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

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no intrathoracic source of infection identified. clear lungs.
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no acute cardiopulmonary process.
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small heterogeneous area of opacity at the right lung base suggests early pneumonia in the setting of acute clinical symptoms. recommend follow-up chest radiograph in <unk> weeks following antibiotic therapy to evaluate for resolution. recommendation(s): follow-up chest radiograph in <unk> weeks.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild cardiomegaly and pulmonary vascular congestion, with mild pulmonary edema.
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no acute cardiopulmonary process.
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compared to the prior radiograph, interstitial edema is present, superimposed upon previous findings attributed to multifocal pneumonia with possible area of cavitation in the left mid lung. apparent slight increase in size of moderate right pleural effusion, and persistent small left pleural effusion.
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small left apical pneumothorax after removal of left chest tube.
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no acute intra thoracic process. no evidence of pneumothorax. no definite rib fractures identified on this non dedicated study. there is persisting clinical concern for rib fracture, consider dedicated rib views.
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intervally placed dobbhoff tube with tip just beyond the ge junction. cardiomegaly and mild edema persists.
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no pneumonia.
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no acute intrathoracic abnormalities identified.
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chronic elevation of left hemidiaphragm. no acute cardiopulmonary abnormality.
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no significant interval change.
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interval improvement in bilateral opacities compared with <unk>.
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dobbhoff tube tip is in the distal stomach.
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<num>. no acute cardiopulmonary abnormality. <num>. no overt traumatic findings. <num>. previously identified right apical spiculated nodule is not detected on radiography.
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no acute cardiopulmonary process.
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interval placement of nasogastric tube with tip coursing below the diaphragm and projecting over the stomach. endotracheal tube with tip approximately <num> cm above the carina. patchy opacities in the right upper and mid lung less apparent on the current study. interval appearance of patchy retrocardiac opacity which could reflect atelectasis or possibly pneumonia or aspiration. clinical correlation is advised. no evidence of pulmonary edema. overall cardiac and mediastinal contours are likely stable.
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nodular opacities, one projecting over each of the lung bases for which repeat exam is suggested to evaluate if they persist.
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relatively stable moderate right and small left pleural effusions. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>. small bilateral pleural effusions with overlying atelectasis, underlying consolidation difficult to exclude. <num>. pulmonary edema.
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mild pulmonary edema is similar to before. improved inspiration.
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resolved pulmonary edema. right basilar airspace opacity may be due to infection or aspiration. small partially loculated right pleural effusion.
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small, possibly loculated, right basilar pneumothorax after right chest tube insertion. significant interval decrease in the size of the right pleural effusion.
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interval worsening of the widespread opacities throughout the lungs, given the rapid progression, this likely can be recurrent and/or worsening edema in the setting of severe pulmonary fibrosis. .
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findings suggest extensive new loculated pleural effusion in the left hemithorax. if needed clinically, evaluation with chest ct, preferably with intravenous contrast if feasible, could be helpful to assess further.
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no significant interval change in right basilar pneumothorax since <unk>.
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feeding tube tip is in the proximal stomach.
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no evidence of pneumothorax or displaced rib fracture. if high clinical concern for rib fracture, dedicated rib series or ct is more sensitive.
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linear opacity in the lower lung zones bilateral most likely represents atelectasis, but in the correct clinical setting this could also represent pneumonia.
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no significant change.
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linear bibasilar opacities most suggestive of atelectasis in the setting of low lung volumes however infection not completely excluded. repeat with improved aeration could be considered.
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large bilateral layering pleural effusions with adjacent atelectasis, similar to prior. stable mild vascular congestion.
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no acute cardiopulmonary abnormality.
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bilateral lower lobe pneumonia with small right pleural effusion.
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no acute cardiothoracic process.
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hiatal hernia. bibasilar atelectasis. no significant interval change.
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bibasilar opacities are likely a combination of pleural effusion and atelectasis, however an underlying infectious process cannot be excluded.
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no acute cardiopulmonary process. no significant interval change.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no active disease.
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the ng tube appears in good position.
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<num>. ett terminating <num> cm above the carina. <num>. low lung volumes and bibasilar atelectasis.
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no evidence of pneumothorax.
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no acute cardiopulmonary process.
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findings concerning for lingular pneumonia.
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no acute cardiopulmonary process. free air below the diaphragms compatible with recent surgery.
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multifocal pulmonary opacities bilaterally predominantly involving the upper and lower lobes, worrisome for multifocal pneumonia. recommend followup to resolution.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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likely left base atelectasis. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. the previously seen atelectasis in the left mid lung has resolved. no pulmonary edema. overall cardiac and mediastinal contours are stable. no pneumothorax. apparent minimal blunting of both posterior costophrenic angles may reflect tiny effusions.
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no acute intrathoracic process.
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the findings suggest mild cardiac decompensation superimposed on patient's known lch. supervening infection, particularly at the right lung base cannot be excluded. recommend repeat radiograph after treatment.
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no acute cardiopulmonary process.
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right lower lobe pneumonia
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<num>. the endotracheal tube tip terminates <num> cm above the carina and should not be withdrawn any further. <num>. bilateral diffuse pulmonary opacity may be due to severe pulmonary edema or hemorrhage, in the correct setting. retrocardiac opacification may also be due to a component of underlying atelectasis.
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no evidence of acute disease.
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sizable left-sided pleural effusion. left lower lung tissue concealed. if course of pleural effusion has not been determined, evaluation of lung by ct is recommended.
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no acute cardiopulmonary abnormality.
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possible right lower lung pneumonia.
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og tube terminates in the stomach. stable pulmonary edema with bilateral pleural effusions.
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intact right -sided port-a-cath with tip terminating in the lower svc, unchanged. no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no evidence of pneumothorax.
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no pneumothorax identified. unchanged left upper lobe masslike opacity.
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moderate pulmonary edema, mildly improved. pleural effusions are unchanged.
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mild central and diffuse interstitial prominence, potentially due to bronchovascular crowding in the setting of low lungs volumes. trace right pleural effusion. no focal consolidation.
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<num>. large left pneumothorax causes rightward shift of the mediastinum concerning for tension. <num>. small pneumomediastinum.
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no pneumothorax. normal chest radiograph. the findings were discussed with <unk>, m.d. by <unk>, m.d. on the telephone on <unk> at <time> am, <num> minutes after discovery of the findings.
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mild pulmonary vascular congestion, as seen previously. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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no significant change
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no definite acute intrathoracic abnormality.
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no change. no infiltrate
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lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits. no acute bony abnormality.
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no acute cardiopulmonary process.
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large thyroid goiter with rightward deviation of the trachea. low lung volumes with cardiomegaly, small bilateral pleural effusions, mild pulmonary vascular congestion. bibasilar airspace opacities could reflect atelectasis or infection.
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no acute cardiopulmonary abnormality.
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no acute pulmonary process. likely small hiatal hernia.
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<num>. moderate pulmonary edema significantly improved compared to prior. <num>. bilateral pleural effusion, more on the left.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease. moderate degenerative change along the lower thoracic spine.
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there is suggestion of early interstitial edema. otherwise, post-surgical changes appear stable.
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no acute cardiopulmonary process.
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small right-sided pneumothorax, best appreciated on the lateral view and at the right lung base.
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right chest tube in place with no evidence of pneumothorax. small bilateral pleural effusions.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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top-normal to mildly enlarged cardiac silhouette. no focal consolidation or pulmonary edema.
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<num>. mild bibasilar atelectasis, worse on the left. a small underlying consolidation cannot be entirely excluded. <num>. central pulmonary vascular congestion, without overt edema. top-normal heart size.
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no evidence of pneumonia.
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no focal consolidation. possible small bilateral effusions. multiple air-fluid levels in the visualized bowel.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary process.