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

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no evidence of focal pneumonia. mild diffuse prominence of lung markings is compatible with the nonspecific ground glass opacities identified on the <unk> chest ct, albeit likely accentuated by underpentrated technique.
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stable enlargement of the cardiomediastinal silhouette. again seen large hiatal hernia. possible minimal pulmonary vascular congestion.
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no acute cardiopulmonary process.
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<num>. et tube is appropriately positioned, terminating approximately <num> cm above the carina. <num>. an enteric tube terminates in the stomach. <num>. interval increase in left perihilar and right basilar opacities likely representing asymmetric edema or aspiration.
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residual patchy opacities in the right upper lobe may reflect residua of prior infection or scarring. no new focal consolidation. no evidence of congestive heart failure.
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bilateral lower lobe consolidations are no worse than prior, and may represent chronic recurrent aspiration. mild heart failure.
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no acute intrathoracic process.
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<num>. no focal consolidation. <num>. mild pulmonary edema. <num>. small right pleural effusion
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no acute cardiopulmonary abnormalities
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no evidence of acute cardiopulmonary disease.
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decreased size of loculated right pleural effusion following placement of new pleural catheter.
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<num>. no evidence of pneumonia. <num>. well-circumscribed nodular density in the left lower lobe may represent a granuloma. correlation with prior imaging is recommended to ensure stability. if no prior imaging is available for comparison, low kilovoltage oblique radiographs could be obtained to document uniform calcification, diagnostic of a benign nodule.
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malpositioning of left picc, terminating in the azygous vein. dr. <unk> was telephoned with this finding on <unk> at <time> p.m., at the time of discovery.
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no evidence of acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19807371/s56169595/5971b833-02394984-c884ad91-3259bf7d-f7eba35b.jpg
no acute chest pathology.
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no signs for acute cardiopulmonary process.
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interval decrease in bilateral pulmonary opacities with possible mild residua in the lateral left lung base and possibly in the right upper lobe. trace pleural effusions are difficult to exclude.
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right lower lung <num> cm nodule for which the frontal and oblique films with nipple markers are recommended.
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no acute cardiopulmonary process.
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normal chest radiograph.
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no acute findings in the chest.
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<num>. right apical/posterior upper lobe pneumonia. followup six weeks after treatment is recommended. <num>. right-sided thoracic inlet mass, most likely thyroid enlargement, compressing trachea. please correlate clinically and consider followup study with ultrasound. these findings were relayed to dr. <unk> <unk> phone at <time> a.m. by <unk> <unk>.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute findings.
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no acute cardiopulmonary process. no pleural effusion.
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diffuse bilateral parenchymal opacities worse since last month's exam. findings may reflect worsening pulmonary edema noting that superimposed infection is entirely possible.
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normal chest radiograph.
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<num>. stable right-sided pleural effusion. no new acute cardiopulmonary process. <num>. multiple nodular opacities consistent with pulmonary metastases are unchanged.
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<num>. bilateral interstitial opacities, better evaluated on recent ct chest. <num>. no focal consolidation to suggest acute pneumonia.
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no acute cardiopulmonary process.
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no evidence of active or latent tuberculosis.
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no acute intrathoracic process.
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slight decrease in left mid lung opacity, of uncertain etiology. consider additional followup chest x-ray in four weeks to assess for resolution. if persistent, ct may be helpful for further characterization. this recommendation has been entered in the radiology communications dashboard on <unk>.
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extensive bilateral lower lobe consolidations are mildly improved from chest xray <unk>.
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right-sided picc line with tip terminating in right internal jugular vein. <unk> communicated these findings to dr <unk> at <time> p.m. on <unk> at time of discovery.
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increase in size and number of multiple scattered and patchy opacities, as well as new medial right lung base opacity, consistent enlarging pulmonary nodules and concern for underlying infection.
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interval increase in lung volumes with minimal change in moderate left pleural effusion.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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cardiomegaly without overt pulmonary edema. no acute intrathoracic abnormality. elevated left hemidiaphragm with air and fluid within the stomach.
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increased right perihilar airspace opacity with a more prominent <num> cm nodular opacity which may be due to incompletely treated pneumonia, however, a dedicated chest ct is recommended to exclude neoplasia. increased small right pleural effusion.
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no acute cardiopulmonary process or significant change from prior radiograph.
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no acute intrathoracic process.
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<num>. moderate-to-severe cardiomegaly and mild pulmonary edema. <num>. ngt can only be followed to the diaphragm and may need to be advanced.
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calcific density projects over the left lower lobe. this is likely a skeletal deformity related to skeletal trauma but the appearance is not specific. it may be helpful to compare with prior, outside x-rays. alternatively, ct could be performed for further evaluation.
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cardiomegaly with increased pulmonary edema, and small bilateral pleural effusions.
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mild interstitial pulmonary edema with small bilateral pleural effusions. in the correct clinical context, a superimposed pneumonia should be considered. a repeat chest radiograph is recommended following diuresis to evaluate for resolution and exclude pneumonia.
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no acute cardiopulmonary abnormality.
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stable severe pulmonary fibrosis and no evidence pneumonia
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mild right basilar atelectasis.
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patchy retrocardiac opacification, which may represent atelectasis, however a pneumonia cannot be entirely excluded.
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nodular opacity projecting over the left lower lung may represent a nipple shadow. recommend repeat radiograph with nipple markers.
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new right basilar atelectasis with possible right pneumonia, suggestive of aspiration. moderate bilateral pulmonary edema shows slight improvement since <unk>.
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no acute cardiopulmonary process.
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no evidence of residual or recurrent pneumonia.
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no evidence of tuberculosis.
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normal chest radiograph without evidence of pneumonia. results were paged to dr. <unk> by dr. <unk> at <time> pm on <unk>.
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no acute cardiopulmonary abnormalities
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linear mid and lower lung atelectasis or scarring with otherwise clear lungs.
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subtle nodular opacity seen at the right lung base can be further evaluated with a non-emergent chest ct.
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mild interval improvement of the pulmonary edema. mild interval improvement in the basal atelectatic changes with small bilateral pleural effusions.
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no evidence of acute cardiopulmonary disease.
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moderate left pleural effusion with overlying atelectasis, underlying consolidation not excluded. similar pulmonary edema.
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limited exam with subtle lower lung opacities concerning for pneumonia versus atelectasis.
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no acute intrathoracic process. mild-to-moderate cardiomegaly.
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no acute cardiopulmonary process.
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interval placement of a weighted nasogastric tube, coursing below the diaphragm, terminating in the expected location of the stomach. lucency under the right hemidiaphragm persists; again possible air-fluid collection vs interposition of bowel(although not see on studies prior to this date) vs free air.
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initial re-expansion of the left lung with associated left lung atelectasis improved on the <unk> radiograph, but worsened on the initial <unk> radiograph. there is still substantial left lung atelectasis and a moderate size left pneumothorax.
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unchanged left upper lobe and left perihilar opacity compatible with known malignancy. no new areas of focal consolidation identified.
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no acute cardiopulmonary process. retrocardiac atelectasis.
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stable scarring in the left midlung. no pleural effusion.
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post right lower lobectomy changes. no evidence of pneumonia.
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no acute cardiopulmonary process.
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<num>. endotracheal tube in standard position. <num>. heterogeneous opacities in the right upper and mid lung fields as well as patchy left basilar opacity appear worse in the interval and likely reflect a combination of known metastatic disease with worsening infection or aspiration. unchanged small right pleural effusion.
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no acute cardiopulmonary process.
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a right picc terminates in the mid svc.
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no evidence of acute cardiopulmonary disease.
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no acute intrapulmonary process on chest radiograph.
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no acute findings.
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no change.
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left upper lobe region of consolidation which would be compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution to exclude underlying mass lesion.
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no acute cardiopulmonary process.
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questioned right basilar opacity on the prior study is not well seen on the current study and was likely artifactual. subtle right basilar opacity may be due to atelectasis.
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no acute intrathoracic abnormality.
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<num> cm rounded opacity seen on the lateral view projecting over the posterior aspect of the cardiac silhouette, of unclear etiology. suggest nonurgent chest ct for further evaluation.
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lingular opacity could reflect pneumonia in the appropriate clinical setting. recommend follow-up chest radiograph after treatment. if not fitting the clinical picture for infection, additional imaging could be acquired at this time as this nonspecific peripheral opacity could potentially represent infarct in the setting of pulmonary embolism.
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no acute findings in the chest. mild bibasilar atelectasis. multiple mediastinal clips are noted.
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no acute cardiopulmonary process. mild bibasilar atelectasis.
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small left pleural effusion is stable compared to <unk>.
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linear opacities at the base of the left lung suggests atelectasis however infection should be considered in the appropriate clinical setting.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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interval mild improvement
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lingular pneumonia. recommend repeat after treatment to document resolution which can be done in six weeks.
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pulmonary vascular congestion without focal consolidation.
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patchy left basilar opacity may reflect atelectasis though infection cannot be completely excluded. possible trace left pleural effusion.
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removal of right basal pleural drain since <unk>. no pneumothorax.
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little change.
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no radiographic evidence of pneumonia. lower thoracic/upper lumbar vertebral body height loss new since remote prior.