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

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elevation of the left hemidiaphragm. it is difficult to exclude a retrocardiac opacity which may reflect atelectasis or pneumonia associated with this appearance, but possibly elevation is chronic with minor atelectasis or scarring.
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low lung volumes and mild fluid overload.
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right middle and lower lobe pneumonia. follow-up imaging should be obtained after resolution of symptoms.
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no radiographic evidence of active or latent tuberculosis infection.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. no evidence of free intraperitoneal air. <num>. clear lungs.
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no acute intrathoracic abnormality. stable cardiomegaly.
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no evidence of pneumonia.
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as above.
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no acute intrathoracic abnormalities identified.
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new moderate left and small right pleural effusions. underlying infection cannot be excluded. left-sided presumably venous catheter seen with tip projecting over the left axilla.
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new retrocardiac opacification concerning for atelectasis or developing pneumonia. these findings were discussed with the house staff caring for the patient by dr. <unk> <unk> telephone at <time> on <unk>.
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persistent low lung volumes with bilateral patchy airspace process which is not significantly changed consistent with pulmonary edema, hemorrhage or infection. clinical correlation is recommended. the right subclavian picc line is unchanged position. no pneumothorax. heart remains enlarged, although the cardiac and mediastinal contours are somewhat difficult to assess. probable layering bilateral effusions, right greater than left.
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lower lung volumes, with increase in moderate pulmonary edema and a small though increased right pleural effusion. moderate cardiomegaly, unchanged.
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limited exam without convincing evidence for pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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normal radiographs of the chest.
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moderate to large left and small right pleural effusions with adjacent bibasilar atelectasis.
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subtle right lower lobe opacities may represent early or resolving pneumonia.
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no definite new focal consolidation to suggest pneumonia. no pulmonary edema. previously seen fluid in the right minor fissure has resolved in the interval. re- demonstrated right pleural thickening and bilateral calcified pleural plaques, along with bibasilar atelectasis/scarring.
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improving bibasilar atelectasis.
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no pneumonia. no significant changes since prior examination most recently <unk>.
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interval worsening of the airspace opacities at the lung bases as well as bilateral pleural effusions, right side worse than left.
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limited, negative.
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no acute intrathoracic process.
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no change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. bibasilar opacities are most suggestive of atelectasis, but followup radiographs may be helpful to exclude coexisting pneumonia or aspiration in the right lower lobe. <num>. small pleural effusions. <num>. large hiatal hernia.
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severe emphysema. bibasilar interstitial abnormality, possibly due to mild superimposed edema. this finding may be chronic, as it is not significantly changed from prior studies, although this could be acute exacerbation seen at multiple time points.
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<num>. prominence of the cardiomediastinal contours with mild bibasilar atelectasis, left greater than right, is overall unchanged compared to the prior radiograph from <unk>, and may be the patient's baseline appearance. <num>. mild pulmonary vascular congestion.
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no acute pulmonary process or displaced rib fracture detected.
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no acute cardiopulmonary abnormality.
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worsening, moderate to severe pulmonary edema with new, small bilateral pleural effusions and new consolidation in the right upper lobe which may reflect infection or alveolar edema. right upper lobe alveolar edema can be seen in severe mitral regurgitation. consider echocardiographic evaluation if clinically indicated. recommendation(s): consider echocardiogram to evaluate for mitral regurgitation if clinically indicated.
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no focal infiltrate or consolidation detected. mild upper zone redistribution is unchanged.
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as above. no evidence of pneumonia.
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no evidence of acute disease.
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feeding tube tip is in the mid stomach. lingular atelectasis versus infiltrate.
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<num>. low lung volumes with mild pulmonary vascular congestion and mild bibasilar atelectasis. <num>. <num> cm linear radiopaque structure projecting over the soft tissue of the left lateral neck, unclear whether external to the patient. please correlate with direct visualization.
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pa and lateral chest reviewed in the absence of prior chest radiographs: normal heart lungs hila mediastinum and pleural surfaces. no evidence of intrathoracic adenopathy.
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no pneumonia. widening of the right paratracheal stripe may indicate mediastinal adenopathy. ct scan may be performed for further confirmation and diagnosis if clincially relevant.
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no acute intrathoracic process.
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no acute cardiopulmonary process. mild cardiomegaly.
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no change from <unk>.
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hyperinflation, cardiomegaly, and moderate right and small left pleural effusions.
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left picc terminates in the low svc. no pneumothorax.
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no acute intrathoracic process.
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mild cardiomegaly, otherwise no acute findings.
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improving bibasilar atelectasis. resolved interstitial edema. small pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic process. these findings were discussed with dr. <unk> <unk> telephone by dr. <unk> at <time> a.m. on the date of the study.
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no acute cardiopulmonary process.
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<num>. moderate pulmonary edema. <num>. possible small pericardial effusion.
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no acute cardiopulmonary process.
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new left suprahilar mass worrisome for malignancy. rounded lobular contour makes an infectious or inflammatory etiology less likely based on radiography. evaluation with chest ct, preferably with intravenous contrast if possible, is suggested to assess further when clinically appropriate.
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<num>. appropriate position of the endotracheal tube. <num>. ng tube side port is at the ge junction. recommend advancement by <num> cm. <num>. possible small right pleural effusion.
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no evidence of pneumonia or other acute intrathoracic process. degenerative changes of the thoracic spine.
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<num>. interval removal of left chest tube. <num>. no definite change in left-sided pneumothorax. rounded contour in the left upper zone again seen. if clinically indicated, a lateral chest x-ray view may help to further characterize this finding. <num>. slight interval improvement left base atelectasis. <num>. otherwise, it i doubt significant interval change. <num>. nonacute right ninth rib fracture again noted.
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no acute cardiopulmonary process.
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interval placement of a right-sided chest tube with no pneumothorax. lines and tubes as above. rest of the findings are stable.
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no acute findings in the chest.
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no signs of pneumonia.
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<num>. diffuse bony metastases compatible with metastatic prostate cancer. <num>. possible slight progression of the existing metastases, but this would be better assessed by bone scan or cross-sectional imaging. <num>. no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left lower lobe pneumonia only partially resolved. this finding was reported to dr. <unk> by dr. <unk> by phone at <time> a.m. on <unk>.
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mild pulmonary edema with bibasilar atelectasis
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<num>. increased small right pleural effusion with fissural fluid and worsening associated right middle and lower lobe atelectasis. <num>. unchanged trace left pleural effusion with mild left basilar atelectasis. <num>. stable mild cardiomegaly.
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lung volumes are slightly low. streaky bibasilar opacities likely reflect atelectasis. no evidence of pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are unchanged.
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no acute cardiopulmonary process.
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mild left basilar atelectasis, without focal consolidation.
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findings suggesting mild vascular congestion. possible gastric or colonic dilatation. elevated left hemidiaphragm. scoliosis.
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increased upper zone redistribution pattern may match clinical findings of shortness of breath. radiographic interpretation of vascular pattern difficult in this very adipose patient. no pneumothorax is seen.
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normal chest radiograph.
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no definite acute cardiopulmonary process.
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lower lobe consolidation, likely on the left, best seen on the lateral view, likely represents pneumonia. the findings were discussed with dr. <unk> by dr. <unk> at <time> p.m. on <unk> by telephone.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no displaced fractures identified although dedicated rib series may offer additional detail.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality. large hiatal hernia.
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findings suggesting pneumonia in the right lower lobe.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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findings suggesting slight pulmonary congestion. streakly left basilar opacity suggesting minor atelectasis. hyperinflation.
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<num>. no interval change from earlier today of the left apical pneumothorax. <num>. stable moderate left lower lobe atelectasis, small left pleural effusion, and left hilar mass as compared to radiograph earlier today. results were conveyed via telephone to dr. <unk> by dr. <unk> on <unk> at <time> p.m.
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no focal consolidations concerning for infection. bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute pulmonary process identified.
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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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no acute cardiopulmonary process.
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minimal residual pulmonary interstitial edema. stable cardiomegaly.
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moderate to severe enlargement of the cardiac silhouette, as seen previously. no pulmonary edema.
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no acute cardiopulmonary process. no displaced fracture seen. if high clinical concern for rib fracture, consider dedicated rib series, which is more sensitive.
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interval resolution of pneumonia.
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possible increased opacity at the right lung apex, correlate with follow-up chest ct. copd.
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left chest wall pacing device with single lead tip at the right ventricular apex. no acute cardiopulmonary process.