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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/p16257239/s58056600/bc28437c-2e9945b6-d1c8c023-46e5cdf6-ed7bb870.jpg
small left apical pneumothorax with stable left apical opacity consistent with pulmonary contusion.
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no acute cardiopulmonary process.
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little change.
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small, subtle opacity, measuring approximately <num> mm projecting over the posterior right <num>th rib may be artifactual or summation of shadows/vascular structures, but small ground glass opacity from underlying infection can not be entirely excluded. recommend f/u chest radiograph to resolution to exclude an underlying nodule. if clinical concern for pulmonary mass persists, ct is more sensitive for pulmonary nodules. findings/recommendation submitted to the ed qa nurses on <unk> at <time>pm.
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no acute findings. subtle opacity at the left inferior lung base likely represents a prominent fat pad.
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increased moderate pulmonary edema without focal consolidation.
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no radiographic evidence of an acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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perihilar and bibasilar hazy opacity suggestive of mild edema. alternatively, atypical infection would be possible.
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no acute cardiopulmonary abnormality.
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<num>. no acute cardiopulmonary process. multiple nodules are better assessed on ct chest from <unk>.
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no significant interval change since <unk>. persistent moderate to large left-sided partially loculated pleural effusion.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19004953/s58596385/50099e46-f4e09650-c591ea16-03e2d6eb-4776777c.jpg
no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p16622839/s57491077/56d35ee8-a75ff82b-3b317cda-d464e324-c2df0394.jpg
low lung volumes and basilar atelectasis. no definite focal consolidation.
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no significant interval change since <num> hours prior with no large pneumothorax.
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<num>. stable, <num> cm right apical pneumothorax and small dependent pleural effusion. <num>. interval worsening of moderate cardiomegaly accompanies new mild pulmonary edema. <num>. increased opacity within the aorticopulmonary window. findings are likely secondary to differences in patient positioning, but repeat chest radiographs are recommended to document the stability of this finding.
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no acute cardiopulmonary abnormality.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10760386/s58688936/12efa0ec-6d49d062-6290f2f0-899891eb-3da6b317.jpg
only partial improvement of left lung abnormalities since <unk>. chest ct is recommended for further characterization as entered into radiology communications dashboard on <unk>.
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low lung volumes.
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no change in large right pleural effusion. improved interstitial edema.
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interval increase in right pleural effusion. possible trace left pleural effusion. bibasilar atelectasis.
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no acute cardiopulmonary process.
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patchy left basilar opacity may reflect developing infection in the correct clinical setting.
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no acute intrathoracic process.
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normal chest radiograph.
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bibasilar opacities, improved on the left and worse on the right. this is most likely due to atelectasis, but aspiration or aspiration pneumonia could produce a similar radiographic appearance. slight increase in bilateral pleural effusions.
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no pneumonia, edema, or effusion.
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no acute cardiopulmonary process.
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moderate pulmonary edema, not definitely changed since prior with persistent bilateral effusions and cardiomegaly. superimposed infection cannot be excluded.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p11030852/s50650002/ae01d06c-c5163336-348d2a84-ec6b2040-40009ae6.jpg
no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p10310938/s56914260/589d868f-df7ace6c-50224df2-b5020631-e87fb08d.jpg
no acute intrathoracic process.
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normal chest radiograph.
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<num>. unchanged small right pleural effusion from <unk>. <num>. no pulmonary edema or pneumonia.
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no acute intrathoracic process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p19023015/s53166561/8b5a3357-469059af-18755aa5-9b32dba0-96033898.jpg
no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no evidence of acute disease.
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left pectoral port-a-cath ends at the cavoatrial junction.
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linear opacities at the left lung base suggestive of atelectasis; however, if high clinical suspicion for infection, two-view chest may offer additional detail.
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nasogastric tube with tip coursing out of view. other medical devices are in stable position. unchanged exam.
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low lung volumes without acute cardiopulmonary process.
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<num>. the chest tube is appropriately positioned and there is no pneumothorax. <num>. interval clearance of large right pleural effusion with re-expansion atelectasis of the right middle and lower lobes. <num>. new small left pleural effusion not present on the prior study. <num>. findings suggestive of mild hypervolemia.
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no evidence of pneumonia.
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no evidence of pneumonia or heart failure.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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persistence of bilateral perihilar opacities which are slightly improved, but indicate ongoing infection.
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no acute cardiopulmonary process.
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large left-sided pleural effusion and extensive atelectasis involving the lingula and left lower lobe. findings suggesting mild vascular congestion.
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no pneumothorax identified post removal of chest tube. slightly increased amount of subcutaneous emphysema along the left neck and left lateral chest and abdominal wall. small left pleural effusion and bibasilar atelectasis.
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mild cardiomegaly, otherwise normal.
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vascular congestion and mild pulmonary edema, as well as mild cardiomegaly and small bilateral pleural effusions.
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bibasilar atelectasis without definite focal consolidation. slight blunting of the left costophrenic angle, trace effusion not excluded.
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left upper lobe volume loss with associated asymmetrical left apical thickening, likely the sequela of previous infection in the absence of previous history of radiation therapy. direct comparison to any outside radiographs would be helpful to determine retrospective stability of this appearance. if unavailable, short-term followup radiographs in three to six months may be helpful to confirm stability.
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<num>. mild bibasilar atelectasis. <num>. mild loss of height anteriorly of <unk> mid and lower thoracic vertebral bodies, which are age indeterminate.
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no acute intrathoracic abnormality.
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interval improvement in the bibasilar opacities. tiny bilateral pleural effusions.
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no acute cardiopulmonary process.
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low lung volumes with bibasilar opacities which are likely atelectasis. infection is not excluded.
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interval removal of et tube and ng tube. considerable interval improvement in previously seen retrocardiac opacity, though residual patchy opacity remains present. new small right cardiomediastinal patchy opacity -? atelectasis, although attention to this area on followup films is requested to exclude a focus of aspiration pneumonitis or an infectious pneumonic infiltrate.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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possible mild pulmonary vascular congestion and low lung volumes. no focal consolidation.
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<num>. tracheal deviation might be due to goiter or esophageal diverticulum. <num>. no acute chest pathology. findings were discussed with dr. <unk> at <time>am by phone.
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no evidence of pneumonia.
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the nasogastric tube terminates below the diaphragm, in the stomach. similar to slightly worsening airspace opacity at the left lung base consistent with developing pneumonia.
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<num>. no significant change in severe bronchiectasis in the right middle and right lower lobes. possible interval worsening in left lower lobe bronchiectasis. <num>. stable ill-defined opacity in the right upper lobe may represent continuing infectious process. no new focal consolidation.
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stable cardiomegaly. no edema or pneumonia.
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no radiographic evidence of pneumonia.
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no pneumonia.
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stable chest radiographs.
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<num>. appropriate positioning of all lines and tubes. <num>. new complete right upper lobe collapse, likely due to mucous plugging.
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<num>. minimal left basal atelectasis. <num>. minimal lateral left pleural thickening, also seen on recent pet-ct.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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right middle lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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mild to moderate cardiomegaly and mild uzrd, unchanged compared with <unk>. no acute pumonry process identified.
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stable appearance of the chest, including cardiomegaly, mediastinal widening, volume loss and atelectasis in the right hemithorax, probably chronic. possible pleural effusion on the left, potentially loculated, although probably not an acute process.
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significant burden of metastatic disease with innumerable bilateral pulmonary nodules. although no definite superimposed consolidation is identified, small area of infection would be difficult to exclude given burden of disease.
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unchanged bilateral pleural effusions, greater on the left than right.
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<num>. <num> wire loops with curvature that may represent epicardial leads and less likely a needle. prior to patient discharge do pa, lateral, augmented and shallow oblique views of lower midline chest to ensure no needles. <num>. mild vascular congestion. results conveyed by dr.<unk> to <unk>, nurse on <unk> at <time> am within <num> minutes of observation of findings. addendum: at initial interpretation, exam was reviewed by dr. <unk> <unk> discussed with dr. <unk> <unk> the phone on the evening of <unk> shortly after exam was performed. no radiopaque foreign body seen matching needle from missing counts. remainder of exam including lines and tubes as above.
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no pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of pneumonia.
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no radiographic evidence of injury.
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hyperinflation suggestive of chronic pulmonary disease. multiple calcified pulmonary nodule within the right lung, likely prior granulomatous exposure.
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no radiographic evidence of pneumonia
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interstitial opacities compatible with pulmonary edema. there may be a left layering pleural effusions.
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new multifocal pneumonia in the right and left lower lobes. these findings were discussed with dr. <unk> by dr. <unk> at <time> p.m. on <unk> by telephone at the time of discovery.
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clear right lung and expected left post pneumonectomy changes.
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no acute cardiopulmonary process.
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limited study. repeat exam with better inspiratory effort and better positioning is recommended. findings sent to the ed qa nurses at <time> on <unk>.
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<num>. focal opacity in right lower lung, could be pneumonia or other opportunistic infection. recommend follow-up ct scan for further characterization. <num>. moderate cardiomegaly and small right pleural effusion without overt pulmonary edema. dr.<unk> <unk> findings with dr.<unk> <unk> telephone at <time>pm on <unk>.
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no acute cardiopulmonary radiographic abnormality. note that aortic dissection may be present in the absence of chest radiographic findings. therefore, and this diagnosis is entertained clinically, dedicated chest cta would be recommended, if warranted clinically.
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mild pulmonary interstitial edema cannot be excluded. limited exam due to low lung volumes.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. prominent hila bilaterally, which may represent pulmonary hypertension.