestion with bilateral pleural effusions.
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bibasilar atelectasis and pulmonary vascular congestion are mild and slightly improved since prior. other findings are similar to prior.
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<num>. no acute cardiopulmonary process. <num>. no evidence of pneumoperitoneum. <num>. hyperexpansion suggesting copd. <num>. medial left lower lobe pulmonary nodule is better evaluated by recent chest cta, please see chest cta report for recommendations.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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<num>) worsening left lower lobe pneumonia. <num>) new opacity in the right lower lobe, etiologies can include aspiration or atelectasis. <num>) severe background copd, detailed above. <num>) please see details regarding pulmonary nodular opacities on the report of a <unk> ct scan.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia. prominence of the right upper mediastinal contour should be further evaluated with shallow oblique images.
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normal chest radiograph.
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no acute cardiopulmonary abnormality. no displaced fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.
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low lung volumes with bibasilar atelectasis. elevation of the right hemidiaphragm, of unknown chronicity. widened right paratracheal stripe could reflect tortuous vessels though underlying lymphadenopathy is not excluded. consider repeat chest radiographic examination with improved inspiratory effort or chest ct.
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<num>. mild pulmonary vascular congestion without overt edema. <num>. right basilar subsegmental atelectasis.
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mild pulmonary edema.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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right internal jugular central line and left pleural pigtail catheter are unchanged in position. the right lung remains well inflated and clear. there are stable postoperative changes in the left hemithorax with patchy opacity at the base and consistent with lpartial ower lobe atelectasis and residual left pleural collection. overall cardiac and mediastinal contours are likely stable given differences in patient positioning. no definite pneumothorax is seen.
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opacity overlying the right hilus is consistent with known mass and hilar lymphadenopathy. atelectasis in the left base.
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interval improvement, but persistence of, marked cardiomegaly, pulmonary vascular congestion, and pulmonary edema. no new focal consolidation.
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central pulmonary vascular engorgement without overt pulmonary edema.
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<num>. right lower medial lung opacity could be atelectasis/aspiration or pneumonia; further clinical correlation is needed. <num>. small right pleural effusion is small. <num>. diffuse osteopenia and wedge compression fracture of t<num>, t<num> and l<num> vertebrae is new since <unk>. possibility of metastatic disease cannot be ruled out. dr. <unk> discussed the findings with dr. <unk> by phone on <unk>, at <time> p.m.
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no acute cardiopulmonary abnormalities
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<num>. persistent moderate-sized apical pneumothorax on the left. <num>. large left-sided pleural effusion. <num>. finger-in-glove appearance of the left upper lung is suggestive of mucus retention within airways. if clinically indicated, ct could be performed for additional evaluation of this finding.
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stable chronic lung disease compatible with <unk>. no superimposed pneumonia.
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no acute intrathoracic process.
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no acute intrathoracic process.
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normal chest.
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low lung volumes with right basilar opacity which is likely atelectasis.
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no acute intrathoracic process.