anandsorg/cxr · Datasets at Hugging Face

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0	s50260386	A tip of a left Port-A-Cath lies in the low superior vena cava. Indistinct nodular opacities in the left lung base are consistent with known metastatic disease and better demonstrated on the prior CT. There is bilateral pleural thickening and small pleural effusions that appear relatively unchanged in size since ___. The cardiac and mediastinal contours are normal. The upper bowel gas pattern is unremarkable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50260386.jpg
1	s58019009	AP chest compared to ___, 9:04 a.m.: In place of right lower lobe atelectasis, is now new basal consolidation suggesting pneumonia may be developing where previously there was bronchial obstruction due to aspiration. Heart size normal. Lungs otherwise clear. No pleural abnormality. ET tube in standard placement. Nasogastric tube ends in the stomach. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58019009.jpg
2	s54123565	AP chest compared to ___, read in conjunction with chest CT ___: There is no right pneumothorax or appreciable residual right pleural effusion. There is irregular pleural thickening conforming to the presumed tumor implants seen on the chest CT. Left lung is clear and there is no pleural abnormality on that side. Heart size normal.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54123565.jpg
3	s51811896	A tracheostomy cannula is located within the upper trachea above the level of the clavicles. There is no pneumothorax. Interval removal of the Dobbhoff feeding tube and right internal jugular catheter is noted. There is unchanged mild pulmonary vascular congestion, though no large effusions. Cardiomediastinal and hilar contours are enlarged but appear unchanged from prior.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51811896.jpg
4	s59641633	Bilateral previous mentioned reticular opacities are noted with mild improvement. Severe colonic ileus is unchanged. On this portable film, there is no appreciable pleural effusion. Cardiomediastinal silhouette is unchanged as compared to radiograph dated ___.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59641633.jpg
5	s54057351	Stable mild pulmonary vascular congestion. Slight improvement in retrocardiac opacity.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54057351.jpg
6	s53028287	The ET tube, NG tube, and left chest tube are unchanged. There is a mildly displaced left lateral rib fracture as visualized on the prior study. There are bilateral lower lobe opacities that have worsened compared to prior studies compatible with volume loss/infiltrate/effusion left greater than right. There is an unusual area of lucency adjacent to the right hilum extending superiorly on the right that could represent some mediastinal air. The left posterior rib fractures are better visualized on the reference CT.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53028287.jpg
7	s51844541	The endotracheal tube ends 2.5 cm above the carina. The nasogastric tube enters the stomach. There are diffuse nodular parenchymal opacities. For example in the right upper lung there is a 1.5 cm nodule. The lung volumes and mild pulmonary vascular congestion have improved compared to the prior chest radiograph performed 1.5 hours prior. The cardiac contours are obscured by the dense parenchymal opacities but the heart size is likely normal. No pneumothorax. Cervical hardware is noted.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51844541.jpg
8	s50939248	Heart size borderline enlarged. Normal pulmonary vasculature. Lungs clear. No pleural abnormality.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50939248.jpg
9	s55777915	NG tube has been repositioned and is now in the stomach. The lungs are otherwise unremarkable. There is no pneumothorax or pleural effusion. Left subclavian line ends in distal brachiocephalic vein.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55777915.jpg
10	s55568082	Portable frontal view of the chest. A right internal jugular Cordis catheter tip terminates near the junction of the internal jugular and brachiocephalic veins. The trachea appears slightly deviated to the left, an appreciable difference from the prior portable radiograph of ___. Inspection should be made for superficial evidence of a hematoma at the catheter entry site and/or a follow up radiograph could be obtained. No pleural effusion, pneumothorax or focal airspace consolidation. Normal heart size, mediastinal and hilar structures. These findings were discussed with Dr. ___ by Dr. ___ at 08:06 AM on ___ by telephone at the time of discovery.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55568082.jpg
11	s59160177	In comparison with the study of ___, the endotracheal tube has been removed. Little change in the hazy opacification at the left base consistent with layering effusion and volume loss. On the right, there is increased opacification at the base with poor definition of the hemidiaphragm, consistent with pleural fluid and atelectasis on this side as well. In the appropriate clinical setting, superimposed aspiration would have to be seriously considered.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59160177.jpg
12	s51636502	The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Median sternotomy wires again noted.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51636502.jpg
13	s52559357	NG tube terminates with the side port at the gastroesophageal junction. The imaged portion of the lungs appear clear. Heart size is normal. There is gaseous distention of bowel but no overt dilatation. Surgical clips overlie the left and right upper quadrants and cutaneous ___ overlie the midline.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52559357.jpg
14	s52700004	AP chest radiograph. There is slight worsening opacification in the right mid lung consistent with pneumonia in the background setting of known multifocal bronchioalveolar carcinoma. The cardiomediastinal silhouette is stable. There is no pulmonary vascular engorgement, large pleural effusion, or pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52700004.jpg
15	s56586347	Severe enlargement of the cardiac silhouette is unchanged. Swan-Ganz catheter tip is in the left pulmonary artery. Pacer leads are in standard position. Right PICC tip is in the lower SVC. There is no pneumothorax. There is mild vascular congestion. Small right effusion is a stable	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56586347.jpg
16	s57494915	Portable AP radiograph of the chest was reviewed in comparison to ___. Pacemaker leads terminate in the expected location projecting over the right atrium, right ventricle, and left ventricle epicardial vein. The cardiomegaly is unchanged. Mediastinum is stable. No appreciable pneumothorax is seen.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57494915.jpg
17	s53404015	The lungs are well-expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53404015.jpg
18	s55900811	Single frontal view of the chest was obtained. The lungs are hyperinflated. Retrocardiac left base scarring/atelectasis is seen. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinal contours are unremarkable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55900811.jpg
19	s58274665	In comparison with the study of ___, the endotracheal and nasogastric tubes have been removed. Swan-Ganz catheter is been pulled back so that the tip is within the right atrium. Following chest tube removal, there may again be a small apical pneumothorax on the left. There are lower lung volumes that accentuate the transverse diameter of the heart. Some indistinctness of pulmonary vessels suggests mild elevation of pulmonary venous pressure.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58274665.jpg
20	s56690635	As compared to the previous radiograph, there is a decrease in extent of the pulmonary edema. However, the edema still is extensive. Decreased size of the cardiac silhouette. No overt pleural effusions. No areas of pathologic parenchymal consolidations.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56690635.jpg
21	s59189997	Compared to prior chest radiographs ___ through ___. There is no clear evidence of aspiration or pneumonia. Heart size is normal but along with mediastinal venous caliber, increased since ___. Pleural effusions are small if any. No pneumothorax. Left PIC line ends in the left brachiocephalic vein. Tracheostomy tube midline. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59189997.jpg
22	s50311629	Moderate right and small left pleural effusions are new and/or increased. Heart size is top-normal. Severe consolidation in the lower lungs unchanged. Heart size normal. No pneumothorax. ET tube, left subclavian line, and nasogastric tube are all in standard placements respectively	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50311629.jpg
23	s51765201	AP chest compared to ___: Large areas of opacification in the chest on ___ were due to loculated pleural effusions primarily. Both the layering and loculated components of pleural effusion in the right hemithorax have increased, although I see no radiopaque catheter on that side. The Pleurx catheter sits on the diaphragmatic surface, and the small volumes of pleural fluid dependent and fissural are unchanged. As far as one can tell, the lungs are clear but that assessment is difficult given the pleural findings. At least a lateral view would be required. Atelectasis is present at both lung bases but does not appear to be particularly severe. The heart is normal size. There is no pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51765201.jpg
24	s51495454	The tip of the nasogastric tube is not optimally seen and does not appear to extend below the GE junction. There may be a loop within the distal portion of the catheter with it being redundant within the distal esophagus. Would recommend repeat images for further evaluation. There is a left dual-lead pacemaker which is stable. Aortoiliac stent material is seen within the upper abdomen. Heart size is enlarged but stable. There is tortuosity of thoracic aorta. There is no focal consolidation, pleural effusions, or signs for overt pulmonary edema.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51495454.jpg
25	s54439656	Tracheostomy tube remains in unchanged position. Cardiac, mediastinal and hilar contours appear similar. Reduced lung volumes are re- demonstrated. Diffuse interstitial opacities are compatible with a chronic interstitial lung disease, not substantially changed from prior. Interval development of more focal patchy opacities in the lung bases compared to the recent radiograph may reflect superimposed infection or aspiration. There may be superimposed mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Mildly distended air-filled loops of bowel are seen within the imaged upper abdomen.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54439656.jpg
26	s50819693	Stable cardiomegaly and enlargement of central pulmonary vasculature accompanied by pulmonary vascular congestion and worsening perihilar edema as well as a new right pleural effusion. Persistent small left pleural effusion and bilateral lower lobe atelectasis. Coexisting pneumonia is possible given clinical history of this diagnosis.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50819693.jpg
27	s58964060	Moderate bilateral pleural effusion, right greater than left, has improved. Upper lungs grossly clear. There is probably a component of atelectasis, particular in the left lower lobe but that has improved as well. Cardiac silhouette is obscured, but probably not enlarged. ET tube and right internal jugular line are in standard placements. Esophageal drainage tube passes into the stomach and out of view. There is no pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58964060.jpg
28	s53304036	As compared to ___ radiograph, pulmonary edema has resolved. No definite new areas of consolidation to suggest a source of infection, but standard PA and lateral chest radiographs would provide more complete evaluation of the lung bases and may be considered if clinical suspicion for pneumonia persists.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53304036.jpg
29	s53160992	Comparison is made to previous study from ___. There has been removal of the Swan-Ganz catheter. There remains a right IJ Cordis with the distal lead tip in the proximal SVC. Median sternotomy wires are seen. There has been removal of the right-sided chest tube at the base. There remains a left-sided chest tube at the base. There is cardiomegaly. There is a right-sided pleural effusion and right basilar opacity, stable. There is elevation of the left hemidiaphragm partially due to a large gastric air bubble. This causes crowding of the pulmonary vascular markings at the left base causing atelectasis. There remains a mild pulmonary edema, stable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53160992.jpg
30	s54119786	There is a new biventricular AICD with leads in the right atrium, right ventricle and in a left coronary vein. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. There is small amount of bibasilar atelectasis with mild increased prominence of pulmonary vasculature which suggests possible mild vascular congestion. There is no definite focal consolidation.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54119786.jpg
31	s58541805	Compared to chest radiographs, ___ through ___. Mild pulmonary edema, moderate cardiomegaly, mediastinal venous and bilateral hilar engorgement are unchanged. Hematoma related to right upper chest wall surgery unchanged. No pneumothorax. Unremarkable postoperative mediastinal silhouette, also on change.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58541805.jpg
32	s53639754	Single frontal view of the chest was obtained. The patient is status post median sternotomy and CABG. A left-sided pacer device is grossly stable in position. The cardiac silhouette remains enlarged. The mediastinal contours are stable. There is hazy right basilar opacity, likely combination of pleural effusion and atelectasis. Left lung is clear aside from the region obscured by the left pacer battery pack. No overt pulmonary edema is seen.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53639754.jpg
33	s51192712	In comparison with the study of ___, there is little overall change. Monitoring and support devices remain intact. Continued enlargement of the cardiac silhouette without definite pulmonary vascular congestion. Again there is opacification in the retrocardiac region obscuring the hemidiaphragm and consistent with volume loss in the left lower lobe and probable small effusion.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51192712.jpg
34	s59311809	The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are unremarkable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59311809.jpg
35	s59868886	Cardiac enlargement. Port-A-Cath in place. Improved right basilar consolidation, decreased right pleural effusion since prior. No pneumothorax. Prominent right chest wall skin fold. Left lung basilar atelectasis is stable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59868886.jpg
36	s56053073	Since the prior radiograph, there has been interval placement of a right-sided PICC line that terminates in the proximal SVC. There are no focal consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56053073.jpg
37	s52588233	The cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Remote right ___ posterior rib fracture is re- demonstrated.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52588233.jpg
38	s51704799	Lung volumes are within normal limits. Even allowing for the projection, the heart is mildly enlarged and there is mild prominence of the pulmonary vasculature, particular in the upper lobes consistent with mild pulmonary vascular congestion. No frank pulmonary edema seen. No consolidation or pneumothorax seen. No pleural effusion seen. There is a relatively acute scoliotic curve convex the right centered at the thorax lumbar junction, there may be a compression deformity at this level, this is incompletely evaluated on this AP view only. Degenerative changes in the left shoulder.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51704799.jpg
39	s54016078	Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54016078.jpg
40	s53702319	Allowing for differences in technique and projection, there has not been an appreciable change in the appearance of the chest since recent radiograph of 1 day earlier.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53702319.jpg
41	s56772283	In comparison with the study of ___, there again are low lung volumes that increase the prominence of the transverse diameter of the heart. No pulmonary vascular congestion. Elevation of the right hemidiaphragm is chronic. There is some increased opacification at the left base that could merely reflect atelectasis. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56772283.jpg
42	s57264706	Left PICC line is at the cavoatrial junction level. Heart size and mediastinum are stable. Bilateral pleural effusions are large and appear to be increased since the prior study as well as perihilar opacities concerning for progression of pulmonary edema The patient was extubated in the meantime interval was removal of the NG tube.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57264706.jpg
43	s52357013	Portable semi erect chest radiograph demonstrates low lung volumes with subsequent bronchovascular crowding and atelectasis. There is bibasilar atelectasis with no definite focal consolidation identified. Enlargement of the central vessels with mild vascular congestion is identified. No overt pulmonary edema. Heart size is top-normal. There is a enteric tube which descends in an uncomplicated course its terminal end out of view. A right central line is seen with its tip terminating in the low superior vena cava. There is no appreciable pleural effusion or pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52357013.jpg
44	s54555919	As compared ___ radiograph, pulmonary edema has worsened and is now moderate in severity with bilateral small pleural effusions, right greater than left. Endotracheal tube has been advanced, with tip at the level of the carina directed towards the right main bronchus.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54555919.jpg
45	s56948422	As compared to the previous radiograph, the monitoring and support devices, including the bilateral chest tubes, are in unchanged position. Currently, the right lung is almost completely re-expanded, with only a minimal millimetric right apical pneumothorax persisting. Substantial improvement of the pre-existing right basal areas of atelectasis. No new parenchymal opacities. Unchanged normal size of the cardiac silhouette. No pleural effusions.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56948422.jpg
46	s57285767	The course of the left pigtail pleural drainage catheter has changed since ___. The volume of the large multiloculated left pleural effusion is unchanged. Left lower lobe is collapsed. Moderate to severe atelectasis in the right lower lobe has worsened. Cardiac silhouette is largely obscured. There is no pulmonary edema.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57285767.jpg
47	s50298121	ET tube tip is high, 8.6 cm above the carinal and should be advanced 2 cm. Left lower lobe atelectasis and pleural effusion have developed in the interim. Mild vascular congestion is present but overall improved since the previous study Pigtail catheter has been removed on the right with no interval increase in pleural effusion or development of pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50298121.jpg
48	s56725589	Portable AP upright chest radiograph was provided. A right IJ central venous catheter is seen with its tip in the low SVC approaching the expected location of the cavoatrial junction. Prominence of right pulmonary hilar structures appear stable secondary to right anterior diaphragmatic eventration. Clips are again noted at the at the gastric level. The lungs are clear bilaterally. The cardiomediastinal silhouette appears grossly unremarkable. No large effusion or pneumothorax. Bony structures are intact.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56725589.jpg
49	s54079722	As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the endotracheal tube, are in unchanged position. The pre-existing relatively extensive bilateral basal parenchymal opacities, right slightly more than left, are overall unchanged in extent and severity. No parenchymal opacities have newly occurred. The presence of a minimal left pleural effusion cannot be excluded. No right-sided pleural effusion. Unchanged borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54079722.jpg
50	s55971951	A left central venous catheter terminates at the mid SVC. Remaining lung findings are unchanged. Gastric bubble has increased in size.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55971951.jpg
51	s54225487	In comparison with the study ___, the streaks of atelectasis at the left base with improved. Atelectatic changes at the right base are essentially unchanged. The left subclavian catheter again extends to about the level of the cavoatrial junction.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54225487.jpg
52	s52591337	Compared to chest radiographs ___. Patient has been extubated, and previous pulmonary edema has resolved. Severe cardiomegaly is chronic. There is no pneumonia or pleural effusion.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52591337.jpg
53	s55441026	COMPARED TO PRIOR CHEST RADIOGRAPHS ___ THROUGH ___. Postoperative widening of the cardiomediastinal silhouette, expected following esophagectomy and gastric pull-up is unchanged. Mild pulmonary edema has improved since ___ as has previous moderate atelectasis at the base the left lung. Small pleural effusions are unchanged, and very small right apical pneumothorax are unchanged. Rest right thoracostomy tube, midline drain, and transesophageal drainage tube are unchanged in their standard positions. Heart size normal.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55441026.jpg
54	s58108841	AP chest compared to ___ Small left pleural effusion is new. Lungs are grossly clear. Mediastinal and pulmonary vascular engorgement are longstanding, as is severe cardiomegaly with particular left atrial enlargement. No good evidence of pneumonia.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58108841.jpg
55	s55051140	Right-sided pacer wire is again seen from a right internal jugular approach, terminating by coiling in the region of the right ventricle. The appearance is similar to the prior study. The patient is status post median sternotomy and CABG. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion or evidence of pneumothorax. Again, prominence of the hila may suggest pulmonary vascular engorgement without overt pulmonary edema.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55051140.jpg
56	s54362850	Feeding tube with the wire stylet in place ends in the mid stomach, bypassing an esophageal probe which ends just beyond the gastroesophageal junction. Right subclavian line ends at the estimated location of the superior cavoatrial junction. ET tube in standard position. Severe cardiomegaly worsened between ___ and ___ and has not improved. Combination of moderate right pleural effusion and severe right basal atelectasis is also stable since ___ but new since ___. Left lower lobe atelectasis has varied in severity, stable since ___. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54362850.jpg
57	s55121187	In comparison with the study of ___, there is little change in the bilateral layering pleural effusions with basilar compressive atelectasis, more prominent on the right. Some element of increased pulmonary venous pressure persists. Right subclavian catheter tip again extends to the lower portion of the superior vena cava. Fixation devices are seen in the lower cervical and upper thoracic spine.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55121187.jpg
58	s50361241	In comparison with the study of ___, postsurgical changes in the right hemithorax are stable with no definite pneumothorax. Esophagogastric pull-through it is stable. The degree of pneumoperitoneum has decreased. Left hemidiaphragm remains obscured with retrocardiac opacification, consistent with pleural fluid and substantial volume loss in the left lower lobe.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50361241.jpg
59	s59237857	In comparison with the study of ___, the Dobbhoff tube now extends at least to the second portion of the duodenum. There is increasing opacification at the left base, consistent with worsening pleural effusion and volume loss in the left lower lobe. The possibility of superimposed pneumonia would have to be considered in the appropriate clinical setting. The right lung is essentially clear and there is no evidence of pulmonary edema.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59237857.jpg
60	s54436727	1. Right subclavian PICC line and right internal jugular central line both have their tips in the distal SVC, unchanged. There are streaky bibasilar opacities, which are essentially unchanged and likely reflect atelectasis or post-inflammatory scarring. No pleural effusions, pneumothorax, or pulmonary edema. Lung volumes remain low. Overall cardiac and contours are stable. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54436727.jpg
61	s54595926	The tip of the Dobbhoff tube lies in the lower stomach. Little change in the appearance of the heart and lungs, which are not well evaluated on this study.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54595926.jpg
62	s51748703	As compared to the previous radiograph, the patient was intubated. The tip of the endotracheal tube projects approximately 6 cm above the carinal. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices are in constant position. There is an increase in right and left lung volume. However, the atelectasis at the left lung base persists. No other changes.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51748703.jpg
63	s54583800	As compared to ___, the bilateral parenchymal opacities are unchanged in severity and extent. Constant borderline size of the cardiac silhouette. No new parenchymal opacities. The monitoring and support devices are in unchanged correct position.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54583800.jpg
64	s50691486	Semi-upright portable chest radiograph shows no change in positioning of endotracheal tube or right-sided central venous catheter tip. The left hemidiaphragm remains obscured and left lower lobe and perihilar consolidation as well as patchy opacity in the right upper lobe likewise appear radiographically unchanged compared to yesterday's study at 12:44 p.m.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50691486.jpg
65	s52765650	Right-sided PICC terminates at the origin of the SVC. Unchanged cardiomediastinal and hilar contours. Stable, low lung volumes bilaterally. Stable, moderate bibasilar atelectasis. Interval decrease in size of moderate, left pleural effusion. Slight interval improvement in mild pulmonary edema. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52765650.jpg
66	s52523257	Patient has had median sternotomy. Moderate to severe cardiomegaly is long-standing. Pleural effusion minimal if any. Pulmonary vascular congestion is mild and there is no longer any pulmonary edema or focal pulmonary abnormality.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52523257.jpg
67	s54767983	As compared to the previous image, the patient has been extubated and the left chest tube has been removed. Moderate gastric overinflation. Borderline size of the cardiac silhouette without pulmonary edema. Minimal bilateral pleural effusions. No pneumothorax. Left pectoral pacemaker and leads in unchanged position.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54767983.jpg
68	s56110046	AP radiograph of the chest was reviewed in comparison to ___. The left apical pneumothorax appears to be decreased in the interim. The pigtail catheter is in place. Basal aspect of the pneumothorax is smaller as well. There is interval improvement in overall aeration of the right lung. No appreciable pleural effusion is demonstrated.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56110046.jpg
69	s55077042	The cardiac, mediastinal and hilar contours appear stable. There are no pleural effusions or pneumothorax. A previously noted interstitial abnormality is not as well depicted on portable technique. No focal opacity is identified.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55077042.jpg
70	s50760821	Multifocal diffuse consolidations larger in the left lower lobe are unchanged. Patient is very rotated. Cardiomediastinal contours are grossly unchanged. Right PICC tip is in the lower SVC. There is no evident pneumothorax or enlarging effusions. Radiolucency projecting in the lower lateral left hemi thorax is most likely artifactual and outside the patient	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50760821.jpg
71	s52968360	AP chest compared to ___: The current feeding tube ends in the upper stomach. Previously, there was a feeding tube ending in the proximal duodenum. Left hemidiaphragm is chronically elevated, presumably due in part to severe splenomegaly. Multiple lung nodules and areas of peribronchial infiltration in right lung greater than left is worse today than it was on ___. Heart is mildly enlarged, unchanged. No pneumothorax.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52968360.jpg
72	s56242351	No previous images. The heart is normal in size, and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. Apical pleural thickening bilaterally and possible calcified right hilar node is consistent with old granulomatous disease.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56242351.jpg
73	s53453372	As compared to the previous radiograph, the patient remains intubated. The endotracheal tube is in unchanged location. The right external pacemaker as well as the feeding tube are also unchanged. Unchanged position of the aortic valve replacement. The pre-existing perihilar opacities have completely resolved. Currently the patient shows no evidence of pulmonary edema or larger pleural effusions. Minimal retrocardiac atelectasis.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53453372.jpg
74	s52185475	There is a left chest tube, which appears unchanged in comparison to the prior chest radiograph. There is a small residual left apical pneumothorax, which is also unchanged. There is bibasilar atelectasis with increasing density in the left midlung. There is a moderate left pleural effusion. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. There are no acute osseous abnormalities.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52185475.jpg
75	s51131917	Portable frontal radiograph of the chest demonstrates a Dobbhoff tube in the mid esophagus. The left internal jugular central venous catheter is in unchanged position. Lung volumes are slightly improved with persistent bibasilar atelectasis. Pulmonary vascular congestion is noted.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51131917.jpg
76	s50189215	Tip of endotracheal tube terminates at the carina, directed towards the origin of the right main bronchus, as communicated by telephone to Dr. ___ at 9:45 a.m. on ___ at the time of discovery. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Asymmetrical right hilar enlargement is a persistent finding since ___, but has apparently increased when compared to older chest radiographs from ___ and although low lung volumes on a current study limit comparison. Lungs are clear except for linear bibasilar atelectasis. As recommended on chest ___ of ___, further evaluation with contrast-enhanced CT is suggested to better evaluate the right hilum if warranted clinically. This finding is also discussed with Dr. ___ as documented above.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50189215.jpg
77	s50212055	As compared to recent radiograph of 1 day earlier, right-sided chest tube and pleural pigtail catheter remain in place with persistent loculated right pleural effusion and hydropneumothorax. Overall appearance of the chest is similar to the prior study except for worsening interstitial edema.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50212055.jpg
78	s50701590	Comparison ___. The overall lung volumes have decreased. Moderate cardiomegaly persists. Mild atelectasis at the level of the right hilus. Status post axillary surgery. No new focal parenchymal opacities. No pleural effusions. The tracheostomy tube and the right internal jugular vein catheter in constant position.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50701590.jpg
79	s58758928	In comparison with the earlier study of this date, there has been placement of a left chest tube following vats decortication. There is still extensive opacification in the left hemithorax, though some aerated lung is seen. Again there is some shift of the mediastinum to the right. At the right base, there is now a dense streak of atelectasis and blunting of the costophrenic angle that could reflect a small effusion.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58758928.jpg
80	s57395073	As compared to the previous image, no relevant change is seen. Mild increase in extent and severity of the right pleural effusion. Otherwise unchanged appearance of the heart, the lung parenchyma and the monitoring and support devices.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57395073.jpg
81	s55423713	In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure. Increased opacification at the right base is consistent with volume loss in the lower lobe and pleural effusion. The nasogastric tube can only be followed to the lower esophagus, where it is obscured by the density of the abdomen. Further evaluation would require a repeat study using abdominal technique and centered at the carina.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55423713.jpg
82	s52569630	The patient is status post median sternotomy. Right-sided Port-A-Cath has been placed in the interval, with catheter terminating in the low SVC. There has been interval increase in moderate-to-large left pleural effusion with superimposed atelectasis, underlying consolidation is difficult to exclude. The right lung is clear. Cardiac and mediastinal silhouettes are stable.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52569630.jpg
83	s53040336	The endotracheal tube ends 6 cm above the carina. A nasogastric tube enters the stomach and ends off of the radiograph. A new right internal jugular line ends at the cavoatrial junction. Right perihilar opacification represents perihilar ground-glass opacities, better seen on the prior CT torso examination. There is no pleural effusion or pneumothorax. The heart size is normal.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53040336.jpg
84	s50798994	As compared to the previous radiograph, no relevant change is seen. Borderline size of the cardiac silhouette. Mild elongation of the descending aorta. No pneumonia, no pulmonary edema. No pleural effusions. The pre-existing 8 mm pulmonary nodule in the left lung is constant in appearance. No new nodules. The nodule has been stable overall several examinations but workup by CT could nevertheless be performed on a non emergent basis.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50798994.jpg
85	s59311983	The right PICC line shows a coiling at the level of the superior vena cava, but the tip projects over the upper to mid SVC. No complications, notably no pneumothorax. No other relevant changes since the previous radiograph.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59311983.jpg
86	s51738503	The patient is status post median sternotomy with multiple intact appearing sternal wires. A tracheostomy is off midline to the right and small relative the diameter of the trachea. There is bibasilar opacification with hazy opacification extending to the mid lung zones right greater than the left is compatible with layering pleural effusions and bibasilar atelectasis. Concurrent pneumonia is not excluded in the appropriate clinical context. There is mild pulmonary vascular and mediastinal venous congestion. The cardiac silhouette is partially obscured but appears enlarged. A partially imaged drainage catheter is noted in the right upper quadrant.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51738503.jpg
87	s58567256	There is a moderate-to-large left pleural effusion has increased since the previous exam. Again seen is a small right pleural effusion. There is new parenchymal opacity within the left upper lung zones concerning for pneumonia. Hazy opacity at the right lung base may represent layering pleural fluid however infection cannot be entirely excluded. The cardio mediastinal silhouette is unchanged. The aorta is tortuous.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58567256.jpg
88	s57048336	As compared to the previous radiograph, the lung volumes have slightly decreased. As a result, areas of mild atelectasis are seen at both lung bases. No pleural effusions. No pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57048336.jpg
89	s56270861	Semi-upright portable radiograph of the chest. The newly placed endotracheal tube terminates in the midtrachea, 4.9 cm above the carina. The orogastric tube courses through the esophagus and inferiorly out of the field of view into the stomach. A right central venous catheter terminates in the mid superior vena cava. The lung volumes are low and there is pulmonary vascular congestion. There is no lobar consolidation. There is no pneumothorax or pleural effusion. The patient is status post median sternotomy.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56270861.jpg
90	s53223089	In comparison with the study of ___, the endotracheal tube and nasogastric tube have been removed. Single channel pacer remains in good position. Again there is moderate enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis at the bases.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53223089.jpg
91	s51546202	The ___ radiograph from 17:48 shows increased near-complete opacification of the left hemithorax. Two left chest tubes remain in place. The aerated right lung is grossly clear. The heart and mediastinum cannot be accurately assessed. The followup radiograph from 20:23 shows slightly increased gaseous distension of the stomach, and no other significant interval change. The ___ radiograph shows decreased gaseous distention of the stomach, and no other relevant change.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51546202.jpg
92	s53130174	There has been interval placement of a left-sided subclavian central venous catheter with tip projecting over the mid SVC. No pneumothorax is identified. An endotracheal tube and an esophageal catheter are in unchanged position. Again seen are diffuse ill-defined bibasilar opacities, as well as more reticular opacities with bronchiectasis consistent with chronic fibrotic change. No significant pleural effusion is seen. The heart size is normal.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53130174.jpg
93	s54002346	AP chest compared to ___ through ___: Heterogeneous opacification in the left lung, probably pneumonia, has continued to improve. Small bilateral pleural effusions are still present. Heart size normal. Right jugular line ends in the upper SVC. Gaseous distention of the transverse colon is longstanding.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54002346.jpg
94	s58785569	Comparison to ___. The previously placed right chest tube was removed. There is now a 1 cm right pneumothorax at the lung apex, without evidence of tension. Minimal retrocardiac atelectasis is new. Normal size of the cardiac silhouette.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58785569.jpg
95	s51153677	Cardiomediastinal silhouette is stable. Pacemaker leads are unchanged. Vascular enlargement/interstitial pulmonary edema are noted, unchanged. No pneumothorax is seen. No interval increase in pleural effusion demonstrated	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51153677.jpg
96	s55944538	In comparison with the earlier study of this date, the monitoring and support devices remain in place. Again there is enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis at the bases.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55944538.jpg
97	s56667588	Lung volumes are low with bibasilar volume loss and obscuration of the right hemidiaphragm laterally, likely representing a small infiltrate in this region. This has progressed since the prior film from four days ago. The upper lungs are clear. There is minimal pulmonary vascular re-distribution.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56667588.jpg
98	s50204395	1 right IJ catheter has been removed. Right IJ introducer sheath in place. Postoperative changes. Interval removal of chest tubes, mediastinal drain. No pneumothorax. Epicardial pacer wires. Stable mild bibasilar opacities. Shallow inspiration accentuates heart size, pulmonary vascularity.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50204395.jpg
99	s54047724	AP chest reviewed in conjunction with torso CT on ___: Small left pleural effusion and left basal consolidation have increased slightly since ___. Findings are concerning for either infection or given the appropriate history, trauma to the left hemidiaphragm. If the findings are not understood, I would recommend a repeat chest CT to include the left upper abdominal quadrant. The right lung is clear. Cardiomediastinal silhouettes are normal.	../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54047724.jpg

0

s50260386

A tip of a left Port-A-Cath lies in the low superior vena cava. Indistinct nodular opacities in the left lung base are consistent with known metastatic disease and better demonstrated on the prior CT. There is bilateral pleural thickening and small pleural effusions that appear relatively unchanged in size since ___. The cardiac and mediastinal contours are normal. The upper bowel gas pattern is unremarkable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50260386.jpg

1

s58019009

AP chest compared to ___, 9:04 a.m.: In place of right lower lobe atelectasis, is now new basal consolidation suggesting pneumonia may be developing where previously there was bronchial obstruction due to aspiration. Heart size normal. Lungs otherwise clear. No pleural abnormality. ET tube in standard placement. Nasogastric tube ends in the stomach. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58019009.jpg

2

s54123565

AP chest compared to ___, read in conjunction with chest CT ___: There is no right pneumothorax or appreciable residual right pleural effusion. There is irregular pleural thickening conforming to the presumed tumor implants seen on the chest CT. Left lung is clear and there is no pleural abnormality on that side. Heart size normal.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54123565.jpg

3

s51811896

A tracheostomy cannula is located within the upper trachea above the level of the clavicles. There is no pneumothorax. Interval removal of the Dobbhoff feeding tube and right internal jugular catheter is noted. There is unchanged mild pulmonary vascular congestion, though no large effusions. Cardiomediastinal and hilar contours are enlarged but appear unchanged from prior.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51811896.jpg

4

s59641633

Bilateral previous mentioned reticular opacities are noted with mild improvement. Severe colonic ileus is unchanged. On this portable film, there is no appreciable pleural effusion. Cardiomediastinal silhouette is unchanged as compared to radiograph dated ___.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59641633.jpg

5

s54057351

Stable mild pulmonary vascular congestion. Slight improvement in retrocardiac opacity.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54057351.jpg

6

s53028287

The ET tube, NG tube, and left chest tube are unchanged. There is a mildly displaced left lateral rib fracture as visualized on the prior study. There are bilateral lower lobe opacities that have worsened compared to prior studies compatible with volume loss/infiltrate/effusion left greater than right. There is an unusual area of lucency adjacent to the right hilum extending superiorly on the right that could represent some mediastinal air. The left posterior rib fractures are better visualized on the reference CT.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53028287.jpg

7

s51844541

The endotracheal tube ends 2.5 cm above the carina. The nasogastric tube enters the stomach. There are diffuse nodular parenchymal opacities. For example in the right upper lung there is a 1.5 cm nodule. The lung volumes and mild pulmonary vascular congestion have improved compared to the prior chest radiograph performed 1.5 hours prior. The cardiac contours are obscured by the dense parenchymal opacities but the heart size is likely normal. No pneumothorax. Cervical hardware is noted.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51844541.jpg

8

s50939248

Heart size borderline enlarged. Normal pulmonary vasculature. Lungs clear. No pleural abnormality.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50939248.jpg

9

s55777915

NG tube has been repositioned and is now in the stomach. The lungs are otherwise unremarkable. There is no pneumothorax or pleural effusion. Left subclavian line ends in distal brachiocephalic vein.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55777915.jpg

10

s55568082

Portable frontal view of the chest. A right internal jugular Cordis catheter tip terminates near the junction of the internal jugular and brachiocephalic veins. The trachea appears slightly deviated to the left, an appreciable difference from the prior portable radiograph of ___. Inspection should be made for superficial evidence of a hematoma at the catheter entry site and/or a follow up radiograph could be obtained. No pleural effusion, pneumothorax or focal airspace consolidation. Normal heart size, mediastinal and hilar structures. These findings were discussed with Dr. ___ by Dr. ___ at 08:06 AM on ___ by telephone at the time of discovery.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55568082.jpg

11

s59160177

In comparison with the study of ___, the endotracheal tube has been removed. Little change in the hazy opacification at the left base consistent with layering effusion and volume loss. On the right, there is increased opacification at the base with poor definition of the hemidiaphragm, consistent with pleural fluid and atelectasis on this side as well. In the appropriate clinical setting, superimposed aspiration would have to be seriously considered.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59160177.jpg

12

s51636502

The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. Median sternotomy wires again noted.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51636502.jpg

13

s52559357

NG tube terminates with the side port at the gastroesophageal junction. The imaged portion of the lungs appear clear. Heart size is normal. There is gaseous distention of bowel but no overt dilatation. Surgical clips overlie the left and right upper quadrants and cutaneous ___ overlie the midline.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52559357.jpg

14

s52700004

AP chest radiograph. There is slight worsening opacification in the right mid lung consistent with pneumonia in the background setting of known multifocal bronchioalveolar carcinoma. The cardiomediastinal silhouette is stable. There is no pulmonary vascular engorgement, large pleural effusion, or pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52700004.jpg

15

s56586347

Severe enlargement of the cardiac silhouette is unchanged. Swan-Ganz catheter tip is in the left pulmonary artery. Pacer leads are in standard position. Right PICC tip is in the lower SVC. There is no pneumothorax. There is mild vascular congestion. Small right effusion is a stable

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56586347.jpg

16

s57494915

Portable AP radiograph of the chest was reviewed in comparison to ___. Pacemaker leads terminate in the expected location projecting over the right atrium, right ventricle, and left ventricle epicardial vein. The cardiomegaly is unchanged. Mediastinum is stable. No appreciable pneumothorax is seen.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57494915.jpg

17

s53404015

The lungs are well-expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged. The imaged upper abdomen is unremarkable. The bones are intact.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53404015.jpg

18

s55900811

Single frontal view of the chest was obtained. The lungs are hyperinflated. Retrocardiac left base scarring/atelectasis is seen. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The mediastinal contours are unremarkable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55900811.jpg

19

s58274665

In comparison with the study of ___, the endotracheal and nasogastric tubes have been removed. Swan-Ganz catheter is been pulled back so that the tip is within the right atrium. Following chest tube removal, there may again be a small apical pneumothorax on the left. There are lower lung volumes that accentuate the transverse diameter of the heart. Some indistinctness of pulmonary vessels suggests mild elevation of pulmonary venous pressure.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58274665.jpg

20

s56690635

As compared to the previous radiograph, there is a decrease in extent of the pulmonary edema. However, the edema still is extensive. Decreased size of the cardiac silhouette. No overt pleural effusions. No areas of pathologic parenchymal consolidations.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56690635.jpg

21

s59189997

Compared to prior chest radiographs ___ through ___. There is no clear evidence of aspiration or pneumonia. Heart size is normal but along with mediastinal venous caliber, increased since ___. Pleural effusions are small if any. No pneumothorax. Left PIC line ends in the left brachiocephalic vein. Tracheostomy tube midline. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59189997.jpg

22

s50311629

Moderate right and small left pleural effusions are new and/or increased. Heart size is top-normal. Severe consolidation in the lower lungs unchanged. Heart size normal. No pneumothorax. ET tube, left subclavian line, and nasogastric tube are all in standard placements respectively

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50311629.jpg

23

s51765201

AP chest compared to ___: Large areas of opacification in the chest on ___ were due to loculated pleural effusions primarily. Both the layering and loculated components of pleural effusion in the right hemithorax have increased, although I see no radiopaque catheter on that side. The Pleurx catheter sits on the diaphragmatic surface, and the small volumes of pleural fluid dependent and fissural are unchanged. As far as one can tell, the lungs are clear but that assessment is difficult given the pleural findings. At least a lateral view would be required. Atelectasis is present at both lung bases but does not appear to be particularly severe. The heart is normal size. There is no pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51765201.jpg

24

s51495454

The tip of the nasogastric tube is not optimally seen and does not appear to extend below the GE junction. There may be a loop within the distal portion of the catheter with it being redundant within the distal esophagus. Would recommend repeat images for further evaluation. There is a left dual-lead pacemaker which is stable. Aortoiliac stent material is seen within the upper abdomen. Heart size is enlarged but stable. There is tortuosity of thoracic aorta. There is no focal consolidation, pleural effusions, or signs for overt pulmonary edema.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51495454.jpg

25

s54439656

Tracheostomy tube remains in unchanged position. Cardiac, mediastinal and hilar contours appear similar. Reduced lung volumes are re- demonstrated. Diffuse interstitial opacities are compatible with a chronic interstitial lung disease, not substantially changed from prior. Interval development of more focal patchy opacities in the lung bases compared to the recent radiograph may reflect superimposed infection or aspiration. There may be superimposed mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Mildly distended air-filled loops of bowel are seen within the imaged upper abdomen.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54439656.jpg

26

s50819693

Stable cardiomegaly and enlargement of central pulmonary vasculature accompanied by pulmonary vascular congestion and worsening perihilar edema as well as a new right pleural effusion. Persistent small left pleural effusion and bilateral lower lobe atelectasis. Coexisting pneumonia is possible given clinical history of this diagnosis.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50819693.jpg

27

s58964060

Moderate bilateral pleural effusion, right greater than left, has improved. Upper lungs grossly clear. There is probably a component of atelectasis, particular in the left lower lobe but that has improved as well. Cardiac silhouette is obscured, but probably not enlarged. ET tube and right internal jugular line are in standard placements. Esophageal drainage tube passes into the stomach and out of view. There is no pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58964060.jpg

28

s53304036

As compared to ___ radiograph, pulmonary edema has resolved. No definite new areas of consolidation to suggest a source of infection, but standard PA and lateral chest radiographs would provide more complete evaluation of the lung bases and may be considered if clinical suspicion for pneumonia persists.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53304036.jpg

29

s53160992

Comparison is made to previous study from ___. There has been removal of the Swan-Ganz catheter. There remains a right IJ Cordis with the distal lead tip in the proximal SVC. Median sternotomy wires are seen. There has been removal of the right-sided chest tube at the base. There remains a left-sided chest tube at the base. There is cardiomegaly. There is a right-sided pleural effusion and right basilar opacity, stable. There is elevation of the left hemidiaphragm partially due to a large gastric air bubble. This causes crowding of the pulmonary vascular markings at the left base causing atelectasis. There remains a mild pulmonary edema, stable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53160992.jpg

30

s54119786

There is a new biventricular AICD with leads in the right atrium, right ventricle and in a left coronary vein. There is no pneumothorax. Cardiomediastinal silhouette is unchanged. There is small amount of bibasilar atelectasis with mild increased prominence of pulmonary vasculature which suggests possible mild vascular congestion. There is no definite focal consolidation.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54119786.jpg

31

s58541805

Compared to chest radiographs, ___ through ___. Mild pulmonary edema, moderate cardiomegaly, mediastinal venous and bilateral hilar engorgement are unchanged. Hematoma related to right upper chest wall surgery unchanged. No pneumothorax. Unremarkable postoperative mediastinal silhouette, also on change.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58541805.jpg

32

s53639754

Single frontal view of the chest was obtained. The patient is status post median sternotomy and CABG. A left-sided pacer device is grossly stable in position. The cardiac silhouette remains enlarged. The mediastinal contours are stable. There is hazy right basilar opacity, likely combination of pleural effusion and atelectasis. Left lung is clear aside from the region obscured by the left pacer battery pack. No overt pulmonary edema is seen.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53639754.jpg

33

s51192712

In comparison with the study of ___, there is little overall change. Monitoring and support devices remain intact. Continued enlargement of the cardiac silhouette without definite pulmonary vascular congestion. Again there is opacification in the retrocardiac region obscuring the hemidiaphragm and consistent with volume loss in the left lower lobe and probable small effusion.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51192712.jpg

34

s59311809

The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. The mediastinal and hilar contours are unremarkable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59311809.jpg

35

s59868886

Cardiac enlargement. Port-A-Cath in place. Improved right basilar consolidation, decreased right pleural effusion since prior. No pneumothorax. Prominent right chest wall skin fold. Left lung basilar atelectasis is stable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59868886.jpg

36

s56053073

Since the prior radiograph, there has been interval placement of a right-sided PICC line that terminates in the proximal SVC. There are no focal consolidations, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56053073.jpg

37

s52588233

The cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Remote right ___ posterior rib fracture is re- demonstrated.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52588233.jpg

38

s51704799

Lung volumes are within normal limits. Even allowing for the projection, the heart is mildly enlarged and there is mild prominence of the pulmonary vasculature, particular in the upper lobes consistent with mild pulmonary vascular congestion. No frank pulmonary edema seen. No consolidation or pneumothorax seen. No pleural effusion seen. There is a relatively acute scoliotic curve convex the right centered at the thorax lumbar junction, there may be a compression deformity at this level, this is incompletely evaluated on this AP view only. Degenerative changes in the left shoulder.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51704799.jpg

39

s54016078

Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Minimal atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54016078.jpg

40

s53702319

Allowing for differences in technique and projection, there has not been an appreciable change in the appearance of the chest since recent radiograph of 1 day earlier.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53702319.jpg

41

s56772283

In comparison with the study of ___, there again are low lung volumes that increase the prominence of the transverse diameter of the heart. No pulmonary vascular congestion. Elevation of the right hemidiaphragm is chronic. There is some increased opacification at the left base that could merely reflect atelectasis. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56772283.jpg

42

s57264706

Left PICC line is at the cavoatrial junction level. Heart size and mediastinum are stable. Bilateral pleural effusions are large and appear to be increased since the prior study as well as perihilar opacities concerning for progression of pulmonary edema The patient was extubated in the meantime interval was removal of the NG tube.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57264706.jpg

43

s52357013

Portable semi erect chest radiograph demonstrates low lung volumes with subsequent bronchovascular crowding and atelectasis. There is bibasilar atelectasis with no definite focal consolidation identified. Enlargement of the central vessels with mild vascular congestion is identified. No overt pulmonary edema. Heart size is top-normal. There is a enteric tube which descends in an uncomplicated course its terminal end out of view. A right central line is seen with its tip terminating in the low superior vena cava. There is no appreciable pleural effusion or pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52357013.jpg

44

s54555919

As compared ___ radiograph, pulmonary edema has worsened and is now moderate in severity with bilateral small pleural effusions, right greater than left. Endotracheal tube has been advanced, with tip at the level of the carina directed towards the right main bronchus.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54555919.jpg

45

s56948422

As compared to the previous radiograph, the monitoring and support devices, including the bilateral chest tubes, are in unchanged position. Currently, the right lung is almost completely re-expanded, with only a minimal millimetric right apical pneumothorax persisting. Substantial improvement of the pre-existing right basal areas of atelectasis. No new parenchymal opacities. Unchanged normal size of the cardiac silhouette. No pleural effusions.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56948422.jpg

46

s57285767

The course of the left pigtail pleural drainage catheter has changed since ___. The volume of the large multiloculated left pleural effusion is unchanged. Left lower lobe is collapsed. Moderate to severe atelectasis in the right lower lobe has worsened. Cardiac silhouette is largely obscured. There is no pulmonary edema.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57285767.jpg

47

s50298121

ET tube tip is high, 8.6 cm above the carinal and should be advanced 2 cm. Left lower lobe atelectasis and pleural effusion have developed in the interim. Mild vascular congestion is present but overall improved since the previous study Pigtail catheter has been removed on the right with no interval increase in pleural effusion or development of pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50298121.jpg

48

s56725589

Portable AP upright chest radiograph was provided. A right IJ central venous catheter is seen with its tip in the low SVC approaching the expected location of the cavoatrial junction. Prominence of right pulmonary hilar structures appear stable secondary to right anterior diaphragmatic eventration. Clips are again noted at the at the gastric level. The lungs are clear bilaterally. The cardiomediastinal silhouette appears grossly unremarkable. No large effusion or pneumothorax. Bony structures are intact.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56725589.jpg

49

s54079722

As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the endotracheal tube, are in unchanged position. The pre-existing relatively extensive bilateral basal parenchymal opacities, right slightly more than left, are overall unchanged in extent and severity. No parenchymal opacities have newly occurred. The presence of a minimal left pleural effusion cannot be excluded. No right-sided pleural effusion. Unchanged borderline size of the cardiac silhouette with minimal tortuosity of the thoracic aorta.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54079722.jpg

50

s55971951

A left central venous catheter terminates at the mid SVC. Remaining lung findings are unchanged. Gastric bubble has increased in size.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55971951.jpg

51

s54225487

In comparison with the study ___, the streaks of atelectasis at the left base with improved. Atelectatic changes at the right base are essentially unchanged. The left subclavian catheter again extends to about the level of the cavoatrial junction.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54225487.jpg

52

s52591337

Compared to chest radiographs ___. Patient has been extubated, and previous pulmonary edema has resolved. Severe cardiomegaly is chronic. There is no pneumonia or pleural effusion.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52591337.jpg

53

s55441026

COMPARED TO PRIOR CHEST RADIOGRAPHS ___ THROUGH ___. Postoperative widening of the cardiomediastinal silhouette, expected following esophagectomy and gastric pull-up is unchanged. Mild pulmonary edema has improved since ___ as has previous moderate atelectasis at the base the left lung. Small pleural effusions are unchanged, and very small right apical pneumothorax are unchanged. Rest right thoracostomy tube, midline drain, and transesophageal drainage tube are unchanged in their standard positions. Heart size normal.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55441026.jpg

54

s58108841

AP chest compared to ___ Small left pleural effusion is new. Lungs are grossly clear. Mediastinal and pulmonary vascular engorgement are longstanding, as is severe cardiomegaly with particular left atrial enlargement. No good evidence of pneumonia.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58108841.jpg

55

s55051140

Right-sided pacer wire is again seen from a right internal jugular approach, terminating by coiling in the region of the right ventricle. The appearance is similar to the prior study. The patient is status post median sternotomy and CABG. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion or evidence of pneumothorax. Again, prominence of the hila may suggest pulmonary vascular engorgement without overt pulmonary edema.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55051140.jpg

56

s54362850

Feeding tube with the wire stylet in place ends in the mid stomach, bypassing an esophageal probe which ends just beyond the gastroesophageal junction. Right subclavian line ends at the estimated location of the superior cavoatrial junction. ET tube in standard position. Severe cardiomegaly worsened between ___ and ___ and has not improved. Combination of moderate right pleural effusion and severe right basal atelectasis is also stable since ___ but new since ___. Left lower lobe atelectasis has varied in severity, stable since ___. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54362850.jpg

57

s55121187

In comparison with the study of ___, there is little change in the bilateral layering pleural effusions with basilar compressive atelectasis, more prominent on the right. Some element of increased pulmonary venous pressure persists. Right subclavian catheter tip again extends to the lower portion of the superior vena cava. Fixation devices are seen in the lower cervical and upper thoracic spine.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55121187.jpg

58

s50361241

In comparison with the study of ___, postsurgical changes in the right hemithorax are stable with no definite pneumothorax. Esophagogastric pull-through it is stable. The degree of pneumoperitoneum has decreased. Left hemidiaphragm remains obscured with retrocardiac opacification, consistent with pleural fluid and substantial volume loss in the left lower lobe.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50361241.jpg

59

s59237857

In comparison with the study of ___, the Dobbhoff tube now extends at least to the second portion of the duodenum. There is increasing opacification at the left base, consistent with worsening pleural effusion and volume loss in the left lower lobe. The possibility of superimposed pneumonia would have to be considered in the appropriate clinical setting. The right lung is essentially clear and there is no evidence of pulmonary edema.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59237857.jpg

60

s54436727

1. Right subclavian PICC line and right internal jugular central line both have their tips in the distal SVC, unchanged. There are streaky bibasilar opacities, which are essentially unchanged and likely reflect atelectasis or post-inflammatory scarring. No pleural effusions, pneumothorax, or pulmonary edema. Lung volumes remain low. Overall cardiac and contours are stable. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54436727.jpg

61

s54595926

The tip of the Dobbhoff tube lies in the lower stomach. Little change in the appearance of the heart and lungs, which are not well evaluated on this study.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54595926.jpg

62

s51748703

As compared to the previous radiograph, the patient was intubated. The tip of the endotracheal tube projects approximately 6 cm above the carinal. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices are in constant position. There is an increase in right and left lung volume. However, the atelectasis at the left lung base persists. No other changes.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51748703.jpg

63

s54583800

As compared to ___, the bilateral parenchymal opacities are unchanged in severity and extent. Constant borderline size of the cardiac silhouette. No new parenchymal opacities. The monitoring and support devices are in unchanged correct position.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54583800.jpg

64

s50691486

Semi-upright portable chest radiograph shows no change in positioning of endotracheal tube or right-sided central venous catheter tip. The left hemidiaphragm remains obscured and left lower lobe and perihilar consolidation as well as patchy opacity in the right upper lobe likewise appear radiographically unchanged compared to yesterday's study at 12:44 p.m.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50691486.jpg

65

s52765650

Right-sided PICC terminates at the origin of the SVC. Unchanged cardiomediastinal and hilar contours. Stable, low lung volumes bilaterally. Stable, moderate bibasilar atelectasis. Interval decrease in size of moderate, left pleural effusion. Slight interval improvement in mild pulmonary edema. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52765650.jpg

66

s52523257

Patient has had median sternotomy. Moderate to severe cardiomegaly is long-standing. Pleural effusion minimal if any. Pulmonary vascular congestion is mild and there is no longer any pulmonary edema or focal pulmonary abnormality.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52523257.jpg

67

s54767983

As compared to the previous image, the patient has been extubated and the left chest tube has been removed. Moderate gastric overinflation. Borderline size of the cardiac silhouette without pulmonary edema. Minimal bilateral pleural effusions. No pneumothorax. Left pectoral pacemaker and leads in unchanged position.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54767983.jpg

68

s56110046

AP radiograph of the chest was reviewed in comparison to ___. The left apical pneumothorax appears to be decreased in the interim. The pigtail catheter is in place. Basal aspect of the pneumothorax is smaller as well. There is interval improvement in overall aeration of the right lung. No appreciable pleural effusion is demonstrated.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56110046.jpg

69

s55077042

The cardiac, mediastinal and hilar contours appear stable. There are no pleural effusions or pneumothorax. A previously noted interstitial abnormality is not as well depicted on portable technique. No focal opacity is identified.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55077042.jpg

70

s50760821

Multifocal diffuse consolidations larger in the left lower lobe are unchanged. Patient is very rotated. Cardiomediastinal contours are grossly unchanged. Right PICC tip is in the lower SVC. There is no evident pneumothorax or enlarging effusions. Radiolucency projecting in the lower lateral left hemi thorax is most likely artifactual and outside the patient

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50760821.jpg

71

s52968360

AP chest compared to ___: The current feeding tube ends in the upper stomach. Previously, there was a feeding tube ending in the proximal duodenum. Left hemidiaphragm is chronically elevated, presumably due in part to severe splenomegaly. Multiple lung nodules and areas of peribronchial infiltration in right lung greater than left is worse today than it was on ___. Heart is mildly enlarged, unchanged. No pneumothorax.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52968360.jpg

72

s56242351

No previous images. The heart is normal in size, and there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. Apical pleural thickening bilaterally and possible calcified right hilar node is consistent with old granulomatous disease.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56242351.jpg

73

s53453372

As compared to the previous radiograph, the patient remains intubated. The endotracheal tube is in unchanged location. The right external pacemaker as well as the feeding tube are also unchanged. Unchanged position of the aortic valve replacement. The pre-existing perihilar opacities have completely resolved. Currently the patient shows no evidence of pulmonary edema or larger pleural effusions. Minimal retrocardiac atelectasis.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53453372.jpg

74

s52185475

There is a left chest tube, which appears unchanged in comparison to the prior chest radiograph. There is a small residual left apical pneumothorax, which is also unchanged. There is bibasilar atelectasis with increasing density in the left midlung. There is a moderate left pleural effusion. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. There are no acute osseous abnormalities.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52185475.jpg

75

s51131917

Portable frontal radiograph of the chest demonstrates a Dobbhoff tube in the mid esophagus. The left internal jugular central venous catheter is in unchanged position. Lung volumes are slightly improved with persistent bibasilar atelectasis. Pulmonary vascular congestion is noted.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51131917.jpg

76

s50189215

Tip of endotracheal tube terminates at the carina, directed towards the origin of the right main bronchus, as communicated by telephone to Dr. ___ at 9:45 a.m. on ___ at the time of discovery. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Asymmetrical right hilar enlargement is a persistent finding since ___, but has apparently increased when compared to older chest radiographs from ___ and although low lung volumes on a current study limit comparison. Lungs are clear except for linear bibasilar atelectasis. As recommended on chest ___ of ___, further evaluation with contrast-enhanced CT is suggested to better evaluate the right hilum if warranted clinically. This finding is also discussed with Dr. ___ as documented above.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50189215.jpg

77

s50212055

As compared to recent radiograph of 1 day earlier, right-sided chest tube and pleural pigtail catheter remain in place with persistent loculated right pleural effusion and hydropneumothorax. Overall appearance of the chest is similar to the prior study except for worsening interstitial edema.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50212055.jpg

78

s50701590

Comparison ___. The overall lung volumes have decreased. Moderate cardiomegaly persists. Mild atelectasis at the level of the right hilus. Status post axillary surgery. No new focal parenchymal opacities. No pleural effusions. The tracheostomy tube and the right internal jugular vein catheter in constant position.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50701590.jpg

79

s58758928

In comparison with the earlier study of this date, there has been placement of a left chest tube following vats decortication. There is still extensive opacification in the left hemithorax, though some aerated lung is seen. Again there is some shift of the mediastinum to the right. At the right base, there is now a dense streak of atelectasis and blunting of the costophrenic angle that could reflect a small effusion.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58758928.jpg

80

s57395073

As compared to the previous image, no relevant change is seen. Mild increase in extent and severity of the right pleural effusion. Otherwise unchanged appearance of the heart, the lung parenchyma and the monitoring and support devices.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57395073.jpg

81

s55423713

In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure. Increased opacification at the right base is consistent with volume loss in the lower lobe and pleural effusion. The nasogastric tube can only be followed to the lower esophagus, where it is obscured by the density of the abdomen. Further evaluation would require a repeat study using abdominal technique and centered at the carina.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55423713.jpg

82

s52569630

The patient is status post median sternotomy. Right-sided Port-A-Cath has been placed in the interval, with catheter terminating in the low SVC. There has been interval increase in moderate-to-large left pleural effusion with superimposed atelectasis, underlying consolidation is difficult to exclude. The right lung is clear. Cardiac and mediastinal silhouettes are stable.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s52569630.jpg

83

s53040336

The endotracheal tube ends 6 cm above the carina. A nasogastric tube enters the stomach and ends off of the radiograph. A new right internal jugular line ends at the cavoatrial junction. Right perihilar opacification represents perihilar ground-glass opacities, better seen on the prior CT torso examination. There is no pleural effusion or pneumothorax. The heart size is normal.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53040336.jpg

84

s50798994

As compared to the previous radiograph, no relevant change is seen. Borderline size of the cardiac silhouette. Mild elongation of the descending aorta. No pneumonia, no pulmonary edema. No pleural effusions. The pre-existing 8 mm pulmonary nodule in the left lung is constant in appearance. No new nodules. The nodule has been stable overall several examinations but workup by CT could nevertheless be performed on a non emergent basis.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50798994.jpg

85

s59311983

The right PICC line shows a coiling at the level of the superior vena cava, but the tip projects over the upper to mid SVC. No complications, notably no pneumothorax. No other relevant changes since the previous radiograph.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s59311983.jpg

86

s51738503

The patient is status post median sternotomy with multiple intact appearing sternal wires. A tracheostomy is off midline to the right and small relative the diameter of the trachea. There is bibasilar opacification with hazy opacification extending to the mid lung zones right greater than the left is compatible with layering pleural effusions and bibasilar atelectasis. Concurrent pneumonia is not excluded in the appropriate clinical context. There is mild pulmonary vascular and mediastinal venous congestion. The cardiac silhouette is partially obscured but appears enlarged. A partially imaged drainage catheter is noted in the right upper quadrant.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51738503.jpg

87

s58567256

There is a moderate-to-large left pleural effusion has increased since the previous exam. Again seen is a small right pleural effusion. There is new parenchymal opacity within the left upper lung zones concerning for pneumonia. Hazy opacity at the right lung base may represent layering pleural fluid however infection cannot be entirely excluded. The cardio mediastinal silhouette is unchanged. The aorta is tortuous.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58567256.jpg

88

s57048336

As compared to the previous radiograph, the lung volumes have slightly decreased. As a result, areas of mild atelectasis are seen at both lung bases. No pleural effusions. No pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s57048336.jpg

89

s56270861

Semi-upright portable radiograph of the chest. The newly placed endotracheal tube terminates in the midtrachea, 4.9 cm above the carina. The orogastric tube courses through the esophagus and inferiorly out of the field of view into the stomach. A right central venous catheter terminates in the mid superior vena cava. The lung volumes are low and there is pulmonary vascular congestion. There is no lobar consolidation. There is no pneumothorax or pleural effusion. The patient is status post median sternotomy.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56270861.jpg

90

s53223089

In comparison with the study of ___, the endotracheal tube and nasogastric tube have been removed. Single channel pacer remains in good position. Again there is moderate enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis at the bases.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53223089.jpg

91

s51546202

The ___ radiograph from 17:48 shows increased near-complete opacification of the left hemithorax. Two left chest tubes remain in place. The aerated right lung is grossly clear. The heart and mediastinum cannot be accurately assessed. The followup radiograph from 20:23 shows slightly increased gaseous distension of the stomach, and no other significant interval change. The ___ radiograph shows decreased gaseous distention of the stomach, and no other relevant change.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51546202.jpg

92

s53130174

There has been interval placement of a left-sided subclavian central venous catheter with tip projecting over the mid SVC. No pneumothorax is identified. An endotracheal tube and an esophageal catheter are in unchanged position. Again seen are diffuse ill-defined bibasilar opacities, as well as more reticular opacities with bronchiectasis consistent with chronic fibrotic change. No significant pleural effusion is seen. The heart size is normal.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s53130174.jpg

93

s54002346

AP chest compared to ___ through ___: Heterogeneous opacification in the left lung, probably pneumonia, has continued to improve. Small bilateral pleural effusions are still present. Heart size normal. Right jugular line ends in the upper SVC. Gaseous distention of the transverse colon is longstanding.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54002346.jpg

94

s58785569

Comparison to ___. The previously placed right chest tube was removed. There is now a 1 cm right pneumothorax at the lung apex, without evidence of tension. Minimal retrocardiac atelectasis is new. Normal size of the cardiac silhouette.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s58785569.jpg

95

s51153677

Cardiomediastinal silhouette is stable. Pacemaker leads are unchanged. Vascular enlargement/interstitial pulmonary edema are noted, unchanged. No pneumothorax is seen. No interval increase in pleural effusion demonstrated

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s51153677.jpg

96

s55944538

In comparison with the earlier study of this date, the monitoring and support devices remain in place. Again there is enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure and bilateral pleural effusions with compressive atelectasis at the bases.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s55944538.jpg

97

s56667588

Lung volumes are low with bibasilar volume loss and obscuration of the right hemidiaphragm laterally, likely representing a small infiltrate in this region. This has progressed since the prior film from four days ago. The upper lungs are clear. There is minimal pulmonary vascular re-distribution.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s56667588.jpg

98

s50204395

1 right IJ catheter has been removed. Right IJ introducer sheath in place. Postoperative changes. Interval removal of chest tubes, mediastinal drain. No pneumothorax. Epicardial pacer wires. Stable mild bibasilar opacities. Shallow inspiration accentuates heart size, pulmonary vascularity.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s50204395.jpg

99

s54047724

AP chest reviewed in conjunction with torso CT on ___: Small left pleural effusion and left basal consolidation have increased slightly since ___. Findings are concerning for either infection or given the appropriate history, trauma to the left hemidiaphragm. If the findings are not understood, I would recommend a repeat chest CT to include the left upper abdominal quadrant. The right lung is clear. Cardiomediastinal silhouettes are normal.

../input/curated-cxr-report-generation-dataset/mimic_dset/re_512_3ch/Train/s54047724.jpg