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

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no acute cardiopulmonary pathology.
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no pneumonia. prominence of the area of the ascending aorta and right hila is likely due to poor inspiratory effort, however repeat chest x-ray with full inspiration is recommended to exclude new lymphadenopathy. recommendation(s): recommend repeat radiographs with full inspiration.
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interval decrease in size in loculated left pleural effusion after placement of the pigtail catheter. multiple loculated bubbles of air. subcutaneous air. left lower lobe consolidation, most likely a combination of atelectasis or infection with no possibility to exclude underlying mass. unchanged appearance of the right chest wall/pleural lesion. potentially as previously suggested <num> might be related to previous fracture of the left seventh rib but followup is required to exclude the possibility of neoplastic origin. no changes in the intra-abdominal findings demonstrated but there is higher elevation of left hemidiaphragm potentially due to drainage of pleural effusion with more pronounced right mediastinal shift.
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no acute intrathoracic process
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no evidence of pneumonia.
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no acute intrathoracic process.
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small bilateral pleural effusions and retrocardiac atelectasis.
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normal chest radiograph.
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<num>. overall improvement in the residual left lower lobe effusion thickening. <num>. retraction of the right picc line to the upper svc.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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an area of opacification is seen at the base on the lateral view only. in the appropriate clinical setting, developing pneumonia could be considered.
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low lung volumes. no definite focal consolidation.
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no acute cardiopulmonary process.
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continued chf.
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no acute cardiopulmonary abnormality.
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loculated large left pleural effusion, perhaps minimally decreased in size compared to the prior study, and small right pleural effusion, slightly increased compared to the prior exam. persistent left basilar atelectasis.
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no acute intrathoracic abnormality.
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interval decrease in size of the mass in the medial aspect of the right lower lobe. right-sided effusion is unchanged. interstitial thickening in the right mid and lower lung zones slightly increased. the left-sided pleural effusion has resolved.
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no acute cardiopulmonary abnormality.
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hazy opacities in the left lower lobe are concerning for new left lower lobe pneumonia.
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<num>. et tube in appropriate position. <num>. large left retrocardiac opacity may reflect pleural effusion, aspiration or atalectasis; pneumonia is not excluded.
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there are low lung volumes which accentuate the bronchovascular markings. there is persistent elevation of the right hemidiaphragm. no large pleural effusion is seen. there is no evidence of pneumothorax. perihilar opacities may be exaggerated by low lung volumes although mild vascular engorgement is not excluded. the cardiac silhouette is mildly enlarged. old right clavicular fracture is redemonstrated.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. unchanged right apical pneumothorax with chest tube in place. <num>. unchanged subcutaneous emphysema.
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no acute cardiopulmonary abnormality.
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retrocardiac opacification concerning for pneumonia. repeat radiograph <num> weeks after completion of treatment is recommended to ensure resolution. recommendation(s): repeat chest radiograph <num> weeks after completion of treatment is recommended to ensure resolution.
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mild cardiomegaly unchanged. no signs of pneumonia or edema.
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no change.
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substantial improvement in right upper lobe and perihilar opacity consistent with resolving hemorrhage status post biopsy.
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<num>. no acute cardiopulmonary process. <num>. no acute displaced rib fractures.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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no significant interval change in size of the right hydro pneumothorax. re-expansion pulmonary edema in the right upper lung zone.
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stable radiographic appearance of the chest, with no current evidence of pneumonia.
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possible left tiny apical pneumothorax.
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<num>. endotracheal tube in appropriate position. <num>. <num>-<num> mm radiopaque structure projecting just superior to the level of the posteromedial right ninth rib, unclear whether external or internal to the patient.
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<num>. ingested paper binder overlying the left abdomen. no free air. <num>. no acute cardiopulmonary process. clear lungs.
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multifocal pneumonia. recommend repeat after treatment to document resolution.
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<num>. right-sided picc at the level of the low svc. <num>. dobbhoff tube in the mid <unk> portion of the duodenum. <num>. unchanged appearance of the lung parenchyma with a left base atelectasis and existing right lung base opacities which are likely to represent edema.
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no acute cardiopulmonary process.
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significant bilateral hilar fullness and mediastinal enlargement, present on the outside hospital radiographs from <unk>. however there are no other studies available for comparison. these findings are concerning for an intrathoracic mass, and therefore ct of the chest is recommended for further workup.
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no acute cardiopulmonary process.
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no acute cardiopulmonary pathology. no subdiaphragmatic free air.
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<num>. no acute cardiopulmonary abnormality. <num>. re- demonstration of a large hiatal hernia.
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no evidence of acute disease.
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<num>. cardiomegaly with mild pulmonary edema. probable small bilateral pleural effusions. <num>. focal opacities in the right upper and mid lung fields and lung bases are non-specifically, possibly reflecting areas of infection. short interval radiographic follow up is recommended after treatment to document resolution.
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probable scarring in the left lower lung with emphysema/copd. no convincing evidence for pneumonia.
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no acute findings.
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no acute cardiopulmonary process.
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mild pulmonary edema. moderate bilateral pleural effusions with associated bibasilar atelectasis. right pleural effusion is stable and left pleural effusion appears slightly increased compared to <unk>
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no change.
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extensive metastatic disease to the lungs.
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<num>. ng tube with tip in the stomach but side-port near the ge junction. advancing the tube approximately <num> cm would place the side-port safely in the stomach. multiple dilated loops of small bowel with air-fluid levels compatible with known small bowel obstruction. <num>. mild bibasilar atelectasis as seen on recent ct without evidence of pneumonia.
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<num>. rounded opacification in the right upper lobe, representing pneumonia. <num>. unchanged moderate right pleural effusion, small left pleural effusion.
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mild cardiomegaly unchanged. no signs of pneumonia or edema.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process identified. there is severe osteopenia which somewhat limits optimal evaluation for subtle fractures. no displaced fractures identified.
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mild pulmonary edema with right pleural effusion. consolidation at right base is not definitive on this examination however is confirmed on the subsequent ct.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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<num>. no evidence of acute cardiopulmonary process or injury. <num>. stable findings associated with treated malignancy in the left lung.
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no change.
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no acute cardiopulmonary process.
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no pneumothorax. focal opacities in the right lung concerning for multifocal pneumonia small bilateral pleural effusions right ij catheter tip in right atrium
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. lines and tubes in place. <num>. increased pulmonary edema with right upper lobe and bibasilar consolidations.
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left lower lobe opacity, may represent aspiration or pneumonia.
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normal chest radiograph.
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new multifocal regions of consolidation worrisome for infection in the proper clinical setting at the lung bases, left greater than right.
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no significant change from the prior exam.
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no acute cardiopulmonary process. no free air.
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there is worsening airspace consolidation the left mid to lower lung which would be concerning for pneumonia. there is slightly improved aeration at the right base, although there is still residual patchy opacity in this vicinity as well. in addition, there are subtle opacities now appreciated in both upper lobes which would be concerning for pneumonia or aspiration. overall cardiac and mediastinal contours are stable. the nasogastric tube has its tip below the diaphragm but the side-port now appears to be in the distal esophagus. this tube should be advanced <num>-<num> cm to place both the tip and side port within the stomach.
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catheter with tip projecting over the confluence of the brachiocephalic veins. retrocardiac opacity may reflect atelectasis, aspiration or pneumonia.
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no acute cardiopulmonary process.
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decreased small bilateral pleural effusions. no focal consolidation.
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no acute cardiopulmonary process.
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interval placement of right internal jugular central venous catheter which terminates in the proximal to mid svc without evidence of pneumothorax.
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no acute cardiopulmonary abnormality.
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moderate cardiomegaly without acute intrathoracic processes.
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<num>. no evidence of intrathoracic malignancy. <num>. mild hyperexpansion compatible with copd.
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<num>. appropriately positioned left ij central venous catheter. <num>. low position of endotracheal tube which requires retraction by at least <num> cm. <num>. scattered opacities remain concerning for pneumonia.
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no acute cardiopulmonary process.
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subtle patchy left lower lobe opacity could be due to infection or aspiration.
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no acute cardiopulmonary process.
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reaccumulation of right pleural effusion since <unk> as seen on pet-ct <unk>. bilateral pulmonary nodules are better assessed on prior cts.
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<num>. no radiographic evidence for acute cardiopulmonary process. <num>. leftward deviation of the trachea. most likely etiology is thyroid enlargement; clinical correlation is recommended. ultrasound could be performed if indicated. this finding was discussed with dr. <unk> by dr. <unk> by phone at <time> a.m. on <unk> after attending radiologist discovery of this finding.
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no acute cardiopulmonary abnormality.
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large heart without overt pulmonary edema. obscuration of the left hemidiaphragm may reflect atelectasis or a small pleural effusion.
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no acute cardiopulmonary process.
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limited due to low lung volumes. right basal atelectasis. no convincing evidence for pneumonia or edema.
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interval improvement of right-sided loculated pleural effusion. otherwise, no new acute cardiopulmonary process or acute worsening of tracheal narrowing.
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary process.
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hyperinflation without acute cardiopulmonary process.