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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/p16751019/s52369900/c0fd233a-65c47fe4-7541bf9d-1b02e03f-bb9eb7dc.jpg
interval enlargement of the moderate to large right-sided pleural effusion. pulmonary vascular congestion.
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no acute intrathoracic process.
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no acute findings.
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no acute osseous abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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residual right lower lobe airspace consolidation likely represents resolving pneumonia, substantially improved compared to <unk>. however, short interval follow-up is advised to exclude an underlying malignancy. recommendation(s): repeat chest radiograph in <num> weeks.
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small right pleural effusion with overlying atelectasis. right mid lung opacity appears slightly increased as compared to the prior study and may represent a combination of atelectasis and evolving consolidation.
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persistently low lung volumes. no acute cardiopulmonary abnormality.
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no change. no pneumothorax
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no acute intrathoracic process identified.
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likely decrease in right pleural effusion.
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no acute cardiopulmonary process.
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normal chest radiograph
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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right subclavian central line with its tip in the distal svc. tracheostomy tube remains in place. a feeding tube is seen coursing below the diaphragm with the tip not identified. there continues to be a diffuse bilateral airspace process with layering effusions which is not significantly changed. overall cardiac and mediastinal contours are stable. no obvious pneumothorax is appreciated, although the sensitivity to detect pneumothorax is diminished given semi-erect technique.
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small right and moderate-sized left pleural effusions, increased in the interval. compressive left basilar atelectasis.
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no evidence of pneumonia.
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no signs of pneumonia or other acute intrathoracic process.
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<num> x <num> cm rounded opacity in the left upper lobe concerning for neoplasm. enlargement of the left hilum is also worrisome for hilar lymphadenopathy. further assessment with chest ct with contrast is recommended.
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minimal atelectasis in the lung bases. otherwise, no radiographic evidence for pneumonia.
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low lung volumes with probable mild bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no evidence of pulmonary edema.
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no acute intrathoracic process.
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no evidence of acute disease.
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trace left pleural effusion. otherwise, no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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normal radiograph of the chest.
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no acute intrathoracic process.
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mild cardiomegaly is unchanged, but pulmonary edema has worsened, most pronounced in the right upper lobe. spiculated nodule seen in prior ct in the left lower lobe is not clearly visualized in this radiograph, attention in followup ct is recommend
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moderate fluid overload.
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somewhat high-riding gastric band which may indicate that the band is situated in a hiatal hernia; the orientation angle appears within normal limits. no evidence of acute cardiopulmonary disease or free air.
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opacity within the left lung which may be in the lingula is concerning for an area of infection. small left effusion.
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<num>. low lung volumes with no consolidation, pulmonary edema or pleural effusions. postsurgical changes project over the left hilum and left upper lobe.
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<num>. wide-appearing mediastinum for a <unk>-year-old, which may relate to technique or mediastinal pathology. no prior imaging to compare. recommend returning for a conventional (pa and lateral) radiograph view if symptoms persist or if history of trauma. <num>. no focal pneumonia. recommendation(s): if symptoms persist or if concern of trauma, return for repeat conventional radiograph to evaluate the mediastinum.
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cardiomegaly, congestion and mild interstitial edema. probable small perifissural fluid on the left.
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worsening opacification in the right lung base which may reflect increased atelectasis, but infection is not excluded. moderate size right pleural effusion also appears minimally increased from prior. grossly unchanged appearance of right hilar mass and multiple pleural-based metastases. no pneumothorax.
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mild cardiomegaly and possible minimal interstitial edema. low lung volumes, which likely accentuate the bronchovascular markings.
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no acute cardiopulmonary process. sclerosis and heterogeneous appearance of the left humeral head, incompletely characterized.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
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no evidence of acute disease.
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interval placement of a left pleural pigtail catheter in the costophrenic angle with decrease in the size of the pleural effusion and re-expansion of the left lung. there continue to be streaky opacities at the left base likely reflecting residual atelectasis. the right lung is grossly clear, although there is some prominence of the interstitium of uncertain significance. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax. nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach.
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stable, moderate cardiomegaly. mild emphysema without lobar consolidation.
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no acute cardiopulmonary process.
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enlarged cardiac silhouette with mild-to-moderate pulmonary vascular congestion and bibasilar opacities. bibasilar opacities could be due to a combination of pleural effusion and atelectasis, particularly on the left, however, underlying consolidation due to infection or aspiration not excluded.
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mild vascular congestion
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute change. however, given substantial underlying lung abnormalities it is difficult to completely exclude infection.
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new left lower lobe opacities with adjacent bronchial wall thickening are concerning for a developing pneumonia in this region.
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no evidence of acute cardiopulmonary process. no free air. hyperinflated lungs.
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cardiomegaly, which appears to have progressed since <unk>. new small bilateral pleural effusions.
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lingular pneumonia. recommendation(s): follow up radiographs after treatment are recommended to ensure resolution of this finding.
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no acute cardiopulmonary process.
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no pneumonia.
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<num>. interval decrease in left pleural effusion after thoracentesis with no evidence of pneumothorax. <num>. increased volume loss on the right with opacity silhouetting the right heart border consistent with collapse of right middle lobe with right sided effusion and right lower lobe atelectasis.
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interval decrease in lung volumes with worsening basal opacities and stable effusions.
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no acute cardiopulmonary abnormality.
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interval worsening of the diffuse pulmonary edema.
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<num>. hyperextending lungs with flattened diaphragms, compatible with copd. <num>. bibasilar opacities may represent atelectasis or aspiration with possible trace pleural effusions. <num>. tracheal stent is not characterized. further assessment with ct or review of outside ct exams would be helpful, if available.
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no acute findings in the chest.
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new tracheostomy tube is noted. no other notable interval change.
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normal chest radiograph.
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re- demonstration of somewhat nodular and tubular opacities in the right lung base, previously thought on prior ct chest reflective of infection and mucoid impaction.
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no acute findings. picc line appears well positioned.
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moderate cardiomegaly and pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of pneumoperitoneum.
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improved chf with associated decreased right pleural effusion since <unk>. a focal right lower lobe consolidation has also improved, and may reflect asymmetrical edema or a resolving infectious pneumonia considering the history of interval antibiotic therapy.
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ng tube tip terminates in the stomach. right picc terminates in the svc. left pleural effusion with likely left lower lobe atelectasis. no pneumothorax.
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no acute cardiopulmonary process.
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no pneumonia.
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no acute cardiopulmonary abnormality.
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superior lung apices may not be fully included on the image. otherwise, no evidence of acute intrathoracic process.
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no radiographic evidence for pneumonia. mild pulmonary vascular congestion, similar compared to the previous exam.
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no acute pulmonary process identified. no pneumothorax identified. no rib fracture detected on these lung technique films.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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<num>. limited study due to low lung volumes and patient body habitus demonstrates no evidence of acute cardiopulmonary process. however, a repeat radiograph would be helpful in further evaluation of the lower lobes. <num>. pulmonary arteries appear slightly prominent and raise suspicion for early heart failure. point <num> was discussed by dr. <unk> with dr. <unk> <unk> telephone at <time> am on <unk>.
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no acute cardiopulmonary process.
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<num>. new small left pneumothorax. <num>. right hydropneumothorax persists with now more fluid in the lateral basilar portion with air collecting at the apex. these findings were discussed with <unk> by dr. <unk> <unk> telephone at <time> a.m.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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complete resolution of large left pneumothorax. pigtail catheter coiled appropriately in the left pleural space.
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no acute cardiopulmonary process.
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no definite focal consolidation. if clinical concern is high, ct is more sensitive.
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mild pulmonary edema.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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improvement in left upper lobe consolidation. follow-up radiographs within eight weeks are recommended to show resolution.
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status post left pectoral pacemaker placement with leads appropriately positioned in the right atrium and right ventricle and no pneumothorax
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large hiatal hernia. no acute cardiopulmonary process.
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markedly low lung volumes. patchy and linear bibasilar opacities most likely reflect atelectasis.