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

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<num>. moderate right pleural effusion with underlying atelectasis or consolidation. recommend clinical correlation to exclude underlying pneumonia. <num>. mild pulmonary interstitial edema.
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dobbhoff tube with tip <num> cm beyond the ge junction. consider advancing approximately <num> cm to place all components in the stomach.
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no acute cardiopulmonary process. no displaced rib fracture. if clinical concern persists, dedicated rib series or ct are more sensitive.
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patchy left base opacity is seen, more conspicuous on <num> of the frontal views than the other, underlying infection or aspiration not excluded although findings may relate to atelectasis
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<num>. slight increase in heterogeneous right lower lung lobe opacity, in keeping with suspected aspiration pneumonitis versus infection. similar appearing opacities along the lateral aspect of the left lower lobe, possibly aspiration pneumonitis versus pneumonia. <num>. unchanged left retrocardiac atelectasis. <num>. high positioning of the endotracheal tube. recommend advancing by <num>-cm.
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no significant change compared to most recent study in bilateral parenchymal opacities. likely element of overlying mild pulmonary edema.
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no acute cardiopulmonary process.
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enteric tube courses below the diaphragm, the tip, however, is not visualized. recommend advancing for secure positioning. these findings were discussed with dr. <unk> by dr. <unk> via telephone on <unk> at <time> p.m., at time of discovery.
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<num>. low lung volumes, mild pulmonary edema. <num>. patchy opacities in the left lung may represent infection. recommend repeat radiograph in one day for further evaluation. <num>. possible small right pleural effusion.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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moderate cardiomegaly. otherwise, unremarkable.
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no acute cardiopulmonary process.
/mnt/data/chayan/MIMIC-CXR-JPG/2.0.0/files/p15466684/s51916495/1b504f4c-6092cee5-65986b52-c44d3c21-825843cc.jpg
no acute intrathoracic abnormality. persistent severe degenerative changes within visualized right shoulder joint.
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<num>. opacity in the left retrocardiac region compatible with pneumonia in the proper clinical setting. <num>. <num> mm nodule in the right upper lung not visualized on priors. follow-up after patient's acute present patient suggested to ensure resolution versus further evaluation with ct is recommended.
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large right lower lobe pneumonia, possibly cavitary. if there is reason to suspect bronchial obstruction, ct scanning should be obtained now. otherwise even if the patient's clinical condition continues to improve repeat chest radiograph should be obtained in <unk> weeks to document complete clearing and the absence of atelectasis or a discernible hilar mass.
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slight interval improvement in aeration of the left lung base with persistent residual patchy opacities at the lung bases which could reflect atelectasis. infection or aspiration is not completely excluded.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no signs of pneumonia.
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no significant interval change when compared to the prior study.
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no pneumonia.
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no acute intrathoracic process.
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left upper and left lower lobe consolidation compatible with pneumonia.
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mild left basilar atelectasis/scarring with no acute cardiac or pulmonary process identified.
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<num>. no acute cardiopulmonary abnormality. <num>. leftward deviation of the cervical trachea suggestive of right lobe thyroid enlargement. recommendation(s): possible right lobe thyroid enlargement can be further evaluated by clinical exam or ultrasound if clinically indicated.
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small persistent bilateral effusions. subtle left basilar opacity which could represent infection in the proper clinical setting.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no significant interval change with extensive subcutaneous emphysema and pneumomediastinum. no definite large pneumothorax or mediastinal shift with left chest tube in place.
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costophrenic angles partially obscured due to overlying soft tissue/ patient body habitus. given this, no acute cardiopulmonary process seen.
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no acute cardiopulmonary process.
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slight increase in small left and unchanged large right pleural effusions.
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no acute cardiopulmonary abnormality. no displaced fractures are visualized. if there is continued concern for rib fracture, consider a dedicated rib series.
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no evidence of acute disease.
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retrocardiac opacity adjacent to the left hemidiaphragm, better seen on lateral view. this could represent an early developing pneumonia in the appropriate clinical setting.
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top-normal cardiac silhouette size without pulmonary edema. no focal consolidation to suggest pneumonia.
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<num>. increased moderate right pleural effusion and <unk> right basilar atelectasis. <num>. mild cardiomegaly, not significantly changed.
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increased opacity at the right upper lung which could be related to increased venous pressures and increased right perihilar region and right lung base opacity. in the appropriate clinical setting, aspiration and early pneumonia should also be considered.
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no acute intrathoracic process.
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no change.
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increasing, large left pneumothorax with possible tension. this finding has been communicated by telephone with dr. <unk> at <time> a.m. on <unk> at the time of discovery.
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<num>. no definitive evidence of acute cardiopulmonary process. <num>. chronic, moderate cardiomegaly. <num>. small left greater than right bilateral pleural effusions. <num>. stable, bilateral pulmonary nodules and extensive chronic postoperative changes, as above.
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<num>. retrocardiac opacity that likely reflects atelectasis, although infection is not excluded. <num>. possible trace right-sided pleural effusion.
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no radiographic evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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acute fractures of the right eighth and nineth lateral ribs. no pneumothorax or acute cardiopulmonary process.
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no acute cardiopulmonary process. mild cardiomegaly.
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little interval change from before. probably mild pulmonary edema
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<num>. no acute cardiopulmonary process. <num>. no displaced rib fracture, however chest radiograph is not sensitive for the detection of subtle rib fracture. <num>. widening of the right ac joint measuring <num> mm, age-indeterminate. correlate with pain at this location evaluate for acute ac joint disruption. given well corticated osseous density inferior to the clavicle, this may be chronic.
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normal chest x-ray.
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no acute intrathoracic abnormality. probably copd
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no acute cardiopulmonary process.
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improving diffuse interstitial markings likely suggests resolving interstitial edema. diffuse infectious process is unlikely.
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no acute cardiopulmonary process.
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left lower lateral rib fractures which could be old however clinical correlation is suggested. otherwise, essentially unremarkable chest x-ray.
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endotracheal tube and enteric tubes appear to be in standard positions. exclusion of the left costophrenic angle. otherwise, no acute cardiopulmonary process.
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no signs of pneumonia or other acute intrathoracic process.
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no significant interval change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary findings.
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air-fluid level in necrotic left lower lobe mass related to lung cancer. presently no cardiac enlargement or pulmonary congestion and no evidence of secondary pulmonary deposits.
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no evidence of acute cardiopulmonary process.
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<num>. right pectoral pacemaker device is seen in unchanged position with leads projecting over the right atrium, right ventricle, and left ventricle. <num>. interval resolution of previously noted retrocardiac opacity from <unk>. <num>. stable cardiomegaly
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small left apical pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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termination point of left picc is still not identifiable. cross-sectional imaging would be the best option for definitively identifying the extent of the left picc. however, it terminates in at least the right atrium. findings were discussed by dr. <unk> with dr. <unk> by phone at <time> p.m. on <unk>.
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decreased size of right pleural effusion
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no acute cardiopulmonary process.
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obscuration of the left hemidiaphragm appears chronic and was also seen on the prior study from <unk>. dedicated pa and lateral views would be helpful for further evaluation, if patient able. otherwise, no acute cardiopulmonary process seen.
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no acute cardiopulmonary process.
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interval placement of a right internal jugular central venous catheter, the tip projecting over the right atrium. bibasilar atelectasis and small left pleural effusion.
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increased right and stable left pleural effusions. stable mild pulmonary edema. stable bibasilar subsegmental atelectasis. stable cardiomegaly.
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no acute cardiopulmonary process.
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no acute intrathoracic process. please refer to subsequent ct chest for further details.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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<num>. no acute cardiopulmonary process. <num>. stable hyperinflation, consistent with copd.
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interval development of parenchymal opacities in the left lung suspicious for pneumonia. followup suggested after treatment to document resolution.
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hyperexpanded lungs without acute process.
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haziness in the right infrahilar region could reflect pneumonia.
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no acute cardiopulmonary process.
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normal chest.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process
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<num>. endotracheal and enteric tubes in place. <num>. hyperdensity of the renal shadows bilaterally. assuming no recent ct scan has been performed in the past few hours, this persistent hyperdensity can be seen in the setting of acute tubular necrosis and correlation with serial creatinines is suggested.
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<num>. no pneumonia or effusion. <num>. right perihilar atelectasis. followup is recommended to document resolution as well as better evaluation of possibly obscured right lung lesions.
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clear lungs. no acute or chronic lung disease.
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no notable interval change. bilateral pleural effusions and mild pulmonary edema appear stable.
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new increased right basilar opacity could reflect atelectasis, however pneumonia cannot be excluded.
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as above.
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no evidence of pleural effusion.
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no acute cardiopulmonary process.
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mild cardiomegaly with no pulmonary edema
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persistent severe enlargement of the cardiac silhouette. moderate pulmonary vascular congestion. slight increase in opacity projecting over the right suprahilar region may relate to vascular structures underlying consolidation is not excluded. small right pleural effusion.
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<num>. endotracheal and enteric tubes in standard positions. <num>. minimal retrocardiac atelectasis. possible trace right pleural effusion.
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interval resolution of the previously visualized pulmonary edema. no radiographic evidence of acute cardiopulmonary disease.
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<num>. bilateral hilar and mediastinal adenopathy, most likely sarcoidosis. <num>. no acute cardiopulmonary process.