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

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<num>. interval improvement in pulmonary edema. <num>. bilateral diffuse pneumonitis. differential includes infectious such as viral, chronic eosinophilic pneumonia, cryptogenic organizing pneumonia, or churg-<unk>. <num>. stable asbestosis with calcified pleural plaques and diaphragmatic calcification in a patient with known exposure. results conveyed via email by dr.<unk> on <unk>.
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no evidence of pneumothorax.
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left upper lobe pneumonia. recommend repeat chest radiographs in no more than four weeks, sooner if symptoms persist despite medical treatment. findings discussed by dr. <unk> with dr. <unk> <unk> the telephone <unk> at approximately <time> p.m. immediately following review.
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stable cardiomegaly with mild pulmonary edema.
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no focal opacity convincing for pneumonia is identified.
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no evidence of acute cardiopulmonary process. no free air.
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interval placement of left internal jugular catheter terminating at the svc/brachiocephalic junction/proximal svc without evidence of new pneumothorax. previously noted nodular opacity projecting over the right upper lung is no longer appreciated. otherwise, the remainder of the lung fields is similar, see above.
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pulmonary edema with possible superimposed pneumonia at the right lung base. followup post-diuresis is advised to further assess.
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right lower lobe consolidation, worrisome for pneumonia with possible superimposed pulmonary vascular congestion.
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no radiographic evidence of acute pneumonia or active malignancy in the thorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. interval increase in cardiac silhouette, which raises the suspicion of an enlarging pericardial effusion. <num>. bibasilar atelectasis, left greater than right. <num>. large anterior mediastinal mass, better characterized on recent chest ct.
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no evidence of acute cardiopulmonary disease.
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increased opacity in the posterior segment of the right lower lung, which in the appropriate clinical setting could represent an acute pneumonia.
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left basilar opacity likely secondary to atelectasis and probable small pleural effusion. otherwise overall stable appearance of the chest status post treatment of right hilar mass.
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no unfavorable change, no acute cardiopulmonary process within the limitations of chest radiograph.
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no acute cardiopulmonary process. multiple compression deformities with slight progression of the most superior thoracic compression fracture.
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moderate pulmonary vascular congestion. retrocardiac opacity may be atelectasis or consolidation depending on clinical context.
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endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. the patient is rotated to the right. dense right lower paratracheal opacity measuring <num> point <num> by <num> cm may represent a calcified node. no focal consolidation is seen. there is no large pleural effusion. multiple old left-sided rib fractures are seen.
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mild cardiomegaly without pulmonary edema. chronic pulmonary hypertension. left basilar atelectasis with possible left small pleural effusion.
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clear lungs.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process. tortuous or dilated ascending aorta. this finding was reported to 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 process.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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hazy opacity adjacent to the right heart border, probably in the middle and lower lobes, concerning for early pneumonia.
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lingula and left upper lobe opacities concerning for pneumonia. close imaging follow up after treatment, within no more than <num> month, is recommended to document resolution.
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bilateral lower lung peribronchial opacities, new since <unk>, are concerning for an aspiration. pre-existing bibasal mild atelectasis is unchanged.
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no acute cardiopulmonary process.
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<num>. a new g-tube is seen in the stomach. no pneumothorax. <num>. a new left lower lung opacity may be due to aspiration
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<num>. small bilateral plural effusions and mild pulmonary edema improved since <unk> <unk>. left lower lobe atelectasis remains prominent.
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no acute cardiopulmonary 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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left lower lobe pneumonia.
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<num>. slight worsening of bibasilar atelectasis. <num>. copd. no acute cardiopulmonary abnormality.
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moderate left pleural effusion with left basal atelectasis, cannot exclude pneumonia. improved aeration at the right lung base.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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<num>. no acute cardiopulmonary process. <num>. multiple known bilateral nodules measuring up to <num>mm are better delineated on dedicated ct chest from <unk>.
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interval increase in density of the retrocardiac opacification may represent atelectasis.
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no acute intrathoracic process.
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improving bibasilar opacities, likely atelectasis.
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no acute cardiopulmonary process.
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interval placement of a picc tip terminates at the low svc without pneumothorax.
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no acute pneumonia.
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no acute intrathoracic abnormality.
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right lower lobe and possibly left lower lobe pneumonia. right mid lung atelectasis.
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cardiomegaly without superimposed acute process. right ac joint arthropathy.
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interval development of moderate congestive heart failure including moderate alveolar pulmonary edema and bilateral pleural effusions, moderate on the left and small on the right. bibasilar airspace opacities may reflect compressive atelectasis however aspiration or infection cannot be excluded.
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<num>. no evidence of pneumonia. <num>. hyperinflated lungs and diaphragmatic flattening, suggestive of copd.
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right pneumothorax with minimal leftward mediastinal shift; findings were relayed to interventional pulmonology team as they were placing a chest tube at <time> am on <unk> by <unk> over the phone.
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patchy right mid-to-lower lung opacity raises concern for infection and/or aspiration.
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new left base opacities, which in part likely represent loculated effusions, both posteriorly and laterally with underlying infection and possibly atelectasis. consider ct scan for further delineation.
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no acute cardiopulmonary process. specifically no cardiomegaly.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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low lung volumes with linear left lower lobe atelectasis.
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no signs of chf or pneumonia. copd.
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mild central vascular engorgement. no opacity convincing for pneumonia.
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no acute intrathoracic process. no definite rib fracture identified.
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no acute cardiopulmonary abnormality.
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diffuse pulmonary edema, moderate right pleural effusion.
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unchanged small left apical pneumothorax.
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no acute cardiopulmonary process.
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trace right greater than left pleural effusions. otherwise unremarkable study.
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lung volumes remain low. there is increasing consolidation in the retrocardiac region which is likely associated with a layering effusion. although these findings could represent compressive atelectasis of the left lower low, pneumonia or aspiration should also be considered in the correct clinical setting. patchy opacity at the right base is stable favoring atelectasis. no pulmonary edema or pneumothorax. overall cardiac and mediastinal contours are unchanged.
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no evidence of acute cardiopulmonary process. these findings were communicated to dr. <unk> by telephone at <time> on <unk> by dr. <unk>.
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no acute cardiopulmonary abnormality.
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no significant interval change.
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no pneumothorax.
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bilateral upper lobe opacities are stable are most consistent with scarring, better characterized on prior ct examinations on <unk> and <unk>. left lower lobe opacity is minimally improved from the prior radiographs on <unk> and likely represents a combination of scarring and improving infection in that area. given the patient's multifocal areas of scarring and opacity, acute infection is difficult to exclude on radiography. given that, no definite new focal consolidation is identified.
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<num>. new rounded opacities in the left perihilar region and in the right upper lobe in this patient with history of substance abuse raise concern for pulmonary infectious emboli. the differential includes other causes of pulmonary nodules. further assessment with ct is recommended. <num>. unchanged bibasilar opacities from <unk> raise concern for chronic infectious pneumonia, likely from an atypical organism in this immunocompromised patient. chrnoci aspiration or an inflammatory process might also account for this appearance.
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stable, moderate cardiomegaly. no evidence of acute cardiopulmonary process.
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findings suggesting pulmonary edema with bilateral pleural effusions, including a moderate to large suspected effusion on the right side; no significant change, however.
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normal chest radiograph.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process
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no acute cardiopulmonary abnormality.
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new tiny pleural effusions with persistent mild interstitial edema.
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no signs of pneumonia.
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improved lung ventilation for resolution of bilateral pulmonary edema, moderate cardiomegaly.
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<num>. et tube ends <num> cm above the carina, and could be withdrawn a few cm for optimal positioning. <num>. moderate pulmonary edema. right upper lobe paramediastinal consolidation, which may represent acute infection or asymmetric edema.
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increased size of moderate left and small right pleural effusions with associated left basilar atelectasis. no pulmonary edema.
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single cardiac pacer lead terminating in the right ventricle. no pneumothorax.
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normal chest.
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pulmonary hyperinflation suggestive of copd. no pulmonary edema. no pneumonia. .
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streaky left basilar opacity potentially due to atelectasis in setting of low lung volumes, however pneumonia cannot be excluded. repeat exam with better inspiratory effort can be attempted if desired.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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unchanged linear bibasilar opacities most consistent with atelectasis. no definite pneumonia.
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extensive bilateral airspace opacities stable on the left and worse in the right upper lobe.
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no acute cardiopulmonary process. no evidence of pulmonary metastatic disease, however ct is more sensitive for the detection of small pulmonary nodules.
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<num>. small pneumothorax at the left lung apex. <num>. possible left posterior loculated effusion. if clinically indicated, ct can be obtained for further characterization.
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no evidence of acute cardiopulmonary process.
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<num>. left basal opacity concerning for aspiration versus pneumonia. <num>. hilar congestion.